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HomeMy WebLinkAboutBP21-179PERMIT # ,P)P- 011- 12 2 -- SECTION TYPE JOB LOCATION OWNER CONTRACTOR EST. V co #, TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION DATE. 7 o a1-/ aP: 3 a as Ri Aru I I nT / ~7% FEE DATE INSPECTION RECOF� DA T E �\ ti!(5y PLUMBING LJ RGH PLUMBING/'- ' GAS / tow W�o SPRINKLER ELECTRIC LOW -VOLT _ ALARM AS BUILT ZZ FINAL _G shed b cts5emen I 1-a590 O�S6 pi�ebTaS�yl9 �a IW�aC301 / OTHER APPROVALS ARB BOT P8 ZBA OTHER THIS BUILDING MUSE BE POSTED WITH A PERMANENT CONSTRUCTION TYPE IDENTIFICATION SIGN; V FR PRIOR TO THE ISSUANCE OF A C/09 AS REQUIRED BY NY STATE LAW. AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT VILLAGE OF RXE BROOK WESTCHESTP COU , NEW PORK NO: 22-183 Certificate of Occupaucp This is to certify that a R)tt Brwk- 1--h Aner-s L--LO of, R\IC— J�> Ya)V—1 1 V 7 having duly filed an application on November 20 e-W requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a �VI Zoning District and shown on the most current Tax Map as Section: , e�XJ5 Block: Lot: 1 . 77 , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. 9 , issued 20 Q/, 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: 9— 6� Qf'Y)/ J Construction: a 3 for the following purposes: Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: NOT APPROVED FOR USE AS A NT OR 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 heigh sha be made,nor shall the building be moved from one location to another until a permit to accomplish such change has be bt g Inspector. Building Inspector,Village of Rye Brook: DEC - 5 2022 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J. Bradbury www.ryebrookorg TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J.Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE December 5,2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 6 Mulberry Court, Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.77 Mechanical Permit#21-107 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, 7�- Nfichael.j. Izzo Building&Fire Inspector /to �E �f C�Cta a v ' J 404 tbutl(1 mat* VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher j.Bradbury www.ryebrook.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Michael j. Izzo Stephanie j.Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE December 5,2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 6 Mulberry Court,Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.77 This document certifies that the work done under Mechanical Permit #22-110 issued on 7/12/2022 for the installation of a new gas furnace,a new condenser and related ductwork has been satisfactorily completed. Sincerely, �7�- Michaelj. Izzo Building&Fire Inspector /to For office us onI NOV 2 8 2022 3D BUILDING: EP2�RTMENT PERMIT# - y (, VIL 'A ' OF RYE RE 60K ISSUED: � l—a VILLAGE OF RYE BROOK 9 8 KING ST YE BROOK,;N$W YORK 10573 DATE: BUILDING DEPARTMENT % 9 -06 0� FEE: /O PAIDS 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 •••♦s►•►rrs►•s►►♦rsrrrr►rrrrrrrs»aarrarrrsrsr•►r►rrs►►rrraur►rrrsr►►►r♦♦rssrtsrraaaraaaaqsrraraarrssarraa►rarssssrrrrrras• Address: b w u LJ;Wj2Y O a Ke-i O& W0 4 N y IV5::13 - 104 Occupancy/Use: IZ IG S Parcel ID#: 12� •L5 " 1 — 1 ,_4 7 Zone: ��k Owner:—eC 0'4k. 'B"PV. P� hf k�S L 1,0 Addd ss: PJ"T M APtV— LAJ LS*(—k 32S WV PL,AIr45 S P.E./R.A. or Contractor: 0-3 IZ_g DfGJkLoorakb4 Address:y bVl� L20�>dPtfL LM S'( 315 Wg�P1-k'&S4> Person in responsible charge: VV�(LL!PM P(kN L— Addresw� �21G7,�DAB' LI�� x�S L�Sbt L PI.E't 1-4-'j Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: W 1 L L I AN 2 14 N L- being duly swom,deposes and says that he/she resides at .M "AID (Print Name orAppliicam) (No.and Street) in 4-5—IAWO 2 /D in the County of YPI in the State of C ,that (0yrTownm 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 Uei L4 I 4--r-,5 00 for the construction or alteration of: �(1( fUj S t tJ tiPrf1�l L�"DWLLI.�-1 h� 1/U' 'C3As�rrltl,�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§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this I Sworn to before me this day of ND 1r4(fW0k9- , 20 ZL day o No VEJW b- 520 7-2— Signature of Property Owner Signature of Applicant JJ A-t-4 SARAH A ARNDT (N i tl-1;fl11t�1 �l E�z^ Print Name of Property Owner Notary Public State New York N0.01AR6435014 pri Name of Applicant Qualified in Puna Jun 21ty ^ My commission Expires Notary Public Notary Public 1982'��o BUILDING DEPARTMENT BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : �`-3R�L T� T DATE: ' Z Z Z PERMIT#22�> 7. 1 ISSUED: 7 Z7 SECT: I 1 BLOCK:_LOT: `Z 7 LOCATION: OCCUPANCY: �( ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS X i ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER w 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# 'C �T- �� ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... �J CCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED y ❑ 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 �yE BR(q,. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR E3 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 : DATE: `J PERMIT#J7[� OA— ISSUED:L �S CT:\2 BLOCK: LOT:— LOCATION: Otw Tc 11 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q' 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�� Q) T 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 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 www ryebrook.or$ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : `0 \J, ` ` �1` DATE: ` ` �U G PERMIT#�_i, t ISSUED: T: 2 BLOCK: LOT:�SEc LOCATION: OCCUPANCY: Z) ❑ 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 [j OTHER r` . & r4 ® 2 � q � q A § k / Q § co O f Pro e � b 2 k Q 9 | k R ] 3 0-4 d ^ ` 4 •- m � to > 00 9 k . c \ . � c u � cl ca c ` c j /� p 7 O6C�oN y 2� t Y BR 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 - - -- - - - - - -- - - - - - - - - - INSPECTION REPORT - - - --- - - - - - - - - - - - - - - �7 t j ,[� -c_ 1 F �lL ,ADDRESS: L � i Y. 6 / V ! ' � � C.�1 DATE: PERMIT* ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: -� ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/ REINSPECTION ❑,, SITE INSPECTION REQUIRED FOOTING "D 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 BR(�k. 1982 BUILDING DEPARTMENT ❑BUIhDING 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: / DATE' PERMIT#� \�C ISSUED: ��1 SECT!�� BLOCK: LOT: 2 \ \`- \ 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 �E 4RC�� -r BUILDING DEPARTMENT CfBUILDING INSPECTOR 43 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.nLebrook.org - - ---- ----- ---- ----- INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: DATE: «- gn LL( PERMIT# 1-1 i ' ISSUED:_ SECT: BLOCK: LOT: LOCATION: V -f 41 V1 L-4 OCCUPANCY: Cl 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 0 OTHER BR O ym '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR Q�AsSISTANT BUILDING NSrECTOR VILLAGE OF RYE BROOK �❑CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.orlr - - - - - - - - - -- - - - - ---- INSPECTION REPORT - - - --- -- - - - - - -- - -- -- - ADDRESS_: 1f \. 1 +�ice-!' DATE: PERMIT# `��� ISSUED:-'( 44ECTQLA 2� BLOCK: LOT: l LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... -© ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION l REQUIRED D-FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. 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BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... w ACCEPTED ❑ REJECTED/REINSPECTION ❑ _SITE INSPECTION REQUIRED /13j FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING TES ON INSPECTION: ❑ ROUGH PLUMBING � \ ❑ ROUGH FRAMING r ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑" CROSS CONNECTION ❑ FINAL ❑ OTHER 1 f ! x i U � z A r U Ui i F O U M V 7 V'. a W06 00 U w ac7A � � p; w � � aaV zaq c o a � HHAwcx7c7a �.Cd7a `na � `4 � vG x O z x d w a ❑ ❑ ❑ ❑b`❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ �E BRC��. O�` tim 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 - - - - - - -- -- - - - - - - - - - - ADDRESS:— ` v 1 DATE: 2 PERMIT# �^ , ISSUED: ECT: BLOCK: LOT: I LOCATION: V OCCUPANCY: J ❑ VIOLATION NOTED THE WORK IS... A ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION ems' REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ` ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS L Q ( O C �) ❑ L.P.GAS ❑ FUEL TANK ©'' FIRE SPRINKLER �p�� Q— ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BR(�k, 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 - - - - - - -- - - - - - - --- - - - 77 ADDRESS : / V � `-�� DATE: -4 PERMIT# , l ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... [I,/ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION / ` REQUIRED ❑.;/VOOTING Q FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION t, ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK _ ❑ FIRE SPRINKLER ( c ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 1982. 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 - - - - - - - - - - ---- - - - - -- /I ADDRESS: J tL DATE: J PERMIT# 7 l 29-:; ISSUED: SECT: BLOCK: LOT: LOCATION: N :'-Lj iGC -7 - - - 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 ''A ❑ FINAL ❑ OTHER O� t N N N a 00 00 a ^ a Pool d C a Q a VAM N i.Tr Im N O v $ ` OGY+ x N twn U pq `" O V wo z O\ U W Sz CIO M z z C7 � � 040 4sQ V z � C z o w �3 A a o w W i � a H as M °° w a O- w A (� O a a 3 " z z O �3 w w N o � uo � A � � W w a U � MoN � z z o o N ig v w z a � °' x 0 z w ° z a z � < .. 00.. z O F �I a � w z � RIAUG BUILDING DEPARTMENT 18 2022 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT w ww.ryebrook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required n FOR OFFICE USE ONLY BP#: 21-179 EP#: Approval Date: AUG 1 9 2/2 Permit Fee: $ Approval Signature: Other: Application dated, 08-16-22 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. i.Address: 6 Mulberry Court SBL: 129.25-1-1 .77 zone: PUf,� 2.Property Owner: SC. Rve Brook Partners Address: 5 International Drive Phone#: 914-481-1531 Cell#: email: 3.Master Electrician: Denis M. Fortino Address: PO Box 713 Rye, NY 10580 Lic.#: E-51 Phone#: Cell#: 914-760-5226 email: dfortino enterpriseelec.com Company Name: Enterprise Electrical Consulting Address: PO Box 713 Rye, NY 10580 4.Proposed Electrical Work/Fixture Count: Wiring for new house Wiring for smoke and carbon detectors 5.3'd Party Electrical Inspection Agency: S W I S �,, STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 11CH I S H, Fi)�4 1 Yl U 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) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the ED cal C/�OY7 jYa!T(}f- 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 Swom of 4me s A i _ day of ,20 day 0 _ Signature of Property Owner Si a of Applicant Denis M. Fortino Print Name of Property Owner Name of Applica Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County 4/Z/2022 Commission Expires January 29,20 LS STATEWIDE • 1:1 Main Street,Fishkill, NY 12524 1 email:• • . • SWIS JOB APPLICATION84 1 914.219.1062 • SWISTraining.corn Office Use Elect. Permit# / �5 Date ' // Bldg Permit# Utility ID# Final Certificate# City/VillageUi� ?j „�,�/� Zip 1 05 Township County Address / ilv ✓ /K/�I �� r Cross Street Section Block �— (O r/ /� Owner Name/Address(If different than above) Contact Number ❑Basement ❑'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 3D AUG 18 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by 5WIS.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 wrth 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# Company Nam Date )� ,�Z Signature Address '% �?, City/State Zip Code License# '� Phone# I� �l State Wide Inspection Services CAD 1080 Main Street NOV 2 8 2022 Fishkill, NY 12524 U X 845 Phone VILLAGE OF RYE BROOK 914-2194-219-1062 Fax : office@swisny.com WIDE INSPECTION SERVICES Emailce@swisn com Service With Integrity BUILDING DEPARTMENT y' 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 PO Box 713 6 Mulberry Court Rye, NY 10580 Rye Brook, NY 10573 Located at: 6 Mulberry Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP-195 129.25 1.77 Certificate Number: 2022-7805 Building Permit Number: BP21-179 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:6 Mulberry Court, Rye Brook, NY 10573 The Basement, First Floor,Second Floor,Attic, and Garage 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 22nd day of November 2022. Name Quantity Rating Circuit Type Receptacles 64 Switches 38 Luminaires 13 Fixtures 05 LV Luminaires 46 Range 01 Dishwasher 01 Exhaust Fan 01 Dimmers 24 Service Disconnect 01 200AMP Meter 01 Electric Water Heater 01 Panel 01 200AM P 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 i;SL IL � 7 a�! 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 a� n � N � N V4 O � �D 96 a, old C7 N Gr C r Q U m W Z N v ,. F w c ^I h o ot � e < a = I� se Z u w ai C) co�D Q oo w zCIO � A a Z w a M M � � a a w �Z F W Z � G ✓� eV ce = � Q V C czt z o. � z, x F ca o f , , -tE..aRC� ", U LS C E � V LE BUILDIk6 DEPARTMENT VILLAGE OF RYE BROOK SEP 16 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 VILLAGE OF RYE BROOK wwwxr rook.org _ BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY I1P#: 21-179 ►?P#: a - a a'eD Approval Date: SEP 17 204 Permit Fee: $ �aS_foU Approval Signature: Other: Disapproved: : (fees are non-refundable) Application dated,08-18-21 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: 6 Mulberry Court SBL: 129.25-1-1.770 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 Lic.#: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 Sworn to before a thi 1\�O day of ,20 dav o . ,20 Signature of Property Owner Signature of Appl' ant G /ti0 Print Name of Property Owner Name of Applicant NotaryPublic Notary Public SHARI MELILLO Notary Public, State of New York No. 01 ME6160063 Clualified in Westchester County Commission Exoires January 29.2012Q 3/21/19 i Westchester Rockland Electrical Inspection Services, In ?hone: 914-347-359 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue / Fax: 914-347-3596 Elmsford, NY 10523 I� BUILDING PERMIT NO. TEMP# DATE :j —•" L CITY OR VILLAGE ZIP CODE TOWNSHIP i STREET ANQ NO.OR ROAD OLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT j OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS ezl ,.� HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO, H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT f2�r— V, 1"FL. Y-FL. 3WFL. VILLAG3E OF RYE BROOK REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: VZI 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 r j ADDITIONAL❑ EXPOSED C 1 CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD[- UNDERGROUND G 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 AORREBS TELEPHONE NO. ZIP CODE LICENSE NO.WHEN APPLICABLE a N N r� W 00 00 ^ � rr z w o CMS INN* Q � a x z N �. Lr) N 00 440 wo °° ' O z rA Q a o z �I oo W Z w o V \ w z Z � z z a00 1�1 h+q U cn 0 a z z o z04 44 � 0. 0 W aq H O O H 3 a A w � a to _ 4 p �C� � �MC� BUIL,gfi�G DES R MENT APR 18 2022 VIL OK 938 KIN I� EETRYE$R51 K NY 10573 VILLAGE OF RYE BROOK 914 � BUILDING DEPARTMENT ( )9 939-5801��9 68 9 wv�vltlrb�oa .org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: p2 —7 pp#: c�2 O�;?— C)5Q Approval Date: APR 1 1022 Permit Fee: $ -7-70 � Approval Signature: A Other: Disapproved: (fees are non-refundable) Application dated, a ,_U2 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 work will be in conformance with all applicable Federal,State,County and LocalCodes. I.Address: � 1 iji ber r�/ COU& C CIUS 1-er Z -/ Z� SBL: I�"� �5"I'�� Cc-7 Zone: -PUD 2.Proposed Work: Ru kn G K r).e Inclle C(Ckr_/11/-1q am G-( T�r1 i S h ec� 3.Property Owner: S r0 tr-S Address: (deg}-42,e Q(�(s;( ��'S L 4f 3 2,5' t t.�i f-< I-t^S,if ECX 0'{ Phone#: a14 -7(pl - 5 bb Cell#: ��{-�Z�- 5j�(p email:ilf�,O LUa��arnaravtp•Corn 4.Master Plumber: Paul Nebo Address: Ord R97 170 Monrx>c NY 1QP sp Lic.#: q/0 Phone#: (P(do ell#:$115-783-(o(o(o [ email: 1neD rwS):!f(j jq(c'.'M1 of -co-n Company Name:/Ve,br�Rch-mbiog, ty&Xhyb1 l Address: Z&q kT/7/f'(DlMonroe A) ((Dqsb —�Coo1,�qq INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service I Sewer LP Gas Basement 1st Floor i 2- l Z 2nd Floor 3,d Floor 41 Floor Sd'Floor Exterior Z 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- �n 3/21/l9 STATE OF NEW YORl(,COUNTY OF WESTCNESTER ) as: Paul Nebrasky ,being duly sworn,deposes and states that helshe 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 snake and file this application. (indicate architect,conunctor,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 Ne%v 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 M' �✓�. S►vom to before me this day of C c ,2012 j day of 20 o;L0 Signatu f erty Owner Signat— u a off lica Pao Niebrosv_` Print Name of Property Owner Print Name of Applicant 1— Notary Public ' A a Nota %bik,stale ig. Yor>f Tea®i�6166307 Qftud is� cmty Il?x ' Pa,[ay 21,2 P.0 .3 This application must be properly completed in its entirety and must include the«��a ��a .,�8�.,�,.• the legal owner(s)orthe 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 ABBAGUATO NOTARY PUBLIC-STATE OF NEW YORK No.01AB8378708 Qualified In Orange County My Commission Expires 07.30.2022 3.02l/19 p BUILDING 6kOARTMENT CCE WC VILLAG>✓Ok'RYCBROOK APR 18 2022 938 KING STt�ET RYE BRO'dk, NY 10573 (914)93h-U668 FAx (914)939-5801 VILLAGE OF RYE BROOK ��w}y.hebrook oi'� BUILDING DEPARTMENT xxaxxx�xxiwkir iix Rai ixxxx AwxxixRRii ixir it ixirwi.�ixxirxirx iixxixir irxx RAix i ii.ix+iniir it irxxiexx Rxix ire ie it i.trxxie iexi atxxxxir it.i i.�x 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: Jeff Dubois , residing at, 4 West red oak Lane, Suite 325, White Plains, NY 10604 (Print name) (Address%%here you lire) 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 peirtains at; 111 I r `V t bt'I- y ( t1 'ffT , Rye Brook, NY. (Job I ddress) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer 6•om the subject property in accordance with all State, County and Village Codes. (Signature o��cner(s)) J�C �� �iti�vr (Print Name of Property Owner(s)) Sworn to before me this day of Lc 20 a (Notary Public) Christioe A Boyd Notary public,Store of New York No.01906166307 Q"MW in Wiatcbestar Couaty -3- Ca=ksioc Expim May 21,aW ,40a-3 3/21/19 r s O a - • Z G C C O L. GLT� i MM 73 • O O FC- s M .u y (•r a _ ; 'O Q Z � Eno j rT' L �" I�1 � � � � � � N � c � ego nai o,•3 /� � 04 .tea °� 2- .5 Ow y - Vim! PAOco MID a Z � v O ►--+ o ® U { F, oo E w O s A � M ^ hv � y � V �, ] � � •• E y R u V n m O _ 0-0 rq Q U p m z $ = Ea � � + w Wa p� Z ,,,,, O i �� •v L+ 00 Z Ey F i a EE u J Ems., G Z C� q C � •`-' � � � '� +- W Z G7 G .• y .. G � w 0 0 r m a .� w m w _ � 2 CEO LEV BUILDING. ffi*�RTMENT - E_ 1 VIt `E OF Rv OK b. NOV 19 2020 938 KING `TF,ET RYE BR NY 10573 �_ (914)96$ 9 39-5801 VILLAGE OF RYE BROOKWes, BUILDING DEPARTMENT APPLICATION TO INSTAIT FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: Approval Datc: '#:O - MP#: QJ-1101 Application Fec:$ l/� / Approval Signature: _ Permit fees:$_ Disapproved: _-- - Other: _ Application dated: j— —is hereby made to the Building Inspector of the Village of Rye Brook NY fix the issuance ofa Pennit to install a fire Suppression System as per detailed statement described below. 1. Job Address: C, M,,l(xr" eo4ar^I- Q o Y. )Parcel I.D.: QCJ '?,S-1-1.-'j- 7.one: 2. Proposed System(Describe system in detail including suppression agent): _. 3. Number& Types of Fire Sprinkler I leads: _ _- 4. N.Y State Construction Classification: 513 N.Y.State Use Classification:g;? 5. Cost of Installation:$ (Cost shall include all labor.materials.fixed equipment.professional fees.and materials and labor which may he donated gratis.) 6. Property Owner: 's _R. V')roo 1.L Qcr-t Y,er_, ---Address:SO Phone# 1$h��-_fir bra Cell# _ __ email: Applicant:Mo'e—I—mac Gi cSc t,os� Address: l5 1ra�rhrw.l Fbb�V- Viwr Mi CT Phone# �=F�O53 Cell# aq�67 tj t± email: f.1�rm.,�ez�ma.��c Arch itect/F,ngineer: R.\nl Er LG _cx%nc, Address: 519 Mwir,jtrcer %uj+aCs3 Ro�tan�> lA �-- oataq-tto� Phone# ((.1-4). ga Lj Cell# email:' r 1-1,s'UN\wcr'% . e_om-- GeneralContractor SZ[3 T]��e_��c�r_,r,rwc} c �,�Address:3 .,�,�� A� p���uL PM,.2 nV UA�la5Gur Phonc# (B45) 855-9466 Cell# email: -I- 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 WES"rCHESTER ) as: Q&__%CIo "9&rr%ftNMa«- ,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 M&&.VWQ Te_%d.:z -Nfty% 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 Unifonn Fire Prevention & Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to helbre the this Sworn to belbre the this Mal day of , 20 day of -61 . 20 1'4- Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name ol'Appltwnt Notary Public Notary P blic , ic M1'COhli,a �: Ica OCT.31,2022 -2- t O V � W 7 A J [jam M W LI CL 2 t � F 3 3 � h 7 00 w ? „ ova cn l U �iLn 00 M U 0 S a N z � AM O � ON oo a a �avUT� . Hy M cn W p a , n p; v xOD 0. zo WV z F'" N U ' 0 e: v c' Qa F, � V p Z .au �` o � °' PS �€ �% » v cn z F w z A o a o \%c A z `" e oA G .m 29 t BUILD MENT i- r`� VIL E OF RY OOK 1 938 KING ET RYE BROO#,NY 10573 J U L 1 1 2022 4 -OCj� _ _®� VILLAGE OF ; YE BROOK APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING^EQUIP/MENT FOR OFFICE USE ONLY: JUL PERMIT#:M Y 1 2 012 Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: W_ (fees are non-refundable) REOUIREMENTS 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#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$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. r.xxt ak**;F**F*nk****xaF F 4xF�c nk nY t FxxxxF xF*F;t F k kF*F;F**xoF t kxxxY Y irxicxx;Fxxxxxic r.is Fxic exic is icxie r'.xicxr.icxx xic is r.xxxr.>: Application dated, /� �- 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. 1. Address:—C, M" d ra SBL: a " 2 77Zone: ?LA u 2. Property Owner: Address: Phone#: Cell#: email: 3. Contractor: T% Address: ?a fav 3 f°I 47, h /j/y 12 f c/1 Phone#: ap Cell#: email: �� c� �/� R e l e w% 4. Applicant: Q , ` e Ar N Address: Phone#• �20 3— 3 9{— P-) S Cell#• email• 5. Scope of Work:New InstallationJ.*)•Replacemen/t-( )• Removal( )•Other( ): 6. List Equipment: ( d nr 64 ) t V h eye 7. Location of Equipment: �.. . r 8. Method of Installation/Remova (list all equipment needed to perform job): 1 8/12/2021 STATE F NEW YORK,COUNTY OF WESTCHESTER ) as: 1 I J am, L, ,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 i 4. C 6- 4- 1 for the legal owner and is duly authorized to make and file this application. (m icate architect,contractor, gent,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 beforee me this day of ,20 day of d" ,20 a,Z Signature of Property Owner Signature Applicant Pi'Iyi 0 <tire, 13 Print Name of Property Owner Print Name of Applicant Notary Public EBONY MARIE DESOLE lic Notary Public-State of New York NO. 01DE6114262 Qualified in Ulster My Commission Exniras '1 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.0 when tested in accordance with ASHRAE standard 193 • Approved for Twinning applications(0601410 through 1202420) with accessory(order separately) rr:; • 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 management districts with a 40 ng/J NOx emissions requirement. TOUGHER ,r • Flame roll-out sensors standard • Adjustable heating blower OFF delay • Factory set blower ON delay • RPJ" pnmary heat exchanger • Stainless steel secondary heat exchanger • High temperature limit control prevents overheatingIllustrations photographs are represernatrve. g � Some product models may vary. • Direct ignition with Silicon Nitride ignitor • High ual rrsion-resitant, prepainted steel cabinetWARNING EASRTO INSTALL AND SERVICE • Direct vent(2-pipe), single-pipe venting or ventilated combustion Failure to follow this warning could result in personal injury, air death,and/or property damage. • 24 VAC humidifier terminal&electronic air cleaner terminal This fumace 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 removal and secure installed. 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 ve s t eti • At least twelve different venting configurations ENERGUIDE • Through the casing flue pipe for counterflow or horizontal an.rr,.usr��rl�l applications with accessory (order separately) c • Concentric vent available TMUMIL • Self diagnostics with super bright LED UyJ • Slide out heat exchanger and blower assembly LIMITED WARRANTY * � � or. 97% • 20 heat exchanger limited warranty • 5 year parts limited warranty - With timely registration, an additional 5 year parts limiteda. , CERTIFIED warranty * For residential applications only. See warranty certificate for complete details and restrictions, including warranty coverage for Ua•of r^•^MRI c.rtarad TM Meru,ne�db manufaturr•partrapatron in the pogram For other applications. vrrlcahon.,crblicabon for urenrrdr.i pod is w to rrr,•w arec"oro 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) NgMSE0261408 40.000 96.0% 95.0% 400-775 35 x 14-3/16 x 29-1/2(889 x 361 x 120(54) 9 0401410 40,000 96.0 95.0% 625-905 3 x 14 16 x -1 (889 x 361 x 123 55) N9 040171 40.000 96.0 95.0 650-1050 x 1 - x 29-1 889 x 445 x 750) 134( 1 9 0601410 ,000 9 9 .0% 675-1130 35 x 14- / x -1/ (889 x 361 x 750) 127 57 N9MSE0601714A 60,000 96.0% 95.0% 650-1420 35 x 1 -1 x -1 2(889 x 445 x 7 144 9 0801716 80.000 96.0 95.0 810-16 5 x 17-1 x 1,2(889 x 445 x 750) 154(69) N9MSE0802120A 80,000 96.0% 95.0% 1335.1970 35 x 21 x 29-1/2(889 x 533 x 750) 162(73) N9MSE1002114A 100. 00 96.0% 915-1545 3 x 1 x 29-1/2(889 x 533 x 750) 169(76) N9MSE 1002120 1oo.000 96.6% 95.0 1345-2065 35 x 21 x -1/2(889 x 533 x 750) 169(76) N9 SE 1202420A 120,000 96.0% 95. 1320 10 35 x 24-1 x -1/ 9 x 622 x ) 186(84) N9 1402420 140.000 96. 94.4% 1290- 035 35 x 2 - x -1 2 889 x x ) 1 190(86) specifications are subject to change ritnout notke. 44011 4403 05 12/3/18 NXA6 A►.�`® Performance Series HEATING& COOLING PRODUCTS Product Specifications HIGH EFFICIENCY 16 SEER AIR CONDITIONER ENVIRONMENTALLY BALANCED R-410A REFRIGERANT 11/2 THRU 5 TONS SPLIT SYSTEM 208 / 230 Volt, 1-phase, 60 Hz rya 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 • 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� �ENE%Y STAR �tr��to • 5 year compressor limited warranty , rnatch d wvth appropnde 0oW 0yrtpo'aa Hovm. . proper reMgerant charW and proper m law am arocd • 5 ear rts limited warran rncludin com ressor and to whip rated �>Y and ef6aafcy. �aliahcrt a Y Pa tY ( 9 P this product should"low the menu%cfiXW's retngerm coil) EM charging and air flaw vtstrumors Falure to corthrrn proper charge ad airflow may rrd"energy eMaency -With timely registration, an additional 5 year parts limited and shorten equipment kip warranty (including compressor and coil) * For owner occupied, residential applications only. See CERTIFIED warranty certificate for complete details and �` US restrictions, including warranty for other applications. LISTED Use at the AHRI Certified TM Marx nacates a manufacturers participation n the p'ogram For wnrficanon of cartifica:ion fm�n,^,Mo_a'i products go tc www ahnd,rectory r Model Size Nominal Min. Circuit Max. Fuse Operating Dimensions Ship/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 31-3/16 x 31-3/16 147/ 183 (719 x 792 x 792) (83/67) NXA630GKA 21%" 30,000 168 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 28-516 x 35 x 35 204/ 165 (719 x 889 x 889) (93/75) NXA642GKA 3'/1 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 60,000 324 50 45-11/16 x 35 x 35 318/280 (1161 x 889 x 889) (144/ 127) Spec1ficatr0n5 sugect to Mange without nonce 421 11 6201 05 5/17/19 Nester D L�C� L��MC o�rcom AUG 13 2021 VILLAGE OF RYE BROOK George Latimer BUILDING DEPARTMENT Coll tity Executive Sherlita.lmler,I) Com III issionov of Health August 2, 2021 Russell Palucci, P.E. 140 Princeton Drive Shelton, CT 06484 RE: Log #: 13311-21-DCDA Application for Backflow Prevention Device Kingfield Development 6 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://health.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-BFlowCcDwestchestergov.com . Respectfully, �t 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 t ' 9 RERILE Department of Health 25 hlooee Avenue Mount Kisco,NY 10549 Telephone: (91 1(86 I 39g htix: (91 1)g 13-1691 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. 13311-21-DCDA Facility: Kingfield Development City, Village, Town: County: 6 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 backfiow 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, roustjbe 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 SvtJED FvR,TLIE JT`n I L_ ^iOIV11VIISJIO1VLf� Or I IGAL 1 1-1 tJ I I . DATE: August 2, 2021 Delroy Taylor, P.E. Assistant Commissioner NEW YORK 3TAree OEPAJnUENT OF HEALTH Bureau$lot&Pic WarCr, Aare,pgij Reacdg Report on Teat and Maintenance �rnV6'o Scots Plo:o•Ganung rowyr Room r rt0 Qwmy.Vv t22V of Backflowr Prevention Device Please use a separate form for each device. For the year -2Q� Initial!ast•COmyefa 9ntfro roan =� Annual test-CZrrtpfefa Par;A JM11 P�bllo Water S000b c�C� r LJ1 Fsciiw wine T�/A-0 Lxatbn of 0000e y. OoA'S dam. C D Address lelf "rm F� 1 �(t�c 14S13 Slreot city r Device Manufacturer Type Q RPZ Inftxmation ® T DP gF Ste(In blcltes) Serial Number CD,, Cgt,�;l Check Valve No.1 CltedtViRIMM0.2 01thmnCal Pressure Relief Line Pressure psi Val" Teat Laaked before fight Leaked 0 Opened at psid Date repair -Ctose0-0ght_Q = Ii Press"drop across first check valve psid M D Y Describe repairs and Repaired by motorlahs Name used Lic it KI/(� Date repaired: m M D Y Final test Closed light © Closed tight Pmd Opened at 1 (Pres O 8aurn drop across first N I� A! 0 Y checkvalve ?.0 paid Water Meter Number Meter Reading Type of Service:(check one) 9 Domestic 4\Fro,' 9 Clhm Remarks lDescnyo dahaenaea: poss byos,outlets before die device.connecltoru batw� the davice and t—� pdrrt d entry.mia:lrg or jnadeQuate ahgaps~etc) � Certtficaden:This device � meets, Ij O.NCT mrtet,the requirements of an ac b1e can inment device at the time of testing I l ereby certify Vte toregoutg data to be coned 4„-e :,,�,.s�- I�3y� Eq Nnnt name CorLTicd Tcntcr No. cn Cam ProRarty J vwner-6( rmmers agent)cerfrficalion that test was performed: / Pnm Name I Z,=. — Telephone Certifieat on that installation Is In accordance with the appmved plans. (To Oe eompleied by the design engir a a'ahud w water supplier.) 1 hryeby certify that this fnsttlkaticn is in accordance with the approved plans. Name Russell Palucci 'rite Engineer 6e ' O b �j Z Z NY8 DOH Log p Ucense Number 78721-1 Phone(845 )337-6040 In d 9 311—L1—LYtI7C1 Reprvaent:ng nn?e 0 u cns, OnSL Ing rgineers ❑eaorieo minor N � fl�\ �f E Address 140 Princeton Drive IuI \\V/J city Shelton State CT zip 06484 t Signetare NOV 2 8 2022 Vit=Z0n Ha �Owncr afid vratD!Cie One a neon cpcnmvm mornwnu.rvo are ono wpy ro viu water g trio:Hung cm.m•MY twppllor ,r, lately K devise IAL fast and ropalrc carrot immodLalely 0.= t0/ ! VILLAGE 0r= RYE BROOK 6 Mulberry Court Rye Brook NY 2015 IECC Energy -- -- 3D iR :—NOV 2 8 2022Ef•ciency Certificate _ VILLAGE OF RYE BROOK BUILDING DEPARTMENT Insulation Rating R-Value 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#N9MSE1002120A 95.5% Cooling System: Heil 4 Ton#NXa648GKA 16 SEER Water Heater: Model VSCE32 119R 119 Gallon Electric Name: Jobe Leonard Date: 2/19/19 Comments r— Envelope Leakage Test j d E C IM W Testing Company: Technician: NOV 2 8 2022 Name: ProChek Name: Frank laconetti VILLAGE OF RYE BROOK Address: 100 Mill Plain Rd Credentials: BPI BUILDING DEPARTMENT Danbury, CT 06811 Email: info@prochek:ooh, --� - Phone: 800-338-5050 www.prochek.com Building Information: Customer Information: Project ID: 4862-6 Miberry CT Port Chester NY Name: Address: 4862-6 Mulberry Ct Address: 4862-6 Mulberry Ct Port Chester, NY Port Chester, NY Geo-Tag Data: Latitude: 41.048016 Longitude: -73.691647 Timestamp: 2022-11-18 11:03:48 Measured Leakage: 2.96 ACH50 Leakage Target: 3.00 ACH50 Compliance with Leakage Target: Pass Test ID: 4862-6 Mulberry Ct Port Chester NY 1 Purpose of Test: IECC 12/15 Env. Leakage Measured CFM50: 1,600.8 (+/- 3.5%) Effective Leakage Area: 97.4 in Building Volume: 32,463.0 ft3 Enclosure Surface Area: 3,200.0 ft2 Coefficient (C): 147.4 (+/- 31.0%) Exponent (n): 0.610 (+/- 0.084) Correlation Coefficient: 0.99061 Test Standard: ASTM E779 (single mode) Test Mode: Depressurize Test Characteristics: Pre Indoor Temp: 65 °F Post Indoor Temp: 65 °F Pre Outdoor Temp: 50 °F Post Outdoor Temp: 50 °F Altitude: 184.0 ft Time Average Period: 30 seconds Test Date and Time: 2022-11-18 12.24:39 2000 • Depressurize — w U 1000 1211 900 a 800 700 600 J 500 00 400 300 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 -5.1 -60.0 -62.6 -58.4 -106.8 1,853.7 Ring A -54.0 -61.9 -57.7 -100.2 1,797.3 Ring A -48.0 -54.7 -50.5 -87.4 1,681.1 Ring A -42.0 -49.7 -45.5 -72.9 1,538.3 Ring A -36.0 -45.0 -40.8 -57.2 1,366.6 Ring A -30.0 -35.4 -31.2 -44.7 1,212.5 Ring A -24.0 -32.0 -27.8 -38.7 1,130.2 Ring A -18.0 -25.7 -21.5 -31.3 1,018.6 Ring A Baseline -3.3 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 Building Permit Check List&Zoning Analysis Address: �� ���-�-SrZ`. �� . SBL l 2`J'. ZS — l • 7 7 Zoned Use 2 Const.Type: Other: Submittal Date: S Z Revisions Submittal Dates: Applicant C Nature of Work: C JZA`'%, W •ti - Reviews:ZBA: J U L 2 2 2021 pB: BOT: Other. NE ( ( ) FEES:Filing:a�S BP: ( `�( C/O: %� ( ) ( �APP: Dated Notarized Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO: Long Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) S�JRVEY:Dated Current Archival Sealed: Unacceptable ( ) ( Sealed- ,, Date Stamped: ✓ Seale . '� Copies: `Z Electronic. Other. (4/ ( ) 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 I-W.I.C.:_Battery-_Other. PLUMBING Plans: Permit Nat Gas: LP Gas: . N/A/: Other. ( FIRE SUPPRESSION:Plans: �C I/ 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 EXISTING PROPOSED NOTES Am: Date: JUL 2 2 J21 Cir : Fzn F� l= sidw Rsar. Main C F S : Sd.H/Sb: SGEA. : Ft.Imp P n . HHd&/Stories: notes: Residential Building Permit Fee Work Sheet Permit#: D,ate Issued: SBL: Zone: Address: (//__� V^"l v L�va-fl--2G)Y _ Property Owner&Contact Info: Job Description: 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 $I5.001$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq,-Ft. • New Construction Cost • Building Permit Fee Basement= _1-7-7 sq.ft.x $65.00 =$ - :z I5.00/$I,000.00= $ 7S 7, ss Attached Garage= L�9 sq. ft.x$225.00= $ '7 7S. '--x$I5.00/$I,000.00 = $ I"Fl. _ 2-2 sq.ft.x$225.00= $ Z 2-4 SSA x$I5.00/$I,000.00= $ 33 6�, -2 2"'Fl. _ �Z-S sq.ft.x$225.00= $ 3ZLP. 6 % $I5.00/$I,000.00= $ 4 ��� Y Fl. = sq. ft.x $225.00= $ x$I5.00/$I,000.00= $ 4,'Fl.= sq.ft.x$225.00 = $ x$I5.00/$I,000.00= $ . 4.f'.. -X Total Sq.Pt._' sq. ft. Total Cost= $ Total B.P.Fee= $ & u Total Amount Paid= $ IQ `{ t 6 Total Amount Due= $ Date: Signed: This form must be properly completed & notarized by the Design F rrl �7 record and the Property Owner. Failure to provide this completed �f v permit application will delay the permitting process MAY - 5 2021 ID VILLAGE OF 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: &,Jrtnl SMutL &A,S Subject Property: U �1 Lt l )2161/ ,( C r SBL: Zone: 1� J Please take notice that the subject; E!'One or Two Family; ❑ Commercial, ZNew Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; B Truss Type Construction(TT) 2rPre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders &Beams(F) ❑ Roof Framing (R) El 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§1264 for Commercial Buildings, and NYCRIZ§1265 for One&Two Family Dwellings. � 1 ZZ/2/ Datc Dcsign Pr essio t)L'21-1 Date Prope Datc Notary Public (7) TRISHA MARTINE NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6331843 Qualified in Dutchess County My Commission Expires 10-19-2023 CERTIFICATE OF LIABILITY INSURANCE 1.82('10`" 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 NAME EACT � Aon Risk Services Northeast, Inc. PHONE (g�1 283-7122 FAX (8003 ;63-0105 y Boston MA office (AC.No.EXt): (MC. 53 State Street E-MAIL 2 Suite 2201 ADDRESS. _ Boston MA 02109 USA INSURER(S)AFFORDING COVERAGE NAIL• INS(RIED INSURER A: Navigators Insurance Co 42307 Sc Rye Brook Partners, LLC INSURER6: Guideone National Insurance Company 14167 230 Park Ave. New York NY 10169 USA INSURERC: Starr Indemnity a 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 INSURANCE INSO WVD POLICY NUMBER MMDD/YYYY I/A'Dd LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE S5,000,000 CLAIMS-MADE ❑X OCCUF PREMGE-TO RENTED ISES Eaoccumence $100,000 ME EXP(Any one person) Excluded PERSCNAL 6 ADV INJURY S51000.00 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE SS,000,000 POLICY X PRO JECT LOC PRODUCTS-COMPIOP AGG $5,000,000 POLICY [� OTHER: g I. AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT � n ANY AUTO BODILY INJURY I Per person Z OWNED SCHEDULED BODILY INJURY(Per accdent) dl MIREDDATOOS AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident)_ U t d ca1RELLALR OCCUR 1000579693201 0 /3 202011/01/2021 EACHOCCURRFNCF C) X EXCESS LIAR CLAIMS-MADE AGGREGATE $5.000,000 DED RETENTION WORKERS COMPENSATION AND PER STATUTE I OTH- EMPLOYERS'LIABILITY Y I N ER At:v PROPRIETOR PARTNER EXECUTIVE E.L.EACH ACCIDENT OFF, CER.MEMBER EXCLUDED' ❑NIA (M ndory In NM E.L.DISEASE-EA EMPLOYEE H yes,descnbe under DESCRIPTION OF OPERATIONS bek.w E L.DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES(ACORD 101 Additional Remarks Schedule,may be attached It more space is r"uvedl a_ �i 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. 51 village of Rye Brook AUTHORIZED REPRESENTATIVE aaa` 938 King Street �. Rye Brook NY 10573 USA �XLOIi a��'1G�WRG tJ6'..LYI:'CO V/ '.Jrr �/laEl �� (c1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016 03) The ACORD name and logo are registered marks of ACORD Y-1 ":STA"T Workers' Certificate of Attestation of Exemption 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 partyt** 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 1100 Kin S Brook Partners,LLC From:The Village of Rye Brook NY B 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 S100,000 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.) 1,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. SIGN HERE Signature: Date: MtMDoi t � ;� � ` , ` ?x Imo" �� •.. '5�,. •� >'�r ,,;�� v -�r�. y�'�yam, . '.� 41 .�. CE-200 01/201 B --al,ll �Ro`� DATE M*A/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAM : CLIENT CONTACT CENTER FAX HOME OFFICE: P.O. BOX 328 A10C, .. Eat):888-333-4949NE I A C No):507-4464664 OWATONNA, MN 55060 A..Ess:CLIENTCONTACTCENTER(&FEDINS.COM INSURERS)AFFORDING COVERAGE NAIC Jt INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 149.-668_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 LIMITS TR INSR MMID IYYYY MMIDDIY V X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED $100,000 PREMISES Ea occurrenx MED EXP(Any one person) $10,000 A N N 6115492 05/11/2021 04/01/2022 PERSONAL&ADV INJURY $1,000,p00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 �OTHER POLICY ElJECT LOD PRODUCTS-COMPIOP AGO $2,000,000 : AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 n X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONLY SCHEDULED AUTOS N N 6115492 05/11/2021 04/01/2022 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accidentl X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $20,000,000 A EXCESS LIAB CLAIMS-MADE N N 6115495 05/11/2021 04/01/2022 AGGREGATE $20,000,000 DED I I RETENTION WORKERS COMPENSATION H- AND EMPLOYERS'LIABILITY Y/N X PER STATUTE OER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 A OFFICER/MEMBER EXCLUDED? NIA N 1814077 05/11/2021 04/01/2022 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE 51,M0,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,00(),000 DESCRIPTION OF OPERATIONS I 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 • "' �� �/V yr O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured 860-632-8053 MACK FIRE PROTECTION INC 149-868-2 15 INDUSTRIAL PARK PL 1c. NYS Unemployment Insurance Employer Registration Number of MIDDLETOWN, CT 06457-1501 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"1 a" 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 QX 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 carder 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 • AC Q� DATE(MM/DD�YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/1/2022 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 GUNIACT OTT AGENCY NAME a°No PO Box 659 EXI (845) 895-8873 ac No t-MAWallkill, NY 12589 ADDRESSottins200l@yahoo.com INSURER(S) AFFORDING COVERAGE NAICX INSURER A Main Street America INSURED Total Comfort Inc INSURER B National Grange PO Box 359 INSURER C 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 IN RI D U LTR TYPE OF INSURANCE INSD I wVD POLICY NUMBER MM DD/YYYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 500 000 A X X MPU7919F 1/21/2022 1/21/2023 MEDEXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY 7 PRO- I F_� JECT I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY ANYAUTO Ea accident) $ 1,000,000 OWNED SCHEDULED B1U7919F 1/21/2022 1/21/2023 BODILY INJURY(Per person) $ $ AUTOS ONLY x AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED $ x AUTOS ONLY x AUTOS ONLY Per PROPERTY accident) $ X UMBRELLA LIAB X OCCUR B EXCESS LIAB CUU7919F 1/21/2022 1/21/2023 EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE AGGREGATE $ 5,000,000 DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER ANV ICPROPRIETOR/PARTNER/EXECUTIVE YIN WCU7 919F 1/21/2022 1/ B OFF ERMEMBER EXCLUDED? N/A 21/2023 E L EACH ACCIDENT $ 1,000,000 (I yes es ri eu E L DISEASE-EA EMPLOYE $ 1,000,000 If yes describe under 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 If 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 REPRESENT TIVE ©1988-2015 ACORD CORPORATION All rights reserved ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' CERTIFICATE OF -� srarE I Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured TOTAL COMFORT INC 203-223-6700 PO BOX 359 1c.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 certain locations in New York State.i.e.,a Wrap-Up Policy) 1d.Federal Employer Identification Number of Insured or Social Security 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 n1/91t?n?9 to n1191/ems 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"T'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: WILLIAM C OTT (Print name,of 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 ,Er e'urt*0E t>M taele eox KI V !n r!raERamuo N11GI s Wil MKCTID V TIE D�T� - --- --- 0 RM NT !11 le MMI!Bf OTKti) 4 91b p,Its Ir oil 119 R�- - ^E1MIR �TMG 16'lIlD47aU0 C 'A'-13,25,21 LAVENDER LANE N F1 p P .•- - CLUSTER'8.-14,16,18 LAVENDER.tiM B E R RY C 0 U RT — U N I T A ;�, t —r „s CLUSTER 13,1Q12 LAVENDER ANE 6 M U L , '- 1 r Is -15,11,19 LAVENDER LANE CLUSTER*r-9,11,13 LAYWER.ANE WATER SUPPLY 24 115 CLUSTER.G. 3,5,7 LAVEI�ER LINE NYESTATIC P I P e= (V`;� fir, ' '' Its -Ills- " CLUSTER T-1,4,6 LAVENDER LANE RYE B RD O K9 _S C S. 50 S rm: ` rti ns I t �, 19, CLUSTER.D.-2,4,6 ROSE/l►+E RFSID PSI: 40 PS 1 1p1' �y�;TIS � Is>5-0 10,12,14 ROSE LANE Ite��' Eta; t �! e�s t-gt Da CUC��•R•-3,5,7 ROSE 1!NE FLOW: 1050 GPM le �n IIr:, 1 f;,n 'Tin� -- ---- _ JNE 1 `� p �- 16,1B,20 ROSE ! tlt9 Ink \ CLUSTER r-9,11,13 ROSE.ANE ,LIT ItoCLUSTER -21,23.25 HONEI'S LE JwE Ills - \` ��/ f CLUSTER k'-15,17,19 HONCYSUCKLE LANE �-V FK m mt('"-I CLUSTER Y-9,11,13 HONEYSUCKLE LANE aE,e•umtola,m 1!tv(x1ta �j1111�°e f, ' �,m'11 CLUSTER •-3s,i PRIMROSE LA -- wN(e!DttETsl % '1 ns C 'JJ'-8,10,12 PRIMROSE AWE \\\ \\ wool H.,vu \\\ \\\ 906 pL �v P IN14 > <-�\\ns CLUSTER l(I('-11,13,15 PRIMROSE ANE \ N ✓f� } / ?fit,n' a(►e'ulcou ro go r [1'p 21.23.25 JASMINE LANE \ \ / `p �\ \ leyWIN(W01015CLUSTER 13,15,17 JOPIE LAIC `\` T}6 surd,ttRS 1)Q4II n � a`>>'1 f% pe11B' ,•.. ��;In C UL SiER 1NY�=7,9,11 JIISYPIE LANE \•�;� \//, � ')Or 2,4,6 JAWNE LANE NFPA-13D GENERAL NOTES u"f10�'°""'�Ur �� t: 1" � '` •`' lu 1sCll T� 00 OF THE DllSTUEO LWS 511 � .�1. 1S �. � '�♦ - ^f 1 a Nib - CLUSTER w 1,35 JASMINE LANE SYSTEM DESIGN-RESIDENTIAL AREAS .'VET SYSTEM ``` � P1=s I , __ 1 n 1t0�N; �' \ --�1's CIIISTtR'ZZ'�-4,6,8 MULBERRY COURT SPRINKLER f<\v/' III CLUSTER•AAA-3,5,1 IIIABERRY COURT SPRER SYSTEM IS A HYDRAULICALLY CALCULATED MET SYSTEM \\ ; ti 1FFSEr HANCE. \\ PIPING HAS BEEN SIZED USING A LIGHT HAZARD DENSITY OF.05 GPM OVER MOST REMOTE 4 SPRINKLERS \\\ \\ \f -� QFF SET HAN:.ER�� r/� �• -. A •� 1�� 10 17 N A COMPARTMENT USING RESIDENTIAL SPRINKLER HEADS. \` I ``\ \ 0.— MAXIMUM SPRPIXLER HEAD SPAC°+G-324 R .AQQD iRl,SS OR 9EA,A • WOOD SCRE•N 418•1 17� ` ,\+�!� n -� fir ! v r 15 __()'�N�+16•(IQ M)�0 SYSTEM DESIGN PER N F P A r30;2071 EDITION) woos TRUSS OR RFAAn _. Q PIPE MATERIALS --- ---- gbh 1�� { 1 ALL PIPE AND nrnNGs ARE&AzEMASTER CPVc OFFSET HANGER DETAIL HALF STRAP HANGER DETAIL -- ��- SBL# {O3 CONTRACT INFORMATION IV.r.s N r.s --� Mows UNDER THIS CONTRACT C049STS OF THE FOLLOWINIG _ DATEJ U L 2 2 2021 DESIGN AND INSTALL A WORKING SPRINKLER SYSTEM PER N F P A.-13D 2013 EDITION -__ _ -- 'm m om 10 111�U W� APPROV D -DRAF`STOPPNG SHALL BE PROYIDED BY THE DINER IN ACCORDANCE MATH THE LS.C.2903 EDITION / _� - - - - -- -- SITE PLAN ilrl� 1�� _'� DosnlO IF GIE+AIK -BATHROOMS LESS THAN 55 SAS'SHALL BE IN CDAPJANCE MATH THE REOUIREYENTS OF NFPA-130 6.6 - - _-- --- -- N.T.S . A ALL BATHROOMS ARE NONCOMBUSTIBLE SHEET ROCX METH A 30 WN.MERAIAL BARRIER 1• -y_ -.- - - ME1 e'•(ATE'k��1!!1RM -CLOSETS.ESS THAN 24 SOFT SHALL ES£jN CCMPUANCE rATH THE REOURE►ffNTS!�NFPA-130 6.6.3. -- - - � - -- - -- - rT Qi of Rye CLOSETS ARE CONSTRUCTED OF NONCOIftST19LE SHEET ROCK,MTH A 30 MIN THERMAL BARRIER _ _ aUN.,D�N�3 tNSP��+• V� M 1 -EXTERIOR BALCONIES. SPRINKLER PROTECTION IS PROVIDED ON ALL BALCONIES AND PATIOS OF DWEWNG -- \- - - 1• _ UNITS IN ACCORDANCE MATH THE IBC 2003 EDITION,SECTION 903.31 2t o- D`10 - - -- _-- _ - 00 -ATTICS ARE NOT USED FOR STORAGE AND DO NOT CONTAIN ANY FUEL FIRED EOIAPYENT. - j --^ - -- - -- - - -� ---- --- - III ---F - 01 NOTES TO THE OWNER i - I { - - _ _ __-- - - II BfLSE��ENI PER NFPA �! 6.9•MAINTENANCE _ 6 9.1 THE OWNER SHALL BE RESPONSIBLE FOR THE CONDITION OF SPRINKt R SYSTEM - - - _ _ �I AND SHALL KEEP THE SYSTEM IN NORMAL OPERATING CONDITION. F $' j II^ --- - - -- ail - 6.9 2 SPRINKLER SYSTEMS SHAL.BE INSPECTED TES ED AND MAINTAINED IN ACCORDANCE ' , WITH NFPA 25 STANDARD FOR THE INSPECTION TESTING AND MAINTENANCE 0= _ 3 _ _ - -- WA ER-BASED FIRE PROTECTION SYSTEMS. - -- - -- 9--- - -' O -' - A.,9 THE RESPONSIBILI-Y FOR PROPERLY MAIN AINING A SPRINKLER SYSTEM IS-HAT OF THE _ - - I ' ' ! 1>< 1- - - - - - _ OWNER OR MANAGER WHO SHOULD UNDERSTAND THE SPRINK_ER Si S-EM OPERATION ' -�• - - I _ FOR FURTHER.IMF"RMATION SEE NFPA 25 STANDARD FOR THE INSPECTION TESTING AND VAINTEVA\E OF WATER-BASED FIRE PROTECTION SYSTEMS ADDI JONALLY - 1)YOU LAUST MAIN-Al'.SU=FICIENI H=A THROUGHOUT THE PREMISES - PREVENT THE WET SYSTEM FRO?!FREEZING - - - - _ _ _ - - -, - F I Ilj D.O.H.APPROVAL 2)YOU SHALL INFORM TENANTS Oc!'ROPER CARE NECESSARY TO MAINTAIN -_ - - --- - II r- l" - - - I• -\ � UIRED FOR THE SYSTEM. ' I, - - 1' --- ,r/ -- \ I' - �� 3)IF THE CONSTRUCTION OR OCCUPANCY IS ALTERED IN ANY WAY - - -6 -- - -- - - -1 �' KFl:01N PREVE ON DEVICE. THE SYSTEM WILL HAVE TO BE UPDATED ACCORDINGLY _4 I - 10, 7" 7 BAI'H FA ur Mcuultt Mma-nr sx n mmus41 bLK tt,OoawL A D08e1M IUHR 9tatDl �/Z/z�z -% - m � UnFIrTT�•IED 1_ !P- _�- J - Dr„CIAuc MOM 74r QWA M!Z0K Oalltat FUSER wtsa ftN -- _ � - - -- _ OX TYR RON SIITOI WF RMIRI GW 1 TE9/OaW ti111E� -- - - -- - ��\t~e[2-0�l✓•L�b_ [,A 1,_ � � - .- r to tam%mmw CORE OM DETECIM ASORI art-, _ _ __ _ / �: -- ( . 414E WITIF1lY lNVES YW IbKO A MUM laps 90DE3 '-" - - I , y.-;- - - �r RIM Mmn�smatna-mLsf aEnL o(maoR D 21 13 -.-- � ,• Ij ,( !0!1¢RIIREAFLY rlV6 TIF 0>lIIW A IFLETeF1 TAIi4A SeftDES L..I \ - 2UZM WXL 195=TDW MRE OEO OETEIM Amnal 1lm ? - j _mil ' soe _ e• //.•i saEA4n anro4L�Lra rtw wrw A errttew TNPFR 4a DE= -'�` - - _ sos !/ IY vlCuutO tan."2m'SDE�(D eURDeI..SOLVE iHU II1ItU➢I A NIERNt MI(tR stem! Or 100"1�.'Nr I ITaE NK t�16D ww:L with r___'-{ i� r i _ - $ / WX TIR LTA W D•140 W!Q a IEST 1tI1aA"I* ,� s /lam 902 510 / I.FXCAVATEC - - 1� f % - = r - �On�510 O - '/ - soe 606 ///1 j ,____ -' �-y Ml:uutt Mmfl'T>B'SI3TItED s7a1B+.�K TFMI OX�A�6ERnt 1NEEER ACED! v 7-- - -- �- / / / % -' w t2„Lu Mae*24r GWK 00C NK c�LRnL IM IMNM VRH _ - i / ,• -� �. wI[TYK R011 arD WD!�4 AG t TISI 7ww NLtf �t>f Out I0 Stf'Pl•9�PF - i F 1 /,/ / /, _, /r / �/ - -- -' �or vCrALAt lam 74r Tmo.A Dam mE OOOImL IasER uA1ArT1!.TH !o f M FLa 9rD-.TER t GUA a TO 90 001 -- ,K tr�AluL MDm 726'S�WITUOU vX4 THr CONTAIN A MT 1111K AIpI:sItTTD1 - -- -- �� /'"� / � Q r-- /';!j,i �/ �,i�/-� -_ _ - - -•°-.� _.__. 4 � �J - -- - -1•- �-7i �//' / t\E�l-A'.�1�D � /,//// / .. - IE ,`} L, ��,� �; �` T r� .w .s.•r�• ... 2•,Or MCWIX lam V GXCIAD COKEM R♦DI F i r, i • 509 6079� -- -- - --- �� 1'ZIRN Mm0'MITIA3'OOI�I OM IETE"AMI&Y Rih - - - - ----- - SDEr(n 9uTtMI%Xe THAI DJ"A 111TOW ARV 9 K4.) --- -- - - t NOV f r r B SE'.ENT FLOOR _ 19 i E.::\ =0'-Cr -- UNIT"C2" UNIT'A_" UNIT"C1" 2020 l � _ FLOOR ELEVATIONS _BASEMENT FL OOR F/RE I '' R r F` BASEMENT TO FIRST FLR 4-6° d r SPR/l�/KL ER SYST,EM RISER DETAIL FIRST FLR.TC SECOND FLR = 10' FIRE PROTECT/ON PLAN N.T.S. SCALE:7 4"=1-0" SYMBOL LEGEND SPRINKLER HEAD LEGEND JOB INFORMATION ".All pr;c lvcaliow,:Y:e to be ftl:id Inca cared Prior to Lauri:at!e:! Vrhwher or m irdica'%Ld or.;he�!�I.:ir�s.'.t:e toflowinT:items atc 10 b-F'�L�vOLd' Ew DESCRIPTION DRAWING TREE:BASEMENT FLOOR FIRE PROTECTION PLAN PROJECT:KINGFIELD DEVELOPMENT SYMBOL DESCRIPTION SYMBOL and ilzsi.�lla5Qr.•y t11e Sprini leR coruactrr.. Heat:Cat:i,;e;,spa e he:Ads otid head v rench per NFPA 1.? ��NEN Y�'9 1 hY7R:lICREFERt>EE�01 b �ELA6 E'RTC 9u'RESm]FIA tDF tEnPE+DEYr�at7gB+t.1N�a.9.8 ESOEG�EE.sI=RAVE REVISIONS: DATE: ADDRESS:INTERNATIONAL DRIVE 2.All oimen-IOrs Shown are:end to end -?rovisi^ns tar flushing c0I':;le-nonS a0v.drabin 01 a!!t•lpc ,��i�vG Ep .f- Cu-3 E;,ATKNSE.W•0110;S-Eg CONTRACT:OOOO CITY:RYE BROOK PHONSTATEE: ( 4)761-25 3.Hteh tert]p•_ral:Ire heads i:rr to rh lieici ir,-lall�ci whets k:quIrec -lr.Spec'tor's test conneclion shall:;c-�revided for each syste!r �v`' (-I E=:ATDNA3MEFIV5E7300R 0-1 RLAS.E'I�bEOLKCRswwSECONCatE:PED3I►SwNaB!rrw Icrt6�z�TD[�REF srt'aAil!5 CLIENT:THE WARJAM GROUP PHONE:19141 761.250 Tj 77 4.4 pipes and hangers are to be in;;alled per NFPA 13 -HydrauIit:YJet,;l!1t;ajon p1;)tes l NE-P,A required Si4nS # 1y c1 UW I» 20-02 E:vATIW0:TOPOFST-� CONSTRUCTION:WOOD LTD. 5.G iddcl wet systelT,s Shall I]FO:'hie D relief valve p2!N FP% _. !• z ® CFeAGflp' - aE uB.E F'R:S1'9ESDITNI piQ�YlA,sprr:_S:�vLE�'�wT aa:Q1ro-r,RE_sK:Ruv ADDRESS:S INTERNATIONAL DRIVE•SUITE 1 14 3..Ali new pi, is tc La hyd:Qs'aticatly tasti e?t no!less Char.?•.,psi It is the 5uildins o�rners res 0nsi ilky:.� re:idE:adN;owe hex`o-all Irea�in the. r � � �����fy� OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY ZIP:10573 1 5 INDUSTRIAL PARK PLACE,MIDDLETOWN,CT 06457 p, .� , !Qr,10,,rt..0"%.'•!7i%psi in ext:es:•c]t the:t]:lXt t'.UF^pFra5i:!t U:111d1!itj ti'L�;BGtt)d 2�:e!!y0;c�tits le'SISFirni a!C:i{Y.all A,:]tr tilled S:!ji,^•!v Si,:e.Vai�E S , -�/� R�WEIP q(yg(T'=q55'?!K]tRES�(1SE a4QC+IALSf31ALLf?la1(:�17 F(SE�20C r{rT 511�R:1�' SYSTEM TYPE:WET when;hE!rnaxirnurr p assure tc b�n ain!�ireA Ic 6^E�crss vt']Up�l :and 5.:�!E;�rt�F.'.:S iC d'�•;ype s:stems. 31 07812 P:860.632'B053 F:86D•63Z•805 CL F P �/$ A?E'LRVSOOHA -' DATE: 1I2020 FIRE SPRINKLER CONTRACTOR CONTACT WWW,MACKFIRE.COM 7.A quick Openim,deli?is requi-ec v.hen dry aVs!trr\'i urYtb';,c.:A7ed: .Ai'pre-cut:;shall be Rnainlainer!Or;all!IR IV PC SyZ,1Vn1s';3t,a f0V-2d i,UIJr!iAtIC al! � a Y y� Y pp pROFES`��O PI{Fl RNPP - TyC,,jRrRESICq�DF1Fc0WSRvaa�R••!Tor.00C*7sx,RgSKmTMX.wmstrERV DESIGNER:TODD DELISLE PHONE: 530.551 5oc y 111t]�:,pr:r NFPI-1.$ rompressc:r or plan!aiI systEm spEcr;irzl!..tp:F;vErt Ro:Ird ca,able of autotra•i Al{y PORT CHESTER LICENSES: CT:FI.40291 MA:SC•120494 R1:000347 p PPEGTCOVEDCOLPJGSIgr1 EAHJ:FIRE MARSHAL E-MAIL:TDELISLE@MACKFIRE.COM P.NPPA i:iii appl,as•etmiec: r7H7n;dltul�!j thl:rt:t;Jirtid air p!u,-_.Ire Q Ot WEV;LA.`DJE,ISTI 14-S TDTALTNIS SHEET:. TOTAL TH,S Joe:- cowlw,croR to AoEluAr'_Y MUTATED THE SECOND 1t' �OTf111EERED ft" 0 16'oc- ` NIfA AliO4E of 10 KW null THE TM S%ICFR PIPE DOES 101 f am LIP KIN F1 V PM NT 6 MULBERRY COURT UNIT A 1TII)KIKi,I_ SECOND F.00- E.EV=19'-e' RYE BROOKS NY. �Il U KIKI,I 16'DEEP EN;,EYIED HOOK TRUSS 0 16'O.C. RLN NL PIPES NM THE WAGE M ICS AS 4DI NO W l AS POSSO E TO ALLOW OR IM=A 4dA OF oi4JIATOB, "IRST:.DO' / - -7-7-7-7 - --- - . Lnfinl:hed y Basement - _ - _ OOIK'J1R151A8 GARAGE SECT/ON ---- - / --- I- - - -- - - -, N.T.S. _ -- - - ND DEC).OR BLUESTONE PAVE? -1INI�G ROOM oo 1100 / �7� • l - -!/ t• ,/ LIVING / n 2'CONTROL VALVE AND ALL UNDERGROUND PIPPING ----t: 6$ ROOM V J IS BY OTHERS MACK FlRE PROTECTION'S CONTRACT BEGINS a1 2'FIRE SERVICE WATER LINE LEFT INSIDE • 0 ) _ THE BASIMENT. HYDRAL11.11C DESIGN A i II�IVC•Ktn?�1 / 1 1MtP fBOF IFE i E.9_�J - - - ---- r' __ 7 UQACAOUO FK SUNU MIFF LK OOr C i G _ OM KM IK BOSOM RM(Of INHOS) HYDRAULIC DESIGN CRITERIA IMIRR IWIrJ -7 calm VIA VIM M wr>a -3# If tP FROM Of _ M/f 114T WR FUN Wo(8P GDM BMWDensity .05 ! 602 ^3 j- - r0• / 7 01 UCUUQ o FK SERMCE WEN LK OP Spacing VARIES - - - ---_ ---- - _ . --- I /n+krrT'tlK1MRE(Br OD" K factor 4 9 / / Y It -- /' ;v 1%r• -o' � , / /� // Ili ro. -'' o' T!�< _ s,o' `- -T CLy�s,,. CL Hose Allowance ; I31)JR(till This System,s Designed to Discharge at a Rate of .05 GPM per sq ft , ; PANTRY of Floor Area Over o Remote Area of //////////! //// k 2 Sprinklers when Supplied w tf Water �' /' 9-0' RN tK.le_A� ��- �t I I�OM_�. •J - --\ of the Rote of ,4 7 GPM at 42 PSI !/ at the FP 0601Ag NV S' MU ''- '• DROO�o r-, l' . 1. t� 0 0-6E - 49 �:6 �� , a 1" 5 1' ?• p(� $ / I L1P pit �F / / t' S,'r• So SMUM PPE IN GWwa - } , ' t, _ � •_, IRfI 16G W lE IlDQi ABOtE 7 tNXKRasu FK SM WEA LK o01111 - / ; ---� / i wo ITm OE eimm R"(Br-KRr 7'OOKM wW Vtl,NMk UWD W01 e , '• • '� '• • '• / / w i me■i'-nail wo(Br Doris 7 J001GIO[rK STRVD:WEA UE UP L _ _ , . f1�P E+ / 1 J I?• / / i' HTO IEATtD DCMA(BY 01IM - , / O- iaMW s-to- -6 ,: 9! GARAGE r L1090M FK Wa OLD LK WO / No Km K no(Br or4m -- ---tijESTONE / -,)�77777777- wnow ate wwoo►I Iw rr Pua WN.o,IDD W UNIT'A oa[Tk ailimcm KaiE - / TI[AFKA ogccTtr NNE AC BOX FA01 __ _ - -- ----- SptaaER NPT ale Hero Lusa 1[ aAZEILsTTR tic tvsnc MOM RFT UN/T"C2" I I N U R A I.1_1('D ES I(i� / :'aihiM w0l VDI�K!ERNL 109 9"a I I 1 D R.��(I�lii D L 5 I(/t\ � UN/T"C 1 FKJ IQ 96"SO TV 4 i FROM Tit A001 - r,I, .KI �< AN DW MU afr SVTDI Rf ONM - - ----- ' Ik�l I�I I it,k ARM* t SMDMW TOAD= ' _ K\(1 1'LOURF[1 FF1 SCI Q WO LK UP Im FEARD OCJSK(B(OM) /�KQKAR COX ISLKAIO, HYDRAULIC DESIGN CRITERIA HYDRAULIC DESIGN CRITERIA _ 2'CONTROL VALVE AND ALL UNDERGROUND PIPPING y 05 S BY OTHERS MACK FlRE PROTECTION'S CONTRACT Density 05 DenSpacing VARIES BEGINS Al 2'FlRE SERVK;E WATER LINE LEFT INSIDE Spacing VARIES K Factor 4.9 THE BASEMENT K Factor 4 9 71,7 ovc TttllrK Hose Allowance Hose Allowance - -^--^1�-'�'-��^-^-''-^^'' �VPRIII WC t»JE This System is Designed to Discharge FIRST FL OOR FIRE This System Is Designed to Discharge V tbMciAttD�,. � at o Rote of .05 GPM per sq ft at a Rate of . GPM per sq ft of Floor Area Over o Remote Area 01 FIRE PROMCRON PLAN of Floor Area Over o Remote Area of 2 Sprinklers when Supplied with Water _ -_ 2 Sprinklers when$upplleo with Waterer at the Rcte o1 38 GPM at 42 PS c1 the Rote a' ' GPM c PSI / N DE FOR ALL SPR/NKLER at the 1P o�c1t►R[t woof t' SCALE.'14•_IV' at the 1P U60M10 NODE t' - INSULA T O _ _ N OR,4DJACEIVT TO UNHEA TED SPACES —— — ---- - N.T.S SYMBOL LEGEND SPRINKLER HEAD LEGEND JOB INFORMATION M ":ill Di.x Iacatl(,ns i?re:l6 be fieici mcas.ired rric:r Lo iat`rc ch_ ��^e!h er or not irwi ded or.:Ilt::ra.:ir:�s.!1+•�Eoll��+i�tc items art:o it;ro 1lt d DESCRIPTION DRAWING TET.E:FIRST FLOOR FIRE PROTECTION PLAN PROJECT:KINGFIELD DEVELOPMENT "J SYMBOL DESCRIPTION SYMBOL and ins!aII aeon oy the sT.rin!ler cor,'ractor it ar Cabinet. parr he-,ids al?j h-:dd NrL?rch pe:-FvFPA?' QF N N�yQ9 ' rrxt:UCRFFE4ENLE:06 �B.E'R:u9L1•RESG3EkC XaLMPE4XgT�RWL9 r?�P K.3 07EO�EE SIt=RA'?5 REVISIONS: DATE: ADDRESS:INTERNATIONAL DRIVE GE CONTRACTS:OOOO CITY:RYE BROOK STATE:NY 21P:10573 LA- 2.All Cimensior„snows are:end to end P-„visir..ns for Ilushin,coin c-iions and draining of a!'.ripe �V p ¢ [,.�) EY.ATM6Ea;'cP.?'S'3 CLIENT:THE WARJAM GROUP PHONE:(914)761.250 3 H.1al`!emp-armina hE vid.i arc to be fieio iri�lalled N•he:e'c•1 Irr C II:SpE'(tL`f s test conr?ectiUi?Si:all Li,Lt ovided iDr earl.s`:steir �Q v * , Ero1 E;,4%A-nEF143$'130W Q :SALE'f5 aK�P SPYbE�OIX uE�V:W"IQO'•,TW-OU g`'Y'D 3RH S'1 RA3415 -1:>I!pir rtF and hangers are Ic.be ina•alied er NFPA 13 -,ydr-wlic icientiiicatiun p.;ites o;dF•P. 13 required sibs:' co� n W r (M W-0) ,ATM.^--OP OFST3 CONSTRUCTION:WOOD LTD. 5::tau d we!systems shall;?t�:rdE,?retie(':al`:e I]2r',IrP�'S ♦ uJ w CETt1tG f)GF' RE Y6 E4'RES!'4ESQYTNLiO Q�VTz,So-Ai-YRT U4'TIPT K24,Q1'tDFAE'-Sks:tI ' CQ ADDRESS: INTERNATIONAL DRIVE•SUITE 1 1 6 All new piping is tc`be hydrostatically tested. t not less+hdr?!up,i It is tni-building owners responsh.;Ijil.:a rO.i:E adrG:,att t:e�:to'ail Xd h ir.the r� ► ? ® COLPUTE3GEVATE1*4w OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY 21P:10573 15 INDUSTRIAL PARK PLACE,MIDDLETDWN,CT 06457 icr,h0.,rs.ar at 5i;asi in exceSc•a`Fhe:n;?ximurr p:ra.L.rt a.iildin ;••:ate.tLTd by :ei typ.•:c,.rinrleT syslr:r,;ar?c for E?I!water Idled sup tv;Np.;vaiaFs 20 /�- R:ERLKLP G -y'g-E'T'Sb'Q,ICKaES:O�.-10T'A15C�1�t15xlIVL:i IT'P( �'LlC}Cs?�.�E�a:•ax SYSTEM TYPE:WET when'he rnaxtn;um pressure Tc•be n ain!:airzJ is tr.t-\^c of'S.,p�l. and +�`--o risers b dry type s':ste,?1s P:860.632.8053 F:860.632.8054 a 1 DATE:1 111 II202D FIRE SPRINKLER CONTRACTOR CONTACT 7.A quick o eninc.device is requiree v.hen d:y swAk;-r•.v_`I•urne exceeds Ai,V1eeaUrS shall b(-n ainiainef"on all cir s' 078'12 ., -t}/$- F,�Ze'sDa+�, WWW.MACKFIRE.COM p r y Lypc sy�•er.?:•.^ry ar a;,prr�,.a�1 auTar;;r,tic air FAA OAP p�ITT�RmP� C a r'^Zrrrt�scx'v�TP`PE'�+15�aEP,•,plry;g�Ts}Cri�51L�TY..:,S,WR}'tilf'E�iSH DESIGNER:TODD DEJSLE PHDNE:1413)530.551 .n r T cem�tessot or,:last air Sysm si;eri ica!!.ip:tr,ed for.;rr.ca,able ct autoirati ally ROFES`�� PORT CHESTER LICENSES: CT:FI.40291 MA SC-120494 R1:000347 a�('ljall:;ns;a.nFPA s. W�-'n PPEV0fNEDCCt,P.IiGS1grM AHJ:FIRE MARSHAL EMAILTDELISLECMACKFIRE.COM NFPA i:i.appIv a5.required. .^:?i'I.,dli:11 tj!'•:�,rer:�Iret1 air rrL•SSJC• R�EL,4k Xt JE,IST►K,T-GS I TOTA.THIS SHEET:- TOTA TKIS JOB: KIN F1 v RM NT ro MULBERRY COURT - UNIT A RYE B RO O Ky NYm HYDRALI IC:DFSIC.,N (\I(\KI it r,�utl,x)k tit DR.K)\I 4' - Ill l)RAI LI(-DLSIC N HYDRAULIC DESIGN CRITERIA I \I I N)k \I"N Il I:It I I)F••)'I Density 05 Spacing VARIES HYDRAULIC DESIGN CRITERIA Hl DI2-\lIL1C DL•:SICi\ K Factor a.a ,\t(\RI-\a I Hose Allowance Density .OS \1\1ill'K IH FI,K(x)IIl This System is Designed to Discharge Spacing VARIES of a Rate of .05 GPM per sq It K Factor 4.9 HYDRAULIC DESIGN CRITERIA of Floor Area Over a Remote Area Of Hose Allowance 2 Sprinklers when Supplied with Water - -' of the Rote of 32.2 GPM of a3.8 PSI�, / _ - _ � This System is Designed to Discharge Density -05 at the of 060iN10E NODE S' at a Rate of .05 GPM per sq It Spacing VARIES of Floor Area Over a Remote Area of K Factor 4.4.4.9 / 2 Sprinklers when Supplied with Water Hose Allowance of the Rate of 26.3 GPM at 36.3 PSI at the FP DSDVM NODE Y This System is Designed to Discharge R00"3:_0'+\ - - �'�J)=y't0M - of Rote of Over GPM per sq ft / -- of Floor Area Over o Remote Area of 2 Sprinklers when Supplied with Water - at the Rate of 28.1 GPM at 39.8 PSI at the FP 05C1W NODE'T op -77 — \ MASTERj- T BAT-- I j r/////////i/ ✓ MASTER � 1• � �' H1 DR\L I IC I)F.SI(3N / r— % _� .-l BEDROOM ►\• S� f \., i s I� /, , --_=_— 1,,I � y_a• / o T WA_ HYDRAULIC DESIGN CRITERIA i !�j L IN Density .OS Spacing VARIES / A ! I T1� 4; 7/7JJJJJJ Z7JJ7lz1fJJJJJJJ U� K Factor a.s // L ' / �• —p r/i///rr////�// DEN Hose Allowance - '• HALI This System is Designed to Discharge $1 i / FF_J at a Rote of .05 GPM per sq It / l✓ i / - of Floor Area Over a Remote Area of T li ' / ��• 2 Sprinklers when Supplied with Water / 40 I ' ! at the Rate of 34.4 GPM at 45.1 PSI / A R of the FP DSDVJM 1100E S' ° / ;t AUtJDRY \ ,Via` I' d' LING, STAIR —.t•_ _ , / j. BATH Ct / o WALK-IN /� ✓' - � � / / ! �7�//////�li� �Al 9 BEDROOM x3 o BEDROOM,�3 / � � 9_0• r V �/ D % ,hc % / � � � FiF_L71• g J --�777777�717 �— /c [NOT LLL SIDEWALL SPRINKLERS ON THE SECOND FLOOR SHALL BE LOCATED AT 0'-7'BELOW 1HE CEILING HN DRAt'LIC•DFSu_,n UNIT"Cl — - — —-- — UNIT C2 (AI(\K.\„ - - UNIT'A HYDRAULIC DESIGN CRI1 ERIA SECOND FL OOR FIRE - Density O5 F/RE PROTECT/ON PLAN Spacing •ARIES K Factor 4.4 SCALE.-14"-1-0" Hose Allowance This System is Designed to Discharge of a Rote of .05 GPM per se It of Floor Area Over a Remote Arec of 2 Sprinklers when Supplied with Naler at the Rate of 32.6 GPM at 4- PS at the FP 0150WU NODE T I SYMBOL LEGEND SPRINKLER HEAD LEGEND JOB INFORMATION All pax locations alc to t)E field measured,rrior to fabrication �'rhe her or not sods x;ed or The wrar:lra�.the follov.inc items a:(tr.Lr pry-iij4d - — DRAWING TITLE:SECOND FLOOR FIRE PROTECTION PLAN M SYMBOL DESCRIPTION SYMBOL DESCRIPTION PROJECT:KINGFIELD DEVELOPMENT and installatin;l:y the sprinkler contractor. --lt ac'Cabinui-pare ht.-ad,,-ir0 head wreuco per 1%—13 of NEW yo9 , H3RAjIIOREf{Rf]CE2ON a �EABE R G9ll'RESL]FYl00NCcAtFGPEDEA3RNQff r7!P K 3 f�ES�EG�EE.51lsRA+1's REVISIONS: DA'E: ADDRESS:RYE INTERNATIONAL DRIVE CONTRACT7C:000O CITY:RYE BROOK STATE:NY ZIP:10573 2 All Cimensians oho\:^!are:end to end a,visir.ns fof fl,,shn)g rorne-Itar;a,c drai lil);Of a!t F Ine ,tali VGENrtp .f- C,...3 E c,AT06L(X;-0P0Fs=3 0 ) � 1 � � �,yg,E,�.q,�cR_SP�SECOIK;AtE�pc,p3ltsPglHnl3+.,rIP-Kdb�?]CO[�aEEst�iaATelg CLIENT:THE WARJAM PHONE:19141761-Z50 R R R . 0 3 Hial'tenipefalure heaCla ere to be field Inclalled whe;e equirea Inspectc�s test Lonneclion shall Ge provided for each s':ste:r /�Q� * 1-3 E--ATKINA!IOIEFlV�:030OR O CONSTRUCTION:WOOD LTD. •1 i(: Ii.'es and han(ers are to be insialled per RFPA 3 -'df-1Uli'-iLfBr-lid.LitiOn PIMC-S h i jF-Pe'1"reQUl:'ed Siq!!S co (r.1 20--0) LE'vA7K NO''DPOFST.3 5 G-idd':d w«I.systems shall provide a relief':al:t per NFPN + � � � u ® cam-ev :I KAW'F'R:S 1'4=S&-gMV70'QA.SD_tA-sRtveEa rr�PT.K-T:QIrDt,RELs1l:R�' ADDRESS: INTERNATIONAL DRIVE•SUITE 1 1 r)Ali new piping is to be hydrostatic ailp tesiEd at not less thar.:)'vjp�i It Is thf•buildinn o\z•nCrs-esF,cn-Auiiii• r:i�f::rdegoare hest for all araa4 in the ? CaIIPUTEFGi:,ERF1ElaIGcS OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY ZIP:10573 15 INDUSTRIAL PARK PLACE,MIDDLETOWN,CT 06457 M for.reo.,rs.or at 50psi in exciE:s:•of t E m,axi",ur:Cfcs.urt o:nldn;r;;s�e,^.It:d y e.v:e'type�p ins lea�y�t;rn and.fcr-all A atf,r filied sup')!y;lipa vary s 2� �/$ %>Ef � �y,�•F S'0 ►iE5�0SE IDACpfALSEiIAlls'RIiL R t7!P S 5b,�20C}Csi.S1l�R:l?� SYSTEM TYPE:WET P:B60.632.8053 F:860.632.8054 v.-?en Ilse maxlnwir p-e55i Te tC be n:c11"lnl�`2C'.i5 ir,a?cez'v'5!)P*i. xid�v�fb��rI�E':�'Q dry type S:�Te,11S. 1 �/ DATE:I II1 11202D FIRE SPRINKLER CONTRACTOR CONTACT VNWW.MACKFIRE.COM 7.%;,ui-1.opening de\'i�2 Is required�:ne�d:s\sferr\plume a::SNds 4i:F11'essuf?shall be rnainiairer'or;all city type sys ems::y ar:appfOv2r:auiorwitic at, S'F 07612 P� �/$ f1°E1R6001F\ • rcctrullEs�artA oF^PE'o3+r5PaE+alR"NPr-<y�€'>3>ca�sPt'm3s•wrt►t;TCEawt DESIGNER:TGOD DEUSLE PHONE:(413)530-551 50C galle ns;•rr NFP!1:5. compressc!'or Clan!air sysrem specfcalt.ip.rc\•ed 1�f arci capable Gf auto-ra•r ally �pROFESS�D� PI:EGMFC0PLE AhJ:PORT CHESTER E-MAIL•TDELISLEdMACKFIRE.COM LICENSES: CT:FI.40291 MA:SC•120494 R1:000347 ? :^ v i r ial!);�li:ll.!'Ih(:.,_4 t .,r. r_ %°EcraaQl]FCa1FJIGSt9ilIG$ FIRE MARSHAL NFPA 1.i_,appK a.equiied -ire"dl r e".,l Q 01 %PE4i1�AD lE L5T1X,T:CS TOTAL TK15 SHEET: TOTAL Tros JOB: FIELDWORK COMPLETED: November 14, 2022 FILED MAP REFS ENCE.- jig Subdivision Map of "Kingfield"field" F.M. No. 29210 M/ c 9 �e � . ana) O O filed August 30, 2018 Access, w e a� 9 ater & Sew O er Ease. C J Per -M. 29210 Subject Lot: 104 CB �" I (Asphalt r o Known as 6 Mulberry Court f'ovemen#) �1 Town of Rye Tax ID: Section 129.25 Block 1 Lot 1.77 water Meter CRW © Utility NLO Walk . Shed 0 ❑ Legendeat AC- Air Conditioning Unit ©— Sewer Cleanout CRW— Concrete Retaining Wall ' ® — Curb Stop Water Service ®— Electric Box 103 0— Electric Manhole � — Gas Valve ° — Ligh t Pole - Wood °' a ` o— Telecommunication Box o Fence Q Cl- 0- Transformer Pad �- S68 23 24 E O- Water Valve �I �; 0 8 6.00' 1 � w 1111 V C ) Area= 2 , Sqw Ft.480 , - io oo Frame Building ,; ° g tooQ O V) -o v N Gravel To date, no Title Report or Abstract of Title has Z been provided. This survey is subject to a Gravel i V) current, up to date Title Report. Path ,� co�° N68 23 24 W � o Wood W Fence 86.00 IE Property corner monuments were not placed as - o J � o IRI port of this survey. v, o cn N ; NOV 2 8 2022 This ma ma not be used in n °' Z CL a) N p y connection with a c p p 105 VILLAGE Oc RYE BROOK "Survey BUILDING Affidavit" or similar document, statement °' ILDI_ ° � � a � � NG DEPARTMENTor mechanism to obtain title insurance for any o �� subsequent or future grantees. c, Unauthorized alteration or addition to a survey " A s Built SurveyQ mop bearing a Licensed Land Surveyors seal is c a violation of Section 7209, sub-division 2, of CL utility ° � MulberryCourt the New York State Education Law. Shed �, o Lo Unit 104 According to NYSAPLS policy adopted January 23, Pr ed for 1993, the alteration of survey maps by anyone other than the original preparer is misleading, confusing and not in the general welfare and Frame Building Sun Homes, Inc. benefit of the public. Licensed Land Surveyors �09 rAS GUILT shall not alter survey maps, surrey plans, or �I'iltuste li'� s survey plats prepared by others. DQCUMENT JV E To wn of Rye ENGINEERING, SURVEYING & GRAPHIC SCALE Westchester County Ne W York LANDSCAPE ARCHITECTURE, P.C. o, , s 20 40 �" = 24 Detm Abven* r 17, 2022 3 Garrett Pl oce • Corm el, New York 10512 JEFFREY B. DeROSA, LS Phone (845) 225-9690 • Fax (845) 225-9717 New York Stote License No. 050749 www.insite—eng.com Q2022 /n si to Engineering, Surveying & L on dscop e Architecture, P.C. All Rights Reserved. (IN FEET) 1622 7.200 1 inch = 20 ft. Lot Mops/Lot 104.d wg