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HomeMy WebLinkAboutBP21-233PERMIT # ����-'� � � DATE: � ©cP: v�vl SECTION BLOCK_ � LOT r TYKE OF WORK r � Q� 4� JOB LOCATION _ __ �� � OWN CONTRALTO EST. ✓co # �' /���lL'J /r ._�.-_- � - -- I � :. �/� � � � �. [Gad .. I . TCO # FEE DATE _ ______�_._.. . INSPECTION RECORD DATE FOOTI N G FOUNDATION FRAMING 1 NSP RGH FRAMING INSULATION PLUMBING � �- RGH PLUMBING - - GAS C�------- SPRINKLER ELECTRIC 0 - LOW -VOLT L� --------�' ALARM O --•---"`°"""" AS BUILT � - `-'-"' FINAL "�" OTHER APPI�O'1!'AL� ARB �1,1�� �J�.o"iO3� BOT PB ZBA _ OTHER - - � - _._ _ _ _ 1 ,fin§ LuwJyJ� La 6y�I 4V'A anniumaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.cyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 12,2022 Benjamin Stahl&Jaclyn Stahl 6 Deer Run Rye Brook,New York 10573 Re: 6 Deer Run, Rye Brook,New York 10573 Parcel ID#: 135.57-1-1 Building Permit#21-233 issued on 9/3/2021 For a New Fence This certifies that the new partial rear yard fence,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to DBUILDING DEPA�2TMENT For office use Iv: `a PERMIT# IOU 3 AUG 11 2022 VILLAGE OF RYE ROOK ISSUED: c�/ 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: /- a VILLAGE OF RYE BROOK (9I4)939-0668 FEE: jf PAID$ BUILDING DEPARTMENT �i'ww.ryehroo 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 *rsss+s*toss++**trt*+sssrss+**ssss+tuts++++*st++*+**tt+s++*+t*+s***tsrss*+++*sstr+**stsrtss+++***rs+sssssttsrss+*tsssr+ss** Address: CD fkiG(L Occupancy/Use: J t,v�t Parcel ID#: 13S • 57 ^ Zone: Owner: Address: P.E./R.A.or Contractor: d4 jg t N QL4C4 &. Address: Person in responsible charge: tKIbGVj (.O1°Nl t1!1 Address: 7` q Ra R. 4 C trS 1�lc*4" Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: 1 �e.N�A y1 i#,J 1411L being duly sworn,deposes and says that he/she resides at & Rew (Print Name of Applicant) (No.and Street) V. in y iR0%top Ir— `in the County of At 691T e�j r7t4:,',0- in the State of that (;ity/'own'V illage) 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:$ U for the construction or alteration of Tfl 17=-r 114 L. Deponent further states that he/she has examined the approved plans of the stricture/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this 1 C)f&- Sworn to before me this day of �y 2 0 tea`' day of , 20 of nature Applicant Signature of Property Owner Signature PP 'ant Tbc )I IA Vol I iJ �t►���Print Name Name of Property Owner Print Name of Applicant Notary Public Notary Public MICIELLE M.POMBO NOTARY PUBLIC,STATE OF NEW YORK Registration No.02PO6070477 Qualified in Westchester County Commission Expires March 4,2026 QyE BR(�� BUILDING DEPARTMENT ❑ UILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - -•- - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - -- - - - ADDRESS: `�' ( '��-' DATE: PERMIT# t ISSUED: SECT: BLOCK: ' LOT: LOCATION: kg ����D OCCUPANCY: t ❑ VIOLATION NOTED THE WORK IS... /<cCEPTED ❑ 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 ❑ P OSS CONNECTION ry FINAL ❑ OTHER Building Permit Check List&Zoning Analysis ` ,Address: � ���-�2—�j���� SBL � 3 �, S 7 - l Zone:'2-- �2- Use: 2( O Const.Type: Other. Submittal Date: y I Z 2 Revisions Submittal Dates: Applicant: S--A lA l_ Nature of Work: '- AfZT1 A(- _ QPv - A CL-T-, Reviews:ZBA: APR - 9 1011 PB: BOT: Other. OK ( ( ) FEES:Filing. ?-S BP: i C1`p' — C/O: Legalization: ( ) (-Y"APP: Dated: ✓ Notarized SBL: -"'Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed Unacceptable: ( ) ( ) PLANS:Date tamped Sealed Copies: Electronic: Other. ( ( ) License Workers Comp:_IZ� ili .,",Comp.Waiver. Other. ( O CODE7S3#: D90.31-000- a.-CK.2 Dated !2-3-,;w 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 2 2 -approval:- 7- 2 notes: ( )ZBA mtg. date: approval:- notes: ( )PB mtg.date: approval• notes: REOLMED EXISTING PROPOSED NOTES APPROVED circle: t APR 2 2 1021 F� F� lam: Main coy Accs.Cov Ft.H Sb: Sd.H/Sb Tot.Imp SEA'. Fadd : Hcigk/Stories notes: BUILDING DEPARTMENT r D v VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NY 10573 [APR - 7 ZO?1(914) 939-0668 FAx (914) 939-5801 VILE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT ARCHI TECTURAL REVI EW BOARD CHECK LI ST FOR APPLI CANTS 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. .lob Address:6 Deer Run Rye Brook, NY Date of Submission: April 7, 2021 Parcel ID#: 135.57-1-1 Zone: R-12 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: New Fence at rear of property to provide M UST BE COM PLETED BY T HE APPLI CANT The following items must be submitted to the Building safety buffer for the children. Department by the applicant-no exceptions. 1. (x)Completed Application 2. (x)Two(2)sets of sealed plans. (one full size{maximum Property owner:Benjamin & Jaclyn Stahl alloy%able plan size=36"x 42 and one 1 I-xl7") Address: 6 Deer Run Rye Brook, NY 10573 3. (x)Two(2)copies of the property survey. 4. (x)Two(2)copies of the proposed site plan. Phone# 516-695-5954 5. (x)One electronic/disc copy of the complete Applicant appearing before the Board: application materials. 6. (X)Filing Fee. Benjamin & Jaclyn Stahl 7. (nia)Any supporting documentation. Address:6 Deer Run Rye Brook, NY 10573 8. (n/4 HOA approval letter. (if applicable) 9. (x)Photographs. Phone# 516-695-5954 10.( )Samples of finishes/color chart. (a sw#eboard or Architect/Engineer: Tyler,Jaclyn A. AIA avM may bepresmtedtherughtofftffia6ng) Phone#914-204-6404 By signature below, the owner/applicant acknowledges that he/she has read the complete Building Pbrmit Instructions&Procedures, and that their application is complete in all respects The Board of fbview reservesthe right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this b Sworn to before me this E day of t^) , 20'1-�_ day of , 20 LA Sig re of Property Owner Sig re of Applicant Print Name of Prowjy Owner Print Name ofA licant Notary Public Notary Public 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, April 21, 2021 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on March 17, 2021 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/i/88906948425 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 889 0694 8425 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 2 Lincoln Ave Roof Top Solar Array Consent 5160 (Nunez) Agenda 63 Rock Ridge Drive Roof Top Solar Array Consent 5161 (Mundo) Agenda 17 Loch Lane Expand Rear Patio Add New Consent 5162 (Ashby Taurel) Hot Tub Agenda 29 Winding Wood 4'0" High Black Fence In Consent 5163 Road(Demarco) Rear Yard Agenda 85 Valley Terrace New Retaining Walls & Consent 5164 (Krebs) Modify Driveway Agenda 95 Grant Street 4' High Fence In Front Yard Consent 5165 (Tavarez) 6' High Fence. Whit PVC Agenda Vinyl 15 Legendary Circle Roof Top Solar Array Consent 5166 (Tian) Agenda 34 Meadowlark Rd Rear Windows & Door Consent 5167 (Cullagh) Modification to Facilitate Agenda Kitchen Renovation I ICarlton Road New 6' High PVC Pool Consent 5168 (De'Arudda) Fence Agenda ML NM MR SE JM SF AC MI KC 37 Winding Wood Partial 6'High Vinyl Privacy Consent 5169 Road(Cui/Sun) Fence at Side Yards Agenda 66 Tamarack Road New Front Entry Stairs & Consent 5170 (Sibley) Portico Agenda 6 Edgewood Dr Hot Tub On Existing Patio Consent 5171 (Shalem) Agenda 17 Ridge Blvd New 6' High Gray Vinyl Consent 5172 (Kucera) Fence Rear Yard&4' High Agenda W/gate at Side 6 Deer Run (Stahl) Partial 4' High Wood Febce Consent/ r _ 5173 _ w/Mesh @ Rear Yard Agenda v 432 N. Ridge St Amendment To Prior Fence Consent �5174 (Gabriel) Approval Fence Color Agenda Change 42 Lawridge Dr Legalize Rear Deck 5175 (Altman) 6 Deer Run(Stahl) ! Exterior Door&Window 5176 Changes, Finished Basement 44 Bonwit Road Two Tiered retaining Wall 5177 (Rosenfeld) w/Post& Rail Fence & Landscaping 24 Beechwood Blvd 2nd Story Additions, Rear 5178 - (Moore) Masonry Terrace, Rear Walk, & Replace Existing Walk 46 Winding Wood 2nd Fl Addition, Wood 5179 Road (Meron) Deck, Rear Patio Expansion 18 Boxwoods Place Front& Rear Second Floor 5178 (Wiener) Additions 82 Tamarack Road Legalize& Rebuild Rear 5180 (Sullivan) Deck& Screened Porch 59 Hillandale Road New Gazebo & Outdoor f 5182 (Espinal) Kitchen 2 Lee Lane (Kirsch) New Front Entry Over 5183 M Existing Porch ML ✓ NM MR SE JM AC f MI KC �/ I Berkley Drive Rear Deck Expansion 5184 (Topkis) I I ML - NM MR - - SE JM SF AC MI KC 800 Westchester Avenue•Suite S340•Rye Brook,NY 10573•T(914)381-6700•F(914)381-3131 275 Madison Avenue•Suite 626•New York,NY 10016•T(212)432-3272•F(800)329-9396 JUDICIAL TITLE 30 West Main Street•Suite 302•Riverhead,NY 11901 •T(631)395-0500•F(631)405-3155 Title Number: 133327FA-W -D IE IEOW J� 1 3D] SURVEY READING APR - 7 ZOZi VILLAGE OF RYE BROOK BUILDING DEPARTMENT Survey made by Edward G. Mihalczo dated December 20, 2018 shows a two story frame over basement structure with covered porch in front, garage on northerly side, open wood deck and steps in rear. Asphaltic concrete driveway extends onto Deer Run. Plastic fence from adjoining property to the south encroaches 2.3 feet onto subject premises. 15 foot wide Drainage Easement along southerly portion of subject premises. 15 foot wide Tree Preservation Easement along westerly portion of subject premises. Approximately edge of stream traverses northerly and westerly property lines. Proposed East Channel Line traverses northerly and southerly property lines. Variations between fences, walls, hedges and record lines of title. FOR MORTGAGE PURPOSES ONLY: ENCROACHMENTS & VARIATIONS Policy will insure against any monetary loss or damage resulting from same. Laws and ordinances relating to zoning,occupancy or changes in the character,dimensions and location of any improvement erected on the premises are specifically excluded from coverage pursuant to paragraph 1(A)of the policy exclusions.The survey reading and/or physical inspection herein is solely for the purpose of discovering issues which may affect title to or possession of the land to be insured.Engineer's reports should be consulted where alterations are suspected. Survey inspections are conducted without the use of any instruments or measurements and changes are noted to the extent visible from the outside of the premises. Page 1 of 1 w wJfC I 4f ♦r �' ff'�.J / t svro.wny.r.s / SAr Uf.I VMS we t� rM r u.•�M ��� \J � a� I R ;f � •�`• '+jam ® ;. :v +. yGni ��+ �i �C ��' ���y Ci w •� W4 & t 4 yfs z� •3 3 a ! It M 3 i t i' j �; � fit 20 Laura Petersen From: Jaclyn Stahl <jaclynestahl@gmail.com> Sent: Friday, September 3, 2021 11:50 AM To: Laura Petersen Subject: Re: Building Permit Application - Fence at 6 Deer Run Attachments: Colony Fence Village of Rye Brook.pdf, Colony's License 2022.pdf, Colony Fence Village of Rye Brook C105.2.pdf, Colony Fence Village of Rye Brook db120.pdf Hi Laura- I actually just got this information for the fence! 1. Colony Fence Company Inc 914-497-3442 (Ruben Colonia - Owner) 2. Attached 3. Attached 4. Attached 6. Ticket#09031-000-825 On Mon,Apr 26, 2021 at 3:34 PM Laura Petersen<LPetersen@rvebrook.org>wrote: 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. �. Copy of general contractor's valid Westchester County Home Improvement License. �3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $100.00 (due once permit is issued and ready for pick-up) ,,A. Contractor must call Dig Safe NY and get a ticket number. This information can be emailed to me. Thank you! Laura Tetersen Office Assistant Village of Rye Brook 938 King Street 1 x-- _ N ; f r #61 �4'- a � x z r x ... .� Z a O x �i LL wa peg ff . . CL ` W < L1J wo-** -.::-0-im Q xmobs ids>s j O-k YJ, rr •^,• x4 ' o L L: V F. zi 0 ! M tj COLOFEN-02 LCANDELA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(4/202YYYI� 51 /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 TACT E: World Insurance Associates,LLC PHGN � )279-5151 ' FAX 3 Starr Ridge Rd : (A/C,NO). Ste 100 Brewster,NY 10509 INSURER(S)AFFORDING COVERAGE NAIL i - INSURER A:Selective Insurance CO of South Carolina 19259 _ INSURED INSURER B Colony Fence Company Inc. INSURERC: 744 West Hartsdale Rd INSURERD: White Plains,NY 10607 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 ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXPJJx- LIMNS A X COMMERCIAL GENERAL LIABILITY 2,000,000 EACH OCCURRENCE CLAIMS-MADE �X OCCUR S 2440908-00 2/1/2021 2/1/2022 DAMAGE TO RENTED 500,000 MED EXP Oneperson) 10,000 PERSONAL&ADV INJURY 111 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 POLICY❑X JECT F1 LOC PRODUCTS-COMP/OP AGG 4,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 accide X ANY AUTO S 2440908-00 2/1/2021 2/1/2022 BODILY INJURY person) OWNED SCHEDULED AUTOS ONLY AUTOS SSyy BODILY INJURY(Per accident AUTOS ONLY AUTOS ONED FtI=T nt?AMAGE A X UMBRELLA LIAS X OCCUR PEACH OCCURRENCE 2,000,000 EXCESS LIAB CLAIMS-MADE S 2440908-00 2/1/2021 211/2022 AGGREGATE 2,000,000 DIED X RETENTIONS 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LWBILITY Y/N STATUTE ANY PROPRIIETgOER/PARTNER/EXECUTIVE E.L.EACH ACCIDENT a CER[Mstory In NI EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule,maybe attached If more space Is required) Certificate Holder Is Additional Insured with respects to General Liability as required bywritten contract subject to the terms and conditions of the policy. 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 g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 Kings 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 5/4/2021 Certificate of NYS Workers'Compensation Insurance Coverage I —t r--JCERTIFICATE OF t Workers' NYS WORKERS'COMPENSATION INSURANCE COVERAGE YORK STATE Compensation Board Insured Detail Ia.Legal Name and address of Insured(Use street address only) lb.Business Telephone Number of Insured Colony Fence Company Inc 845-279-5151 744 Hartsdale Road White Plains,NY 10607 lc.NYS Unemployment Insurance Employer Registration Number of Insured Id.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to 454912167 certain location in New York State,i.e.a Wrap-Up Policy) 2.Name and Address of the Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) AmTrust Insurance Company Village of Rye Brook 938 King Street 3b.Policy Number of entity listed in box"la": Rye Brook,NY 10573 KWC1246469 3c.Policy effective period: 4/l/2021 to 4/l/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"la"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: Henry C.Sibley (Print name of authorized representative or licensed agent of insurance carrier) Approved By: 5/4/2021 (Signature) (Date) Title: Underwriting Manager Telephone Number of authorized representative or licensed agent of insurance carrier:CarrierPhone Please Note:Onlp insurance carriers and their licensed agents are authorized to issue the C-105.2 form.Insurance brokers are NOT authorized to issue it. https://wc.amtrustgroup.com/ANAWCIPolicyNYCertificateOfWclns.aspx?lndexld=338982&lnstanceld=1 a76422b-4al d-4158-8al 3-d605c8e9eec4 1/2 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Friday, September 3, 2021 10:55 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 09/03/2021 10:53 To: VIL RYE BROOK PRIMARY Transmitted: 09/03/2021 10:55 00003 Ticket: 09031-000-825-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 6 To: Name: DEER RUN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: WORKING IN THE BACK YARD NearSt: LINCOLN AVE Means of Excavation: SHOVEL, POST HOLE DIGGER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: INSTALL FENCE Estimated Work Complete Date: 09/20/2021 Depth of excavation: 2.5 FEET Site dimensions: Length 185 FEET Start Date and Time: 09/20/2021 07:00 Must Start By: 10/04/2021 ------------------------------------------------------------------------------ Contact Name: ANTHONY MARINATO Company: COLONY FENCE CO Addrl: 744 HARTSDALE RD Addr2: City: WHITE PLAINS State: NY Zip: 10607 Phone: 914-960-6199 Fax: Email: colonyfence@gmail.com Field Contact: RUBEN COLONIA Alt Phone: 914-497-3442 Email: colonyfence@gmail.com Working for: BENJERMAN STAHL ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER TWN-VIL HARRISON VIL RYE BROOK WESTCHESTER CTY SWR WESTCHESTER JOINT WTR i I \' I � c 1 APR — 7 i d e-r,,It3'.-.'+><•r4.f'- '• -3ev.teA ci>� END POST TO MAINTAIN 19 J 1'BUFFER FROM LOT ��� LINE,TYP. � ROOK c..._..s•?��-..3 �:,a—F t PROP05EP 4' X•,,. _.. .-., ..rra... _ ..-ter•--•.^-rs^...4^,,.. ._- HIGH NEW FENCE- SEE DETAIL j � - yJ�S// .;� Y ' ,.�; ,�•. -`i�:;'•C•\; ;\ < cam, r PEP 91T# PIZ < •� V 1 0 1 ; t t r 3 S3L# 2 T A" P .0 APR DAT E � 2 \6�' i� �1 4 \ '..:, -., .;� ':�, �•- ;,, BUILDING INSPEC OR i e of Rye Brook NY77 �,, \-•,.,:'\:•>:.,-`.\ � ;;• �- ,EAST C -\%� � '.h'•<,<�,.::.�•-� •;. >! %\�' \• •!\<' `:!' '''- C: \ Y "\•'` LQ/ 6 •"'� � FLOOD PLAIN LINES ARE APPROXIMATE /Q�PGIT-=D.S73�p/9C/pES AND ARE BASED OFF > (� WE5TCHE5TER GI5 INFORMATION s AVAILABLE ON •i Ca W000 CNllwwr' 4/05/202 1 �FCIt © FEMA ZONE AE \ op0 v y543 >r• • • BFE 86' LOTS �\��, \� y FaA�� �"" L07 �' ' \ \ Z 9�g5/O�NC i \ ti5Ad TykrAr0..AKtuft&PIa,%VM PL:C \ \ ePEN Po Box 442 Purchase I New York 110577 \ \ 914.204.6404 I \ ` 0 www.tylerap.com Date Issued: I V o FENCE PRECEDENT IMAGE U� ` FIN15H WITH OWNER FIN15H WITH OWNER �r N\�N� 29 aL O x Ile ---- - -- REVIEW FINAL WOOD REVIEW FINAL WOOD \N= �"• o s �. }}(( 8'"°- L"�• �c: �o•��\�o._ �25� �1�0 2 cl6xr,�ofr N�iil �� u N� � 2x4 TOP RAIL 2X4 TOP RAIL �VSLIKVE`�' �o•�� ')'G D?TsiJoyEM�i>:I?$�19$Cj �,\�, 'Ry — 14JD HAP F-E:Wl5irD Nov��� 10 M139. No� - , 1'x 1'5QUARE �lprA� I :..: 1'x 1'SQUARE MESH-ORIENTATION TO BE f!/RVfr64fOt/6NT TO GATE APR/l/9,/940 Project Title: STAHL ..... ... . MESH-ORIENTATION TO REVIEWED WITH OWNER SURVEY o F ; BE REVIEWED WITH 6DEERRUN :.:. ............... OWNER 4X4 SQUARE RYE BROOK NY 10573 i --•" ... -- 4X4 SQUARE WOOD WOOD POSTS I LOT 6 BOTTOM_.....:.•;.....;.:.....:. - Drawing itlo. X m T :....;...,......:.;:.. 2x4 BOTTOM RAIL RAIL 1 �. S Q FEMA ZONE AE-100 YR FLOOD PLAIN 2X4 B ............ ' • }��<? SITE PLAN i :,....-....;........... N FINISHED GRADE FINISHED GRADE 1 r / FEMA ZONE AE-0.2%ANNUAL CHANGE FLOOD HAZARD/500 YR FLOOD PLAIN ;\ FRONT VIEW �.\ _ell=:MESH TO BE 2' 'i` '��. SIDE VIEW MAX.OFF FINISHED _'I, `1 `•� scale: As indicated GRADE FEMA ZONE AE-REGULATORY FLOODWAY �F;E D A L>` 0 20 40 80 2 4 8 �\ � �� ` Data: Seal: - FENCE DETAIL SITE PLAN �� �'� F�, Data:021 D1 �� Project No: INFORMATION FOR SITE PLAN TAKEN FROM � � , � ;. 20-218 THE FOLLOWING TWO SURVEYS o r, < Orawing Br. PREPARED BY ENGINEER CHAS H.SELLS KG COMPLETED ON NOVEMBER 1 OTH,1 qbq UP AND BASED ON A MAP COMPLETED STH, ` 1 q 8 q w» Chocked By: ;F JT PREPARED BY EDWARD G.M HALCZO LAND ,,hh f� SURVEYING,LLG COMPLETED ON DECEMBER V� v� n •aa w r ,�' Drawing No: OF A 1.0 .rival