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HomeMy WebLinkAboutMP21-064PERMIT # SECTION TYPE OF WORK JOB LOCATION _ OWN 0 `7 DATE:3 % EXP: LOT CONTRACTOR6Z 4 kS G�`�1t�J COST fJ� F `� - f FEE DATE O# G TCO # FEE _ DATE -- INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT Cl ALARM C� AS BUILT C� FINAL INSP 0a-/0&7 3 - 79 77 OTHER APPROVALS aR6 BOT PS ZBA OTHER LA c co)/-030 me > yp /�rof'ane. 7�i S Cc Le-1cyp" i o iL 26D I cry 4V1 Jam, y t4U .�aa aJ V G 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury w-,vxv.ryebrook.or TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer -Iichael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 8,2021 Eric Schoeman&Amy Schoeman 7 Beechwood Boulevard Rye Brook,New York 10573 Re: 7 Beechwood Boulevard, Rye Brook,New York 10573 Parcel ID#: 136.29-1-13 Mechanical Permit#21-064 issued 4/23/2021 for a New Generator This certifies that the 24kw LP gas fired generator,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg '< For office use only: G rr f! BUILDIl" DEPARTMENT PERMIT# VILLAGE OF RYE BROOK ISSUED: NOV —2 2021 938 KING STREET,RYE BROOK,NEw YORK 10573 DATE: ! 421 (914)939-0668 FEE:�4A Jib PAID VILLAGE OF RYE BROOK � �►"�`�'r Io0�g2'g BUILGI, -. .. APPLICATION FOUR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCE AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION •i#t•tii#ttt#Ritt♦1Rtttttt#t•tt#i##t♦#iiii#tiiiRti####ttitiiiRiiittttitiiiittiitiii#######•iiii#tiiii##t#iittit##iiiti•►tiiti Address:- f Occupancy/Use: ,'c(Qn-i&t Parcel ID#:_ 00/0000 Zone: Owner: i 4- Xmc, SCC OCP400 Address:f BI�rQ Rtsc n Jjy 10173 P.E./R.A. or Contractor: kQ W b,p,,oj,-e pj 6UJIsA P6&cj Address: K;u '_o4 2. kk' &nk Zl, .JY IOS—ftI Person in responsible charge: DAM 1uf`h--e Ar,'�(n Address:NX,'"i 24 Q�n 'C� & 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 YOM COUNTY OF WESTCHESTER as: 9"jdA J being duly swom,deposes and says that he/she resides at G A 9 l oa Print Nag of Applicant) ' a (No.and Street) in W ,in the County of J)t1 tt in the State of_��� that ( ityrfownl 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__ ,_ 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 a Sworn to before me this day of , 20 9� day of , 20 Signature o Owner Signature of Applicant 4 ame of Pro `pert�y Print Name of Applicant I7 1 ''- 9 Notary Public SHARI MELILLO Notary Public [rotary Public, State of New York No.01 ML6160069 8/12/2021 Oualii ed in Westchester County.^� Commission EXDireS January 29.20 (2 E BR[�j�. 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 : �` � ! ATE,D . PERMIT# `.1Z5 ISSUED: ►" SECT: BLOCK: LOT: LOCATION: ' / OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... D ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQunmD 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 1982 BUILDING DEPARTMENT [I BUILDING INSPECTOR UASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK t]CODE ENFORCEMENT OFFICER 938 KING STREET- RYE BROOK, NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.or --- - - - - - --- - - - - - - - - - INSPECTION REPORT 5 (E 4 ADDRESS: f DATE: PERMIT# C ISSUED: SECT: b BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLAI-ION NOTEi) THE WORK IS... D ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING WSJ ❑ FOOTINLi DRAINAGE 6 FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS f!7 L.P.GAS a--, xU ❑ FUEL TANK - } l'T 1 ❑ FIRE SPRINKLER ❑ FINAL PLUMBING CROSS CONNECTION ❑ FINAL )]/OTHER BUILDING DEPART_ MENT ❑BUILDING INSPECTOR T ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.or - - - - - - - - - - - - - - - - -- - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS' —1 ev�q k YCQL� J �\ Y DATE: PERMIT# Z�- ISSUED: SECT: BLOCK: LOT: LOCATION: + y CCUPANCY' El 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 () c n •+ � �� L.P.GAS b FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 6 ■ T rf N � ■ a, F sz Oo IL ow 0-4 cc oc i ,..� p� a W ✓- o � W � � � C < Q C 0, } w ;. u w � .. ►� p ° E 3 $ a. Q a w z ■ a V., t✓ Ot a w ■ }1E. P,BUILTG DEPARTMENT ECEN Q VILI' E OF RYE ROOK 938 KNG�ET RYE B ' K,NY 10573 JUN , � 2021 (914)93 -O6e5"djlk.m )939-5801 wt VILLAGE OF RYE BROOK 11111ING DEPARTMENT ELECTRICAL PERMIT APPLICATI WestchesterCounty2Mfaster Electricians License Required ke L/ FOR OFFICE USE ONLY ,�#: o r -0� _ EP#: p� Approval Date: J UN - 7 20 , Permit Fee: $ 15J' Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 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 Fetde/rak,, State,County and Local Codes. 1.Address: _ -e V�1� LJI SBL: �� _Zone: " 2.Property Owner: ��.1� &Of MAr.j Address: ik'6w Phone#: Cell #: emai 3.Master Electrician Address: / v 0.�1Pt)f Lic. #_ Phone#: Cell#: email: to Company Name:M Q C. Address: arAIA 4.Proposed Electrical Work/Fixture Count, STATE OF NEW YO,If,COUNTY OF WESTCIIESTER ) as: -'y Q ` being duly sworn,deposes and states that he/she is the applicant ve named,and does further (print name of individual signing as a applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is they for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc_l 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.c Sworn to before me this Sworn to before me this �1 +t') day of ,20 day of �-^t`� ,20_aL! Signature of Property Owner Si a e of App } Print Name of Property Owner Print Name of Applicant Notary Public otary li yty ALEXANOiE�dF. 11 Notary Public, York No.oiFR6363T11 Quallfled In W e$tchestar County 0 ;omrnission Expires August 3/21/19 Westchester Rockland Electrical Inspection Services, Inc. �� -Phone: 914-347-3595 CO NOT WRITE HERE-FOP OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE - CITY OR VILLAGE '�, ZIP�-1 ) TOWNSHIP COUNTY STREET AND .OR AD ' / POLE NUMBER Y BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME n - � BUiLDINO OCCUPANCY OWNER'S NAME AND AEDRE ` V6 �* HOME TELEPHONE NUMBER CURRENT SUPPLIED�BYROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES 3 MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO H,P EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1^FL, 2-FL. 31 FL. V1.LL4GE OF RYA ROOD DEPAR REMARKS.LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: r- THtS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARF 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 E CONCEALED MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD UNDERGROUND L" I L1_ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE Of*'PLICATION SIGNATURE OF APPLICANT x STREET ADDRESS TEI NO. CITYyR PORT Ve ' \ LICENSE NO.WHEN APRLICABLE J WESTCHESTER ROCKLAND ELECTRICAL INSPECTION VREIbSERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-359b (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: My Electrician Inc. Hans Juergen&Shahnaz Helloing 1333-A North Avenue NY, New Rochelle 10804 Located at:7 Beechwood Blvd Rye Brook, NY 10573 Certificate Number: 1031434 Section: 136.29 Block: 1 Lot: 13.1 BDC: Permit Number: EP:21-132-BP:MP#21- 064 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; 7 Beechwood Blvd Rye Brook,NY 10573 Basement ist 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 10/27121 Name Type Quantity Generator Up to 25 KW ------- 1 Automatic Transfer Switch ------- 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. YY OD O ai e r4re N N i i Q} tn GC t 2 C W 00 QC w+r Z � OLl r'1 mob ri Qen CD W y o = 00 of 3 Q w ' E"' Q ce e A Z Cosgo GC W E- rn 01 a ` < c 96 t ' o d pq �11 R"00 D ECENE BUILDINO MENT VIL�AGE OF RYE BROOD RIJUN _ 2 2021 DD 938 KINdSmET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)93 , 668 FAX(914)939-5801 BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY B'.Fe//�c�I J(JCO� PP#: C;)/ O 96 J Uri - 3 2021 / ''] f} Approval Date: Permit Fee: S ! /5r /b Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, st v> is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or relhove 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: 6 eCCr� wc%^G1 jiIt4►I,J SBL: I*3( -2 � Zone-,- a� 2.Proposed Work: �Lok S W(C-: b n tD�Z- d dt C r G-C 14 a r-AW1 3.Property Owner: t= r Address: Phone#: Z I+D Cell#: email: 4.Master Plumber: F r---L Q� Address: k1h KchLraw 0+r r a!ti 'v la-e- Lic.M 1 Phone#: rI(-1 LJO)1(63J Cell#: S-yy Y6If email: E 14. Miryiif . j COT Company Name: C* t Z%. C--as-64 1�4 �r4S Address: 1V k r 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 st Floor 2nd Floor 3 Floor 4 Floor S Floor Exterior 5.*List Other EquipmenVProvide Details: . A C( �� 6 r y4 a(-e' o ce' (Notarized Signatures Required Next 2 Pages) -1- 3/21/19 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 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 pe ' s,or that(s)he is the for the legal owner and is duly auth zed 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 an lief, and that any work performed,or use conducted at the above captioned property will be in conformance with the ils as set forth and contained in this application and in any accompanying approved plans and specifications,as well as' accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook d ail other applicable laws, ordinances and regulations. Sworn to before me this Sworn to before me this day of 120 day of 120 Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Nam f Applicant Notary Public Notary Public This application ust be properly completed in its entirety and must include the notarized signature(s) of the legal owners) of the subject property, and the applicant of record in the spaces provided. Applications not properly mpleted in its entirety and/or not properly signed shall be deemed mull and void and will be returned to e applicant. -2- 3/21114 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: f-t, L rt_,k t ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of indivsdual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in,accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. r +{ � Sworn to before me this Sworn to before me this day of 20 2 day of T LA,-/\,C- 20 c� 1 Si e o Property Owner Sign e o pplicant Print Name of Property Owner Print Name of Applicant Notary Public Notdiy' )9R MELILLO Notary Public, State of New York No.01 V1E6160063 Oua!ified in Westchester County Commission Expires J,,mtmi-2:9 20,93 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. DANA L. HIRSCH Notary Public,State of New York No.02HI6359823 Oualified in Westchester Court Commission Expires June 05,20Z, _2_ 3/21/19 BUILDING D9PARTMENT VILLAGE OF RYE ROOK ,UN - 2 2021 938 KING ST ET RYE BRU ,NY 10573 (914)939-0668 (914)I39-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE U 16 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: , residing at, Y�.7 c ,' o1L 0 14 (Print name) ( ess where yo ive) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; /7 � , 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. r (signature of Pr wn s)) (Print Name of Property Owner(s)) Sworn to before me this 1,9 t DANA L.HIRSCH day of fA a V , 2021 Notary Public.State of New York No.02H I6359823 Qualified in Westchester Count Commission Expires June 05,20Zi (Notary Public) -3- 3/21119 GENERAC ZQ,� 2/24 k MA � � 2�21 GUARDIAN SERIES _ Residential Standby Generators VILLAGE OF RYE BROOK Air-Cooled Gas Engine BUILDING DEPARTMENT INCLUDES: Standby Power Rating G©Oi 039-1,G007039-1,G007036.3,C407039.3(Aluminum-Bisque)-20 kW 60 Hz • True Power'" Electrical Technology G007042.2,G007043.2,G007042.3.0007043.3(Aluminum-Smque)-22 kW 60 Hz G007209.0.G007210.0(Alrmjinum-Bisque)-24 kW 60 Hz • Two-litre multilingual digital LCD Evolution'" controller (English/Spanish/French/Portuguese) • 200 amp service rated transfer switch available • Etecifonic governor • Standard Wi-Fi D connectivity • System status&maintenance interval LED indicators • Sound attenuated enclosure • Flexible fuel line connector ^''F • Natural gas or LP gas operation GENERAC t • 5 Year limited warranty • Listed and labeled by the Southwest Research Institute allowing Installation as close as 18 in(457 mm)to a structure.' 'Must be located away from doors,windows,and fresh air intakes and in accordance with local codes. or a(&us n1 I�hHps:llassets.swri.org/Libraryi0irectutyOfLisredProductsi CO- U1'�J - ur Constructionindustry1973_DoC 204 13204-01-01 Rev9,pol Note:CETL or CUL cerfifical ion only applies to unbundled units and units Rackaged with limited circuit switches.Units packaged with the Smart Switch are Ell or UL certllied In the USA only, FEATURES ,j INNOVATIVE ENGINE DESIGN & RIGOROUS TESTING are at the heart of Gen- SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This erac's success in providing the most reliable generators passible. Generac's G- state-of-the-art power maximizing regulation system is standard on all Generac mod- Force engine lineup offers added peace of mind and reliability for when it's needed els,It provides optimized FAST RESPONSE to changing load conditions and MAXI- the most.The G-Force series engines are purpose built and designed to handle the MUM MOTOR STARTING CAPABILITY by electronically torque-matching the surge rigors of extended run times in high temperatures and extreme operating conditions. loads to the engine.Digital voltage regulation at±t%. 0 TRUE POWER"ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave 0 SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network form produce less than 5%Total Harmonic Distortion for utility quality,power.This provides parts and service know-how for the entire unit,from the engine to the small- allows contident operation of sensitive electronic equipment and micro-chip based est electronic component. appliances,such as varable speed HVAC systems. C. TEST CRITERIA: ( GENERAC TRANSFER SWITCHES: Long life and reliability are synonymous with r PROTOTYPE TESTED NEMA MG1.22 EVALUATION GENERAC POWER SYSTEMS.One reason for this confidence is that the GENERAC SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY product line is oNered with its own transfer systems and controls for total system compatibility. M0131LE LINK,"'CONNECTIVITY: FREE with select Guardian Series Home standby 0 PWRVIEW' TRANSFER SWITCH: The Generac PWRview Automatic Transfer generators, Mobile Link Wi-Fi allows users to monitor generator status from any- Switch integrates the PWRview energy monitor to provide real-time energy con- where in the world using a smartphone,tablet,or PC,Easily access Information such sumpiion data that can help lower a home's electricity bill, Using a convenient as the current operating status and maintenance alerts. Users can connect an mobile app,homeowners can access energy usage and alert information while under account to an authorized service dealer for fast,friendly,and proactive service.With utility power or generator power.The PWRview energy monitor is a simple to use and Mobile Link,users are taken care of before the next power outage. low cost lool which helps save money over the life of the generator.included with model G007210-0. "' GENERAC �,�, �� ©E�v_ WRAC' GENERAC' 20/22/24 kW Features and Benefits _ Engine ! Generac G-Force design Maximizes engine"breathing"far increased fuel efficiency.Plateau honed cylinder walls and plasma mofy rings help the engine run cooler,reducing oil consumption and resulting in longer engine fife. • "Spiny-lok"cast iron cylinder walls Rigid construction and added durability provide long engine life. • Electronic ignition/spark advance These leatures combine to assure smooth,quick starting every time. • Full pressure lubrication system Pressurized lubrication to all vital bearings means better performance,less maintenance,and longer engine ' life.Now featuring up to a 2 year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller,light weight unit that operates 25%more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulating output voltage to±1%prevents damaging voltage spikes. • UL 2200 listed For your safety. Transfer Switch (if applicatite) • Fully automatic Transfers vital electrical loads to the energized source of power. • NEMA 311 Can be installed inside or outside for maximum flexibility. • integrated load management technology Capability to manage additional loads for efficient power management. • Remote mounting Mounts near an existing distribution panel for simple,low-cost installation. PWRview Transfer Switch (if applicable) • PWRview energy monitor Energy usage at-a-glance. • Ability to view real-time energy consumption data Better understand the home's energy profile. • PWRview mobile app Access daily energy intelligence and insights. Evolution'" Controls • AUTO/MANUAL/OFF illuminated buttons Selects the operating mode and provides easy,at-a-glance status indication in any condition. • Two-line multilingual LCD Provides homeowners easily visible logs of history,maintenance,and events up to 50 occurrences. ! Sealed,raised buttons Smooth,weather-resistant user interlace for programming and operations. • Utility voltage sensing Constantly monitors utility voltage,setpoints 65%dropout,80%pick-up,of standard voltage. • Generator voltage sensing Constantly monitors generator voltage to verify the cleanest power delivered to the home. • Utility interrupt delay Prevents nuisance starl-ups of the engine,adjustable 2-1500 seconds from the factory default setting of 5 seconds by a qualified dealer. • Engine warm-up Verifies engine is ready to assume the load,selpoint approximately 5 seconds. • Engine cool-down Allows engine to cool prior to shutdown,selpoint approximately 1 minute. • Programmabie exercise Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week. Also offers a selectable setting for weekly or monthly operation providing flexibility and potentially lower fuel costs 10 the owner. • Smart battery charger Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM-style batteries. • Main line circuit breaker Proiecis generator from overload. • Electronic governor Maintains constant 60 Hz frequency. GENERAC 20/22/24 kW Features and Benefits Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature,withstanding winds up to 150 mph(241 km/h).Hinged key locking roof panel for security.Lift-oul tront for easy access to all routine maintenance items.Electrostatically applied textured epoxy paint for added durability. • Enclosed critical grade muffler Quiet,critical grade muffler is mounted inside the unit to prevent injuries. • Small,compact,attractive Makes for an easy,eye appealing installation,as close as 18 in(457 mm)away Irom a structure. Installation System • 14 in(35.6 cm)flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for the required connection to the gas supply piping. • Integral sediment trap Meets IFGC and NFPA 54 installation requirements. Connectivity (WI-Fi equipped models only) • Ability to view generator status Monitor generator with a smariphone,tablet,or computer at any time via the Mobile Link appiication for complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for the specific model generator when scheduled maintenance is due. • Monthly reporl with previous month's activity detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. GENERAC 20/22/24 kW Specifications Generator Model G007038-1 G007042-2 ON7038-3 G007042-3 0007209-0 ntl G007043-2 G007039-3 G007043-3 G007210-0 (20 kW) (22 kW) (20 kW) (22 kW) (24 kw) 20 000 Walls" '22,000 Watts 29j00 IWO QW 22,009 Watts 24,000 Walls" Raltj rave u-rl ccntlnuous power caxt;lly(NG) 18,000 Walls' 19,500 Walls' 18,000 Watts' 19,500,halls, 21,000 Walls' Rated voltage Tq 11�1, . 240 sled­3m1);Xr continuous load ic,rleri-240 volts(LP/NG) 83 3/75 0 91,7/61 3 83 1/750 91.7181 3 101 Tolarl Harmonic Distodioni, OWL Less than 5% Main line circuit breaker 90 amp 100 amp 90 Jrnlp IGO amp I DO amp Number of rotor poles 2 4 Rated AC frequeril Go tie: riaf Power facioT ta6leryroquimment(noilricluded) WRIl 12 Volls,Group 268 540 CCA minimum or Group 35AGM 550 1 minimum Unit*tight(lb/kg) 448/203 466/211 .36/198 445/202 4551206 Dimensions{L x W x H)in/om 46 x 25 x 291121.9 x 63.5 x 73.7 Soir.d oiipui in dWA)at 23 it(7 ml with generator operating at normal load" 67 61 07 07 C7 Sound output in dBl It(7 m)with generator in Quiet-Tess-low-speed exercise rrl 55 57 55 57 "a.i, 57 EKercil di 5 mic Engine Engine type GENERAC G-Force 1000 Series Number of,cylinderl' 2 Displacement 9g 9 c Cylinder blot M43M i%WN�( R R tic sleeve:.Aluminum wl cast Iron sleeve:.VA Valve ar2pgtnnen� Ovetead Valve ignillon splerin Solid-slate*J magneto Governer system Compression ratio Starter i I VDG Oil c Approx.;,g,V IBL 2pe-allng rpm 3 1300 Fuel consu plior % Natural gas Balm(mJ�1r) 112 Load 204(5.78) 22B(6i46) 164(4.64) 203(6.75) Full Load 301(8.52) 327(9.26) 287(8.113) 306(15.156) Liquid propane e/hr(gal JL/firl 112 Load 87(2,37)J8,991 92(2.53)(9.57) 86(2,36)[8 951 92(2.53)19.571 Full Load 130(3.56).[13.481 142(3.90)1(14.771 136(3.T4)J14151 142(3,90)(14.77) Note:Fuel pipe must be sized for full load.Required fuel pressure to generator luel intel at all load ranges-3.5-7 in water column(0.87-1,74 ki for NG.10-12 in water column(2 49--2.99 ki for LIP _gas.For STU col multi 1�fta/hr x 2500(LP)or 113/hr x 1000(NG).For Megajoule oonteri multiply hi K 93.151 or M-11irl x 3726(1 Controls T.i i ne plain text multilingual i Simple user interface for ease of operation. Mode buttons:Aft , , �,..- - ON ',4-s"ll 5Y,�,� '141% Automatic start on utility failure.Weekly,Bl�weelll or Monli seleclable.axercisel'i MANUAL Slav with starter control,unit slays or 11 dlility!ails,1i lo lead lakes place. Ad Ready t 4AMOSSAW 1.116 Stops tunit.Power is removed,Conlr6 and charger still operate. o Run/Maintenance messages Slanuard Engine run hours Indication Standard r S!andard ipiogia7mal by dealer amylProg,ammable start delay Uelv�ee LfiityVellage LoWRelvrn to Utility adjustable(browroul setting). ' ifth From 140-171 V/.190-216 V log o10 vat , I#A Exerciserll,E Sp'=-.-oarning Standard Run/Afarni/Mainlerl to AMOCO 1 IM • 50 S c event ea h q,- Cyclic cfairl 16 se:or...I rest(90 sec rinaxinturn durafi on! Starter cannot re-engage unlik 5 sec after engine has stopped Smar Balled bN ,Balled' MOW tandard 0harger FaulVMissing,Aqwaming�,2�4"-.'. %ndaird Low Battery/Battery Problem PrcI,-c1*r,a,d&.,Ilery-ondilior ndica'ion Automatic,Yolt#0RNul&Qn,With Over and Under.Vollage Protection ljncle­requency/Overl a oci:!,�ercwre-t Pzolecliop slantlard A Standard Salety Fuseld/Fuse Proi Protection Oil Standard ON A'. Autom2l;c ow On Pressure/Hugh Oil Temperature Shutdown I'laricard — , — Oviiroral*Oversgel 72 Hz)frprn Sensk SbutdA!iii i 11 Standard "I'MA' Aft, 4 A"i M High Engine 7erni Shutdown Standard Internal FaLiltAndoffeCirWifi6g.pMtgCiiolll:'_'r-'4,W'4�o..�i)I IV N Standard Common external fault capability Svidard Field upgradablIti4i ware. °r. Standard Sound levels are taken Irom the Iront of the generator,Sound levels taken from other sides of the generator may be higher depending on installation paramMfs.Rating definitions-Standby,Applimble for Supplying emergency power for the duration of the utility power outage.No overload c4iiatil is available for this rating,(All ratings in accordance with BS551 4.IS03046 and 0IN6271). Maximum kill amps and current are subject to and limited by such laclors as fuel EITU/nnegi writel ambient temperature,attitude,engine power and condition,etc.Maximum power dwil approdmi 3.5%for each 1 M It(304.8 m)above sea lei and also will decrease appicArriately 1%lot each 10*F(i above 60'F(16 IQ GENERAC° 20/22/24 kW Switch Options Service Rated Automatic Transfer Switch Features Model 6007039-1.0007039.3(20 kW) • Intelligently manages up to four air conditioner loads with no additional hardware. 6007043-2,G007043-3(22 kW) • Up to eight additional large(240 VAC)loads can be managed when used in conjunction Current rating(amps) 200 with Smart Management Modules(SMMs}. � "! 120/240.10 • Electrically operated,mechanical ly-held contacts for fast,clean connections. U iiNy voltage monitor(lixedl' • Rated for all classes of toad, 100%equipment rated,both inductive and resistive -Pick-up 80% -Dropoul 65% • 2-Pole,250 VAC contactors. t3eiuRi oi,Itillt� a r 4=;a,t"+.i t: " it F Exercises bi weekly for 5 minutes Standard • Service equipment rated,dual coil design. 9 t.'r1, • Rated for both aluminum and copper conductors. lr ` Enclosure type 57 NEMA/UL 3R • Main contacts are silver plated or silver alloy to resist welding and sticking. i1r4 • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Lug range 250 MCM•#6 "Function of Evolution controller Dimensions Exercise can be set to weekly,bi-weekly,or monthly 200 Amps 120/240,1 e Open TraltsItlon Service Rated Height Width Depth - 111 H2 W1 W2 in 26.8 30.1 10.5 13.5 6.9 om 67.95 76.43 26.67 34.18 1 17.5 Wire Ranges Conductor Lug Neutral Lug Ground Lug 250 MCM-#6 350 MCM-#6 210-#14 4 PWRview Automatic Transfer Switch Features Model 0007210-0 24kW • Integrated PWRview monitor provides real-time energy usage data through PWRview app. �RAW, Current rating(amps) 200 • Intelligently manages up to four air conditioner loads with no additional hardware. Vol g t yr' a,FF�r'i•a ta95f1g6A ?: DTI, rlrvtAt"t • Up to eight additional large(240 VAC)loads can be managed when used In conjunction Utility voltage monitor(fixed)* with Smart Management Modules(SMMs). -Pick-up 80% Uropour 65% • Electrically operated,mechanically-held contacts for fast,clean connections. ttl a r A O �,131 ! l ++ • Rated for all classes of load,100%equipment rated,both inductive and resistive. Exercises bi-weekly for 5 6riules' Standard • 2-pole,250 VAG contactors. Enclosure type NEMA 39 • Service equipment rated,dual coil design. Lx1 J yet•. 1 r i k r a.`i' y�t'r ,.: tiffiNl l,,!*�3r6r • Rated for both aluminum and copper conductors. Lug range 250 MCM-#6 • Main contacts are silver plated or silver alloy to resist welding and sticking 'Function of Evolution controller • NEMA 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Exercise can be set to weekly,bt-weekly,or monthly • Heavy duty Generac Contactor is an ETL recognized device. wt f Dimensions F 200 Amps 120/240,1 a Open Transition Service Rated a Height Width "a Mr H1 H2 W1 W2 Depth in 26.8 30.1 10.5 13.5 6.9 I cm 67.95 76.43 26.67 1 34.18 175 Wire flanges L ,Jm Conductor Lug I Neutral Lug Ground Lug 250 MCM-#6 1 350 MGM-#6 210-#14 GENERAC 20/22/24 kW Available Accessories G005819-0 26R Wet Ced Battery Every standby generator requires a battery to start the system.Generac offers the recommended 26R wet colt battery for use with all air-cooled standby product(excluding PowerPacte). G007101-0 Battery Pad Warmer -Pad warmer rests under the battery.Recommended for use if temperature regularly falls below 0 OF(-18"C).(Not nec- -essary for use with AGM-style batteries). 0007102-0 ;Oil Warmer Oil warmer slips directly over the oil filter.Recommended for use if temperature regularly falls below 0°F(-18°C). G00716.1 Breather Warmer Breather warmer is for use in extreme cold weather applications.For use with Evolution controllers only in climates where heavy icing occurs. GO05621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large electrical load that may not be Contact Kit needed.Not compatible with 50 amp pre-wired switches. G007027-0-Bisque ;Fasela Base Wrap Kit The fascia base wrap snaps together around the bottom of the new air-cooled generators.This offers a sleek,contoured !(Standard on 22 kW) appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. 'G005703-0-Bisque ',Touch-Up Paint Kit It the generator enclosure is scratched or damaged.It is important to touch up the paint to protect from f uture corrosion IThe touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator enclosure. 6006485-0 Scheduled Maintenance Kit Generac's scheduled maintenance kit provides all the items necessary to perform complete routine maintenance on a Generac automatic standby generator(oil not included). G007005-0 Wi-Fi LP Tank Fuel Level :The W-Fi enabled LP tank fuel level monitor provides constant monitoring of the connected LP fuel tank.Monitoring the Monitor LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Sta- `tus alerts are available through a free application to notify users when the LP tank is in need of a refill. ,GO07000-0(50 amp)'Smart Management Module Smart Management Modules(SMM)are used to optimize the performance of a standby generator.It manages large elec- G007006.0 Jhcal loads upon startup and sheds them to aid in recovery when overloaded.In many cases,using SMM's can reduce ,(1100 amp) the overall size and cost of the system. G007169.0-4G LTE Mobile Link'Cellular The Mobile Link family of Cellular Accessories allow users to monitor generator status from anywhere in the world,using G007170-0-Wi-Fll :Accessories a smart phone,tablet,or PC.Easily access information such as the current operating status and maintenance alerts.Us- Ethemet ers can connect an account with an authorized service dealer for fast,friendly,and proactive service.With Mobile Link, users are taken care of before the next power outage. G007220-0-Bisque Base Plug Kit Base plugs snap into the lifting holes on the base of air-cooled home standby generators This offers a sleek,contoured appearance,as we§I as offers protection from rodents and insects by covering the lifting holes located in the base.Kit contains four plugs,sufficient for use on a single air-cooled home standby generator. Dimensions & PCs Model UPC side to o e, G007038-1 696471074185 G007038-3 696471074185 G007039-1 696471074192 G007039-3 696471074192 G007042-2 696471074208 >n=mm lice�l G007042-3 696471074208 G007043-2 696471074215 G007043-3 696471074215 a 0007209-0 69647107151111 G007210-0 696471078220 84e mm 1232 rtrm 126.6 NI 146.6 Im LEFT SUE VIEW FRONT VIEW Dimensions Mom are approAmare.See insWiation manual for oacl dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. GE N E RACe Generac Power Systems,Inc. - S45 W29290 HWY.59,Waukesha,WI 53189 - generac,com 02020 Generac Power Systems,Inc. All rights reserve9. All spoclicatblm are subject to change without nolce.Poll No,ADOM37814 Rev.A 07/15/2020 Building Permit Check List&Zoning Analysis Address: W O'C' t� —7-Z t_. SBL: Z y -- l 3 Zone:. —1 -ZS� Use: ConsL Type: Other. Submittal Date: Z Z{ Revisions Submittal Dates: 7 z 1 Applicant: S C' k C) Nature of Work �1. �Z--- Reviews:ZBA: APR - ` 2021 PB: BOT: Other. OK ( ( ) ES:Filing: 4T BP: 4 y� - � C/O: Legalization: { ) (�P: Dated ✓ Notarized _ .iBLruss I.D. Cross Connection H.O A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. { ) ( ) ENVIRO: Long: Short: Fees: N/A: ( ) (, SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other: ( ) ( SURVEY:Dated. Current Archival: Sealed. Unacceptable: ( ) ( ) PLANS:Date Stamped. Sealed. Copies: Electronic: Other. { ) ( License: Workers Comp: Liability. Comp.Waiver. Other. { ) ( ) CODE 753#: Dated N/A: (v ( ) 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. {Jf { ) FUEL TANK:Plans: Permit` Fuel Type: A� Other. { ) ( ) 2020 NY State ECCC: N/A: Other: ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built PLmnis: 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: APPROVED REOLNED EXISTING PROPOSED NOTES Date:A 4 9A9! Cir e: F�t3lc Sida RAW Main.Cov Accs.Cov FL HISb: SCL-H/Sb -GFA- Tot,imp Ft.imp HHr /Stories notes: h� T� Ft ly .�a_t-L �7nw► r�gp��t a �''w `� ,'3a'S" Ib i.•��-> ,ry*c",CS''�'y,� p,� .,ye` ..,i►' h'Y�.'��`^-r w :•,6pw i+ z.RUN aaCw ;; \w••,yw r. •s w �♦ r 4tI Iv �a s �a,�+ r y ""1 "' s� .r'►�►�))llr. �' 'Y all "11,r.,#�„ CV :: G C7 � tea w b k �' i �:. O F1rr U} • . S a O }z X Q<otectios, Cl r O LU �r Ir. �1 � � � •� J t t r.` ari a�a,eddQ 3�e h1T h2 :. ❑ rJ 1(S}aN11 •` ' y 4J ir i w c z i. NAl C w 41 r C.QO s. L W LCD 1. 4 CTi .�-• L :. ' r u ❑ �� ;. G C Cx Sk V.' � '.fit'• x3 a 4" c .yq•- ��,.,. ,. -m: �' ,•rr�+ Hr "� �� r 1riti�. r�Y r�s+.t "1 Il a���_ "1 IY 4 ,;' 11 "r '' ' r f I 11 1 1 �". JP 1 Ir MI I'1 Irl Ira �» �• y��i�l RAW +Jn� a �w�a ly`I`�K�.kEI .( �.j 1 't.I+"�I�t� `q4► a DATE(MWDDIYYYY) Ac R" CERTIFICATE OF LIABILITY INSURANCE 11%. � 1 03/2512021 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 ALEXIS ANN SALUBRO Albert Palancia Agency, Inc. PHONE , (914 698-1373 VC Ne:(914)698-0125 PO Box 26 AIL ADDRESS: alexls@palanclainsurance.com Mamaroneck, NY 10543 INSURERS AFFORDING COVERAGE NAIL F INSURER A: QUAKER SPECIAL RISK 39950 NEW DIMENSION CUSTOM HOMES, LTD INSURED INSURERS: ALLIED INSURANCE 10127 ALENA lmrichova INSURER C: 239 ELMWOOD RD INSURER0: SOUTH SALEM, NY 10590-2207 INSURERE: _ INSURER F: COVERAGES CERTIFICATE NUMBER: 00005383-1440231 REVISION NUMBER: 97 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 I TYPE OF INSURANGE ADDL S BR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDNYYY MM1DDJYYYY LIMITS A X COMMERCIALGENERALLIABILITY Y GL2021RLH00135 03125/2021 03125/2022 EACH OCCURRENCE S 1000000 CLAIMS-MADE E OCCUR PREMISES We occurrence $ 100,000 MED EX.P(Any one person) s 5 000 X Liability PERSONAL a ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 21000,000 X POLICY❑PEA F LOC PRODUCTS-COMPIOPAGG s 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY ACP3029079695 12J1712020 12/17/2021 MeacidentSINGLELI IT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED 80DILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE - s IX AUTOS ONLY X AUTOS ONLY r accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE S DED RETENTION$ $ WORKERS COMPENSATION PER TH- AND EMPLOYERS'LIABILITY YfN TAT TE ER ANY PROPRIETMPARTNERIEXECUTIVE �"`i OFFICERlMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ lies describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached It more space Is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT 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 BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE 11 AAS) 4 p 1988-2015 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by AAS on March 25,2021 at 11:05AM N YS I F 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 0. fIfT 0 AAAA AA 271405192 ' a ALBERT PALANCIA AGENCY INC ' 116 MAMARONECK AVE PO BOX 26 MAMARONECK NY 10543 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NEW DIMENSION CUSTOM HOMES LTD VILLAGE OF RYE BROOK 239 ELMWOOD RD BUILDING DEPARTMENT SOUTH SALEM NY 10590 938 KING STREET RYE BROOK NY 10573 7W2199 LICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 115-3 374984 03/2512021 TO 03/25/2022 3/25/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2199115-3, 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:I/WWW.NYSIF.COM/CERT/CERTVAL,ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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: 519053383 U-26.3 L +11 cu £ L 1 N 4- C 0) C p1 O 0 O V O •N N O O C p e— v► ? �e L O V 3Z to 4. � d t O ._ 4. _J �� �+' O .O C L. v .� 3 em 0 (&. 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I.•• 1• • •• • •• ♦ • • •• of lb 0 04. •• Of 000, • •lb 00 • r %'S's Is's US'S S'S's +1 *U410 O� ;•�••`�•�••;I.1•f/••• •• I E'CE SCALE: 1"-20' SITE PLAN SCALE: 1"a 20' GENERAL NOTES AN 1. Site plan is based on survey prepared by Richard A.Spinelli,L.S. APR — ( 2021 650 Halstead v Mamaroneck, 1 UE • Avenue,Mam eck,NY Dated:December 31,20 9. 2. The Architect shall assume no responsibility for the accuracy of the ..m.nn original survey.Refer to original survey for additional information. LLAG 3.The General Contractor shall strictly adhere to all rules and I LDI NG DEPARTMENT regulations having jurisdiction. PERMIT# 4• The General Contractor shall review plans and specifications prior P P to start of work.Architect shall be immediately notified by the G.C. S B L# I L Z of any discrepancies. P _ 5. The General Contractor shall be responsible to secure all required DATEAPPR JF permits for construction. 6.The General Contractor shall obtain a certificate of compliance or occupancy upon completion of work and submit to the Owner. r, f 7.The General Contractor shall install all sedimentation and erosion OF AUAVcontrol measures as required by local code prior to construction. BUILDING INS CT age of Rye Brook,NY 8 ` LW euualNG � All controls shall be maintained throughout the construction �� e�rvr3.oP� 1 process and inspected periodically. ^, V/ EROSION CONTROL NOTES ° 1 I. All work shall comply with local Erosion and Sediment Control Law 0 and"Westchester County's Best Management Practices Manual for .14 1 \ Construction Activities". 2. Contractor shall install all Soil Erosion and Sediment Controls \ I before any construction operations begin and shall keep protection 1J,/ measures in place for the duration of construction.No construction 'b I \'� activity shall take place downslope of the silt fence line. 3. Contractor shall inspect all protection controls and maintain the silt IFAD40VII fence daily.Accumulated sediment behind the silt fence shall be RgM OVE STOM PATIO W i removed and disposed of in conformance with all applicable codes. O VOL" 4. Slopes that will remain open for more than three weeks shall be 41 RDrl01/E I-STORY 6MtI16l= 1 — I I I protected with temporary seeding or staked netting. 'F4 = 5. Erosion control devices shall be inspected after each rainfalL 10 'b 0 'd PROPOSED VERANDA _ I _= I I ���DRlNlrWl►Y Devices shall be cleaned,repaired and/or replaced as necessary. 0 6. Final grades shall be established as soon as possible,top soiled and rm4 0 seeded.New turf shall be set to stabilize slopes and prevent erosion. 'b �) 7. Contractor shall not stockpile material or park vehicles within the �Ll U — drip line of existing trees. 0 P234 VE I-STORY SHM �.Is' I-sT+ol�r e,�R�ADDITIONO y �— 8. The engineer/architect may at his or her discretion require 04 Nm' ' ys,� 1 additional erosion control measures throughout constriction M D � 1 � � � to mitigate unforseen erosion and siltation. � a [�' PROPOSED MINDOMI Y'la.L W/MIETAL RAILING PR�OP�.3t3�1!!KPI PROPAN:6M 1 STAND-BY d�RATOR t _ SILT FENCE DETAIL W - PROPOSED A F4LALT DRNEMAY w a SEC. W STORY ADDITION \ g 1 1�11D AIIrJ► D� y '� 6 {�f •PPMTAKED SILT PDC.t STRAM IIALM PROPOSM PORCH- I UnUW 0"TROCH 5044cm{.U-M TO'JEAI. b (!70•AND bOSTINb) I I t'JOTTVM or Roca 1 DQSTIN6 dRADC ��.dP � 1 IOOG 6/1L. p ,TION x °`00 ` e b ——— I PROPANE GAS TANG RE��ave DRIVEWAY ® I a SILT race f " SETYM 40 1 R1540VII DRIVEWAY extsTlNd ORNDNAY VRJVEN�'KKK FIN W Or ae"TO AeT �l.On G1011 :STAKC'S 1�1 1 W L*47WT{NMW t:/M!M Z 1 WICK 1 ZONING DATA — — — - — ZONE:R 25 (ONE-FAMILY RESIDENCE) s aroo W¢ 1J0'� SECTION: 135.28 BLOCK: 1 LOT: 37 BULK REGULATION CODE EXISTING PROPOSED LOT AREA mrN. 25,000 S.F. 30,429.50 S.F. N/C LOT WIDTH MIN. 90' 130.60' N/C LOT COVERAGE BUILDING MAX. 14% (4,260 S.F.)10.8%(3,301 S.F.) 11.7%(3,582 S.F.) •ACCESSORY MAX. 3S%(1,065 S.P.) OS% (168 S.F.) NA DATE: B eechwood Boulevard 0�0/20 • DECK MAX. 4% (1,065 S.F.) NA NA REVISIONS: IMPERVIOUS MAX. 9,058 S.F. 8,102 S.F. 6,250 S.F. Ol/04/21 08/10/20 • FRONT YARD MAX. 20% (1,222 S.F.) 9.3% (566 S.F.) N/C 04/06/21 09/24/20 YARD SETBACKS AVERAGE' 10/30/20 FRONT(1)' MIN. 45' (77.4671 701 68.00'+/ FRONT(2)' MIN. 45' NA NA SIDE MIN. 15' 15.00' 28.00'+/- SIDE(TOTAL) MIN. 40' 72.16 43.00'+/- REAR MIN. 40' 83.00'+/- 77.00'+/- BUILDING HEIGHT ROOF MIDPOINT MAX. 30' 16'-4"+/- 27'4°+/- c� STORIES MAX. 2 STORIES 1 1/2 STORIES 2 STORIES DWG No. EXISTING STRUCTURE TO REMAIN ® PROPOSED ONE STORY ADDITION PROPOSED TWO STORY ADDITION (E) EXISTING YARD SETBACK FLOOR AREA 6 GROSS MAX. 4,992 S.F. 3.788 S.F. 4,943 S.F. A02 KEY ® EXISTING STRUCTURE TO BE REMOVED r. PROPOSED IMPERVIOUS SURFACE PROPOSED SECOND STORY ADDITION (P) PROPOSED YARD SETBACK 1�►O ADDITION 1,155 S.F. ME PLAN REFER TO ENGINEER'S SITE PLAN FOR INFORMATION ON GRADE ELEVATIONS,DRAINAGE,UTILITIES CONNECTION,EROSION CONTROLS,ETC.. � DO NOT SCALE PRINTS Yellor%/219065-E