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HomeMy WebLinkAboutBP21-278PERMIT #6 / ' �7tL DATE: + �/ EXP: /v �Y �� SECTION A �? r I!D 4-/- BLOCK LOT TYPE OF WORKA'�t/t Zs7a 1 JOB LOCATION E OW N Elksoln1_/ CONTRAGTGR . ZESTCOST �/ CO #_c TGO # INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION �/ PLUMBING ma Z �' RGH PLUMBING GAS 0// SPRINKLER ELECTRIC LOW -VOLT L ALARMy :2 � �al� AS BUILT 0' FINAL INSP /4�7 ,8 FW)l A a M -i's Icre F e C73*3 0/l �/6/ OTHER APPROVALS ARB BOT PB ZBA _ OTHER �� lC�e�S�s �J - cc )e-�Y v s/i7�aa tv �- -� i/gig sowe � rr� � VILLAGE OF RVE BROOK WESTCHESTER COU:v'/Y, NEW YORK i' NO. 22-075 Certificate of (Occupancy This is to certify thatdin/ I m(, a la va�Iki s C'hd ana MY0010P01111- of, By-o k, n y having duly filed an application on ^'"20�a requesting a Certificate of Occupancy for the premises known as, ,53 )13e I le T'a-/ {r KCJ� , Rye Brook,NY, located in a tau D Zoning District and shown on the most current Tax Map as Section: Block: J Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.c�?)'a 78 , issued 20 , such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: ���/ Onif - F0-4, r71 /(/Construction: for the following purposes: L- j�` ` 1 -�� =�j Ix t.y I-�-�i i��l' ►�obn'�, -�u I I kxt-�hVDo,� ` Yt�Gi2 Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE-APAITMMW OR DWELLING UNIT This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has been obtai d from Building Hpector. MAY 1 7 2022 Assistant Building Inspector,Village of Rye Brook: Date: 4( " aAniu4m w# VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE May 17,2022 Sunil Mugalavally&Chetana NlugalavaLly 53 BelleFair Road Rye Brook,New York 10573 Re: 53 BelleFair Road, Rye Brook,New York 10573 Parcel ID#: 124.64-1-3 Mechanical Permit##21-161 issued on 10/28/2021 to Legalize Fire Sprinkler Heads This certifies that the fire sprinkler heads,installed under the above captioned permit,have been satisfactorily completed. Sincerely, Steven E. Fews Assistant Building&Fire Inspector /to D EC O n/J � For office use onl : `V �J BUILDING TMENT PERMIT# 78' VILLAGE OF RYE BROOK ISSUED: /D,2ES--aG3/ MAY 10 2022ID 8 KING STREET,RYE BROOK,NEW YORK 10573 DATE: — 0 -� as (914)939-0668 FEE: //0 PAID G/ VILLAGE OF RYE BROOK www,rvebzookor2 BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION rrrrrrrrrrr►rr►►►s►ss►►srrrrr■■rrrrrrr►pr►►►►►as►►►s►sss►■sssrrrrrrrrrr►►rrss►►►s►►s►srsrrrrrrrrrr►►►r►►ss►►►ssres►rrrrerrrr Address: 3 �j e �-�-� / �7 � k , N Occupancy/Use:5, 1e- 4 a Parcel ID#: I 6 ! - I - 3 Zone: P y l� Owner:.s ttin, t-�'bzvto- Address: P.E./R.A.or Contractor: Address: Person in responsible charge: Address: 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: 5 y N I L M\3 1 c A`L4W N-LI-t7 being duly sworn,deposes and says that he/she resides at �e 11 e- / cl (Print Name of Applicant) (No.and Street) in 12 y L b db o 1 C ,in the County of in the State of ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ for th a construction or alteration of fr�� ���� nJa',e me� 1�� � � ��`���'�� ��o n-1 , -�rA ►� V a),-(, � �TO Yp—; . Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this \�) Sworn to before me this Q day of , 20d-a' day of , 20 Signature of Property Owner Signature of Applicant `f,SJNiI OAu4 AvAi-LI Name of Property Owner Print Name of Applicant m'a���10 i&-,, Notary Public SHARI MELILLO Notary Public Notary Public, State of New York No. 01;iE6160063 8/12/2021 Qualified in Westchester County Commission Expires January 29,20� QyE BRC�v� '9a2 BUILDING DEPARTMENT Cl BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - ADDRESS : 1(� \ DATE: PERMIT# \ ISSUED. SECT. BLOCK: LOT: LOCATION: t -�"" � t" OCCUPANCY: G ❑ VIOLATION NOTED THE WORK IS... '❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [] FINAL ❑ OTHER QyE BRC�vk. BUILDING DEPARTMENT UILDING INSPECTOR i 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:_ / Il/'fL� �- \/ DATE: ` ✓ -ZZ- PERMIT# �,L� \ ' `� `� ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: I ❑ VIOLATION NOTED THE WORK IS..., ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �r- ❑ NATURAL GAS 4 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BR��• cu � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 'ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ` 0 CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: ` '`-,\1 IZ- DATE: , PERMIT# ISSUED:SECT: \�BLOCK: LOT: LOCATION: \v �S� C�CS�� .�: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK a/FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ■ OD r% W ■ I o N� �' - cc `W' N ° 4 ■ w I�1 V 1 W d a O a 0 O V b C G. ■ MCI m� M [n ., � p f� �y +r �--� � � ■ !f P'I O Q � G � C. G � � � ■ M N O M o o 3 C.0 !�1 � �. O � � 11 � � �� `� � � � ate".+ 'C1 .� �' �y ■ ° �4gvpbjo � a w N gan.� Q Q 'T v u O a n O o d Ir"l 00 x' W @ W C 8 o o rV•i o � W � O o - Uwozy = . o ° N , V ■ .. „ >, H0-0 U 00 IX o n o Gz7 A CA z F@ zQ tea' pew F-4 �.Ty ' o c +" a a'� � O 0zo � °` E w ° .. a z � 4 °..' 1 BUIL MENT VIL E OF RY OOK 938 KING ET RYE BR ,NY 10573 SEP 2 7 2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: /Approval Date: 0 C T 1 3 Permit#: P —c� v9 Application Fee:$ -775 p ct Approval Signature: Permit Fees: $ � Disapproved: Other: L)-4A1_.L7_1'&— t '3 Z.O. Application dated: ��1A�� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: ,l i A 12. F �'r IIf�O SBL: Zone: Cuo 2. Proposed Improvement,(Describe in detail): of Ft n t S kerb IJ�t►�e�t� L)LY 1 A4A i16(J�i F 11 SaA-X-� CtnD 5 A,5f 1£ 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:_)<,- Yes: If yes, indicate: TIER I: TIER I1: TIER III: 4. 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...) :No: Yes: -, (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy; (I fam.,2 fam.,comm.,etc...)Prior to Construction: I &M t1 M After Construction: 6. NX State Construction Classification: N.Y. State Use Classification: 7. Property Owner:5t)n'41 itG�e•-�6bC' 11 V V CA"', y ,��Q t rAaaA Phone# Cell# �� -� 1$1 email: 5 u n (Y►v 8. Applicant: Address: y4 Phone# Cell# email: 9. Architect:-3%h (' S_C' ,!Address: 3 ur��, JAIrl r Z42 + , Ari Phone# ►A Z73- 3S0 Cell# '741 714-4JT-L 04 emaiLj1,�,�, �.�n �+(3 r•1 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# / Cell:# email: 12. Estimated cost of construction $ (/ ODO (NOTE:The estimated cost shall include all labor,t aterial,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: {l) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE ftPOK SEP 2 7 2021 DO 938 KING STREET RYE Bi qc'. NY 10573 (914)930 fr$ � � 39-5801 VILLAGE OF PYF BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: ++ �3 ,� R� --JC L.l ( �� 4 V a I 7 , residing at, _ f (Print name) (Address where you live) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 5 3 P8 , Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. LV4%,q �_ ---e (Signature of Property Owner(s)) � v r-J 11L M L) ` P�' 'P y VI L} (Print Name of Property Owner(s)) Sworn to before me this Vt hx day of Q/' , 20 Public) " ALEXANDRA H.MARSHALL Notary Publle,State of New York No.OIER6363711 QuallfJed In Westchester County. Commisslon Expires August 28,20ra�' 3/21/19 11115 dorm MUSE ve properly cumpleleEt 6L noLarl'Leu IJy Ene LleSlgll JrrOMSSlonal 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. Title 19 Part 1264 & 1265 NYCRR To: The Building Inspector of the Village of Rye Brook. From: 01K r' G l Subject t Property: 5 3 15-eA--_ r &a ea SBL:1 Z_I,&4 _/1 3 Zone: CU Please take notice that the subject; ❑ One or Two Family; ❑ Commercial, ❑ New Structure ❑ Addition to an Existing Structure `X Rehabilitation to an Existing Structure 'L,C to be constructed or performed at the subject property will utilize; 3D [TE2 7E21 ❑ Truss Type Construction (TT) VILLAGE O�� YE BROOK �(Pre-Engineered Wood Construction (PW) BUILDING DEPARTMEN ❑ Timber Construction (TC) in the following location(s); ❑ Floor Framing, including Girders &Beams (F) ❑ 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. Date sign F'roressional Date Pro rby Owner ' Date Notary Public (3) SHARE MELILLO Notary Public, State of New York No. 01 PAE6160063 0111fi-`ied ill Westchester County 8/1212021 FvnirnR,t,-t fan,Pt} ?n Z This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCI-iESTER ) as; ZItM SCca✓( 4a J(7, (4Ac_4�4eing 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 -;Ldi' OAA-p-cam- 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 die 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 property. Sworn to before me this �1� Sworn to before me this cp day of { i`11��QT , 20 day of , 209_ Signature of Property Owner gnaturc o Applicant &iNi1L MyyA LAN P<LL J)h'" 6 SGur/r.�o J Print Name of Property Owner Print Nome of Applicant otary Public Notary Public ALEXANDRA H.MARSHALL SHARi JELILLO Notary Public,State of New York Notary Public, State of New York No.01FR6363711 No. 01!•,lE61SC ,63 Qualified In Westchester county Q.+alilied in Westchester County�ti ! , commission Expires August 28,20 Commission Exniros.I^ i wr`,29 20 1,,A (4) V12l2021 t • ■ N � _ N c t N N44 \ o<G \ w a w tn o Ln w ' AC Ln w u H en [� U a N x U en ; 0 , • M, � �.., � ,�ICJ r 7 N ' et c0 ;� wr� • 00 � 00 > enp L a .--� , C C O L � ~ � 0` : 1 ` r/ Ln 010 � Cw > wz @lot A w °0° xOC� W ^ m M w r M z O , M C x u d z = A I -- , ° ' ,acl, V w A p aW zit 4 � r oo $ Ln . a i ! ■ s z z : t ,(x = s z z x : x s t - ' p �E BRnv BULL NT MAY - 2 2022 VIL E OF`RYE OK 938 KING TRi'EB ,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT AT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required t� FOR OFFICE USE ONLY BP#: - /—C) 7 O EP#: d(� "S . 3°75 Approval Date: MAY - 2022 Application Fee: $ Approval Signature: Permit Fee: $ Disapproved: Other: (fees are non-refundable) Application dated, Z is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: S 3 6 e de-t'r " «_ R p,a-j SBL: /,_�V,6 y —I - 3 Zone: A-3 2.Property Owner:S Le(u 1 L M LLG 0.L ci Ua.IC u Address: Phone Cell#: email: Ue&LaUA61 kS c /�aho1,4e6 3.Master Electrician:'7vz�h i" C-r 2l e C G Address: 6 S 4 K6 1.0-aq.l &P oa( oak_- M y 10g3 Lic.#: L6 3Ci Phone#: Cell#: 9/ �'>5-.3ya i emailj,a� fn t e L- o t/,4 Q L,e d vn Company Name:W Q SY hl rx. C l t c{�u c_ Address: S G,0Serj Yn�fQ 4Y r-ij C a4" /j 4.Proposed Electrical Work/Fixture Count L,e ct,4 L r AA-) cVn19 A-t6, 0-kJ27- po,l, Dek-y-i STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: MT Flu 6r�l Cc, being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect ntractor gent,attomey,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,a-fiff-that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Z r' Swo to before me this Z 4day of MAy ,20 27- da f M 20 2Z_ Signature of Property Owner ature of Applicant Print Name of Property Owner Prr t Name Apr t Notary Public Notary Public CHRISTOPHER J.BRADBURY Notary Public,State of New York No.01 BR6159985 Qualified in Westchester County Commission Expires January 29,20 23 1/5n6 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY rth y �\ Fax: 914-347-3596 43 N o Lawn Avenue • Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE 3 CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY t-- ( -T C C zt, STREET AND NO.OR ROAD POLE NUMBER_ BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME `` BUILDING OCCUPANCY i 'M 1 A 1-4- OWNER'S NAME AND ADDRESS - HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LAMP RECEPTACLES LOCATION ONLY SIDEWALL SWITCH INCADE FLUORE NO. HP EACH WATTS EA ""---INSPECTION--- OUTSIDE BASEMENT I IN I-FL. / f 1 f 2-FL. VIL AGE F} BU LD-ING DEPARTMENT 3-FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: !( L 7 J77/V- �i [1..; f ��j� !� n..1 (2 I1 n THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED,IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED.YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC. IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES,THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS yi-S-i. CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED MUSTMUST ENTER APPLICANTS 1 IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND.❑ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. ((NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT STRE@fADDRESS TELEPHONE NO. �- CRY OR POST 21P() LICBME NO.WHEN APPLICABLE !�/.` -- WESTUESTER ROCKLAND ELECTRICAL INSPECTION SERVICES.INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Westmore Electric Sunil &Chetana Mugalavally 6 Sunset Road NY, Rye Brook 10573 Located at:53 Bellefair Rd Rye Brook, NY 10573 Certificate Number: 1034560 Section: 124.64 Block: 1 Lot:3 BDC: Permit#: EP:22-083-BP:21-278 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 53 Bellefair Rd Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 05/09/22 Name Type Quantity Basement Reinspection-Basement ------- 1 Smoke Detector/Co2 Combo ------- 1 Heat Detector ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. ILThis certificate may not be altered in any way. V ``/jL G� '� This certificate is valid for work performed before date of inspection only. _ N N = a M hit ~� LA W 4 r" a tc x r rl. 00 N ° � G p a � F V w rA > O 00 0.0 w aA U Z a' � I z s � C, 04 y � oc � Z A w r I--I O a ►� to �..� O ° ;D _ Ikl W ;.To zg = cn a u W W ■ r W U. O a w o z 2 2 N C) � ) , Lno q w z q cA VA x D LAC NE BUILDING DEPARTMENT APR 12 2022 VILLAGE OF RYE BROOK D 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 , BUILDING DEPARTMENT www.ryebrook.org PLUMBING PERMIT APPLICATION ^� FOR OFFICE USE ONLY BP#: �/" 017 I? PP#: �-0 / Approval Date: APR 1' Permit Fee: $ �� 5'j� Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. D I.Address: 5 S "�e t Y k '( 1 - 1 ""'�� O j y 105]�BL: Y 3 Zone:/4� 2.Proposed Work: h a-�,o,,,,-\ i I 3.Property Owner: J lX to 1 rV\V-"�C,6 j a\1 ti Address: Phone#: �)- - 0 5 $ Cell#:T- email: 4.Master Plumber: Address: .2$'2 ✓� t Lic.#: _Phone#: Cell#: email: d Company Name: Q 'T,T- Address: a aqy--,C INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 3`d Floor 01 Floor 51 Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 8/12i2o21 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this a Sworn to before me this — day of ,20QQ'_ day of C\ ,20L-:�— -Signature of Property Owner Signature of Applicant ' n%� 1\/ n a la�a�1�J '\�' E,C' 0 /5>c� P�int Name of Property Owner Print e of Applicant %" n'l ' �L 1� Notary PublicSHARI MELILLO A °State of New York Notary Public, State of New York No. 01IAE6160063 .M No. 01E6160063 Qualified in Westcha;ter County Qualified in Westche,ter County/n1 Commission Expires January 29, 209-a Commission Expires January 29.20 0',-� This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 8/12/2021 p EC ENIE BUILDING DEPARTMENT VILLAGE OF RYE BROOK APR 12 20Z2 I 3D 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www.rvebrook.org ******************************************************************************************************* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: c U L M L,(� r-<L Ate/ A LL 7 ,residing at, -5 3 � ~ (Print name) (AddreA where you live) l v -3 being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner ofthe property to which this Affidavit of Compliance pertains at; 53 , Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. r (Signature of Property Owner(s)) -'4 '�l-rr,� M U �P2" �-7 (Print Name of Property Owner(s)) Sworn to before me this day of ��{�� , 20�� (Notary Public) SHARI MEULLO Notary Public, State of New York No. Ot?.iEFmcc,63 -3- Malified in Westchester County Commission Expires January 2.9,20 Z3 8/12/2021 • �i�i�`il�'ii�'il�il��i���I�l��i�il�i ��1�'rr�i�l�`i�i�r�ir�l�rr�"i1�I��l��l��l�l�i�i�'i�'i�il�il��r �-1 �D 1owl yu � oo � [--+ @ gy m o a � �• �.5 F Z MA 96 adO ca Q L M W a a tn o � 3 �, E38m F O zo N W, O Z 0000 $ °� `o c S •5 F O MGM W .a Cc p .a MOAS �Y. N W w CN*4 00 V W ICco A a w ME Z � W J �' 0000 > 001w Q m 00 00 � z °� � a F �/ 4 � A � w •� a.� U .. Mil 7 U IT p ✓� O V N 5 - v � p W Z a p oC9 @ v oo �I CA Oa., W W 90 BUILDING DEPARTMENT H E tM VILLAGE OF RYE BROOK OCT - 8 2021 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 VILLAGE OF RYA BROOK w;�w.rvebrook.oru. BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION-/ FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: A �ro�al Datc: OCT 13 2 BP . OJ MP#: 0/—/&/ Application Fee: $ pl Pp Apprmal Si,naturc: Permit Fees: $ 16C)PA-1 Disapprmcd Other: Q**it9:***ir*tk�::har*******t:k:F**ie:k*;B**a't*******fie Ir**sir�r**:k***!e*k**•k*****:k*k kir***;i***i:*:F;F;F:F:F:F;F Application dated: /0/U /2- is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to install or modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. 1. Job Address: S3 �// t l�_�t��e G) 2. Parcel I.D.: w . �p --� - _. Zone: _ 3. Proposed We r! (Descfibe systetit in detail in. !uding supliFesiion agent): ,N FP 4. Number&Types of Fire Sprinkler Heads: K 4- h6a, 2 5. N.Y State Construction Classification: , N.Y. State Use Classification: q 6. Estimated Value of Job: S Sp©Q l Value shall include all labor,materials, fixed equipmeat,professional tees.and materials and labor vhich may be donated gratis.) 7. Property Owner: UA ' % Address: 53 _ M /0'7� Phone# Cell# 732'5'01,!1hol email:17011;1, Mo!l q�q /I V Applicant:—4 llet4 Address: 1/��jup,(i�^-• Phone# _ Cell# email: 7 ircl�iteeE'Engineer: �f l C K �L (�. A t'�, ddress:D 1lt� Phone#8W-3aS-S7o3 Cell# email: Sprinkler Contractor:T fl A Address: Phone# Cell# email: f s;t1202t This application must be pruperiy completed in its entirety and Must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety andlor not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. S ATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: n% I M % , being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual O gning as the ap cant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the h a11h ee_k for the legal owner and is duly authorized to make and file this application. (indicate arch ite t,contractor,agent,attorney.etc.) That all statements contained herein are true to the best of his/her knowledge and belief and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this f h clay of ©Uh� , 20 Z ) (lay of !� D .�,� 20_/ Signature of Proper y Owner Signature of App icant Jr > MMUi �L"�L �tC 8- )e_1,2tCr of Property Owner Print Name of Appjicant Notary Public Notary Public ERIC R. DEWER NOTARY PUBUC,STATE OF NEW YORK ERN COLA Registration No.01DE6363.34 Notary Public, State of New York Qualified in Westchester County No.02CO6121636 Corrxnission Expires August 21,20 Qualified in Westchester county Commission Expires 1/24/20,�S 2 Xl_''u'I Building Permit Check List&Zoning Analysis Address: :9 t� /L —TG`� - SBL. Zj Zone l� Use: Const.Type Other. L E-4 AL l Z A;7- O�f Submittal Date: 217--71 Z Revisions Submittal Dates: Applicant: Nature of Work: L 4 L 17 P rI N 4,o-fj Iry 0 C2-,d!Z E vi ws:ZBA 9 2021 PB• BOT• Other. OK ( ( ) ES:Filing. BP: C/O: Legalization: O ( P: 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 Stamped: ✓ Sealed: Copies: Z Electronic Other. (J (� License: Workers Comp: Liabilit)r Comp.Waiver. Other. ( ) ( ) CODE 7S3#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery._Other. (-� ( ) PLUMBING Plans: Permit: Nan 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. ( ) ( ) Other. ( )ARB mtg.date: approval:- notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval notes: REQUIRED EMMNG PROPOSED NOTES Date: OCT 1 3 2021 Q=1V Main Cov Accs.Cov Ft.H Sd.H/Sb: _GE& Tot.Imp PAILW. Heig]�/Sttories: / notde:L 1447� n!Lr P i r-- Laura Petersen From: Laura Petersen Sent: Tuesday, October 19, 2021 11:35 AM To: sunil.mugalavally@yahoo.com Subject: Building Permit Application - 53 Belle Fair Road 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, r. 2. Co or s va 1 es c esounty Home improvement License. 3• he Village Of Rye Brook must be the certificate holder) 4 ers comp ensa ton o State Board form (C105-2 or \� U26.3) /5. Fire sprinkler contractor's liability insurance (the Village Of Rye Brook must be the Z6. certificate holder) Fire sprinkler contractor's workers compensation on a NY State Board form (C105-2 or ZU26.3) Estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00) Z (due once permit is issued and ready for pick-up) .8 Legalization fee (based on estimated cost, 12% of construction cost or minimum fee $750) (due once permit is issued and ready for pick-up) 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 loetersencZDryebrook.or4 1 Laura Petersen From: Laura Petersen Sent: Thursday, October 21, 2021 3:51 PM To: John G. Scarlato,Jr. Cc: sun il.mugalavaIly@yahoo.com; Mike Izzo Subject: RE: Building Permit Application - 53 Belle Fair Road Good afternoon John, The Building Inspector will need to look at the file and determine if your request is ok or not. Please note that I have copied the Building Inspector for response to this email. 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 Ipetersen(a-)-ryebrook.org From:John G. Scarlato,Jr. <jgscarlato@gmail.com> Sent: Wednesday, October 20, 2021 4:46 PM To: Laura Petersen <LPetersen@ryebrook.org> Cc: sunil.mugalavally@yahoo.com Subject: FW: Building Permit Application - 53 Belle Fair Road Laura : On this application the cost for the work old and new is $ 11,000.00 On the basement there is now work being done other than adding the fire sprinkler head in the closet. Can the owner be the contractor? We have no work for the contractor to do. We need to get the electrician and plumber to file for a permit and get there inspections. Let me know how we can handle this. Thank you for your help. Best Regards, John John G. Scarlato, Jr., Architect i 33 Byram Hill Road Armonk, New York 10504 0: (914) 273-7350 igscarlato@gmail.com www.scariatoarchitects.com From:sunil.musalavally@vahoo.com <sunil.muea lava lly@vahoo.com> Sent:Tuesday, October 19, 2021 12:34 PM To:Jr.John G. Scarlato<1escarlato@smail.com>; Wendy Kligman<wendy.kligman@compass.com> Subject: Fw: Building Permit Application-53 Belle Fair Road Hi John, I received the below email from the village.. Are we supposed to hire a general contractor and for what purpose? What will be appropriate to fill in for#7 and#8 1 was thinking anything between 8k to 10 k for#8. Can you please advice? Thanks -Sunil ----- Forwarded Message----- From: Laura Petersen <I Petersen(cD-ryebrook.org> To: sunil.muaalavallv(a)-yahoo.com <sunil.mugalavally(cDyahoo.com> Sent: Tuesday, October 19, 2021, 11:35:32 AM EDT Subject: Building Permit Application -53 Belle Fair Road 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. 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) 4. General contractor's valid workers compensation on a NY State Board form (C 105-2 or U26.3) 5. Fire sprinkler contractor's liability insurance (the Village Of Rye Brook must be the certificate holder) 6. Fire sprinkler contractor's workers compensation on a NY State Board form (C105-2 or U26.3) 7. 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) 8. Legalization fee (based on estimated cost, 12% of construction cost or minimum fee $750) (due once permit is issued and ready for pick-up) Thank you Laura Laura Petersen 2 Client#: 2498 ALLSAF2 ACORD-M CERTIFICATE OF LIABILITY INSURANCE D10/212021ATE YY) 10/21/2021 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Commercial Support Edgewood Partners Ins. Center PHONE 631-390-9700 631-390-9790 40 Marcus Drive E-MAIL A/c No: ADDRESS: certMcates@cookmaran.com 3rd Floor Melville, NY 11747 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Admiral Insurance Company 24866 INSURED INSURERS:NOrGUARD Insurance Company 31470 All Safe Fire Protection&Mechanical Inc INSURERC:Princeton Excess r>a Surplus Lines Ins Co 10786 All Safe Fire Sprinkler Systems Inc INSURERD:Merchants Mutual Insurance Company 23329 375 Executive Blvd Elmsford, NY 10523 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 CONTRACTOR 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. INSILTIRR TYPE OF INSURANCE INSRLy VD POLICY NUMBER MAWDY M111 � LIMITS A X COMMERCIAL GENERAL LIABILITY X CA00002817305 9/11/2021 09/11/2022 MIME. re.) $1000000 CLAIMS-MADE �OCCUR PREMISES a oNuy�re. $50 000 X SUPD Ded:5,000 MED EXP(Any one person) s5 000 X Contractual Liab. PERSONAL 6 ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY�PRO- POLICY 7 LOC PRODUCTS-COMP/OP AGG t2 000,000 OTHER: $ D AUTOMOBILE LIABILITY CAP9269941 9/16/2021 09/16/20 COMBINED SINGLE LIMIT Ea acueent 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per acddent) i X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY Per accident = UMBRELLA LIAB [:�OCCUR EACH OCCURRENCE { EXCESS LIAB CLNMS-MADE AGGREGATE i DED I I RETENTION $ 13 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ALWC136482 9/16/2021 09/16/20 X PER OTH ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If DESCRIPTION OF be rPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1.000.000 C Excess General 82A3FF000282901 9/11/2021 09/1112022 $1,000,000 Each Occ. Liability Buffer $2,000,000 Gen Agg $2 000 000 Prod/Comp,O DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3274808/M3252206 SDE02 NEw • CERTIFICATE OF Board ATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured II Safe Fire Sprinkler Systems, Inc. 914 773-7602 75 Executive Blvd Elmsford, NY 10523 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1d. Federal Employer Identification Number of Insured or Social Security Number 473975166 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NorGUARD Insurance Company Village of Rye Brook 3b. Policy Number of Entity Listed in Box"la" 38 Kings Street ALWC136492 Rye Brook, NY 10573 3c.Policy effective period 09/16/2021 to 09/16/2022 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"T'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: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 10/21/21 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov N r O Cl -C o O o zmi O A � L�.�L N L) O wtt ' tv o aD a-mca-0N o `pL 1 m =(VLtnCO Q� o M U 0 O' o rn CU cu CD 0) v S ^ N = Z � a C C N-O L •^v N O O N to 0) S- CD E rn N U W m U O) U O C:� N O C'n U) m � O a N O N LLJ La v CL � m O , _ N0) CU O tn O O.cn -- w Y U-sc�a�a`3oUoocNNi'�v'r�cOoamaaCmO`O�_.Nzld.o�ZN�-v°m'a') c:crn�cOn+>� VwdzcNJn asOp`aCcc��.a��-aaa c>'wc •3�+' v va cCa ooENL o s3NN a•-srn3cI � co 3v OON_ o ON LO LO3>N- �c > >+' .O c n 0 n u 0, c QE W O N C) ac '0 C" (,E E NUC �L1 WL-L CD in Nai c c Ly SO Z N E O-C in. C, N N 4-W V OC ' wooZd ca �cn� o ` r C: Ca E =a n } o tZ O c tr_ O. C- N aa m cn E ' o O 0-N O O E O . to ooi Q � )o O NQ nc E � O� >U 0 CU _ N a E QE z y a � ca m p 0E ° o.cn v o Z Of 2-00 a R cu f6 Um ' - - - Cl.� o y n Qv> o` c o 15 0 N ' ' o_ 'D C - U ILO + c oZc i ov wpQ> - m rj vL c o -0o N _ ? GE pi - ¢ cr N E N 3 Mw W O O C y� E � O�C��QUQJ' wo2� � � aE oc� N Lc c �c v — a� o � a ; o f NCOf 0- = I a N -0 sO N '> o cn Cc: .o O L O E !n 'a C:)z L N O 30;� p N CL O o - o � o -o U � a y CD a0 �H C QBo c O O25 a E N n Y o LLc o o 3 � : 0- (EaoC -aEda,1-5 0 yovco a O a> O o W WZ NL = O Zc -0 -(n C:U) :LU C 2aiw 0 O O = a)N coo • :N O aD O CD O o`C v+•- o ao o �: `t J'� d�O w+ cva x CL NN > y vo vaw z+ w r c m OU =z-tom E �- J�mJ Q ¢¢Qrn'- 0-a U O L Z oa oo C o o OGl oc m- a oil ui Z W u U U CV.0 rM-o 4 O�o C, r m 0 00 U a vi p_- N 3 N -• rn N a)O r-+c L U+�N L N 0 C c O N C O w a s a)m C 3 0 .a O'p 0 O -a�E p 0- -C N -00 a 3�c_ O•a CE 3 �v 0 0'O c O N c t c ai Z X-O a 0 t O L E-5 Sj- U c� al•3 N y v 3 O a� ON cv to> is U w o a> o• w W N N N O N C C N Y c 7 O•L 0 p GI 0 0 t U�w Z Cn_I N 0 II C9 � •Q�� m s=-d- O\ JOOQ JOOQ w W N J000 0 0 O 3 w w Lei.O� 0 low U N m o 00 w w p O o.�E aM J000 o t 0 v °0 o E O low W w w a 7 Y a O CT C: =Q C (0 N .Q cn N o y N C N N- N N C O O C O a s o a v o O 4!L)� U tit W w LJ General notes: rI r,j�4=1 N G&f&j I.ALL WORK SHALL CONFORM TO THE 202ONEW YORK STATE BUILDING CODE,RESIDENTIAL CODE CONTENT.EXCAVATION MUST BE FREE OF WATER WHILE FOUNDATION WORK IS IN PROGRESS. ELECTRICAL FIRE CODE.ENERGY CONSERVATION CONSTRUCTION CODE.EXISTING BUILDING CODE. TRUCKS.BULLDOZERS OR OTHER HEAVY EQUIPMENT SHALL BE OPERATED WITH CAUTION AND LEGEND LEGEND p F yr MAX}N F'(CEO r- MECHANICAL CODE.FUEL GAS CODE.AND PROPERTY MAINTENANCE CODE. IN SUCH A MANNER!AS TO CAUSE NO DAMAGE TO FOUNDATION SYSTEMS W.CONTRACTOR SHALL PROTECT A,BRACE ALL WORK FROM DAMAGE DURING CONSTRUCTION. 9.ALL STRUCTURAL STEEL SHALL BE NEW,CLEAN AND STRAIGHT AND SHALL CONFORM TO THE i�WCAJ5iR11ri1G. A � y� InI ITi� Ic-I�>7 3.ALL WORK TO BE PLUMB II TRUE.ALL PLUMBING WORK TO BE IN COMPLIANCE WITH NYS PLUMBING CODE.ALL ELECTRICAL WORK TO BE IN COMPLIANCE WITH N.F.C.ALL HVAC STRUCTURAL STEEL WORK SHALL COMPLY WITH SPECIFICATIONS STEEL O R FOR THE DESIGN. FTHE i.EW f N 51N(d.0 POLE LATEST EDITION FOR A.S.T.M.DESIGNATION A.96 OR A-500 FOR ALL"Tr SECTIONS.ALL FAB �iLx��IHG I`{ WORK TO BE IN COMPLIANCE WITH ASHRAE SIAIJDARDS,LATEST Efl RON.ALL CONTRACTORS AND INSTRINiE OF STM COICAIION AND a15TTRUC ON LRUCTION ATEST STRUCTURAL STEEL BUILDING OR PIATCES N } NEW 19ECA'A 3 WAY 5YM4fCN. SUBCONTRACTORS SHALL BE LICENSED AID INSURED.ALL PLUMBERS AI4D ELECTRICIANS ARE UNDER ALL POSTS.COLUMNS OR STRUTS THAT ARE CARRIED BY STEEL BEAMS AND IN THE N FOIjVDAt1ON RESPONSIBLE FOR ANY ADDITIONAL PERMITS.APPROVALS AND INSPECTIONS THEIR PARTICULAR WEB OF BEAMS CANTILEVERED OVER COLUMNS OP.BEAMS SUPPORTING HANGERS.UNLESS NEW MCORA'4 WAY 5N4fCH 15j l p� TRADE MAY REQUIRE q � E)aSnNG CONStt3lCnoN fo STAY I J STS OTHERWISE SHOWN OR SPECIFIED PROVIDE 6*e><K BEARING ON CONCRETE MASONRY IF ANY. C I .�� 4.LUMBER MATERIALS USED IN THE BUILDING STALL BE GOOD,SOUND,DRY FREE FROM ROT. 10.HEADERS TO BE(3)2-X 10'IN 2x6 WALLS OR(21 rX IOr IN 2X4 WALLS UNLESS OTHERWISE NOTED. T LARGE AND LOSE KNOTS.SHAKES AND O1H-'R VAPVUW1014S WHEREBY THE STRENGTH NEW DELORA 17•MMER 9ArtfLH --- EI05nt�f0 Bi IUD 2%4 to?PId:Sm flZ) -n[�l.hyl/L� MAY BE IMPAIRED,ALL NEW LUMBER SHALL CONFORM TO 2020 NEW YOLK STATE BUILDING CODE 11.INSULATION IN FLOORS.WALLS AND CELINGS TO BE A COMBINATION OF FIBERGLASS BAT. p CHAPTER 23.FASTENING SHALL CONFORM'O 2020 NYSSC TABLE 23D4 101 CONTINUOUS RIGID.OR SPRAY FOAM OR CELULOUS INSULATION TYPES 10 CONFORM 10 / ALL LUMBER SHALL CONFORM TO THE REQUIREMENTS OF THE AMERICAN WOOD COUNCIL$ WEST NYS ENERGY CONSERVATION CONSTRUCTION CODE CHAPTER 4, NEW��� �� Alt't pY�jhJAll. NATIONAL ALL WORKMANSHIP SPECIFICATIONSCLUDING BLOCKING.M SENDING STRESS DEFLECTION. EC C HHALL CONFORM 10 THE 202E WaTCHESTER COUNTY S CLtMAiE ZONE 4A RAJA ? y NYSBC AND OR 2020 NYSRSC.PROVIDE LEDGER.BLOCKING.HAILERS AND ROUGH FRAMING 12.ALL FOOTINGS TO BE A MINIMUM OF 3.6'BELOW GRADE.OR LOCAL FROST OEPTHAS SPECIi9EDBY fl a Q NEW PEWPA QUM fnf U'LIBf Iitl(EP,I;IAsf RECWfffA& PEI� PLeof--IFIG d r- HARDWARE AS REQUIRED.ALL BEAMS.JOISTS A14D RAFTERS TO BE SET WITH NATURAL CROWN UP. THE ARCHITECT.UNDERPIN WHEN NECESSARY �/, PROVIDE DOUBLE RAFTERS AND HEADERS AROUND ALL ROOF SKYL GHTS UNLESS OTHERWISE NOTED )i 9�(� N/W(�c�I�f fS 1 �r r7_.v�I�S ul.�e,(I(J I ALL LUMBER SHALL BEAR VSIBLE GRADE STAMP.ALL STRUCTURAL LUMBER INCLUDING BUT NOT 13.HOUSE TO CONFORM 10 ANY LOCAL SUPPLEME14TAL CODE. AEW�`�Q W?PEf F11�J� O �wiY1�ER DRAWINGS AND I 6xLi' w(/1 S r-'3 I�St/L��UW D 15T. P�R` MANLIMITUFACTURERS SPECIFICATIONS ALL HAKIDLING ANR EQUIVALENT D INSL BE TALLATION ALLED PROCEDUR S MUST BE 14.PROVIDE BLOCKING AS REQUIRED TO BEARI4G POSTS ONTO GIRDER OR BEAM CONDITIONS j IG aL� ti NEW PHJNE OUTLET µ��Z`E(Nf 1/!q ►Lit v C SUPPLIED BY THE MANUFACTURER AND SHALL BE FOLLOWED.iJI JOISTS AND LVL BEAMS SHALL AND VERIFY ALL BEARING TO FOOTING. I u �U� ����,J r T I d� IJOT BE ALLOWED 10 GET WET AT ANY TIME. i S.TO THE BEST OF MY KNOWLEDGE.BELIEF AND PROFESSIONAL JUDGEMENT THESE PLANS AND ELEVAnON LOLAnw I I{ I4 H'� Lrl� / �' S.WITH USE OF ANY TRUSS TYPE.PRE•-ENGINEERED OR TIMBER CONSTRUCTION A SIGN WILL BE SPECIFICATIONS ARE IN COMPLIANCE WITH 2020 N.Y.S.ENERGY CONSERVATIO',CONSTRUCTION COI X Inv t�W TV LIFE OU(LEf �j/1 P 1 6 PLACED AT OR ADJACENT 10 THE ELECTRIC METER WITH SPECIFICATIONS PROV DED BY THE -A _ ARCHRECi. 1 d.ALL DECK RAILS AND STAIR HANDRAILS SHALL CONFORM 10 THE 202E N YS BUILDING CODE ' rf ri isW IV 4-4 -W Lo•L,�~ t/ SECTIONS)014 HANDRAILS AND 1014 GUARDS. O NEW CESSED LEU n 6.ALL CONCRETE WORK.DETAILS AND C014STRUCTION METHODS SHALL BE IN ACCORDANCE Ut�lf ) ' i� 1 F 2� � WITH THE PROVISIONS OF AC1318 AND ACI 332 OR PICA 100.AND THE 2020 NEW YORK STATE 17.ALL ROOF TRAINING SYSTEMS SHALL BE INSTALLED WITH HIGH WIND CONIJECiORS(HURRICANE 5"IAHT PAFFEL FLao i' 5N»t AL-t, ter• RESIDENTIAL CODE CHAPTER 8.All CONCRETE SHALL BE TYPE•I,300E PR COMPRESSIVE ilES)IN COMPLIANCE WITH 202E N.YS.BUILDING CODE � 11 f,'• (yam I H a, ��71/l( :}((j� AND SECURELY TIED IN PLACE SO AS TO PREVENT DISPLACEMENT DURING CONCRETING. NEW RELE5%0 WHnE MAN La f I pI i A I AA V P M 1 I �� orr ` STRENGTH AT 28 DAYS.RE14FORC84G BARS 10 CONFORM TO 2020 NYS BUILDING 18.ALL POSTS TO FOUNDATION FOR THE PURPOSE OF SUPPORTING THE ROOF OR OTHER STRUCTURAL O I G�i U � CODE SECTION 1905 MODIRCA71ONS TO ACI31 B. ROM STRUCTURAL SHALL BLLOCK94G S SPECIFIED BE SUPPORTED E ARCHITECT OR A O A MIND DIMENSION OF 4X4 51 W-EL vmH LENS ( r FvUAVAI&4 W� ?� I�"' REINFORCING SHALL BE ACCURATELY INSTALLED TO REQUIRED ELEVATION / Ri FOUNDATION THAi EXTENDS BELOW REQUIRED FROST DEPTH AND RESTS ON A FOOTING OF 7.C014TRACTORS 10 VERIFY ALL CONDITIONS AND DIMENSIONS PRIOR TO STARTING WORK. �SLtPr-1-I 1 j;j �� ANY DISCREPANCIES ARE TO BE REPORTED TO ARCHITECT.ALL WRITTEN DIMENSIONS ON TYPICAL CONSTRUCTTON (D Y,gio SMOKE veltcfoR THE DRAWINGS SHALL TAKE PRECED174CE OVER ANY SCALED DIMENSIONS. ;p o 19.ALL SIMPSON STRONG ilE CONNECTORS AND ANCHORS ARE DESIGNED WITH SPECGMC TOADS AND S.ALL FOOiIJOS SHALLCAPACITIES.SUBSTITUTIONS OF THESE HANGERS FOR DIFFERENT MODEL NUMBERS THAN BEAR ON UNDISTURBED VIRGIN SOIL HAVING A M NIMUM SAFE BEARING SPECIFIED BY THE ARCHITECT OR ENGINEER IS FORBIDDEN WITHOUT VERIFYING THE REPLACEMENT L YdP,ED CAP.30N A+IOR�iO)0i)E DETECTOR VA,i PLIg7t CAPACITY OF 2 TONS PER SO.Fi.BRACE RETAILING WALLS OR FOUNDATION WAITS AS (n 11 L�4�� �'p i}.ASV L":s 141•I REQUIRED.SACKFBl WITH APPROVED MATERIAL.BACKFILUNG UNDER SLABS.AROUND PART WITH THE DESIGN PROFESSIONAL. O v� V�E rl? J�r' PIERS AND ON EACH SIDE OF FOUNDATION WALLS SHALL BE DONE IN LAYERS NOT TO EXCEED AWED SMOKE/LAWN 1AOP'O=COWO DEiELfOR ! 10 INCHES.COMPACTION SHALL BE 95%OF MAXIMUM DENSITY AT OPTIMUM MOISTURE -� JIA1CflON130XFO L"FD(fM tls ----- CLIMATIC&GEOGRAPHIC DESIGN CRITERIA FOR RESIDENTIAL DISTRCTS WAu Scow JA lloN eox CIJMATE ZI?i�t�'Iv wL"vD S�cED 51Peclru. �Lt4A1Fg3 1'tnf U 1EKNJIT:P TION NiNT[� 1'LOiOD AT'F MEAD ANWq (� �iLI5fitJG�TZr LO (ml) 51PEEDEFFECiS DEPlJ52 CAfA(GKl r 9AYMtIJ IiAZPFJ)5.W A' U:M �C ptfla WALL LIQ IfA:iiON 6GX 4a(Conl> 20PSP II5/I20 NO W A'0 C 5EViWEL r42' YES 15 map IPJVAtRP9 7 500 52.1 3bll LELN6FM RE(NFORLED lKlION eox 'IY pl AL INSULATION AND FENESTRATION REQUIREMENTS BY COMPONENT W20NY5EUC•-WMf R•402J2 1'r L{�f 1' --- fr O',AnON Smmr to G b Ct W P W L I) AENr INN L 5LH3 R-vatE Csft H'N L ® i I' i (�-�I ./`ir' CuIAME 2WJ A[fM 6 U•F f b FO&St 11 z R-VA R•VA IF R VA IE I R VA LE R•VJILIE c d P.-VA.LE 4a(ews0 0.55 0.59 OAO R••i9 R Z0�`1� 8/13 R•19 IO/t3 10.2 Ff 10/15 • Zb,c,s°17r���IIH1Z}� ►�iYlll'1��trlDll-IG -_ WARNING: I .Ie3*f GAI �rL (kaf� THESE DOCUMENTS ARE NOT VALID UNLESS SEALED AND SIGNED IN INK,NO SCANS, REPRODUCTIONS OR COPIES ARE AUTHORIZED I I BY WITHOUT PROPER WRITTEN AUTHORIZATION i O ° OF JOHN G.SCALATO JR,ARCHITECT. I I i FURTHERMORE; IT IS A VIOLATION OF NEW YORK STATE LAW FOR I ANY PERSON,UNLESS ACTING UNDER THE °yP DIRECTION OF A LICENSED ARCHITECT.TO p ALTER IN ANY WAY THESE SEALED AND SIGNED i c� DOCUMENTS WITHOUT THE EXPRESS AND COPCONDITIONED PERMISSION OF THE ARCHITECT.I I �kjs-lt.46 Gawp c� I rf&ff--b'fIm+[zoo rI ri�u�i�IG 162AorL i O ° la& Tal- xy III t yAI �,/ibL i II�.GP��GIB 78 �r SP G!*Il P6 ERMIT /�., � G H a SIX L �'� ) rAPP ED _) 33 13Hrual-� �I ILA 12r7 o S� 3°xb`6 ��c, u:c ``�' ��'` �- IWING INSPE ilia dt ?3sb -UITLlT`1 rzM is INobk4 Sf r .� °,. T FINISHED BASEMENT NOT APPROVED FOR USE AS A -�u�A I-'°` SEPARATE APARTMENT OR �I IZ � �p 1,a i Orf1'i Z�T(l� G"GLZ G - l 1 DWELLING UNIT �y� �=� N-1 J ae�3 ` i ffr/IGLG ( ��f�r✓1=XL2 nc,� „�_ ---� FIf�,5 P�Iu r� .ru-I� �s� r�N s" L�� ��T►�N I . �C ��If�i 5i'�'IHI�I.� 57sQu'-t +. ��� I/�I I- d111 r l.lir I�1-I II J I(r j)' _���-.��s�. �� �'• C. f 7 R PWN r9G-mIL N ri-qS IE W IE 1 11 0 o SEP 2 7 2021 -� OP NENa VILLAGE OF PRYE-E BOOK BUILDING Di-PAR I MENT