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HomeMy WebLinkAboutBP21-300PERMIT # / c)J 300 DATE: a/EXP: JF SECTION BLOCK LOT TYPE OF WORK 4 �/%9e Qi�70 GY�� JOB LOCATION Pe �P.SC OWNER AP/7 Q Lin 019 C914 , CONTRACTOR /a n�`kl�e7rr� OASC EST. COnST�1 c1g d 7 � ✓CO # l .l JFEES FOQTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS O SPRINKLER ELECTRIC rl LOW -VOLT O ALARM L7 AS BUILT FINAL FEE DATE INSPECTION RECORD DATE INSP Z'IV � 2CL�( F ASJ 7 ,c70o r- PerIm a 500� A OTHER APPROVALS ARB BOT P8 ZBA - OTHER BR 7. 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.r3: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 21,2024 Stephen Malkinson 213 Tree Top Cresent Rye Brook,New York 10573 Re: 213 Tree Top Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-69 Building Permit#21-300 issued on 11/19/2021 for Replacement Doors This certifies that the new patio door and new front door,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to DBUILDING DEPARTMENT For office use nlv: FEB 12 2024 PERMIT# -360 VILLAGE OF RYE BROOK ISSUED: VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: BUILDING DEPARTMENT (914)939-0668 FEE: 9 /I O— PAID 0L www.rve b rook.o rgy 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: oat 3 -me \Op �-ce S C�c t. � Occupancy/Use: 1- �tr Parcel ID#: �Zq,�(o ' — b'ci Zone: �-3 uSrJ Owner: ,5�eoh r'h.�klnsOn Address: W-6 Tre-70 C,;esue , P.E./R.A. or Contractor: � �V � Pm- t, e_rN Address: 4-211A l0e& lsl_ . Cx- Person in responsible charge: R;c-mW►:� Address: 4al WEsV Aje- !�)tc.m.�oc4 CT- 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/a Iteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: ^ .- NICk Po �1 being duly sworn,deposes and says that he/she resides at e, (Print Name of Applicant) r, - (No.and Street) in � c� "Gflc-d ,in the County of 1�-}�2,��1 in the State of Cr ,that (Cityrrowid 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 for the construction or alteration of SrS Gil��x p� t,� ���.,�5 dot S O 30 41+,),-41 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 I-), Sworn to before me this day of ,20 a 1 day of / rva T , 20 ? 7 Signature of Property Owner iiggS nature of Applicant P me of Property Owner BRIAN MACDONALD Print Name of Applicant NOTARY PUBLIC PF State of Connecticut MY COMMISSION EXPIRES Oct.312026 Notary ublic Notary Public SHARI MELILLO Notary Public,State of New York No.OiME6:160063 Qualified In Westchester Count Commission Expires January 29,20 �yE BRC��. BUILDING DEPARTMENT � ❑BUILDING INSPECTOR E7/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: 2 ' 3 T 1ZEE / ,2 P �'�rL�c c �-'T DATE: 2 1 O2 y PERMIT# �R Z 1 3 O o ISSUED: /]-/ -Z/SECT: 121,76 BLOCK: LOT: 7 LOCATION: I-ROy F " V i k 0".Sv . OCCUPANCY: 2 / U ❑ 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 R c Q//L c.c-x G� R�2 tea J 1)O o 2 A v d 11-7Q a ❑ L.P. Gas '!�N ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER s O ■ � O N N O N � 04q C F/ �i C U n• • CO co N� W w >- C4 ° o O •► A F /o��� r �, er o � Z Z A O N - z � �Ols '> � � _ od a 0668 G O �i rQ i � U r/•J as rs d V w ° ow a � 0lu wi , Z � vA BUILDING DEPARTMENT DD VILLAGE OF RYE BROOK NOV 15 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK wwwxyebrook.on! BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WFUCA DOES NOT REQUIRE VILLAGE ARCFIITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE O Y: APPROVAL DATE: f ` I PERMIT#: ®APPLICATION FEE: APPROVAL SIGNATURE: PERMIT FEES: 1 ✓� r H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated i ����+�f is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. .IobAddress: ,✓2 .Q 2. Parcel ID#: , —1— to 9 Zone: 3. Proposed Improvement(Describe in detaiL-oc�+ I door a rl d dao r 4. Property Owner: ': +, O bac Mal K;n SC�c Address: CY"P_ S C e�4n+ Phone# 'I nn I - - Qy Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant:1A v, Address: 1 l C.�'L {A I.k G>� 1 �J 1( `i' -R— L�✓`� Phone# Cell# 7DI. 2c2 l(o L 9 e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# __II e-mail /� General Contractor:� t)tf' _ XJ QG t C?C S l d bC,` R b �xwsA(_Iq Si r Address: 1 LI 4Ca l �!P C' (1 V_ � . nJ incl j A P__ 1)"'� In,7,:�P Phone# a 14 QLP p5y S Cell# 0 D3 �{ r2. �� I e-mail f• W C3 Y C), W4e S+C. JZ SDI-�o�►"\ nl gn 2/202I 5, Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: I r—Q (" Post-construction: 1 �(�►� 6. Area of lot: Square feet: �2 Ll—7 9 Acres: 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 comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 15'fl: 2nd fl: 31 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 111 fl: 2"�fl: 3'd 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 autom is fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No:_ (if 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 more o impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No:(/' Area: 23. Will the proposed prqlpd require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: ��es,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: NoX (if yes,the area and elevations of thenood 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: (if yes,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: Indicate:TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 00 29, What is the total estimated cost of construction: $ S q-7 • / Note:estimated cost shall include all site improvements, labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donated gratis.If the final cost exceeds tie estimate cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: Z D Z© Z 2— (2) 8/12/2021 DD J� BUILDING DEPARTMENT NOV 15 2021 VILLAGE OF RYE.BROOK 938 KING STREET RYE$ROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www.ryelbrook.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 YOM COUNTY OF WESTCHESTER } as: c I 44040k4esiding at, 1 5 T-"e- 12 Cie S6e_()± 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; \ �) :a(_e-9 l a!2 C (Q S C P_#'-�T , 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. �'Jt & (Signature of Properh (I i7p 0 &� � (Print Name of h oprrt}Ou ucrlslj Sworn to before me this ay of , 20 Al Aa 0 (3) 8/12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: \e)dbU,3 %Lx et, ,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. 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. } Ipe Swom to before me this I Sworn to before me this day of , 20� day of A1bV 20--4 Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant A�io V�l - A3L� otary Publ c Notary Public SHARI MELILLO (Votary Public, State of New York No. 01 Ivl E6160063 Otialified in Westchester County Commission Expires January 29,2012 (4) g/12/2Q21 RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) Glass Type I -0efficient(SHISC)' Product Ar Gas Blend 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 0.34 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• f• rHung Full Frame) Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4'SmartSunTM 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 SmartSun'"' Without Grilles n/a n/a n/a n/a n/a 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 1•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'SmartSun 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 Without 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 EnhanceclTnple pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSun'" -low-E44DSmartSunw.-L(w-E44E.'Low-E4®sun-and HeatLocklb are Andersen trademarks tor-ldw-E'glass. l l VactordeMtes the amount of heat loss through the total unit in BTU/hr/lt2.'F.The krwer the value.the less heat is lostthrough the entire product Window values represent non temperod glass.Use of tempered glass can increase U-Factor ratings.See andersenwmdows.com/nfte fro specific performance values. 2)solar Heat Gam coefficient(SHG0 defines the fraction of soar radiation admitted through the glass both directly transmitted and absorbed and subsequently rewased inward.The lower the value,the less beat Is transmitted through The product. 3)Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the vaioe.hom 0 to 1.the more daybghi the product lets in over the product s total unit area.Visible light Transmittance s measured over the 380 to 760 manometer portion olthe War spectrum. •NFRC ratings are based on modelingby a thirdpariy agency as validated by an independent test lab In compliance with NFRC program and procedural requirement. •T hit data is accurate as of Apra 2021,Due to ongoing product enaoges.updated lest results.or rtew industry standards or requrrerrient,this data may change over time.Ratings are for sizes specified by NFRC for testing and ceridtcahon.Ratings may vary depending on use of tempered glass,daterent gnle options,glass wan capillary breather tubes for high aibtucies,etc.'Low Eft.-Low Eft SmartSun^'and'Low-E4X Sun' 09_1 0 COMPANY CONFIDENTIAL- REVISION AA-01 Agreement Document and Payment Terms dba:Renewal By Andersen of Westchester and Fairfield County Stephen Malkinson Legal Name:Signature Exteriors/Vinylume Inc 213 TreeTop Crescent RENEWAL WC-27205-11 14, HIC0542457 Rye Brook,NY 10573 brANDERSEN 2041 West Main Street I Stamford,CT 06902 ree am H:(914)462-1047 Phone:203-406-0545 1 Fax:203-406-0828 1 sales®rbawestchester.com Stephen Malkinson 07/22/21 Buyer(s) Name Contract Date 213 TreeTop Crescent , Rye Brook, NY 10573 (914)462-1047 Buyer(s)Street Address Primary-1 elephone Number Secondary Telephone Number Stephen@ MaIkinson.Org 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: 512,547 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: $4,181 Balance Due: $8,366 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: $0 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: Credit Card 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) I)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 07/26/2021 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. Signature of Sales Person tiinarurc Signarurr Brian Greenberg Stephen Malkinson Print N;unr of-Salts Person Print Nano• Print Name UPDATED 07/22/21 Paqe 2 / 16 Itemized Order Receipt NLWJ dba:Renewal By Andersen of Westchester and Fairfield County Stephen Malkinson ..'Ad-11 Legal Name:Signature Exteriors/Vinylume Inc. 213 TreeTop Crescent RE N�E WA L WC-27205-11-1114, HIC0542457 Rye Brook,NY 10573 brANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)462-1047 iw:tmu woos om nrunwn Phone:203-406-0545 1 Fax:203-406-0828 1 sales®rbawestchesler.com ROOM: 0 W Mist: Misc, ### LEAD SAFE WORK PRACTICES ### s0 n u 101 Back Patio 59 1/4 W Patio Door: Gliding, 200 Series Narroline, 2 Panel, Stationary/ $7776 79 112 H Active, Exterior Terratone®, Interior Pine, Glass: All Sash: Tempered High Perf., Hardware: Anvers®, Satin Nickel, Auxiliary Foot Lock Color Matched, Screen: Gliding, Full Screen, Grille Style: No Grille, Misc: None 102 Front 0 W Misc: ^?: or, D'nr Prntq? n S9833 n u WINDOWS: 0 PATIO DOORS: 1 SPECIALTY: 0 MISC: 2 TOTAL S12,547 kcrrcu al by Andersen is committed to our curtonrers'safety by complying with the ruler and lead-safe work practices specified by the EPA. UPDATED 07/22/21 Paqe 3 / 16 Building Permit Check List&Zoning Analysis Address: Z, SBL Zone: --r-> Use: 2t Const.Type: Other Submittal Date: l 1 1.S "Z Revisions Submittal Dates: l ( 2 Applicant: _ ILA iA Ljz- I Pj S a� Nature of Work � DLdrCrn �,�-►: �� �ho0"t— �►— r� �\'�z.. 7sAl2_ views:ZBA: N O V 1 8 2021 PB: BOT: Other. OK l �J� — C/O Legalization: ( ) FEES:Filing.�BP: Leg .zation: ( ) (,APP: Dated. Notarized: ✓SBL: ✓Truss I.D. Cross Connection: ✓ H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival Sealed Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed Copies: Electronic. Other. ( ) (_YYLicense: ✓ Workers Comp: ✓Liability: ✓ Comp.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: ( ) ( ) 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 E STING PROPOSED NOTFS N O V 1 7 f l I r Date. Cir Fron e Front: Front Si . lam: Main Cov Accs,Cow. F H Sb: S .H Sb: Tot,imp: Ft IM: Parkin H6ght/Stories: notes: Mike luo 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. Aw1We,/(T Izzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 1 This letter serves as confirmation that the Agricultural & Grounds (A&G) Committee has reviewed and accepted your application for the above named work. This approval is valid for six (6) months from today's date. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. You are required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well . Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, contact me at: Proper Manager. Bryan Martinez Property Manager Sincerely, Bryan Martinez The Arbors Homeowners' Association, Inc. NOV 1 5 2021 VILLAGE OF RYE BROOK P: (914)939-2440 BUILDING DEPARTMENT I 5,'.I,,rs' w.:\A, rnFj•- ..w,3:rj ".N A�.( nPT\./,}y�,lt A T,ct�.t'1� .�.fin$�y� `"' rw ..Y•t ./-. .`Ar�jf•N� 5�s1+. ♦A1��`� '�'^��'.�5ff„1`� I �i � },�,({t1' 7 Ai5 i. {'titi. !i � i. rYh r1i�, {�Y i r. �1 •� �r {•%5y�� ! l`I ``s � /� `y tq9 Q' rct,+;�•vp�',MS,:f' ��j�.11. 'Q �;R'•1,.1�y��A11'Nft 'Q -^fr!t4'�a:�.��',�y�1t01;.'i Q' z'�1 �!fi,'�;�9'1.. �Q �t�,�'rtiiAs'�y+� \Q j'�.�f`t�,7�v. }�f1 �Q.\\;4;:'.• fir',..✓e.ir:4s,gg";�'-'I_'£ E;40_}-•.I f`d.ta1�'1 1jl1•jl14j1�1{t1•3Stt.YiEal i r_vy",f�{#�,:i l:3�Ii 1f if1 1f./'11i(1�t�t1 Yb.l ti rj 1.���'"!_�g;€�gF11tcf.•_l-;,t(�1�t1 i1�111/111Zt1 Y 1?§tir' fr_t���ii'.}c 19.i�14♦1 1I1•/I1 11f 1 1y1'!i}It�.i(' Y3�iR a7 t{�tt h`i,,1r 1hf1�1�111kf Yd�li��♦9 r-s 1 fs'G1�k,ihIY'1•//1I1 1(('I11 I".I!?i t�{.%i, ;F �i J yi,17��1'1Y1y11L1♦;�i# }} t�'�y✓j3',tt't A r,;f�. 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V Yf/ - ,'+4II�V�+•R - rS V Y Y YINV"t Y •i V �' •'.... �; v �' -:.� �� ''i ... �..,��q •..�•./��++\\ ' . �/��\ .�'cry+ �'P'"/�o� ��f"'`i:`�s r ---� SIGNEXT-01 CDELA .44"RO DATE(MM/DD/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 endorsement(s). PRODUCER co Carolyn Delahunt MBI Company Group LLC. PHCN1 : 203 288-3401 FAX No:203 281-0414 280 State Street North Haven,CT 06473 Carolyn.Delahunt@mbi-ins.com INSURE 8 AFFORDING COVERAGE NAIL 8 INSURERA:Main Street America Assurance 29939 INSURED INSURER a:NOM Insurance Company 14788 Signature Exteriors Inc. INSURERC:USLI 25895 DBA:Renewal by Andersen of Westchester County 74 Hack Green Road INSURERD: Pound Ridge,NY 10576 INSURER E: _ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN8R ILTR TYPE OF NiSURANCE ADDL 8U POLICY NUMBER POLICY EFF POLICY EXP I LIMITS A X coNMERgAL GENERAL Luunurry 1,000,000 EACH OCCURRENCE CLAIMS•MADE [X]OCCUR X X MPT8480P 9/10/2021 9110/2022 DAMAGE TO RENTED 500,000 MED EXP oneperson) 10,000 PERSONAL 8 ADV INJURY 10000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY�X jg LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,0110,000 ANY AUTO X X BIT8480P 91IW2021 9110=22 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY X AUTOS W Ep BODILY INJURY Per accident) X AUTOS ONLY X_ A�TOS ONNLV OPa �AMAGE C X UMBRELLALUIB X OCCUR EACH OCCURRENCE 2,000,000 EXCESS LIAB CLAIMS-MADE X X CUP1888713 9110/2021 9/10/12022 AGGREGATE 2,000,000 DED X RETENTIONS 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT ����FICER/MEMgW EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more apace Is requlrod) 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 �Nrl ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i� N YS I F New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 1 0601-441 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 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 1112812021 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:/NVWW.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 DIRECTORJNSURANCE FUND UNDERWRITING VALIDATION NUMBER: 18630398 U-26.3