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BP21-124
PERMIT# SECTION �S. 3 TYPE OF WORK JOB LOCATION D ilea GrTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT ?±� ALARM AS BUILT JUL - Z FINAL ZBL`' H�)scl;�/j/oo igC9/y)*l97-3Y4a Expired Isttet Sent 10/6/2022 a�JI aH- r7I� ASE (FINAL SURVEY EQUIRED PRIOR TO FINAL INSPECTION PCP/VP !0 /S /% c QR19 t� VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 19,2024 Andrew Gitkind&Amanda Gitkind 6 Birch Lane Rye Brook,New York 10573 Re: 6 Birch Lane, Rye Brook,New York 10573 Parcel ID#: 135.43-1-5.37 Building Permit#21-124 issued on 5/27/2021 for a New Fence This certifies that the new four foot high rear yard fence,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to For office use oni BUILD ENT PERIMT#r�-fY APR 2 4 2QG4 VIL OF RYE OK ISSUED:,5=a 7-a 38 KING SIRE YE BROOK, YoRK 10573 DATE: 2� _a VILLAGE OF RYc t3R(�OK �''� PAIDAL 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 sssss...sr*tssrra»ssrssssssssssssrssssssssssssssssssss■sssssssssrssrsssrss**»*a.•ss»ss»sa*s»*r»* rsr**srwaast+**rr+rs+**aa*** Address: (7 u 1 r-c k Lan e. R? je- 61-0oK (v'7 t OS-73 Occupancy/Use:-1 Parcel ID#: 135 - - -5 . 3 1 Zone: 1 5 Owner: ,rl "A Address: (� &r'k I-atie , �wz NY or 3 P.E./R.A. or Contractor: Cojr,A� Fe , ('o ��� Address: :1 -4 H,r r sy.t4 Person in responsible charge:.Q„�tc`-, 6:+�: Address: la 3;rc(, Lam, P.-I , fro-Ic. KM I G S"?3 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: !?"t«: ,,I being duly swom,deposes and says that he/she resides at 40 B 4 r c (-. La•-�L (Print Name of Applicant) (No.and Street) in F..<c 9 r-o O (< ,in the County of =s fc A e Sfe r" in the State of_ N Y 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:$ r) n for the construction or alteration of: ('Gv�<t r art ca Fer. c_ 61JG' (c a &r {r_` , GG D rc,P cs: . 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 structuretwork 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. SwornlA Sworn to before me this Sworn to before me this day of �>�n\ , 20 Q\-A day of '\ 20 a'j\ Vj,- Signature of Oerty Owner Signature of Applicant ame of Prop ame oferty Owner Applicant C Notary ;blic No Publi$y Public,State of New York ry Public,State of New York fJo.01ME6160063 No.n WestOIME6chester ,';+:od in Westchester County Qualified In Westchester County '- • o^t --c,nnmission Expires January 29,20—Z:7 :.on Expires January 29,20_- QyE BRC�uk cu � 1932 BUILDING DEPARTMENT ❑BBUILDING INSPECTOR {/ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - -- - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : �61 q— L� A v '� DATE: PERMIT# y` 1 \ L'1 ISSUED: .S- 27- r SECT: y�BLOCK: 1 LOT: S' 7 LOCATION: OCCUPANCY: ❑ 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 Qy_E BRC��, O� Zm cu � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ©ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- (p /2 C I I of DATE: 1-2 - Z/- Z U L-3 PERMIT# ` 2 - L `-I ISSUED:S"- ?7-2I SECT: 3J, y_? BLOCK:LOT: LOCATION: S/cle , fZPcA, r 2 Gf/T' S/ C✓1 c+ • OCCUPANCY: Z b ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED / REINSPECTION @/SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / / G/ ❑ Natural Gas �J LY dJs to O GJ VCe ❑ L.P. Gas C'On'�D C—P c/ ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION / D'� P ❑ FINAL /(/ S r L C /J nJ ❑ OTHER �yE DR 1r 4�1a�J� •L t V C�L4.�J rJ V 404 tbudumaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino October 6,2022 Dear Rye Brook Building Permittee, It has come to the attention of the Building Department that your Building Permit has not been closed out in accordance with Village Code and is now expired.All Building Permits have a twelve (12)month lifespan starting from the date of issuance,and the permit expiration date is noted on the front of the permit. Please note that there is a non-waivable Expired Permit Fee of$500.00 now due in connection with your expired permit. Once payment is received,your permit will be reinstated for a period of six(6) months. Please be advised that it is a violation of Village Code to fail to close out a permit,and that a court summons could be issued,and fines may be imposed on the permit holder and/or property owner for failure to apply for and obtain a Certificate of Occupancy(C/O) or Certificate of Compliance (C/C),in accordance with Village Code section 250-10A. Please note that Temporary C/Os&C/Cs are available in accordance with Village Code section 250-10B should you require more time to perform whatever work remains in order to complete your project. Thank you for your attention in this matter,and please feel free to contact this office should you require any further information. Michael J. Izzo Building&Fire Inspector mizzo ,ryebrook.o�rg /to cc: Steven E. Fews,Assistant Building Inspector Tara A. Orlando,Planning&Zoning Secretary Laura Petersen,Office Assistant o I` O Qi �w � 4ow a tio� M Cd"V rr-f1 C O ce E Q � O C � O 3 � o c M r. Y _o 00 Z W W �•N OTC m` LL V Q v' J o0 J C \ Y S yE DR k4��Co � i.` i v�o�vyi 9 VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J.Fischer David M.Heiser Salvatore W.Morlino December 21,2023 Dear Rye Brook Building Permittee, It has come to the attention of the Building Department that your Building Permit has not been closed out in accordance with Village Code and is now expired.All Building Permits have a twelve(12)month lifespan starting from the date of issuance, and the permit expiration date is noted on the front of the permit. Please note that there is a non-waivable Expired Permit Fee of$500.00 now due in connection with your expired permit. Once payment is received,your permit will be reinstated for a period of six(6)months. Please be advised that it is a violation of Village Code to fail to close out a permit,and that a court summons could be issued, and fines may be imposed on the permit holder and/or property owner for failure to apply for and obtain a Certificate of Occupancy(C/O)or Certificate of Compliance (C/C),in accordance with Village Code section 250-10A. Please note that Temporary C/Os&C/Cs are available in accordance with Village Code section 250-10B should you require more time to perform whatever work remains in order to complete your project. Thank you for your attention in this matter,and please feel free to contact this office should you require any further information. Steven E. Fews Building&Fire Inspector stevefewsnq.ryebrook.org cc:Alfredo DiVitto,Assistant Building&Fire Inspector Tara A. Orlando,Planning&Zoning Secretary Laura Petersen,Office Assistant /to .Y �E BRCS `c US POSTAGE—Prr"E,wvEs , y. $ 000.630 ZIP 10573 02 4YV 0000366900 DEC 21 2023 E OF RYE BR®K et, Rye Brmk, N.Y. 10573 e i3A00 Building Permit Check List&Zoning Analysis Address: SBL: ( 3� L ' S�' ,3 Zone: �i! l 5� Use: Const.Type: Other. Submittal Date: LI t Revisions Submittal Dates: Applicant: G; t l-k ►-+,t�. Nature of Work k- -(G A F4;NJ Gr-- I IN ' - `lAro'- Reviews:ZBA:A P R 1 5 2021 PB: BOT: Other. � O (v ( ) FEES:Filing. -7S BP: t ZD_ C/O: Legalization: ( ) ( APP: Dated: Notarized: ✓ SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. SURVEY:Dated / Z t Current: Archival: ✓ Sealed. ✓ Unacceptable: ( ) ( ) PLANS:Date tamped: Sealed: Copies: Electronic: Other. ( ( ) License: Workers Comp: Liability: ✓Comp.Waiver. Other. (. (JjCODE 753#: Dated. Z;-3—204 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. ( )ARB mtg.date: S 1 Z- approval:- notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval• notes: AVtJKOVLU REQUIRED EXISTING PROPOSED NOTES Ami: Date: MAY 2 6 2021 Circle: Fr n Front: Front: Sides: Rmr. Main Cov Accs.Cow Ft.H Sd.H/Sb: : Ft.Imo: P Hc1 / oriel: notes: N � BUILDING DEPARTMENT D E C E Q V E VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 APR 15 2021 (914)930-06 (914)939-5801 w l o r VILLAGE OF RYE BROOK 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: (0 I3/rc, a 4 e—^^� n Date of Submission: //S�aCb2 Parcel ID#: �^ 3�Lone: Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building ICt/G rr� pt- 'Jro p� {y De art ent by the applicant-no exceptions. 1 v ompleted Application D f 2. (Two(2)sets of sealed plans. tone full size{maximum Property Owner: 4t allowable plan size=36"x 42"}and one I 1"x 17") Address: -� rck L 3. (%wo(2)copies of the property survey. I I ye nso 4. ( wo(2)copies of the proposed site plan. Phone#�6 Y 6) �22 — IWO 5. (v/ One electronic/disc copy of the complete plication materials. a Applicant appearing before the Board: 6. (ding Fee. ,4.t� Raj ��TX iN� 7. ( )Any supporting documentation. 8. ( )HOA approval letter. (;fappl;cable) Address: �° ��rr.� 9. (A hotographs. Phone# 10.( amples 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. Sworn to before me this ✓ Sworn to before me this day of 0'\(, LV� , 20�I day of �����_ f ! , 20 QL *L Signature of P-perowne, Signature of Applicant Print Name of Property Owner Prints Name of Applicant U4 Vb btary Public Notary Public DEBRA M. COHEN NOTARY PUBLIC-SLATE OF NEW YORK DEBRA M. COHEN No 01CO6129832 NOTARY PUBLIC-STATE OF NEW YORK d1.1I111116d In Westchester County No.01 C06129832 MVC41hr"Is3ion Expires07-05-2021 Qualified In WestchesterCount�/21/19 MY Cammis%ibn iixpirsN 01;05-r2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, May 19, 2021 PAGE 1 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on May 19, 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/a/89843106184 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: 898 4310 6184 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 66 Tamarack Rd New 6ft White PVC Picket Consent 5185 (Sibley) Fencing Side Yards Agenda 78 Woodland Ave Legalize Replacement of 5186 (Freeman) Wood Deck Railing& Boards w/Trex, &New Paver Walkway. 112 Country Ridge New Rear Patio w/Fire Pit Consent 5187 Dr(Sandarciero) & Sitting Wall Agenda 14 Berkley Drive Replace& Enlarge Terrace Consent 5188 (Nachman) Patio, Add Built in BBQ Agenda 6 Birch Lane New 4Ft High Black Consent 5189 (Gitkind) Aluminum Fence In Rear Agenda 11A Yard 49 Rock Ridge Dr. New Rear Patio on Grade Consent 5190 (Firestone) (Blue Stone) Agenda 105 N. Ridge St New 4Ft High black Chain Consent 5191 (Sepkowski) Link Fence& 4Ft High Agenda Black Aluminum Fence. 34 Garibaldi Place 6Ft High White PVC Fence Consent 5192 (Crute) Side Yards Agenda ML NM MR SE JM SF AC MI KC 10 0 20 40 - FOR TrTLE PURPOSES ONLY AL SURVEYED FOR FUTURE TITLE AG ORIGINAL SCALE: 1 = 20 AND ONLY FOR THE PERSONS FOR PURPOSES R WAS �n FOR ANY OTHER PURPOSES OR FOR V 135.43-1-5.28-RYE.DWG MAP OF PROPERTY SITUATED AT *� VILLAGE OF RYE BROOK,WESTCHESTER COUNTY,N.Y. TOWN OF RYE APR 1 2021 TAX SECTION:135.43 TAX BLOCK:1 TAX LOT:5.28 `p w No OT I LAGE OF YE BROOK II N 09'15'20` E 115.995 UIL ING D ARTMENT WALL WALL " YARD 2LW� STONE WALL 0.4'EAST Ox momO.0 FAST STONE RETAINING WALL -� - CA Of TREE D ; 'fir^ 4.4'!NORTH - YARD 32.2' L1"I 33• 41.1' Z WALL - D.r MOTan - n v BRICK PAVED .}. z 51oRr fwvne DWfUJNG No.6 . ti� R ¢ o FLED LOT - - - IN a � No.33 .FILED LOT 37 No. e YARD YARD P o G " G o YARD - - 4 2A F 3 CADETM . . . . b f 2.s�NORrr �. . V) M I SYORY R4AMt a 510NE CURB 0 c GAP.AGE AT GRADE CC) 20.T 40.7 Z ASPHALT ORNEWAY 0- ` �NRI v U 2 m_ O 111 STONE CURB YARD MASONRY BLCCK WALL WALL 0.5'SOUTH ROW OF TREE CA Or 7RP2 WALL03•t WEST CA Of TREE OZ WEST S 09'15'20` W 115.995 P.O.B YARD FEED MAP"SUBDIVISION PLATFILED LOT RED ROOF FARM" FILED KNOWN AS LOT No. 37 No.38 FILED NOVEMBER 251h, 1998 AS MAP No. 26266 DATE DESCRIPTION NOTES. DECEMBER 22nd,2017 TITLE SURVEY 1.GUARANTEES OR CERTL=ICATK)NS INDICATED HEREON STALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY 15 PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING WSiTRIDON.GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADORIONAL INSTTUDONS �,\SED L DR SUBSEQUENT OWNERS. ��.\` A2. 71aAO 3. OF THIS SURVEY. PROPERTY NAUTHORIZED ALTERATION OR ADDITION TO THIE NOT S IS AS U A VIOU710N OF SECTION 7209 Of THE NEW YORK STATE �E1�AN EDUCATION LAW. P G 4.ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAID SURVEYOR'S INKED SA 0R HIS EMBOSSED SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES. L 5.EAS W04 5 OF RECORD ARE ONLY GUARANTEED IF AN ABSTRACT OF TITLE IS FURNISHED TO THE SURVEYOR O .� .T GUARANTEED TO: LALSA LAND SURVEYING PLLC 1 O I. FUTURE T1TL CITY & LAND SURVEYORS AGENCY, INC. p 2.AMANDA GTTILINO AND ANDREW I. GITKIND RECORDS DATING BACK TO 1900'S �Sp93, Y� 3.OLD REPUBUC NATIONAL TITLE INSURANCE COMPANY 172-24 93rd AVENUE 'ye 4.WELLS FARGO BANK, NA JAMAICA, N.Y. 11433 S'A TE OF TELEPHONE (917)957-5372 TITLE No. 7609-2017 FAX (718)206-2814 ©ALL RIGHTS RESERVED 2015 a .rr. �• F '� � ECEIVE DEPARTMENTBUILDING -.. O x ^ x o N %;6 L c in •� ^ . jL r MEW ... } 0 p ..,. J Q ex c`a LL v yPSE a) � ' 1 WCL 3 �o J. s» x low r x ~ C — •V wobc V = i Q O 7 ten) L' g LIC'V. ''MII\\ J L x f ;, � - - -•� __v` �\ . �`tom__ /_�-��_ �'_�-`` - COLOFEN-02 LOANDE ACORO DATE(MWDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 5/412021 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: M the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 certHicats does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER NAME CONTA CT World Insurance Associates,LLC PHONE FAX 3 Starr Ridge Rd (A/C,No,Ext):(845)2794151 _ (A/C,No): Ste 100Miss; --- Brewster,NY 10509 BJaU AFFOIlDINO COVd1l10E wuc a __11141111IMA:$sisatlYe Insurance CO-of South Carollm Inn INSURED INSURER e. Colony Fence Company Inc. INSURERC: 744 West Hartsdale Rd INSURER D: White Plains,NY 10607 INSURER E: _ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 197 TYM OF NIfURANCE ADft:W R POKY NUMBER --- EXF -Lon - A I X CoMMERCIAL e&*xAL LIABILRY EACH OC_ = 2,000.000 califs MADE X OCCUR S 2440908-00 PREMvi rl021 2M12022 DAmA Rf�IfED 5001000 MED ow 10,000 — PERsoNAL a ADV INJURY is 2,000,000 GQrL�TE LIMIT MPLIES PER GENERAL AGGREGATE Is 4,000,000 -:SICY L^� �LOC PRODUCTS- /OP 4,000,000 OTHER 6 A AUTOODD LE LIABILITY C BDISINGLE LIMIT 1,000,000 X ANY AUTO S 2440908-00 2/1/2021 211/2M BODILY WMRYOerpraon OWNED SCHEDULED BODILY INJ URY AUTOS ONLY AUTOS SSyy Ep AUTOS ONLY A�TOS ONNLV A X IAUNN.LALIAe X OCCUR EACH OCCURRENCE 8 2,00000 talCin LIPA CLAIMS-MADE S 2440908-00 2/1/2021 2/112M AOOREGATE 1 2,000,000 DID X RETENTION$ 10,000 'WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILRY YIN .STATSITE_._. ER ppF AFICER/MENY �MTgDERPEXCLUDEED?ECUTNE NIA E.L.EACH ACCIDENT = (M.Fndtlory,NHI l}yp F L.CosaiW under DISEASE-EA_EMPLOYEE-$ _ DESCRIPTION OF OPERATIONS bNOw .DI -P'OUCY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Additional Rwrurks Schadu4, be attached if more spice Is required) Certificate Holder Is Additional Insured with respects to d� neral Liability as requiroby written contract subject to the terms and conditions of the policy. ERTIFICATE 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 938 Kings Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUJJT"011tnna0I09RN WA1NE ACORD 25(201W03) 1 O 1988-2015 ACORD CORPORATION. All rights reservod. The ACORD name and logo are registered marks of ACORD I 5/4/2021 Certificate of NYS Workers'Compensation Insurance Coverage CERTIFICATE OF NEW Workers' NYS WORKERS'COMPENSATION INSURANCE COVERAGE YORK STATE 1 Compensation Board Insured Detail la.Legal Name and address of Insured(Use street address only) lb.Business Telephone Number of insured Colony Fence Company Inc 845-219-5151 744 Hartsdale Road White Plains,NY 10607 lc.NYS Unemployment Insurance Employer Registration Number of Insured id.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Onh required if coverage is speciftcalli limited to 454912167 certain location in New York Stare,i.e.a Wrap-L'p Policy) 2.Name and Address of the Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) AmTrust Insurance Company Village of Rye Brook 938 King Street Rye Bmok.:�'l' 10573 3b.Policy Number of entitylisted in box"In": Rye KWC 1246469 3c.Policy effective period: 4.12021 to 4i 1'2022 3d.The Proprietor,Partners or Executive Officers are: included(Only check box if all partners officers included) all excluded or certain partners/oMcers excluded This certifies that the insurance carrier indicated above in box "3"insures the business referenced above in box "la"for workers'compensation under the New York State Workers'Compensation Law.(To use this form,New Vork(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 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 may be.tent 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: Henry C.Siblay (Ptiiat crams daulhasixed teprimmuitive or licensed agent of uuunme aaiar) Approved By A� / : 3/41M1 (Signature) (pow) Title: Under-ATiting Manager Telephone Number of authorized representadve or licensed axeut of Insunace carrier:Corrierfhone Please Note On/v insurance carrlm and their/icensrd agemn are authored to issue the C-105.2 foray.Insurance bmkrrr are NOT authorized to fume it https://wc.amtrustgrou p.com/ANAWC/PolicyNYCertificateOf Wcl ns.aspx?I ndexId=338982&1nstanceId=I a76422b-4a 1 d-4158-8a 1 3-d 605c8e9eec4 112 Laura Petersen From: Mike Izzo Sent: Thursday,June 3, 2021 3:12 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, June 3, 2021 2:17 PM To: Mike Izzo <MIzzo@ryebrook.org> Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 06/03/2021 14:15 To: VIL RYE BROOK PRIMARY Transmitted: 06/03/2021 14:16 00009 Ticket: 06031-002-166-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 6 To: Name: BIRCH LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: MARK ENTIRE PERIMETER OF THE PROPERTY NearSt: RED ROOF DR Means of Excavation: POST HOLE DIGGER Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: INSTALL FENCE Estimated Work Complete Date: 06/08/2021 Depth of excavation: 3 FEET Site dimensions: Start Date and Time: 06/08/2021 07:00 Must Start By: 06/22/2021 ------------------------------------------------------------------------------ Contact Name: SANDRA CERDAN Company: COLONY FENCE CO Addrl: 744 HARTSDALE RD Addr2: City: WHITE PLAINS State: NY Zip: 10607 1 • Phone: 914-497-3442 Fax: Email: colonyfence@gmail.com Field Contact: RUBEN COLONIA Alt Phone: 914-497-3442 Email: colonyfence@gmail.com Working for: AMANDA GIFRIND ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 O �; nnll Off, �( c� m L oN } Q �f LL p Ow0 Q OD ;m i �J t0 o ac >' 3 >O m m v wiz j 0 � ol j J W Gl Z a N EWE +� y _ y j -j L =Cy Z 3 NwW aCL ro I ee co �1 't to I, cvi Q 0 � ma z cog,* W o �! WSJ w m —, av0o m I (Y GENERAL NOTES: • • •PROPERTY LINE AC . . . . . AIR CONDITIONER � � . . . . . .METAL POST �•r�n- . . . . CURB CUT 1. This is to certify that there are no visible streams or natural z Real Property I Real People I Real Solutions water courses in this property unless shown on this survey. w POB • • • • •POINT OF BEGINNINGo IRON FENCE 0 25 50 75 2. Encroachments, vaults, and easements, if any below w 37 .FILE MAP LOT NUMBER ��- ��-• WIRE FENCE ALLI SUF;ZVEYINIS P. C. surface are not shown hereon. J Original Scale: 1"=25' 77-16 164 Street,Suite 202 3. This surve is NOT a title surve and is not to be used for Y Y Fresh Meadows, NY 11366 title purposes. This surveyor will not be responsible for its Tel:212-732-1393 - www.allisurveying.com use as a title survey. E-mail:info@allisurveying.com Records of Frank E. Towle Inc. &Harwood Surveying R I C H L A N E &Aristotle Bournazos PC NOTICE: © 2024 Alli Surveying P.C. All Rights Reserved A SPHA L 7X PAVEMENT Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a violation of section Stone Curb Stone Curb 7209, sub-division 2, of the New York State Education Law. Wall POB Grass � E 1.0 n GrassS 80p44 4011PROJECT No.: AS-001062W W 144@70' _ CAD DWG FILE: 35.43WlRB5.37 DRAWN BY: Mc Lawn CV Lawn c Lawn O Lawn CHECKED BY: DWR 00 r� O o CN OStone Wal % � � LO 0 0 � March 28, 2024 DATE OF SURVEY Planter o O z Fence Stoop MARK DATE DESCRIPTION o 1.31E 44, Wall ��. '"•6� �,�• Portico 3h ' • �� , • -- �'• Cr) Property Address: Tax Designation: 1.3' Gate ' �' L__� j 3 5.9 D 22.0° I v� �, 6 Birch Lane District: - Tax lot 5.36 � Tax lot 5.37 1 Sto I �N 0 Village of Rye Brook Section: 135.43 � ry/r �� o o � � g Y i p, Frame I �% 3 Tax lot 5.38 0 Town of Rye Block: 1 o `� 3 STORY FRAME i / 8.6' Count of Westchester . Fence r AC Y Lot. 5.3 7 1.41E I 0 Q State of New York 22.0 1 Story I AC o Wall all Stop Frame 1.4' .51E 69.9'1 F--j 1 0 0 0 PROFESSIONAL SEAL: Gate 4'High Y a r d 36 Concrete 37 Fence 38 O N��/ LO Patio 3.0 - O • o o Y a r d ?,1'V o �" . L� Wall Area= 16,784.47' Sq. Ft. 0 o.s'E wall DQf= 0.385 Acre Online Online Row of Trees �.. Fence Fence _. _ _ O 000 0.4 N 1 -�-�� �-�-.._ _ � � �w-- �_ � � � JAG/ 4 High 1448 70 �SYard g Yard Fence Irreg.Fence 0 3'Se v°O� Y a r d01 �� 2.0 S d S� N 80 4440 W L 34 32 q _g RAM , LS No. 050457 33 MENT STATE OF NEW YORK A copy of this document without a proper V L application of the surveyors inked or embossed i seal should be assumed to be an unauthorized copy. U N 18 2024 . - -� SHEET TITLE: Designated.as.Lot No. 37 . . . VILLAGE OI= RYE BROOK On a Subdivision Map of Subdivision Plat Red Roof Farm BUILDING DEPARTMENT FINAL SURVEY Filed in the Westchester County Clerk's Office on November 25, 1998 as Map No. 26266 " ��� ��'���'--.��". �� _."..,._.........-.,....._