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HomeMy WebLinkAboutBP21-198PERMIT # A6 c )1 :: 7 _ SECTION TYPE OF WORK T�6e/o k. JOB LOCATION OWNER Y/0,047 J a ccomg CONTRACTOR EST. COST �/ EXP% LOT �Dr a c'e CO it FEE DATE TCO # FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C, RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT FINAL INSP ri d,q - AA O�- /101al OTHER APPROVALS BOT PS zBA OTHER AS-BUILT/FINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION a L • C 1-1 � N N 'r�7 � a► p C14 � o N N `ta e al O�G' DO l € pip C a Q� M L 7 7Z a F a z z Ef � w �. 3 L Q � Q � ° 3 s •� °�' 0q ' .3 A L`" « o a a r, 4 s L O W U z M w °��°°: o a o o16 MID Z < `C C, r 2 E C > .O E 'A .� a ` (71 L M �•� Q Q ? C W IX m � ►�-• 0.� � 3 z V Gt, c S � � � •PS � Q x t Qaa z � ° °' EE LL W Z Ci F" k C Y y VI a � a f Fa f �t f 4 t L BUIL R MENT D E C E 0 V E VI E of Rv� OK JUN 2 g 2Q21 938 KING T,R > ,B u ,NY 10573 (914)93 39-5801 VILLAGE OF RYE BROOK ' e BUILDING DEPARTMENT FOR OFFICE USE ONLY: j� 1 f Approval Date: t t I I 2 A N21 Permit# Application# -� iT Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: ; Date: TiO BOT Approval Date: Case# ; Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: j� Application Fee: ermit Fees:A/ WD lee v EXTERIOR BUILDING PERMIT APPLICATION Application dated: 6/16/2021 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. I. JobAddress: 19 Birch Lane 2. Parcel ID#: 135.43.1.5.26 Zone: R-15 3. Proposed Improvement Describe in detail New in-ground pool with turf patio + P P ( )� 4. Property Owner: Brian and Sharon Jaccoma Address: 19 Birch Lane,Rye Brook,New York Phone# Cell# 914-980-1661 e-mail brian@thejaccomas.com List All Other Properties Owned in Rye Brook: N/A s aron elaccomas.com Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: WAt {vF� - ->ALE 4� L I F� Address: G 7 - Z Z 3 JO �•� in ✓2/1G�E'. _ Phone# Cell# e-mail n/,�--99_40_e_ 'Way ev'--Co•���y �� p!vloo,� 3/21/19 5. Occupancy;(1-Fam.,2 Fam.,Commercial.,etc❑ 1-Fam)Pre-construction: Post-construction: 1-Fam 6. Area of lot: Square feet: 15,837.25 Acres: 0.36 7. Dimensions from proposed building or structure to lot lines: front yard: N/A rear yard: 25.41 right side yard: 19.08 left side yard: N/A other: 8. If building is located on a comer lot,which street does it front on: N/A 9. Area of proposed building in square feet: Basement: N/A I'fl: N/A 2nd ft: N/A 3rd fl: N/A 10. Total Square Footage of the proposed new construction: 314.18 11. For additions,total square footage added:Basement: N/A I'fl: N/A 2"d fl: N/A 3rd fl: N/A 12. Total Square Footage of the proposed renovation to the existing structure: N/A 13. N.Y.State Construction Classification: N/A N.Y.State Use Classification: 14. Number of stories: N/A Overall Height: Median Height: 15. Basement to be full,or partial: N/A finished or unfinished: 16. What material is the exterior finish: N/A 17. Roof style;peaked,hip,mansard,shed,etc: N/A Roofing material: 18. What system of heating: propane pool heater 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. N/A 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc❑) Yes: No: X N/A (iif yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.R or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: X Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (rfyes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: x (fyes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: X (f yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: X (fyes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: X (tf yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X-N/A Indicate: TIER I: TIER I1: TIER III: (fyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: N/A 29. What is the total estimated cost of construction: S 120.425.on Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: Sept 15,2021 contingent on weather,lead times for permitting,and materials availability. (2) 3/21/19 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREE-r Rv►;BROOK,NY 10573 (914)939-0668 FAX (914)939-5801 RESIDENTIAL LOT AREA COVERAGE Address: 19 Birch Lane Section: 135.43 Block: 1 Lot: 5.26 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. (CHECK) MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% x R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT 15837.25 Sq. Ft. N/C Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) 23a8 Sq. Ft. 23a8 Sq. Ft. i b. Area of 15'Floor Divided By Area of Lot x 100 .0063 % 0 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) 0 Sq. Ft. 0Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 0 % 0 % 4. AREA OF DECK 373 Sq. Ft. 373 Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 2.35 % 2.35 % I attest to the best of my knowledge and belief, the above information is correct. Archi t s Si nature (3) 3/21/19 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KMG STREET RYE BROOK,NY 10573 (914) 939-0668 Fax(914) 939-5801 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 19 Birch Lane Section: 135.43 Block: 1 Lot: 5.26 Zone: R-15 IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts,swimming pools, patios, sidewalks,ramps, terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD(%) Area(sq.ft.)* Over Base R-35 15 Lot Area(%) R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 &larger 11,260 22 R-7 40 R-5 30 R2-F 30 `Base Lot Area"is the minimum end of the lot size range in the"Lot Area"column Area of lot: 15837.25 sq.ft. Existing Allowed Proposed Total impervious coverage = 4995 S .ft. 5517 g . ft. 5086 S .ft. Front impervious coverage= NSA % N/A % N/A % I attest to the best of my knowledge and belief,the above information is correct. P11/1") Arc ' tN ignature r (4) 3/21/19 BUILD MENT JUN 2 9 2021 VIL E 01i R OK 938 KING ..> ;R*,1HR ,NY 10573 VILLAGE OF RYE BRCOK (914)9 39-5801 BUILDING DEPARTMENT �r< AFFIDAVIT OF COMPLIANCE VTLLAGE CODE§216 ESTORM 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: 3f, residing at, Brian and Sharon Jaccoma 19 Birch Lane,Rye Brook,NY , (Print namr) (Address%vhcrc 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; 19 Birch Lane Rye Brook, NY. (Joh Addres,) 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 fi•om the subject property in accordance with all State, County and Village Codes. ?-1-4 L! ZL kiSigcre ofPropert�(hcncrls)) Brian and Sharon Jaccoma (Print Name ol')'roperty Owner(s)) Sworn to before me this day of PLLI e 20 21 (Nolan-Public) SANDRO LUKIC Notary Public-State of New York NO.01LU6311072 Qualified in Westchester County My Commission Expires Sep 8, 2l� 3/21/19 This form must be properly completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. ************************************** Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. ('ritie 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: Rex B.Gedney;Crozier Gedney Architects PC Subject Property: 19 Birch Lane,Rye Brook,NY SBL: 135.43.1.5.26 Zone: R-15 Please take notice that the subject; i�One or Two Family; ❑ Commercial, F1New Structure N/A R CS C IE ��E ❑Addition to an Existing Structure New Pool with turf patio ❑Rehabilitation to an Existing Structure JUN 2 9 2021 to be constructed or performed at the subject property will utilize; VILLAGE OF RYE BROOK P Truss Type Construction(TT) N/A IBUILDIf4G DEPART MENT ❑Pre-Engineered Wood Construction(PW) Ll Timber Construction(TC) in the following location(s); N/A ❑Floor Framing, including Girders&Beams(F) F1 Roof Framing(R) ❑Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One& Two Family Dwellings. Sworn to befoi me this L3 Sworn to before me this 0 day of 24 day of d 20 Si tureofPrgper�ty^ w ner n J�C G� Sign ure Design Pro ssional vt-l:� 6 n(I1 Rel B.Gedney,AIA Print Name of Prope Owner Print Name of Designprgkssional y Public Notary Public ENotary LUKIC ate of New York DANIELLE DEVITO 631t072NOTARY PUBLIC-STATE OF NEW YORK tches Sep Sester Unty 2022p No.01 DE6307850 (7) Ouslifled in Westchester County My Commission Expires 07-14.2022 3.3.20 . This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Sean Walters;Wagner Pools ,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 Agent 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. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject propert Sworn to before me this 23?J Sworn to before me this 23 day of use 20 2) day of 20 Signature bf Property Owner Signature of Applicant "2_ 4elw541� Brian and Sharon Jaccoma Sa&A Wafters,Wagner Pools yALE�L��-LAY Print Name of Property Owner Print Name of Applicant Notary u lic SANDRO LUKIC Notary Public Notary Public-State of New York NO.01LU6311072 DANIELLE DEVITO Qualified in Westchester County NOTARY PUBLIC-STATE OF NEW YORK My Commission Expires Sep 8,2022 No.01 DE6307850 Quslifled in Westchester County My Commission Expires 07-14-2022 (8) 3/21/19 a • J'' o ai u w N z d � w Q (� C) 3 A a r > � w � us 661 � U ^ o , m o . IQ99 .� w M Q r r N m c A U. i . p m 4 d 00 , LU o � .... ►-� x 2 w S (* Q i cc 0 ZW aff �- W p F � MCI 4 o «• s o o Awo z � m 10. LL A O Z I � � AzvTHON'Y J. Sr4,-'V09 EsQ., PLLC [ECIEMEB A PROFESSIONAL CORPORATION 333 WESTCHESTER AVENUE - SUITE 302 NOV 2 2 2021 WHITE PLAINS, NEW YORK 10604 (914) 997-0100 VILLAGE OF RYE BROOK FAX (914) 997-4179 BUILDING DEPARTMENT ANTHONY J. SIANO November 19, 2021 BY electronic mail and first class mail Mr. Michael Izzo Building and Fire Inspector Village of Rye Brook 938 King Street Rye Brook, New York, New York 100573 Re: 19 Birch Lane Dear Mr. Izzo: I am the attorney for Mr. and Mrs. Brian Jaccoma. I am writing in response to your exchange of correspondence with Mr. Sean Walters on November 18 and 19, 2021, regarding a proposed in-ground pool construction project at 19 Birch Lane. First, Mr. Walters' letter refers to the plans filed with your department as being his plans. This is untrue. My clients paid Mr. Walters in full for the preparation of the plans to which his letter refers. Do not govern your actions based on the false representation of Mr. Walters that he owns those plans. My clients own those plans. As for the Wagner Pools involvement in the project covered by Permit BP21-198, Wagner Pools has not performed as contemplated by their contract with the Jaccomas. My clients consider the contractor to be in breach of that construction contract, are not proceeding further with Mr. Walters' company, and will go forward after engaging a replacement contractor. If you have any further questions, please contact me directly. Very trul you , Antho J. Siano cc: Mr. Sean Walters Mike Izzo From: Sean Walters <sw@wagnerswimmingpools.com> Sent: Friday, November 19, 2021 4:52 PM To: tonysiano@aol.com Cc: Mike Izzo;John Varachi Subject: Re: Copy of Correspondence Thank you; and to be clear: architectural drawings are instruments of professional service and protected under copyright law. I own the drawings, regardless of who pays for them. My drawings may not be used for this project. On Nov 19, 2021, at 4:23 PM, tonysiano@aol.com wrote: Hello, Attached you will find a letter, of which a hard copy has been placed in the mail. Thank you, Gina Stallone Assistant to Anthony J Siano, Esq. 914-997-0100 <Letter.PDF> Thank you, and do not hesitate to contact me with any questions, comments, or concerns. Sean Walters Landscape Architect Wagner Pools (570)994-5900 sw(o)wagnerswimmingpools.com I I , 1 WAG N � R Design ■ Build ■ Service ■ Over 100 Years In Business P o o L s Date: 11/18/2021 From: Sean Walters To: Michael Izzo Landscape Architect Chief Bldg. Inspector Wagner Pools Village of Rye Brook 101 Noroton Ave. 938 King Street Darien, CT 06820 Rye Brook, NY 10573 RE: 19 Birch Lane Dear Mr. Izzo: pursuant to our phone conversation earlier today, I am writing this letter on behalf of myself and Wagner Pools; we were hired by the owners, Brian and Sharon Jaccoma, to design and build a pool at their residence. I created a set of construction drawings and walked the project through the ARB process, while Wagner Pools pulled the construction permit that was awarded in August of 2021 and is still open. Wagner Pools and myself are no longer involved with the project and I am reaching out to request that, effective immediately: 1. Wagner Pools is removed from the construction permit. 2. My drawings are not used in the construction of this project or for any other purposes; these are instruments of professional service, protected under copyright law, and my exclusive property. Thank you for your time and considerations, and please do not hesitate to contact me with any questions, comments, or concerns. Sincerely, Sean Walters D (D ,,'0 1✓ NOV 2021 BU/SDI G �RYE BROOK Sean Walters Landscape Architect Wagner Pools 101 Noroton Ave. Darien, CT 06820 • (203)655-0766 • wag nerswimminapools.com Mike Izzo From: Mike Izzo Sent: Friday, November 19, 2021 8:33 AM To: Sean Walters Cc: John Varachi;John C Gedney III; Mike Gedney; Brian Jaccoma; Sharon Jaccoma; Steven Fews; 'Tara Gerardi'; Laura Petersen Subject: RE:Jaccoma Residence: 19 Birch Lane Attachments: 19 Birch Ln.pdf Dear Mr. Walters, Thank you for the email. Please note that as of 11/18/21, the Building Department considers Wagner Pools to be removed from the job and disassociated from open permit #BP21-198, issued for the installation of an in-ground swimming pool at the subject address. Furthermore, the Building Department considers any plans, specifications, recommendations, or anything else submitted by your office on behalf of Wagner Pools or anyone else for the aforementioned permit to be null and void. As of this email the project is without a swimming pool contractor and without any approved swimming pool plans. At this point the property owner can either choose not to install a swimming pool, or in order to move forward with the project, to retain the services of another swimming pool company and design firm to file permit applications and plans with the Building Department for review and approval Thank you. lWad(l /zza Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Sean Walters<sw@wagnerswimmingpools.com> Sent:Thursday, November 18, 2021 2:32 PM To: Mike Izzo<Mlzzo@ryebrook.org> Cc:John Varachi <tackvara@aol.com>;John C Gedney III <jcgedneyiii@wagnerswimmingpools.com>; Mike Gedney <mgedney@wagnerswimmingpools.com>; Brian Jaccoma <brian@thejaccomas.com>; Sharon Jaccoma <sharon@thejaccomas.com> Subject:Jaccoma Residence: 19 Birch Lane Good afternoon Mike; per our conversation a little while ago I have attached a letter requesting that Wagner Pools be removed from this permit, and advising that my drawings are not to be used for construction or any other purpose. Wagner Pools and myself are no longer involved with this project. Thank you, and do not hesitate to contact me with any questions, comments, or concerns. Sean Walters Landscape Architect Wagner Pools (570)994-5900 1 sw@wagnerswimmingpools.com 1� I , 2 Building Permit Check List&Zoning Analysis Addre'ss: �� (Z-L a r-+E SBL Zone: ` l s� Use: Conn Type: Other Submittal Date:: �(P 2ci l z Revision Submittal Dates: 2 ` Applicant: A G C_92 ✓� Nature of Work ( to ` Z O L)N-T� Reviews:ZBA: JUL - 6 2021 PB: BOT: Other. ( ( ) FEES:Filing: 7 aZ BP: ` C/O Legalization ( ) (-�APP: Dated: Notarized SBL: Tn.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: S' Protection: S/W Mgmt: Tree Plan: Other. ( ) ( SURVEY:Dated 1 E t Z l Current: ✓ Archival Sealed: ✓ Unacceptable: ( ) (. PLANS:Date Pe ✓d ✓ Sealed: Copies: 7,,- Electronic. ✓Other. ( ( ) License: ✓ Workers Comp: %01"- U ility'�'Comp.Waiver. Other. (` ( ) CODE 753#. ©�O Q/— C6 l— 7S5 Dated: > a N/A: (•� ( ) HIGH-VOLTAGE ELECTRICAL:Plan: 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:Plan: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. (� ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER Other. ( ) ( ) Other. mtg.dare: ? 2 1 Z 1 approval notes: ( )ZBA mtg. date: approval• notes: ( )PB mtg.date: approvaL• notes: APPROVED REQUIRED EXISITNG PROPOSED NOTES ode)UL 2 9 2021 Ate: 1 S k t S 33 ,z — tf, Circle: t 0 O F Z'S ' Front: Front 14o Sid=: I s 4 Main Cov Accs,C 2 .3 s Fn H/Sb: Sd,H S S� Tot Imp: S S'l Ft Imp P icjghtZStories: notes. t 1 L3 CO az-11 C` V t o,, rnu V i,ri BUILD - MItJNT R [ -" E � V E VIL 'Q it OK JUN 2 9 2021 938 KING '1 TRA".91Bit; ,NY 10573 (914)9 - 6 9 39-5801 VILLAGE OF RYE BROOK re BUILDING DEPARTMENT 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: 19 Birch Lane Date of Submission: 6/17/2021 Parcel ID#: 135.43.1.5.26 Zone: R-15 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: M UST BE COMPLETED BY THE APPLICANT New in-ground pool with turf satin The following items must be submitted to the Building Department by the applicant-no exceptions. 1. (X)Completed Application 2. (X)Two(2)sets of sealed plans. (one full size lmaximum Property Owner: Brian and Sharon Jaccoma allowable plan size=36 x 42 1 and one I I xl T) 19 Birch Lane,Rye Brook,NY 10573 3. (X)Two(2)copies of the property survey. Address: 4. (X)Two(2)copies of the proposed site plan. Phone# 914-980-1661 5. (X)One electronic/disc copy of the complete Applicant appearing before the Board: application materials. 6. (X)Filing Fee. Sean Walters;Wagner Pools 7. ( )Any supporting documentation. Address: 750 Wordin Ave,Bridgeport,CT 06605 8. ( )HOA approval letter.(rfapplicable) NA 9. (X)Photographs. Phone# 570-994-5900 10.( )Samples of finishes/color chart. (a sample board or Architect/Engineer: Rex B.Gedney;Crozier Gedney Architects PC model say be presented the night of the sleeting) Phone# 914-967-6060 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 Reviewreserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this 23 Sworn to before me this 2r3Yv day of We 12021 day of U , 20 i. Si"of Property Owrxf Signatur"re olfApplicant / Brian and Sharon Jaccoma Seen 1Wekere;Wagner Pools` Z Print Name of Property Owner Print Name of Applicant �1 Notary Pu lic Notary Public m SANDRO LUKIC DANIELLE DEVITO Notary Public-State of New York NOTARY PUBLIC-STATE OF NEW YORK NO.01 Westchester No.01 DE8307860 Qualified in Westchester County 3/21l19 My Commission Expires Sep 8,2022 Ouflifled in Westchester County My C®t MIsslon Expires 07-14-2022 jj CROZIER GEDNEY ARCHITECT41 Elm Place - Rye, New York10580 914.967.6060WW W .CROZIERGEDNEY.NET 7 REVIS Letter o Transm NS JUL -8 2021 BUILDING DEPARTMENT TO: Mike Izzo; Building & Fire Inspector Date: July 8,2021 Village of Rye Brook, NY From: Rex B. Gedney; AIA Re: 19 Birch Lane We are sendiM you attached: Requisition X Drawings Photocopies Specifications Contract Proposal Change Order Equip. Specs. Other: Putpose of Transmitted: For Approval X For Your Use X As Requested For Review/Comments Approved As Submitted Approved as Noted Returned For Corrections Copies For Distribution Corrected Prints No. of Drawing Copies Number Description Date Revised 2 Copies LA-1 Clarification regarding coverage calculations 7/7/2021 (Signed and Sealed) Remarks Rex B. Gedney, AIA VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, July 21, 2021 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 1 Lincoln Ave (Parr) Replace Wood Retaining Consent 5209 Wall,w/Masonry Liberty Agenda Stone, & Walkway 15 High Point Circle Re-Do Existing Deck in Consent 5219 (Hashimoto) Trex, Railing& Stairs. Agenda Paver Patio on Grade 8 Fairlawn Pkwy Roof Top Solar Array Consent 5220 (Levin) Agenda 17 Eagles Bluff 4' High Open Picket Fence 5221 (Seguljic) Rear Yard 4 Belle-Fair Road 6'0" Fence In Rear Yard Consent 5222 (Kitchin) Agenda 20 Pine Ridge Road New Fence Consent 5223 (Bassuk) Agenda 39 Mohegan Lane Replacement of Bluestone Consent 5224 (Sheinheit) Walks In Kind Agenda 7 Ridge Blvd Amendment To Prior 5225 (Holleran) Approval - omit window 16 Maywood Ave Rear Yard Deck 5226 (Robles) Expansion 17 Jeniffer Lane Above Ground Swimming 5227 (Dutra) Pool, Retaining Wall, Fence& Re-grade Yard 43 High point Circle Removed Old Existing 5228 (Goldman) Deck, To Build New Deck 8 Heirloom Lane New Rear Deck 5229 (Goldman) ML NM MR SE JM SF AC MI KC - - • VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD - Wednesday, July 21, 2021 r 3 Edgewood Drive Exterior Projects, Deck 5230 (Feldberg) w/Stairs to Patio, Pergola, Outdoor Kitchen, Pond- less Water Feature 19 Beacon Lane Reconfigure Roof, New 5231 (Nebauer) Front Porch, & 2nd Floor Terrace 167 Country Ridge 1 Story Side In-Fill 5232 Drive (Hugon) Addition 11 Berkley Drive . Rear 2nd Story Addition, 5233 (Signh/Gawtam) Rear Deck& patio. New Front Portico 19 Birch Lane In-Ground Pool, Turf 5234 (Jaccoma) Patio, Rear Yard Fire Pit 51 Country Ridge Dr Enlarge Existing Deck, 5235 (Wolf) Enlarge Existing Patio, New Front Walk 108 Old Orchard New Front Gable Roof, 5236 Road(Martino) Masonry Steps, Patio, Flagstone Walk& Cupola Over Garage. ML NM MR ✓ SE JM � SF AC MI Laura Petersen From: Laura Petersen Sent: Thursday,July 29, 2021 1:45 PM To: brian@thejaccomas.com Cc: sharon@thejaccomas.com Subject: Building Permit Application - 19 Birch Lane Good afternoon, The building permit application has been approved by the Assistant Building Inspector. Before I can issue the building permit the following items must be submitted to our office, X' 1. General contractor's contact name & phone number. /JOJQ ,�2. Copy of general contractor's valid Westchester County Home Improvement License. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) ✓4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $1,806.00 (due once permit is issued and ready for pick-up) .//6. Contractor must call Dig Safe NY and get a ticket number. This information can be emailed to me. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 IpetersenOryebrook oro 1 Laura Petersen From: Dale Glifort <dale@wagnerswimmingpools.com> Sent: Monday, August 2, 2021 4:17 PM To: Laura Petersen Cc: Brian Jaccoma; Sharon Jaccoma Subject: 19 Birch Lane Jaccoma residence Attachments: Wagner Logo.tiff, 21-22 GLI CAU EQFL XLS -The Village of Rye Brook.pdf;Westchester Home Improvement License 20200721.pdf, C105.2 RYE BROOK.pdf Importance: Low Hello Laura, My Contact info for Wagner Pools is: Dale Glifort(203) 667-2233 101 Noroton Ave. Darien, CT 06820 Attache please find our license and insurance and Dig Safely NY ticket number Our Digsafely NY ticket#is 08021-002-759 Please see attached license and insurance. Thanks much, Dale G. 1 TM�: rS jib. �Y A \ /• ! 't'X\4 ., SA`s y7�R"' '?.�} � 1,: '�•'. trA`i fj^ '• 0."A"" �•`S+`" 'li )+} pI1 YW � V: �:'* � ��, b� ,Ed 't �' ' �rQas.� p M� z. v i�,� t P �� '•�,q.�A 'C�Sf_ �'th\A'r?�,p�Ip � y t •�� _'1r15 r �' , • ♦• v •• • •• • �1 • ♦♦ • ♦• ��rf`.6 �• 3 • .� 4•9 .1+1/lyl �� � ��.tfl �� � 11+�1j1��F11�:�}1i�Iy111fIP�� �`5•C'i+/lf��� �.'r,+I 1{11..4F������,"++"--��yflfl ,�.s . �f�A)>�,y.. _ t_ n , -'�c .a.:'�'- 11r• .+' � 'laa�+'yi...� '�s 1 il{,i;fs- ` ;: �t(tl[a»�. kmaw--im y •�•� p •u l t(ss)sj / il. C7in co O N CN �•-�� I � �' u, o •k � I fCzt J -.s> t H yA rA a. Lr) U12. o �s r..► U Z o c omerUon '04 ' 1 ' O 7 a a u O v� sum.» con 4-4 Qr o w .� lGewtredeQ wee` •. t(H�1� �1 � Z e.KY'F CL ..li y L W CD Cur)*) �� LO 61 fn t •+rid: N �.. CD V V Un t� tc� yCy SS4-~i F tk �. et., Illy 5",ya€�`>•r'.N�11 ,F:.1—�..r ,I y rr'S�;/� ««s»} /,�1` 11 � �f�llr+rGy� p f�Fa + q� yg, •xs � l�E, •.1 ^^ v, ♦• �{, ifD'wjlfY •1/r, yy f(w ry 1{ p}�^ , •• ,'1T�ri+� •♦ 9yw vE,. •. ,S�� w�tf'�l9 � 7P�" F <II> k��l�lM' II R If 7 � '3�i 1 � C9f;7PSC �;wSY•{ � . 6e 5 ELWAGNE-01 TLEONARD ACORO CERTIFICATE OF LIABILITY INSURANCE DAT 8/2/2 D/rrrr) 8/2I2021 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 c CT Kim Abramo AssuredPartners New England,Inc. PHONE FAX 850 Main Street ,No,Et:(203)463-2667 A/C,No:(203)463-2667 Bridgeport,CT 06604 Kim.Abramo@,AssuredPartners.com INSURE S AFFORDING COVERAGE NAIL t INSURERA:Continental Insurance Company 35289 INSURED iNsuRm a Nalley Forge Insurance Company 20508 E.L.Wagner Co.,Inc.;Wagner Pools INSURERC: 101 Norton Avenue INSURERD: Darien,CT 06820-5200 -- 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. ILTR NSR I TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABLMY 1,000,000 EACH OCCURRENCE CLAJM34AADE X OCCUR X 6083362639 5/1/2021 5/1/2022 DAMAGE TO RENTED 100,000 -PRMED EXP(Any oneperson) 15,000 PERSONAL 6 ADV INJURY 1,000,000 GENT AGGREGATE pURMpIT APPLIES PER 2,000,000 POLICY❑X JECT LOC GENERAL 2 000 O00 PRODUCTS-COMP/OPAGG OTHER: JEMPLOYEE BENEFI 2,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 a accide X ANY AUTO X 60SM7756 6/1/2021 5/1/2022 BODILY INJURY Per person) OWNED SCHEDULED AUTOS ONLY AUTOS yy Ep BODILY INJURY Per accident) AUTOS ONLY AUTOS ONNLY e� �T AMAGE A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000 EXCESS LIAR CLAIMS-MADE X 8083454012 5/1/2021 SM/2022 AGGREGATE s 5,000,000 DIED X RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATU`TE ER ANY PROPRIETOR/PARTNER/EXECUTIVE F7 WE.L.EACH ACCIDENT FICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Equipment Floater 6083362639 5/1/2021 5/1/1022 SeeDescriptionofOps DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Job Location:The Jaccoma Residence 19 Birch Lane Rye Brook,NY 10583 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village Hall 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured E L WAGNER CO., INC. 750 WORDIN AVE. (203)335-3960 BRIDGEPORT,CT 06605 tc.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically 1604605 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 06-0641 006 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance Company 3b.Policy Number of entity listed in box"1 a": Rye Brook NY Village Hall WWC3508039 938 King St. 3c.Policy effective period: Rye Brook,NY 10573 01/01/21 to 01/01/22 3d.The Proprietor,Partners or Executive Officers are: ®included.(Only check box if all partners/officers included) ❑all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers'compensation under the New York State Workers'Compensation Law.(To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Mary P.Stor (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 07/30/21 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 877-266-6850 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT autorized to issue it. C-105.2(9-17) www.wcb.ny.gov ca < P c > FU 'e— M C= C G) 0 0 -n OT M 0 LO > X C=D 4 00 rV mot z 0 r. 00- 11 -C� A 7 cL Zr Q_ 41 C*� H \J, X, .1, �' L9 0 (D 'iW'.':r i"N' ILI TJ U. CO > 4- M > -n m CHIMNEY S- > > C. 0 Ln 0 44 M ul a) '7 Ln je a) Q -4. < QV V) w 40. 13' ez ;Q k4A M auoa a ! 71 tz 2r. 91) I.P. 4t. M X C/3 :fti .13 C Q1 G) A 0" C! M M 0 C; N.) 7ff- CO:t rl) z M 5 K"t, ;2- Q- Co C, r) <Y' .......... 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