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HomeMy WebLinkAboutBP21-301 0� 4 LU a ��v 19 40A tbmiumaW 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 June 14,2022 Andrew Calderone&Angela Tolano 105 Brush Hollow Close Rye Brook,New York 10573 Re: 105 Brush Hollow Close, Rye Brook,New York 10573 Parcel ID#: 129.84-2-94 Building Permit#21-301 issued on 11/19/2021 to Replace Five Windows This certifies that the five new windows,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to BUILi4;2i, MENT or office uselD6 PERMIT# oZ -301 VIL OK ISSUED: //—/ —c3JUN — 7 2022 938 KING STREK, , YORK 10573 DATE: '-7—da 0`/ FEE:„Q'//Q— PAID ( VILLAGE OiF RYE BROOK BUlLDlNG. 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 ++sstttw**++ttt*t**wpt*+s+tt*»rt++**+*t***tt+»rt++s+sssssww+t+++++st*ttrtrt»+*wwt*—,+*++++++****w**rt»+***ttt*ttwt*t*t****w*ww*****t+t Address: 105 )rj5�_ &RAd Ck6se a �wi (bS93 Occupancy/Use: L—yC41Y Parcel ID#: /e)g- PY —0— 9 � Zone: Alb Owner: A• 01A.W Address: l o$ B<�51. �ow- <<ost VSC $evV- NY 105"l3 P.E./R.A. or Contractor: !,31.*44 E7N%w,-P-5 T-•••C• Address: 14 �� CA raj- *. 06-J ?.Je V� (0576 Person in responsible charge: • f 0 Address: 5 4^+R_ 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 1 AviAttW CokAfrW2 being duly sworn,deposes and says that he/she resides at 105 ,p(Print Naive of Applicant) (No.and Street) in F'1 e, %C"y— ,in the County of �+e3}C- �ke— in the State of t9 Y ,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 for the construction or alteration of: W•4%d*w S 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 1.41 Sworn to before me this � day of 20 2'2— day of -so"-- , 20 ''`' 6:1 Signature of Property Owner Signature of Applicant Print Name o rope Owner Print Name of A li�cant otary Publie otary Public SH/ RON.A. STRAIN SHA' SON@-A. $TRAIN' 44� Notary Pubk,State of Connecticut Notar)tPublic,State of Connecticut My£ommi�sion Expires Dec.31,2024 My CotnmisSion€xpires Dec.31,2024 QyE BR �. .„rL 1982 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:_ ' U� 1 Ul�""`" C-�Y�P-- DATE: PERMIT# ISSUED: '`I l 7I E'T: 1 � BLOCK: LOT: LOCATION: �f./�4 ��1-��� W OCCUPANCY: 2� ❑ VIOLATION NOTED THE WORK IS... m 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 ❑ 'GROSS CONNECTION FINAL /// ❑ OTHER eel_ O • clq all CA r W ri C6 \p U, 9 v ° a0.0 ■ O Q �' > i C 1:. .� Cad •� MCI � M � ro o � <a �" •- N N CC c OWJ O � W c y ov o o ■ � va cn / b E co � oD � „ v; POO by �'"'' � Fri © 3 � � •c '� .° q J Pro F A concoOc ;, 8 U a rT� fw� o o O � � � � � '> 01 z V A aro= A [ w w � C E wLO - a� � 1� a, �i w w r U � � > .s 9 5 W v A 5 a o ° aHE5104 O x O A d tap •� I~ � �" W � '� � C � co � �•c U E"y � � O z Q � •" � � Q U O O zE U U U O > > ME BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573(414)434-0668 w_wwxyebroolLorg ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOEs NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: APPROVAL DATE: NOV 1 8 20 PERMIT#: &�1—301 APPLICATION FEE: OA APPROVAL SIGNATURE: PERMIT FEES: Z3 H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: is hereby made to the Building Inspector of the Village of Rye 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. 1. JobAddress: 146 V�� 2. Parcel ID#: / 7, Zone: J046 3. Proposed Improvement(Describe in detail): 1 0_+I U n lJ-�— -I V e_ L S Y LO 1 fa ( P-Irn YYI i.01 f_' Q 01)_ 4. Property Owner: Y clY,-e— 0 Y—)Q Address: j os ' ( yS h ' f Hu 410� C f task Phone#q Ia - q '07,43' Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant: 14,t Lek, �p[„1 CI `� Address: Cal.. !,• G Lw Z" (L. . a✓tom, Phone# ell#203 -_Z9 Z ' (9 L9 e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Au(e Ex4pj- ii e S b 0- lie 51 C�r Address: e -�G r� D` hJY I L) Phone# L�03 L4 9:;[ 3 1 FS I Cell# "�L4 0& (D W Is e-mail <" 6+CV10 S4-e—( .t0 c►-) tl) 8/12/2021 5. Occupancy;(i-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: FGiYln Post-construction: — hGL r� 6. Area of lot: Square feet: Q 3 k 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 corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1"fl: 2'fl: 31 fl: 10. Total Square Footage of the proposed new construction: It. For additions,total square footage added:Basement: 11,fl: 2nd fl: 311 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: C)p C� ��t (�t (� 18. Roof style;peaked,hip,mansard,shed,etc: Roofing 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:—X (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 of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:_No:_X Area: 23, Will the proposed prop ct require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (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 Welland as pet§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly 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:� (tf 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: (f 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: (i f yes,a Home Occupation Pe it Application is required) p 0u 29. What is the total estimated cost of construction: $ 15 , p (4p 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 f nal cost exceeds the estimated cost,an additional fee will be requiredprior to issuance of the CIO. 30. Estimated date of completion: 1 —7 12-02-2— f (2) 811212021 BUILDING DEPARTMENT VILLAGE OF RYE: BROOKEVILLAGE 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 E BROOK www.ryebrook.or� RTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE �21 C • 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, AwDR "w �44t"P t;:lf a ,vi- , residing at, 1O5 f0Sh C_ 1© — 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; 10 ysh )�ok� C)LN) C �C�)F' . f'q-e- �((�C�� �1 , 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. (SiLmatureofPropert\ Okknrrkli (Prim NameufProperty Sworn to before me this d of (� 0� (3) 8!12/2021 This application must be property 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: Coal-14: ,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 C).YN+f a C toff- 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. Sworn to before me this I I Swom to before me this J day of ,20 day of �vrr , 2024 u Mure of Property er Signature of Applicant Print Name of roperty Owner Print Name of Applicant AIL otary Public Notary Public SHARI MELILLO Notary public, State of New York No. 01,11E6160T^63 O tafl,ed in Westchester County Commission Expires Janua 29.20_n ry (4) 8/12/2021 Building Permit Check List&Zoning Analysis Address t O S 1�Z0 c 4- 1 Ll.o w 1, c <Si SBL: Zones:F Use: r� O Const.Type: Other. Submittal Date: t k � l S lZ-l Revisions Submittal Dates: 1 AJ Z l Applicant: Nature of Work S —1-2 Eq�L�A-C r:i— k e'er 0 tc 1 Reviews:ZBA: N 0 V 1 8 2 O2 PB: BOT: Other. OK Z34J . --C ( ( ) FEES:Filing. ?S'�BP: /O: Legalization: ( ) ( �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. ( ) ( License: ✓ 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 EXISTING PROPOSED NOTES APPROVED Arw NOV 1 8 2021 Circle: Froze Front: Front: Sides: fir. Main Cov Accs.Cov Ft.H/Sb: Sd.H/Sb T Ian : F Im : pa&w. Hd&/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 $2S8.00 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. S. 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. 1#11G4011(/, 1IZO Building& Fire Inspector Village of Rye Brook, NY (914)939-0668 1 Mr. Calderon, The Architecture and Grounds Committee (A&G) has reviewed your application for the above named work. This project requires a permit from The Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G for final review and consideration. Work on the project may not begin until you receive written notice of acceptance from A&G. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction, the Committee must be notified in writing . Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Prop_ Manager. Bryan Martinez Property Manager Sincerely, �� OV[ Bryan Martinez NOV 15 2021 The Arbors Homeowners' Association, Inc. ! VILLAGE OF RYE BROOK BUILDING DEPARTMENT P: .(914)939-2440 �_ ^� RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) Product 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 DB Double Without Grilles 0.33 0.29 0.21 0.21 .65 (Full Frame) Low-E4'SnlartSunTM 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 F• 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 SmartSun" Without Grilles n/a n/a n/a n/a n/a 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-SmartSun-' 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 panewith Without Grilles n/a 0.19 n/a 0.18 .43 SmartSun''I -low44111,SmartSunw.'Low.E4([.'Low-E4®Sun-and HealLockV are Andersen trademarks for-Low-E-glass. 1)U Factor dehries the amount of heat loss through the total unit in BTU/hr/ft2.'F.The lower the value the less heat is lost through the ontim product.Window values reptd t non temp trod glass.Use of tempered glass can increase U Factor ratings.See anderserwindows.cahi for specific performance values. 2)Solar Heal Gain Coelficiem(SHGC)delines the tract"of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released swam.The lower the%slue.the less heat is transm4ted through the product. 3)Visible Transmittance(VI)meawres how much light comes mfougr.a product(glass and tram!).The higner the value,from 0 to L.the more daylight the product lets in over the product s total unit area.Visible Light Transmittance is measured over the 380 to 760 nanomeler portion of the solar spectrum. •NFRC ratings are based on modeling by a third pan,agency m validated by an Pdependent test lab In comdiance with NFRC program and procedural requirements. •Ihis data is accurate as of Apra 2021.Due to ongoing product changes.updated test results,or new industry standards of movements.this data may change over time.Rat,ngs are for vtes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different gnde options.8iass wii n capillary breather tubes for high altitudes,etc.-Low Eft.-Low-Eft smartsun--and-Low E4e1:Sun- 09_1 0 COMPANY CONFIDENTIAL- REVISION AA-01 NMI Agreement Document and Payment Terms y.. dba:Renewal By Andersen of Westchester and Fairfield County Andrew Calderone&Angela Tolano Legal Name:Signature Exteriors/Vinylume Inc. 105 Brush Hollow Close RENEWAL WC-27205-H14, HIC0542457 Rye Brook,NY 10573 byANDERSEN C 914)329-2434 2041 West Main Street I Stamford,CT 06902 Phone 203-406-0545 1 Fax:203-406-0828 1 sales®rbawestchester.com Andrew Calderone & Angela Tolano 07/28/21 Buyer(s) Name Contract Date 105 Brush Hollow Close, Rye Brook, NY 10573 (914)329-2434 Buyer(s)Street Address Primary Telephone Number Secondary Telephone Number ac11578@aol.com Primary Email `v 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: S 15,865 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: 55,000 Balance Due: 510,865 Estimated Start: Estimated Completion: Amount Financed: 510,865 5432.5 5432.5 Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on Financing the date in which we complete the technical measurements.The installation date that 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 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 07/31/2021 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 Signature Signature Brian Greenberg Andrew Calderone Angela Tolano Print Name of Sales Person 1''h,l \Im, Print Name UPDATED 07/28/21 Page 2 / 15 Itemized Order Receipt dba:Renewal By Andersen of Westchester and Fairfield County Andrew Calderone&Angela Tolano Legal Name:Signature Exteriors/Vinylume Inc. 105 Brush Hollow Close R 4EN E OWA L WC-27205-1-1 14, HIC0542457 Rye Brook,NY 10573 brANDERSEN IW iEllrl�t OOOf tlR.YHYP. 2041 West Main Street I Stamford,CT 06902 C:(914)329-2434 Phone:203-406-0545 1 Fax:203-406-0828 1 satesOrbawestchester.com ROOM: 0 W Misc: Misc, ### LEAD SAFE WORK PRACTICES ### $0 r� 101 Kitchen 72 W Window: Gliding, Double, 1:1, Active/ Passive, Base Frame, $4109 48 H Exterior Terratone, Interior Terratone, Glass: All Sash. High Performance SmartSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: REMOVE METAL FRAME with existing exterior casing, Based on IF Install. Add filler, Trim interior with stops to match finish of new window, Choice of ext. casing-PF1, PVC, Flbrex Bkmld. Painting by others if needed., SmartSun, SmartSun Upgrade -208 102 Dining 72 W Window: Gliding, Double, 1:1, Active/ Passive, Base Frame, $4317 48 H Exterior Terratone, Interior Terratone, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: REMOVE METAL FRAME with existing exterior casing, Based on IF install. Add filler, Trim interior with stops to match finish of new window, Choice of ext. casing-PF1, PVC, Flbrex Bkmld. Painting by others if needed. UPDATED: 07/28/21 Paqe 3 ! 15 7C Itemized Order Receipt Qdba:Renewal By Andersen of Westchester and Fairfield County Andrew Calderone&Angela Tolano t ` Legal Name:Signature Exteriors/Vinylume Inc 105 Brush Hollow Close RENEWAL WC-27205-1-114, HIC0542457 Rye Brook,NY 10573 brANDERSEN or am Street n a West 2041 Wt Main Stt I Stamford,CT 06902 C:(914)329-2434 Phone:203-406-0545 1 Fax:203-406-0828 1 sales®rbawestchester.com • • DETAILS: 104 Living Room 96 W Window: Gliding, Triple, 1:2:1, Base Frame, Exterior 56065 48 H Terratone, Interior Terratone, Glass: All Sash: High Performance SrnartSUn Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: REMOVE METAL FRAME with existing exterior casing, Based on IF install. Add filler, Trim interior with stops to match finish of new window, Choice of ext. casing-PFJ, PVC, Fibrex Bkmld. Painting by others if needed , Smart Sun Upgrade, Smart Sun Upgrade 105 Bedroom 72 W Window: Gliding, Double, 1:1, Active/ Passive, Base Frame, $4317 48 H Exterior Terratone, Interior Terratone, Glass: All Sash: High Perfort-nance SmartSun Glass, No Pattern, Hardware: Stone, Standard Color Hand Pull, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: REMOVE METAL FRAME with exist;ng exterior casing, Based on IF Install. Add filler, Trim interior with stops to match finish of new window, Choice of ext. casing-PFJ, PVC, Fihrex Bkmld. Painting by others if needed 106 Bathroom 35 W Window: Gliding, Double, 1:1, Active/Passive, Base Frame, $3458 47 H Exterior Terratone, Interior Terratone, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware: Stone, Standard Color Hand Pull, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: REMOVE METAL FRAME with existing exterior casing, Based on IF install Add faller, Trim interior with stops to match finish of new window, Choice of ext casng-PFJ, PVC, Fibrex Bkmld. Painting by others if needed. WINDOWS:5 PATIO DOORS: 0 SPECIALTY:0 MISC:1 TOTAL $15,865 Renewal by Andersen is committed to our customers'safety by 3E�4 complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 07/28/21 Page 4 / 15 A o t } �f 1�f1/1i11.� - - (�I/illj► = !/1/111111 ♦".� r*'�' '1;11/111 jP�16��r�eit 'i11111/11►ji' � ����,�.'i�/111111 ji3.%.'1°� 8.�.t1�111/111st ��� ;�?� '!(ts)! "��.. -.�1 � "3.: 11�1/i:4^' 4 -.�IIII '+. �....11�1� Y •a'�.,...:.11011 _���%_....:11�11 _.�/,_. .IlOi}- a .�`, (0)l t' •• t+a . ..... . .. ... .... . .. . . .. ... . . . . . .. .. . .. . .. . . . .. . ... •'f'� ��� 0 ch a . r�'• •w. O w u O = «r NCN co O C) nutia� •.� ' W U o W Q ��• 1 � =i I O "O O '! is �I U U O i w a qn co W o o LD .:� W O ' 0 uj of I Q 7-3 cc 0 - a o y z N rA 0cc t11014 �:, -" `♦% :i1t1/1l1/1� z �4�sr: �111111j11�0 3n`p_ e• '�1/1111/114♦ ,6,_..1 ,11111I1t �k� ���}/111/11'� e�?. i111/1j1�� ;�7 g' t�CL ��11111j�,r E=i�� sJ'"r •'.;` .. i g y@gg�� t�i, 3 s. ♦ a $5 . .\• ♦ pp g$ • • . . gg gg�g • • 4r.,_ ♦ • ..�d3 pp 3 ♦ 7A91f' ,.���•, r T`�£A ? ,♦11/.;v n IA .. . ..••�1/ZlPlvA j. t ♦♦ , l+A'/4 [[t ♦• ,'�A S. .2 "��'. ,' tiA�.�(I- �:/.;.i r 3AA t.1• �� . },j{7�MIFi� 4 � .w y SSSaaa��� L tr fti�toy t� Yo-� '' NY• ' s,'o '^5� w1z7.y'W _ :0 `.! OJf1 V•'�M :O� tt� t�V Q �t . �e •�p�v�Mrr -�; ,\�',fit�!v�4� 3� \i � �/ - `�vrf/ �l'� Yt 't�.�, �} - <f �iF�`1 � �+, I _ 4 SIGNEXT-01 CDELA A�ORO CERTIFICATE OF LIABILITY INSURANCE DAT012 812 0 2 1 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 C CT Carolyn Delahunt _ MBI Company Group LLC. PyNCNN ; 203)288-Ml Afcc,No:(203)281-0414 280 State Street North Haven,CT 06473 Carolyn.Delahunt@mb14n*.com INSURE 8 AFFORDING COVERAGE NAIL 0 INSURER A:Main Street America Assurance 29939 INSURED INSURER a:NGM Insurance Company 14788 Signature Exteriors Inc. INSURER C:USLI 25895 DBA:Renewal by Andersen of Westchester County 74 Hack Green Road INSURER D: 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILRY EACH OCCURRENCE 1,000,000 CLAIMS-MADE X OCCUR X X MPT8480P 9/10/2021 9/10/2022 DAMAGE TO RENTED 500,000 MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY[X1 mcT 7 LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO X X B1TB480P 9110=21 9110=22 BODILY INJURY Per person) OWNED X SCHEDULED AUTOS ONLY AUTOS SSyy Ep BODILY INJURY Per accidant X AUTOS ONLY X AUTOS ONNLV F� SAGEIII — C X UMBRELLA IUA9 �Xj OCCUR EACH OCCURRENCE 111 21000,000 EXCEse LIAB I I CLAIms-MADE X X CUP1568713 9/10/2021 9/10/2022 AGGREGATE 290001000 DED I X I RETENTIONS 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LWBILITY Y I N ANY PROPRIET gOER/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT (OMandnory in NH)EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/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 a (4 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 1 0601-441 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE [NOT ^^^^^A 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://WWW.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