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HomeMy WebLinkAboutBP21-142PERM{T # / Z)/- c )ATE. SECTION /, BLOCK LCJi. TYPE OF WORK&enQVZ MgoGd PC/ JOB LOCATfIQN zfll 41eaSAO OWNER ra jnoo)L _ COST TCO # FBE_ DATE INSPECTION RECORD DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC r7 LOIN! VOLT ALARM I� AS BUILT FINAL Qs46.?r��o-��ad�. OTHER APPROVALS ARB BOT � OTHER AS-BUILTlFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION ?�2i vE:" VILLAGE OF R , BROOK WESTCHEiSTER COL'_ � , NEW YORK No: 21-207 (Certificate of Occupancp This is to certify that t OAK)0 P)'60- 1017-6 of, c having duly filed an application on Dro,cmy)-er )o2o ,21 requesting a Certificate of Occupancy for the premises known as, 51 &Udh f lIG1✓V Cie f Rye Brook,NY, located in a PU D Zoning District and shown on the most current Tax Map as Section: . /cU Block: Lot: and having fully+complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.cQ !'^ !`�t-'oC. issued 114 20 , 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: �` r?e " i av-a/ / for the following purposes: Remo -t re FN CLC e w i 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 shall be made,nor a building be moved from one location to another until a permit to accomplish such change has been obt fr uildin nspe or. DEC 2 9 2021 Assistant Building Inspector,Village of Rye Brook: ate: For office I D E C E� V�n E BUILDING�I i 2nya "TMENT PERMIT# / VILLAGE OF RYE BROOK ISSUED: to-/Z/-;jpZ,/ DEC 10 2021 8 KING STREET,RYE BROOK,NEw YoRK 10573 DATE: - /0-2 a/ (914)939-0668 FEE: // PAID E3- VILLAGE OF RYE BROOK wwwxyebirook,org BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION rrrr•rrrrrrrssssrrrrsrs•ressrssrr►I�r�Jrressessrrrrrrsrsrasrsrsssrussssr►•rrsss•sssarrsrsussssassrssrsrsssrasrsrssssrsrsrssss• Address: 15-1 IOu3y NOliOto CR6-P471 Occupancy/Use: —Fofyidy Parcel M#: ,1 D I oZ�. (p j q Zone: ?( Owner: CoSrrlr)_ Ykef.o4le Address: P.E./R.A.or Contractor: Yk 1 .T/VC- Address: 1 YC CN-g<F' Person in responsible charge: A U be/y 4/zOP 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, COUNTY OF WESTCHESTER as: - /�� P D r I o &being duly swom,deposes and says that he/she resides at 1K /MMod I)Q/a e (Print Name of Applicant) (No.and Street) in AR l' 6 f�e5-IP4 in the County of t,4051 c6ej lL f in the State of N i ,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:$ G for the construction or alteration of. �PC At t, d IF 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 \Q) Sworn to before me this day of t?t,,.e 20 Q\ day of , 20 Signature of Property Owner Signature of Applicant K&5mc 1%Cg1-04'0 Name of Property Own Print Name of Applicant A. e� jL Notary Public Notary Public S�-I;,Si tJfELILLO 14otary Public, State of tJewYork iJa. 01',.!L-61E;,..S3 8/12/2021 0,ialified in Westch.:ster County Commission Expires January 29.20�G 4E BRC�,�. w � 19132 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 - - - - - - - - -- - - - - - - - - - - l \ 7r ADDRESS :- DATE' PERMIT## 1 � .-IN '~ ISSUED: ` SECT: O K: LOT: 'g� LOCATION: F' 1 Qv �� `^"" OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... :Q ACCEPTED [] REJECTED/RI:INSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION r1 ❑ NATURAL GAS r ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION INAL /Illf-,❑ OTHER Building Permit Check List&Zonings Address: C,ZfZ S CFZk SBL: 12f, (o - t - ( rJ Zone: ,j Z_> Use: 2 s J Const.Type: Q#!, Other. Submittal Date: !_j-LZ(Z( Revisions Submittal Dates: Applicant ✓✓1 �l G A Ltd►-�F --- ---- Nature of Work: 4- G S Q eviews:ZBA 1 PB: BOT: Other. 1�1 ( ( ) FEES:Filing.�ZS, BP: _ l PS - �` C/O: Legalizati�oz: ( (.f APP: Dated: Notarized: SBL: ✓Truss I.D. Cross Connection H.Q.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) E%AMO: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 Z Sealed: Copies: -2- Electronic: Other. License: ✓ Workers Comp:f Liability -'C_o­mp.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: ( )ARB mtg.date: approval notes: ( )ZBA mtg. date: approval: notes: ( )PB mrg.date: approval notes: _ APPROVE) PROV E) UQUIRED EXISTING PROPOSED NOTFS J UN 14 2021 Circic Erg Ste: &W. Main Cov Accs.Cov Ft.HZ5b Sd.H/Sb SiEA: Tom: Ft.Irmo: Height/Stories: no feqp A, U E E8 V JUN 2021 .�./ VILLAGE OF RYE BROOK BUILDING DEP ARTIVIENT Re: Cosmo Micalone June 11,2021 151 Brush Hollow Lane Rye Brook,NY 10573 To whom this may concern, Please allow this letter to serve as confirmation that the Agricultural & Grounds committee has reviewed the submitted application by the above named homeowner on behalf of The Arbors Homeowners'Association. At this time, the committee requires a permit from The VIllage of Rye Brook. This letter confirms that the application thus far has been approved only for submission of completed application to The VIllage of Rye Brook. Work on the project must not begin until a copy of the VRB permit is presented to the committee. Please feel free to contact managerparbors-ryebrook.com if you have any further inquiries. Respectfully, Gilad Price Community Manager The Arbors Homeowners'Association, Inc. 173'/2 Ivy Hill Crescent Rye Brook,NY 10573 914-939-2440 manager 2(1 arbors-Q&brook.corn 4�i� =��r •;«�r►(��? r� 4�,rri'� r� 19 . ���rr�r« i11� �� i ir�«��i «t1 • �Ir1i�' �s rl(s)i t hili�' At h+ioFi ;f y����i r���.!i� :FF_ 411f1� �r l(o)9►�J ic N iJ U L a�ars)s rA w t[ U g � � ;� c� Z u �a �CQ U. cc: 04 Lr c :Y o EL 1 *— t: a, , �l 0) �, O �i(o)s � 0� O � N �" t(p►� co Ln 4.4 AR n.. — —t — ----- -- — i''rj1+1 �, ��r► rri-' �fi�.,rr.�'ri«iry��. A _: ��'4•��,�� A ;;��i'��1 � a�>� JRJIN-1 ACCyRO DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F05/07/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 718-767-4040 G TACT Metal la LLC JFA Ins Brkge&Assoc Inc. PHONE 718-767-4040 FAX 718-352-7936 26 31 Francis Lewis Blvd. A/C,No,Ex1: Arc•No Bayside,NY 11368 E- AILA DRESS:nlcole@jfainsur2nce.com Metalla LLC INSURERS AFFORDING COVERAGE NAIC# I��1g INSURER A:Utica First Insurance Co 15326 JRSJ InD INSURERB: 140 Grace Church St.,Apt GG INSURERC: Portchester,NY 10873 INSURER D 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, ILT POLICY EFF R TYPE OF INSURANCE JADOL UBR ViVDPOLICY NUMBER POLICY EXPINSD MIDDtYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR x I ART6106101 10104/2020 10/04/2021 DAPRIEMAGE To S1 RE.ENTED $ 50,000 J MED EXP(Any oneperson) $ 6,000 !� PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X LOC PRODUCTS 2,000,000POLICY PRO- - AGG $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ ANY AUTO BODILY INJURY Per rson OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident AUTOS ONLY AUUTOS ONLDY (40P�Z(DAMAGE $ UMBRELLA LIAR OCCUR PPEACH OCCURRENCE EXCESS LIAR 1_7CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION 1PERTUTE I I OTH- AND EMPLOYERS'LIABILITY Y I N STA ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MFMBE;EXCLUDED? 71 NIA (Mandatory In NIFiI E.L.DISEASE-EA EMPLOYEE, $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is included as additional insured. Subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION RYEBROO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF Nvw Verk State Insurance Fund WESTCHESTER ONE.44 SOUTH BROADWAY, 10TH FLOOR.WHITE PLAINS,NY 10601 4411 � nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE �. 17 .0 A A A A^A 800745860 JRJ INC a 140 GRACE CHURCH STREET,APT GG 0 .asl PORT CHESTER NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JRJ INC VILLAGE OF RYE BROOK 140 GRACE CHURCH STREET.APT GG 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2225 226-6 871025 08/05/2020 TO 08/05/2021 12/6/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2225 226-6, 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:IIWWW.NYSIF.COMICERT/CiERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. JULIANA ALZATE PRESIDENT "JRJ INC" 1 OF 1 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: 250381655 U-26.3 +� 4 n/ n D \ D r , r U,Q N T 7 > Z N > i Q Oa. Z�(n W W? J d 0z CO W� Ix L 3 D ID - ..r.� C N O *+ C 6t w au � a i�� t µ Q W a .,s.z i — J F- C LMAMJ u IZZO C1. x o J 111 LAM a o p= - or �J Z z Cli F- / O Ll- CV �p �LLII c.r O0I s.z Q WZi $ u <a` o . r ° oZ J=.1 � d x pE� Li,O �L �Z� N i z W 41 Y -H J -H w 41 x -H to QD �0`F - • • W LiLL C3 0 Q 3: C7 � � 0 i z 0 Q NOW all U 1 1 W 0 � � 4.1 t i U � CL r 1 —j CL Tom; CV G( 00 LU 111� CV U_Q+ 0 Qcl J 3� U vv I i� DEC 10 2021 FINAL ASerBUILT 3 9° 00' 00" E 18.0' VILLAGE OF RYE BROOK ------- -------- SITUATED AT BUILDING DEPARTMENT ��C 151 BRUSH HOLLOW CRESCENT +I VILLAGE OF RYE BROOK 1 5 / FENCE 1151 ) 11521 0 VtSE --,/ TOWN OF RYE PATIO PATIO LATTICE z z DECK ±ONLINE 0.8'_N1N FENCING ` I Q w �. �--- WOODEN 0.3'±N W WESTCHESTEk COV NTY z --j FENCING I FENCE JACI > Q o J WOODEN NEW YO kf< Q z (� Q J �-- Pr:T10 DECKING_� t\EV�'/COMPLETE TIMBER z c0 <L z z O �-- FLAGSTONE PET.WALL � LL- Q � z CL PATIO E-,- O w Q SECOND STORY WOODEN SCALE " 15' d 'Inw Z ca a �-- OVERIIA�.G FENCING co °� o -� [ICHIM NESTQPY SURVEYED : NOV. 5,2021 �. Q ,� �/1 FRAMF. �-. FIRST FLOOR Q z o C j w LINE IJ PATIO DECKING w < z co �, ZTHE PREMISES SHOWN HEREON BEING ALL THAT CERTAIN PLOT, PIECE OR PARCEL `> v `'' w cz� � �' - J OF LAND KNOWN AND DESIGNATED AS LOT NO.151 ON A CERTAIN MAP ENTITLED, � � Q p X a w ,� V O LL, _, r "AMENDED MAP OF BERCO RYE TOWN CO.."AS FILED IN THE WESTCH ESTER COUNTY p � z � E-.-. � � la O , o � v o ,,., CLERKS OFFICE, DIVISION OF LAND RECORDS ON NOVEMBER 23,1977 AS MAP NO.19322. O O VN J Z_ < = c.0 � q4 O TWO STORY 7° ° Z w -- Q O w z z a • TAX LOT DESIGNATION FORTH E: o g o � �- o �- FRAME o -- Q Q z o - VILLAGE OF RYE BROOK �- 5 � o � o > z a p O � c o Q DWELLING o � o O z ,� �- �, Q o �, m o SECTION : 129.076 BLOCK : 1 LOT : 109 Q `� z tL �... NO.151 � o� w w z w � � 0 -� o z Q �w Z m • COPYRIGHT 2021 z � � r Z � 11, Z -- > I- %10 LINK LAND SURVEYORS P.C.ALL RIGHTS RESERVED. O � W v � `f' 0 � �; z N THE UNAUTHORIZED REPRODUCTION AND/OR DISTRIBUTION OF THIS ~ O w Z �- O w L N ( VIOLATION UNDER UNITED STATES COPYRIGHT" � Q O = z � � Q z � DOCUMENT!S ILLEGA A D S A Lj > `r' w Z a a. O LAWS. a Lo �- Qt-n >LIJ o = z � w a >- Z S W w Z z a c • TH IS MAP WAS PREPARED FROM AN ACTUAL FI ELD SURVEY CON DUCTED ON TH E '`� Z � � oc > J °- w DATE SHOWN AND THAT SURVEY WAS PREFORMED IN ACCORDANCE WITH THE _ C4 z � < -. p z v O .. � � Q EXISTI NG CODE OF PRACTICE FOR LAN D SURVEYS ADOPTED BY TH E N EW YORK = aw `l' Q aw (�( �_ (j � _ _^ STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. v 1 O �--- I'- w � ,.,.. Q wIJ- Q Q �. z � �0 8L � «00 �oo o6E N z v o z o � � ° � w WITHORIGINAL OF U w J Z �-- N > • ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED W TH E LAN D SURVEYORS SEAL SHALL BE CONSI DERED TO BE TRUE VALI D COPI ES. B IZU S H H 0 LLO CENT • THE OFFSETS SHOWN ARE NOT INTENDED TO ESTABLISH PROPERTY LINES FOR ERECTION OF FENCES,STRUCTURES, 0R ANY OTHER IMPROVEMENTS. THE FIELD SURVEY INFORMATION DEPICTED HEREON I5 BASED UPON AN ACTUAL E D 4 'g * * AND IS OPINION BASED UPON SAID SURVEY. VARIATIONS IN OFFSETS FROM THAT DOCUMENT I OF OTHERS CAN AND MAY EXIST. Link SL9l • THE EXISTING POSSESSION FENCING AND OTHER IMPROVEMENTS AS SHOWN HEREON Lan urvyorsC s E REFERENCED TO A CERTAIN MAP ENTITLED, "FINAL SUBDIVISION PLAT"AS FILED ON ��IUR ?1 Clark Place Suite I Phone 845-628-5857 NEW YOR TE LICENSED )AN.27,2014 IN THE'vVESTCHESTER CLERK'S OFFICE, DIVISION OF LAND RECORDS AS Mahopac N.Y.10541 Fax 845-6?1-0013 LAND SURVEYOR NO.050456 MAP NO.28740.