Loading...
HomeMy WebLinkAboutBP21-105PERMIT # / C>_1'r/ 05' i DATE:? a� IXP: SECTION ��� ° c� BLOCK LOT La /� TYPE OF WORK E'U) J i�O ` $ 47O ctie J/D! / �� .� Ken0Va4r017 JOB LOCATION '`/ OWNER u/ CGl I/a Li �1 s.sa Cu/la l 7 ?J 9-33F? CONTRACTOR df1x'� i. � ' S71r.C�;40,-j oC - el)46 (f Aer#740 eiV)lok?- 00441 EST. COST 7 C'.3 -- _�Fv OOC� FEE - 6 NCO # r Ot FEE 4! 15 ATE TCO # FEE DATE..... . INSPECTION RECORp I DATE I NSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS (� SPRINKLER ELECTRIC - LOW -VOLT CI --�-- ALARM �,. AS BUILT L� / FINAL (~� OTHER AP ROYALS ARB r/i aC);;)l BOT - PB ZBA -- OTHER -- --- - VILLAGP,OF RXE BROOK 'WEiSTCHES' C.'Oti�?' 1', NEW PORK ' NO: 21-202 Certif Irate of ®ccupaurp Ehis is to certify that / �,// ( s Alv=& !a ! o of, B me k- . y having duly filed an application on Dle YYl b er- g 20 0� requesting a Certificate of Occupancy for the premises known as, 34 H it=_nd cyv !ar V_ JC Rye Brook,NY,located in a of Zoning District and shown on the most current Tax Map as Section: ' Block: ! Lot: and having fully complied with the requirements ofthe Building Code and the Zoning Ordinance under Building Permit No. t �� �� , issued , 20_e� , such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the New York State Use Classification of: IDY)!f - FGLM for the following purposes: IN S Y- ' 1 r 4e K 1 G V b4chen reyx ya-tt()?'17 Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height sh 11 be made,nor shall the building be moved from one location to another until a permit to accomplish such change has bh ob in in the ding Inspector. Building Inspector,Village of Rye Brook: Date:DEC 1 3 2021 DE E`' E O V IE BUILDING DEPARTMENT For office use only: PERMIT VILLAGE OF RYE BROOK ISSUED: DEC -9 2021 KING STRET,RYE BROOK,NEW YORK 10573 DATE: -2 1 (9114)939-0668 FEE: /if 5'_ PAID VILLAGE OF RYE BROOK www,ryebrook.orij 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 #####t####itii####i#t4ttrt##########ttitirtrtrt rtirti#rtrtrtrtrtrtrt##############rtrtrtitrtrt4#irti#rtrtrt4#rtrtrti#rtrtirt############t#it#i#tt##it#w## Address: 34 M ado w I a,tr K Road kue BfZ e I �J y i p5�3 Occupancy/Use; - YI/ -Parcel ID #: /35. '�? ED- I Zone: Owner: _ALV9A GULi Atd Address:3q JUt- dduu�g/k 9a P.E./R.A. or Contractor:_Tj mL-et Lltie : (St- Address: 33p ftmsom A-vf- Yf1anvdvl" Person in responsible charge: i'CeiJ1� 61et/1.7a Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,,,CIOUNTY OF WESTCHESTER as: "7 f ?y('S A c u fi,C 1 being duly sworn,deposes and says that he/she resides at 3q Me4d Out l d#1 K p d (Print Name of Applicant) (No.and Street) in Rue D tw K ,in the County of Ullsla Z L e° in the State of NV,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ -3e,DOD for the construction or alteration of: nI? j) u)l jg&W 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-I O.A. of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of� � tin e�— , 20_c� day of , 20 Signature6yProperty Owner Signature of Applicant sa t6 Utf- .+A Lai Li int Nam f Property Owner Print Name of Applicant i Notary Publ' Notary Public �lotary Public, State of New York No. Q,taffIed in We tch .,,ter Cour+ty Commission Expires JanUjry 29.209t_> QyE BR( C3�` Zm cu � �982 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 Mbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - -- - - - - - - - - ADDRESS :- E` gc))ATE: PERMIT# L ` ~ ISSUED: SECT: t2;�;'-Zg BLOCK: LOT LOCATION: s `� ' v �' �"�� � �'` y OCCUPANCY: l ❑ VIOLATION NOTED THE WORK IS... ,Ll ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION i' 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 EL ,CROSS CONNECTION � INAL OTHER �wa E DRQ-), '9II2 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 wwwryebrook.org - - - - - - - - - - - - - - - - -- - - INSPECTION REPORT - - - - - - - - - - - - - - - - - i 1 � ADDRESS : q?D,'-ti:!'� J�`-� ATE: PERMIT# (, � `� ISSUED: ISECT: � z'�BLOCK: ` LOT: LOCATION: `'�- V � (' � _Urb OCCUPANCY` \y ❑ 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 N o N " + ' • = �: o0 tn ■ ON m �' i F Wc2N..r KInj `? 19 lid yyyy z M � a ; w V1 Q ao W00 eq C 8 G rA _ rr Z = N _ co Wce 0moo O V Z Wr z f U � s1 z0.0 Ono co o wz F d W e a ? 06 f ga a z W � z � � .. o Ze ■ U � W z G. A � '" ■ M �rj 2ECEWE BUILDING DEPARTMENT AUG 2 U 2021 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914) 9-0668 BUILDING DEPARTMENT www.!ycbrook.org ELECTRICAL PERMIT APPLICATION Westchester County/Master Electricians License Required FOR OFFICE USE ONLY BP#: C r/ EP#: Dow Approval Date: Permit Fee:$ n Q Q Approval Signature: Other: Disapproved: (fees are non-refundabie) Application dated, C)8-19-7-1 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform,other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. n 1.Address: �SBL::� '�js-2-a— !- 60 Zone: �'J�Zo 2.Property Owner: / ( Address: J`T 1�l Qr__K_ p d� gM �@Q4 M4 10533 Phone#: !14- 3`-1 �- 3-Z O Cell#: I email: . ' 3.Master Electrician: A 67��vie 01 V-7 U Address: Eqgvs Lic.#: ��JZG Fhone#: &-$&5-�,'Xell#: - - 2 email: LQSPrE-L&�r;c LI/L 0_T,,►�-tu Ala Company Name: La Se r �:L—&it ii✓ 5Y Vif°�S PLC Address: 133 Felkwfd^New Aaki f�T, e�D r 4.Proposed Electrical Work/Fixture Count: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: "Vd �P )l tJ being duly sworn,deposes and states that he/she is the applicant above named,and does further tprim name of individual signing as the appticaatl state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Ire /,L 1" for the legal owner and is duly authorized to make and file this application. i indi�mdno x conuaunr_agwL morne}_c c_I 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 Qje of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this it Sworn to before me th' t 8 day �g.9�'�of—. ,20 _ day of ,20 / ' m (<a Ca I!a"t, Signi re of Property Owner Signature ppit t 11 l/.'w t Print er Pri of Applicant Notary Public Notary lic MARTHA NELSON VALERIE S.WEINFELD Notary Public, State of New York NOTARY PUBLIC,STATE OF NEW YORK No OINE6054733 Registration No,01 WE6354617 Qualified in Westchester County Qualified in Westchester County Commission Expires February 12 2028/1212021 Commission Expires February 13,20 21 Westchester Rockland Electrical Inspection Services, Inc. t�rz ` Phone: 914-347-3595 DO NOT WRTI E HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue L~ � Fax: 914-347-3596 * Elmsford, NY 10523 g BUILDING PERmrr NO. TEMP# DATE CITY OR VILLAGE , ` , ZIP CODE TOWNSHIP COUNTY {I/ STREET AND NO.OR ROAD POLE NUMBER I BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME ` BUILDING OCCUPANCY f '�'/[, j OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER cI C14 CURRENT SUPPLIED EW FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO, H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1"FL. Z-FL. s-FLB—AGROOK B ILDING DEPARTMENT REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: i THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED. IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS, INC. IS NOT LISTING, LABELING, UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW:J ADDITIONAL I-] EXPOSED E CONCEALED F] MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD C UNDERGROUND AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. L1 NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF C�..---� X STREET ADDRESS TELEPHONE NO. _ CITY OR POST OFFICE !f ZJP CODE LICENSE NO,VMIiEl1 APPLICd�BLE a WESTCRESTER ROCKLANO ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Laser Electric Services Paul &Alyssa Cullagh 137 Pelham Road NY, New Rochelle 10805 Located at:34 Meadowlark Rd Rye Brook, NY 10573 Certificate Number: 1031415 Section: 135.28 Block: 1 Lot: 6 Bll Permit Number: EP:21-208-BP:21-105 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: 34 Meadowlark Rd Rye Brook,NY 10573 Basement 12 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the Installation,as set forth below,was found to be in compliance therewith on 10/27/21 Name Type Quantity Fixture-Luminaire Recessed LED 10 Fixtures Pendant ------ 2 Receptacle GFCI ------- 10 Dimmer 600 Watt 3 Way ------- 4 Switches 3 Way ------- 4 Dishwasher ------- 1 Disposal ------- 1 Refrigerator ------- 1 Cook Top ------- 1 Microwave ------- 1 Range Hood ------- 1 Fixture-Strip LED 10' undercabinet 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. :. c rn �i N N : tV rA cd 1 v 'Ilk ^ r ICI U ov O r � b O Z M Im00 CD f Li6 ~ co �1I 7�7 CN r�r��Ryy a o V Nir 1 /� z S' in Gobi a !t G7 F p D � � Q` C BUILDING DEPARTMENT VILLSAA,'GE OF RYE BROOK AUG 18 2G21 938 KmTG STREET RYE BROOK.NY 10573 (914)939-0668 FAX(914)939-5801 VILLAGE OF RYE BROOK ` ww.rrvebrook.ot. BUILDING DEPARTMENT PLLTMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: (D L)0 IT Approval Date: AUG 18 202 Permit Fee: S Approval Signature: Other: Disapproved: (tees are non-refundable) ;��<� Application dated, is hereby made to the Building Inspector of the Village of Ryc Brook NY, for the issuance of a Permit to install and:` r rem ve Plumbing as per detailed statement described below. The applicant,C property owner, by signing this document agree that said plumbing work will be in conformance Frith all applicable Federal, State. County and Local Codes. 1.Address:3m thEADON. y— _ _SBL: /35�aoo'r _ p Zone:— _ ?.Proposed Work: tikn aAlert -- 3.Property Owner: L1J ddress: � �-Phone#: —yell #: "�y ►� ,r�eniail: 4.Master Plumber:,/��L y ( �/ �,� Addt-ess: A90 /j& k, jr" r�I L4A �vV/&W,7 Lic. #: L Phone#: CellSKy7 set? ennail: o(, Low Company Naine: 1117 Address: %p _dx X I" /�'f o�jr �,lt"e o T INDICATE FIXTURES& LL\ES TO BE INSTALLED AS PER THE FOLLONN NG SCHEDULE: Location Water Urinals Drinking Stinks Showers Batli� Laundry Domestic Fire Sanitan ls'atwal: Other* Total l Closets Fountains Tabs Tulin Service Basement Service Sewor LP Gas — — -- - - -- Ist Floor STo ?nd Floor 3` Floor ------ -- - r_—.j--._ ---� --. _.,---- — -- �--- - ---- --- ----� Floor -- — --- — - I 5 'Floor —_!—_-- - —t-- — { Exterior 5. List Other EquipmentTrovide Details: (Notarized Signatures Required Next 2 Pages) 3/21'19 • STATE OF NEW YORK,COLNTY OF WESTC'HESTER C-" L_'! -y .being duly sworn.deposes and states that he she is the applicant above uanied. (print name of individual signing as the applicant) and ftu•ther states that(s)he is the legal owner of the property to which this application pertains, or that(s)he is the V4�I'll C�11)ty ! nh for the legal cnvner and is duly authorized to niake and file this application. (indicate architect;contractor,agent,attorney;etc.) That all statements contained herein are trite 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. U Sworn to before the this�a12 Sworn to before me this_ day of _ 20��_ day of_PN& ,20_a _ Sign t e of Property suer 5 gnr ti e of A pli� lit 2d—— Awaa ac [ Prinf Property&Aier int\;ut:e of A t L'cant Ip Notary Public ?'Itarlpibv VALERIE 5.WEINFELD blic, NOTARY PUBLIC,STATE OF NEW YORK No.01 ME-6160063 Reglstretlon No.01 WE6354617 O!tali led in Westchester County �� oualifled inppWestchester County'* Commission Expires January 29,20 i 190rgy i 11173eb o!up ry 13,2a ct_allipleted in its entirety and must include the iii,iarized t,itatuue(s) of the legal owner(s) of the subject property. and the applicant of record 11) the space, 1�1c�videei. 1ppliCatintl'S not properly completed in its entirety andlor not properly signer] s11all be deeined r�i:ll and void and Will 1W returned to the applicant. 121 19 BL-ILDIIVG DEFARTN-IENT D VILI.AGE OF RYE BROOK 938 DING STREET RYE BROOK,NY 10573 AUG 18 2021 (914) 939-0668 FAX(914) 939-5801 ww•wwxvebrook.014 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SENVERS PHIS AFFIDAVIT MIDST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNEP AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBIN7-, PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED 7C THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 3(, CUL,Ljtr�f _ y, residingat, ' �) [LL/K_ Ol being duly sworn, deposes and states that (s)he is the applicant above nained, and further states that (s)he is the legal owner of the property to which this Affidavit of Coniphance pertains at; 3 Rye Brook, NY. 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 hind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. tsed Sworn to before me this_/67 _ day of "U-5�5r , 20 !� E S.WEINFELDSTATE OF NEW YORKNo•01 WE6354617 estchester G13nyes February ;_ 3r21/19 Building Permit Check List&ZoningAnal sis Address: c,,.' SBL: 1 5 S Z✓ — l - Ca Zone: Use: Z r Const.Type: -T71, Other. Submittal Date: �{ Z Z t Revisions Submittal Dates: Applicant: y L.L_x 4 Nature of Work: )j W l t--J_t� O-4j .� s � ��.D rt- 1 fv-rfix e 0 rt _ Reviews:ZBA: APR - 9 2021 PB: BOT: Other. NEED OK (� ( ) FEES:Filing. BP: �O`aO 22 r- C/O: Legalization: ( ) ( -�'APP: Date& 1�otarize& 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: Si t Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( SURVEY:Dated: 'S 2, 1 q Current: ✓Archival• Sealed: Unacceptable: ( ) {..} PLANS:Date e& ✓ Sealed ✓ Copies: Z Electronic: ✓ Other. ( { ) License: Workers Comp: ✓ Liability:LZ Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A: (� ( } HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. { ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other: { ( } 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: ' "L l 1 approval U. A 1hJ notes: ( }ZBA mtg. date: approval• notes: { }PB mtg. date: approval• notes: REOLMED EXIS1 N PROPOSED NOTFS APPROVED Ate: 2 k- 2.a 'e. G P R Fromu: Sites: &rar: Main Cov Acrs.Cow Ft.H Sb: S .H S : Tot. v: F I m : HHight/Stories: notes: EC I BUILDING DEPARTMENT D EEE VILLAGE OF RYE`BROOK APR - 7 2021 938 KINC STREET RYE BROoh, NY 10573 (914)939-0668 PA J,939-5801 VILLAGE OF RYE BROOK wr«ti.� o BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: 34 Meadowlark Road Date of Submission: Parcel ID#: 135.028-01-06 Zone: R-20 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: MusT BE COMPLETED BY THE APPLICANT Interior Kitchen renovation, including minor structural The following items must be submitted to the Building work. Replacement of Kitchen windows & patio door. Department by the applicant- no exceptions. 1. (X�Completed Application 2. O(j Two(2)sets of sealed plans. lone full size I maximum Property Owner: Paul Cullagh &Alyssa Kant Cullagh allowable plan size=36"x 42"I and one I I"x17") 3. (�Two(2)copies of the property survey. Address: 34 Meadowlark_Road, Rye Brook, NY 4. (,4 Two(2)copies of the proposed site plan. Phone# 917-749-3288 5. WOne electronic/disc copy of the complete Applicant appearing before the Board: application materials. 6. (?<Filing Fee, Evan Sakofsky 7. (7c Any supporting documentation. Address: 11 Berkley Lane, Rye Brook, NY 9. ()<Photographs. Phone# 516-314-1385 10.(>4 Samples of finishes/color chart. (a sample board or Architect/Engineer: Evan Sakofsky Architect madel muY be presented the night of the meeting) Phone# 516-314-1385 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 1 Sworn to before me this day of L— , 2001 day of i---1 I 12021 Sigidatfire of Property Owner Signature of App rt wag ci2', Ct- C- PrinL.bkme �>4�of Property Owner Print Name of Applicant Notary Public Notary ublic VALERIE S.WEI'NFELD NOTARY PUBLIC,STATE OF NEW YORK III wALQUIRIA REED Registration No.01 WE63WI7 Notary Public-State of New York Qualified in Westchester County NO.01RE6407444 Commission Expires February 13,2096 Qualified in Westchester county My Commission Expires Jun 8, 2024 3/21119 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 I ICarlton Road New 6' High PVC Pool Consent 5168 (De'Arudda) Fence Agenda ML NM MR SE JM L/' SF AC �' M I KC - 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 44 Bonwit Road Two Tiered retaining Wall 5177 (Rosenfeld) w/Post & Rail Fence & Landscaping 24 Beechwood Blvd 2nd Story Additions, Rear 5178 (Moore) Masonry Terrace, Rear Walk, & Replace Existing Walk 46 Winding Wood 2nd Fl Addition, Wood 5179 Road(Meron) Deck, Rear Patio Expansion 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 I Berkley Drive Rear Deck Expansion 5184 (Topkis) ML NM MR SE im SF AC MI KC oz ow C:) m N W Q luul LL 0 ' W Z r > W � 0 0 J a jf QO LL 0 W a: } cicm � � Y Z W L7 W J Y Y > x o = 0 m z j i gLU � Lo co - — - c; co aLIJAA J H ¢ � w_ V ai U7 u CLO L X W i i - W LO H occ ` :r V C/ a © f Ld Z Q ir - [L Q 0 o > x O CO {i LLJ Z w / I J � c) Q W Y Y/ C d z Li W Lo 0 t 4- 0 L M w L 0 C .3 c a� r U Y to C A an X LLI Laura Petersen From: Alyssa Cullagh <alyssakant@gmail.com> Sent: Thursday,April 29, 2021 3:56 PM To: Laura Petersen Subject: Re: Building Permit Application - 34 Meadowlark Road Attachments: Timberline First Liability Insurance.pdf, Copy of Westchester license 20-22.JPG; Timberline First Workers Compensation.pdf Hi Laura, Thank you for reaching out to let us know that our building application has been approved. I am attaching the information requested along with our contractor's name and phone number. The contractor's name is Keith Cilento with Timberline First Construction and the phone number is 914-610-0044. Please let me know if there are any additional questions Thank you for your time, Alyssa Cullagh On Fri,Apr 23, 2021 at 2:06 PM Laura Petersen <LPetersen(a@rvebrook.org>wrote: 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 & phone number. 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. Building permit fee $600.00 (due once permit is issued and ready for pick-up) This information can be emailed to me. Thank you Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914) 939-5801 1 lDetersenfaDryebrook.org 1 ! y N O L Q t«O)) f � _Z i •� •.yam. Ca cr Lu 0. •� .f, ,� v C O �'" � t % r � � > > >- o •� � Q�°section �y 'e�� °• Q O Z p .� p� c (�Grp ' V i.w a LLJ u e�css»} G L.L o Q o : �`' '_� �`:•Y�� � i�cey+ M� LL1 � � � `" 00 _ A ti =; S". •.^u•� .D _ (p YYY 00 t Iaa) 'r �^11►I�...l`^i4^" i*t-/f /1A1 �, /f1 11 f A Ii11 5 {f �IIj+1 :ir'e*axle 1�'�`11 i9? '_'.' Tw i'h'st-'-• Fi,-''��' ,%'�, .n.. a +ayl°,' III►/ �' 4�¢tilf, Il���h ,. 0 /wire,�' . �,�rth,.ti�.• �� Ny 1i(1 / 1/ 1 11 1 ti l<. tttor?! „ r�r tr► :a ..•r tA1�1 , `�',�trit ml), . ►+II►I',��1tr tN�' �'+ ':� lilt �. ti v R � '� •- ',•°�_. .r• .f���� ��y�� r µ� ��! �! �tl�,_ �;'f�V��3 ,�'��1 ' ��\{,- 5f�14,Y1S�� „':.�(^ ( �� _'q�+Ar •� f `'�Y+dA�� ,V�. ��+KTiiiN" •!r' ""A"IX •!,r\. �7�N{w n,'�V�M' y���.�q A� 'm DATE(MMIDDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 121112020 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 INSURERS), 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 NAME: Bruce A McClatchle Wm, E. Morrell, Inc. pH No 914 949-0904 1 W No: 914 8-8999 128 Court St ADORess• Info morrell-Insurance.com White Plains, NY 10601 INSURERM AFFORDING COVERAGE N=0 INSURER A: UTICA FIRST INSURED INSURER B Timberline First Construction Co. LLC INSURER C; INSURER D 1330 Harrison Ave INSURERE: Mamaroneck NY 10543 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE iADDL SUBR POLICY EFF POLICY EXP L POLICY NUMBER MMIDD/YYYY1 IMMIDDNYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE i 1,000,000 CLAIMS-MADE ^J OCCUR PRREMISES aGE TOENTE occurrence f 50,000 _ MED EXP An one person S 5 000 A ARTS13411300 10/20/2020 10/20/2021 PERSONAL 6 ADV INJURY $ 1,000,000 GI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑jEOT ❑I PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ! Ea acddsnt ANY AUTO BODILY INJURY(Per person) 4 OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY er accident i UMBRELLA LWB H OCCUR EACH OCCURRENCE j EXCESS LUtB CLAIMS-MADE AGGREGATE i DIED I I RETENTION III $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE _ ANY PROP RI ETOR(PARTNE RIEXECUTIVE E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? ❑ N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S H yyees,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached IFmore space Is required) CERTIFICATE HOLDER IS NAMED AS ADD'L INSUREDS IN REGARD TO GENERAL LIABILITY-SUBJECT TO WRITTEN CONTRACT,TERMS,CONDITIONS &EXCLUSIONS OF THE ORIGINAL POLICY AT THE TIME OF ISSUANCE BY THE INSURANCE COMPANY. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 King St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook, NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN7TIVE - t I � @IAA 1=' 8-2015 ACOR C R R�trl N. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD // CNE PORK Workers` CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Timberline First Construction Company LLC 914-610-0044 1330 Harrison Ave 1c.NYS Unemployment Insurance Employer Registration Number of Insured Mamaroneck, NY 10543 N/A Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 1330 Harrison Ave, Mamaroneck, NY 10543 72-1601686 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Village of Rye Brook NorGUARD Insurance Company 938 Kings Street 3b.Policy Number of Entity Listed in Box`1 a" Rye Brook, NY 10573 TIWC109968 3c. Policy effective period 10/18/2020 to 10/18/2021 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partnerstofficers included) x❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" 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"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be 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. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon 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: Dave Simmons (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 12/01/2020 -74 (Date) Title: Vice President of Sales Telephone Number of authorized representative or licensed agent of insurance carrier: 800-673-2465 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 (9-17) www.wcb.ny.gov OFFSET DIMENSIONS ARE NOT TO BE USED FOR CONSTRUCTION, SUBJECT TO EASEMENTS AND RESTRICTIONS OF RECORD. D F=(CIEOMC� 11 LAR K APR - 7 2021 E AD O VILLAGE OF RYE BROOK F(OAI) BUILDING DEPARTMENT UTILITY POLE P.O.B. S-�ps1F-�PO- R�239.�+0' p R=849.50' p 2 L=5 8.15' � SEC.-131.13 _3� � BLK.-8 1 Ln LOT-12 W � y v� (TAX ASAP) SLATE WALK � O qqY � 3p 0 34.6' #34 STONE & STONE WALL MAS. WALL TWO STORY a.1 W� CHIM. FRAME �ONC. DWELLING PAVER'; PLAT. KEYSTONE :WALL ,pgT10, O � C/L FENCE 0 O ON LINE ± STONE & MAS. WALL CD (TYP.) � � � N Q - FILED MAP � u-) STONE WALL LOT # (7YP.) W Z ON LINE ± � — 53.00' S. 39°-42'-20" W. 97.12 S. 38°-22'-20 W. FENCE SURVEY OF PR OPERTY #34 MEADOWLARK ROAD LOT 6 , BLOCK 1 , SECTION 135 . 28 RYE BROOK , WESTCHESTER CO . , NY Certified to: Paul E. Cullagh SCALE: 1 "=30' DATE: MAY 21 , 2019 STEPHEN F. HOPPE , L. S. LICENSED PROFESSIONAL LAND SURVEYOR Ma Reference:Being known as Lot 7 in Block"C"on a ma 1 1 1 ROUTE 303 p g p TAPPAN, NEW YORK 10983 entitled: "Subdivision Map,Section No. 3, Meadowlark,situated NY LIC. NO. 50539 in The Village of Rye Brook,Town of Rye, Westchester County, N.Y." filed in the Westchester County Clerk's Office on April 27, 1960 as Map No. 12390. L.S. DRAWN BY- JMC FILE N0.- 4250-17