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HomeMy WebLinkAboutBP21-099PERMIT # - 0 _ DATE: a? SECTION _/ ,���i 'Ya BLOCK TYPE OF WORK Q A JOB LOCATION OWNER kill rfQ/Cl? / 'r K2 `"; 4 CONTRACTOR /0 )Ce4Ce ��'1: EST. vcO # ©cP: �Jac 8 -- LOT (1aCO o/- - ice 17f 6o.VeS �4e)/4s C' v rr10 JI)636D J'03/ (c1 J �59 p53/ TCO # FEE BATE _ — �.._. INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS C1 SPRINKLER ELECTRIC 0 LOW -VOLT CJ ALARM C]j AS BUILT [d FINAL OTHER APPROVALS ARB r1off/ 070�� / BOT _ PB ZBA OTHER AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FlIvAL INSPECTION l4 4.�J`�. V Ott ♦ y, VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ,ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.lyghLQok.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE TNlarch 14,2022 Fabio Marconi Goncalves de Arruda&EIeine Gomes Fernandes Pohdo 11 Carlton Lane Rye Brook,New York 10573 Re: 11 Carlton Lane, Rye Brook,New York 10573 Parcel ID#: 135.42-1-10 Building Permit#21-099 issued 4/28/2021 for a New Fence This certifies that the new six foot high PVC privacy pool fence,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg ED D E V EN For office use onl : BUILDING DEPARTMENT PERMIT#AVo>/--099 NOV 17 2021 VILLAGE OF RYE BROOK ISSUED: — —l J 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: 19 /d— PAID.K BUILDING DEPARTMENT wwwxyebrook.orp, 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 srs►ssss*rs++a***+sss►ss+raas++**+ss*sssttt+rr+►+*s+arasrrssetsaa+a*s*+*►+s*♦►a►sas►a+++++s++r*a*sr•s►+sss►sss►►srs■**+sss►►s Address: I CA���N Occupancy/Use: j� ���'�/ Parcel ID#::_/13S� 7 c ,i.� /0 Zone: a Owner: � W& /I �. t � L� V E�t��` Address: ) Q,��i�1 "7 (-rQ/V--�' P.E./R.A. or Contractor: A I Ke lr rw G6 G)019 Address: Person in responsible charge: R LC C144V 1/�' Address: gooZ�y 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 OFNEW YORK, COUNTY OF WESTCHESTER as: pm � Ibml , being duly sworn,deposes and says that he/she resides at J �(Pnn N*9ie o f Applicant) I,�/ (No.and Street) in lY/l i in the County of VV in the State of �1/V,that (City/Town/Village) J 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:$ for the construction or alteration of /)c—w k ib l Alc `I've/ 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 FI Sworn to before me this day of 20,)L day of , 20 - Signature of Prope ner Signature of Applicant rAw' &A&Q� (2 Me of Property Owner Print Name of Applicant a-,— V\JjL Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 011,1 EE 160033 0,+aGfied in Westchc- ter Courty Commission Exoires January 29.20 QyE BRC�k. O�` tim 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- ` �OAC ` '`-'C%' GOqz DATE: 2 1\ N 1 Z�S� PERMIT# `/� - - ` 1 ISSUED: SECT: �. BLOCK: ' LOT: LOCATION: �` �C� -'���� �OCC P�NCY-� ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION '��U 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 �E BRC�k 1982 BUILDING DEPARTMENT ❑l,/BBUILDING INSPECTOR �,dASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK �❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.rytbrook.org - - - - - - - - - - -- - -- - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - � 1 � ham, u� ADDRESS : 4 DATE: t7 (A2 PERMIT# ISSUED: / SECT: BLOCK: LOT: LOCATION: p \ "/b� `� OCCUPANCY:~L\'�l J ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING w FA-) V ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS U �-'G vC C�► ❑ L.P. GAS -�-, ❑ FUEL TANK µ C K2 S t a c� ❑ FIRE SPRINKLER ❑ FINAL PLUMBING �— ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Building Permit Check List&Zoning Analysis ` ( � CA IL— N �- SBL: 13 s'� , 4 -D Address: Zone ` l Z— Use: 2( J Const.Type: Other. Submittal Date: S:' Z( Revisions Submittal Dates: Applicant :D_1 s AE_Atom-2�'�-N Nature of Work: �w -t-A L C. __Pyl C, Reviews:ZBA:APR PB: BOT: Other. OK ( ( ) FEES:Filing. ZS, BP: A`Q- C/a. Legalization APP: Dated: ,/Notarized: ✓SBL• Truss I.D. --"Cross Connection: I H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Si Protection: S/W Mgmt.: Tree Plan: Other. ( ) (&YSURVEY:Dated: J Current Archival:- ✓ Sealed: '�Unacceptable: ( ) ( ) PLANS:Date ed. Sealed. Copies: Electronic. Other. (� ( ) License: Workers Comp: Liability: �mp.Waiver. Other. ( ( ) CODE 753#: D1i9/- CQQ f- 79a-CO Dated: y—c;9'al N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL.Plans: Permit N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other. O O 2020 NY State ECCC: N/A: Other. (� ( ) Final Survey Final Topo: RA/PE Si offLetter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER Other. ( ) ) Other. ( mtg.date: Zt Z approval notes: 1 ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval:- notes: REQUIRED EX1MNG PROPOSED NOTES APP OWED A=& A 2 2 2021 Ba#e: cir F%taee: Front Sides: Rlar. Main CoP Accs.Cov F S : S .HSb: Sr>~A- Tot,Ind: Fc Imo: P ku' . Height/Stories: notes: ED BUILDING DEPARTMENT [E v E M " VILLAGE OF RYE BROOK APR -5 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-066$_ (914)939-5801 VILLAGE OF RYE BROOK W*W.'r4ftok.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 fromthe ARB agenda. Job Address: l 1 (1Nt IW( � Date of Submission: ��/✓�� � Parcel ID#: L�5. Llo'?' /—/a Zone: Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: � r , J � ��,n_4` MUST BE COMPLETED BY THE APPLICANT � �� NC• 66- f . The following items must be submitted to the Building Department by the applicant-no exceptions. 1. (, )-Completed Application M� - 2. ( )Two(2)Sets Of sealed plates. (one full size 11maximum Property Owner: � �LX allowable plan size-36"x 42",and one I I"x 17") 3. (�Two(2)copies of the property survey. Address: QQ 4. { Two(2)copies of the proposed site plan. Phone# �57 5. (,}One electronic/disc copy of the complete Applicant appearing before the Board: application materials. 6. ( )Filing Fee. AW—vt.. V � 2K - 7. (�)Any supporting documentation. Address: l,fYl� /� 8. ( )HOA approval letter.(japplicable) 9. O Photographs. Phone# ���'SS� )3, 10.(e) Samples of finishes/color chart.(a sample board or model may be presented the night of the meeting) Architect/Engineer: Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures,and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Swom to before me this 315t Sworn to before me this day of , 20 c_:�, day of , 20 Signature of Property Owner Signature of Applicant e of Property Owner Print Name of Applicant otary Public �� Notary Public LORI WEN F KY NOTARY PUBLIC-STATE OF NEW YORK No.02WE6393042 Qualified in New York County My Commission Expires 06-10-2023 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/i/88906948425 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 889 0694 8425 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 2 Lincoln Ave Roof Top Solar Array Consent 5160 (Nunez) Agenda 63 Rock Ridge Drive Roof Top Solar Array Consent 5161 (Mundo) Agenda 17 Loch Lane Expand Rear Patio Add New Consent 5162 (Ashby Taurel) Hot Tub Agenda 29 Winding Wood 4'0" High Black Fence In Consent 5163 Road (Demarco) Rear Yard Agenda 85 Valley Terrace New Retaining Walls & Consent 5164 (Krebs) Modify Driveway Agenda 95 Grant Street 4' High Fence In Front Yard Consent 5165 (Tavarez) 6' High Fence. Whit PVC Agenda Vinyl 15 Legendary Circle Roof Top Solar Array Consent 5166 (Tian) Agenda 34 Meadowlark Rd Rear Windows & Door Consent 5167 (Cullagh) Modification to Facilitate Agenda Kitchen Renovation 11 Carlton Road New 6' High PVC Pool Consent 5168 (De'Arudda) Fence Agenda ML NM MR (/ SE JM t✓ SF AC ✓ MI ✓ KC i 37 Winding Wood Partial 6'High Vinyl Privacy Consent 5169 Road(Cui/Sun) Fence at Side Yards Agenda 66 Tamarack Road New Front Entry Stairs & Consent 5170 (Sibley) Portico Agenda 6 Edgewood Dr Hot Tub On Existing Patio Consent 5171 (Shalem) Agenda 17 Ridge Blvd New 6' High Gray Vinyl Consent 5172 (Kucera) Fence Rear Yard&4' High Agenda W/gate at Side 6 Deer Run (Stahl) Partial 4'High Wood Febce Consent 5173 w/Mesh @ Rear Yard Agenda 432 N. Ridge St Amendment To Prior Fence Consent 5174 (Gabriel) Approval Fence Color Agenda Change 42 Lawridge Dr Legalize Rear Deck 5175 (Altman) 6 Deer Run(Stahl) Exterior Door& Window 5176 Changes, Finished Basement 7 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(heron) 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 5183 Existing Porch ML NM MR SE JM AC MI KC s I Berkley Drive Rear Deck Expansion 5184 (Topkis) ML NM�; I MR iI --- SE J�T SF j AC MI KC I r - j 1 .,. a e• it a d � • lrty„ *'r 1 � cq ON- .� o u p O N cz a N O X N • 8 N W �, ca U O 00 O Xt_ EV o .^ � c U o A _ '•y c ( 4 v w o o ,� •^I ap U yRs J4 >.,C) v / / �• x ection o > a �o< F•• w J c �� 70 -�- s; TV WLL n V G� 4� u03 o L CA t% y U' ++ U ' �• go o '��+fit, am ; 1y - ACOROa DATE(MMIDDIYYYY) C" CERTIFICATE OF LIABILITY INSURANCE 03/31/2021 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 endorsement(s). PRODUCER CONTACT Melissa Crosson NAME: C.Quick Insurance Agency PnHc No Ext: (845)497-1119 7010 c,No): (845)533-1179 a 13 W.Main Street E-MAIL McIC@cquickinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Washingtonville NY 10992 INSURER A: Utica First Ins 15326 INSURED INSURER B; NGM Insurance Company 14788 MIKE FENCE CORP INSURER C: P.O.Box 391 INSURER D: INSURER E: NEW ROCHELLE NY 10802 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2052903325 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 AUUL 51JUR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEIT CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A Y ART511477302 05/11/2020 05/11/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X PRO ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY ❑JECT OTHER $ AUTOMOBILE LIABILITY CO EaMBINED SINGLE LIMIT $ 300,000 accident ANY AUTO BODILY INJURY(Per person) $ B OWNED r SCHEDULED B1Z4851B 05/16/2020 05/16/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Uninsured motorist $ 100,000 UMBRELLA LAB Vv zu E V R'N" ....... OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Village of Rye Brook is listed as the additional insured as per the above general liability policy.Work to be performed for Fabio Marconi at 11 Carlton Lane Rye Brook NY 10573. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE �_ // I / Rye Brook NY 10573 G/'l./✓"�4 - &"; L ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD • STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured Mike Fence Corp 914-636-8031 P.O. Box 391 lc.NYS Unemployment Insurance Employer New Rochelle, NY 10802 Registration Number of Insured Work Location of Insured(Only required ifcoverageis specifically id.Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 06-1723579 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Hartford Insurance Group Village of Rye Brook 3b.Policy Number of entity listed in box"la" 938 King Street 16WECAD2LZG Rye Brook, NY 10573 3c. Policy effective period 04-23-2021 to 04-23-2022 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/officers included) ✓� all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "1a" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IFa policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Laura Quick (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Laara gl%,e (Signature) (Date) Title: Licensed Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 845-497-1119 Please Note. Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Laura Petersen From: Mike Izzo Sent: Thursday, April 29, 2021 2:20 PM To: Tara Gerardi; Laura Petersen Subject: FW: Message from Dig Safely New York, Inc. (DSNY) 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: Thursday, April 29, 2021 1:23 PM 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: 04/29/2021 13:21 To: VIL RYE BROOK PRIMARY Transmitted: 04/29/2021 13:22 00002 Ticket: 04291-001-792-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 11 To: Name: CARLTON LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF PROPERTY, LEFT SIDE OF PROPERTY AS FACING NearSt: BONWIT RD Means of Excavation: HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: FENCE INSTALL Estimated Work Complete Date: 05/14/2021 Depth of excavation: Site dimensions: Start Date and Time: 05/04/202107:00 Must Start By: 05/18/2021 ------------------------------------------------------------------------------ Contact Name: FABIO MARCONI Company: Addr1: 11 CARLTON LANE Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-559-8531 Fax: Email: fmarconi73@gmail.com 1 Field Contact: FABIO MARCONI Alt Phone: 914-559-8531 Working for: WORK TO BE PERFORMED BY: MIKE FENCE CORP ------------------------------------------------------------------------------ Comments: REPLACING EXISTING FENCE -THE EXISTING WOOD WHITE FENCE IS THE MARK FOR THE NEW FENCE AND POSTS. REPLACING THE WHITE FENCE IN THE BACKYARD BY THE POOL AREA (CHAIN LINK FENCE WILL NOT BE REPLACED) CALLER ADVISED TO HAVE CONTRACTOR CALL DIG SAFELY NEW YORK Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: CON-ED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 3734 ` ` Elod'Yftgb K�vl,��� (�U1��/��✓0/LE LUCI�t, . [AS-BUILT/FINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION FILE COPY 39 1 I I 23 34 20RF C9 .00., p0„C G C—N INK FENCE / IO' 0°17 ° Niw . s SNRw 5 8 2' Epa STOCK° 0 pDE 6 T,m CONCRETE PAYER PATIO Epl . v00L DE r GO�e 5 FT•K0E N'W >r PON RMIT N O STON MAS L O ONA NE I s, 70P \n S CONCRETE AVER PA TO SLLAA TE PA710 DA APPR VE APR 2 2 2021 RAISED Slaps DECK ��- STOCKADE rv�NNE r E BUILD N illage of Rye Brook NY FENCE' A.o t SLIT[WALK N 4• 48 y o ONE 5TORY FRAME SMR y��y\all 4 BA5EMENT OWELLING STONE CURS- 3 Aee. II C­ O W Q o 7.6' ® A C s 2H J' East as s �i SLATE a ti S TEPS SLATE YALK 3 \ UJ /SA S �\ 41 watt h H ^ m h °� � e G SLATE STEPS o m Ob. OT;l e 4 �• r�o. af R — = 250.00' 6 = 20°44'20 L = 167.30' ASPHALT CURB C A R L T ON • THE PREMISES SHOWN HEREON DESIGNATED AS LOT NO 47 ON A CERTAIN MAP ENTITLED'SECTION TWO-PINE RIDGE%MADE BY RUSSELL MUNSON. DATED APRIL 29,1957 AND FILED IN THE OFFICE OF THE COUNTY CLERK- SURVEY 'p /E�/ O C PROPER O n>r r1 DIVISION OF LAND RECORDS ON NOV.15.1957 AS MAP NO.11307. S U R V 1 r r R r E R • PREMISES ARE DESIGNATED ON THE TAX MAPS FOR THE SITUATE IN THE TOWN OF RYE TOWN OF RYE VILLAGE OF RYE BROOK SECTION: 135.42 BLOCK:1 LOT:10 VILLAGE OF RYE BROO�C. AREA:14,925 Sq.Ft.10.3426 Acres WESTCHESTER COUNTY • SURVEY IS SUBJECT TO ANY STATE OF FACTS WHICH AN UP-TO-DATE TITLE EXAMINATION MAYD48CLOSE NEW YORK • THE OFFSETS SHOWN HEREON ARE FOR INFORMATIONAL PURPOSE ONLY OFFSETS ARE NOT INTENDED TO ESTABLISH PROPERTY LINES FOR THE ERECTION OF FENCES,STRUCTURES OR ANY OTHER IMPROVEMENT SCALE:1•=20' • ENCROACHMENTS BELOW GRADE AND/OR SUBSURFACE FEATURES,IF ANY, SURVEYED:AUGUST 19.1998 NOT LOCATED OR SHOWN HEREON. SURVEY UPDATED:AUGUST 31.2010 • UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A SURVEY UPDATED:APRIL 30,2018 LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 72DO. SUSDMSION 2.OF THE NEW YORK STATE EDUCATION LAWS. • ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN Lin ORIGINAL OF THE LAND SURVEYOR'S SEAL SHALL BE CONSIDERED TO BE TRUE VALID COPIES. -- a /] • THE MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY CONDUCTED ON Lan a P It THE DATE SHOWN AND THAT 9A10 SURVEY WAS PERFORMED IN ACCORDANCE ILl V WITH THE EXISTING•CODE OF PRACTICE FOR LAND SURVEYS'ADOPTED BY 2t Cia,a PI c un t B P THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. Mah- PREPARED FOR: EAPR _ 5 20�� FABIO MARCONI,GONCALVES de ARRUDA ELEINE GOMES FERNANDES POLIDO THE JUDICIAL TITLE INSURANCE AGENCY,LLC -tri C��-��/��p WELLS FARGO N.A.,Its successors and/or assigns as their interests may appear —JOSEPH .Ll-W LCAG�•Y+lv/r. YT r,-,%ljP0K L LAND RVET EN�p ILDING"Y� AL'I�iAMENT ` , W No '' `'�oz o Z N 018" c ^ uj Q.•' LL 0 t/ <c/ 0 W ('q ? L 4 44 0 p W �/ o WCL co Lu Z �, � w Z (D Q i `� . 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