Loading...
HomeMy WebLinkAboutBP21-195P0tMlT # SECTION ..4 TYPE OF WORK JOB LOCATION _ OWNER A'14 CONTRALTO EST. COST vcO #_ oC TCO # DATE: )i EXF& BLOCK � LOT FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER V. ELECTRIC L10 LOW -VOLT C7 ALARM AS BUILT 1 AL V\ L LA INSP 3-/7(J& OTHER APPROVALS OTHER FINISHED BASEMENT Nafi APPROVED FOR USE A$ A SEPARATE APARTMENT ON DWELLING UNIT 07 9/,QZ F/ie /�roec)7orl Service S GG �e t �I ���� ea � 7po< 3a o ser ec4y-ie. S'ervicQS t C00%e5_« t ee ����2- VILLAGE OF R�TE BROOK WESTCHESTBR CouNrirlk, NEW YORK NO: 22-115 (fertif irate of (9rrupaurp This is to certify that R)Cha4ibinid Jr / / 1/ of, & )?knok, N y , having duly filed an application on 20 0Q o2 requesting a Certificate of Occupancy for the premises known as, a04""l L/YJ VC , Rye Brook,NY, located in a )2-J5 Zoning District and shown on the most current Tax Map as Section: 5• Block: __L Lot: 5. `7 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. 0? - , issued Q 20 0;?/, 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: one / Construction: for the following purposes: / l n lihcCY YV / ba Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT 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 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 o tained e-1� ']ding Inspector. Building Inspector,Village of Rye Brook: Date: AUG 17 2022 O& ttuti4ay V �i441 '+U^1W J �wj a9 ¢0A altntUtmaW VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury wwnv. yebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 17,2022 Richard Billig& Kathleen Billig 16 Red Roof Drive Rye Brook,New York 10573 Re: 16 Red Roof Drive, Rye Brook,New York 10573 Parcel I D#: 135.43-1-5.9 Mechanical Permit#21-178 issued on 11/15/2021 for Modifications to Existing Sprinkler System This certifies that the fire sprinkler heads on the existing system,relocated under the above captioned permit, have been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to �yE DR c,tic A" aIZfitU( oaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury wwvw.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan RR Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 17,2022 Richard Billig&Kathleen Billig 16 Red Roof Drive Rye Brook,New York 10573 Re: 16 Red Roof Drive, Rye Brook,New York 10573 Parcel ID#: 135.43-1-5.9 This document certifies that the work done under Mechanical Permit #22-124 issued on 8/1/2022 for the modifications to the existing HVAC has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to D BUILDING " For office use onl DEE1tTMENT PERMIT# VIL 'AGE OF RYE&$WOK ISSUED: =OF 38 KING STRE RYW-0 YORK 10573 DATE: VILLAGE RYE BROOK FEE: W a3 S PAIDIW BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION _#ii4fi'4�#�t######R!########fi}#t#4f##4t###!t###t}#}fit#fi#}#}i#}ii#it###i#####4i#tfi4##}##t# Address: 6 P"C't' tom'- �IL�Ve-- Occupancy/Use: /CWtV Parcel ID#: 16 5- L4 3 — 1 ^-S, ! Zone: ��— Owner: P L 1111� 6 Address: I U I`-eJ--> T3 Z P.E./R.A. or Contractor: fP-065-Is C � iw-Address: ed &7 /19o2 Qss( ,N.5 w /OL!�--6 Person in responsible charge: 452'.01 1 D C�—z CZ6S Address: I Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: /- being duly sworn,deposes and says that he/she resides at I `� k6 .{Print Name of Applicant) J (No.and Street) in ,in the County of in the State of that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ ('O, do . e Cv for the construction or alteration of.- 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§250-1 O.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of ` , 20 Z Z day of 920 i nature of Property Owner Signature of Applicant K'�2k-CAX% �� �1 Print r, a of Property 4Owner Print Name of Applicant Public Notary Public GEORGIA S.GOURNAS 8/12/2021 Notary Public,State of New York No.01 GO6274356 Qualified In Queens County Commission Expires January 07,20e QyE 4Rnuk '9a2 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:— I� q'lo � c DATE: '�I "-2-- Z,_ 02. PERMIT# 1 ISSUED: SECT: BLOCK: LOT: LOCATION: �° s (�_l �1 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... .11 ACCEPTED ElREJECTED/REINSPECTION r ❑ 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 1❑ OTHER i �E BRC�,�, cu � 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.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:- V P DATE: t_' — PERMIT# ISSUED: , �ySECT: 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 ❑ INSULATION ❑ NATURAL GAS ❑ k\ FUEL TANK � 1y c cLAa\ \ �C1�� C \ �Q 11)C r ❑ FIRE SPRINKLER _ ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ( 1 ❑ OTHERt'V ( C�!�- �QyE BR(��• O Zm • �9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR �Q'ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK s' ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— ' DATE: PERMIT# ^, ISSUED: ECT: LOCK: LOT: 1U LOCATION: N\ C -�"� � 0 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 \\--__�� ?1 fA ❑ FUEL TANK / ` N `'ram S�p L(j— ` t� Ci ' ❑ FIRE SPRINKLER ❑ FINAL PLUMBING j\ .� \ \� -\40 c ❑ CROSS CONNECTION J ❑ FINAL ❑ OTHER QyE BR(�k. cu � • �9�z BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK r ODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : /� � �J` v DATE: PERMIT# a \ ISSUED: ! SECT: BLOCK: LOT: G�p LOCATION: I OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... P"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 QyE BR(��• cu � 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.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: ' L/ ` ` "✓6 DATE: 1 1 PERMIT# t `� ISSUED' r SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION nUNDERGROUND PLUMBING NOTES ON INSPECTION: c'ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BR(v�• '9B2 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: \1 �--272 Q� PERMIT# �"` `� ISSUED: �,y SECT: BLOCK: LOT: LOCATION: �Q 2S�'�� 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 \ A A + 4 s S ,- L.P. GAS Vj ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER In O eh _ I N N O C-4 N N N N akn " w a ON ~ Q > !� MrA m v 5 .� O � w ►F+"�� � a a �o � F' C O S aj O 4 W ao OWC C $ w Z o 0 V o Q A en W p� o � Q a � � z cps w � w A x � 0 a u° � z w Z o ° z rh w O F � < cn 00 M•�1 � � �i '�7i W a �.1 O Ew-� � 4 � ° 96 r Z (� Lo u w z 96 < Q w a v z � w oe at4t`r4tti4iti4444& 4*A*A `4toto 4#Aaa4' 9aa4a DRIEC� � OWE R BUILDING DEPARTMENT NOV 19 2021 VILLACGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)9 --064 wwyyrr+6rook.org ELECTRICAL PERMIT APPLICATION Westchester County/Master Electricians License Required FOR OFFICE USE ONLY BP#: r / EP#: / Approval Date: NOV 2 k2021 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, //-/9-f--W 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 pFederal,State,County and Local Codes. / I.Address: I 1Zn b�VE , R yP ��Y SBL: 135• `(3-/' S-q Zo_n_e`: 2.Property Owner: (1 i C 40 bill i rA ka&eer1 Address: /(.o R cd acof- E)f, R k ✓!X� L�j�j Phone#: Cell#: 6 111420- 9Z;-g96,Qemail: / ,(_ 3.Master Electrician: y�7r� O 6(aAyId .S�ar/dOLla I Address: 134 ee 1�foW Yid. IV�'w ' U& f' /y� /0�0.` Lic.#: Zz Phone#: Cell#: /t/-56S-Z29U email: �.Q __y--//FlsrL�Yt( LLCC Tj W!UI��(C)1'� Company Name: b�yJ ?, t`I0e'c . �°�✓I LlL Address: l��Oe/k0&2 r�r Nt�&Z vu t w���� &fD.- 7-- 4.Proposed Electrical Work/Fixture Count: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,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) / 1 state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the -f/CC7 ry 14N 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 C� Sworn to before me this 181`�ti day of N fry r 20,2\ _ day of y .20 Signatu of operty Owner Signatur,6 o A icant Name of Property ner7 rin ame of Applicant Notary Public SHARI IJIELILLO Nota c Notary Public,State of New York MARTHA NELSON No. 01^AE.616r;C33 Notary Public. State of New York Q iaffied in Westchester County No OINF6054733 Commission Exoirss January 29.20 2� pualified in Wress F bruarycheSlef 2 County202? Commission Exp 8/12/2021 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DG NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue / Fu 914-347-359k— Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE - CITY OR VILLAGE ZIP CODE TOWNSHIP CO Nl'Yy {'f�- STREET AND NO.OR ROAD / 7 POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK r LOT t351 • 1i �' r OCCUPANT'S NAME ¢.DING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER , I I,,lze, � GIs.% ��:' ' ?r_ )( I 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 SIDFWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH ONLY OUTSIDE BASEMENT I61 FL. P^FL 3-FL REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: U V j 11A -I f(-)( 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❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD h UNDERGROUND'. 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 STREET ADDRESS TELEPHONE NO. Z CITY OR POST OFFICE ZIP CODE LKXMW NO.WHEN APPLICABLE /j IF WESTCHESTER ROCKLAND ELECTRICAL INSPECTION SERVICES,INC. 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: Laser Electric Services Richard & Kathleen Billig 137 Pelham Road NY, New Rochelle 10805 Located at: 16 Red Roof Dr Rye Brook, NY 10573 Certificate Number: 1033349 Section: 135.43 Block: 1 Lot:5.9 BDC: Permit Number:EP:21-305-BP:21-195 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 in/on the premises at: 16 Red Roof Or Rye Brook,NY 10573 Basement list 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 03/02/22 Name Type Quantity Fixture-Luminaire Recessed ------- 38 Receptacle Convenience ------- 24 Receptacle GFCI ------- 6 Switch Single Pole ------- 10 Exhaust Fan ------- 1 Clothes Dryer ------- 1 Clothes Washer ------- 1 Fixture-Strip LED ------- 5 Sump Pump ------- 1 Sub Panel ------- 1 Lutron Smart Switch ------- 5 Smoke Detector/Co2 Combo ------- 3 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. �"V This certificate is valid for work performed before date of inspection only. O N C4� 00 00 a U 1 � 16 ^ MCI F� •'i' V C ►+ 'b M W � z _ F a W ? � wA � 00 d w O W E �j Q p W gi Z �a z 1 W ABM A a tn 3o v � � w I� oo w a w � e w w U ; = o a w 0 rl OL CI < O U of BUIL y - B E v MENT D E C E O V E VIL E OF RYE OK NOV 17 2021 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK .or, BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION (��` FOR OFFICE USE ONLY BP#: / IsPP#: '—� O y Approval Date: NOV 19 A Permit Fee: $ I Approval Signature: 1MW Other: Disapproved: AL (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 16 9 6 f a 0� D f• SBL: /SSi 43 Si 9 Zone: 2.Proposed Work: BCLS,t„� �� }�u`t-�r-�a w. . Ce c1,n a ry C � �J 1^� p 4c f 3.Property Owner: J� t d,ra a'b 01;'101 Address: �� �2j{� Foo F D r. Phone#: Cell#:y� 1IV k1 r Yq email: 4.Master Plumber: kE Sa(ct•2oy Address: 311- acS7i7J1- Pj• Ylt rJSc.^N (OSyp Lic.#:�_Phone#: 1 Cell#: rJ�Y j_L4-S'�-Lk email:�d aroIV.4' 1uwAI'w't 6 q i( U t Company Name: a�a {- (� ✓1 C • Address: 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 Sewer LP Gas Basement 1 st Floor 2nd Floor 31d Floor 4d'Floor 5d'Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 8/12/2021 STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: i5CACLZ" 8 } N t"kC. 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 Cry l�. �✓ f�- �4 t�.r✓. 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 Z:�) Sworn to before me this Ito day of V Jv 20 day of L1OVe,MtrA— ,20 QA Vignre of Property Owner Signat p licant It ka-0 If& ; h ;i�W �� rin Name of Property Owner Print Name of Applicant Notary PublicSHARI MELILLO Notary PubYSLEYMA B SALAZAR Notary Public, State of New York NOTARY PUBLIC-STATE OF NEW YORK No. 01 Ms 6160053 Oualiiied in Westchester County No 01SA6379344 Commission Expires January 29,2023 Qualified in Westchester County properly y p y & omm ssion Ex 'gres 08-1 ks)o22 This application must be ro erl completed in its entirety and must inclu tie no�arize si natures o the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 8/12ao21 BUILD MENT D E CW E VIL "OIrk: :. OOK 938 KING ETRU.)IR ,NY 10573 NOV 17 2021 4 � VILLAGE OF RYE BROOK BUILDING DEPARTMENT 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: �1> lt�t t, ) I('t�.--I residing at, /6 Q-ci )Zoe �{ . (Print name) (Address where you live) being duly sworn,deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 16, )Z e k ' o" � r 1 , Rye Brook,NY. (.lob Address) 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 from the subject property in accordance with all State, County and Village Codes. Signature J Property Owner(s)) leC� I G� (Print Name of Property OHner(s)) Sworn to before me this day of N J e;,\\ 20 7 C' 1 (Nolan Public) SHARI MELILLO Notary Public, State of New York No. 01 MIZ616;?CS3 O,Jali;ied in Westchester County -3- Commission Expires January 29.20-c2s gn 2/202 t f OD rr Y aGi 0 6 .� fzl �I 2 > w96 cc Q M W w t1i g o3 � -- cc ; 6 � m F a" v .� C Gti > � zox � vo• spa 4 = Z W w z oOz � � ; `o Z Ir OC ^ w U v u 10 o aoi ON 2 p�U v.•� W V z z N w -cc o 0 ' O �= x � o � � � � ~ z � E c Q .. v U0;: ao €et = 6. O 7 < A uQ Q 3 z o og g 's U U a E ll p •• M O M1wr W Cr OC € a�i a�i > > � C1L U � W p � = Q• o. n. _ _ BUILDING DEPARTMENT D IE C I M'J E VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 NOV 10 2021 (914)939-0668 ww•w.rvebrook.org. VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: Approval Date:NOV 1 0 2021B S MP#: — 0, Application Fee: $ Approval Signature: Permit Fees:$ Disapproved: Other: *«***r*:•,r***s♦w*r**w•w**.•«**,rw•rw,rww*r*r*w+►****•+,w**s•,►*«#«*w***•*r*.•,rert«,e***•*rr***,r*,r,r******,r**rr,r**.,eww Application dated: �l" 0—C-4 is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to install or modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. 1. Job Address: /b l" 'eye- 47 rowk Al.y 2. Parcel I.D.: 13 / '7 3 "1 5i 9 Zone: "l s- 3. Proposed Work(Describe sys-temk in detail including supp ssion agent): 00 o i-& r'r� s° CtaD tOut cc2 -1-0 ti.ew cpi�c�P 0'4-iA y. 4. Number&Types of Fire Sprinkler Heads: /S / 7✓'� 5. N.Y State Construction Classification: N.Y.State Use Classification: 6. Estimated Value of Job:$ 7 00d•00 (Value shall include all labor,materials, fixed equipment, rofessional fees,and materials and labor which ma be donated gratis.) 7. Property Owner:j f G�1 KQ j��?/I ��%� Address: �� a rlVQ P�c�k�)y Phone# Cell#9/7-9 a 3- 1/9/I 9 email: /oS 7 3 Applicant: Address: Phone# Cell# email: f J Architect/Engineer: l`� Address: //s r //" _ GO Phone# / 0 -,3�QS Cell# r ,�, email: Sprinkler Contractor: Aj 9 L Fire- Prol4 W Add (? Phone# 91lS-218--t13 33 Cell# 7-917.B 9 y email: /' 14 Q ` re eOw 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 YORY,COUNTY OF WESTCHESTER ) as: 1� t Ek 0�tF_jL L-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 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. 4 Sworn to before me this /C �0 Sworn to before me this day of —�L� ��'e. ,20 Z L day of ,20 c Signatuee of Property Owner Signa ]�of Applicant /� I `�t'�a l l r C �G�7"1 ✓? IJ I I !f Print Name of Property Owner Print Name of Applicant Notary Public Notary Public VALERIE S.WEINFELD i NOTIR,gigTationNo-01WE6354617LIC,STATE OF NEW YORK VALERIE S.WEINFELD NOTARY PUBLIC,STATE OF NEW PORK in Westchester County Registration No.01WF6354617' Expires February 13�20_ Qualified in Westchester County — — j__Commission Expires February 13,20 2 ll����i����� ♦s� •■�`�9���fF��f�l�+Il��������1�����JT������T1�9��� .. �1 Y • ■ E ' 00 w Lei Ln Ln 00 rl M a � V � C�A � •' W O �l en 00 a., U d ;� u o ° x CJ ^ z a A t ti > -6 0. y6-0 � r 1�1 L � � U :r] � a; o � � •J Az _ v x y w 00 V J �„� w rr W O `0 O U ID z ZGA M r 00 Cc,< �u � y O " u ■ � C� � O � z � vviitv � cn F a, O A z w o N O YI U 'lip `� J L BUILDkDEPARTMENT F I VIL A, 'E OF RYE BROOK AUG - 1 2022 938 KING ET RYE BRo, ,NY 10573 1 _. 1 `t 4 -0668J� VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT /�Xx-.),/C;�y FOR OFFICE USE ONLY: PERMIT#: Approval Date: AUG '' 2 Permit Fee: $100-Ab Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/orNY 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. ************************************************************************************************* Application dated, 07/18/2022 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: 16 Red Roof Dr.,Rye Brook NY 10573 SBL: 135.43-1-5.9 Zone: 2. Property Owner: Richard&Kathleen Billig Address: 16 Red Roof Dr Rye Brook NY 10573 Phone#: 917-9234868 Cell#: email: 3. Contractor: ES Heating&Cooling Svcs.Inc Address: 6 Emerson PI Montrose NY Phone#: 914-382-7345 Cell#: email: eddie@esheatingcooling.com 4. Applicant: Eric Uribe Address: "Same as Contractor" Phone#: «Same ac C ontractnr" Cell#: email: 5. Scope of Work:New Installation( )•Replacement( )•Removal( )•Other N): Relocate 7 supplies located in basement 6. List Equipment: 7. Location of Equipment: N/A 8. Method Of Installation/Removal(list all equipment needed to perform job): 1 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Eric Uribe ,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 ES Heating&Cooling Svcs Inc. for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,eta) 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 tobefore me this o2—� day of 20 day of Signature of Property Owner Si ure of Applicant Print Name of Property Owner uit all of Applicant / Notary Public ary Publi IACQUELU,E A VERE NOTARY PUBLIC,STATE OF NEW YORK Registration No.olVE6370616 Qualified in Dutchess County "!Iris application Must be properly coillpleted in its entiret} and Must ituau lei vi Febr�y,5,2026 the legal owner(s)'ca[ the subject prc�petgy% and the applicant of record in the spay es prop ided. _tin' �tpplicalion not properly Con3plete(I in its entirety and/car not l�n.ihGrl j ��i��,r7cc1 steal! tie �ieezl�z �i nullar<<f V�>ici and will he rettlimed to the applicant. 2 Building Permit Check List&Zoning Analysis Address. aQ.� (�nn� e ,S �,� SBL: Zone: 2_\� Use: Const.Type: Other: Submittal Date: 1\'Z.'3 C 25��� Revisions Submittal Dates: Applicant Nature of Work N � Reviews:2BA JUL PB• BOT• Other: NEED OK FEES:Filing. � Q0 BP: � C/O: Legalization: ( ) (4-APP: Dated: I----Notarized:_A:n_SBL: -- Truss I.D. Cross Connection: ✓i I.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. ( ) ( ) SURVEY:Dated: Current Archival: Sealed. Unacceptable: ( ) Q-PLANS:Date Stamped: w— : �Sealed Copies - Electronic: Other. ( ) ( ) License: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL-Plans: Permit: N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. (� ( ) PLUMBING Plans: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other: O O 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 EX151ING PROPOSED NOTES rnile AEC& Date: Cirde: EsQnr" Erg IIgr. Main Cov Accs.Cov Ft H/Sb: Sd.H/Sb: SEA: Tot,In FL imp Parma Z�hr/Stones: notes: 4\.,�it'`"Q�N L• Ayp t,.. �»� �? -I .., ' N I�tFQ4 h A A r Mm rs}� A •b st41 F s M�YAh �..,,: s f �v s ssr, 1 4,5 �:r srOP,• :, :.. 5j.�1�• ,?�s:. " .�. y .\ �-1 ., ? i�,. f r+i'M1• ,4Oi• q11 ,. , , v 2? Ls s 'O' .�' 1,L� O •�h O ,.O�� Ito , �`.i `!l•'� �}�Y{�')'i ,i�r1 �� i 1'�'"•tiM.,1, � Oy �(,Utz+�71 L L' N{flt 1� Oi ':V� ,LLS;,4� � �,�jN, 'M� . � ` � �};111 � � :::.�,► - � :� � !� �y43� t' 3rF '!i{{"� Obi 1"3.t' 1 �!{..Y�1� a Cv1 }la F� `{ •♦'wW 1 V 11' 1♦ } c . yl` )\rR �/�/�/� � a �/1/ //1 _�'E+yy �/�111 r /1/ 1/11 ►/11 '`s'' ``�._-vim � >:.\111111j1` � �•a 1111/11111 it`� � �11111111j1 iF� +ys'?•1111/�IIIIIL,ri��e �''slrllllll�llllllti�t,�o nis `II�11�111111 �E O'iat?111111�1�111 is. CA im C4. CD Ilk <(0)> 11�11 f, 11�11 �; ;ti.11�11 3 �_— s ,• ��<(0) Mom\` // i••1 rU•I _ i :, \�. Vie, � .�. i7 _ ^' 'ate N �_• 4�. co 0 �i';;; V .0 U •�.• }1 Cd PO cn 1 ell, w N o vLL Q�o<ection p PA,: - z I qf U o o z 3w r; c wLL p co �C(o) > _ co C\4 _r V] • rr, a Rm,yr , h fco)L..p0�tl��<Gae�rD>;o;.\u°u'l�A_�.81'&a1L..If�rIL,j./�11)�l�1�l11'l1��.l;;1i�`� L`F:;.i'I�11�1111�1�1/�11 1�111 1.''r";;5.+1�_z,_''A 1'l1l�1Ili1�/111l1�l1l'1:L:,.. o�_;1'•ol s,.`�r+�:-�1r111e1/111�1�1�N1�11'1+ a x ��'y�:�=:'1Ll1l�l1l�1���1/l l�(1 l r� 1�111�1 1�11 1 OA 1�:i.t+8�''s��-a�A e`�`�i a Ls,1:'h�111�11�1�/�•/�111�11 1 1`f;tilsr:ax"�s€S'* fa': !,, re I�ss'ir • lClf 5 7`'P;,�.1r..,A 4� < l r Ih trt '`IV°' 4��lFInS}7 r r iF. -1 �41i �-S /�l//�� +,:?,� ,;;od a !�',It4;¢41�2; ';+ri�h,t?, lJtl,i is � rs ;,• ,� ,';'t -,s f� `,. 7p t :Rs s , „?t• �+:';d I .:"ii p 0 C � � � ,r�.►�,t � . N d1/�r ''.:%}y? lr)jt!�rf(�r�'tti•5 l? .. �{: �y�� �t� { a r��i� d54 f vim\ 5,5 0 W 4.:. V _ I\\'�^tia;lo-?yl�f.� .a}�MK'>!.'•' \ Nhk�rr.��. ,r�3w.r:K•t, ,!r a N k:.�i L1\` :.`.;:fir' � �,1`..t�{� Y}'\1 ��4�'�»�{ \ ~ � \gip• DIYY TE A� CERTIFICATE OF LIABILITY INSURANCE DA07/23/2021YY' 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(iss)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 Daniel D Fitzpatrick FITZPATRICK INSURANCE CENTER NAME: P"ONE Exth 9147396117 FAX 9147391553 54 WELCHER AVENUE E �: DAMELF@RTZPATRICKINSURANCE.COM PEEKSKILL, NY 10566 INSUIREI AFFORDING COVERAGE NAIL INSURER A: EVANSTON INSURANCE COMPANY 35378 INSURED Flores General Repairinc INSURER0: P.O.Box 1902 Ossining,NY 10562 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L'M ADOLTYPE OF INSURANCE INSO WVD�� PAY NLaAaER MIDCY POU EFF POIJCY EXP IYYYn VYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY Y 3AA474748 05/06/2021 5/06/2022 EACH OCCURRENCE $ 1,000,000 -WMNM-M RENTED CLAIMS-MADE FV]OCCUR PREMISES Ea occurrence $ 100,000 N ED EXP one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [7 PET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ IE acddent ANY AUTO BODILY INJURY(Per person) _ OWNED SCHE AUT08 ONLY AUTOS ULED BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY r acddent : s UMBRELLALIAB OCCUR EACH OCCURRENCE _ EXCESS LIAR HICLARiS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N STATUTEER ANY PRCPRIETORPARRNEREXECUTIVE EL EACH ACCIDENT III EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE _ if yes,describe under D E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) List the Certificate holder as additional insured.Job location 16 Red Roof Drive Rye Brook NY 10573 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St Port Chester,NY 10573 AUTHORIZED REPRESENTATIVE Vaud 7;44114Z�, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) 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 10601-4411 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 � ^^^^^^ 262545639 { + FITZPATRICK INSURANCE CENTER 54 WELCHER AVE � } PEEKSKILL NY 10566 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FLORES GENERAL REPAIR INC VILLAGE OF RYE BROOK PO BOX 1902 BUILDING DEPARTMENT OSSINING NY 10562 983 KING STREET PORT CHESTER NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2296 223-7 737871 08/24/2020 TO 08/24/2021 7/30/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2296 223-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.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. PRIES SERGIO FLORES FLORES GENERAL REPAIR INC 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: 581685037 U-26.3 NRLFI.1 A�CORL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/23/2021 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 203-268-9999 CONTACT John M.Rodrigues John Rodrigues Ins.Assoc. -- _ __ Monroe Insurance Center Inc. PHDNE 203-268-9999 fAz 203 261-1436 (A1C,No,Est): 8s, ,Nul: 501 Main Street `E Ma ----- -- 1 Monroe,CT 06468 ADD13Ess John M.Rodrigues INSURERtS)AFFgR01NCiCQyERAGE i y INN I SURED...--- -- --- — - 4._1NSURERA Admiral Insurance ComoaLI_ �NsuR B._ 147gg R L Fire Protection Services National Grange Mutual �c. 472 Pepper Street Monroe,CT 06468 _INSURER D INSURER 4:, INSURER F C VE E 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 `—.-"_...__.__-- _ SUBIR TYPE OF INSURANCE Imo' POLICY NUMBER POLICY EFF POLICY EXP LIMITS A . X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE EACH OCCURRENCE__ -c _ 1,000,000 X OCCUR X ICA000024330-06 i3AMAGE TO RENTED 05/17/2021 C5H 7/2022 .PREMIeFS rF I 50,000 —... MED EX fAny one pars _5 _ 5,000 X Designated Con Pr 1,000,000 PER�NgL&ADV INJURY__S __ ENL AGGRE�iATE LIMIT APPU S PER' CNERRR�R, RELATE 2,000,000 POLICY LOc �l.2,000,000 �PRQDUCTS-..Cr.PMP P A ¢_ OTHER B auroanoBlLe LIABILITY QoMBI IE SINGLE uM1, 11000,000 /X ANY AUTO 62T1103U OS/17/2021 05H7/2022 8011 YINJURY Per on S OWNED SCHEDULED URR7EE0��5 ONLY ApUTOQOS �p B Q DILY INJURY t'Per aCptlenll,; _,.__.,..__ A✓J7p5 ONLY ARD ONLY l P OPERTY DAMAGE R Pet accident; ` UMBRELLALKS OCCUR HOCN EXCESS LIAB 'CLAIMS-MADE EA�`. . C. .'VRRE --�----,--....---_ i DED ATE ':RETENTION S — B 1 WORKERS CMPENUMM PER OTH B I AND EMPLOYERS,UABILITY Y I N1, i X t!T I 5, _ (MandetoANY PRIFTORIPARTNERfEXECUnVE WCP4723V (CT( O5H 7/2021 I OSN 712022 4 GDENT _„- 500,000 FFICER/MEEMBEREXCLUDED2 NIA E.L. A HqC _ If desene NH) =--', �N+'I P4723V (NYl 0 511 712 0 21 OSl17/2022 EL IS,EASE_,FA ,MPL YE _..,..-500,000 Dyes RIPTION under O DESCRIPTION OF OP^RATIDNS be�ow E.L.DISEASE-POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (ACORD 101,Additional Remarks Schedue,may be attached it more space is required) Certificate holder included as additional insured. CERTIFICATE HOLDER CANCELLATION VILLRYE I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook, NY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10673 AUTHORIZED REPRESENTATP,7E John M. Rodrigues :_a i✓'ci�'!;i ACORD 25(2016t03) G`1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1i x Workers` CERTIFICATE OF NEW Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of insured(use street address only) tb.Business Telephone Number of Insured N R L Fire Protection Services Inc. 203-395-3300 472 Pepper Street Monroe,CT 06468 1c.NYS Unemployment Insurance Employer Registration Number of Insured 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 201023368 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Main Street America Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"1 a" Rye Brook.NY 10573 W1 P4723V 3c.Policy effective period May 17,2021 to May 17,2022 3d.The Proprietor,Partners or Executive Officers are XQ included.,Only check box if all partnerslofficers included) ❑ all excluded or certain partnerslofficers 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 IteipJA 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 after 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: Laura wolff (Print name of authonzed mpresent.,we or incensed agent of insurance terrier) Approved by: . ,f�: frd C� APPROVED _ Uy IAUIV.,10-W nrt. (Signature) (Date) Title: Account Executive Telephone Number of authorized representative or licensed agent of insurance carrier: 203-268-9999 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are [OT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov t : ' �'ha+t. _'�:e7�w� �. �fGG••--,.'�4 u sr ^3�,eC ' �'�7�'� `��"� d •�.s, \ -?,4 � j� �'S^-1. if{�,.� Z.,1<i i ,�� D "'i a r• ���f��.,'., "� ->,�.•„�' vv�"` f���'t�,3\'�" 1.. � �� s j+1OT� �K � .~r� bx tq.�. vp.�'V ....'..Xal� MAp.n )>, x�.. 04 ,v N4. y'� �•,. ' L y W N �•� 6 a c O Nzi / o .f".i 1' O ❑ / action Ui y ' r 20 MIA 4 w o w is � > o Aw" uj • - .c'+= ice+ I y� CL � \ � s cq Cd '•\' tt��' O r'~it d N U_ U _�� :Ali , • . v , 4 Sj } .353711 11 r 'i.}1 1► •�'`a is y`:1� 1! 4�,,. a r•.. . .1'';55�ka��• ,el, 1.1 ! i__ ! s,... rt ! / ! ! 1 ! ► 1 1 d!1!! !! !! ►1;11 h.. ►►l1ly t<,4. �lc.►v.r:�/ $;;; ►►+)III i� $. !►Ij��s+�1► Y • I� 111)�`.1y1 g A ►/+.1yy► ,A �$ Ali+.!'+yl Aug 111+�1��111 �4� "jd�lj+�l+!►! 19 \ i^7p�� �+{� +'fh2o th:.� ,0 t to >t0 •�5�d� ��� NOW ro4 :'•�` aUfio�? �r .F17ruR� dt � yli� r 4� .p�i• Ye„w; �,t+�k.:` '�•��,ta ...--,t�!••��g .:rGy��F y r r �is�I�,\ '�S,a '��''3ty`'is� j♦S' N. r n .,�,� �,��I„_i� , "K,�'r . / ESHEATI-01 MCORINI ACORO F��6;/17r,2022 (MM/OD/YYYY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE 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. CONTACT PRODUCER NAME: AX Keep Insurance Agency (/PHONE_,Ext);(914 220-1400 F 914 220-1440 27 Cleveland Street (AIc,No):( Valhalla,NY 10595 �ss: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Merchants Preferred Ins Co 12901 INSURED INSURER B:Merchants Mutual Insurance Company 23329 E.S.Heating&Cooling Svcs.Inc. INSURER c: 14 Mamaroneck Ave INSURERD: White Plains,NY 10601 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE L'J OCCUR X CTRIO06273 9/212021 9/2/2022 DAMAGE TO RENTED $ 500,000 MED EXP(Any one son S 10,000 PERSONAL&ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY jeC7 LOC PRODUCTS-COMP/OP AGG S 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS E BODILY INJURY Per accident AUTOS ONLY AUOTOS ONL� PPerOacc dent SAGE s $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N W CA1038727 9/2/2021 9/2/2022 TA LITE ER 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The commercial liability policy includes several types of Additional Insured's automatically. The endorsement states that additional insured's status is only provided when there is a written contract or agreement between the named insured and the certificate holder that requires such status.As long as the previous conditions are met then the Village of Rye Brook is considered an additional insured in respects to permits as per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE 4 - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured 914-382-7345 E.S.Heating&Cooling Svcs.Inc. 1c.NYS Unemployment Insurance Employer Registration Number of 14 Mamaroneck Ave Insured White Plains,NY 10601 Work Location of Insured(Only required it 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 84-2646836 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Merchants Mutual Insurance Company Village of Rye Brook 3b. Policy Number of Entity Listed in Box"I a" 938 King St WCA1038727 Rye Brook NY 10573 3c.Policy effective period 09/02/2021 to 09/02/2022 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) QX all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Joseph Cantarella (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 1-d-lax 06/17/2022 -o (Signature) (Date) Title: EVP Telephone Number of authorized representative or licensed agent of insurance carrier: 914-220-1400 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 BILLIG 7:- -0 GENERAL NOTES: 00 _ X 0 1. ALL WORK SHALL COMPLY WITH THE STRICEST REQUIREMENTS OF 3. REINFORCING STEEL SHALL BE NEW BILLET HIGH STRENGTH STEEL (3) 0 0 RESIDENTIAL CODE OF NEW YORK STATE (2020) AND ALL THOSE OF U.S.A. MANUFACTURE CONFORMING TO LATEST A.S.T.M. A-615 LO • APPLICABLE CODES WHETHER SPECIFICALLY STATED OR NOT. GRADE 60 FABRICATED IN ACCORDANCE WITH MANUAL OF STANDARD U O I— �- 0 PRACTICE OF THE C.R S.I. UNLESS OTHERWISE NOTED AND 0 0 2. THE CONTRACTOR IS RESPONSIBLE FOR COMPLIANCE WITH ALL PLACING OF REINFORCING SHALL BE IN ACCORDANCE NTH A.C.I. nn 11 � � d' � APPLICABLE BUILDING CODES & REGULATIONS AND FOR OBTAINING BUILDING CODE. MANUAL OF STANDARD PRACTICE, AND THE LASTEST W � �- � ALL NECESSARY AND REQUIRED INSPECTIONS, APPROVALS AND RESIDENTIAL CODE OF NEW YORK STATE 4_j PERMITS, NECESSARY TO PERFORM ALL WORK AND SERVICES HEREIN NOTED OR INDICATED ON THE DRAWINGS. 4. REINFORCING SHALL HAVE 3" COVER IN FOOTINGS; 2" COVER ON Z N 3. THE CONTRACTOR SHALL EXAMINE AND BECOME FAMILIAR WITH ALL MAIN REINFORCEMENT IN STEM WALLS. QRESIDENC w I CONTRACT DOCUMENTS IN THEIR ENTIRETY. SURVEY THE PROJECT AND 5. BOTTOM OF ALL EXTERIOR FOOTING SHALL BE MINIMUM 3'-6" U (`� (�J 0 BECOME FAMILIAR WITH THE EXISTING CONDITIONS AND SCOPE OF BELOW EXTERIOR FINISH GRADE. �- WORK. ALL COSTS SUBMITTED SHALL BE BASED ON THOROUGH ? CO KNOWLEDGE OF ALL WORK AND MATERIALS REQUIRED. ANY DISCREPANCY CARPENTRY Q 0 o 16 RED ROOF DRIVE AND/OR UNCERTAINTY AS TO WHAT MATERIAL OR PRODUCT IS TO BE 00 � (USED SHOULD BE VERIFIED WITH THE OWNER OR ARCHITECT. 1. ALL LIGHT FRAMING AND STUDS, STRUCTURAL JOISTS AND PLANKS, I N 0 4. THE CONTRACTOR SHLL BE RESPONSIBLE FOR ALL DAMAGE TO ETC. SHALL CONFORM TO THE STANDARDS OF WOOD CONSTRUCTION LL EXISTING PROPERTY AS RESULT OF HIS WORK. THE CONTRACTOR SET FORTH BY THE WESTERN WOOD PRODUCTS ASSOC. (WWPA) AND N 0 `+- SHALL PROVIDE ADEQUATE PROTECTION FOR HIS WORK. THE ALL CONSTRUCTION PLYWOOD SHALL CONFORM TO THE NATIONAL }- 07 0 CONTRACTOR SHALL RESTORE TO ORIGINAL CONDITION AND EXISTING BUREAU OF STANDARDS, PRODUCT STANDARD DIVISION. _ RYE BROOK NY ELEMENT DAMAGED AS A RESULT OF HIS WORK. 2, ALL MEMBERS SHALL BE PROPERLY BRACED, PLUMBED AND LEVEL. _ � 5. WORK INCLUDED IN THIS CONTACT SHALL BE ALL LABOR, MATERIAL A SUFFICIENT NUMBER OF NAILS, SCREWS, AND BOLTS SHALL BE AND EQUIPMENT REQUIRED TO COMPLETE THE PROPOSED CONSTRUCTION USED TO INSURE THE RIGIDITY OF THE CONSTRUCTION. USE ® • AS SHOWN OR INPLIED IN ACCORDING TO THE INTECT OF THESE GALVANIZED FOR EXTERIOR APPLICATIONS. DRAWINGS AND SHALL BE FIRST CLASS IN ALL RESPECTS. 3. ALL TJI AND MICRO-LAM STRUCTURAL MEMBERS SHALL BE • • SEC 13 THE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR CONSTRUCTION MANUFACTURED, ERECTED AND BRACED IN ACCORDANCE TO THE 5,.43 5*9 MEANS, METHODS, TECHNIQUES, SEQUENCES AND PROCEDURES REQUIRED LATEST SPECIFICATIONS AND/OR RECOMMENDATIONS OF THE "TRUSS _ FOR SAFE EXECUTION AND COMPLETION OF WORK, AND FOR INITIATING, JOIST CORPORATION". • • MAINTAINING AND SUPERVISING ALL SAFETY PRECAUTIONS AND n'Novr) N21 PROGRAMS IN CONNECTION WITH THE WORK. FLOORS: Q v �• 6. THE GENERAL CONTRACTOR SHALL EXERCISE STRICT CONTROLOVER 1• ALL WOOD FRAMING MEMBERS SHALL BE SELECT STRUCTURAL GRADE IS JOB CLEANING TO PREVENT ANY DEBRIS, DUST OR DIRT FROM DOUGLAS FIR-LARCH �E1 IN ACCORDANCE WITH THE LATEST EDITION IED -:/BONI LEAVING THE JOB SITE AND ADJACENT FINISHED AREAS. REMOVE OF TABLE R502.3.1(2), TABLE 802.4(1) AND TABLE 802.5.1(1-8) OF RUBBISH FROM PREMISES AS OFTEN AS NECESSARY OR DIRECTED. THE RESIDENTIAL CODE OF NEW YORK STATE SPECIFICATIONS FOR LAN 7. THE CONTRACTOR UPON ACCEPTAN� CE OF THESE DRAWINGS, ASSUMES STRESS GADE LUMBER. 2. UNLESS OTHERWISE SPECIFIED IN THESE DOCUMENTS, ALL OPENINGS IN ["1 FULL RESPONSIBILITY FOR THE CONSTRUCTION, MATERIALS AND WALLS SHALL RECEIVE (2)2x12 DOUGLAS FIR #1 WOOD HEADERS A ✓ REMOVE EXISTING LAUNDRY WORKMANSHIP OF THE WORK DESCRIBED IN THESE NOTES AND POSTED WITH 4x4 OR DOUBLE JACKS. THIS INCLUDES, BUT IS NOT a� CHASE. PATCH FLOORS TO DRAWINGS, AND HE WILL BE EXPECTED TO COMPLY WITH THE SPIRIT, LIMITED TO ALL DOORS AND WINDOWS. MATCH EXISTING. AS WELL THE LETTER IN WHICH THEY WERE WRITTEN AND DRAWN. 8. ARCHITECT IS NOT ENGAGED IN THE SUPERVISION OF CONSTRUCTION 3. SEE FIGURE R502.2 FOR TYPICAL FLOOR CONSTRUCTION. ' OF THIS PROJENCT. IF MUNICIPALITY REQUIRES ARCHITECT TO 4. THE END OF EACH FLOOR JOIST SHALL HAVE NOT LESS THAN 1 1/2" WITNESS CERTIFIY ANY PART OF CONSTRUCTION THE MUNICIPALITY OF BEARING ON WOOD OR METAL AND NOT LESS THAN 3 ON MASONRY O / � OR CONCRETE. SHALL PROVIDE IN WRITING WHICH PARTS REQUIRES THE ARCHITECT 5. CUTTING OR NOTCHING OF STRUCTURAL ROOF MEMBERS SHALL COMPLY TO WITNESS/CERTIFIY ANY PART OF CONSTRUCTION. AS PER SECTION R502.8 AND FIGURE R502.8. 9. THESE DRAWINGS DO NOT CONTAIN COMPLETE SPECIFICATIONS, DETAILS 6. FLOOR JOIST SHALL BE PROVIDED WITH SOLID BLOCKING AT INTERVALS EXISTING EXISTING AND INFORMATION REQUIRED FOR THE INTERIOR FINISHES OF THE NOT EXCEEDING 8 FEET. POWDER ROOM J PROJECT. ADDITIONAL INFORMATION SHALL BE OBTAINED FROM THE 7. PROVIDE PRESERVATIVE TREATED WOOD IN LOCATIONS AS PER EXISTING �S� OWNER. SECTIONS R319. MUDROOM y�' 10. ALL MANUFACTURED MATERIALS, COMPONENTS, FASTENERS, ASSEMBLIES, FLASHING AND SHEET METAL ETC. SHALL BE HANDLED AND INSTALLED IN ACCORDANCE WITH 1, PROVIDE FLASHING AND SHEET METAL AS REQUIRED TO PREVENT MANUFACTURERS INSTRUCTIONS AND RECOMMENDATIONS. WHERE PENETRATION OF THE ELEMENTS THROUGH THE EXTERIOR SHELL OF THE 0 O SPECIFIC MANUFACTURED PRODUCTS ARE CALLED FOR, THE CONTRACTOR BUILDING. - W MUST NOTIFY THE ARCHITECT OF ANY SUBSTITUTIONS BEFORE THEY ARE l M MADE. 2. WHERE SHEET METAL IS REQUIRED AND NO MATERIAL OR GAUGE IS 11. ANY ERRORS, OMISSIONS OR INCONSISTENCIES ON THESE DRAWINGS OR INDICATED IN THE DRAWINGS. PROVIDE THE HIGHEST GAUGE AND Z .� EXISTING ANY VARIATIONS OR AMBIGUITIES BETWEEN THESE DRAWINGS AND QUALITY. E ACTUAL SITE AND CONSTRUCTION CONDITIONS AND/OR REQUIREMENTS 3, FORM, FABRICATE, AND INSTALL SHEET METAL SO AS TO ADEQUATELY KITCHEN SHALL BE BROUGHT TO THE ATTENTION OF THE OWNER IN WRITING AND PROVIDE FOR EXPANSION AND CONTRACTION IN THE FINISHED WORK: RESOLVED AND DOCUMENTED IN WRITING BEFORE CONTINUING WITH THE 0 I--� � kn WORK IN QUESTION. A. FINISH WATERTIGHT AND WEATHERTIGHT AS REQUIRED. O rn B. EMBED METALS IN CONNECTION WITH ROOFS IN A SOLID BED OF O 12. IF THERE ARE ANY DISCERPANCIES ON THE DRAWINGS, THE ARCHITECT IS TO APPROVED SEALANT. O BE NOTIFIED IMMEDIATELY PRIOR TO WORK COMMENCING. IF THE CONTRACTOR C. WHENEVER POSSIBLE, SECURE METAL BY MEANS OF CLIPS OR O �~ l ` PARTIAL FIRST F L 0 0 R PLAN MAKES CHANGES WITHOUT NOTIFYING THE ARCHITECT, THEY TAKE SOLE CLEATS WITHOUT NAILING THROUGH THE METAL. W RESPONSIBLY FOR THE CHANGES AND SHALL PAID ANY ADDITIONAL COSTS D. SPACE NAILS, RIVETS, AND SCREWS NOT MORE THAN 8" APART O _ SCALE 3/16" = 1'-0" IF ARCHITECT IS REQUIRED BY THE TOWN TO PROVIDE AS-BUILT DRAWINGS. AND USE LEAD WASHERS WHERE EXPOSED TO THE WEATHER. ` • A 1 13. ALL WORK AND EQUIPMENT SHALL BE CLEANED TO THE SATISFACTION OF E. FOR NAILING INTO WOOD USE BARBED ROOFING NAILS, 1-1/4" I� I ! THE OWNER BEFORE TURNING SAME OVER TO OWNER. LONG LI GAUGE. 14. THERE SHALL BE NO DEVIATION FROM SPECIFICATIONS WITHOUT THE F. FOR NAILING INTO CONCRETE USE DRILLED PLUG HOLES AND W > WRITTEN APPROVAL OF THE ARCHITECT AND ENGINEER. PLUGS. lo-� NOTE: DECK NOTES P 1. ALL LUMBER TO BE TREATED OR CEDAR. t 0 1. CONTRACTOR SHALL NOT SCALE DRAWINGS, BUT SHALL USE DIMENSIONS 2. ALL FRAMING TO BE CONNECTED WITH GALVANIZED METAL JOIST LU VFILE - INDICATED. DRAWINGS MAY BE OUT OF SCALE IN SOME INSTANCES HANGERS, POST BASE AND CAPS. i > CAUSED BY SHRINKAGE, PRINTING, CHANGES, ETC. i W 3 ALL FASTENERS TO BE NON-CORROSIVE lel 0 IL CONCRETE: - J 4. ALL WORK TO BE DONE IN ACCORDANCE WITH LOQAL BVILbING•-•C©DE�_ 1. ALL CONCRETE SHALL TEST 3,000 PSI AT 28 DAYS. THE SLUMP RESIDENTIAL CODE OF NEW YORK STATE (2010). :. "R,�, --J ��11 a. JUST PRIOR TO PLACING SHALL BE 4 INCHES WITHIN A �`' `.t-"�'` �'`►/'���:t�'� 5 �- Ci+tAIIC AND GEOGRAPHIC DESIGN CRITERIA TOLERANCE OF PLUS OR MINUS 1 INCH (MAX). NOTE: GARAGE 5. ALL FRAMING LUMBER TO BE No.2 OR BETTERS j::;,� :� ��,1, 6. ALL FINISH LUMBER FOR DECK POSTS RAILS, LUSTERS'-',0 Bt:t; R Original D Date: e Q SLABS, PORCHES, PATIO SLABS, AND CONCRETE WALKS SHALL �45�` ` • qt- TEST 3500 PSI AT 28 DAYS AND SHALL BE AIR ENTRAINED. OF KNOTS, CHECKS OR OTHER IMPERFECTIONS. = - 1 W GROUND WIND SPEED TOPO SPECIAL WINDBORNE SEfSMIC DESIGN CLIMATE ICE SHIELD :y + --� F- SvgW LOAD EFFECTS WIND DEBRIS CATEGORY ZONE UNDERLAYMENT 2. ALL CONCRETE SHALL BE PLACED IN THE DRY. NO CONCRETE 6/18/21 SHALL BE PLACED LATER THAN 90 MINUTES AFTER MIXING HAS Q REGION ZONE - Cho (a 0 REQUIRED BEGUN. DEPOSIT CONCRETE IN ITS FINAL POSITION WITHOUT :`r-_-yam ! Project No: 3D PSF 1115 TO 120 MPH NO YES NO C 4A YES D WF= %11..\ '' - >.� t SEGREGATION AND REHANDLING. '' ��. ti,..:.� 2 5 21 SUBJECT TO DAMAGE FROM FLOOD HAZARDS AIR FREEZING MEANnni ='� INDEX ANNUAL TEMP ' WEATHERING FROST LINE DEPTH TERMITE JUL 2 3 2021 1 SEVERE 3'-6" MODERATE TO HEAVY NO 1,500 51.6 �= =" ' 1 of 4 Sheets- VILL AGE OF RYE BROOK RUJI DING DEPARThARKIT low n I N L.V I%J I-- PLAN NOV 2 2 2021 N " D AT E . A a r Q r Q 16 x16 HIGHAOW VENT K E BUILDING 00 -� X 0 D� ENT o (� 0) � � ��s% 7 4` _0 I— °•° II II ---� .,�, �� WHVAC UNIT U0 0 0 13'-4 Q) 0 co 0 6 SLIDING DOOR 6'-0' BARNWOOD DOOR 6-0" SLIDING DOOR C z N U 0 Z Q 0 I _0 00 C: " N LAUNDRY 36 BARNWOOD REMOVE EXISTING W LL N SINK I I DOOR _ PARTITION (TYP) O �+- p WASHER DRYER \� ^� �-� EXISTING COLUMN (TYP) HALF PARTITION . BENCH (4 FEET) xxxxxxxxxx<xxxxxxxxxxxxxxxxxx xxxx>0(xx xx)<777 PROPOSED • °` • I FAMILY ROOM PROPOSED ( COMBUSTION AIR: � EXERCISE SPACE CEILING HEIGHT 8'-10' A.F.F. NOTE. o o 386.57 SF 16 x16 VENT PROVIDES 256 SQUARE CEILING HEIGHT 8-10 A.F.F INCHES OF OPENING. THIS PROJECT IS AN ADDITION. 469.54 SF f REQUIRED LIGHT- 30.92 SF N -) JFn "�7 AS PER M1702.2 - 1 SQUARE INCH REQUIRED LIGHT- 35.56 SF PROVIDED LIGHT- 16.5 SF** THE DWELUNG IS HEATED WITH FORCED AIR HEAT. I`` REQUIRED VENT- 15.46 SF EQUALS 1,000 BTU/h. PROVIDED LIGHT- no ** 2-6;Dl I I I - - PROVIDED VENT- 10.2 SF C VENTS PROVIDE 256,000 BTU/h. REQUIRED VENT- 18.78 SF DRYER EXHAUST SHALL COMPLY WITH M1502 OF BOILER IS 98,000 BTU/h AND HOT RCNYS. PROVIDED VENT- no * I I I ___ WATER HEATER IS 75,000 BTU/h — — — —— — — --v-- � IF, Ir _____ CONTRACTOR TO PROVIDE FIREBLOCKING AS PER — — — — — UGHT NOTE: R602.8 OF THE RCNYS. NOT LESS THAN 75%OF THE LAMPS IN PERMANENTLY � 7-3 � U -'�--- REMOVE SECTION OF � INSTALLED LIGHTING FIXTURES SHALL BE HIGH PROVIDE " GYPSUM BOARD UNDER STAIR \ NON-BEARING PARTITION AND z EFFICACY LAMPS OR NOT LESS THAN 75%OF THE S _ PROVIDE NEW GUARD AND PERMANENTLY INSTALLED LIGHTING FIXTURES SHALL `� r° 12" D 2'-0" DOOR I HANDRAILS C CONTAIN ONLY HIGH EFFICACY LAMPS AS PERr- SECTION N1104.1 OF THE IRC. EXISTING PARTITION 4'_0. PROVIDE 100 WATTS INCANDESCENT LIGHT BULBS OR 2x4 WOOD STUD PARTITION ® —l— — _ M I BAR AREA (NO SINK) r---r 23-30 WATT LED LIGHT BULBS TO COMPLY WITH 16' O.C. W/h GYPSUM BOARD — — SECTION R303.1 EXCEPTION 2. 1_6 -^ MECHANICAL NOTE: 2x4 WOOD STUD PARTITION ® O Q EXISTING HVAC UNIT TO PROVIDE 16 O.C. W/h GYPSUM BOARD MECHANICAL VENTILATION PER SECTION & R-15 BATT INSULATION _ R303.1 EXCEPTION 1 AND R303.4. --� - 20 WOOD STUD PARTITION ® �� 1- E M 16' O.C. W/h GYPSUM BOARD `�_��� /�--� L. EACH SIDE & R-15 BATT �--�1 EJECTOR PUMP INSULATION 15" MIN 15" MIN Q Q FRAMING PLAN �� O _2 SCALE 3/16" = 1'_0" OFO [—� � � W Z pA4 � � � � .D A Rcti 30" MIN 24" CLEARANCE Z � ,'� � 0 r i g i n a I Date: 10 IN FRONT �G OF OPENING d- a �.-� j 6/18/21 N t 'r Project No: 2 5 21 2 PLUMBING FIXTURE CLEARA \,A 2 SCALE 1/2" - 1'-0" F NEB A 2 2 of 4 Sheets E U) 00 _ X O U In LL O II0 o0 � ZN � (�� `�' N O I I 0) � I I °�°I I m g 00 ( I L a I DROPPED SOFFIT - I I o l l R O I _J W I I 38( W 0) 0 r--------------------------------------------- III _-X�<Xxxxy>C� xxxxx Xxx'xxy�>(ylx�_ I I of I I DROPPED SOFFIT 8'-5" ' ®' • I p P OPO o FAMILY ROOM ---------- O DROPPED SOFFIT 8'-1" -�------------ N N • • --------------------------------------- II J I I I I a l I I I I `n ----- co I 38f 38( EXISTING COLUMN (TYP) c E9 CL Ct R Q Cm 4J Cm1 O I I � � I I C 44 1 I ; +, 6 x 6►� VENT �� M w � � oQw ., kn REFLECTED CEILING PLAN _3 SCALE 3/16" = 1'-0" OS HARD WIRED SMOKE DETECTOR prl HARD WIRED MONOXIDE �--� O (z) DETECTOR 4) ® 100 CFM EXHAUST FAN TO EXTERIOR 0 38i HI-HAT , �► 7qE� HI-HAT W EYE '///JJJ WALL SCONES �} w� ., O. 2 VENT DETAIL ® HANGING OVERHE GHT `t SCALE 1/2" = 1' 0" SELECTED BY - —3 EXISTING SPRINKLER,H Q r I I rl a l Date: 6/18/21 SPRINKLER NOTE. ? - SPRINKLER DESIGN TO 8E *EvJ , �`a ,�L�, � �;.�- Project N o: OTHERS. ONLY EXISTING LOCH SHOWN ON THIS DRAWING. 2 5 21 A - 3 3 of 4 Sheets E 00 _ X O —}—� 0 O O U U ° `0 LL 6 o �? � o Q) ry � (D Z U C) I I D N O Q 0 0) -� -F 00 N � �.. �' O LL N o 0) 0) o�• EXISTING FLOOR JOIST 2x6 TOP PLATE CEILING JOIST CEILING JOIST 2X4 TOP PLATE 2X4 TOP PLATE 5/8" TYPE 'X' GYPSUM BOARD 1/2" GYPSUM BOARD in GYPSUM BOARD R-15 BATT INSULATION E---+ 2x4 WOOD STUD ®16" O.C. 0 W/R-15 BATT INSULATION �--� r--r 2X4 STUD 0 16" O.C. 2X4 STUD 0 16" O.C. P.T. 2x4 WOOD SILL PLATE P.T. 2x4 WOOD SILL PLATE FINISH FLOOR FINISH FLOOR 0 (� 4-d CONCRETE FLOOR CONCRETE FLOOR EXISTING CONC. FOUNDATION E w M 0 w P.T. 2x4 SILL PLATE 4— EXISTING CONC. SLAB 0 <7 C: Q L— F.. ) Q M--� Q) H EXISTING CONC. FOOTING C W 0 DETAIL 2 DETAIL 3 DETAIL SCALE 1 = 1 —0 SCALE 1" = 1' " _ , f =.;� '�.---,'�, `0� g a Date. —4 —4 -o _4 SCALE 1 1 0 �' z r �' 6/18/21 r: "', G Project No: 2 5 21 - 4 - 4 of 4 Sheets Single head protecting mechanical room under 400 sq.ft.without regard to obstructions, NFPA-13D 2016 Section 8.2,7 Clothes closet under 24 Three clothes closets Two Clothes closets,both under 24 square feet, square feet,does not each under 24 square require fire sprinkler feet,do not require fire sprinkler do not require fire sRrinkler Legend: N 1*New Residential concealed pendent fire sprinkler head,165 degree F sprinkler temperature I K factor 4.9 Reliable Model RFC49 Concealed Residential Sprinkler,SIN RA0616,color of cover to match color of point on ceiling and have 1/2"of adjustment 11 Existing pendent fire sprinkler head,to remain,height to be adjusted if required IN E 0 and head replaced with pendent head specified above IN 1" R Existing pendent head to be removed and outlet plugged. E E E E E N N 1" E 1" E ill E 1" U_I I E I" u_ L ALL PROPOSED FIRE SPRINKLER PIPING IS 1"NOMINAL,STEEL SCH.40,THREADED DROPPED SOFFIT 8'—l" N 1" N 1" FITTINGS ------------------------------------------- Calculation note: No calculations needed,this is a sprinkler head addition,no change of square C)I E I" footage or hydraulic demand. Proposed system follows the existing spacing,pipe size and head N N I k—factor convention. DROPPED SOFFIT 8'-5" Fire sprinkler system is filled with antifreeze,to be refilled with antifreeze _JI I — II 0 Entire house protected per NFPA-13D o DROPPED SOFFIT 8'-1" o -—————————————------------1 ———————————- E Pipe runs shown are assumed,most piping is concealed,all pipe new and existing I"steel E 1 GENERAL NOTES E I I E I 1.Contractor shall provide a complete,safe and operable automatic fire sprinkler system in accordance with NFPA 13D-2016,these plans and all E I state,county and local laws governing such installation. E 1" 2.Piping shall conform to ASTM A135 Steel Schedule 40. No bends shall be permitted of any pipe. EXISTING COLUMN(TYP) o 3.All steel connections shall threaded. Threads shall be NPT and conform E 1" to ANSI 8.1.20.1. 4.All system components shall be rated for a minimum operating pressure of 175 PSI, 5.Sprinkler heads shall not be pointed or otherwise covered with any CM 0 coating unless applied by the manufacturer. Bathroom under 55 6.These plans require the installation and acceptance testing of an automatic fire sprinkler system. Maintenance of the system shall be the sq.ft.,does not responsibility of the Owner. N R require sprinklers E 1" 1 E 7. Miscellaneous components required to properly install and set the E 1" AIL E 1" m in working order,but not explicitly shown on these plans sprinkler system E D E 19 shall be included in the work. E I" S. Where manufacturer part numbers coiled out are not available, E 1" Contractor shall propose on alternate part in writtlng to the Engineer for NOV 10 2021 approval. 9. Installation of the system shall follow all manufacturers recommended CE" ILLAGE F RYE BRO P TM U, 0 VILLAGE OF RYE BROOK procedures. BUILDING DEPARTMENT 10. These are not as—built drawings Calculation note: No calculations needed,this is a sprinkler Existing service entrance,no work, head relocation,no change of square footage or hydraulic oIF NtFtv demand. Proposed system follows the existing spacing,pipe 1"x 1/2"REDUCING to remain Basement size and head k—factor convention. R.Dark TEE OR ELBOW Ceiling height 9'unless noted Head coverage 16'x16' 1 2' 3' 4' 5' 2J'[66,7mm]DIA. 24ll[58.7mm]DiA HOLE IN CEILING CUP Original Scale 1 1/4"= l'—O" zF 2'[50-8mm]MAX- FACE OF FITTING TO FACE OF CEILING DIMENSION PERMITS 9/ / 79 CEILING -3_g,4J7 1,21ADJUSTMENTm AC S13L# L— Richter Engineering, P.C. , Col NOV 1 0 2021 COVER PLATE [84.1mm] [4.8M,] DATE AP P ED 115 Cedar Hill Road,Bedford,NY,10506 ASSEMBLY SPRINKLER BUILDING INSk�ETJO,village of Rye Brook,NY www.richterengineering.com 914-907-3895 COVER PLATE:112"C12.7mm-7 ADJUSTMENT NFPA-1 3D fire sprinkler basement work,16 Red Roof Drive,Rye Brook,NY It is a violation of New York State Education Law,Chapter 16,Title 8,Article 145,Section 7209,for any person,unless acting under the direction of a licensed professional engineer,to alter any item on this drawing in any way.If an item on this drawing is altered,the altering engineer shall affix to this drawing his sea[and the notation 11 FILE COPY altered by"followed by his signature and the date of such alteration, and a specific description of the alteration. Scale:As noted - Date:- -05 November 2021 Fire Sprinkler Plan