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HomeMy WebLinkAboutBP21-299PERMrT # Q - a 9 9 DATE: / EXP a' SECTION BLOCK LOT TYPE OF WORK OCee'f92 l)J 10B LOCATION V /CrPSC 491? OWNER //1 L / / , CONTRACTOR J *nC /%D/S �C6a /•'e/ EST. ✓CO # TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC O LOW -VOLT M ALARM 0 AS BUILT FINAL FEE'y //O-'/�b FEE DATE _� . INSPECTION RECORD DATE 2- 2 7- 2nL�i INSP OSIF d �P r ee �e oO �jaI S O F� IER APPROVALS ARB BOT PB ZBA.-.----- OTHER 6 y 4,d,lsPlo) vick A)/c e C�03) c;) 9- / to 19 �yE DR tt W j J�v L �7. 1q VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www�ebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 29,2024 Bing Qiu&Xiaofei Li 177 Ivy Hill Crescent Rye Brook,New York 10573 Re: 177 Ivy Hill Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-36 Building Permit#21-299 issued on 11/19/2021 for Replacement Windows This certifies that the six new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to 3DBUILDING DEPARTMENT For office use onI D FEB - 6 2024 PERMIT# -ay9 VILLAGE OF RYE.BROOK ISSUED: VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:o)- BUILDING DEPARTMENT (914)939-0008 FEE: 4 PAID www.rVehrook.org 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 Address: M 1 LA- Cl�eSC eo-t Occupancy/Use: Parcel ID#: -4(o - -3(v Zone: Owner: 10 /fin- XiPfDF 7 /-L Address: 11j SUS{ 0►U CceSc-en`� P.E./R.A. or Contractor: �ce�,wC.L b-1 �c��e; l Address: 4al We,,A A-JE- Skm c)I Cr Person in responsible charge: -(gc��LV.c� f�Zca\�c� Address: 4a1 WPS1 P-hil- 4cC� C 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 OF NEW YORK, COUNTY OF WESTCHESTER as: t C�- po,\c a being duly swom,deposes and says that he/she resides at zl-1 West XVc (Print Name of Applicant) (No.and Street) in in the County of in the State of C�T' ,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:S I S 5a for the construction oralterationof- . ( ��3a 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-I O.A.of the Code of the Village of Rye Brook. Sworn to before me this 6 Sworn to before me this day of r , 20 9q- day of Sighaturc of Properly Owner Signature of Applicant (�� ��C1L Qal-1CF Print ame of Propc ty Owner BR1AN MACDONALD Print Name of Applicant NOTARY PUBLIC State ofConnecdcut MY COMMISSION EXPIRES Oct.312025 Notary Public Notary Public v GREGORY K RIVERA Ndwy Public,State of New York 1 �" No.01RI6441398 Qualified In Westchester County Commission Expires September 26,20 �yE BR(�k• w � BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : ` / ryY 14//- �CCS . DATE: 2" 2 7- 2 QL T PERMIT# � 2 I - ISSUED: `�9 '2 I SECT: IZ BLOCK: 1 LOT: 7 b LOCATION: ��V v VJI �1 w OCCUPANCY: ❑ Violation Noted THE WORK IS... [PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas i IJ 0 tA/ ' ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ GROSS CONNECTION FINAL ❑ OTHER ch ■ m •\M � O N i � U W 'rJ f� 0 x 0 3 -o .Q a. 0-0 w M , 50.� � �D Is ^ .� Q � � kn a w 0 L. H c .. > � w 00 > > [1 ram, C C/ VJ ar 1W1 Q L Lam' CA CQ en z ` x � _ � � Qo �✓ z � � � ag � A x W W N Av 0 is 0 �,� 6 V °O � �, � ^� gz M r- W ` Lo u M a, a z 604 Fa o 5 " c a E" z w Is io- A z 0-0 o � .^ BUILDING DEPARTMENT VILLAGE OF RYE BROOK NOV 15 2021 DD 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rV rook.orQ BUILDING DEPARTMENT 1982 ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REOUIBE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY`:! / 1 APPROVAL.DATE: N O v I PERMIT M / — V 9 9APPLICATION FEE:,# 75-- YOA APPROVAL SIGNATURE: PERMIT FEES: H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: i-i 4 'a is hereby made to the Building Inspector of the Village of Aye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. �J 1. JobAddress: � e Byoo�_ N) P 2. Parcel ID#: 9, 76 —1— Zone: ,pl/A 3. Proposed Improvement(Describe in detail):_T+u it ] CCA-I' on 0 S 4 X 4. Property Owner: I in Cl t } Address: Phone#-11 f5 -(o)cQ `0�$(O_j Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant: _?D L L C-,;—: Address: G44 r�i=.&- • C.0---t Phone# ell# ZO3- -45 Z e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Vq— ,, )L P�i oc 5 6c, �b0 oC }c_h-�S}2(' Address:.:ILA kc.,LL' &P-e n Rd. P,Czs�)r-\A Ge_ F 0_� 10 -7 �.D LAD Phone# ` 3 - Dlv ' 5Lt 5Cell#)p 3- 4 Qj�- �1�1 e-mail <0-+ V4008 ` ) rbAWes-1r-Ck'LG -Q,CCK-" nl 811212021 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 5afY) Post-construction: J FQ 1n 6. Area of lot: Square feet: 2-5 3 !AAcres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1°'fl: 2"d fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: I'fl: 2'fl: 31 fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13, N.Y. State Construction Classification: N.Y.State Use Classification: 14. Construction Type&Location: ()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; O Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style;peaked,hip,mansard,shed,etc: Rooting material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No: V- (f yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or mor oof impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:—No: KArea: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: 'C (if yes,applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be property depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: x (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: I%e (ifyes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:X- Indicate:TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ rJ 1 S o;L k OO Nate:estimated Bost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: 12-0 ' 2­0 2- 1 (2) 8/12/2021 BUILDING DEPARTMENT D F. DW� VILLAGE OF RYE BROOK NOV 15 2021 938 KING STREET RYE BRooK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT .AFFIDAVIT OF COMPLIANCE VILLAGE CODE &216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 1 0 , residing at, `T C y y H I I CC-,(P S C 2(1 (Address where you li%o 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; Rye Brook, NY. 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. (Signatureol"ri, (Print Name of roperty( ner(s)) Sworn to before me this l day of ' , 20 (3) enz1zort This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: )J N-\14 . oa,,'c%, ,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 C ink r c,,-LA o C for the legal owner and is duly authorized to make and file this application.. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Swom to before me this Sworn to before me this /S day of , 20021/ day of,Ame'4aw , 20 al ,A�� 4� Signature of P er&Awner Signature of Applicant N)C-H&44 19mcr Print Name of Property O er Print Name of Applicant otary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 ME6160'J63 0.iali;ied in Westchester County Commission Expires January 29.20 2 (4) SAV2021 QyE BR(�k. O� 2� cu � �7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ,©'ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : / / DATE: —2J yz� PERMIT# �� ISSUED: SECT: BLOCK: LOT: LOCATION: �(���S OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED / REINSPECTION SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I / �P r S ❑ Natural Gas Y ``� r G(/� /%� 4)0 7 JPcd� ❑ L.P. Gas / ❑ FUEL TANK ❑ FIRE SPRINKLER / /C Scl ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE . RATINGS A AND TEST DATA NFRC Total Unit Performance (continued) Renewal by Andersen' U factor (BTU/(hr ft2 oF))' Solar Heat Gain Coetficient(SHGC)-- Product a ll'= 0 .� � Without Grilles 0.46 0.44 0.57 0.57 82 pear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4' Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.19 0.19 .40 Low E4 Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 1'Double I Full Frame) Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4'SrttartSunTM Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4=SmartSun Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.28 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSun" Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low E4` Full Divided Light Grilles 0.35 0.31 0.28 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4•Sun Full Divided Light Grilles 0.35 0.31 0.18 0.18 DO Double-Hung (Insert Frame) Without Grilles 0.33 0.29 0,21 0,21 .65 low-E4"SmartSun" Full Divided Light Grilles 0.34 0.30 0.19 0.19 low-E4'SmartSurt Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.27 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with 6WWithout Grilles n/a n/a n/a n/a n/a SmartSun"' Without Grilles 0.47 0.45 0.59 0.59 .82 Clear Full Divided Light Grilles 0.47 0.45 0.53 0.53 Without Grilles 0.34 0.30 0.31 0.31 .72 Low-E4' Full Divided Light Grilles 0.35 0.32 0.29 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4'Sun Full Divided Light Grilles 0.35 0.32 0.18 0.18 Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4"'SmartSuri' Full Divided Light Grilles 0.34 0.31 0.19 0.19 Low-E4'SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.27 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.28 .47 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSun'"' -Low14111,SmartSunl.'Low-E4M.-Law-E44111)sun-and HeatLoi are Ancersen trademarks for-low-E'glass. 1)U Factor dehres the amount or heat loss through the total unit in BTU/hr/1t2.'F The cower the value.the less heat is lost through the enure product window values represeht non tempered gluss,use or tempered glass can increase u-Factor ratings.See andersenwindows.com/nfrc for specific performance values. 2)Sitar Heat Gain Coerhuent(SHG(C)defines the traction ol sitar radiation admitted through the glass both directly transmitted and absorom and subsequently reeased mvam.The lower the value,the less heat is transmitted through the product 3)Visble Tmansmroante(vii)measures now much I"comes lhiough a product(glass and home).The higher the value.tram 0 to 1,the more dartight the product lets in over the product'stotal unit area.visibie ught Transmottance s measured over the 390 to 760 nanometer portion of the solar spectrum. •HFRC ratings are based on modeling by a third party agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •(hs data is accurate as of Apia 2021,Due to ongoing product changes updated test results.or new industry standards or reawremdspecifiedns,this data may change over time.Ratings are for sizes specified by NFRC to testing and cendication.Ratings may vary depending on use or tempered glass,different grille optlons,glass with capillary breather tubes for high attitudes,etc.-Low Eft.-Low E40t SmartSun-and'Ldw-E4rN:Sun' 09_1 0 COMPANY CONFIDENTIAL- REVISION AA-01 Q= Agreement Document and Payment Terms dba:Renewal By Andersen of Westchester and Fairfield County Bing Qiu Legal Name:Signature Exteriors/Vinylume Inc. 177 Ivy Hill Crescent RENEWAL WC-27205-H14, HIC0542457 Rye Brook,NY 10573 brANDERSEN 2041 West Main Street I Stamford,CT 06902 H (718)612-2867 Phone:203-406-0545 1 Fax:203-406-0828 1 sales®rbawestchester.com Bing Qiu 07/27/21 Buyer(s)Name Contract Date 177 Ivy Hill Crescent, Rye Brook, NY 10573 (718)612-2867 Buyer(s)Street Address Primary Telephone Number Secondary Telephone Number bgiu86@gmail.com Primary,Email Secondary Email Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of Signature Exteriors/Vinylume Inc. d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor'),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total job Amount: S15,521 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: 50 Balance Due: S15,521 We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that Amount Financed: 515,521 we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for Method of Payment: Financing delay. Notes: Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/30/2021 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SignarureofSales Person �i�n.nurc tii; 11,11u1� Brian Greenberg Bing Qiu Print Name of Sales Person Print Name Print Name UPDATED 07/27/21 Paqe 2 / 15 Itemized Order Receipt _`'`VEWA dba:Renewal By Andersen of Westchester and Fairfield County Bing Qiu Legal Name:Signature Exteriors/Vinylume Inc. 177 Ivy Hill Crescent R E L WC-27205-1-114, HIC0542457 Rye Brook,NY 10573 byANDERSEN H:(718)612-2867 r� xiwoanw�sucum 2041 West Main Street I Stamford,CT 06902 Phone:203-406-0545 1 Fax:203-406.0828 1 sales@rbawestchester.com r • O• DETAILS: ow Misc: Misc, ### LEAD SAFE WORK PRACTICES ### $0 n u - OTC 101 Living Room 58 W Window: Gliding, Double, 1:1, Active/Passive, Base Frame, $3090 47 H Exterior Terratone, Interior Terratone, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: Fiberglass, Full Screen, Grille Style: No Grille, Misc: None 102 Living Room 58 W Window: Gliding, Double, 1.1, Active /Passive, Base Frame, $3090 47 H Exterior lerratone, Interior Terratone, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: Fiberglass, Full Screen, Grille Style: No Grille, Misc: None 103 Living Room 59 1/4 W Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Active / $6574 79 1/2 H Stationary, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: Tempered High Perf. SmartSun Glass, Hardware: Albany, Stone, Screen: Gliding, Full Screen, Grille Style: No Grille, Misc: None 201 Son's Room 58 W Window: Gliding, Double, 1:1, Active/ Passive, Base Frame, $3090 46 H Exterior Terratone, Interior Terratone, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: Fiberglass, Full Screen, Grille Style: No Grille, Misc: None UPDATED 07/27/21 Page 3 / 15 Itemized Order Receipt dba:Renewal By Andersen of Westchester and Fairfield County Bing Qiu Legal Name:Signature Exteriors/Vinylume Inc. 177 Ivy Hill Crescent RENEWAL WC-27205-1-1 14, HIC0542457 Rye Brook,NY 10573 brANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(718)612-2867 iui;.raemowiami arturn Phone:203-406-0545 1 Fax.203-406-0828 1 sales®rbawestchester com ROOM: 202 Music Room 58 W Window: Gliding, Double, 1.1, Active/ Passive, Base Frame, $2848 34 H Exterior Terratone, Interior Terratone, Glass: All Sash. High Performance SmartSUn Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull. Screen: Fiberglass, Full Screen, Grille Style: No Grille, Misc: None 203 Bedroom 2 58 W Window: Ghd,nrj, Double, 1 1, Active/ Passive, Base Fume, $3090 46 H E.xteiio!Terratone, Interior Terratone, Glass: All Sash High: Performance -irtSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pu Screen: Fiberglass, Full Screen, Grille Style: rSc :,,pile, Misc None WINDOWS: 5 PATIO DOORS: 1 SPECIALTY,0 MISC: 1 TOTAL $15,521 Renewal by Andersen is committed to our customers-safety by eE3aA cornplying with the ruler and lead-safe work practices specified by the EPA. UPDATED 07/27/21 Page 4 / 15 Qiu, Architecture and Grounds Committee (A&G) has reviewed your ication for the above named work. This project requires a permit frorY Village of Rye Brook. You are directed to submit this letter to the Vill(' ig with your permit application . Once the permit is obtained, a copy m )rovided to A&G for final review and consideration. k on the project may not begin until you receive written notice of zptance from A&G. iy changes are made to the original plans submitted to A&G , due to t from the Village or arising during construction, the Committee must 'ied in writing. Work cannot proceed until you receive written approvc- hose changes. are to comply with these procedures will result in fines and/or work page. iu have any questions, please contact me at: Property Manager. in Martinez )erty Manager .erely, D CEC� � in Martinez NOV 15 2021 VILLAGE OF RYE BROOK Arbors Homeowners' Association, Inc. BUILDING DEPARTMENT )14)939-2440 Building Permit Check List&Zoning Analysis Address:, 'Z U L L SBL: l Zi' 7 6 —3 6 Zone:2,L,�2t _Use: Const.Type: Other. Submittal Date: l l S' Z Revisions Submittal Dates: (lI Applicant: Nature of Work —TO FE:� A r Fr Reviews:ZBA NOV1 PB: BOT: Other. ICED OK � (7 ( ) FEES:Filing. BP: 233• C/O: Legalization: ( ) (,"P: Dated: Notarized. SBL: ✓truss I.D. Cross Connection: ✓ H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Shorn 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:��Electronic. Other. ( ) ( "License: Workers Comp: ✓ Liability. �/C omp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery._Other. ( ) ( ) PLUMBING:Plans: Permit: Nat. Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval- notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval- notes: REOMED EXLSTN PROPOSED NOTES APPROVED Area: Date- NOV 1 s 2021 Circle: Fr n : Front: Fron Si es: RE Main Cov Accs.Cov F HS : Sd. S : SL Tot, Ft IM Parking Height/Stories. notes: Mike Izzo From: Mike lao Sent Tuesday, November 16,2021 2:30 PM To: nick.police@rbawestchester.com Cc: Laura Petersen; 'Tara Gerardi'; kat.wood@rbawestchester.com Subject: 3 Applications for window replacement in Rye Brook, NY Dear Mr. Police, The Rye Brook Building Department is in receipt of three(3) separate applications for replacement windows and/or doors submitted by you on 11/15/21. All three properties are located within THE ARBORS Planned Unit Development and the addresses are as follows: 1. 213 Tree Top Crescent, Rye Brook, NY $189.00 2. 177 Ivy Hill Crescent, Rye Brook,NY $233.00 3. 105 Brush Hollow Close, Rye Brook,NY $238.00 To process the applications further we need the following information: 1. Please provide the window/door manufacturer's energy efficiency information for all the proposed replacement windows/doors showing compliance with the 2020 NY State Residential Energy Conservation &Construction Code. 2. Please provide copies of your installer's current liability insurance naming the Village of Rye Brook as certificate holder, and on a separate approved form proof of their current workers compensation insurance also naming the Village of Rye Brook as the certificate holder. 3. Please remit the permit fees for each property, the amounts shown above in red. Upon receipt of the aforementioned information and fees the applications can then be processed for permitting. Generally, this process takes ten (10)days from receipt of all required information. Once the applications are approved you will be contacted by one of our Office Assistants. Thank you. clad 11 /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 1 091 SIM 1.0 RVI lip.Xh zin, iuni ........... ........... ------ S----i Me." 33 CN CN CIS C) .......... (D co E 0 C) U U ca -rj PM4 w ism) LU ,\NA C, (0 z •P-4 (46i < LO co w ,iooil v. ��lection LL z >- u id LLB tb :i-0 0 w z - w uj uj w co Lr) C) r L) 5. CL) MW w LLI Q D 77P 4-( Z z z w 0 4) vo L6 a) 0 C) W 04 CA C14 EA IZ I A gig 44 4 Qe -7, Alli "'3Z , --- J=L N - `7 MIR All" M v, SIGNEXT-01 CDELA ACORN DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/28/2021 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 endomement(s). PRODUCER COArCT Carolyn Delahunt ' MBI Company Group LLC. PHCNN 280 State Street : 203 288-3401 FAX No:(203)281-0414 North Haven,CT 06473 M.S.Carolyn.Dolahunt@mb14ns.com INSURE S AFFORDING COVERAGE NAIC S _ INSURER A:Main Street America Assurance 29939 ' INSURED INSURER B:NGM Insurance Company 14788 Signature Exteriors Inc. INSURER C:USLI 25895 DBA:Renewal by Andersen of Westchester County 74 Hack Green Road I INSURERD: Pound Ridge,NY 10576 INsuRERE: _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SU PAY POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE X OCCUR X X MPT8480P 9/10/2021 9/1W2022 DAMAGE TO RMISES ED 500,000 MED EXP(Any onePerson) 10,000 PERSONAL 6 ADV INJURY S 190009000 NEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY X jpa LOC PRODUCTS-COMPIOP AGG 3 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO X X B1T8480P 911=021 9/10/2022 BODILY INJURY PerPerson) OWNED SCHEDULED AUTOS ONLY hX AUUTryOSSyyBODILY INJURY eracciderrtX AUTOS ONLY AUTOS ON�Y OPERTYd C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 111 2,000,000 EXCESS LIAR CLAIMS-MADE X X CUP1566713 9/10/2021 9110=22 AGGREGATE 29000,000 DIED X RETENTIONS 10,000 WORKERS COMPENSATION I PER OTH AND EMPLOYERS'LIABILITY Y/N 1 STATUTE AAQNFFFYF PROPREIIETggOEER/PARTNERIEXECUTNE E.L.EACH ACCIDENT rylanld t IN19M HR EXCLUDED? NIA -_- -E.L.DISEASE-EA EMPLOYEE _ If yyeess describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Village of Rye Brook Is Included as additional Insured as required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King 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 NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 � ^^^^^^ 471568265 JOSEPH BISHOP COMPANY 280 STATE STREET ❑� NORTH HAVEN CT 06473 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SIGNATURE EXTERIORS INC DBA RENEWAL VILLAGE OF RYE BROK BY ANDERSON OF WESTCHESTER COUNTY 938 KING STREET 74 HACK GREEN ROAD RYE BROK NY 10573 POUND RIDGE NY 10576 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2527 085-1 44260 10/18/2021 TO 10/18/2022 10/28/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2527 085-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DON FLEMING VICE PRESIDENT JON FLEMING 20F2 SIGNATURE EXTERIORS INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 18630398 U-26.3 oR Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board under the NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) I b.Business Telephone Number of Insured SIGNATURE EXTERIORS,INC.DBA RENEWAL BY ANDERSEN WESTCHESTER COUNTY 203-406-0545 74 HACK GREEN RD c.Federal Employer Identification Number of Insured or Social Security POUND RIDGE NY 10576 Number Work Location of Insured(Only required if coverage is specifically 471568265 lirrted to certain locations in New York State,i.e.,Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of a Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY THE VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK NY 10573 3b Policy Number of Entity Listed in Box"I a" LNY-646939 c Policy effective period 07/01/2021 to 06/30/2022 4.Policy provides the following benefits: A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑C.Paid family leave benefits only. 5.Policy covers: A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law ❑ B.Only the following class or classes of employer's employees: 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 NYS Disability and/or Paid Family Leave Benefrts insurance coverage —as7described above. Date Signed 10/28/2021 r (Signature of Insurance carriers authorized representative or NYS Licensed Insurance Agent of that Insurance carrier) Telephone Number (212)553-8074 Name and Title:Elizabeth Tello-Assistant Director,Statutory Services IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-6200, PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed B (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to wrtte NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to Issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1(9-17) I IIIII'111111°�!�°�°���!°•IIIIII