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HomeMy WebLinkAboutBP21-098PERMIT* AA:)I�&Fao _DATE: Imo cDa c)� EXP: / ic8 c SECTION t BLOCK LOT 3 TYPE OF WORK ace /J77lJ P ldhlls k!! PSQ Rock JOB LOCATION GCl�� OWNER l 4/? 00 i S i'! //S 8%CO— 99 % % CONTRACTOR c,? SCQ /n/7%S Qiclo4e (9jy)y97L3o7y EST. COST FEE '- vCO # ac FEES /�� DATE GX TCO #_ FEE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS C� SPRINKLER ELECTRIC I� LOW VOLT L� INSP ALARM AS BUILT FINAL OTHER APPROVALS OTHER AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION y1�8. tea w°.,•��V c tic.. E. a' 19 404 Q.ItlZl(SmaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ry ebrook.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE June 28,2022 Jordan Sedrish&Ann Sedrish 35 Bonwit Road Rye Brook,New York 10573 Re: 35 Bonwit Road, R_ve Brook,New York 10573 Parcel ID#: 135.49-1-23 Building Permit#21-098 issued on 4/28/2021 to Replace Existing RR Tie Walls This certifies that the new mesa block walls,installed under the above captioned permit have been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to I� �\ For office use onl c L BUILDINrTMENT PERMIT# VILLAGE OF RYE BROOK ISSUED: APR 12 2022 1038 KING STREET,RYE BROOK,NEN'YORK 10573 DATE: —/a—C (914)'9391-068 FEE: 4 //0— PAIDV VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT 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 +s**rtrtsssss+*rt*ssss*s**ssssss**s*sssss*s*rtssssss***rtrtssss***+*rtrt*s*s*s+s*r+rtrt******+rtrtssss******ssssss**ssss*s**s*ssss***rt*sss Address: -onvV(T 1?_ {C b✓0 0 k N y 05 Occupancy/Use: 1—FI4'444 `Parcel 1D#: 13 5 - q 2 ,FN 113D� Lor 5$ Zone: r� Owner: AY)yt * TVdam C dyI Address: Sri OCny\4T � Ryen I3w-* NY 1p;F-7j P.E./R.A. or Contractor:A),lm LQHd ingri Address: W14_IOf hvc, l2040he4ee4 �LLbr--;'3 Person in responsible charge: L)(hhl S /JA✓Of'h -e Address: I I IMI KfvA 44T f0v1-0-P-e- ley I g-3 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: 1 y{h Sid I/I being duly swom,deposes and says that he/she resides at 3 b✓Iw1 t 1jDc-- (Print Name of Applicant) (No.and Street) in C��L p51-00 intheCountyof 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 equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 1� 1 p 0 0 for the construction or alteration of.QW)-t by(Sh n o d (Vfn l n i n� yv4f t On ✓I ✓e W GC y 'q t�P�IuCC In/1`t'L� IV�(C✓ �Lk-t�rLh ( (� wct I I S 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 2 Sworn to before me this 12 day of 20 day of A-Pv< < , 20 2 2- A/Vvk- ; rYP �- � OJ SignatureA licant Signature of Property Owner QpB� N0.t71 St 0 Spp My �fn &( f IV, P e of Property Owner y23 s Print me of Applicant J O"L� No Public Notary Public 8/12/2021 cu � 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 �zo ZZ- - - - - - - - - - - - - - - - - - - - z�1 ADDRESS : DATE: Z3 PERMIT# ISSUED: SECT: BLACK: LOT: LOCATION: OCCUPANCY: Z C ❑ VIOLATION NOTED THE WORK IS... ❑ -ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER QyE 4RC '- O�` Zm cu � Fo 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 : - y , -DATE: ' PERMIT# O ISSUED: SECT: �ILOCK: ? LOT:, LOCATION: 00 k l�J`^11� OCCUPANCY: . U ❑ 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 r _ ,,tea _ (� o ❑ NATURAL GAS �-�1 K �1� �U� �� 0(`r�+l k(--1 13 -5-D - ❑ L.P. GAS n 2 vs 1( ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 1 ❑ FINAL UOQ ❑ OTHER Building Permit Check List&Zoning Analysis Address: SBL: Zone: 1 - (Z Use: ZI Q Const.Type: 2� Other. Submittal Date: Revisions Submittal Dates: Applicant: sr L Nature of Work:--_1_ZAZT?LACX-- —; ' S _Q>711�> T►F WNL-�_S vVl F4 Q) Reviews:ZBA: N 0 V — 2 2020 PB: BOT: Other. OK ( ( ) FEES:Filing-. BP: 7 It O • C/O: Legalization: ( ) (L.Y 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 Protection S/W Mgmt.: Tree Plan: Other. ( ) (>f SURVEY:Dated: `� ` Z 7 Current: ✓ Archival• Sealed: Z Unacceptable: ( ) PLANS:Date Stamped: .L Sealed: Copies: Z Electronic: Other. (�( ) License:,Z'0' Workers Comp: Liability Comp.Waiver. Other. ( ( ) CODE 753#: 014-)3/—POP L-1/e- Dated- N/A: O O HUGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: RW.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. WARB mtg.date: t l approval:- 2 dotes: ( )ZBA mtg. date: approval: notes: ( )PB mrg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES AtrirmuVED Date: NOV_ 2 .2_202f, cir�e: >mw s u: &41r. Main C A<cs.cow Ft.H/Sb: Sd H/Sb: Tot imp: PP H .ight/stories: notes: L BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 OCT 3 0 2020 (914)939-0668 FAx(914)939-5801 VILLAGE OF RYE BR001< www.rvebrook,orlz L BUILDING DEPARTtAENT _ 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: _3 j b: coW l 1 Date of Submission: ` 1Q0 Z Parcel ID#: 435. 4q-/-03Zone:_R-/(9 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building WA- _ c.O` WL-&-c-c�c4q $ ;Sr,� Department by the applicant-no exceptions. � 1. (- mpleted Application 2. ( wo 2)sets of sealed plans. (one full size(maximum Property Owner:� (0 k ��L " C-J 5'( allowable plan size=36"x 42")and one 11"xI7") 3. ( wo(2)copies of the property survey. Address: -J=J u�T 4. ( )Two(2)copies of the proposed site plan. Phone# !S�C -8L4;� —'�-'ftxt 5. ( )One electronic/disc copy of the complete Applicant appearing before the Board: plication materials. 6. ( Filing Fee. 7. ( )Any supporting documentation. (1 8. ( )HOA approval letter. (ifopplicable) Address: << ��oy�" 9. ( otographs. Phone# SL(, g 1 (o - q�ti"1 10.( )Samples of finishes/color chart. (a sample board or A model may be presented the night of the meeting Architect/Engineer: JCSFte-t fi-**"0ZcAiAt Phone# (:IC 4- CA--U► A 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 to before me this v Sworn to before me this day of , 20 '), O day of , 20020 d.1W 44vt�" Signature of Property Owner Signature of Applicant S 1\ a 1 I , �t?DPaG-t Print ame of Property weer Pri BEVE LY A NZIUL A L r ' K OF W YORK Nota y Public egtstratu vo. O I AN4770447 t °aryAP Ke�jlstrlit►pn N OlAN477()447 Qualified In westchesler County III (,iu�liflec�In W�8t0H�rter County Commis vr, Expiri s VOrcr. 3U,2022 Court, s�i©n �tptr�s�I��ten�0,2022 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, November 18, 2020 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on November 18, 2020 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/82249823211 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: 822 4982 3211 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 16 Maywood Ave Replace Rear Yard Wood Consent 5091 (Robles) Fence w/6Ft Agenda 19 Maywood Ave Driveway Widen, Retaining Consent 5100 (Ocasio) and Wall Fence Agenda 16 Hillandale Road New 4'-0" High Post and Consent 5101 (Harmon) Rail Fence w/Wire Mesh Agenda 717 Westchester Ave New 4' High Open Picket, Consent 5102 (Shehata) Front Yard and 6'High Agenda White Vinyl Fence Rear Yard. 6 Legendary Circle Post& Rail Fence In Rear Consent 5103 (Goodman) Yard Agenda 476 N. Ridge Street Roof Top Solar Array Consent 5104 (Sidelev) Agenda 47 Mohegan lane 6Ft High White Privacy Consent 5105 (Shapira) Fence, @ Rear Lot Line Agenda 23 Lincoln Ave Re- Do & expand Rear Patio Consent 5106 (Morales) Agenda 165 Betsy Brown Amendment to Prior Consent 5063 ML NM MR SE JM SF AC MI KC i Road(Valad) Approval, (Front Door Agenda Change) 35 Bonwit Road Replace Driveway R.R. Tie Consen!t."'� 5107 (Sedrish) Walls w/Mesa Block Agenda 72 Valley Terrace Re- Appearance 2nd Story 5097 (72 Valley Terrace Addition& Alterations LLC) 11 Winding Wood Legalize Rear Elevated 5108 Road(Kotlin) Deck 6 Winding Wood Window Changes & Sky 5109 Road Lights/To Accommodate (Escobar/Otero) Kitchen Renovation 7 Beechwood Blvd Application to Amend Prior 5110 (Schoeman) Approval 12 Birch Lane Roof Over Rear Patio 5111 (Shaw) Extension, Outdoor Kitchen & Remove Gazebo 116 Country Ridge Rear Addition, Inground 5112 Drive(Jacobs) Swimming Pool, Deck, & Outdoor Kitchen 3 Charles Lane Rear Deck, Roof Covered 5113 (Abraham) Extended Patio, Fire Pit, BBQ & Sitting Wall 21 Woodland Drive 2nd Fl Addition, & 1 Story 5114 (Morrisey) Addition S. C. Rye Brook Construct Playground Area 5115 Partners S.E. Corner ML NM MR SE JM SF AC MI KC • 4p AIU^ n' IF Ak LA •„ :y ''"''�, � +c. � � a �" .� _J� ^yam` � - •, - .. �td��.►t �''+1 t - �y .�• p .Yl �"`�� �4 � �; y �ry\� - �.'��.« - ' "� 'fit- jyy„ '.i'mac •t#► ��� 4".�j(�z� '�`: Z�. �?. �._ .•mot. .: - -� �r,/� - �-s..- 0 1,� i t fit 10 iA, of f6 I.%Kr� : �� h ►.� • ISO fA IL f `� �t � �` � }� /}j� � 4� �• we ,x\4 ` �'/"� dt' �� �`� +- _ 1, �� ,-; i. �,,� +, a ' •f ' ' rw ISL r � ! 2 1 \ AS, J t \ '`N t � i t Tile t.. Y ♦�1' .`. Vy•+ � �� ��j� r d� �, C i � { J•`Yi:, � � >r lqe.Y'' w,hoolw vk t ✓ � il�'' 4eS'.'♦ rt � :. �, �i:•{��!? !� S !� 1 jfp•r/+.rl Via. ,�a_ ..e '• �, y 1`' 4 �► � .,y.wl`,�l� v j�+w f?•'�,:�Y��f'"�1.'�� ��l.�:G� � ICt,i� S At �_ s. � i�►. � ����� �_.µU�' den"`�'b'".i1� � � `�� a 1 .•• ♦ ''" y� ,`p� 1� �► � � Itr ".3 •w: !la :•� V � � dJu:!• � � �u �• s{'� tlfa' } ` '''c�� ,!• p!,(�`t�1r+ J�• � ti �� rpm. E["� �•�_� 'J�i. y�1`u�'A'.��y.�C � ?1fi♦ " �7 ,.�'. �� '.i 1 �k �. '.�'GI'i-�7 `I �?j���l����.t,�' .'���'i t!♦% I�.d�{� i1'.- � * `�.� J ,r �� Z X ` � t+�•.t � rti i ''t� Y1iK .�'� ��••`e'`:�'i�.��. ' % �� d'�f'61� '�:.x Via.: __ .i9; ^. '� \ � fir: �r � `• �• �il „%• ,1 Je al �1` ♦ J r i.4 rM 7 r 1 �.1 ti a* t Si 7 `i r. i ALM ZA �������,iz.• Iva / .Y I ..N'" • �O �Pr `, �� ��� rr�j III •'�-r dffk j i`R e .�'�'��"' R'�4�tdia ��rc�:` ✓. • ,�.T"� �`�.1l'�'`'s.� ,�G-Y✓j•. _ / i v •Y ..Gig If All eA r� 11 �� •I���:�' 9F'` �*� r-"�7r�; Y:.;� �i1. r.,� � `• �z�V�d' i4 ��ia• � 1���� , , iy' s�1t i�'�.i < �`1�' F° s v i tt �. d��'r �� �����w'/ Y®.}�i,�LI�y�Y���•- .=�r ,�i, s"� ',' f�'•, aA a.I?;, ,;r:VIA. _.:✓ a .�\�.,�1��r .`L �1 � A 1 T� `�!�_�. I :i /'t!/� �1��*• �¢ �y_ ��Y'-i r Ann im IN s1� �"� : f/'+• , . ( �� J f ', 'lam r�yt.'s+��* _ �� J 'L i ,��e� i �' `v '`v'��. :>�j '1•.�.� sa: Y, yea r,.��r 4. '..t-' ` _ `',• ..#. , , `1y' '',' !��r`'� � �����.fir� �'y1 J1 Z; �} c+ , �•r• 4.-�,.1 i �r':`.. .1����� 'a _����J� � , �:2.dl��i.� `. ��:�.�A' ``Y�%S� w� �j��7C •� �:::1�� f ►•; 1 5 j ;r 1 ��• �� \ +- ' lip. f. all . i Laura Petersen From: Ann Newman <anewms@gmail.com> Sent: Wednesday,April 28, 2021 6:28 PM To: Laura Petersen Cc: Jordan Sedrish Subject: Re: Building Permit Application - 35 Bonwit Road - Estimated Cost of the Job Hi Laura, Thanks for your note and help. Confirming the new contractor has matched the same pricing we had submitted previously. No changes on our end. Thank you again, Ann and Jordan Sedrish On Apr 28, 2021,at 2:48 PM, Laura Petersen<LPetersen@ryebrook.org>wrote: Good afternoon, At your earliest convenience, can you let me know what the estimated cost of the job is from Adam Landscaping? $16,000 was written on the original application with the other company and I just wanted to double check if that changed. Thank you! Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Iaetersen(&ryebrook.org 1 Laura Petersen From: Tara Gerardi Sent: Wednesday,April 28, 2021 7:53 AM To: Laura Petersen Subject: FW: FW: Building Permit 35 Bonwit Road Attachments: Village of Rye Brook GL COI .pdf,Adam Landscaping - Rye Brook&Jordan Sedrish.pdf 7'ara A Gerardt Secretary - Planning Board, Zoning Board-of.Appeals & .architectural Review Board T lCage of Rye Brook 938 Xing Street Rye Brook, New York 10573 Office (914) 939-0668 Fax (914) 939-5801 From:Ann Sedrish <anewms@gmail.com> Sent:Tuesday,April 27, 20218:18 PM To:Tara Gerardi <tgerardi@ryebrook.org> Cc:Jordan Sedrish<jsedrish@gmail.com> Subject: Re: FW: Building Permit 35 Bonwit Road Hi Tara, Thank you for your email. Attached are all the requested items from our contractor Dennis Nardone from Adam Landscaping LLC: Westchester County Home Improvement License, Village of Rye Brook certificate of liability insurance, and workers compensation NYSIF U26.3. Finally, our CBYD ticket number is 04231-000-412. Please let me know if there is anything else you need from us. Once the permit it is issued we will bring the $240 building permit fee. Many thanks, Ann & Jordan Sedrish 516-816-9977 i Tara Gerardi From: Tara Gerardi Sent: Monday, November 30, 2020 3:30 PM To: anewman@gmail.com Cc: rollingstoneltd@optonline.net Subject: Building Permit 35 Bonwit Road My apologies, the address was wrong in the subject. 7'ara A. Berardi Secretary - Ptanning Board, Zoning Board of.Appeals & ArchitecturaCR.eview Board Village of Rye Brook 938 .zing Street Rye Brook, New York 10573 Office (914) 939-0668 FaX (914) 939-5801 From:Tara Gerardi Sent: Monday, November 30, 2020 3:26 PM To: anewman@gmail.com Cc: rollingstoneltd@optonline.net Subject: FW: Fence Permit 16 Maywood Avenue Importance: High The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Contractor must call Dig Safe NY and get a ticket number. 6. Building permit fee $240.00 (due once permit is issued and ready for pick-up) 1 Pill MEN" v. George Lmdow ' ' '�'tE'I' Jame lifttloee Wmkbsster Comely Esecetlre �'OITl Director.Consumer t'rolediy Department of Consumer Protection Home Improvement License ADAM LANDSCAPING LLC 141 WII KINS AVENUE PORT CHESTER.NY-10573 ti i fhis license is issued in accordance with Article XVI of the Westchester County ' Consumer Protection Code and is%alid only upon presence of the;official departtnent scat. Mum elp- License Number 4F � Date of Expiration a o WC-26712-H 14 04/0912024 ester GoJc ® CERTIFICATE OF LIABILITY INSURANCE DATE(24// 0212021 Y) ACORO 04/ 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 NAME: Progressive Advantage Business Pro ram Progressive Advantage Business Program PHONE FAX PO Box 5316 (A/C,No,Ext): 844-306-4926 (A/C,No): Binghamton,NY 13902 E-MAIL ADDRESS: commercialservice@homesite.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A: Midvale Indemnity Company 27138 INSURED INSURER B: ADAM LANDSCAPING LLC INSURER C: 141 WILKINS AVE INSURER D: PORT CHESTER NY 10573 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:213619736082451712890424 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DD/YYYY MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 ACLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED $100,000 N N GLP1016442 01/25/2021 01/25/2022 PREMISES Ea occurrence MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X JECT ❑ LOC PRODUCTS-COMP/OPAGG $2,000,000 POLICY PRO OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) OWNED SCHEDULED BODILY INJURY AUTOS ONLY AUTOS Per accident HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) —UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECU JIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT PROFESSIONAL LIABILITY OCCURRENCE AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Landscape and Gardening Services CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY.10TH FLOOR,WHITE PLAINS,NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) O O ""^^^^ 611729762 ROBERT F MANAVOLA 400 RELLA BLVD SUITE 162 a SUFFERN NY 10901 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ADAM LANDSCAPING LLC VILLAGE OF RYE BROOK 141 WILKINS AVE 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2374 209-1 706561 10/23/2020 TO 10/23/2021 10/28/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2374 209-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://VVWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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:894037503 U-26.3 UNAU7}IOR120 ALTERAT"TO A MAP 4EARWO A uCE151:D PROI<-U MAL LAND SURVEYORS gAl 15 A MOLATION OF SECTION 720l,1.SUMMSICM 2.OF THE NEW BORIC STATE EDUCATION r LAW TW CCR7MCAT1ON IS NOT AN OAS OR OAPLIM WARRANTY OR QIARANIEE.IT IS rt PuRLv A STATAENT Or PROFESSIONAL QPW=BASOD ION KNOV MM MQUARIN AND s jff BASED aN vasim nua EV VICE AND DOCUM Mun r EMDDICE AVMAat COMFICAT104 ARE NOT TRANSFERAILE TO/1D01110MAL INSOWT10NS OR SLOSEOLIENr 00*7& _ Km pFvARm PURSUANT To SEOrd!72m OF TH6 taw mK STATE EDucAt10N LAM r _ ACT To THE FINDW=OF AN UP TO DATE RU SEARCH. UNLESS 1HE 3URVENO" �CAf1L.Tnlll 1JL �� amm"L S WATLAW AND SiAL APPEARS RAISED ON THIS MAP.IT SHOULD NOT BE CONSIDERED A T AND CUM='00P1f 0►THE SLNtVEMWS CM04AL V'=AND OPINION- ,. M ` f ee y: �y f LOCUS M" (N.T.S.) N/F SCFIUTZER MWEY NOTES CNTRI/433320044 1. THIS pLAN WAS PRE7AR0 FROM AN ON 1ME;MIND MD 9uRVEY OOIOLICTER BY Its P.d.B.BONG SOUTHERLY 304.19� S8L 135.41-1-44 ON APRIL 24,2M AND ON THE FOW MSNG DATUM. Flrl 11307 LOT 59 � ALONG THE EASTERLY SIDE OF ow Np FOUND rEwdAN: nt tt]0�f r 9MVAT RD.FROM A CURVE(R-38-28. _ aT,r sw OF q. Ls40.90)CONNECTING THE EASTE.Rt.Y 170.74" HORIZONTAL ASSUMED SW OF BONVAT RD. AW THE Ns5'S3 34� � SOUTHERLY WE OF CARLTON LN. VES VAL- ASSU%WD I.00r 2. DICES s IRF p• STREET NAMES.R.O.ML WTMM PROPERTY MENTWA1109 NU>iBERS.OMINER NAMES. r�t FaAO / EA�IENTS.AND N ONE TM SH MIM I BTAN ARE REFEREN=FROM ROD HE MAPS AND ON CORNER B GT1: T FMLOVO4 ADJOINM A. LAND CONVEYED 701•A L IL t E1IZABETN M.VOGT By CNTRL/442110664L RM IN DWELLING 114E wEStCHES1E1e COLCllRKS OFFICE ON AAM7.20Or► ® i 8. YAP 11307 EMTRm:''�CTtON 1M P1lE tIDCE...',PREPARED BY R�1L UM50M -wW x AND FEED N THE WESTCiSI R C(L CLERICS OFFKE ON NOVEMM 136 1957. C. MAP 1IV$91T10'SECTION TMREL PUE PWM-"PREPARED 6Y RUSSEIL VLWSON CARDEN N/F ZELMAN AND MW N 11f I Ca CLOW CF CN.KALE 24L tM CN7RL4 502863516 1 THE SUgwM pROPOM IS 9U9.ECT BUT NOT LRd10 TO 11E MORMA11610 DOW a �$►T,E•'�Cl r S8L 135.42-1-1 rrEmcw.ALL rjgnaMW 1MAT MAY AFFECT THE OUAUTY CF ARC 10 OOTN TW FM 11525 LOT 69 SUBJECT AND AWW M0 PARCELS SM=a SE MOMM BY AND ACCURATE M0 Clnf d ' ARE REPORT. i 4. TW LOCAIM OF 111 f UU771UMS AS SHOMN MOWOONN HAVE OEW OOr"D A%=KMX OWfEIIlI�IG t� or NLL unrps&M uwoatatale si ax-eu�ts s+Ivs.eA CoM cno�r<w� s. NFILJWOS.EHVfft0N MTAL MW/M I`0ZAF4D0US MAIO&"LA4 T&K F#W'NOR # -oZ C�V10EA on C041RACL tORI NEW U XATED AS MAN=AZ 11£TIME OF 141E sAYU. I ® T- L UNAUIMOit1ZED AL7ETIATI0f1 OR AD1a110N 70 A 90111EY MAP BEARWA A 1LICO&S ED LAND sr �- SUKVEIr'011'S Wj%L 15 A V10LAIM OF SWIM 7209.StIBOIvtS10M Z.OF 1HE NEW YDRK STATE MU1CAUN LM S - ® PC"Rm FOUND 7. CF71WVA=n R101CAM HEIMM SO WY THAT THIS U RVEY WAS PREPARED IN 9 tW*W OP FL A=WMANCE 9111 114E OOSTWO CODE CF PRACM FOR LAND 9*A"M ADWXD BY 11lE IESS OI WHAL$TAW AM sam �UCD AK LOCA10 T VALID r ARE/1w17627.2690tSQFT. e,. OFFSETS OR a>roNSIoNs FROM THE PROPERTY LMES 10 STRUCTURE'S ARE SURVEY p� ACRES=0.4047f RfFE1VX=ONLY.AND MOT IMTEIIDED To MMUMINT THE PROM,V'ONES.MW ARE CNTRL#442110666 se THEY TO BE USED IN OR GU1DE CONSYRUCION OF MY rVL 4y� SOL 135.49-1-23 J � FM 11307 LOT 58 ; FOUND aN CORNO MAP CERTFIEW M. PENT ,,3� JORDAN SEDRISH G STONE MONO L00 WELLS FARGO SANK.N.A. t$AOA.iT5 SUCCESSORS AND/OR ASSIGNS 0 OWN ROD STATEWIDE ABSTRACT SZEWART TITLE INSURANCE COMPANY ■ CATCH BASIN 0 DRAIN WWHOLE ® ELECTRIC METER N cAs vuvE PROPERTY SURVEY m WATER VALVE ® 35 80NWIT ROAD r Fm wmwa ��N T� RYE, NEW YO R SIGN(sn�cLE POSTED) PREPARED FOR 0 UnuTY POLE �lr ` � 00 ISH { 04 UT>vN POLE� LIMIT JORDAN & ANN SEDR LIGHT POLE ® AIR CONDITIONER � oIFIERTY tnvt: ROWAN LAND SURVEYING PLL VINYL FENCE or HEM,j 330 OLD ALB AN Y POST ROAD G CAS LINE !'�� 6 RaR o� GARRISON NY, 10524 w+c�w •: - 4 914 of ja v P.O.B. POINT OF BEGINNING r rowanl an d surveyin g0ou tI ook.Corn PL PROMTY UNE Drawn By PR Date Job r CONC. coNcRETE 5 UANO Surveyed By PR APRIL 27, 2018 018— RET. 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