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BP21-175
OTHER APPROVALS PERMIT # I I �75 DATE. &9Q Exp. do SECTION q• c5 BLOCK LOST( TYPE OF WORKavikiA44`' JOB LOCATION Lk! Co Lk OWNER P6LY rS L.LC CONTRACTOR EST. COST �7 Co 5 nFEE I da I V/CO # - 1 FEES 010� l DATE TCO # FEE DATE _ -- INSPECTION RECOR /� FOOTING \( 1' 1 FOUNDATION a\ FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT C7 ALARM SX AS BUILT CI FINAL �L�cT,ei c barevr��- 5� U� Ale4bfa5r�y - PC � - i oo rna�,k it re Gc l e-4 �/se ��eG�i csc ARB BOT PB ZBA OTHER ?Ells BUILDING MUST BEERMANM POSED ON W�TAfPE DE"FICASTON SIGN: V PRIORTOTHEISSR NCEOFA C/0, AS REQUIRED BY W STAT"W. AS-BUILTlFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT mm Una le 01 ' AamAi 0• ' " VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-017 Certificate of ®ccupaucp This is to certify that S of, having duly filed an application on 20� requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a U lJ Zoning District and shown on the most current Tax Map as Section: •�J Block: / Lot: /, / and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. , issued 20-ca, 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�� �� following New York State Classifications, Use: /� , Construction: 03 for the following purposes: Ahacjoed ecq b 0 Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A DWELLING UNIT 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 shall the building be moved from one location to another until a permit to accomplish such change has been o ined a Bm ing Inspector. Acting Building Inspector,Village of Rye Brook: Date: J AN 2 6 2023 �E aR t.4•°+J,j V Otte e W w•�� • 1 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 ACTING BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 26,2023 SC Rye Brook Partners I LC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 3 Mulberry Court, Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.74 Mechanical Permit#21-102 issued on 7/22/2021 for Fire Sprinkler System This certifies that the fire sprinkler system,installed under the above captioned permit,has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building&Fire Inspector /to �LVL4.da +J VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0558 Christopher J. Bradbury www.ryebrook.org TRUSTEES ACTING BUILDING& FIRE INSPECTOR Susan R Epstein Steven E. Fews Stephanie J.Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE January 26,2023 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 3 Mulberry Court,Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.74 This document certifies that the work done under Mechanical Permit ##22-178 issued on 11/30/2022 for the installation of a new gas furnace,a new condenser and related ductwork has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building&Fire Inspector /to �.� 4R taw°s �a C � � 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 ACTING BUILDING&FIRE INSPECTOR Susan R. Epstein Steven R Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE January 26,2023 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 3 Mulberry Court,Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.74 Mechanical Permit#23-005 issued on 1/17/2023 for a New Residential Elevator This certifies that the three story residential hydraulic elevator,installed under the above captioned permit has been satisfactorily completed. Sincerely, %"— 4 Steven E. Fews Acting Building&Fire Inspector /to p �C� L��IC -- D ��n'� For office us o 1 y: -7 BUILDWdli R1�RTMENT PERMIT# - /S �, JAN 12 2023 VILLAtf�E OF RYE BROOK ISSUED: -7-vlZ-al 38 KING STRE )RyE BROOK,N W YORK 10573 DATE: VILLAGE OF RYE BROOK 9 -06 FEE:�6%E?— PAID 11 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 ••rrsrraaraasrrasssagsrrraarrrsrrrrrrraraaaaaarrrs•rsrararrararraarrasa•aasrsrrrssssssssrarrssssrrrurrrrprrrrprrrssrrrsrs Address: 3 Mµ L&t4m%f 0 0 we-1- "4 �eDbIL 1S y I D'Sfi 3 --171 p g Occupancy/Use: (Lk.S Parcel ID#: I Zi ,25— 1 " 1 .'3 4 Zone: I?wT) Owner: SC e44e- iW"-. PAAaT►-�S , t te- Address:q-Wh6-r PAD PftV— LA STf 325 WA 'fie.Rktiv� D P.E./R.A.or Contractor: SKI -1 u 9j"l Iy&"1T Add ess: U-u�..0 pL (Is gam.gis WA 6i. RAtNS dd P� �1"Ilk Person in responsible charge: K51(,�(.IKM Q I kK L. A ress: botiL �t rS 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: w(L I.I aM 0 I(G u I—beingduly swom,deposes and says that he/she resides at (Pnni Name of Applicant) (Nu.and Street) in S /YI 1'-'ya4n1 ,in the County of t GI��� in the State of T ,that (CityiTuwn 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 -7VI t BLS •60 for the construction or alteration of: ATFAC"kb I*'I1'I I" DI1ALL6 -4�j W 1 0:4 J Ifs"4D "0KrJ-1 A4 ti►T - 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-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this �G1�h Sworn to before me this Zl�Th day of N D✓tLyY)P��C tZ , 20 ZL day o M 0ll er46U_ 120 Z Z- CC Signature of Property Owner l Signature of Applicant tuX.)-,ArM P_)C4L -, SARAH A ARNDT Print Name of Property Owner Notary Public-State of New York Print Na a of Applicant NO.01AR6435014 Sava_ JA Y n tit Qualified in Putnam County f� My Commission Expires Jun 21, 2026 Notary Public NdQK Public 12_'tn_1 �yE MP 1982•'��O BUILDING DEPARTMENT ,L/BUILDING INSPECTOR xA3 m-f;TfkUtbQUW.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 : I C-i DATE: 6OZ3 I PERMIT# ' ISSUED: SECT: 1 �1 LOCK: LOT: ( , LOCATION: \ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCE ED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION r 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 ❑ SWSS CONNECTION gj,'�INAL OTHER �yE BRO 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.or8 - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:- C DATE: PERMITt 'h' ISSUED: SECT: r`� ? �� BLOCK: LOT! LOCATION: �` � � OCCUPANCY: Zw ❑ 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 t ❑ NATURAL GAS , ,� ��%-�� � <� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�� cu � 4j�7. 1982. BUILDING DEPARTMENT ❑BBU/UILDING 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 :— ` C DATE: Yb-Dtz_ 2� PERMIT# _ — I ISSUED. SECT: BLOCK: LOT: LOCATION: "\ ' -OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS.../E1 CCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMEINNG �Q NOTES ON INSPECTION: lz�OUGH PLUMBING ( ' "•' ❑ ROUGH FRAMING ❑ INSULATION / ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC��, O� 2m 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 - - - - - - - - - - - - - - - - - - - 7 �2022 ADDRESS :_ � DATE: PERMIT# d ` 1 ISSUED SECT: Z BL04CK: LOT: ( 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 k 1982 BUILDING DEPARTMENT ❑ UILDING 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.ore - - - - - - - - 7 - - ----- - - - INSPECTION REPORT ---- - - - - - --- - - - - - - - - ADDRESS:— ' 1 r I 1 ` 1 ( 1 DATE: PERMIT# t- ISSUED: LINBCT: BLOCK: ` LOT: LOCATION: l ` V `\ OCCUPANCY: y ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION 6 REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: /;�ROUGH PLUMBING ROUGH FRAMING o INSULATION NATURAL GAS / 0 L.P. GAS ❑ FUEL TANK 0 FIRE SPRINKLER n /'❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER d t �� } u & _0 ƒ % � � — N C� 3 k ) �� ` � 2 � q k � n % A o k •} / / � 2 2qN \ ƒ ` C,3 Cc \\ Y § U k? D k'-T- / as � o � � > � � c c § toƒ a u / °2 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 - - - - - - - - - - - - - - - - - - - - ell V-L ADDRESS:- � `1.J\ ` L� C DATE: PERMIT# ` �l� \ ` ISSUED: 17-2 �\S T: BLOCK: LOT: LOCATION: U ry 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 BR(�� O Z� W � 1982 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.aebrook.org - - --- - -- - -- - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - -- - ADDRESS: DATE• PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: �� T'. '-{L ��O�? N�,� OCCUPANCY• l ❑ VIOLATION NOTED THE WORK IS... [7 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 �E BRC��. • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.org - - - - - - - - -r=- - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: �V\v, DATE: PERMIT# l 1 ISSUED: -)VrO SECT: "� ` �' BLOCK: LOT: ` LOCATION: 1- - OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED FOOTING / of 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 �yE BRC��. 1982 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.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : '� ` DATE: I �2,6 PERMIT# A ISSUED:^ BLOCK: LOT: LOCATION: < i 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 �t ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER " QyE BRC��. • 1982 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 -Z ADDRESS : U DATE: ` Z-:�- i 1 -5- It (:::, PERMIT# ( Z ISSUED: SECT: BLOCK: LOT: LOCATION: �')h( ',1� �- 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 ❑ NAL OTHER �E BRC�V� BUILDING DEPARTMENT Yd 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.orS - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - -- - - - - - - - - - - - - - - ADDRESS : U DATE: -z C PERMI # , , ISSUED: SECT: BLOCK: LOT: LOCATION: 1 ��- OCCUPANCY: Z 1 ❑ VIOLATION NOTED THE WORK IS... ❑' ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED VFOOTING '❑ 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 QyE BRC�k, O� Zm 1982 BUILDING DEPARTMENT ❑BILDING 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 : \ V\ DATE: PERMIT 1 ISSUED: 1� r -2� I, # SSU SECT._BLOCK: LOT. LOCATION: ,. OCCUPANCY: f ❑ VIOLATION NOTED THE WORK IS... `E ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION 13 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION p () ❑ NATURAL GAS [ ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER - ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER �yE BRC��. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ,Q'i°►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 - - - - - - - - - - Ir- - - - - - - - - INSPEC ION REPORT - - - - - - - - - - - - - - - - - - - - t�vADDRESS . C DATE' PERMIT# / ISSUED: SECT:il� BLOCK:_LOT: __ Vf __ LOCATION: ' t 1 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED v ❑ FOOTING {l FOOTING DRAINAGE ❑ FOUNDATION t� ❑ 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 QyE 4RQ cu � F '9a2 BUILDING DEPARTMENT ❑B ILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 f (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— , l DATE: PERMIT# 1' ISSUED: ? �ECT: �BLOCK: ` LOT: ` LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION I ` SITE INSPECTION REQUIRED e❑ 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 o��E 6RC�jk• '• �9�z•� BUILDING DEPARTMENT ❑BUILDING INSPECTOR /El ASSISTANT BUILDING'INSPECTOR VILLAGE OF RYE BROOK J ❑CODE ENFORCEMENT OFFICER 938 KING STREET -RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 _1 www.ryebrook.org, -- - - -- - ------ --- --- INSPECTION REPORT - - - - - - - - - - - -- - --- - - - - ADDRESS:- ` DATE: PERMIT# ISSUED: `'SEC I .Z` BLOCK:__!___LOT:.-7 1/ LOCATION: �l l� ) -� ' OCCUPANCY: �l ❑ VIOLATION NOTED THE WORK IS... [21 ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE �`' -❑,"FOUNDATION (�'t l �l{°,,�y y+ / ! ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�v� BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK Cl CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : + '� ` v\ ` DATE: 0 PERMIT# \ t ISSUED: SECT: T-�'BLOCK: \� LOT: LOCATION: �` \� OCCUPANCY: r ❑ VIOLATION NOTED THE WORK IS... 0' ACCEPTED ❑ REJECTED/REINSPECTION ❑ $fTE INSPECTION REQUIRED H 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 o Lr) qt z _ ~ rz p; N • z c Cn A N I _ O 04 Cl� W a ca 0-0 w z • a � M • FBI ^ a a w O � W W N n a U U U 0 C U y' W W.a o W zH a d W � V o w z a 64 x �- .. z w � � d D E C E BUILDING DEPARTMENT AUG - 2 2022 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)939-0668 - - -- --. www.iyebrook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required // FOR OFFICE USE ONLY BP#: 21-175 EP#: �' I l 0 AUG 3 2 Approval Date: Permit Fee: $ �e)Q O , Approval Signature: Other: ********************************* **************************************************************** Application dated, 8-02-22 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. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 3 Mulberry Court SBL: 129.25-1-1.74 zone: PUD 2.Property Owner: SC Rye Brook Partners I I G Address: 5 International Drive Phone#: 914-481-1531 Cell#: 914-761-2500 email: 3.Master Electrician: Denis M. Fortino Address: PO Box 713 Rye, NY 10580 Lic.#: E-51 Phone#: 914-760-5226 Cell M 914-760-5226 email: dfortino(cDenterpriseelec.com Company Name: Enterprise Electrical Consulting Address: 3881 Danbury Road Brewster, NY 10509 4.Proposed Electrical Work/Fixture Count: Wiring for new house 100 points Wiring for Smoke and Carbon Detectors line voltage 5.31 Party Electrical Inspection Agency: State Wide Inspection Services, Inc. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Denis M. Fortino being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) Electrical Contractor state 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.) 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. Sworn to before me this Sworn;F�me day of ,20 day ofr' Signature of Property Owner Signature of Applicant Denis M. Fortino Print Name of Property Owner t Name of Applic t Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified in Westchester County 6/23/2022 Commission Expires January 29,20.Zj STATEWIDE INSPECTION SERVICES, INC. Service With bilegrily 080 Main Street,Fishkill, NY 12524 1 emoil:office@swisny.com SWIS • C APPLICATION tel84 914.219.1062 • • • Office Use Elect.Permit# Date + 1, Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County Address �� /n ross Street S�c#iy rl S Block ` Lot; , Owner Name/Address(if different than above) �,`S Contact Number Basement a1 st Fl. 2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect Underground 0 New ❑ReconnectJu E 2 ❑Overhead JE]Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information Li g 14& f::� � ov5�r 4�I l2► �vG f-r/t �+�`�c�/��7"G�'2 P-��-' U��i�G�c�LS !—�n��I.��i�C AUG — 2 202? VILLAGE OF '',',E BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is Intended to cover the above listed items to be inspected,if at any time of Inspection additional items have been lnsbfd,you weauthorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The a okwi,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. %1 Inspector Date Finalized Inspector# Company Name I '� -�> r' ✓ � , date '_ff Signature ��� �_ �L— Address r„J %I ,.k - City/State j', �� Zip Code License# Phone# — �_ r— E �wE 3D R D State Wide Inspection Services 1080 Main Street JAN 12 2023 Fishkill, NY 12524 845 202-7224 Phone VILLAGE IF('RYE BROOK 9114-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DFPARTMENT Email: ofFice(cbswisny.com -_ Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Enterprise Electric Corp. SC Rye Brook Properties PO Box 713 3 Mulberry Court Rye, NY 10580 Rye Brook, NY 10573 Located at: 3 Mulberry Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: 22-169 129.25 Fi= 1.74 Certificate Number: 2022-4631 Building Permit Number:21-175 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at:3 Mulberry Court, Rye Brook, NY 10573 The Basement, First Floor,Second Floor,Attic,Garage, and Exterior were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 4th day of January 2023. Name Quantity Rating Circuit Type Receptacles 64 Switches 38 Incandescent Luminaires 13 Light Fixtures 05 LV Luminaires 46 Range 01 Dishwasher 01 Exhaust Fans 05 Furnace 01 Dimmers 24 Disconnect 01 Electric Water Heater 01 Name Quantity Rating Circuit Type TV Jacks 05 Phone Jacks 05 HVAC System 01 Sump Pump 01 GFCI 15 Smoke Detectors 03 C/O Smoke Detectors 04 Microwave 01 Refrigerator 01 Disposal 01 Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes Officer; Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Page 2 h s h N VA CPA � N = O 7t ton, s IVqT 3 W U . � NJ L N 0 F ^ O MGM � w U U � E• ai C/I W W 1A W Z < < 91r W ¢ a 3 � z co O �• • W Z MZ W .a U r z 0. 00 M V � �--i c a c a ° CL .. m a a z H ° Q ..a 8 z M o BUILDING DEPARTMENT VILLAGE OF RYE BROOK SEP 16 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-Ofi68'FAx(914)939-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT www.rbrook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE QNLY Iill' -175 _---_ ._. ---___-- F1'#: SEP Approval Date: 1 Permit Fee: $ �a5 lob Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated,09-15-21 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. 1.Address: 3 Mulberry Court SBL: 129.25-1-1.174 _Zone:��� 2.Property owner: SC Rye Brook Partners,LLC Address:SC Rye Brook Partners, LLC Phone#: 914-481-1531 Cell#: email: 3.Master Electrician: Denis M. Fortino Address:PO Box 713 Rye, NY 10580 L►c.#:E-51 Phone#: 914-760-5226 Cell#: email: dfortino@enterpriseelec.com company Name: Enterprise Electrical Cons Address: PO Box 713 Rye, NY 10580 4.Proposed Electrical Work/Fixture Count: Wiring for new house 100 points Wiring for Smoke and Carbon Detectors line voltage STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Denis M. Fortino ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Electrical Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) 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. Sworn to before me this Swo efore a his yes day of ,20 day 20 L Signature of Property Owner Si T;Z f Applicant �02J��CJ Print Name of Property Owner PWame of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No. 01 ME6160063 Qualified in Westchester County Commission Expires January 29.20 2�53/21/19 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 Bu1LoiNG PER Mrr Ng TEMP# DATE CITY OR VILLAGE LP CODE TOWNSHIP _ f LINTY �vIJ � _ F5 STREET AND NO.OR ROAD_ POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT !.. OCCUPANT'S NAME BUILDING OCCUPANCY J F-- OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED Bff 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 i BASEMENT 1$1 FL. 2-FL. 3'FL. VILLAGE OF REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ASOVEL ------ 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 Li ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND_- _Lj I I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT �N �Appp SS STREET / & /3 TELEPHONE NO. �5 tO aP LICENSE NO.WHEN APPLICABLE 0 + N o Ln . w H w n C H zId CA ZLf) W V s A r+ l � � � ~ ~" A W ►n ono } '_ Q+ W oo � Q Z ►-7 � W � N as z0.0 co f Q+ U .z It W r z Z N a Ue W V W z P. °` x A0 0a 0` ; � z , < U Q CA D ��[ OM[E BUILDING DEPARTMENT JJAN 12 2023 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)939-0668 www.ebrebrook.or>? ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required Q FOR OFFICE USE ONLY BP#: 21-17 EP#: —V 0 -/ Approval Date: J AN 1 Permit Fee: $ "'�OCJ.a OL Approval Signature: Other: Application dated, 12-29-22 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. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 3 Mulberry Court SBL: 1 A -1-1 740 zone: 2.Property Owner: _ RC Rye Brook Partners Address:-5 International Drive Phone#: 914-4,91-1531 Cell#: email: 3.Master Electrician: Denis M. Fortino Address: PO Box 713 Rve. NY 10580 Lic.#: E-51 Phone#: cell tt: 914-760-5226 email:_dfortlno p&enterDriseelee cnm Company Name: Enterprise Electrical Consulting Address: PO Box 713 Rye, W 10580 4.Proposed Electrical Work/Fixture Count: Wiring for new elevator access for 3 floors 5.31 Party Electrical Inspection Agency: SWIS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: i I /Q/� H /`0 / jNa being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) �f� state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the LA—)J�Z for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) 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. 2 Sworn to before me this_ __ Sworn to b e me this , day of ,20 day o �G 20 Signature of Property Owner ature of Applicant Denis M. Fortino Print Name of Property Owner P ' ame of Applicant I'n Notary Public Notary bli GREGORY M.RIVERA Notary Public,State of New York No.01 R164d1398 6/23/2022 Quagried In Westchester County V Commission Expires September 26,20N STATEWIDE • Service With liiitcgri�v 1:1 Main Street,Fishkill, NY 12524 1 emoil:office@swisny.com SWIS JOB APPLICATION845.202.7224 fax 914.219.1062 • • Office Use Elect.Permit#��� O O Date / Bldg P,elm t# //�'7/^'7��//�)) /f/ ///J Utility ID# / + /J / / S Final Certificate# City/Village Zip Township County Address % Cross Street Section Block w Lot Owner Name/Address(If different than above) Contact Number �8asement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information l J 1/z guG FEC EOV JAN 12 WAGE OF RYE BROOK LDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.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.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# If Company Nam < Date 2 J7 Signature Address Po 3 City/StateX ,, f�/L.y� �, Zip Code License# , Phone# /'� _ �.6 C R�CC �CEcz ----� I State Wide Inspection Services I 1080 Main Street JAN 2 3 2023 Fishkill, NY 12524 a 845 Phone VILLAGE OF RYE BROOK 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES I BUILDING DEPARTMENT� Email: office@swisny.com Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Enterprise Electric Corp. SC Rye Brook Partners LLC PO Box 713 3 Mulberry Court Rye, NY 10580 Rye Brook, NY 10573 Located at: 3 Mulberry Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-009 129.25 1.74 Certificate Number:2023-0381 Building Permit Number: BP 21-175 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 3 Mulberry Court, Rye Brook, NY 10573 The Elevator was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 20th day of January 2023. Name Quantity Rating Circuit Type Elevator 01 30AMP 2 Pole Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. a s e Mr � N N _ ao 00 cz _ � x v CO o x� a ~ z 00 ineq O ' tip rl � p V Lf) CA • L� � � W � J �,Z �1 A ao w W c V uz cn c z ►� Z A a a � _ ono z V n 0.4 rh V O N z H v a a z n z z x z oA 0 � p ECEN[ 2 yE aR��f� APR 18 2022 BUILDTDE �R MENT VILISAE OF�2XE:.'BBOK VILLAGE OF RYE BROOK 938 KING RYEB. <� /K,NY 10573 BUILDING DEPARTMENT (914) �.�)939-5801 w�vav+t��b'2�o�Yc.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: 1 1 -75 PP#: Approval Date: APR 18 2022 Permit Fee: $ �70 Dc 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 Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing worrk�will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 3 V l {,{� l,(�✓� IJS C SBL:1,2A•o-25 /, 7�/Zone: PLL.D 2.Proposed Work: f(U l►'1 r 6ew dwelb,-14 and 3.Property Owner: SC LM ErCx--,L f lar+YVer-S )_1_C-Address: H West 1� d Qa TYO-32 5j Phone#: Ct l L/-?(Q�(— 2.56� cell#: a 1f-1- Z2 -5o5(Q �' �r�c lwiains,N y 10(00q email:' ciS(a�_�rf,�xT 4.Master Plumber: 7 bras Address: /0/q FT 17M 61 onrvt{/V`/ /0956 Lic.#: g/b Phone#: EyY3-7 3-(0(obi Cell#: email:�fr�a�n ra s ky b� b,rb, C On-1 Company Name: AlohraAv Rum /1 ailC/Address: jolq eT/7M COO<<rl INDICATE FIXTURES&LINES TO BE STALLED 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 I Ist Floor 1 l 2 2 2nd Floor l 3,d Floor I 41 Floor 51 Floor Exterior Z 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -I- 3/21/19 STATE OF NEW YORIC,COUNTY OF WESTCBESTER ) as: Paul Nebrasky ,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 pertains,or that(s)he is the Plumbing Contractor 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 Netiv York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this 3 Sworn to before me this � day of L c ,O20,,2 day of 20 Signatu. v Son on-O lica Print Name of Property Owner Print Name of Applicant CLNotary Public ABoyd NotaryPu 1' Pulbc,St 'of NW Vol& No.Oi1W6166307 in ., wary ..; P.xps'r�Play 21,2W ea0Li-3 This application must be properly completed in its entirety and must include the rrVraT=Calb a uavA$Jtw�.,a,. 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. WENDY J ABBAGLIATO NOTARY PUBLIC-STATE OF NEW YORK No.0 t AB6378708 Qualified In Orange County My Commission Expires 07-30.2022 3/ll/19 ECENE BUILDING 6c PARI'MENT VILLAGE O.F RyE',' _8R00K APR 18 2022 938 KING S'T"1'&"E7'RYE BROOK, NV 10573 (914)939_A66,&FAX (9,1'1 4)�39-5801 VILLAGE OF RYE BROOK o BUILDING DEPARTMENT .2 U z- AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 - 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: 3j, Jeff Dubois residing at, 4 West red oak Lane, Suite 325, White Plains, NV 10604 (Print name) (Address%%here you li%e) 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; ZD 19-e-y-vQ CaY-^- Rye Brook, NY. (Job Addrest 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 0 0 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 fi-om the subject property in accordance with all State, County and Village Codes. (Signature ,��_' N%ner(s)) (Print Name of Property Owner(s)) Sworn to before me this 3 1 S� day of 0 �A&LL,;� 20a20 (Notary Public) Chrutim A Boyd Notary PuNk,SWe of New York No.01906166307 Q"MW in Weal wa County -3- Comminim Exom May 21,2M 4 0�- 3/21/19 O F = _ a 16 w _ tA o O O ti C >Z oil E. W o r�� N « � w a O 33 N N G : � Ono 3Y , m � a � Q z Q v ep �00 c .� � � N Uf w Z 00 � ~ W ar Zw � G � • �y too .. w V � Q U O E" Ca i e �8gEg ° O � — .. og � 'S � .� Q E E d � T 's BUILD U 1�TMENT VItT E OF RYOOK -.. 938 KING ET RYE BR ,NY 10573 NOV 19 2020 ' IL (914)94' 39-5801 _0 wiK Y VILLAGE OF RYE BROOK _ BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: '7 Approval Uatc:JUL 2 2 20Lq 1l - / /5 MP#:oGn I-1 Application Fee:$ Approval Signature: Permit Fees:$ Disapproved: Other: Application dated: is hereby made to the Building Inspector of the Village of Kyc Brook N Y lur the issuance ul'a Permit to install a Fire Suppression System as per detailed statement described below. I. Job Address:_�Vj�rr, 6 ecw*._� , 13c_oo�Parcel I.D.: 11�1.j - 1 - 1.�4 Zone: - -PEAP 2. Proposed System(Describe system in detail including suppression agent): -__-- 3. Number&"Types of Fire Sprinkler I leads: 45 4. N.Y State Construction Classification: 5L3 N.Y.State Use Classification: Q� 5. Cost of Installation:$J:3�y.Op (Cost shall include all labor.materials.fixed equipment.professional fees.and materials and labor which may be donated gratis.) 6. Property Owner: SL 'VIC 1L Prrt r,e_r ,_ Address:g() �r pr S� tx� T,NY aao�-db�r3 Phone# Cell# _ email: Applicant: Mogc_1_ fr _ Pr c+lr�t;or --_-- ----Address: \5 1 r cam.vat R�1�p1we Phone# __Cell#�O� ��-41F1a email:L1�m maexd-;re eom Architect/I:ngineer: Address: )_a Maj%n jVmrt- Phone# f - �h�a3- gaa-� Cell# _ _email:�Q r t I lull war- . 6 om__ General Contractor: are , L 1ot�,r� ram}-n Address:L m.,U,,..�,a1 pyeA-\ur Pa, �t;�.n t44 13Isr.4 Phone#_(B - Cell# _- email: -1- 12.8.16 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. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCI IFINFER ) 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 pertains, or that (s)he is the _ for the legal owner and is duly authorized to snake 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. Sworn to belirre me this Sworn to bef6re me this , day of , 20 day of a 1 20_L� Signature of Property Owner Sign• Are of Applicant — 1L s Print Name of Property Owner Print N• ne of pplAcant Notary Public Notary P Ac MICHAEL SILVA NOTARY!'UBLIC MY COMMISSION EXPIRES OCT.31.2022 1-816 i 00 w -o H a w O x �.� „ .: > N ►-d p`' y 't7 -o � � Q C) ° F 3 " v d W w r o o 7o W w ° � O z W � zC MCI W �, °D 0 3 E n O r:c tn ° a co00 Ln w O Cilco O Ho0 Cn Oz °: .i O 0 wV � o + U �h H A bz EVo �+ f� 0 Z UZ v a°, z W z 0-4 w " M 00 Ln Z Z ; v 40 u iG o Ou � v , o W >" F � ° a � o •° � � � rr z F U O C4 U zZ c a a qv W N W c z 0 0 �� � � d W H o � ff " °� � 0 -4 q A C6 W z 0 > x >x z Q 0 o4CL�.� g° BUILDIN4� MPARTMENT VIL OF RYE�BROOK 938 KING Q ET RYE BROOK,NY 10573 4 APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: VYl Pia- 7 Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy Of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance On a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment ofFees/Unit: R1:SI1)1IN I likL = $100.00/unit• COMMERCIAL = $350.00/unit. 5. Inspection by the Building Department for removal and/or installation.(48 hour notice required 6. Electrical work requires a separate Electrical Permit& Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, Z Z is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations. I. Address:_ 5 P4 u 14,y Ca,or 4 SBL: Zone: .- — 2. Property Owner. eve &p4 Address: Phone#: Cell#: email: 3. Contractor: �0�.►(, Cew Address: h 6%V 3t9 41ILr; Aoek 12 4i1 Phone#: Cell#: email: ?14,u ms 6 14Ul. 4A. lair. 4. Applicant: Address: Phone#: 1 t.• Cell#: email: 5. Scope of Work:New Installation 04•Replacement( )•Removal( )•Other( ): 6. List Equipment: 66 1TV yvt 6<< Ch a 7. Location of Equipment: 9,418 ,w. �- 8. Method of Installation/Removal(list all equipment needed to perform job): -ih! It �� ��� hta" 1 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Xti It A v n ,being duly sworn,deposes and states that he/she is the applicant above named, (print nameJf individual 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 !Z 4 / 44g( `In for the legal owner and is duly authorized to make and file this application. (indicate arc t ect,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. Sworn to before me this Sworn to before me this N 6 v day of ,20 day of Q ,20 11 Signature of Property Owner Signature o ppliclant I. V hy1 I► ,i Print Name of Property Owner Print Nam of Appli t Notary Public Notary HRISTIANSEW NZCONNO y P is;State of New York 0.01CH6390380 Qualified in ulster County._ . My Commission Expires Apr 15, 2023 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. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 8/12/2021 N9MSE Product Specifications HEATING& COOLING PRODUCTS Up to 96% AFUE, Single Stage, PSC Gas Furnace EA Up TO SELL • Up to 96%AFUE in upflow and horizontal positions, — -------- Up to 95%AFUE in downflow positions • Cabinet air leakage less than 2.0%at 1.0 in.W.C. and cabinet air leakage less than 1.4%at 0.5 in.W.C. when tested in accordance with ASHRAE standard 193 • Approved for Twinning applications(0601410 through 1202420) with accessory(order separately) • Approved for Manufactured Housing/Mobile Home applications (0401410 through 1202420)with accessory (order separately) • Low NOx units are designed for California installations and meet 40 ng/J NOx emissions. Can be installed in air quality j management districts with a 40 ng/J NOx emissions requirement. TOUGHER • Flame roll-out sensors standard • Adjustable heating blower OFF delay • Factory set blower ON delay -' • RPJ' primary heat exchanger • Stainless steel secondary heat exchanger lllustrahons and photographs are only represerdatrve. • High temperature limit control prevents overheating Some producl models may vary. • Direct ignition with Silicon Nitride ignitor • Hi h ualr't�,corrosion-resistant, prepainted steel cabinetWARNING EAI�R TO INSTALL AND SERVICE • Direct vent(2-pipe),single-pipe venting or ventilated combustion Failure to follow this waming could result in personal injury, air death,and/or property damage. • 24 VAC humidifier terminal&electronic air cleaner terminal This furnace is not designed for use in recreation vehicles or • 35"(889mm)high,for ease of installation outdoors. This furnace is designed for use in manufactured • Simplified,factory installed internal condensate drain system (Mobile)homes when an optional Mobile Home accessory kit is • Innovative knobs for easydoor l d installed. oo removal an secure Failure to follow this warning could result in personal injury, attachment death,and/or property damage. • Factory shipped for natural gas,with propane gas conversion kits available • Four position-upflow!downflow/horizontal (left/right) installation , QES I gti • At least twelve different venting configurations • Through the casing flue pipe for counterflow or horizontal --.v IARJE1 applications with accessory (order separately) • Concentric vent available T45 M92EL • Self diagnostics with super bright LED • Slide out heat exchanger and blower assembly 0 T -- LIMITED WARRANTY * m% ffi% W% 97% Vil: • 20 heat exchanger limited warranty • 5 year parts limited warranty - With timely registration,an additional 5 year parts limiteda7a , CEiTIFIED warranty o%m * For residential applications only. See warranty certificate for complete details and restrictions, including warranty coverage for Use of the AMRf Ceroaeo TM Men*ndpdm. anNecturer s pam9 q lw in tt.program For other applications. verematon rf C*Mk t�to,i,dro d,M p oduofs go to wrw anrqrector,erg Efficiency AFUE Cooling Capacity Input CFM range Dimensions H x W x D Shipping Wt. Model Number (MBTUH) Upflow/Hz Downflow Q.5 In.w.c.(125 Pa) Inches(Millimeters) Lbs(Kg) N9MS 0261408 40,000 96.0% 95.0% 400-775 35 x 14-3/16 x 29-1/2(889 x 361 x 7 120(54) 9 0401410 40,000 96-0 95.0 625.905 35 x 14- !16 x 1/2(889 x 361 x 3 5 1 5) 9 040171 000 96.0 95.0 650-1050 35 x 1 - x 292 1 889 x x 750) 1 1 9 0601410 .000 95.5 9 .0 675-1130 35 x 14-3/1 x 29-1 2(889 x 361 x 750) 127(57) N9MSE0601714A 60,000 96.0% 95.0% 650-1420 35 x 1 -1 x -1 (889 x 445 x 7 144 6 N9MSE0801716 96.0 .0 810-1600 35 x 17-1/2 x 2 -1!2(889 x 445 x 750) 154(69) N9 S 0802120A 80,000 96.0% 95.0% 1335-1970 35 x 21 x 29-1/2(889 x 533 x 750) 162(73) N9MSE1002114 100. 00 915-1545 35 x 21 x 29-1/2 889 x 533 x 750 169 76) N9 1002120 100.000 96.0 95.0 13 -2065 35 x 21 x 29-1/2(889 x 533 x 750) 169(76) N9 S 1202420A 1 120.000 1 96.0% 95.0 1320- 10 5 x 4-1 x -1 (889 x 622 x 186(84) N9179E-1-402420A 1 140.000 1 96.0% 94.4% 1290-2035 35 x 2 -1 x 29-1 2(889 x 622 x ) 1 90 ) Specifications are subject to Change WOW notate. 440 11 4403 05 12(3/18 NXA6 Performance Series HEATING& COOLING PRODUCTS Product Specifications HIGH EFFICIENCY 16 SEER AIR CONDITIONER ENVIRONMENTALLY BALANCED R-410A REFRIGERANT 1'/2 THRU 5 TONS SPLIT SYSTEM 208 / 230 Volt, 1-phase, 60 Hz REFRIGERATION CIRCUIT . • Scroll compressors on select models • Filter-Drier supplied with every unit for field installation • Copper tube/aluminum fin coil EASY TO INSTALL AND SERVICE P • Easy Access service valves on all models • External high and low refrigerant service ports • Only two screws to access control panel • Factory charged with R-410A refrigerant BUILT TO LAST • Baked-on powder coat finish over galvanized steel • Post-painted (black) coil fins • Coated. weather-resistant cabinet screws • Coated inlet grille with 3/8" (10mm) spacing for extra protection LIMITED WARRANTY* r� �EH�ERGY sT� W to • 5 year compressor limited warranty . rnaten dtad With appropnate coo oartpd,ertts. Horxver. proper mingerant dwge and proper ar tow we amid to am,ew rated C"Cly and ef6cier" trutallatron of 5 year parts limited warranty (including compressor and this pro(kic should h91 Hv the nwwjfscL 's refngeranl coil) dwglng and air flm usMxnons Fadum to 000lrm proper dwge and airflow may re&m energy elFcierxy -With timely registration, an additional 5 year parts limited warranty (including compressor and coil) * For owner occupied, residential applications only. See III.Amp warranty certificate for complete details and �` US CERTIFIED restrictions, including warranty for other applications. Le LISTED Use of the AHHI Certified TM Mark indicates a manufacturer's pancc,pai,on r the program For W"ficww 01 certification for^C'c�al Wowcts. w f:Mew ahrt re�ory org Model Size Nominal Min. Circuit Max. Fuse Operating Dimensions Ship I Operating Number (tons) BTU/hr Ampacity or Breaker height x width x depth In. (mm) Weight lbs.(kg) NXA618GKA 1 18,000 11 8 20 28-11/16 x 25-3/4 x 25-3/4 154/ 125 (729 x 654 x 654) (70/57) NXA624GKA 2 24,000 17.7 30 28-5/16 x 31-3116 x 31-3/16 147/ 183 (719 x 792 x 792) (83/67) NXA630GKA 2';:. 30,000 16.8 25 32-5/16 x 31-3/16 x 31-3/16 188/ 153 (821 x 792 x 792) (85/69) NXA636GKB 3 36,000 17.5 30 28-5/16 x 35 x 35 204/ 165 (719 x 889 x 889) (93/75) NXA642GKA 31," 42,000 23.6 40 39-1/8 x 35 x 35 254/213 (994 x 889 x 889) (115/96) NXA648GKA 4 48,000 26.1 40 39-1/8 x 35 x 35 317/264 (994 x 889 x 889) (144/ 120) NXA660GKB 5 60,000 32.4 50 45-11/16 x 35 x 35 318/280 (1161 x 889 x 889) (144/ 127) Spec,ficahons subject to change without notice 421 11 6201 05 5/17/19 ' 104 y V N V a � � � � � 0. y -' ,t � � `_ 7 •yam ` 2 72 - Lr) N O Z a T 1r `n N as co p tn all Ln O ° `� U V �o �" cg z v .o Far A 2 M M I in I A A j OZ Z ^ �j a a x z z 00, Or- 96 F w z o w z 0 E� M A z a Q oA a � ob = �I as a a w as x � � a VILLA0191—O BROOK D IE C F 0 v IE BUIL"PiYG DEP, TMENT DD JAN 12 2023 938 KING S T K,NY 10573 (914)9394-6Mr- ebrookorg VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL. MODIFY AND/OR REMOVE MECHANICAL E UIPMENT OFFICE USE 0 L . Permit#: 3'—Cc� Building Inspector: Application Fee:�&/00—/16 Date of Approval: d AN 1 7 2013 Permit Fee: .��PD Bldg/Use Class: Res. ( ); Comm. ( ); REQUIREMENTS FOR RELEASE OF PERMIT: (A CERTIFICATE of COMPLIANCE is REQUIRED To CLOSE OUT THIS PERmrr) A. Properly Completed& Signed Application. 2. Payment of Application Fee: Residential=$100.00; Commercial=$250.00 (fees are non-refundable) 3. Site/Staging Plan as required by the Building Inspector. 4. Sealed Construction/Installation Documents& Specifications as required by the Building Inspector. 5. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form (Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 6.Payment of Permit Fee: Residential=$15.0011000.00 of Construction/Materials Cost with a minimum fee of$100.00. Commercial=$25.00/1000.00 of Construction/Materials Cost with a minimum fee of$275.00. 7. Inspection by Building Department for removal and/or installation. (48 hour notice required) 8. Any electrical work requires a separate Electrical Permit and Electrical Inspection. 9.Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook,NY,for a permit for the installation,modification,and/or removal of the specific Mechanical Equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with the approved plans,and with all applicable Local,County,State&Federal laws,codes,rules and regulations. Q 1.Address: ZI Mu164ff-%4 �{-. lLit browk, SBL:/c 9) ��L • 77 Zone: 2.Property Owner: Address: Phone#: Cell#: email: 3.Contractor: 'Q%t � eve Address: 140 dho.4 A14 Nv18 Phone#: Cell#: ZOS'6fCG 9S°/°I email: 4 4,Applicant: 3A Q 1 o-,w kk Address: e� Phone#: Cell: email: 5. Scope of Work:New Installation •Replacement( )•Removal( )•Other( ) 6.Type of Equipment: Q e*.*a l e-N%*-A 7.Location of Equipment: 1a S:�9,c- . 8.Cost of Equipment including Installation Cost: $ 30 000,0.0 1 8/12/2021 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 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. Sworn to before me this Sworn to before me this a day of ,20 day of J � � ,20 a3 Signature of Property Owner Si ture of Ap Print Name of Property Owner Name of Applicant \�\fti 'L \�� ku�— Notary Public Notary PutftRI MEULLO Notary Public,State of New York No.0JME6160063 QUalitled In Westchester County 30mmisslon Expires January 29,202� 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. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 8/12/2021 JAN 12 2023 B LLAGE �DINGDEPARTMENT LEVOTOZ m a n u f a c t u r I n g company, Inc . P.O. BOX 749, 5191 STUMP ROAD, PLUMSTEADVILLE, PA 18949 PHONE# 215-766-3380, FAX# 215-766-3385, WEBSITE: CUSTOM ELEVATORINC.COM ROPED HYDRAULIC RESIDENTIAL ELEVATOR LAYOUT DRAWING SUBMITTAL CUSTOMER: NORTHEAST / CHAMPION ELEVATOR ADDRESS: P.O. BOX 171 STAMFORD, CT 06904 PHONE#: 203-353-0099 FAX#: 203-975-9592 EMAIL: J.BLASCHKEJR@CHAM PION—ELEVATOR.COM CONTACT: JOHN BLASCHKE PROJECT NAME: 3 MULBERRY CT. LOCATION: RYE BROOK, NY CUSTOMER P.O. &/OR REFERENCE#: 3 MULBERRY CT. 00110nunngb� DRAWN BY: FRANK DOKLAN `���%%` OF PRELIMINARY DATE: 4/18/22 APPROVED BY: JOHN BLASCHKE =r Q '` rn; cr �. U APPROVED DATE: 5-1 1 -22 '; •• 0T71 A2 RELEASED BY: F.D. �goFEs=,oµ�;.••��� FINAL DATE: 6-8-22 ............. REVISIONS FINAL REV. DATE DESCRIPTION: 1 6-8-22 FINAL, FD JOB NAME: 3 MULBERRY CT. DRAWING NUMBER: NEAST-23473 CONTRACT DATA CHARACTERISTICS: CAPACITY: 750 LBS. OPENINGS: 3 IN—LINE SPEED: 40 F.P.M. TOTAL TRAVEL: 19'-8" LANDINGS: 3 OPERATION: S.A.P.B. EQUIPMENT: MOTOR HORSEPOWER: 3 RPM: 1725 PLUNGER: 2 3/4" / .188 WALL PIECE(S): 1 F.L.A.: 14 L.R.A.: 56 CYLINDER: 4 1/2" / .237 WALL PIECE(S): 1 G.P.M.: 6.2 UP/DOWN OVERTRAVEL: 3" / 5" WORKING PSI: 557 HOIST CABLES: (2) 3/8" DIA. — 6 x 19 RELIEF PSI: 697 GUIDE RAILS: 8 LBS./FT. OIL LINE: 3/4" NOM. SCH. 80 (1.05 O.D., .154 WALL) CAR SAFETY: TYPE "A" OIL REQUIRED: 35 GALS. TYPE: AW68 BUFFERS: RUBBER PIPE RUPTURE VALVE: 3/4" HOISTWAY DOOR LOCKS: E.M.I. CAR CAM: N/A ELECTRICAL: CAR WEIGHTS: MAIN POWER: 220-1-60 HZ — 30 AMP SLING: 210 LBS. MISC.: 90 LBS. LIGHT POWER: 110-1 -60 HZ — 15 AMP CAB: 368 LBS. PLUNGER: 90 LBS. SIGNAL VOLTAGE: 24 VDC EMPTY CAR: 668 LBS. EMERGENCY POWER: 110 VAC U.P.S. CAB DESCRIPTION: SIGNAL FIXTURES: CAB MODEL: CLASSIC CAR STATION: FINISH: BRUSHED ST./STL. WALL FINISH: UNFINISHED MAPLE VENEER N CALL BUTTONS W/ACK. LIGHTS CEILING TYPE: C1 ®ALARM SIREN W/PUSH BUTTON CEILING FINISH: UNFINISHED MAPLE VENEER N PUSH/PULL EMERGENCY STOP SWITCH CAB LIGHTING: (2) DOWN LIGHTS N CAR LIGHT ROCKER SWITCH CAB SILL(S): ALUMINUM N DIGITAL CAR P.I. W/ARROWS HANDRAIL: BRUSHED STAINLESS STEEL — FLAT N EMERGENCY CAB LIGHTING FINISHED FLOOR: 3/4" (BY OTHERS) ❑KEYED (OPTION) CAR DOOR DESCRIPTION: DOOR TYPE: ACCORDION OPTIONAL: DOOR FINISH: HARD WOOD UNFINSHED MAPLE N PHONE BOX FINISH: BRUSHED ST./STL. OPERATION: N MANUAL ❑POWER HALL STATIONS: FINISH: BRUSHED ST./STL. OTHER OPTIONS: NCALL BUTTON W/ACK. LIGHT of """""'1a, N CAR HERE LIGHT • PRE—WIRE CAR ONLY (20'-0" REMOTE M/R) El KEYED (OPTION) ��� '•,9 • 6'-0" LONG x 3/4H DIA. HOSE ASSY. W/ 90 S & DBL. SWIVELS _* �•: • PIT STOP SWITCH u: • DISCONNECT SWITCH PACKAGE • ADJUSTABLE RAIL BRACKETS • CONTROLLER PROVISIONS FOR E.M.I. LOCKS `� ''••�n1a2.,.:'��`�� FINA ;90FfSS��N� �`�� NORTHEAST / CHAMPION ELEVATOR P.O. BOX 749 5191 STUMP RD.PLUMSTE PROJECT: 3 MULBERRY CT. RYE BROOK, NY PHONE:: 215-766 18949� 15 E, -3380 PRELIMINARY DATE: APPROVED BY FINAL DATE: L E VR TOit FAX: 215-766-3385 4/18/22 6-8-22 m n r • < < o g DRAWN BY: F.D.. REV. #: DRAWING NUMBER: company. Inc ROPED HYDRAULIC SCALE: N.T.S. 1 NEAST-23473 RESIDENTIAL ELEVATOR I PLAN NUMBER: Contract Data REVISIONS REV DATE DESCRIPTION FINAL 4'-9" CLEAR FINISHED HOISTWAY 10" 3'-2" PLATFORM 9" 3'-0" INSIDE CAR (NOMINAL) RAIL z 4 1/4" 4 3/4" 0 z r a Z 0 HANDRAIL �p = 0 cnaI Q Ld Z �� N m CL 0 0] J Z 0 < UN Y g U J I Z CAR OPERATING m U o PANEL N N O_ 1 I CAR COLUMN 2'-10" CLEAR CAB OPNG. N 3/4" MAX w w 0 Z d HOISTWAY DOOR N LOCK (TYP.) ACCORDION TYPE w CAR GATE J Q �,tgltli/llffl/ c� OF NeW 1'-0" 3'-0" WIDE SWING DOOR 9" z •, Y���� Z REF. Z ONLY Of HALL STATION TYP. 2 * •� 9G;* L AT ALL FLOORS :_f' Q ' M. n x• � �'rrrrrnrrrrr��` GENERAL NOTES AND PROVISIONS REQUIRED BY OTHERS 1. FINISHED HOISTWAY MUST CONFORM TO THE DIMENSIONS INDICATED ON LAYOUT HOISTWAY PLAN DRAWINGS. ALL WALLS AND SIDE MEMBERS MUST BE SQUARE AND EXTEND FROM �J C SILL TO BEAM ABOVE. INSIDE SURFACE OF HOISTWAY MUST BE FLUSH. VID (I L-A I / JO) 2. ADEQUATE SUPPORTS MUST BE PROVIDED FOR FASTENING RAIL BRACKETS AS INDICATED ON THE LAYOUT DRAWINGS. SUPPORTS MUST WITHSTAND RAIL FORCES INDICATED. P.O. BOX 749 5191 STUMP RD. 3. ALL BLOCKOUTS FOR HALL BUTTONS MUST BE PROVIDED. LOCATION TO BE ( PLUMSTEADVILLE, PA. 18949 COORDINATED WITH ELEVATOR CONTRACTOR. PHONE: 215-766-3380 4. KILN DRIED, SOLID CORE, WOOD OR STEEL HOISTWAY DOORS, ENTRANCES, SILLS, ELEVATOR FAX: 215-766-3385 AND ASSOCIATED FRAMING TO BE PROVIDED AND INSTALLED BY THE PURCHASER OR GENERAL CONTRACTOR. DOOR CLOSERS OR SPRING LOADED HINGES ARE <"mp:�y`,i�<'"9 ROPED HYDRAULIC REQUIRED. ALL HOISTWAY DOOR OPENINGS MUST BE PLUMB FROM FLOOR TO FLOOR RESIDENTIAL ELEVATOR WITHIN 1/8• (NO DEVIATIONS). IT IS RECOMMENDED THAT ENTIRE WALL AROUND EACH NORTHEAST / CHAMPION ELEVATOR OPENING BE LEFT OPEN UNTIL ALL HOISTWAY FRAMES/DOORS ARE SET IN PLACE. 5. DISTANCE BETWEEN HOISTWAY DOOR AND SILL MUST NOT EXCEED 3/4- AND CLEARANCE PROJECT: 3 MULBERRY CT. RYE BROOK, NY BETWEEN HOISTWAY DOOR AND CAR GATE MUST REJECT A 4• DIA. BALL AT ALL POINTS PRELIMINARY DATE: I APPROVED BY FINAL DATE: PER ANSI/ASME A17.1-2016 CODE. 4/18/22 6-8-22 6. ALL WALL PATCHING, PAINTING, AND GROUTING BY OTHERS. DRAWN BY: F.D.. REV. #: DRAWING NUMBER: 7. FINISHED CAB FLOORING IS TO BE FURNISHED AND INSTALLED BY OTHERS. SCALE: N.T.S. NEAST-23473 PLAN NUMBER: IL-1-750 PAGE 3 OF 7 GENERAL NOTES AND PROVISIONS REQUIRED BY OTHERS Cr 1.A FINISHED HOISTWAY GUARANTEED PLUMB WITHIN 1/2' FROM TOP TO BOTTOM, AND CONFORMING TO THE DIMENSIONS INDICATED ON LAYOUT DRAWING PROVIDED. ALL WALLS J AND SIDE MEMBERS MUST BE SQUARE AND EXTEND FROM SILL TO BEAM ABOVE. INSIDE O SURFACE OF HOISTWAY MUST BE FLUSH. INTERIOR OF HOISTWAY SHOULD BE N FINISHED PRIOR TO INSTALLATION. HOISTWAY DOORS MUST BE PLUMB FROM FLOOR TO N FLOOR WITHIN 1/8• (NO DEVIATIONS). HOISTWAY MUST BE CONSTRUCTED IN ACCORDANCE WITH ASME A17.1 AND ALL STATE AND LOCAL BUILDING CODE REQUIREMENTS. Q� 2.WHERE WOOD FRAME CONSTRUCTION IS USED, DOUBLE 2' x 12's SPACED AS INDICATED IF W ON LAYOUT DRAWINGS, AND EXTENDING THE FULL HEIGHT OF THE HOISTWAY ARE = RECOMMENDED. Li 0_ I > 3.FOR MASONRY WALLS, INSERTS SHALL BE PROVIDED BY ELEVATOR CONTRACTOR AND O INSTALLED BY THE GENERAL CONTRACTOR. Lv Q 4.TOTAL TRAVEL DISTANCE FROM FINISHED BOTTOM FLOOR TO FINISHED TOP FLOOR 6 MUST BE HELD WITHIN 1' OF THAT SHOWN ON LAYOUT DRAWING. J U U 5.OVERHEAD CLEARANCE: (TOP FLOOR TO UNDERSIDE OF HOISTWAY CEILING OR OBSTRUCTION) TO BE MAINTAINED PER THESE LAYOUTS. IF 9'-6• CANNOT BE ACHIEVED, - CONTACT FACTORY FOR ALTERNATE ARRANGEMENT. O 6.A POURED PIT CONFORMING TO THE DIMENSIONS INDICATED ON THE LAYOUT DRAWINGS Y OI rn MUST BE PROVIDED, THE PIT MUST BE DESIGNED FOR THE IMPACT LOAD INDICATED AND O ^ MUST BE GUARANTEED DRY AND LEVEL FROM WALL TO WALL 7.A SUMP PUMP AND SUMP PUMP HOLE WITH COVER IS RECOMMENDED IN THE ELEVATOR PIT WHERE WATER SEEPAGE IS ENCOUNTERED. A RECEPTACLE IS REQUIRED IF A Z SUMP PUMP IS FURNISHED. COORDINATE LOCATION WITH ELEVATOR CONTRACTOR. O N 8.A PIT LIGHT WITH SWITCH IF REQUIRED BY LOCAL CODE. D_ 9.ALL SCREENS, RAILINGS, STEPS, AND LADDERS AS REQUIRED FOR LEGAL HOISTWAY. N 3 10.BARRACADES OUTSIDE ALL HOISTWAY OPENINGS FOR PROTECTION SHALL BE PROVIDED \ AND INSTALLED BY GENERAL CONTRACTOR. _o I N Z RAIL BRKT. SPACING CHART uj_ BRKT. ELEV. FROM PEDESTAL CYL. RAIL x p NO. PIT FLOOR BRKT. BRKT. BRKT. Li Z Z 9 8 LB/FT GUIDE Z 8 w RAILS REQ'D. c_n 3 a a CL 7 NO. OF RAIL :D I n 6 29'-4" PCS. LENGTH Li �_ 5 1 24'-1" 4 10'-0" CO n � 4 18'-11" 2 9'-8" G Q w ii w 3 13'-9" o J O 2 7'-4" CO LANDING LOCATION CHART N N LANDING FRONT REAR SIDE _ of 3 w Z , I1/111itpf 2 J o ```,a O fOf Lf) NFW�,�b , •..yo ze Z - 0 nl: - um g a PIT REACTIONS J • � ',��0 '•. �71 a2 �� LOAD ON JACK 3675 LBS �SS1pN ��. LOAD ON BUFFERS 4050 LBS Z 3 STOP HOISTWAY ELEVATION Z w (IELEVOTOR P.O. BOX 749 5191 STUMP RD. a 0 PLUMSTEADVILLE, PA. 18949 / J / PHONE: 215-766-3380 CO FAX: 215-766-3385 J Q= (O V) m a n u I a c t ucln9 ROPED HYDRAULIC 00 wW 1 company, Inc. RESIDENTIAL ELEVATOR aJ NORTHEAST / CHAMPION ELEVATOR o 0- PROJECT: 3 MULBERRY CT. RYE BROOK, NY O PRELIMINARY DATE: APPROVED BY FINAL DATE: 4/18/22 6-8-22 "A DRAWN BY: F.D.. REV. #: DRAWING NUMBER: 00 SCALE: N.T.S. NEAST-23473 PLAN NUMBER: 3 STOP ELEVATION GENERAL NOTES AND PROVISIONS REQUIRED BY OTHERS " 1. ADEQUATE SUPPORTS MUST BE PROVIDED FOR FASTENING RAIL BRACKETS AS 3 5�8 INDICATED ON THE LAYOUT DRAWINGS. SUPPORTS MUST WITHSTAND RAIL FORCES INDICATED. 2. WHERE WOOD FRAME CONSTRUCTION IS USED, DOUBLE 2' X 12' SPACED 20 AS INDICATED ON LAYOUT DRAWINGS, AND EXTENDING THE FULL HEIGHT OF THE HOISTWAY ARE RECOMMENDED. 3. FOR MASONRY WALLS, INSERTS SHALL BE PROVIDED BY ELEVATOR CONTRACTOR " AND INSTALLED BY THE GENERAL CONTRACTOR. 8 3 p FINAL o • (4) 9 16 oop R1 R2 �G• NOTE: BRA R�jjP�R�) RAIL BRACKET AND PEDESTAL >> �I� BASE MOUNTING HARDWARE IS I 1 Z TO BE FURNISHED BY ELEVATOR CONTRACTOR �E( ���tpnw4apy 9OF1G5, 12 0 Vol y.;�• '�-s:�9�': FIXED RAIL BRACKET ro m?cr = I I (STANDARD) �' �O ••.GT7 i 42 g9�FfSStONP,.•``� RAIL FORCES W R1 65 LBS R2 220 LBS R3 3,205 LBS fir RAIL BRACKET P.OPLUMSTEADVILLE 1 PA.91 5189 9 TUMP RD. I � / PHONE: E L 1E V O T/ !iR A 215—766 6 80 3385 I 16 t m • " u r • ' ° • I ^ 9 ROPED HYDRAULIC CI(E� `0onp I Inc. RESIDENTIAL ELEVATOR oOL 2) NORTHEAST / CHAMPION ELEVATOR 5. PROJECT: 3 MULBERRY CT. RYE BROOK, NY (2 PRELIMINARY DATE: APPROVED BY FINAL DATE: ADJUSTABLE RAIL BRACKET 4/18/22 6-8-22 DRAWN BY: F.D.. REV. #: DRAWING NUMBER: (OPTIONAL) SCALE: N.T.S. NEAST-23473 PLAN NUMBER: Rail brkts. TYPICAL MACHINE ROOM LAYOUT O TELEPHONE CONNECTION 9O N PUMP UNIT Co (SEE DETAIL FOR SIZES) WITH CONTROLLER 01L OUTLET (24"x24"x9' MOUNTED ABOVE P U 00 �; l J Z oT 2-1./2- (#1 TANK) O o 7 — — L'i 0p I u I O tr LLJ 29 3/4" (#1 TANK) II aJ I w II 00 U w -10_ NOTES: LLI Z 1) SHOWN CAN BE SUTH PPLIED ED CONTROLLER UNIT. LOOSE FOR WALL MOUNTING. zo II Q O 2) #2 TANK IS USED WHEN TRAVELS EXCEED 50'-0" Z u AND FOR 10 HP MOTORS. z LLI O 3) OIL OUTLET LOCATED ON RIGHT OR LEFT SIDE. 3'-6" CLEAR PER Q NATIONAL ELECTRICAL CODE LL — — LIGHT SW. & GFI DUPLEX RECEPTACLE MAIN LINE DISCONNECT & CAB LIGHTING DISCONNECT ABOVE 1'-3" 2'-6" MIN. CLEAR 4'-9" RECOMMENDED MINIMUM FINAL ���;�au�rrrrNb� ������`•``'' OF Ne�,1",, . Y O �;c.�• 'L,S',9�'s ASME A17.1.RULE 3.19.3.3.1 FLEXIBLE HOSE S * �L•,* = ASSEMBLIES SHALLDNOTB EG M cr INSTALLED WITHIN THE HOISTWAY NOR PROJECT INTO OR THROUGH GENERAL NOTES AND PROVISIONS m : �:,� _' ANY WALL. PIPE MATERIAL AND ASSOCIATED REQUIRED BY OTHERS : s� FITTINGS SHALL COMPLY WITH ASME Q '-.077 1 A'Z [ A17.1. SECTION 3.19 AND SHALL BE 1. AN ADJACENT MACHINE ROOM BUILT TO CONFORM TO THE LAYOUT DRAWINGS, .......... �' X FURNISHED BY THE ELEVATOR N.E.C., ASME A17.1, AND ALL STATE OR LOCAL CODE REQUIREMENTS. IT SHALL '�' �AOF�SCiCttlr��`��% CONTRACTOR. HAVE SUITABLE ACCESS, A LOCKABLE DOOR, A CONVENIENCE OUTLET, AND LIGHT SWITCH. MACHINE ROOM TEMPERATURE MUST BE MAINTAINED BETWEEN 60 AND 100 DEGREES FAHRENHEIT. RELATIVE HUMIDITY NOT TO EXCEED 95%. MACHINE ROOM 2. A 220V, SINGLE PHASE, (30 AMP.* 3HP or 60 AMP.® 5HP) SERVICE WITH NEUTRAL TO A LOCKABLE SAFETY DISCONNECT SWITCH, FUSED WITH TIME DELAY FUSES SHALL BE FURNISHED IN THE MACHINE ROOM IN ACCORDANCE WITH N.E.C. A NORMALLY OPEN ELECTRIC INTERLOCK CONTACT IS REQUIRED IN THE {�/y� P.O. BOX 749 5191 STUMP RD. SWITCH FOR BATTERY ISOLATION. (3 HP) SOURCE FOR SINGLE PHASE 1r/ LAE PLUMSTEADVILLE, PA. 18949 HEAVY DUTY SWITCHES (OR EQUAL): SQUARE "D" CAT#H-221N; PHONE: 215-766-3380 ELECTRIC INTERLOCK #EIK-031. ITE CAT.#SN-321; ELECTRIC INTERLOCK #SC-3. FAX: 215-766-3385 CUTLER HAMMER CAT. #DH221NGK; ELECTRIC INTERLOCK #DS200EK1. V ITOR (5 HP) SOURCE FOR SINGLE PHASE HEAVY DUTY SWITCHES (OR EQUAL): SQUARE "D" CAT#H222N ELECTRIC INTERLOCK EK-300-1; m a n u r a c t u r I n g ROPED HYDRAULIC ITE CAT.#SN-322 ELECTRIC INTERLOCK #SC-5. company, Inc RESIDENTIAL ELEVATOR CUTLER HAMMER CAT. #DH222NGK ELECTRIC INTERLOCK #DS200EK1. 3. A 120V AC, SINGLE PHASE, 15 AMP. SERVICE TO A LOCKABLE FUSED DISCONNECT NORTHEAST / CHAMPION ELEVATOR SWITCH, OR CIRCUIT BREAKER LOCATED IN THE MACHINE ROOM SHALL BE PROVIDED PROJECT: 3 MULBERRY CT. RYE BROOK, NY FOR THE CAB LIGHTING IN ACCORDANCE WITH N.E.C. PRELIMINARY DATE: APPROVED BY FINAL DATE: 4. A TELEPHONE LINE TO THE MACHINE ROOM AND TIED INTO THE ELEVATOR 22 6-8-2218 CONTROLLER AS PER ASME A17.1 CODE. 4/ / 5. MACHINE ROOM VENTS IF REQUIRED BY LOCAL CODE. DRAWN BY: F.D.. REV. #: DRAWING NUMBER: 6. KNOCK-OUT IN WALLS BETWEEN THE MACHINE ROOM AND ELEVATOR HOISTWAY FOR ROUTING HYDRAULIC AND ELECTRICAL LINES SHALL BE COORDINATED SCALE: N.T.S. NEAST-23473 WITH ELEVATOR CONTRACTOR. PLAN NUMBER: Machine booms ALTERNATE MACHINE ROOM LAYOUT O TELEPHONE CONNECTION PUMP UNIT (SEE DETAIL FOR SIZES) WITH CONTROLLER (24"x24'x9' MAIN LINE MOUNTED ABOV P U DISCONNECT & CAB `j LIGHTING DISCONNECT N ABOVE J 2 Q Ln Z =) O J a o LIGHT SW. & GFI N Of U DUPLEX RECEPTACLE a J Q Of lY OIL OUTLET H- J U J c0 Q 00 r7 Z I N O 12 1/2- (#1 TANK) Q Z 29 3/4- (11 TANK) 1'-3" 3'-0" MIN. CLEAR 6" �' 1) SHOWN WITH CONTROLLER MOUNTED TO PUMP UNIT. CAN BE SUPPLIED LOOSE FOR WALL MOUNTING. 4'-9" RECOMMENDED MINIMUM 2) N2 TANK IS USED WHEN TRAVELS EXCEED 50'-0- AND FOR 10 HP MOTORS. 3) OIL OUTLET LOCATED ON RIGHT OR LEFT SIDE. �U„I,f,IffI tV` ,,, FINAL o` OF NF, y., ASME A17.1.RULE 3.19.3.3.1 r Q M. ( FLEXIBLE HOSE AND FITTING ASSEMBLIES SHALL NOT BE m W ` INSTALLED WITHIN THE HOISTWAY GENERAL NOTES AND PROVISIONS �,?r� ?; ANYPROJECT INTO OR THROUGH REQUIRED BY OTHERS = ° °�7tgz '�, PIPE MATERIAL C AND ASSOCIATED �� FffT1NGS SHALL COMPLY WITH ASME �9�F ;l` ��� A17.1, SECTION 3.19 AND SHALL BE 1. AN ADJACENT MACHINE ROOM BUILT TO CONFORM TO THE LAYOUT DRAWINGS, ' "'rr�r��.ESSION������ FURNISHED BY THE ELEVATOR N.E.C., ASME A17.1, AND ALL STATE OR LOCAL CODE REQUIREMENTS. IT SHALL rrnnnrrr�� CONTRACTOR. HAVE SUITABLE ACCESS, A LOCKABLE DOOR, A CONVENIENCE OUTLET, AND LIGHT SWITCH. MACHINE ROOM TEMPERATURE MUST BE MAINTAINED BETWEEN 60 AND 100 DEGREES FAHRENHEIT. RELATIVE HUMIDITY NOT TO EXCEED 95%. MACHINE ROOM 2. A 220V, SINGLE PHASE, (30 AMP.Q 3HP or 60 AMP.O 5HP) SERVICE WITH NEUTRAL TO A LOCKABLE SAFETY DISCONNECT SWITCH, FUSED WITH TIME DELAY FUSES SHALL BE FURNISHED IN THE MACHINE ROOM IN ACCORDANCE WITH N.E.C. A NORMALLY OPEN ELECTRIC INTERLOCK CONTACT IS REQUIRED IN THE / P.O. BOX 749 5191 STUMP RD. SWITCH FOR BATTERY ISOLATION. (3 HP) SOURCE FOR SINGLE PHASE . _.� �� PLUMSTEADVILLE, PA. 18949 HEAVY DUTY SWITCHES (OR EQUAL): SQUARE 'D' CAT#H-221N; PHONE: 215-766-3380 ELECTRIC INTERLOCK #EIK-031. ITE CAT.#SN-321; ELECTRIC INTERLOCK DISC-3. FAX: 215-766-3385 CUTLER HAMMER CAT. #DH221NGK; ELECTRIC INTERLOCK #DS200EK1. L E VgTOiR (5 HP) SOURCE FOR SINGLE PHASE HEAVY DUTY SWITCHES (OR EQUAL): SQUARE -D- CAT#H222N ELECTRIC INTERLOCK EK-300-1; m • n u f p: c t u r i n g ROPED HYDRAULIC ITE CAT.#SN-322 ELECTRIC INTERLOCK #SC-5. `gym nr' I n` RESIDENTIAL ELEVATOR CUTLER HAMMER CAT. #DH222NGK ELECTRIC INTERLOCK JDS200EK1. 3. A 120V AC, SINGLE PHASE, 15 AMP. SERVICE TO A LOCKABLE FUSED DISCONNECT NORTHEAST / CHAMPION ELEVATOR SWITCH, OR CIRCUIT BREAKER LOCATED IN THE MACHINE ROOM SHALL BE PROVIDED PROJECT: 3 MULBERRY CT. RYE BROOK, NY FOR THE CAB LIGHTING IN ACCORDANCE WITH N.E.C. PRELIMINARY DATE: APPROVED BY FINAL DATE: 4. A TELEPHONE LINE TO THE MACHINE ROOM AND TIED INTO THE ELEVATOR CONTROLLER AS PER ASME A17.1 CODE. 4/18/22 6-8-22 5. MACHINE ROOM VENTS IF REQUIRED BY LOCAL CODE. DRAWN BY: F.D.. REV. #: DRAWING NUMBER: 6. KNOCK—OUT IN WALLS BETWEEN THE MACHINE ROOM AND ELEVATOR HOISTWAY FOR ROUTING HYDRAULIC AND ELECTRICAL LINES SHALL BE COORDINATED SCALE: N.T.S. NEAST-23473 WITH ELEVATOR CONTRACTOR. PLAN NUMBER: Machine rooms EDCC E P dhestereocom 3202 1DG 1 VILLAGE OF RYE BROOK George Latimer BUILDING DEPARTMENT County Executive Sherlita Aniler,;till Convnissioner of Health August 2, 2021 Russell Palucci, P.E. 140 Princeton Drive Shelton, CT 06484 RE: Log #: 13308-21-DCDA Application for Backflow Prevention Device Kingfield Development 3 Mulberry Court Rye Brook Dear Mr. Palucci: The plans and specifications for the above project have been reviewed and approved by this office pursuant to the provisions of Chapter 873, Article VII, Section 873.707.1 of the Laws of Westchester and Section 5-1.31, Subpart 5-1, of Part 5 of the New York State Sanitary Code. A Certificate of Approval is attached. Form NYSDOH-1013 is to be utilized as a Request for Completed Works Approval. This form can be downloaded from the following link: https:Hhealth.westchestergov.com/images/stories/pdfs/crossconnection doh1013.pdf . NYSDOH- 1013 consists of two parts: (A) the initial test of the device(s) by a certified backflow prevention device tester, and (B) a certification by a Professional Engineer or Registered Architect, licensed and registered in the State of New York that installation is in accordance with the approved plans. The completed NYSDOH-1013 must be sent to our Department within 45 days of installation of the device(s). This form can be emailed to DOH-BFlow(awestchestergov.com . Respectfully, OK) Delroy Taylor, P.E. Assistant Commissioner Bureau of Environmental Quality DT/RB:pm cc: Jeff Dubois — SC Rye Brook Partners, LLC Frank McGlynn, Manager— Suez Water Michael Izzo, Bldg, Insp. — Rye,Brook File 00 REUSE RECYCLE Department of Health 25 Moore Avenue Blount Kisco,NY 10519 M1 1)86 1-T2')(i F.)c: )91 1) 13-1691 - a.itrwYr.` .>ars,- -•ewrrr`c=.. -..�..++r.-: ef�ri. NEW YORK STATE DEPARTMENT OF HEALTH CERTIFICATE OF APPROVAL FOR BACKFLOW PREVENTION DEVICES This approval is issued under the provisions of 10 NYCRR, Part 5, Section 5-1.31, and Chapter 873, Article VII, Section 873.707.1 of the Laws of Westchester County. _ , Log No. 13308-21-DCDA Facility: Kingfield Development City, Village, Town: County: 3 Mulberry Court Rye Brook _ WESTCHESTER Owner's Mailing Address: Jeff Dubois SC Rye Brook Partners LLC 4 West Red Oak Lane-Suite 325 White Plains, NY 10604 Physical Location of Backflow Prevention Device(s): Dog House Description of Device(s): One 1 —2 inch Wilkins 950XLTDABF DCDA Water Supplier: Suez Water Name Designated Representative: Frank McGlynn. Mailing Address: Zip: 10801 2525 Palmer Avenue, Suite 3, New Rochelle, NY Conditions of Approval: A. THAT the device(s) shall be installed within 90 days, and that within 45 days of installation the attached New York State Department of Health Form DOH-1013 shall be completed and returned to the water supplier and the Westchester County Department of Health. B. THAT a certified backflow prevention device tester test the above backflow prevention device(s) at least yearly and report the results to the water purveyor indicated above. C. THAT any connection made prior to the backflow prevention device(s) shall render this approval void. D. THAT the proposed works be constructed in conformance with plans and specifications approved this day and any amendments thereto. E. THAT certification that installation of device(s) is in accordance with the approved plans, Form NYSDOH-1013, Part B, must be completed by a Professional Engineer or Registered Architect, licensed and registered'in 'the State of New York. F. THAT the approved device(s) shall be so set that the test cocks are faced for easy access. G. THAT if facility construction has not commenced within 90 days of the issuance of this Certificate of Approval, then this Certificate shall become null and void unless an extension to the 90 day installation period is secured from the Westchester County Department of Health by the facility owner. Designated Representative ISSUED COP TI-IE STATE CO,v"Iv"iSSiONER OF HEALTI I QV: EX-7- ZV DATE: August 2, 2021 Delroy or,1P.E. Assistant Commissioner NEW YORK 3TATE UPARTIaENT OF IFALTH auto"Empire of Veto*1eWeCe notyPeet R Report on Test and Maintenance Empire Veto Mora.Carwna To..x Room r+t0 fte�.NY t22V of Backflowr Prevention Device Please use a sapatate form for each device. Four the year .s_C�Q- J-� Initial test-Comorota gntirg roan ---� Annual 9ast-Comp/efe?9/1 A Orly PH. w L'u., SQ cc Aaooum No. :cut'N WOO L.tl i 'O �Q�Ci�Se i \ Fsirty Name Ka(�Q-)j Q l c� Locabon of oawca i Address YYW1�.�r��tCw �� w�,lU ow a� �J Street Guy Mp Device ManufacWtor Information Type 0ItpZ Model I Size;in inches) Serial Number l� 1Yz.�s 25zDCv ChecfrValveNal Check Valva No.2 Differential PrirssurvRelief urtePttsssum Valve Test od Leaked Opened at Date e ^t —_psid repair Lkzl 1 I I O a _Closed Pressure drop across first check valve psid M D Y Describe repaba and Repaired by rnttaeAxis Name used Lic 4 Date repalred: m m M D Y Final boat _ a �Cl.sed Closed tight � 0 ened at psid roparsfrsd D d Y check valve_)`�1 psid o� Water tdelly Ntur>Cer hQater heading Type o'Service41 erlt cre) 9 Domestic�9 Fre 9 Clhor Remerke(Ca9c be oeRaenaea:Oypa53e9,otroolr balers.thb device.connen7oru between Ica device and Pdr±t d.entry,mlaslnp or inadequate airpaps-arc) 1:1 CerttHradem:This device © meeL Coon NOT meet,the requirements of ae contal nt derica at Me time of testing •')Ar Ache y certi o►orcgo:ng data ro be eomect Para Name"C" i a -t �,�s�I Certified Toalat No. Sze Emrtroon Cate PropartY owner-6{or ityynena agent)certification that urea performed: — PnM Name Title ..pasture 7olophona Certification that installation is In accordance with the approved plans. fro be epmpleted b the deal el r U+en reor or erchitad ar rraty sepWte+.l I he7eby certify that this trrstabation is in accordance with the approved plans. Name Russell Paluca Tide Engireer D''° l l 0 8 Z z Nye oorr tao• license Number 78721-1 Phone(845 )337-6040 _ I=Ca—Z Representing me So u cns, onsu,Ing nglneers Describe minor it I� Address 140 Prtnceton Drive city Shelton smte CT zip p64" signatt,r» JAN 12 2023 Nut NO cc'",pf/Q M a n I eperiment roprcaonutrvo sera ono Dopy to tnp wamr w h vatpr supplier mmedlotary if de,nce teue tea a-a roomro cennot rmmedwlWy pe C '�r•w.s � BUILDING DEPARTMENT 3 Mulberry Y Court Rye Brook NY D E C EM 2015 IECC Energy JAN 122023 DI VILLAGE OF RYE BROOK Efficiency Certificate BUILDING DEPARTMENT Insulation . Above-Grade Wall 19.00 Below-Grade Wall 14.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): R8 Glass& Door Rating U-Factor SHGC Window 0.29 0.30 Door 0.30 0.30 CoolingHeating & Heating System: Heil#N9MSE1oo212oA 95.5% Cooling System: Heil 4 Ton#NXa648GKA 16 SEER Water Heater: Model VSCE32 119R 119 Gallon Electric Name: Jobe Leonard Date: 2119119 Comments ME D�j Envelope Leakage Test R R C IE Testing Company: Technician: JAN 12 2023 Name: ProChek Name: Frank lacor'ett' ILLAGE OF RYE BROOK Address: 100 Mill Plain Rd Credentials: BPI BUILDING DEPARTMENT Danbury, CT 06811 Email: info@proche-Rcom--��— Phone: 800-338-5050 www.prochek.com Building Information: Customer Information: Project ID: 5177-3 Mulberry Ct Rye Brook NY Name: Address: 3 Mulberry CT Address: 3 Mulberry CT Rye Brook, New York 10573 Rye Brook, New York 10573 Geo-Tag Data: Latitude: 41.047748 Longitude: -73.691399 Timestamp: 2022-12-29 10:09:05 Measured Leakage: 2.38 ACH50 Leakage Target: 3.00 ACH50 Compliance with Leakage Target: Pass Test ID: 5177-3 Mulberry Ct Rye Brook NY Purpose of Test: IECC 12/15 Env. Leakage Measured CFM50: 1,177.7 (+/- 1.0%) Effective Leakage Area: 60.9 in Building Volume: 29,682.0 ft3 Enclosure Surface Area: 3,382.0 ft2 Coefficient (C): 84.3 (+/-7.2%) Exponent (n): 0.674 (+/- 0.020) Correlation Coefficient: 0.99957 Test Standard: ASTM E779 (single mode) Test Mode: Depressurize Test Characteristics: Pre Indoor Temp: 70 OF Post Indoor Temp: 70 OF Pre Outdoor Temp: 45 OF Post Outdoor Temp: 45 OF Altitude: 189.0 ft Time Average Period: 10 seconds Test Date and Time: 2022-12-29 10:13:12 2000 • Depressurize — E v 1800 Y 700 a° 600 0 500 c 400 m 300 200 4 5 6 7 8 910 20 30 40 50 60 70 Building Pressure(Pa) Envelope Leakage Test Test Readings: Target (Pa)_ Bldg_(Pa) Adj Bldg_(Pa) Fan (Pa). Flow (cfm). Config Baseline -1.6 -60.0 -60.2 -58.5 -55.7 1,349.9 Ring A -54.0 -56.4 -54.7 -52.2 1,307.4 Ring A -48.0 -48.9 -47.2 -43.2 1,191.5 Ring A -42.0 -42.5 -40.8 -34.6 1,069.7 Ring A -36.0 -37.7 -36.0 -29.5 990.1 Ring A -30.0 -30.2 -28.5 -205.8 849.6 Ring B -24.0 -26.7 -25.0 -169.0 770.6 Ring B -18.0 -20.6 -18.8 -112.8 630.7 Ring B Baseline -1.8 Test Equipment: Flow Device: Model 3 110V Fan Pressure Gauge: DG1000 Serial #: 6006 Calibration Date: 2020-07-01 Deviations from Standard: • None Comments: None Report by TEC Auto Test 1.8.0 (206), © 2021 The Energy Conservatory, Inc. Page 2 of 2 .II ,, Building Permit Check List&Zoning Analysis Address: -2, WI U G I59� Z SBL• l Zcl'. �� — L Zone: Use: Z l ez;' Const Type: 3� Other. Submittal Date: S Z- Revisions Submittal Dates: Applicant: Nature of Work: ` ' �A' vi ws:zBA: J U L 2 2 2021 PB: BOT: Other: OK ( ( ) FEES:Filing: 7S• BP: l 21 b , 4>C/a ( ) ( APP: Dated ✓ Notarized: SBL ✓Truss I.D. Cross Connection: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short Fees: N/A: Protection: ( ) ( ) SITE PLAN:Topo: Site S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current Archival• Sealed: Unacceptable: ( ) ( PLANS:Date Stamped Sealed:,,,-**" ealed: Copies. Electronic Other. (� ( ) License: Workers Comp: ✓ Liability. 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: 7 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 mtg.date: approvaL• notes: REQUIRED EXIMNG PROPOSED NozFS APPROVED sir Fagg Front: >rQw R&Lr. Nlam Co v Accs.C � F S S .HS : QFA- T Imp: EL P Ha"/Stones: notes: Residential Building Permit Fee Work Sheet Permit#: Date Issued: SBL: Zone: Address: Property Owner&Contact Info: Job Description: A r-t 4Cr For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements) x $225.00 x $I5.00/$I,000.00 Basement Sq. Ft. x $65.00 x $I5.00/$I'000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq.Ft. • New Construction Cost • Building Permit Fee Basement= 7S& sq.ft. x$65.00 = $ `L`I &��D. x$I5.00/$I,000.00 = $ '1 3? l� Attached Garage= sq. ft.x$225.00= $ 1 Z S- ' x$I5.00/$I,000.00 = $ 1 10 I,Fl. = 1 y sq. ft.x$225.00= $ -3 �`�� x$I5.00/$I,000.00 = $ 4 2^d Fl. = I t Z sq. ft.x$225.00 = $ Z �Sj4'SD_ z $I5.00/$I,000.00= $ 3'd Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00= $ 41'Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00= $ Total Sq.-pt �` ''' sq.ft. Total Cost= $ ��( 6�� Total B.P.Fee= $ I i 2 6 ` Total Amount Paid= $ l 7-L Total Amount Due= $ JUL 2 2 2021 Date: Signed: This form must be properly completed & notarized by the Design �W record and the Property Owner. Failure to provide this completed permit application will delay the permitting proces MAY - 5 2021 JD •�/VAGEOF RYE BROOK BUILDING DEPARTMENT Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. Title 19 Part 1264 & 1265 NYCRR To: The Building Inspector of the Village of Rye Brook. From: WJM► J styl i L,L - 0 Dl_D 1 Sk11J lt--S)h tJ I�eL'N I TktL Subject Property: 3 kL wn C f3-wr SBL:Jaq a5-1-J, 7 Zone: Pu O Please take notice that the subject; 0 ,6ne or Two Family; ❑ Commercial, C'fNew Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; Ef Truss Type Construction(TT) C 'Pre-Engineered Wood Construction(PW) ❑ Timber Construction (TC) in the following location(s); ❑ Floor Framing, including Girders &Beams(F) ❑ Roof Framing(R) 3'Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1z64 for Commercial Buildings, and NYCRR§1z65 for One&Two Family Dwellings. 3— l� -2 Date Design Pro oral Date Property er Datc Notary Public TRISHA MARTINEZ (7) TRISHA MART NEZ NOTARY PUBLIC-STATE OF NEW YORK NOTARY PUBLIC-STATE F NEW YORK No.01 MA6331843 No.01 MA6331843 Qualified in Dutchess County Qualified in Dutchess County My Commislion Expires 10-19-2023 My Commission Expires 10-19-2023 A�ORO'e CERTIFICATE OF LIABILITY INSURANCE = 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). v PRODUCER CONTACT � Aon Risk Services Northeast, Inc. NAME PHONE (B00) 363-0105 y Boston MA Office AC No.E<11: (866) 283-7122 FAX No IAC. .): a 53 State street EMAIL — C Suite 2201 ADDRESS = BOSLOn MA 02109 USA INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED INSURER Navigator,, Insurance Co 42307 SC Rye Brook Partners, LLC INSURER B: Guideone National Insurance Company 14167 230 Park Ave. New York NY 10169 USA INSURER Starr Indemnity & Liability Company 38318 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570082993250 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. Limits shown are as requested TR TYPE OF MURANCE POLICY NUMBER MM OD,YYYY MU DO,YYM LMM X COMMERCIAL GENERAL LIABILITY U99UU0069 015,30/202EACH OCCURRENCE S5,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE PREMISES IEe pocune aS100,000, MED EXP)Any one person) Excluded PERSONAL 6 ADV INJURY $5,000,000 GENT AGGREGATE LIMB APPLIES PER. GENERAL AGGREGATE $5.000,000 01 POLICY X PFiOJECT LOC PRODUCTS•COMP/OPAGG S5,000,000 OTHER n AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 'n ANY AUTO BODILY INJURY(Per person I O OWNED SCHEDULED BODILY INJURY(Per ecbdenb - O AUTOS ONLY AIJTOSPROPERTY DAMAGE HIRED AUTOS NON-OWNED ONLY AUTOS ONLY Per attiEa^t ,� {tI C UMBRELLALIAB HOCCUR 100 579693201 06/30 20201110112021 EACH OCCURRENCE U • EXCESS LIAR CLAIMS-MADE AGGREGATE SS1000,000 DED IRETENTION WORKERS COMPENSATION AND PER STATUTE OTH, EMPLOYERS'LIABILITY Y I N Ar:v PROPRIETOR PARTNER EXECUTIVE E.L.EACHACCIDENT OFFICERVEMBER EXCLUDED' NIA PlAwmIyes In MIN) E.L.DISEASE-EA EMPLOYEE DESGRIPTK N gOF OPERATIONS bor. E L.DISEASE POLICY LI%"T DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES(ACORD 101,Additlonal Remarks Schedule,maybe attached it more space Is required) `~a y� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 938 K Tng Street _ village Of Rye Brook AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 USA exnC/o/ss cCJ�/ —� (01 988-201 5 ACORD CORPORATION.All rights reserved. ACORD 25(2016 03) The ACORD name and logo are registered marks of ACORD mac Workers' Certificate of Attestation of Exemption STATE Compensation from New York State Workers' Compensation and/or Board Disability and Paid Family Leave Benefits Insurance Coverage "This form cannot be used to waive the workers'compensation rights or obligations of any part�K** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit SC Rye Brook Pertnen,LLC From:The Village of R e Brook NY 1100 King StY Rye Brook,NY 10573-1057 PHONE:914-481-1531 FEIN:XXXXX6509 The location of where work will be performed is 1100 King Street,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building permit are from March 16,2021 to March 15,2022. The estimated dollar amount of project is over$100,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a LLC,LLP,PLLP or a RLLP;OR is a partnership under the laws of New York State and is not a corporation. Other than the partners or members,there are no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Partners/Members: Robert Dale Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either. 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) I,Janice Heusser,am the Office Assistant with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately famish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. SIGHERE Signature: Date: 3 /5 ZDz/ ` per; ° xb >• '` �x � CE-200 01/2018 DATE ONAXID/YYYY) "a�Ro CERTIFICATE OF LIABILITY INSURANCE 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 NAME:CONTACT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 A CNE.No Ex<:888-3334949 t.c No):507-4464664 OWATONNA. MN 55060 AIL ADDRESS:CLIENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 149-868-2 INSURER B: MACK FIRE PROTECTION INC INSURER C: 15 INDUSTRIAL PARK PL MIDDLETOWN,CT 06457-1501 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:466 REVISION NUMBER:3 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 DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVD MMIDDIYYYY MMI /YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED $1OO�o PREMISES Ea occu ce MED EXP(Any one person) $10 000 A N N 6115492 05/11/2021 04/01/2022 PERSONAL&ADV INJURY $1000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 X POLICY ❑JECT ❑LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Me accident $1,o00,o00 X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONLY SCHEDULED SULED N N 6115492 05/11/2021 04/01/2022 BODILY INJURY(Per accident HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $20,000,000 A EXCESS LIAR CLAIMS-MADE N N 6115495 05/11/2021 04/01/2022 AGGREGATE $20,000,000 LIED I I RETENTION WORKERS COMPENSATION X PER STATUTE OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 000 000 A OFFICERIMEMBER EXCLUDED? NIA N 1814077 05/11/2021 04/01/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) POLICY COVERAGE AS OF 05/17/2021 RE: KINGSFIELD 1100 KINGS ST RYE BROOK NY CERTIFICATE HOLDER CANCELLATION 149-868-2 4663 VILLAGE OF RYE BROOK NY BUILDING DEPARTMENT 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 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4Ae,--1 O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured 860-632-8053 MACK FIRE PROTECTION INC 149-868-2 15 INDUSTRIAL PARK PL MIDDLETOWN,CT 06457-1501 1 c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 04-3814418 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company Village of Rye Brook NY Building Department #466 938 King St 3b. Policy Number of Entity Listed in Box"la" Rye Brook NY 10573-1226 1814077 3c.Policy effective period 05/11/2021 to 04/01/2022 3d.The Proprietor,Partners or Executive Officers are XIncluded.(Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"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: Ashleigh Sette (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 05/25/2021 (Signs a (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 888-333-4949 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 , L v CERTIFICATE OF LIABILITY INSURANCE 2�1�2022YYY) 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 NAME OTT AGENCY PHONE Ext (845) 895-8873 PO Box 659 Ac "° Wallkill, NY 12589 ADDRESS ottins2001@yahoo.com INSURERIS) AFFORDING COVERAGE NAIC# _ INSURER A Main Street America INSURED Total Comfort Inc INSURER B National Grange PO Box 359 INSURER 7 Ohara Rd INSURER D Milton, NY 12547 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 INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlDDlYYYY MMlDDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 O00 000 CLAIMS-MADE FX1OCCUR DAMAGE 10 RENT PREMISES Ea occurrence $ 500,000 MPU7919F 1/21/2022 1/21/2023 MED EXP(Any one person) $ 10,000 X X A PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO- ❑ JECT LOC PRODUCTS-COMPlOP AGG $ 2,OOO,OOO OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1 ,000 ,000 ANYAUTO OWNED SCHEDULED B1U7 919F 1/21/2022 1/21/2023 BODILY INJURY(Per person) 8 B AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIRED NON-OWNED AUTOS ONLY X AUTOS ONLY PROY DAMAGE Per PERT accident) $ $ X UMBRELLA LIAB X OCCUR B EXCESS LIAR CUU7919F 1/21/2022 1/21/2023 EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER TH ANY ICPROPRIETOR/PARTNER/EXECUTIVE YIN WCU7 919F 1/21/2022 1/21/2023 OFF ERIMEMBER EXCLUDED? NIA E L EACH ACCIDENT $ 1,000,000 (Mandarory In NH)Il yes describe under E L DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule may be attached R more space Is required) CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE I i 9)1988-2015 ACORD CORPORATION All rights reserved. ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD SNEW ' Workers' CERTIFICATE OF ATE i Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 203-223-6700 TOTAL COMFORT INC PO BOX 359 tc.NYS Unemployment Insurance Employer Registration Number of 7 OHARA RD Insured MILTON,NY 12547 Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 141829022 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NATIONAL GRANGE VILLAGE OF RYE BROOK 3b.Policy Number of Entity Listed in Box"1 a" 938 KING STREET WCU7919F RYE BROOK,NY 10573 3c. Policy effective period nvglign92 to n1iw9mz 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers 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"l a"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: WILLIAM C OTT (Print naiof authorized representative or licensed agent of insurance carrier) Approved by: (Signature) (Date) Title: PRESIDENT Telephone Number of authorized representative or licensed agent of insurance carrier: 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 CHAMELE-01 B0ZDA1 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/13/2023 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 C TACT HOTALING PROPERTY&CASUALTY LLC ;HONE FAX 2678 South Road No Erd: 845 454-8363 ,No° 845 471-7494 Suite 102 %Zkas.certiflcatesmel h n.net Poughkeepsie,NY 12601 INSURE S AFFORDING COVERAGE NAIL d INaURERA:Accredlted Surety and Casualty Company,Inc. 26379 INSURED INSURER a:State Farm Mutual Automolble Insurance Co 25178 Champion Elevator Corp. INSURERC: 1450 Broadway 5th Floor INSURERD: New York,NY 10018 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. INSR TYPE OF INSURANCE ADDL SUBR im-IBM POLICY NUMBER POLICY EFF POLICY EXP fflmmoryyyyl LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 CLAIMS-MADE OX OCCUR 1-TPM-NY-17-01268951 8/10fY022 email 02l DAMAGE TO RENTED 300,000 X Contractual Llab 5,000 MED EXP An one person) PERSONAL 8 ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 49000,000 POLICY X w� LOC PRODUCTS-COMP/OP AGG S 4,000,0 00 OTHER: EBL AGGREGATE 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 298 54284831-32 8/39/2M22 8131/2023 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUUTNOSSW Ep BODILY INJURY Per accident AUTOS ONLY AUTOS ONNLV a?aunt AMAGE A UMBRELLA LIAB X OCCUR EACH OCCURRENCE 6 3,000,000 X EXCESS LIAB CWMS-MADE 1-TPM-NY-17-01288952 8118=22 8MO12023 AGATE 3,000,000 DIED I I RETENTION$ A WORKERS COMPENSATION X I PER OTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE YIN 1-TPM-NY-16-01285898 8/10/2022 8/10/2023 1,000,000 FICER/MEMg R EXCLUDED? �N N/A E.L.EACH ACCIDENT andatory In NFF) 1,000,000 E.L.DISEASE-EA EMPLO If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 111 A Excess Liability 1-TPM-NY-17-01268953 $11012022 eM0/2023 Aggregate/Occurence 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Village of Rye Brook Is Included as additional Insured on a primary and non-contributory basis as required by written contract.Waiver of Subrogation applies where 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 g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street, Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Champion Elevator Corp. 212-292-4430 1450 Broadway,5th Floor New York,NY 10018 1c.NYS Unemployment Insurance Employer Registration Number of Insured 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 47-4285250 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Accredited Surety and Casualty Company,Inc. Village of Rye Brook 3b.Policy Number of Entity Listed in Box 1a" 938 King Street, Rye Brook, 1-TPM-NY-16-0128589 NY 10573 3c.Policy effective period 08/10/2022 to 08/10/2023 3d.The Proprietor,Partners or Executive Officers are FX included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"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: Daniel Emerson ;l (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 1/13/2023 (Signature) (Date) Title: Account Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 516-344-6900 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 le.e'un vuK in OR B31 Ki N F1 v PM NTg,s "Ilr TOTK )*��\ O 6d n5 4 913 f,sl�!"119 n - -so ra5 ulo[itc�rolio CLUSTER•A• 23,25,27 LAV%ER W f_'-�'"r`.-`Y "� CLUSTER'B."14,16,18 LAVENDER AN[ 3 M U LBERRY CO U RT - U N IT C 1 ,3 �� --�---� gt5 CLUSTER b. V0,12 LAVENDER ME CLUSTER'E•-15,17,19 LAVENDER LANE RYE BROOK N Y■ WATER SUPPLY T tf15 I I --- ,s CLUSTER -9,, LAVENDER E ' _ fn ME n2 'G'-3,57 LAVEyDEP LANE STATIC PSI: 50 PS fm_• r i t't ,fn �' CLUSTER T K -2,4,6 LAVENDER LANE RESID PSI. 40 PS f�; `. fp ,,p ,;_^ 1 s r' -2,4,6 ROSE A[pe 1- a•s I_ZL am CLUSTER'Q•-10.12.14 ROSE DINE FLOW. 1050 , ='nt =1 ��-_ 116 '� N6,r-- r•n -T-..� - CLUSTER'R•-3,5,7 ROSE A[ '- 'R -16.18.20 ROSE M i h4 t l ` f12• p CLUSTER r-9,11,13 ROSE LANE CLUSTER W-21,23.25 HONEYSUCKLE.ONE its �U CLUSTER X.-15.17.19 HONEYSUCKLE-EVE _ --- - - - IEt!<'!►oEsem�twTxflo !t 1 fls t�< gC, -tt�FiE�+Dlwr(M) -J TER Y-9,11.13 HONEYSUCKLE JIVE Wm RtronRTT� S\\t�%+c10 y •✓ In fL�'-3.5,7 PRIMROSE NE •\\\ g fe�- ;��", �\-ra'�,�a�� �.-.116� CLUSTER'JJ'-8,10,12 PRIMROSE J+NE CLUSTER'KK•-11,13,15 PRIMROSE.AW N -. \ .:,ten rEr 6'INIOEAQigAO wtOR \\ N `is n Y� Wm(W mm CLUSTER ITN'-21,23,25 JASMINELANE �L •.• fro CLUSTER"SS'-13,15,17 ASMIlE LANE NFPA-13D GENERAL NOTES \\ �mow-/ y�' f - �` \ ���Y 511 le \` ,✓� s' I16fq� \ ^c flTfls CCLUSTER W-2,4,61JASMINE LANES O1 SYSTEM DESIGN-RESIDENTIAL AREAS WET SYSTEM _ \\ 16/' f 15 CLUSTER UP f4 �� / fqIH 1Y-1,3,5 JASMPIE JWE 4,6,8 MILIWERRY COURT f SPRINKLER SYSTEM IS A HYDRAULICALLY CALCULATED MET SYSTEM J�1 '+y , 11 CLUSTER _< f tYa1 1 _ USTER AM-3,5,7 MULBERRY COURT PIPING HAS BEEN SIZED USING A LIGHT HAZARD DENSITY OF.05 GPM OVER MOST REMOTE 4 SPRINKLERS ! �-- pccSET H4NGc'RJ N A COMPARTMENT USING RESIDENTIAL SPRIKKIER HEADS / MAMMUM SPRINKLER HEAD SPACING-324 sq.R WOODSCRE'A rt6.:YJ SYSTEM DESIGN PER NFPA 3a 2013 EDITION e \`�F d Elb7M6 16'UD1D \\\ J jp \-�' WIR WN /' ( > Noon rRu_s OR eF.tr. ;y ` p r O PIPE MATERIALShlJ` y _,hM� fta�:. ts'. t ALL PIPE AND FITTINGS ARE eLAZEMASTER C3'VC OFFSET HANGER DETAIL HALF STRAP HANGER DETAIL %- -- — �° ► �: N yu\ �+ 3 CONTRACT INFORMATION N rs N r.s H S6L# 7-Tr Z ` apm 1 , '7f WORK UNDER THIS CONTRACT CONSISTS OF THE FOLLOWING, - DESIGN AND INSTALL A WORKING SPRINKLER SYSTEM PER N F P A.-13D 2013 EDITION _ _ — - ——— "N2` aOU DATE APPR®V 2021 -DRAFT siK)DPIr4C SHALL BE PROVIDED BY THE OWNER IN ACCORDANCE WITH THE I.B.C.2003 ED nDN _..-- - -_- —r/C - --— - - ——---- SITE PLAN is wN(8r oerOs) -BATHROOMS LESS THAN 55 SMFT SHALL BE IN COMPLIANCE WITH THE REQUIREMENTS OF NFPA-13D 6 6 `O�YIG 16'011E 1PtyT ALL BATHROOMS ARE NONCOMBUSTIBLE SHEET ROC(WITH A 30 MN THERMAL BARRIER --- _-- _ N.T S.--- - - - - - ---- - - - !Ell d GUE MAIK M1H 1A5 B01Ui-CLOSETS LESS THAN 24 SOFT SHALL BE IN COMA-AVCF WITH THE REOWREIAENTS OF NFPA-130 6.6.3. ji - --- - - CLOSETS ARE CONSTRUCTED OF NONCOMBUSTIBLE SHEET ROCK WITH A 3D MIN THERMAL BARRIER / - - d -EXTERIOR BALCONIES. SPRINKLER NtOTECTION IS PROVIDED ON ALL BALCONIES AND PATIOS OF OMEUJNG / -- - - - - - '������ � '�f� --- ---- -- �I --- -- - ' Ut�nTs IN ACCORDANCE WITH THE IBC 2003 EDITION.SECTION 903.31 21 ao- i t0 --, -ATTICS ARE NOT USED FOR STORAGE AND DO NOT a)NTAN ANY FUEL FIRED EQUIPMENT - . ly�� FINISHED -- - -�I -- UTILITY - - A BASEMENT NOTES TO THE OWNER -- PER\FPO 6.9'MAINTENANCE 6.9'THE OWNER SHALL BE RESPONSIB-E FOR THE CONDITION OF A SPRINKLER SYSTEM _ AND SHALL K-=P THE SYSTEM IN NORMAL OPERATING CONDITION. S II / /' f } 1� 6.9.2 SPRIN:C_ER SYSTEMS SHALL BE INSPECTED TES-t D AND MAINTAINED IN ACCORD4NCE WITH NFPA 25 STANDARD FOR THE INSPECTION TESTING AND MAINT=NANCE OF WATER-BASED FIRE PROTECTION SYSTEMS. A 6 9 THE RESPONSIBILIT t FOR PROPERLY AIAINTAINING A SPRINKLER SYSTEW IS THAT O`TH OWNER OR MANAGER WHO S-IOULD UNDERSTAND THE SPRINKLER SYSTEM OPERATION -' - -- - �.- ---� ! ,_ 1 [B-6 3, -Ile -11( - 1 - [ K] FOR FURTHFR IN=ORMATION SEE N PA 25 STANDARD FOR THE INSPECTION TESTING AND VAINTENA\= ___ ____ e- / i 3_N 3-3 -1 , it-ofOF WATER-BASED FIRE PROTECTION SYSTEMS • / , RN Ulf.10-6 4e� 90t y t' ADDITIONALLY - - -- �` � 1)YOU ROUST MAIN DIE -AIM SU=FIGIENT H=AT THROUGHOUT THE PREMISES T(' PREVENT THE WET SYSTEM FROM FREEZING 2 YOU SHALL INFORM TENANTS OF PROPER CARE NECESSARY TO MAINTAIN THE SYSTEM -r _ �� s_ - 3)IF THE CONSTRUCTION OR OCCUPANCY IS ALTERED IN ANYWAY r-j't - THE SYSTEM WILL HAVE TO BE UPDATED ACCORDINGLY _ I - - - . -�G .'I 2' ©� -—-- —'-- - — — ✓1�' _ _ _; 9 _ o/ _ -�j; a T .� :_ -_ • I APPROVAL R UIRED FOR Lj 'A" —- — --- — - — —— - - — iI �� K� c'� BATH q lir d',%Ar mm-nr stlRdlm Wrtuami VRVE nw!xl*A KIRK�ADO! -- - ---- - - -- I � '( � A t1f YCmu Im.74r awl DQT mE oDrx RISER Iwa.um W( -- - - -- / _-_ - - - - - _- - W(TIR F,x s m WER FR AI+t am a T19A M%%LIE_ ---_- - - --- _ _ I - - , �� .i i - -- - -- - CL r AD MME1*fAMMW 00181 OEOc DMCW ASSDEL•Will T SOW RITnldE1 WVU rW MKO A NIU Ml t*R WM -AIR �-2'AM WML*ZMM r OQsI OUR O WCP AMORI WD - - - - - // , I 4 I --- - - 506�B1ElOd1Y YA14S TFNI WI A MIERNI JYfz AIDO[5 _ I a C:" 'NE OF 4 �� -- - - i / .I N• `I - 8.6 A)/Ajt•C =In 5- g04 St0 5(18 606tow JQ -- _ / // /, • / I / s k j 7 Or rlr..AA WEE.•T2B•S7ET�En WI Oslu WLVE 1FM MK O A Kmk;Arc•ADD; - - i // / Of VCTAut MIX 14r GIM OCIE,ma OORIRoI W KWFDD VM j , Ulf DO TD SLW Y%"KfILS i / // / / % / 1. VW M I OR SIM INN"PR RF G4lQ A TEST'A*1MLVE 2'FTRI SE MCI MIATIR SUPPLY IN UNEXCAVATE UNFIIJISHED Or VCtW UM 74r ONCED NK CDM ow mWW WD t•(11Frf ROM 9M:r}it1ER PRESAffE fAl1GE It,'1RSINIMr 1aLK - -- - - -- / / / / 1 .- /� / // "---� _ 'saw"•Zr+o..a•<.•:. -� IK YCIALIL IUD'TfB'SfJE1ED(!'?rtb..WlK Rp LUf1NN A AiAM WiTT?S•Ip ��• I-� j / 'i',' / ///i� , �� ,/ a._ � � �'..�� «,, . 2•.Ilf�MD7Q^so•cRouaD mtNalRTaO IRtEtUIP _ _ _ _ - ; �•.�:>n _ I 2'NK%ml.SS±+mw om 0 00 DETECTOR AS611ay■t _ _ - - l' NOV 19 2020 MW IL Ltc:Y W05 DW mOKIAeI A K'l%%Imm SK m BASE+•ENT FLOOR E__V = -0 - - - - - ----- �-..,. UNIT"C1'� ���' N �. ,=,c v - UNIT C2 UNIT A l.. :.'�� .� t FLOOR ELEVATIoNs • BA SEMENT FL OOR FIRE `�`-•�'`�� ��'! BASEMENT TO FIRST FLR.=0'-6 - "��•^-r=��>�: �,J.u3.�G KR.-a,U•p X:,..cam.••r.::.•s-�^to^�'"! =SPRINKLER SYSTEM RISER DETAIL I`IRST FLR.TC SECOND FLR = 10'-2° FIRE PROTECT/ON PLAN N.T.S SCALE'14"-1'-O' All IJI,c L,atton":t c it,he fwld moasared nrutr to iaLntr3tit- WttK:'h er�r nO Nndicv 41 of itic Cray.ing�.,th.followitic:Items SYMBOL LEGEND SPRINKLER HEAD LEGEND JOS INFORMATION it tc!r^ravl is _ DRAWING TRLE:BASEMENT FLOOR FIRE PROTECTION PLAN SYMBOL DESCRIPTION SYMBOL DESCRIPTION anKi irs!.Tllalior:Gy Ira slxinb,ler contractor. --it aK'Cabinet span t;erNriti eirJ hK:aii wrench pet IvFF%�,?': t PROJECT:KINGFIELD DEVELOPMENT MEIN FY7R:AFCRtJEREIICE=oe RfJIBER°C=4ll'RESL]fYLC01GFldFOPHpEy1�RN4ff17N7 Ka9�'E57EGaEE,JL:RA'?. REVISIONS: DATE: .Y CONTRACT#:0000 ADDRESS: DRIVE L.All dltnE!!SIOr 5$r OIYn are:end to end ,Vislens fJ!lushinq r,•r,eceons aria drel;:i!r,OI all ripe [ur•] [,ATIONBE O,'"OP0 5'E3 t_ , s GENE 9L CITY:RYE BROOK STATE:NY ZIPA0573 _ "s metal'.cn1n•;ratJr,=.tea is are to Ge fieid instal"H•hett.,:%4,eC Irsp2^.o�s Les.Lor,,.e,iolt s,Iall Cc pi0\'Idid,U.eaCh s*:_leir '� (GV A r [E 4.Al'Pirr:s and hran�ers are to Le trs:aL'el.;?e 1 PI;3 �ydr I!Alic irler•Tih LjtiO!',plates$NF.,4 required inns ,tom�� _� + [F+1 E��ATtON 301EFIV{:;300R Q 4 3ENB E'GS6E OGK{F!SPY15EC0IKeALE3PepBfTSP4NDEF'1CFp'Krtb g2JC0EC LEE SIc�ASlli CLIENT:THE WARJAM GROUP PHONE:1914)761-250 r r coV/ 2 [>a ) t_rAT10N'J CPOFSr3 CONSTRUCTION:WOOD LTD. ■ ■ Q 5 G•tcdcr.we!systems Shdli,lrovi•�e a re.ie,•:al:•r per ti.PA�,; y n 6.Ali Yeti,icing is to i h;arostt lical;•,tcsl -,T not less than?Gup�i It Is tnN building Jl:ners"eSs c nsidlil[y:o;tra:idE K:Ki2G:1,YTE heat(o all iraa in The 4i j 4 r -w ® - �E NB E F'R:5 1'a:SDR►ML IDiI1CYta_ tl:_S�lvLE3'rI1PT K�.:Lettitkv'RE°SNc�tT;3 ADDRESS:5 INTERNATIONAL DRIVE-SUITE 1114 1:;r;!Io:,rs.pr:>:5:-psi tr exc es.;,t hf;lrtximur yrc:sUrt r,Jtidi n;p,ci!ected by a we:Lyn%�,ankler s•aierr.and for all watf_r filled sapp!,pil;c Val..es r Z f C3MPUTB'c,4WTUWCa OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY ZIP:10573 s c n 15 INDUSTRIAL PARK PLACE,MIDDLETOWN,CT 06457 wheri!IT4 maximu!r.p-essure tc JE n:ahtni!eu is Ir E�:e:;of'5upal. 'It to a.•ten risers to Krry!ype.;stems. _ PFf%RgS REJA&E F OJEK3E5�015E RD7pprAL5W1Au.°RIgLER 17w c i.�2D[y07 SflrR�1 SYSTEM TYPE:WET A� p I L devi'a is re,:i c 'e d•,��s er a�' f,� 1 � r1 LRSDati� P:860.632.8053 F:860.632.8054 7.•+��ul,.l o erl'n:a t••:'a �•:.t n , r•nl�rnr-es,:.et.. .4i•I urn stall:xr.rtaintairen pr,all cL•y.ypE�systems;y ar a;�)"rgVcO at.t:;r:t:Tii at, NS' 0781Z `� DATE:1 1!1 1J2D2D FIRE SPRINKLER CONTRACTOR CONTACT SOQ IL rallcns per NFP,'1.5 cempresser or plant,air sus:em sped icali•,aperoved for.ard capable cl automa'i;,ally FOp OAP N fl1 RtiP� r;CUTrrREs�7Iul0M`��+T6PRTNeI�' .Ky?€ATCr7�SN.TYCT6,1YRFt;tfE9iSi DESIGNER:TODD DEUSLE PHONE:(413)530.551 WWW.MACKFIRE.COM R.NFPA 13r;a:,l}•as�equirf,r nlain;atl:u r T!te reQ-Jived all prr•ssuF FEW WWzI PPEGRONEDCOLP.1100111 PORT CHESTER a, A"":FIRE MARSHAL EMAIL:TDEusLECMACKFIRE.COM LICENSES: CT:FI-40291 MA:SC-120494 R1:000347 �.L Fq:fL1 hATDJf JST1N1jI.GS TOTAL THIS SHEET: TOTAL THIS JOB: IKRk MNIVC.OR 10 ADEalway w ATEo THE SEt allo KI N F1 VE RM NT Tr x E1E�YEERED FLOOR am016'oc- 'RAM AREA A8X TIC�NuE To 06M TIAI THE �7RNCE7 PPE D.S NOT rROE LIP 3 MULBERRY COURT = UNIT C I Il, \ lit)k„ SECOND r 00 ELEV RYE B RO O K9 NY. �ORY PDEpENf 16')T--EH(E98 FLOOR M&o t6'oc RUN ALL Aa PPES ;111E CARUFF CEINCS AS 10 Ain WittAS t MAluaF�M OMW AKAOF*AM cl�Sl c_J . ELEV l,ntimshud BasenTent 71 -t>OICRETE SAB - _ -- - - --— GA RA GE SEC TION -- -- II,: -- - - --- WD.DEC►O?.. N.T.S. BLUESTONE PAVER - --� 01/ OF X \IICHEN -- --IVING ROOM -40701 --� 2'CONTROL VALVE AND ALL UNDERGROUND PIPPING - Il<UP FWN eE uv A f1E IS BY OTHERS. MACK RRE PROTECTION'S CONTRACT -, r y_ 1• - ; / - �; u �- 'u SEcalo ncoa BEGINS AT 2'FIRE SERVICE WATER UNE LEFT INSIDE THE BASEMENT. r _ ,• _ H)DRAI LIC'DES16�1 I — -- `-- 1\1(\HI,rl /,--, -A�. 1)I14I\t.HINT\I /' ^ - - _ r '� DINING r1 r ' _— MroM FIRE SOW 1110"LK OWN �Woos(�) HYDRAULIC DESIGN CRITERIA j ,' -a LP RN i0 IK I'� - I ROOK, _ -0• taWD GLOM WCH r a11" t Density •05 / �_ 1 , Y�:,� _e r uot>�+ouo>��x�1a oaER uc IF Spacing VARIES _ J - (Br- K Factor 4.9 1� /- it ,M , 1• - - r t - _5` / ',r• _ n [9-6] y L. "MEIlAaSIiE a11E S 1' Hose Allowance p' _ 1- ELICK MI This System is Designed to Discharge i r J `s / r•, - �u at o Rate of 05 GPM per sq fl ( J / _ p t f -' i --- \ - R+T',9'-�' r Of Floor Area Over 0 Remote Area of ✓////////// ///� / - �UDROO, �YiC�iD Ra01 w 2 Sprinklers when Supplied with Water - - - s �� ` -� �` 1 _ ` 1�P ID tl1E 1 ?r 1 9'-0' u at the Rote of 34.7 GPM at 42.2 PSI 1 / - I�l n - SEaOMDItD� 1• -� - at the FP DfSQYIRQ IIOOE�' ✓ - - --- L - - - / - _0• \ _- ��IOK 101'',9'1' _- 1 -�� 0-111N I / 1- UP to DIE i 4je 7 ,� SELUU r'001\` 1.1 1' -I• _ __ t._', _ - r {. dD s / �• �,E �. 6-. �� 6- m -•'— 1 —,BI UESTO�� - rn 1 FI_:YEF\\ —�--- tic UP ru ni No in Tit I)LSFI41Fr'to(Br nt1E - / g, r , / e' r ! o GARAGE - i � , r canROl auE MTE31M1 sxta a ✓ 1• _ 6_ 4b \ r FIX / I'WOODI sosa,��WER uE� A -- - / % _� / / �• —1�-1 ['-la] /, / - - 0-6� _ ,z- �-E loo1 / i / i I S� tM70 O uA A DEN �mlitr Am OCR � �>,aH .k _ — - —- --- — - _ — — .. � UNIT„A., _ -_—- � � �»� r� i TIE MdA'EC0.Y ARQlO ND fE1Dtt fi%CFt - _ .. -`-- - r, rr '"• ,p[AlosDW „�,� �tcITL51�aERPPE _ _ _ UNIT C2 III I�Knt I Ir r�l-�Iclr. r aMM���TM KMhk rWP�+ / IIr uk.�f 1 tc t>t-�tE,� UNIT"C1" Y Fla FROM 11WI M s0"1 61 FFDII TIE ROW I.N H i�r / wm M WR RM S11R3�(Br PIERS L B1L7R fEIE c,I I H I n. i - �A CAM Will MI lam TDPDWA i ' Ilk 11 I)", I Ilk,It, ,H IROX 11t�E MO 9PRIIW - H\,,I 7'LICUtr M F9 SPACE ICU UE IF -- Mrs FEATTD DOOSI.FE M OTOE HYDRAULIC DESIGN CRITERIA 2'CONTROL VALVE AND ALL UNDERGROUND PIPPING HYDRAULIC DESIGN CRITERIA Density D5 6 BY OTHERS. MACK FIRE PROTECTION'S CONTRACT Density 05 Spacing VARIES BEGINS AT 2'ARE SERVICE WATER LINE LEFT INSIDE Spacing 'ARIES - --- K Factor 4.5 7•.Ir MO MAK K Factor �•9 THE BASEMENT Hose Allowance - Hose AI owance HCrPSA ose CEO FIRST FL OOR FIRE This System is Designea to Discharge This System�s Designed to Discharge RESCExn+txID rtxtx � at o Rote of .O5 GPM.per sq ft at a Rote of .05 GPM per sq It of Floor ree Over a Remote Area FIRE PROTECTION PLAN of Floor Area Over a Remote Area of 2 Sprinklers when Supplied with Waterer - - __ 2 Sprinklers when Supplied with Waterer of the Rate o' 8 GPA!of 42 PS at the Rate of -b.3 GPM 0=..,PS f N00[�' SCALE.1 4"= -o.. the FP I1t5DiAfiGE MODE's INSULA TION DETAIL FOR AL L SPRINKL ER at the fp IN OR ADJACENT TO UNHEA TED SPACES— N.T.S. SYMBOL LEGEND SPRINKLER HEAD LEGEND JOB INFORMATION ".All pil;a Ixallons arc to be*Iefr.measured nrlt;r to fat ric;ic: V-hcd.er or net indica:t)d or.Ihr orar:irg�.tl,c Folio,i,x,I!ems a:e:c 4r.(rJvldtd DESCRIPTION DRAWING TITLE:FIRST FLOOR FIRE PROTECTION PLAN PROJECT:KINGFIELD DEVELOPMENT SYMBOL DESCRIPTION SYMBOL and installation,r•y Rm Sf rin to convactor. -it ar Cal:inst,spt,re',sadti-r•�t,ead r•ran T`P^NF�A V: OF r1EW YO , FYOr:IUC EaENCE�o1 :1 REMI*R`u9WRM-3 v`CX'zALMPE'DE+RSPR11 O ITV K`'3 0•E.5OEVIEF 9t°r+A E CONTRACTS:0000 REVISIONS: DATE: ADDRESS:RYE INTERNATIONAL DRIVE 0573 LA_ 2.All pimensions shovol are:end to end -P-ovlsir.nS far sloshing t01%ne-ons aoc•drtll,,ln,,f;,,Ine �� GENE '9,� [ism] E.:+ATIdTeE M-0PO•S EL CITY:RYE BROOK PHONSTATEE: ( 4)761-25 3.High Iemoeraixe heads arc:to be lieiti ir,<t lll<c where•euulrec Irspeuer's.test eor,neclion stall pFe�iJ�c to ea•.f s.stelr AQ- * l [..) E*+ATDNA90lEFlI :SOW Q• RLv�B.E'c;3bE 0LIC(F:SPO•T C0KFUE)Pf0MSP O'fTW-K'6.59nDOEtM90RA3115 CLIENT:THE WARJAM GROUP PHONE:19141 761-250 -1.All pines and h.angerS are to be insEalled Fier NI-PA 13 •,Ydr IUIi%f/i8i,I1!1�%iilOn[?trite;:L,iF=Pr !Hti�r'ed SiLrt� (� lV�' (� �` (npM io-o) E.:ATON0::-CPOFSF3 CONSTRUCTION:WOOD LTD. F1 RE PR � � 5.Gridded wet."Sterns shay:xcxide:i reilef'.ai:E per NFPA * y - pR• a 9Ey6F7p:s19cSP9tuL4Oa¢CYra,sp✓r,_S:iIVLEa'�rF1,K-F:�1?SDEGRE:.SN:t�Ti3 ADDRESS:5 INTERNATIONAL DRIVE-SUITE 114 3.Ali new piping Is to be hydroStati,atly fc,I<n a.,^of less than?,:,p;i It is tnc buildinn owners-esuorsiuiii!y:.).,Ic:ioE:,JrG,Iate•heat for all 1r 3a in the � � ' Z ® COtPI1TERGE*RAATEF•.:FG3I OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY 21P:10573 T 5 INDUSTRIAL PARK PLACE,MIDDLETOWN,CT 06457 CQ iCir::t!o:,rr.,.a rat 5i-psi ir,ext:es:•^t d�f a,axin+ur:cressurt buildi:u;;-role:led ry a,•:e:!ypr•�,^;i»kter SI•�r,�:arr rn•all water filied s:;,,^.1•.^P,,:vai,,es , PhEItiSE1R - �Ey,e.['F• •O,lldcaEs�asE•►�¢r�FT•ALscatAus e'a.e�.lzw-.<=s.E.�tucx,a:E.sH�R:• SYSTEM TYPE:WET P:860.632.8053 F:86D•632.8054 CL v.he^the•r voirnu-r.p-c st.re to be n•aintiaN`el 1�in£\:c55 Jf'5 i,7;i. 811d sus+.el�riser:e dl�t';pr ststen,s. _ J '' + c 4i C� c� �r t �• 1 �/ �}/�- R°E'LR45DON\ DATE: 1/1 112020 FIRE SPRINKLER CONTRACTOR CONTACT WWW,MACKFIRE.CDM 7.A quicl:opFninv•e Ind Is regt:ijke,'...en dr,.�s.enr volume-exceed, P essurr-..tall b!'niaintairer...,r.all d%y TX'syS'el.0.',y ar•app,Uvert r101QrV1l1C al' tT� 0787'L ?� &0051 PI�ftl5ER1�P �J Tr'CIFVRFSC911rLDR'P'a3lTSP9lKIFl"rFT.(�i9€'A}G4�SN,lY?iJS.WIIFli1tE41S1 5Ql?l;all::n �r--,t\1 a;1+; ^ompresso:or plan!air syvem sp:c�ical:..,p;.ic;ed For arci ca able of autorrw�_-afly �pR �p� PORT CHESTER DESIGNER:TODD DEUSLE PHONE:14131 530.551 OF MEGROMEDCa:P•/GSI9rNGs AHJ:FIRE MARSHAL E-MAIL:TOELISLE@MACKFIRE.COM LICENSES: CT:FI.40291 MA:5C•120494 RI:000347 8.NFPA Vi apPK a le-mler r,am:omh g It:e required air pressor: PI:EVQk ATM.6RK,T:GS I TOTAL THIS SHEET• TOTAL THIS JOB:- KIN F1 V ORM NT 3 MULBERRY COURT - UNIT C I RYE B ROO K9 NYn fJ)fDRAUI.IC DFSI(.)N l\I I\KI\d� NI l I ftl I)121 x)\{d KL\ HYDRAULIC DESIGN CRITERIA III I)RAI KL OLSICiI% l L< \P NI )\I)11(x)K Density 05 "�17 F HI ItFIx),I Spacing VARIES HYDRAULIC DESIGN CRITERIA K Factor 4 a I HYDRAI ILI(-DESIGN Hose Allowance ('AI(\KI-,71 I Density 05 NI((I�i)IiIx)l This System is Designed to Discharge Spacing VARIES \I\tin K RI-I)KIN).\1 of a Rate of 05 GPM per sq It K cactor 4 9 of Floo Area Over a Remote Area of Hose Allowance rIYDRAULIC DESIGN CRITERIA 2 Sprinklers when Supplied with Water - — — - — - - - -- - — o1at the Rate of 32 2 GPM at 43 8 PSI This System is Designed to Discharge Density 05 the F➢06DKfCE NODE Y of o Rate of .05 GPM per sq ft VARIES i of Floor Area Over a Remote Area of Spacing 2 Sprinklers when Supplied with Water K Factor 4.4.4 y at the Rate of 26.3 GPM at 36.3 PSI �� Hose Allowance 77 at the FP OfSDMRa KM Y - - - - s - - — - - - 0.0i©F Ow at System is Designed to Discharge K-. '� at a Rate of .05 GPM per sq it of Floor Area Over a Remote Area of 2 Sprinklers when Supplied with Water at the Rate of 28.1 GPM at 39.8 PSI L at the FP DW*9 NODE T NiASTER / -o• i� J BEDROOM —l• st I, H)DR\t I Icl IpF�I(i\ i% / r i- i 1� - li; R j� • d / \ t JIM H 1 HYDRAULIC DESIGN CRITERIA r• 'f�' -I. ! t- I ✓� \ NIASTE? Density .05 /// 1 % ( ✓%N ` �\ Spacing VARIES K Factor 4.9 IooI t (' UP II _p �011ZiSI o I ouc Hose Allowance I -0 This System is Designed to Discharge I st l f / o-- y _1 rIt"fi i N, at a Rote of .05 GPM per sq It �;' j 3 ��,!/ ♦, �► ! of Floor Areo Over a Remote Area of 1 2 Sprinklers when Supplied with Water / / \ �o•!ie /' i Nof the Rate of 3a.a GPM at 451 PSI / i 1 �;t th P td 4a B�U�OOM a2 o e 060NAttE NODE CI LAUNDP\ n7d THL ,-1 lo a s -- - - t - - - - NOTE ,r Hl L)R:at_LIC f7Fti1C;;� C UNIT 2 I,I( .KI ra , "Cl"ALL SIDEWALE$PR NKLERS ON THE SECOND FLOOR St*_ LOCATED�1 0'-1'BELOW THE CEILING --- =-�\ -- —— UNIT A UNIT — — — --- L .I-I IMI)I It0k _ SLUK(N Ih• HYDRAULIC DFSIGN CRI1 I=RIA SECOND FL OOR FIRE - Density .O5 FIRE PROTECT/ON PLAN Spacing .ARIES K Factor n.4 SCALE-14"-1-0" Hose Allowance This Systerr is Designed to Discharge at c Rote of 05 GPu per sq It of Floor Area Over a Remote Arec of 2 Sprinklers wher Supp ea with Water at the Rate of 3.I GPM at 4' PS at the FP 06DWn NODE'S , SYMBOL LEGEND SPRINKLER HEAD LEGEND JOB INFORMATION 'All pipe locations are to be field measured prior to fabrication. vr'neiher or not indicated or.tits drae:irps.the following items are to be provided: .. DRAWING TITLE:SECOND FLOOR FIRE PROTECTION PLAN SYMBOL DESCRIPTION SYMBOL DESCRIPTION PROJECT:KINGFIELD DEVELOPMENT M and installation oy the sprinkler contractor. -Head Cabinet,spare heads and head wrench per NFPA 13 , HYOI urwEimo011 rl�uacglrCt9ll aFSDFNW toHC�IFppepE+rtyypMaBltzli K.L9.gteSOEOaEEy�ia�7t15 F NEW y REvtsloNs: DATE: ADDRESS:INTERNATIONAL DRIVE 2.All dimensions shown are:end to end -Provisions for flushing corneclions and draining,of it!pipe O O w� CONTRACT:0000 3.High temperature heads are to be field installed where iequirea. Inspector's test connection shall be provided for each system .t��vGENFA '9,� C 7 fl_vATIOR.O1y'aPOFSFLO CITY:RYE BROOK STATE:NY ZIP:10573 4.Al pipes and hangers are to be installed per NFPA 13. Hydraulic identification plates&NFPA 13 required signs ��.7 * E••1 E'wAnptA9o►EF�ORaat Q• •teal otuDcaF caNc��roBasl�ar�>aIP tcrt�.6mot>lz;�E stKra�llts CLIENT:THE WARJAM GROUP PHONE:(914)761.250 Q 5.Gddded wet systems shall provide a relief valve per NFPA 1 ��� e n cL 2D•O1 EFvATONOFTPOF5IFH CONSTRUCTION:WOOD LTD. _ _ o.All new piping is to be hydrostatically tested at not less than 200pa1 It is the building owners responsibility is are\idE adequate heat for all areas in the * I - Z ® .'1tsetF T'aEs�'afSDE`IIILLHORQONTA�SDEWassaGFa rrrwr,Kas Rt15pEGaEESII�RAtp ADDRESS:5 INTERNATIONAL DRIVE-SUITE 114 for 2 hours.or at 50 si in excess of the maximum pressure, building protected by a we;type sprinkler s•sten-)and for all water filled supply pipe valves � ` f COlIPMGUMT�WJW OCCUPANCY:NFPA 130 CITY:RYE BROOK STATE:NY ZIP:10573 F' F pr > h. P )' p I F 15 INDUSTRIAL PARK PLACE,MIDDLETOWN,CT 06457 Cq when the maximum pressure to be maintained is in excess of 150psi. and system risers to dry type systems. _� �/� PpEa6E11P < 'T' 5 OUCtcaEs�o►S>toa¢aNu vuts?at altNv.K=se ptaOx{a�sll�aa+ SYSTEM TYPE:WET 7.A quick opening device is required v:hen dry system volume exceeds .Air pressure shall be maintained on all dry type systems a an a I�aE�a�oowA P:860.632.8053 F:860.632.8054 y approved autan7aUC air � 078T2, � DATE:1 1/1 1/2020 FIRE SPRINKLER CONTRACTOR CONTACT 500 gallons per NFPA 13. compressor or plant air system specifically approved for and capable of automatically FOp OAP PFE�111PRE N'"•K'ns.�'tspeaB:9K'rttn6•wm'ti>tE I DESIGNER:TODD DEUSLE PH13NE:(413)530.551 WWw•MACKFIRE.COM IL 8.NFPA 13D apply as required. maintairih:q the required air pressure. gOFE;D- 0 ]goeGME)Cauplll GSI,nTr?ItGs AHJ:PORT CHESTER o� A�u+>tiAro rstNcuas TorALTHISsmElT' TOTALTHI9JOE: FIRE MARSHAL EMAIL:TDELISLE(?aMACKFIRE.COM LICENSES: CT:F1-40291 MA:SC-120494 R1:000347 LL FIELDWORK COMPLETED: November 14, 2022 FLED MAP REFERENCE: � Lane one asm Sub di vision Map of "King fie/d" F.M. No. 29210 • r- Access, water sewer Ease. filed August JO, 2018 tD Per F.M. 29210 A_4 c� ................... (asphalt Pavement) CB Sub lec t Lot: 108 ............ ........... �- ........... .................... .......... Known as 3 Mulberry Court 0 To wn o f Rye Tax /D. Sec tion 129.25 Block 1 L o t 1.74 0 S68 23 24 E ae 86.00' oa utility Shed ent Lines Legend AC— Air Conditioning Unit _ ©— Sewer Cleanout CRW— Concrete Retaining Wall ® — Curb Stop Water Service ®— Electric Box �06 6 ° � ®— Electric Manhole - - Gas Vol ve - -— L igh t Pole .� o ° CD. ©— Telecommunication Box v 6 ®— Transformer Pad O— Water Valve (10 Grovel Wood '� -- — Fence 4 Area= 3, Sq727 Ft. � � CID� � Q ° c o To date, no Title Report or Abstract of Title has Q) S68'23'24" ° o been provided. This survey is subject to a �' rn E � o p V current, up to date Title Report. N � 86.00 O Property corner monuments were not laced as �o JAN 1 2 2023 p y p � �? � ; � � art of this surve . o . P y C).0 A - VILLAGE OF RYE BROOK ° ° - N This mop may not be used in connection with a T BUILDING DEPARTMENT QBuilding � � ' Frame Survey Affidavit» or similar document, statement or mechanism to obtain title insurance for any w subsequent or future grantees. As - Built Sur veyw � Unauthorized alteration or addition to a survey M map bearing a Licensed Land Surveyor's seal is � � � . . . Mulberry ourt a violation of Section 7209 sub—division 2 of ' - � the New York State Education Low. Z utility -� nit 108 86.00' According to NYSAPLS policy adopted January 23, N68 23 24 W CRW o Prepared for 1993, the alteration of survey mops by anyone other than the original preparer is misleading, • Frame Building Sun Home In C- . confusing and not in the genero/ welfare and y benefit of the public. Licensed Land Surveyors 110 SHMte A7 Owsholl not alter survey maps, survey plans, or survey plats prepared by others. �f To wn of Rye yN E Wes t h c ester CountyNew York ENGINEERING SURVEYING & GRAPHIC SCALE � LANDSCAPE ARCHITECTURE, P.C. �• aw , 0 20 40 ate Nov y7, 2022 3 Garrett P/a c e • Carmel, New York 10512 JEFFRE Y B. DeROSA, L S Phone (845) 225—9690 • Fax (845) 225—9717 New York State License No. 050749 www.lnsfte—eng.com Q 2022 In si to Engineering, Surveying & Landscape Architecture, P.C. All Rights Reserved. (IN FEET) 1622 7.200 1 inch = 20 ft. Lot Mops/Lot 108.d wg