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HomeMy WebLinkAboutBP21-189OTHER APPROVALS PERMIT # 6A)�/Q DATE: 077 a1 Exp: 7 �. ART Oa / l BOT SECTION 1, D _ BLOCK LOT / P8 TYPE OF WORK 1 Q i�i r1 ' C' 2 ' LerlVz�e K//��Pa/ ZBA JOB LOCAT ON �S /'i Cl� _ r_! 11/�e /QZ:b0 467y M OTHER OWNER, t? i u !1 a �r / 713- oo 49 CONTRACTOR.M[a,y1 tri-�4 CllnT=����"i5_�C'� �9/�!)%%'ice 011 % EST. COST DOS "- —, FEES c " P No/co # t -or FEE4019: = Ab DATE L21kM (R/ TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS m INSPECTION RECpRD A�E z 1 SPRINKLER J/ - !� ELECTRIC �J LOW -VOLT C� ALARM I - AS BUILT LJ Z I FINAL -Pal- — iwcl4lo:� a f �q4ml AS-BUILTIFINAL SURVEY ' REQUIRED PRIOR TO FINAL INSPECTION i VILLAGE OF RYE BROOK WEBTCHEST,UR COUNTY, NEW YORK NO: 21-201 (fertifiracte of Occupaucp Ehis is to certify that of, R�ve-, )3 r oo v , N i having duly filed an application on 20 requesting a Certificate of Occupancy for the premises known as, 1 f V>° —1 Y -V/ V If , Rye Brook,NY, located in a — 1 Zoning District and shown on the most current Tax Map as Section: Block: Lot: �a and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. 9 , issued —7L�2 7 20 c;� 1, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the New York State Use Classification of: CaY) �� )/ ��/ , for the following purposes: One, tSfci r y (Dd d ) i low r co r ya rd 0 a I I z e rco r oc-A- e e x D Cxn'5 in n Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has b e ned from the- uilding Inspector. Building Inspector,Village of Rye Brook: Date: DEC 1 3. 2021 �yc-DR ' ti s ti 4 LU VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury w-w w-.ryeb ro o k.org TRUSTEES BUILDING & FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMFLIANCE December 13,2021 Benjamin Tauber&Elizabeth Tauber 1 Westridge Drive Rye Brook,New York 10573 Re: 1 Westridge Drive,Rye Brook,New York 10573 Parcel ID#: 135.26-1-72 This document certifies that the work done under Mechanical Permit #21-191 issued on 12/8/2021 for the installation of a new condenser and a new air handler has been satisfactorily completed. Sincerely, 0� �7�- Michael J. Izzo Building&Fire Inspector /tg � For office u e only: BUILDIN6FF1>► Aif' TMENT P1;tu�r VILLAGE OF RYE BROOK ISSUED: '7--Q7—ate/ NOV - 2 2021 38 KING STREET,RYE BROOK,NEw YORK 10573 DATE: (914)939-O66$ x(914) 939-5801 FEE: 1557.()o PAIt)JK VILLAGE OF RYE. BROOK MO.or 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 #stksiitits#tsii#tttsssssssssi#ts##ti##issittks#kskRkiiitki#ttk#t#i###ttt#kti*#iiikk*itti*i*tilt**###iiit#ikk#iiiiisssktii*ii Address: I ( D6 ��..• Occupancy/Use: Parcel ID#: tS.?.(p (• 72 Zone: Owner: J� �►,y � ��•ILJj#,7L, Address: ( wt;& 'R4y g bp,. e2 tap-4oK, P.E./R.A. or Contractor: Onj y[wt m i1wLyllao, C Address: 4P uw ap, "FtaD Gr t) *3 Person in responsible charge'. Address: A y k 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: ,1 'Yl4 T"1*1&mg duly sworn,deposes and says that he/she resides at l (Ill jj5TP-,(d 6& D P-- Wtint Aawc o1 Applicant) (No.and Street) in 0A- 50aw= - ,in the County of �J'i�G�'�r2z � in the State of ,that C'ih Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,labor, materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ ,r-pTQba for the construction or alteration of: i I Ly R46YU ArD01 T1 b IJ j r 1±(n l.I Z G Fl 9 911' Le6AI/1 zG amz yAw Milo 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 jq�� Sworn to before me this day of At P-C4 , 20 Z day of 20 4.4tt.�Fff Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary blic '�`' Notary Public \NDPn LUKIC Notary Puy Sta,e of New York NO. u LU'1311072 Qua'•fied i �r ter Cr?,my 21 19 My, y Cot :; ep 8. 'r''.2 22 �E BRQ), 10 BUILDING DEPARTMENT BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK f ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - -- - - - ADDRESS:— W4P DATE: PERMIT# � ISSUED: j I SECT:M BLOCK: k_ LOT: LOCATION: \ ` f `� \� 4 OCCUPANCY: � ) ❑ VIOLATION NOTED lb THE WORK IS... ACCEPTED ElREJECTED/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 DR(b, 04 Zm w � 19a2 BUILDING DEPARTMENT ❑$UILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK `❑CODE ENFORCEMENT OFFICER 938 KING STREET- RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - -- ADDRESS:- ``�V` -� Qac��DATE: C PERMIT# ISSUED:ic- Al SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... © ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING V INSULATION ,%❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING CROSS CONNECTION © FINAL OTHER 'gb2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK i` ❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.or - - - - - - -- - - - - - -- - - -- - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— i DATE: -7 �� t PERMIT# xj ISSUED: SECT: BLOCK: LOT: LOCATION: oAx-1 A OCCUPANCY: -2 r� , t ❑ VIOLATION NOTED THE WORK IS... ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING D ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER dye BRo 198 2 . BUILDING DEPARTMENT UILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK b CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.or�: - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS .— ` �~ ��- C Z-- DATE: PERMIT# yq> ` - ( ISSUED: Z Z Z( SECT: P 5 iZ BLOCK: LOT:� Z LOCATION: D i� D!ej OCCUPANCY: r ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ ITE 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 i f s C4 Q) N N � G W 0o0 OC 1n 52 + W 4J mo N � b `a C wON � � � co � a Y � con � oC d .aa w U • � v a` Z U 00 F W z W A ° N ►•� W o Z .. w W U p w o a 4 ilk . •. � a w w z �I m C6 a .z m w = e 9 • D ECIE V E BUILD. , E PVIENT AUG 2 6 2021 DD V1L � E Of RYE' \'oOK 938 KING! 1 ET RYE B ,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT wv�v .or ELECTRICAL PERMIT APPLICATION Westchester County MJastteergElectricians License Required FOR OFFICE USE ONLY BP#: �� ( V 1 EP#: AUG 2 7 201 Approval Date: Permit Fee: $ 15 f� 0 r Approval Signature: Other: Disapproved (fees are non-refundable) Application dated, a, 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: l+ c 1 e:Rt ci cr i ;at tl e SBL: Zone: 2.Property Owner: i 4jr + 41 tom► rALt 6,e�- Address: Phone#: Cell#: 91'7- 3 0aj?9 email• 3.Master Electrician:�r 1 41 1J �' < < Address:l p iX U G'92 w Lic.#:F_ ec, Phone#r/��� J �c�' I Cell#9'1 2 S`'�l 2 9 _email:64-f'I L:G C) tel /`rd a,71 Company Name{�C�S 1(Y1(l "JQ r,,t+LL C- Address: 4.Proposed Electrical Work/Fixture Count: c- ,4 r kC `� Jtcf 19v USG ok _ STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named,and does fixrther (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 for the legal owner and is duly authorized to make and file this application. (indicate archit contracto gent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belie ,an t t 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 kfore me this day of 20 day 20�_ Signature of Property Owner Si tore of Applicant L �! Print Name of Property Owner 1010.,Name of Appli t Notary Public Notary Public SHARI MELILLO Notary public,State of New York No.01 ME6160063 QUalified In Westchester County Commission Exolres J;M1IP-29 2n 2.3 3121119 Westcbester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue FaX;_914-347-3596 Elmsford NY 10523 `�- r BUILDING PERMIT NO. N(.T. Ll C TEMP k QATE , 1 J tl 1 CITY OR VILLAGE, ZIP CODE TOWNSHIP COUNTY STREET AND NO.OFI ROAD �} POLE NUMBER BETWEEN WHAT TWO CROSS StREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANTS NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS N0,OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1 FL. f C 21 FL. YE BROOK 3-FL. Ll III DING DERARTML-14T REMARKS LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: �J tit_ f {, 6�. 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 EOUIPMENT, 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 T l ADDITIONAL❑ EXPOSED CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD C7 UNDERGROUND❑ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. 1 SIGNATURE OF APPLICANT NAME OF COMPANY DATE OF APPLICATION S REET ADDRESS TELEPHONE NO. =77 ��n t L 1 ZIP r0� -y� LICENSE NO.WHEN APPLICABLE ��� WESTCHESTER ROCKLAND ELECTRICAL INSPECTION WRE141SERMES,K. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Westmore Electric Benjamin& Eizabeth Tauber 6 Sunset Road NY, Rye Brook 10573 Located at: 1 W Ridge Dr Rye Brook, NY 10573 Certificate Number: 1031092 Section: 135.26 Block:1 Lot:72 BDC: Permit Number:EP:21-214-BP:21-189 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located inton the premises at. 1 W Ridge Dr Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 10/08/21 Name Type Quantity A/C Unit Split Unit ------- 1 Switch Single Pole ------- 4 Receptacle Convenience ------- g Fixture-Luminaire Incandescent ------- 12 Receptacle;Outdoor GFI ------- 1 Electric Floor Heat Radiant ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. ���� A This certificate is valid for work performed before date of inspection only. a, to i-1 O a a Os ` a bo cc �. ot �, Q F w ;: � a o ZU f o OZ X O z 400 � � W > L F+ ON GO }�+ W CWt O u c y x Elm 0 W ~7 rw� p Q •• yi, �' �' T y a '�iL.' �/ Er � fs7 O Q� � $ 4 .O irJ' •d t� C1� EE rM a R 116 < •• 0 ((<�� pW, 9 GEC ? � > BUILDISit&ARTMENT D VIL AGE OF RYE BROOK 938 DING�TREET RYE BRUDR,NY 10573 �E� - 7 2021 _(!R VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMQENT FOR OFFICE USE ONLY: PERMIT #: Approval Date: DEC - 1�21 Permit Fee: $ Approval Signature: Ar Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE-OF COMPLIANCE: 1. Properly completed& Signed Application, 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form(Form#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. EIectrical work requires a separate Electrical Permit&Electrical Inspection. T Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated,��-7 0�� 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: • L / ! "� SBL: r-)ka '-/7e')• Zone: R-'1 2. Property Owner: ' 1 Z e*-* ► 'Q t,hZ r Address: V) • R 1 d fC!e br- Phone#: �� 3 •QZZ I Cell#: q f7. 7Y3. 0 2_7 I email: l� T (�L Q(;. 3. Contractor: Vl p yr etxA Address:I-Al-9 Phone#:A4-74� -��bs.G- Cell#: g14 - w 91z;1T0 emailArk"_ L l` &OUWe-C['ow 4. Applicant:W62c> a e4V(1 (A C Address: AVt�JA XAntjoz 1-f-,rA-4, Phone#: g1tk Al -j0 S Cell#: 1{4 7W qt to cmailiil'K Ae/-'&k;iMTCcx41►+c, 5. Scope of Work: New Installation(V •Replacement( )•Removal l{,)•Other( ): 6. List Equipment: 7. Location of Equipme cw-) 8. Method of Installation/Removal(list all equipment needed to perform job): I 8/12/2021 r STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this `2 t Sworn to before me this 2 7 day of 6,rec,?---4-PI , 20 r day of Ci =TDaR—R- ,20 � t�"(CiZ� C%250=�k�m Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applican ' Notary Public LAURA Ga "-NNOotary Public &ICAWAI Notary Public,State of New York No.01 G06065417 hf0� YO* Qualified in Westchester Cou�.01C�n Commission Exoires Oct.15,20&L This u ' � in its entirety and must include the notarized signatures)of the l fir`'' ---I4�!MMid nd 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. z 8Jtv2021 C-; FUJITSU SUBMITTAL 12LUASl D a/1 /cyvn Inverter Driven Heat Pump rrr BTU Single Zone Slim Ducted System Job Name Location Date Engineer Approval Submitted To Construction Submitted By Unit No Reference Drawing No PRODUCT FEATURES Auto Changeover 24 hr./Weekly Timer Built in condensate Pump Auto Restart Economy Mode Auto Fan Mode - - Daisy Chain Compatible ,MODEL Indoor Unit ADUHI2LUAS1 Outdoor Unit AOUHI2LUAS1 System 12LUASID tear i EFFICIENCIES - 7 Year Compressor,5 Year Parts out-of-the-box Warranty SEER 20.2 EER 128 WARRANTY HSPF 11.5 kW/kW 3,60 dims COP BtulhW 12.3 10 Year Compressor, 10 Year Parts Warranty when registered OUTDOOR TEMPERATURE OPERATION RANGE within 60 days of installation in a residence Cooling 'F(.C) 14 to 115(-10 to 46) Heating -5 to 75(-21 to 24) CAPACITIES Cooling Rated 12,000 12 Year Compressor, 12 Year Parts Warranty when registered Min.—Max. BTUIhW 3,100-13.600 within 60 days of installation in a residence,and installed by a Heating Rated 16.000 Fujitsu Elite contractor Min.—Max. 3,100-19,400 REQUIREMENTSILINESET Connection Method Flare Liquid in(mm) 0114(06,35) Gas 03/8(09.52) ACCESSORIES Pre-Charge LengtF 49(15) UT?-TTRX _ _ _ 3rd Party Thermostat Converter Minimum Length 16(5) UTY-RNRUZ5 _ Wired Remote(backlite) Maximum Length 66(20) UTY-RSRY Simple Remote Max.Height Diff. 49(15) UTY-LBTUM IR Receiver Kit W/Wireless Remote !INDOOR DIMENSIONSUTY-XSZX Remote Sensor Net(H x W x D) in 7-13/16 x 27-9116 x 24-7/16 UTD-GXTA-W Auto Louver Grill mm (196 x 700 x 620) UTY-XWZXZG External Connect Kit Gross(H x W x D)in 10-718 x 38-118 x 30-3/8 UTY•TFSXZ2 Wireless LAN Adapator mm (276 x 968 x 772) UTY-XCSX External InpuUOutput PCB Net Weight lb(kg) 37(17) Gross Weight 49(22) OUTDOOR DIMENSIONS& Not(H x W x D) 7/16 MEMO m 24-7/8 x(632 6 x 1 290) mm (632 x 799 x 290) � Gross(H x W x D)in 27-114 x 37 x 14-3/4 mm (692 x 940 x 375) This system combination is Energy Star qualified Net Weight lb(kg) 84(38) Gross Weight 95(43) Indoor Unit ETL#:3170288 0. Outdoor Unit ETL#:91987 Due to continuous product improvements,specifications are subject to change moertek without notice. Please log in to the Fujitsu Portal for the most up-to-date Effective Date: 617/2021 Version 12LUAS10 documentation https:liportal.fujitsugeneral.com Co FUJITSU SUBMITTAL 12LUASID ate/ /-yvn� Inverter Driven Heat Pump 12,000 BTU Single Zone Slim Ducted System M. ELECTRICAL SPECIFICATIONS High 383(650) VoltagelFrequency/Phase 208(230V-60HZ Cooling Medium 353(600) Voltage Range 187-253V^60HZ Low 324(550) Cooling Rated 4.2 Indoor Unit Airflow Quiet 283(480) Current Heating Rated 5.8 Rate High CFM(m31h) 383(650) Maximum Operating Current Cooling A 9.8 HeatingMedium 353(600) Heating 11.3 Low 324(550) Starting Current 6.4 Quiet 283(480) MCA 11.3 Outdoor Unit Cooling 1,171(1,990) Maximum Circuit Breaker 15 Airflow Rate Heating 1,089(1,850) Cooling Rated 0.94 • a • Max 2.06 Heating High 29 Input Power Rated kW 1.30 Cooling Medium 28 Max 1.79 Low 27 Cooling % 97.3 Quiet 26 Power Factor Heating 97.5 Indoor Unit High 29 • ' Medium d8(A) 28 Moisture Removal pintslh(Llh) 2.7(1.3) Heating Low 27 Energy Star Yes Quiet 24 Drain hose Material Hard PVC Outdoor Unit Cooling 48 Size in(mm) 0 314(0 20.7)(I.D)0 1-1116(0 26.6)(O D) Heating 49 REFRtGERANT IDU Operation Cooling °F(°C) 64 to 90(16 to 32) Type R410A Range %RH 80 or less Charge lb cz 2 lb 10 oz Heating °F(°C) 60 to 88(16 to 30) kg 1.200 Static Pressure in W.C. 0-0.36 Oil Type RB68 Data • e Model Name UTD-GXSA-W UTD-GXTA•W Power Supply Connecting with Control box of indoor unit Attachment of Auto Louver Louver attached by screws to the flange of rectangular duct Extension Square Duct Limit In. mm 39-3/8 1.0)Max Duct Length between indoor unit and Grill Net Dimension In. 7-1116 x 26-716 x 3-15116+318 (H x W x D) (mm) (180 x 683 x 84+9 Weight Net Ibis. 5.6 2.5 Gross (kg) 7.8 3.5 Color White Louver Motor Stepping Motor Material Flame Retardant ABS Accessories_ Attachement Frame Cooling 'F(-C) 64 to 90(18 to 32) Operation Range /o RH 80%or less Heatin -F(-C) 60 to 88(16 to 30) The Fujdau top Is s worldwide trademark of Fujitsu General Limited.The Halcyon logo and name Is a worldwide Note Speatncadons are based on the lollowing coed ions: trademark of Fujitsu General Uni and Is a registered trademark In Japan,the USA and other countries or areas. Cooling:Indoor temperature of 60°F(26.7°C)DBM7'F(1 g.4°C)WB,and Outdoor temperature of 95°F(35"C) Copyright 2016 Fujitsu General America,Inc.Fujitau's products are subiect to continuous improvements.Fujitsu DB175°F(23.9°C)WB.HeaOng.Indoor te"adum of 70'F(21.1•C)OB160°F(16.6"C)WB,and outdoor reserves the right to modify product design,specifications and information In this brochure without notice and temperature of 47"F(B.3°C)DBM3'F(6.1'C)WS.Pipe length:2511.(7.5m).Height difference:Off.(0m) wilhout Incurring any obligations. (outdoor unit-indoor unit). X, r•• '• s� 1 a r - .- ic�) FUJITSU SUBMITTAL 12LUAS1 D a�n Inverter Driven Heat Pump 12,000 BTU Single Zone Slim Ducted System DIMENSIONS Units:In.(mm) Unit:to (mm) 22-102 Wily F: V"A Rea'man a R E � Dron port .-. =a a it a e',Oi ]dA2 tTe' tYa1 1-7,eI+11 411'Ib ItOi }ary3 tP21 o-alaas Side vine Top wen g>3 4 M10 hcb Yee1 WIG ltogi Pitch d M.frn mile bon Top View e IP !t-TY6171A72 1M6fW 1l2 131 11 f116 290t 3 I V6133 IWe ON Side view Front view Side view Alrflov '�- 1, Hde; �b I 1�11�181399Y 7.r11y IBO•I Oran Port 01-eB 1+21 1 Bottom view Side view(valve part) The Fujitsu logo is a wodcWde trademark of Fujitsu General Urrmted.The Halcyon logo and name Is a wondwde Note:Specifications are based on the foldwrng conditions: trademark of Fujitsu General limited and Is a registered trademark in Japan,the USA and other countries or areas. Cooing.Indoor temperature of 80'F(28.7'C)OW677(19.4'C)WB,and outdoor temperature of 95"F(35'C) Copyright 201E Fujtsu General Amenca,Inc,Fujitsu's products are subject to continuous improvements.Fujitsu DB/75°F(23.9°C)WB.Meeting:Indoor tempori turo of 70'F(21.M)DB/00'F(I5VC)WS,and outdoor reserves the right to modify product design,sperJAcations and information 0 this brochure without notice and temperature of 47'F(6.3'C)D8143°F(8.1'C)WS.Pipe length:25ft.(7.5m),Height di feraflce Ofl,(0m) without incurring any obligations, (Outdoor unit—indoor unit), Fujitsu General America,Inc. - 1 Changebridge Rd , Pine Brook, NJ 07058s888 www.fujitsugeneral.com Building Permit Check List &Zoning Aa_ysis Address: W�S �`1-Z � 5" F 2 SBL l 3 a Z Zone:'-ul - t-5' Use: 7-1 Const.Type: Submittal Date: 3 n Z Revisions Submittal Dates: y I 2 Z 2 SZ Z r Applicant: }A� v - (2r . z2 Z l Nature of Work: l S-r 1 S t�C,� ,ACb�TR p r.] �.�1 1'-� �^-� P R5t—?t`r r-) �2! �r�s-+� YA 11`+a +- L f"r Ln A L &Eim;ZBA: A P R - 7 2021 PB: �- BOT: Other. ( (� FEES:Filing BP. 7 SD C/O: Legalization: C jLD APP: Dated Notarized.��SBL ��russ I.D. Cross Connection: H.O.A.: ( ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO: Long. Short Fees: N/A: ( ( } SITE PLAN:Topo: Si'y Protection: S/W gmt.: Tree Plan: Other. ( ( SURVEY:Dated 2 Current Archival Scaled:�� Unacceptable ( } (, PLANS:Date Stamped: ✓ Sealed: ✓ Copies: -7- Electronic: Other. ( ( } License: 1of""Workers Comp: L Liabili �� r.Comp.Waiver Other. (v ( } CODE 7S3#: 07a j --Ck7C2- df9� Dated 7-;47-.-)/ N/A: HIGH-VOLTAGE ELECTRICAL„Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. ( ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:—Other. ( } { ) PLUMBING:Plans: Permit: Nat Gas: LP Gas: N/A/: Other. ( ) { ) FIRE SUPPRESSION:Plans: Permit N/A: Other. (Jf ( ) H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other. { ) { ) 2Q20 NY State ECCC: _ N/A: Other. {� { ) Final Survey: Final Topo: RA/PE Sign-off Letter As-Built Plans: Ocher. /O DENLAL LETTER: Other. ( ) ( ) Other.- ( mtg.date: _2 approval: notes: ( ZBA mtg.date: approval: notes: ( )PB mtg. date: approval• notes: REQUIRED FYJsnNG PROPOSED NOTES AV J 2 2021 Ate. l� k l�3— — IDatR• Circle F.�g Fmr, Front Sido; lS 40 zZo f7 dL R&a-r. L.� 3-� S--z- o R= Main C I ID Accs.Cov F S : Sd.H/Sb: Tot Imp: 5'y' (—1 ?jO - l 3 0 ` Ft Imp: P /Stories: 4-f r-`r V BUILDING DEPARTMENT CM wE D VILLAGE OF RYE BROOK MAR 3 0 202 938 KING STREET RYE ftooK,NY 10573 1] 914 939;-0' 91 939-5801 1 VILLAGE OF RYE BROOK �+ r BUILDING DEPARTMENT _IY9 ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: y 1Cbiz. Date of Submission: Parcel ID#: ( 2L ' I - 714. Zone: Z7115 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: I�ItLV Q�9f11Nt 1)nIT rnN NI1_'ST BE COMPLETED BY THE APPLICANT [ The following items must be submitted to the Building F112(=_ PLC Department by the applicant-no exceptions. 1. (, 'Completed Application 2. (-,�Two(2) sets of sealed plans. (one full size {maximum Property Owner:Ekg I# tFU :r:AV allowable plan size=36 x 4?. I and one I 1 x17 ) 3. ( Two(2)copies of the property survey. Address: 4. (✓f two(2)copies of the proposed site plan. Phone# (9/7) 70 - oZ z9 5. ( )One electronic/disc copy of the complete plication materials. appearing before the Board: 6. ( Filing Fce. 7. ( )Any supporting documentation. ��„j. �1 RG�� /} � 8. ( ) OA approval letter. ( applicable) Address: , #' 9. (<Photographs. Phone# ?�('S_ (p(l(p 10.( )Samples,of finishes/color chart. (a sample board or model may be presented the night of the meeting) Architect[Engineer: Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this 104 Sworn to before me this day of +�tcc,C& 20 2- 1 day of , 20 Signatu f Property Owner Signature of Applicant L/►Z a/.,,F-1 / O hP, Print Name of Property Owner Print Name of Applicant Notary Public Notary Public _4NDPn LUKIC III E":. H Std. of New York O.u'.LU,331F172 inter C +my ;io, xp Ufa ep 8, '022 3/21/19 I VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T)939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, May 19, 2021 PAGE 3 Jskcuo' 1 Westridge Dr 1 Story Side Addition, Fire 5203 (Tauber) Pit in Rear Yard& �A Legalize Rear Patio � L kc Expansion 12 Lincoln Ave Amendment to Prior 5204 (Bainton) Approval 16 Birch Lane In-Ground Swimming Pool 5205 (Wilk) w/Patio, Deck, Fence, & Plantings 44 Country Ridge New In-Ground Swimming 5205 Dr(Wechsler) Pool, Patio, Outdoor Kitchen, Hot Tub, & Regrade rear Yard 259 N. Ridge St Amendment to Prior 5206 (Lanz Development) Approval,Reducing From 3 Garage Bay to Two Garage 20 Old Orchard Rd Legalize Elevation 5207 (Tillison) Changes ML NM MR SE U JM SF AC MI KC KEEPITC-01 ML PEZ ,4CORL?` CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 3/2512021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: World Insurance Associates,LLC PHONE FAX 3 Starr Ridge Road,Suite 100 (A/C,No,Ext):(914)747-1181 (A/C,No): Brewster,NY 10509 E-MAIL INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Merchants Insurance Group INSURED INSURER B:Merchants Preferred Insurance Company 12901 Keep It Cool Inc. INSURER C: 363 Elwood Ave INSURER D: Hawthorne,NY 10532-1257 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AIDDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED X BOP1084760 4117/2021 4/1712022 PREMISES(Ea occurrence) $ 5D0,000 MED EXP(Any one person) $ 15,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Me I, LOG PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: B AUTOMOBILE'LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea a X ANY AUTO CAP1064945 6/5/2020 6/5/2021 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) U©SON PROPERTY ONLY AT NY Prroci t _ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 11000,000 EXCESS LIAB CLAIMS-MADE CUP9147494 4/1712021 4/17/2022 AGGREGATE $ DEC) X RETENTION$ 10,000 $ 1,000,000 WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN PER ER , ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ WFICER/MEMBER EXCLUDED? NIA - andatory In N ) EL DISEASE-EA EMPLOYEE $ If yes.describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is Additional insured on a primary and non-contributory basis with respect to General Liability for the purpose of issuing licenses or permits. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village Of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE r t I ky ACORD 25(2016103) OO 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE r2W A A A A A A 13390539$KEEVILY,SPERO-WHITELAW INC,500 MAMARONECK AVENUEHARRISON NY 10528 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER KEEP IT COOL INC VILLAGE OF RYE BROOK 363 ELWOOD AVENUE-SUITE 8 938 KING ST. HAWTHORNE NY 10532 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G1302 944-2 225731 05/01/2021 TO 05/01/2022 12/7/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO, 1302 944-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IlWW1N.NYSIF.COMICERTICERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. MICHAEL MCCARVIL-PRES KEEP IT COOL INC 1 OF 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND 4 � DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER 518387782 U-26.3 9 it d'✓//.0' r"'� /y Any �-""3Y �ryg.'>� ,'N�" Fri � . .ram+ -y *^. ;���A'C", .'� ,.., ♦ .�� /y,. ♦ilr .., y,U� ♦ R!N/i'" �., y.�. r._ �//��. %'(n:.' ��}�� N.� ai,��y/•"`y L � e� �__. �i't,�,;', �q�= It� ...hR �(4.-d J� .•. �� � t�. ,,.��t�� [,, 'i,�t;'�'4.�. `'y���t�.!'J�n ,s- t�1 M's1i.. ;Q v,- /tip � ,�f�� `f )�:.lN' 4,1,P;t ..+zs?y:'itl;i''/°,+tF .� 140�PJ�n l,lk 1 a'li,�i'PJ'tie '' ' ✓ .�.s,:-^.... ' ---- ,� %h NN• C'.:�tC..11�'.tit('1' .lames Maisano ->: I George Latimer �rtj�corn Director,Consumer Protection �° s,, i Westchester County Executive t7 �. Department of Consumer Protection <- > COMO Home Improvement License ' OPTIMUM BUILDING CORP. 70 PROSPECT STREET — ' PORT CHESTER,NY-10573 s � � •' � tom \ This license is issued in accordance with Article XVl of the Westchester County Consumer Protection Code and is valid only upon presence of the official department seal.Proof of citizenship or immigration status is not required for issuance of this license. .. NOT FOR FEDERAL PURPOSESato)i '. 0orsConiVj�e�A , Date of Expiration License Number 05/1712022 WC 07584-H96 J I ,,... � CIE." s�=_ ..,-.,,J�t„�y _.7��,1��, •..,__ J� �y 's.-�i��N� .-`� ,;��,hy,°. � -:=;p,lu, ��, „�4�tt�tH�i'.."'�"v,J��,tt'�4 - 1Jit�j E�^ � t�!•,' A .lti'.'' J�^� fit.!•'% A 't00' dt.�^ t 4,N�a $ k�,t,,.� a��D.'J ��$.�A��! A� Q 0 GOES 3461 0 F ACa 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMfODIYYYY) oSI17121 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CIRINO _ Anthony Cirino SCONNo,E �• $60 329-0103 ItA�,Nor. (860 620-0504 E-MAIL 426 North Main Street ADDRESS: Ins u aol.Com Southington, CT06489 INSURER(S)AFFORDING COVERAGE INSURER A; FARM FAMILY CASUALTY INSURANCE 0408-13803 INSURED INSURER B OPTIMUM BUILDING CORP INSURER C: 70 PROSPECT STREET INSURER D INSURER E: PORT CHESTER NY 10573 NY 10573 11NSURER F ��W COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE _ d ADDL SUER POLICY NUMBER MIDDY EFF MMIDU EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ��// DAMAGE TO RENTED CLAIMS-MADE C./�]OCCUR PREMISES IEa occurrence $ 109,000 MED EXP(Any one person) $ _ 5,000 A Y Y 3101 L6417 02/01/21 02/01/22 PERSONAL&ADV INJURY $ 1a000I000 aGEEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 /\ POLICY PE'CT- F LOC. PRODUCTS-COMP/OP AGG $ 2000000L _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY {Per accident UMBRELLA LIAR I OCCUR _EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE $ _r DE D RETENTION$' $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE _ ER I _ ANY PROPRIETOWPARTNERIEXE-1IVE Y" NIA E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? I (Mandatory in NH) E.L.DISEASE-EA EMPLOYER$_ It yes,DESCRIPTION under D DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ k I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) VILLAGE OF RYE BROOK IS INCLUDED AS AN ADDITIONAL INSURED ON GENERAL LIABILITY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK NY 10573 AUTHORIZED REPRESENTATIVE 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSIF New York.State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY,10TH FLOOR,WHITE PLAINS,NY 10601A411 I nysiEcom CERTIFICATE OF WORKERS'COMPENSATION INSURANCE �. ''"' 'Q """""" 133887956 OPTIMUM BUILDING CORP CIO CHRISTOPHER SCELFO Q " 429 DEN ROAD STAMFORD CT 069033811 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER OPTIMUM BUILDING CORP VILLAGE OF RYE BROOK CIO CHRISTOPHER SCELFO 938 KING ST 429 DEN ROAD RYE BROOK NY 10573 STAMFORD CT 069033811 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1478 260-1 549875 04/09/2021 TO 04/09I2022 6/18/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1478 260-1. COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK. TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPSJIWWW.NYSIF.COMICERTICERTVAL..ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION, CHRISTOPHER SCELFO-PRESIDENT OPTIMUM BUILDING CORP ONE PERSON CORPORATION THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:309976624 U-26.3 Laura Petersen From: Mike Izzo Sent: Saturday, July 31, 2021 SA4 AM To: Tara Gerardi; Laura Petersen Subject: Fwd: Message from Dig Safely New York, Inc. (DSNY) Sent from my iPhone Begin forwarded message: From: Dig Safely New York Exactix<tickets@exactix.digsafelynewyork.com> Date:July 27, 2021 at 8:37:10 AM EDT To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Message from Dig Safely New York, Inc. (DSNY) Reply-To: Dig Safely New York Exactix<tickets@exactix.digsafelynewyork.com> ****REGULAR**** DIG REQUEST from DSNY for:VIL RYE BROOK Taken:07/27/202108:35 To:VIL RYE BROOK PRIMARY Transmitted:07/27/202108:37 00002 Ticket:07271-000-492-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County:WESTCHESTER Place: RYE BROOK Addr: From: 1 To: Name: W RIDGE DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACKYARD NearSt:OLD ORCHARD RD& N RIDGE ST Means of Excavation: SMALL BACKHOE Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: SMALL FOUNDATION AND ADDITION Estimated Work Complete Date: 09/30/2021 Depth of excavation: 4 FEET Site dimensions: Length 16 FEET Width 20 FEET Start Date and Time: 07/30/202108:30 Must Start By:08/13/2021 ------------------------------------------------------------------------------ Contact Name: CHRISTOPHER SCELFO Company: OPTIMUM BUILDING CORP Addrl: 429 DEN RD Addr2: City: STANFORD State: CT Zip: 06903 Phone: 914-774-0117 Fax: Email: scelf@icloud.com Field Contact: CHRISTOPHER SCELFO 1 R Alt Phone: 914-774-0117 Email: scelf@aol.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type:ADDRESS ------------------------------------------------------------------------------ Members:ALTICE USA BELL-VALHALLA/WSCHSTR CON-ED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 LJU(:U01911 C1lvelupe IV. I OU-DDJ'hOD I Lmi0ozo/N 650 Halstead Avenue Mamaroneck, NY venue Survey of Lot 1 in Block B on Map of Surveyed November 18, 2016 r'SPINELLI' Est Mam(914) 381-2357 Sections A and B.. Rye Acres, the Property Map Drawn November 23, 2016 www.SpinelliSurveying.com of Rye Acres Company, situated in the Updated February 20, 2017 SURVEYING Town of Rye, Westchester County, New York' Updated Aprit 14, 2021 SCALE 1'=20' 33/4885 'RYEACRES' Filed on April 26, 1950 as Map No. 7050 ' 0 20 40 NOTES: 1. THE SUBJECT PROPERTY LIES WITHIN THE ZONE "UNSHADED X", PER FEMA FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 36119CO293F, Z,� o DATED SEPTEMBER 28, 2007 11 Old Orchard Road �� ' 2. THIS PLAT WAS PREPARED WITHOUT N/F Leslie Schneiderman F�'og Y;• 262 North Ridge Street BENEFIT OF A TITLE REPORT AND SBL: 135.26--1-71 ���� _.;..•Fire :•- 8� N/F Volkert Braren THEREFORE DOES NOT NECESSARILY :Pit g• Grog +.':,.. • '- • • SBL: 135.35-1-5 INDICATE ALL ENCUMBRANCES UPON 0 ::L�' THE PROPERTY AND THIS IS SUBJECT 4,5 Total Area of .. Fire Pit Area •Gravel":' TO ALL RESERVATIONS, RESTRICTIONS, 218.5 Sq. Feet EASEMENTS AND AGREEMENTS OF 6 � o• RECORD TO THE EXTENT THAT THEY roe; LAWFULLY APPLY TO THE PROPERTY. C1 1 Westridge Drive 3. THIS PLAT IS BASED ON A CURRENT SBL: 135.26--1--72 FIELD SURVEY AND RESEARCH Filed Map Lot 1, Block B �, PERFORMED ON OR PRIOR TO THE 17203.8 Sq. Feet ' N g u R DATE SHOWN ON PLAT AND IS BASED �• ON MONUMENTS AND EVIDENCE FOUND Vol .0*.P J IN THE FIELD AND MAY NOT CONFORM ',� o TO DEEDS, DESCRIPTIONS OR PLATS �� 'd OF RECORD. Pavers .4 4. PLAT PREPARED FOR: ELIZABETH TAUBER Plat CIO 5. CURRENT SOURCE OF TITLE: CONTROL #482840336 6. PROPERTY CORNER MONUMENTS 01 WERE NOT SET DURING THIS SURVEY Np SAC ZO;I 00, Unit 0 1 1/2 Story • Frame Dwelling O No. 10 � do 0-1 Garage 258 North Ridge Street �i Roof Over N/F Donald Cassone 7 00 00Y AC SBL: 135.35-1-10 c UnitCon Q Q 3 ret Richard J. Spinelli, L.S. NYS Lic. 50975 Q ..Asphalt--.-.":.::.:.::: --Unauthorized additions to or alterations of this .Drive::'•::.'•:•'•.:.:'•;•,:•:•.:•. plan is a violation of Section 7209 of the N.Y.S. . Q 61 Education Law. OF NEW�9ECE W y S Gj �Q► �iV�. .f S 45'07'00" E• 103.34' APR 2 3 2021 VILLAGE OF RYE BROOK 50975 BUILDING DEPARTMENT V&S IDGE DRIVE Fo LAND S 77. is PERMIT S rr a,t5a ti any.. ! now r fJ�(J�i K"-7= - ' -7~ `� 7-.. DATE APPR E J111MM-2 2 2021 ---- _ -�� - L• Z 2 R° BUILDING!N ECTO villa goof NY it.r4c��eJ 0".•�7.d N *VIP Q �fe 2020 Residential Code of New York State PAID. T X715,R`h�°�i I l C1 O R301.5 Design Loads-Live Loads: t`il 'K FILE COPY -Living Areas 40lb/sf -Sleeping Rooms 30lb/sf �°- -Attic-No Storage 10lb/sf -Attic-Storage 20lb/sf a �_ -Stairs 40lb/sf -Decks 40ib/sf -Roof 45ib/sf � }�� ' �\ O Guards and Handrails 2001b/lf R314,R315 Smoke and Carbon monoxide Alarms -Each sleeping room to have a smoke alarm I -Outside of each sleeping area in the immediate vicinity of the bedrooms to a have a smoke alarm .� -All smoke detectors to be interconnected ' waa -All smoke detectors shall be hardwired and have battery backup -Carbon monoxide alarms to be located outside of each separate sleeping area -Carbon monoxide alarm to be located on each level of the dwelling IJ Plumbing Work:all plumbing to conform to the requirements of the 2020 Residential AS BUILT/FINAL. SURVEY a Code of New York State REQUIRED PRIOR TO Electrical Work:all electrical work to conform to the requirements of the 2020 Residential - Code of New York State FINAL. INSPECTION Mechanical Work:All mechanical systems to comply with the 2020 Residential Code of New York State All work to conform to the 2020 Energy Conservation Construction Code of New York State 10 I General dotes_ T� ?17- S,F I I 1)All work to be done according to 2020 Residential Code of `ram ; �• . ._. New York State and local codes 2)All plumbing work to be done by a licensed plumber 3)All electric work to be done by a licensed electrician 4)Provide a code 53 confirmation before starting any digging or excavation 5)file for a tree permit before removing any trees 6)File for a demolition permit for starting any demolition f' _ I 7)Building setbacks and layouts to be done by a licensed surveyor I certify that to the best of my knowledge and belief these plans I3)workmanship to be first class in all respects comply with the 2020 Energy Conservation Construction Code - --— -- --::J—RE11I 9)Soil bearing capacity to be minimum 2 tons p.s.f S I 10)Poured concrete to be minimum 3000psi of New York State 11)Poured concrete for exterior steps,porches,etc exposed Insulation and Fenestration Requirements bar ComponentN S U L 4 Z IUL I to the weather and garage slabs to be minimum 3500p.s.i. strength Stephen Marchesani pate Climate Fenestration Skylight Glazed Ceiling Wood Mass Floor Basement Slab Craw 12)Stepped footings to be 1 vertical to 2 horizontal Zone U-Factor U-Factor Fenestration R-Value Frame Wall Wall R-Value Wall R-Value W AY 05 2021 " D13)Concrete block walls to have horizontal reinforcement 16 ocSHGC R-Value R-Value R-Value &E)epth R-V 14)Finish grades to be a minimum 8"below top of foundation wall and slope away from house VILLA ' 15)any steel beams etc.to be min A36 grade n 4 Re d. 0.32 0.55 0.40 49 20 8/13 19 10/13 10,2ft. 10/13 V I L LA E F RYE BROOK 16)Steel lally columns to have 6"x6"plates with 4-9/16 holes Table R321.2.0)2020 IRC I L I N�.7 j D E PA RT M E NT top and bottom Provided 0.32 0.40 49 20 10 d 17)All lumber to minimum#2 doug/fir 900p.s.i fiber strength CLIMATIC&GEOGRAPHIC DESIGN CRITERIA -L-- ­­] T - 18)All deck lcsmber to be pressure treated for header and joists FOR RESIDENTIAL DISTRICTS IN RYE BROOK d.R-5 insulations shall be provided under the full slab area of a heated slab in addition to the required slab edge insulation R-value for slabs.as indicated.in the table.The slab Decking and railings material to be selected by owner edge insulation for heated slabs shall not be required to extend below the slab, 19)Double joists under parallel partitions GROUND- WIND SPEED TOPOGRAPHIC SPECIAL WIND SflSIdIC DESIGN 20)All posts for headers,beams,and girders to betaken down SNDIY LOAD (Mph) WIND EFFECTS WINO BOURNE CATAGDRY WEATHERING � A� �.J �� ��� .��Z4 Solid to the foundation and bearing posts REGION DEBRIS ZONE �•�� / y 21)Provide flashing at wail roof,vale 20 psf 15/120 llll No No 0 � � � 2�i � - / ys,chimneys,windows, --- -- - — _ --. -- Doors and roof penetrations as required • F ----- - 22)All bath exhaust fans to vent to exterior v ",e BER DraW, in Number ---------------- 2 All wall to be tiled to receive cement board backin t s J 25 7,1.�uj,,. r 24)Dryer vents to be vented directly to the exterior R ,.� s � -' .f�xi�. FROST LINE TERMITE WINTER DESIGN ICE BARRIER FLOOD AIR FREEMG MEAN ANNUAL � + DEPTH 111111101 1111* 11111DYMENT HA7ARDS INDEX TEAR. ��`f. e � � �� � ��. s REDDIRED REGUIRED �s. 42" YES 15 YES l"MAR WM 522 � &C� 3649CO279F , SMM Architect PLLC Drawing Date 9/28/o7 5 Scott Circle Scale JJ raj ®•�. Purchase,New York 10577 Drawn By Q f i i - I I I i i t i �. -- c .' ILL- i ------------- 41 Li 1-1 �r - j --��•�!#�� ��� _ •� ICE� G s�t�. �C� _....._. . i i. RCS -- - D umber _. Prfit wi g N �C I 11 t,t _...... Op RYE- NY Da .Z Architect p Drawing Scott Circle10 xx �caie , Drawn B chase,New York 10577 OF , { - i I ,r ! i j a � i --_-� _ t mod-..�Yam+'_ ,xi��i 6F,e.�, .. _-• ;...� r f I . 10 X.10 E:,IE2�.t4 TL AR i i f L:2 i t E AL _ r e Drawing Number -71 co SMiV'I Architect PLi.0 Drawing � Date 5 Scott Circle Fr,>(�>y4x;�,6'rn�: Scale = I 0� ��� Purchase,New York 10577 R-� Drawn By i em _�Lc_ f,!�__ ..._X ..•!!.'.. .e_._ -- -.._ -r/mil �; ... ��(( _ _ -.. ..... YZ Al j Lit s La, V T- H " -' ti �• sac ION �w ` � I Rmtpovl EV; I P U N S DATED:- JUL 2 2 2021 FIFE -f,)-r OOK �' BUILDING DEPARTMENT I f s Epp�'._. t f _ �' �• A �r �.� ` ti r F' P _ Drawing Numrber .P r � •--y r' `...d+"S a�...c•1' v,.1 i`"�°t"1 F�'�"1 r"b a�ir� ;z M,L 125 7 /w"E•i;► k. SMM Architect PLLC Drawing Date 7 5 Scat Circle Scale Purchase,New ��£ �`� � _ � Park�:05�7 � Drawn By DocuSign Envelope ID:A37C1 FB6-4177-4379-B980-6E121 D11 F28E " 650 Halstead Avenue SPINELLI Mamaroneck, NY 1enu3Survey of Lot 1 in Block B on Map of Surveyed November 18, 2016 Est-1947 (914) 381-2357 Sections A and B, Rye Acres, the Property Map Drawn November 23, 2016 www.SpinettiSurveying.com of Rye Acres Company, situated to the Updated February 20, 2017 SURVEYING Town of Rye, Westchester County, New York' Updated April 14, 2021 SCALE 10=20' 33/4885 'RYEACRES' Filed on April 26, 1950 as Map No. 7050 Updated November 23, 2021 NOTES: 1. THE SUBJECT PROPERTY LIES WITHIN THE ZONE "UNSHADED X", PER FEMA FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 36119CO293F, Z,8 o DATED SEPTEMBER 28, 2007 11 Old Orchard Road �`• �'� 2. THIS PLAT WAS PREPARED WITHOUT to N/F Leslie Schneiderman Fercg •o. 262 North Ride Street BENEFIT OF A TITLE REPORT AND SBL: 135.26-1-71 1:�nk o Fire.. a N F Volkert Braren THEREFORE DOES NOT NECESSARILY • W, Pit,. / INDICATE ALL ENCUMBRANCES UPON COW, ..::.� .�.•; SBL. 135.35-1-5 �5 THE PROPERTY, AND THIS IS SUBJECT Gravel: TO ALL RESERVATIONS, RESTRICTIONS, 6 EASEMENTS AND AGREEMENTS OF �' °• RECORD TO THE EXTENT THAT THEY 66 LAWFULLY APPLY TO THE PROPERTY. N 1 Westridge Drive 3. THIS PLAT IS BASED ON A CURRENT SBL: 135.25--1--72 0- FIELD SURVEY AND RESEARCH Filed Map Lot 1, Block B �• PERFORMED ON OR PRIOR TO THE 17203.8 Sq. Feet r, 5 U itDATE SHOWN ON PLAT AND IS BASED J+ �• . ON MONUMENTS AND EVIDENCE FOUND - ;' IN THE FIELD AND MAY NOT CONFORM le o TO DEEDS, DESCRIPTIONS OR PLATS ' OF RECORD. ��n.t��.�.:Pavers",�t"9-C••t�,,,�Ylw � � w� tr �M✓ �� ��' 4. PLAT PREPARED FOR: Y•e ELIZABETH TAUBER Ste 5. CURRENT SOURCE OF TITLE: CONTROL #482840336 6. PROPERTY CORNER MONUMENTS �U,,No WERE NOT SET DURING THIS SURVEY a N 0 0 1 1/2 Story r- +� Frame Dwelling AC Units No. 1 Garage 258 North Ridge Street I. Roof Over N F Donald Cassone 7 Y AC SBL: 135.35-1-10 Unit Concrete Richard J. S in , .S, N__ .ic. 50975 Asphalt Drove -Unauthorized additions to or alterations of this �► ,p plan is a violation of Section 7209 of the N.Y.S. Education Law. N F N Pj F_ �r S 45.07 00;; E ::: 103.34 ----- - - --- . -.. :• . • . , DEC — 6 2021 ASMBUILT .� 50975 0 DOC � �UMENT VILLAGE OF­RYE BROOK � WESTRI DBE DRIMEDEPARTMENT.., �'o� S� BUILDING AND -•..�.,r.•.o s..w..w+w.....�•.+,.-r+--rrr.►-.a+saem�a�