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HomeMy WebLinkAboutBP21-223PERMIT* r�/-�vLS OA'IE:&/o' D/ SECTION 3,S J.r - BOCK LC TYPE OF WORK Q % t /��/� JOB LOCATION OWNER JJ � Q ZZp J40 /p 3 7 > CONTRACTCiR�/�1'I/�/PS�t ry44fT . COST ,t c� INSPECTION RECORD DATE FOOTf N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT AS tlUILT FIt�AL INSP S i/%401 eo�`u(e Ccl/dq)v A0 3/o;)S OTHER APPROVALS ARB �kS?l/Sf�7 �c7�-I BOT ZBA OTHER AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION `' eceIvel 11 f 15005,1 �yE 0R fi t VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher j. Bradbury wvvwjr:ebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 18,2021 Linda Uzzo 52 Valley Terrace Rye Brook,New York 10573 Re: 52 Valley Terrace, Rye Brook, New York 10573 Parcel ID#: 135.59-1-45 Building Permit#21-223 issued on 8/25/2021 to Legalize Retaining Wall & Walkway This certifies that the new retaining wall and walkway,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg R For officeRX29-5 on' © E�� BUILD NT PERMIT#IDVILI AGE OF RYE K 1ssUEn: i NOV 1 6 2021 38 MN�C STRE RvE BROOK2, ;' ' ORK 10573 DATE: / 9 �0U FEE: PAID VILLAGE OF RYE BROOK t - BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBbUTTRD ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION #ikk#kk#t#sk#k4ks4iisiiklflfiirtiiiiifffiiiii4ili#iiifiik#♦ii##i##liiiiiiiirtlirtrti!lrtirttrtirti tirtrtrtiiii#iiiiitt#ttititiititi ttki4 Address: 2— Va Ile Mee Occupancy/Un-. J—haM Parcel fD#: /35• — 1^ Zone: R— —7 Owner:_ Linda U ZZo Address: 1�A 7�:rra ee P.E./R.A. or Contractor:uLcaicy) 63Me AddressAfto Lower ��'. . ksklli I Nq Person in responsible charge: Address: M(wi +t 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 ,/yO�FJ NEW,YtORK,COUNTY OF WESTCHESTER as:L I s� j+ of J�! VI being duly swom,deposes and says that he/she resides at 52— ya 11 e free (Print Name of Applicant) (No and Stye 1) in e � It ,in the County of Wts as in the State of N V that ityffoWn/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:$ 0 , for the construction or alteration of m ia� wall, i1 a 1 k�r ;-D;_d[ye W61 L.J IF 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 taws governing building construction.Deponent further understands that it shall be unlawful foran 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 duty issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this 2q Sworn to before me this day of Cc 0. 2-1 day of , 20 Si t e of Property per Signature of Applicant SANDRG LUKIC Of �( Notary public-State of Hew York Print Name of Property Owner NO.OILU63 t 1 ' Print Name of Applicant Qualified in Westchester County MY Commission Expires Sep 8,2022 Notary Public Notary Public �E BR��, BUILDING DEPARTMENT ❑ByiLmNG INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.rvebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - -- -- -- ADDRESS : � � ATE: PERMIT# �/l� C� ISSUED J SECT: k yBLOCK: LOT: Q LOCATION: � ' LPL I �� CCU ANC / -Z) L ❑ VIOLATION NOTED THE WO IS... ViCCEPTED xolahmCTEII7 CTI()N ❑ SITE INSPECTION t� REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS s ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER Building Permit Check List&Zoning Analysis ~ 11 L '�n-t�wa.c SBl. 3 S, S -- 1 -L{ .T- Address• '- Zone: 1-1 `t_ Use: Z tJ Const.Type: 2� Other. I-r C. (r z 0 ks Submittal Date: o Z1 Revisions Submittal Dates: Applicant: U Z Nature of Work.. L F—G A L 1 t,-A L t— �:/ Reviews:ZBA: A U G - 2021 PB: BOT: Other: OK L�IEEp f D S,w,0, ( ( ) FEES:Filing: 7�• t�r�BP:� c C/O: Legalization: { ) (-�4,T?P: Dated: ✓ Notarized: SBL: ✓ Truss I.D. Cross Connection: H.6 A.: ( } { ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO: Long Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site P otection S/W Mgmt.: Tree Plan: Other. ( ) (�SURVEY:Dated: i' 7 $ t Current Archival• "' Sealed Unacceptable: ( ) (+ PLANS:Date Stamped Sealefl "� Copies Electronic Other. ( ( License l/ Workers Co �/ Liabili Comp.Waiver. Other. ( CODE 753#: O � 4� — — 0 —Dated, 9--) 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. ( ) ( } 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. { 44 B r$date: I Z approval- notes: ( )ZBA mtg,date: approval• notes: ( )PB mtg.date: approval notes: APPROVED REQUIRED EXISTING PROPOSED NOTES AUG 1 9 2021 Area: Date �.� Circle _ Fron e Front Front tea: Main9s Accs.Coo Ft.Hf5b: Sd H/5b -GEA, T�Imn: - Ft Imp Hcj /Storicc notes: BUILD MINT V1 oOK J U L 3 0 2021 938 Kmc rBrnt ,NY 10573 VILLAGE OF RYE BROOD W C (914)9 39-5801 BUILDING DEPARTMENT �. ***�*w**ww**w**w►w**�r*****w*****ww*«ww**w*ww****wx**********w*w*w****+�*w*w�rw*w**www**+��r***rw**war*******w*w 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. Jab Address: ,']?- 6e,r) -3w-o-c,9., Date of Submission: Parcel ID#f: f'SS. I- 45 Zone: Proposed Improvement(.Describe in detail): APPLICANT CHECK LIST: MIST BE COMPLETED BY T14E APPLICANT The following items roust be submitted to the Building (4-pU,*ce e4T o-P �X� � o, I Department by the applicant-no exceptions. 1. {�Vwo pletedApplication 2, { (2) sets of sealed plans. (one full size lEnaximum Property Owner: L I n I? allowable}Man sizc=36"x 42"l and one I 1"x l T') 3. (� o(2) copies of the property survey. Address:, UV tt- 4, ( wo(2)copies of die proposed site plant. Phone 3 Z 6 7 S. ( One electronic/disc copy of the complete Applicant appearing before the Board: application materials. S. { Filing Fee. ,3Qhrt (, S ctxr(" -YL 7. ( } y supporting documentation. l un 8. ( } OA approval letter. {ifappGcable) Address:. 14yAe,r `� 9. ( Photographs. Phone# (1 4) �?3�- 73 S-0 1°5 4+ 10.( )Samples of fuiishes/color chart. (a sample board or uurda nay be presealed the might of dire meeling) Architect/Engineer: ,�,r�e �.� �d� Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit instructions&Procedures, and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this I Swam to beflorg me this day of U 2fl day of,)j� , , f[ >! DID /l��- Sig cure of Property Owncr Nota ,Public.N�R p,Jgs r i®neturc of Applica N State L 1 r1.,I 0 �— t.� Qu cl in Kb.t.�j 47 York r�Y Cr ry uWon Wf r - ester Co ��Jl h n c� �;�r.—l•��t, Print Na c Property Owner Aires%y2�,?y Print NaEne of Applicant - ��— X"A ali'd Nmry Public Notary Public Ill l�t�� +41 QEMIq ��sj, - � p •v =/�/ 3121A9 rn r y VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Tuesday, August 17, 2021 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 2 Old Orchard Rd Expand Existing Patio Consent 5204 (Zaino/Schinfield) Agenda 44 Country Ridge Dr Amendment to Prior Consent 5205 (Wechsler) Approval, (Outdoor Agenda Kitchen Countertop Change), 226 S. Ridge St Change Exterior Brick Consent 5236 (Tucci) Facade To Vinyl Siding Agenda 1 Maplewood Lane Replace Existing Wood Consent 5237 (Balanoff) Decking w/Timber-tech Agenda Peakon, Existing Masonry Patio &Wall w/Westchester Blend Pavers 31 Talcott Road New Windows,New Patio Consent 5238 (Frank/Israel) Doors; & Replace Siding Agenda In-Kind 121 Country Ridge New Windows & Doors 5239 Drive (Novick) For Interior/Exterior Changes 2 Old Oak Road New Deck & Patio In Rear 5240 (Wexler) Yard 19 Beacon Lane Re-Appearance Exterior 5241 (Nebauer) Changes. New Front Porch & 2nd Floor Terrace 78 Tamarack Road Legalize Rear Deck 5242 (Zahl) Remodel 52 Valley Terrace Re-Do Driveway, 9 ,-,-� 5243 (Uzzo) Retaining Wall & Walkway ML NM MR SE JM r f 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 Tuesday, August 17, 2021 NAME&LOCATION TYPE OF APLLICATION MOTION SECOND APPROVED REJECTED 22 Highview Ave One Story Side Addition 5244 (Saunders/Del- w/Finished Basement Rosario) 90 S. Ridge St (RSP) New Illuminated Sign 5245 Group "Walk In Care Center" 6 Jacqueline Lane New Rear Deck, Patio, 5246 (Gasparino) Windows, Siding& Front Door 108 S. Ridge St New Sign & Awning For 5247 (Win-Ridge) (City M.D.) 9 Charles Lane Legalize 2nd F1 Bedroom, 5248 (Straus) & Install 2 New Casement Egress Windows 2 Jennifer Lane 2nd Floor Addition, New 5245 (Bien LCC) Rear Patio & Renovations 33 Talcott Road Rebuild Rear Deck 5249 (Selzer) 11 Whippoorwill Rd 2nd Floor Dormer 5250 (Aspis) Addition 68 Windsor Road Replace Rear Exterior 5251 (Perry) Stairway 134 S. Ridge St(Win New Sign 'Buff City 5252 Ridge) Soap" ML NM MR SE JM SF AC MI KC Laura Petersen From: Sandy Fizzinoglia <msfizz@optonline.net> Sent: Wednesday, August 25, 2021 12:59 PM To: Laura Petersen Subject: RE: Building Permit Application - 52 Valley Terrace $21,750...so the additional check for the town would come to$1450.00 correct? From: Laura Petersen<LPetersen@ryebrook.org> Sent:Wednesday, August 25, 2021 10:43 AM To:Sandy Fizzinoglia <msfizz@optonline.net> Subject: RE: Building Permit Application - 52 Valley Terrace Do you have the estimated cost of construction? 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 Ioetersen(&ryebrook.org From:Sandy Fizzinoglia <msfizzCu�optonline.net> Sent:Wednesday,August 25, 2021 10:18 AM To: Laura Petersen<LPetersen@ryebrook.or>;> Subject: RE: Building Permit Application -52 Valley Terrace Good morning Laura, I appreciate you following up. Thanks again[ Best, Sandy From: Laura Petersen <LPetersen@ryebrook.ore> Sent:Wednesday,August 25, 20219:29 AM To:Sandy Fizzinoglia <msfizz o tonline.net> Subject: RE: Building Permit Application-52 Valley Terrace Good morning Ms. Fizzinoglia, I was out of the office yesterday. Thank you for the updated workers comp. I will email you as soon as the permit is ready for pick up. Thank you Laura Laura Petersen Office Assistant 1 r Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914) 939-5801 1 loetersena-Eyebrook.ora From:Sandy Fizzinoglia <msfizz@optonIine.net> Sent:Tuesday, August 24, 20218:38 AM To: Laura Petersen <LPetersen2rvebrook.orp Subject: RE: Building Permit Application-52 Valley Terrace Good morning Laura, Attached please find the current workers comp form. Best, Sandy From: Laura Petersen <LPetersen@ryebrook.ore> Sent: Friday,August 20, 2021 1:02 PM To: Sandy Fizzinoglia <msfizz@optonline.net> Subject: RE: Building Permit Application-52 Valley Terrace Thank you for the email. The workers comp form has expired. Could you re-send the current one? 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 IpetersenCdryebrook.org From; Sandy Fizzinoglia <msfizz o tonline.net> Sent: Friday, August 20, 2021 12:36 PM To: Laura Petersen <LPetersen@rvebrook.org> Subject: RE: Building Permit Application - 52 Valley Terrace Hi Laura, Thank you for the information. Please see below: Item#1: Cristhian Conde (Contractor) Limitless Golden Construction (914) 810—3125 Item#2: see attached Item#S: see below > Ticket: 08201-001-155-00 Type: Regular Previous Ticket: >------------------------------------------------------------------- - >State: NY County: WESTCHESTER Place: RYE BROOK >Addr: From: 52 To: Name: VALLEY TER 2 >Cross: From: To: Name: >Offset: >--------------------------------------------------------------- >-------- > Locate: EXISTING DRIVEWAY > NearSt: ARGYLE RD& RIDGE BLVD > Means of Excavation: EXCAVATOR Blasting: N >Site marked with white: N > Boring/Directional Drilling: N >Within 25ft of Edge of Road: N >Work Type: DRIVEWAY INSTALL > Estimated Work Complete Date: 08/25/2021 Depth of excavation: 8 INCHES >Site dimensions: >Start Date and Time: 08/25/202107:00 > Must Start By: 09/09/2021 >------------------------------------------------------- -- >-------- >Contact Name: CRISTHIAN CONDE >Company: LIMITLESS GOLDEN CONSTRUCTION >Addri: 1060 LOWER SOUTH ST Addr2: >City: PEEKSKILL State: NY Zip: 10566 From: Laura Petersen <LPetersen@ryebrook.ore> Sent: Friday, August 20, 2021 10:21 AM To: msfizz(@optonline.net Subject: Building Permit Application-52 Valley Terrace Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 3. Estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00) (due once permit is issued and ready for pick up) 4. Stop Work Order fee $500.00 (due once permit is issued and ready for pick up) 5. 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 loetersenArveb rook.org 3 Laura Petersen From: Sandy Fizzinoglia <msfizz@optonline.net> Sent: Friday, August 20, 2021 12:36 PM To: Laura Petersen Subject: RE: Building Permit Application - 52 Valley Terrace Attachments: LGC Workers Comp.pdf Hi Laura, Thank you for the information. Please see below: Item#1: Cristhian Conde (Contractor) Limitless Golden Construction (914) 810—3125 /Item#2: see attached V,/ Item#5: see below > Ticket: 08201-001-155-00 Type: Regular Previous Ticket: >------------------------------------------------------------------------------ >State: NY County: WESTCHESTER Place: RYE BROOK >Addr: From: 52 To: Name: VALLEY TER >Cross: From: To: Name: >Offset: >---------------------------------------------------------------------- >----- > Locate: EXISTING DRIVEWAY > NearSt: ARGYLE RD& RIDGE BLVD > Means of Excavation: EXCAVATOR Blasting: N >Site marked with white: N > Boring/Directional Drilling: N >Within 25ft of Edge of Road: N >Work Type: DRIVEWAY INSTALL > Estimated Work Complete Date: 08/25/2021 Depth of excavation: 8 INCHES >Site dimensions: >Start Date and Time: 08/25/202107:00 > Must Start By: 09/09/2021 >--------------------------------------------------------------------- >-------- >Contact Name: CRISTHIAN CONDE >Company: LIMITLESS GOLDEN CONSTRUCTION >Addrl: 1060 LOWER SOUTH ST Addr2: >City: PEEKSKILL State: NY Zip: 10566 From: Laura Petersen<LPetersen@ryebrook.org> Sent: Friday, August 20, 2021 10:21 AM 1 f • To: msfizz@optonline.net Subject: Building Permit Application-52 Valley Terrace Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. General contractor's valid workers compensation on a NY State Board form (C105-2 or U2fi.3) 3. Estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00) (due once permit is issued and ready for pick up) 4. Stop Work Order fee $500.00 (due once permit is issued and ready for pick up) 5. Contractor must call Dig Safe NY and get a ticket number. This information can be entailed to me. Thank you Laura Laura Tetersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Inetersena-Eyebrook.org 2 1 tNyVl�� ` C V \. Z y V O J m J / 4 " j 0 cl, o .n to aca V O fl O z a in 4 4 C 0. (D 0LL i4il.�daQ €• c:� 1 ui x z 12 CPJL a g F e v J - u A B l LIMIT-2 OP ID RYE ACOIRL® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 16-. � 1 07-21-2021 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: James Guerra J&Y Associates of Brewster Inc PHONE (845)282-5607 � :(845)302-2254 86 Main Street Ems" amend uerra_2921 ahoo.conl ADDRESS: ) g @Y Brewster NY 10509-1400 INSURERS AFFORDING COVERAGE NAIC N INSURER A: Third Coast Insurance Company 10713 INSURED _ INSURER B: Wesco Insurance Company 25011 Limitless Golden Construction Inc INSURER C: Certain Underwriters at Lloyd's London 32727 PO BOX 2091 INSURER D: Ossining NY 10562-0079 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2091001 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. I'S ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LTA POLICY NUMBER MWDWYYYY MWD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 CLAIM&-MADE OCCUR PR MI E. E NTED S 5,000.00 MED EXP(Any one person) S 10,000.00 A Y N GLSIST-0000630721 0e102I2021 orara2rao22 PERSONAL$pQV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 5 2.000,000.00' POLICY[Z JECTPRO-- ®LOC PRODUCTS-COMPIOP AGG S 2,000,000.00 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea amAenl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per aer�dent) S NON-OWNED PROPER DAMAGE HIRED AUTOS TY AUTOS Per arx�denl $ UMBRELLA L.IAB OCCUR EACH OCCURRENCE S _ EXCESS LAB CLAIMS-MADE AGGREGATE $ _ DED RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000.00 B OFFICERIMEMBEREXCLUDED? ® NIA WWC34835555 a7n412wo 07124r2021 (Mandatory in NH) E L.DISEASE-EA EMPLOYEO 5 1,000,000.00 If yes.describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 5 1,000,000.00 Chill Engineering Services `. Aggregate LimlUPer Om 100,000.00 C (blacktop pavement&masonry) ,7� N ACP2019003695 o7xasrzo2o o7rosrzo2a DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space,is required) Certificate holder(s)are named as additional Insured as respect to the general liability policy.Written Contract and/or permits. The policy contains a blanket additional insured endorsement on form CG 2033 10 01 &CG 2404 05 09.Village of Rye Brook is automatically named as additional Insured on a pnmary and/or non-contntwtory basis when required by written contract as respect to the work performed by the Insured Job location. Linda Uuo 52 Valley Terrace Rye Brook NY 10573 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT N DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDAN ITH THE P Y PRO ISIONS. 938 King Street Rye Brook NY 10573 AUTHORIZED R SENTA 1968-201 RD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legai Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured LIMITLESS GOLDEN CONSTRUCTION INC (914)330-2039 P.O.BOX 2091 OSSINING NY 10562 1c.NYS Unemployment Insurance Employer Registration Number of Insured 3781910-9 Worts Location of Insured(Only required ft coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number LINDA UZZO 81-1 75041 3 52 VALLEY TERRACE RYE BROOK NY 10573 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 VILLAGE OF RYE BROOK 938 KING STREET 3b.Policy Number of Entity Listed in Box 1a" RYE BROOK NY 10573 WWC3538370 3c.Policy effective period 07/2412021 to 07124/2022 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"l a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item_3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? Zx YES []NO 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: JAMES D GUERRA (Prtn Z;Z presentative or licensed agent of insurance tamer) Approved by: 08/2312021 Signa / (Date} Title: LICENSED PRODUCER Telephone Number of authorized representative or licensed agent of insurance carrier: (845)582-0457 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers am hW authorized to issue it. C-105.2 (9-15) www.web.ny.gov Laura Petersen From: Mike Izzo Sent: Monday, August 23, 2021 8:30 AM To: Tara Gerardi; Laura Petersen Subject: FW: Message from Dig Safely New York, Inc. (DSNY) Michael J. Izzo Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 -----Original Message----- From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Friday, August 20, 2021 12:23 PM To: Mike Izzo <MIzzo@ryebrook.org? Subject: Message from Dig Safely New York, Inc. (DSN'Y) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 08/20/2021 12:21 To: VIL RYE BROOK.PRIMARY Transmitted: 08/20/2021 12:22 00002 Ticket: 08201-001-155-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 52 To: Name: VALLEY TER Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: EXISTING DRIVEWAY NearSt: ARGYLE RD & RIDGE BLVD Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: DRIVEWAY INSTALL Estimated Work Complete Date: 08/25/2021 Depth of excavation: 8 INCHES Site dimensions: Start Date and Time: 08/25/2021 07:00 Must Start By: 09/09/2021 ------------------------------------------------------------------------------ Contact Name: CRISTHIAN CONDE Company: LIMITLESS GOLDEN CONSTRUCTION Addr1: 1060 LOWER SOUTH ST Addr2: City: PEEKSKILL State: NY Zip: 10566 1 Phone: 914-293-0001 Fax: Email: limitlessgcl@gmail.com Field Contact: CRISTHIAN CONDE Alt Phone: 914-293-0001 Email: limitlessgcl@gmail.com Working for: ONWER PROPERTY ---------------------------------------------------------------- ------------- Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED : SUEZ WTR WESTCHESTER VIL RYE BROOK : WESTCHESTER CTY SWR 2 I 1 2 3 4 5 6 7 8 9 1 10 1 11 1 12 1 13 1 14 1 15 16 ,:- ZONE: R-7 A A SITE W U Z 80 W 34 �U 4 x Q FENCE a- 141.20' LOCUS SCALE: 1"=500' E• � JS83035'00"E 4 FT.PLASTIC FENCE (r U POLE LIJ c O .. CONC.WALK/STEPS STONE WALL LEGEND J O O w w.� e\\ O tV (r U U(A B w Q Z Z \�� ASPHALT DRIVEWAY Z (n Z� �Z FLAGSTONE UT. POLE UTILITY POLE B 79 � 35 PATIO \' � O Ll1 \� ~ O �J O o HYD HYDRANT 0 U �Z L O WATER VALVE ._l MH �Q WV ---�_-_.- ,... .... -.. -� O — �J J LLI FENCE GEN.0 M Q GV GAS VALVE O HYD O ON LINE �p = NE d- N a O WALK L0O C) O f- M H 78 En36 Q ABBREVIATIONS O 0^ I a. C) N�`� vJ Q N/F NOW OR FORMERLY z 43. ' �FENCE 6 �-- 1.7" W. N83035'00"W MH R.O.W. RIGHT OF WAY C C 136.40' 77 37 ui SURVEY NOTES: Date: I,Anastasia I.Parsatoon,L.S.,the surveyor who made this map,do hereby certify October 13,2021 that the field survey on which this map is based was completed on August 7,2021 scale: and that this map was completed on October 13, 2021 in accordance with the 1"=20' existing Code of Practice for Land Surveys adopted by the New York State O(�j�' �� Drawn/Checked By: Association of Professional Land Surveyors. 1?� JP Book KBF/TGA � #. Reference is made to deed liber 9414 page 56. �0� A -B I LT 258:154 Reference: Being lots 35 and 36 as shown on a map entitled"Revised Map of ` �E �/ \ DOCUMENT Job#: D Tamarack Gardens..."filed in the Westchester County Clerks Office, Division of Q` r Q 21-159-10573 D Land Records on August 6,1930 as map number 3675. / j � PARS Reference: 270 Underground utilities,facilities and structures are not shown hereon.There may be underground utilities the location of which are presently unknown.Any party utilizing (� Q- �+,� A�� 2 �� '� the utility information and data depicted on this survey shall contact the "DIG �?, :K : ; LOT N o.s 3 5 3 6, BLOCK B SAFELY NEW YORK"phone number at 800-962-7962 a minimum of forty eight Q �, �w`'r� '�� �?. CL' Filed map 3675 (48)hours prior to any construction activities to verify the location of any and all ' underground utilities. * � 0 Lot Area=6,940 Sq.Ft.(0.159 Ac.)i � Nov 15 2091 Property subject to any and all public or private restrictive covenants,declarations � O� O and/or easements of record,if any. �^ 1� GRAPHIC SCALE : .Qk /�1-/ A Dimensions shown from structures to property lines are not intended to be used for �,� �j� �f�IL the construction of fences,structures or other improvements. \� �L1 L AAQ Q P h1 P ;� O �,. Unauthorized alteration or addition to a survey map bearing a licensed land FEET � c, �? surveyor's seal is a violation of Section 7209, subdivision 2, of the New York o ►�"�� Education Law. \p �� E T THE <�/ <v E O BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS KiRBY ��' SUBSTANTIALLY CORRECT AS NOTED HEREON. G� V O � �- - - -— --- - -- ---- - 1171 East Putnam Avenue,Riverside,CT 06878 Q ANASTASIA I.PARSATOON,L.S.#051088 DATE Tel: 203.869.7707-Fax:203.869.4606 It REV.#: REV.DESCRIPTION: DATE: www.ahnemankirby.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16