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HomeMy WebLinkAboutBP21-313r PERMIT TYPE OF WOK )OB LOCAT OWNE CONTRACTOR ST. COST CO # _ DATE /i 30 LCi a INSPECTION RECORD D E FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS E3 SPRINKLER ,- LOW -VOLT ALARM n00000 AS BUILT FINAL --pps rc't � , :�k-• P_ �� I - Zs� Za Z y 4PcMP I "1sN ? La� ro•J f'oa'''�� 1— lv- L o Z'{ C �Y. 06 J ado �riCG OO�D//4�C'/y��Qn/Ci2�-G 3//"I/JQI�Y� PG�✓I' G OTHER APPROVALS Bo; PB zap ,otP� OTHER t s�S-�3UfLTIFiNAL SURVEY t�IRED PRIOR TO REQ 3 IrIP;AL INSPECTION FINISHED 3ASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT NTI; I THIS B!!!lGING �1ltST BE POSTED WCiH � RFRI4IA�I�IT CCNSTR�:CTION TYPE IDE FCATION SIGN* I PRIQR )THE ISSlJANCE OFA CJO, AS REQUIRED BY W STATE LAZY. VILLAGE OF RVE BROOK WESTCHESTER COUN' Y, NEW YORK NO: 26-018 Certificate of (9ccupaucp ighis is to certify that L1a'(,( yet-)C° - RQ Se- r taa,,e f� 12,6 2f of, )e having duly filed an application on 1 V�✓�����` la . 20 ,;2 5 requesting a Certificate of Occupancy for the premises known as, . ��Pa�'o�vlark. � r/� , Rye Brook,NY, located in a K-1-2 Zoning District and shown on the most current Tax Map as Section: Block: / Lot: 7 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.1-R/ - 1)3 , issued 11136 20 >21, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: K-3lone-l�au/'/ Construction. for the following purposes: -FW0 3f6 y'w fy--OYJJ aU)Iaj 4- l->°aa h z e �t2l shra Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in . ht shall b ade,no all the building be moved from one location to another until a permit to accomplish such change h b en ob med in uilding Inspector. Building Inspector,Village of Rye Brook: Date: FEB 17 20N DR. 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.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 17,2026 Lawrence Rose&Lauren Rose 39 Meadowlark Road Rye Brook,New York 10573 Re: 39 Meadowlark Road, Rye Brook,New York 10573 Parcel ID#: 129.84-1-7 This document certifies that the work done under Mechanical Permit #24-006 issued on 1/9/2024 for the installation of a new condenser and a new air handler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to EB ED C E�� BUILDING DEPARTMENT For office use oniv: VILLAGE OF RYE BROOK SS`UED 1# 3 NOV 10 2025 938 KING STREET,WE BROOK,NEw YORK 10573 DATE: I S VILLAGE OF RYE BROOK (914)939-0668. FEE: �j�=2Ly PAID t( Www,` rookwv.au% BUILDING DEPARTMENT �-�--- APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION asss••r••ssr••s•••s•rs•s•sr•••••us•sss•ss••rss•s•sass••••••••.••••s••s•s••s•sr••s•s•♦p•••••••»••ss••sssss•sr••••s•swrss•♦ Address: 39 rhecdow1c,* Pd. �y_ Brook, N L /OS 73 Occupancy/Use:ONe F4 rg7Lr Parcel 1D#: 42-2 TV-- /— 7 Zone: P_- Owner:LLWr1er'1CLt ROSP_ 4- L4ur"e-ry ROSe Address:35 /recdoiduk Rd. ,,W--hook NYios73 P.E./R.A.or ContractortktCIIS;{ ,( b3i5N tl?e► cie�i,� 64Address: Ao0 4`1 Akw ;?UC}1ek IN 0/ P g Yef I �� _ t (—L Person in responsible charge: f r ju$ Address:/66 4- )+• blew l�LcFell¢ �1f'l ��d 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: {� YNCB 3 Carr wg being duly sworn,deposes and says that he she resides at /60 .Prail N. ul \ p���aW iNo and SuceU in Met, 'I 11 1 ___ _,intheCountyof I�RS� SUt� intheStateof NY .that (Citvfro"1 Villages - 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:5 a 81,a00 for the construction or alteration of C�CA 1 I ^YC'-ho '1 5- 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. rS� Sworn to before me this 1 Sworn to before me this day of, � - ?0a3s day of (/I . 20 � 21- re e of Property Owns Sign! Applicant fo Ck b SQ_ ` e 1 ix 1 1 Name of Property Owner P 'Name of.4pp11Cant E onv% Public Nota - DENISE BE NZI MARTHA NELSON NOTARY PUBLIC OF NEWjEnSEy Notary Public,State of New York WI en2» My Commission Expires a&1021I No.O1NE6054733 Qualified in Westchester Country Commision Expires February 12 -2027 E BRC��. 1982 BUILDING DEPARTMENT VI' ILDING 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 :_� I ' 'eojoW C� DATE: G 1 Z Z UZ PERMIT# 3 ISSUED: //-3v'7 SECT: BLOCK: I LOT: 2_ LOCATION: ~' , I y� RQ v c,i/ ,- OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... �KACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING CROSS CONNECTION 0 FINAL ❑ OTHER BR 19132 �O BUILDING DEPARTMENT L]BUILDING INSPECTOR B'AssisTANT Btimm .,INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREIlT• RYE BROOK,NY 10573 (914)939-0668 FAx (914)939-5801 w)K .rxcbrook.Org - - - - - - - - - - - - - - - - - INSPECTION REPORT - -- - - - - - - - - - - - - - - - - - ADDRESS : 3 1 MQcg 1 1� K.OL.. -DATE' 7- Z 0 ZS HERMIT# _ y - �O _- ISSUED: SECT:1 J� O Y BLOCK: -LOT: LOCATION: all -- -- - - ---- - OCCUPANCY: _ ❑ VIOLATION NOTED THE WORK 1S... 9--ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION 1?az.��wQ REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS - ❑ L.P.GAS ❑ FUELTANK � �( ,� ❑ FIRE SPRINKLER ❑ FINAL PLUMBING • ❑ CROSS CONNECTION — � � -__ C 2 /-Zz-Z,6 FINAL B OTHER QyE BRC�k. • 1982• BUILDING DEPARTMENT ❑BUILDING INSPECTOR 13 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 : Iv] eca n(.) 1 AA DATE: % -i - 2 PERMIT# Z_ 3 l ISSUED: /-30"Z SECT:/Z 9"& BLOCK: LOT: 7 LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 2," ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�k• Q • 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: ! fi'IC'I'Ar CIO W IOLA � I? C J DATE: PERMIT# 2 / J ISSUED: �y-1 SECT: O BLOCK: % LOT: / LOCATION: k-! (� C. 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 .0 INSULATION j ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER - ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE DRaj Zm • 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:-, � -1 DATE: )- 2 S - PERMIT# V\` Z �-I -CA ISSUED: '�l' Z j SECT: Z \• V` BLOCK: i LOT: LOCATION: 1-����L OCCUPANCY: !/ ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION '�� '0 REQUIRED ❑ FOOTING 10 vI-I-) ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK PC Ov �1 �/ 1 (` `� 1 ` ❑ FIRE SPRINKLER t o C c. J �^ f�/%v e S e -�I p nr� Q"T� �C- W ❑ FINAL PLUMBING �4 ❑ CROSS CONNECTION ❑ FINAL C /l. iJ P P ❑ OTHER E BR(��, cu � 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 : 2� I 1f)P G A p� �G 2 k 2 na C DATE: - Z� - 0 L y PERMIT# Z Z-iio' O 3 ISSUED; 2-3-ZZ SECT: • 9 BLOCK: l LOT: LOCATION: 1C 'tom OCCUPANCY: 2 / J ❑ Violation Noted THE WORK IS... ePASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: "OUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1 p Natural Gas Vb,4 �� ❑ L.P. Gas ,z QJ ❑ FUEL TANK C -7/ ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BR(�k. BUILDING DEPARTMENT ❑BUILDING INSPECTOR EJXSSISTANT 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 : 9 PI- Gt C4<� f 2 DATE: /- Z S - ZO Z y p _ ? PERMIT# ISSUED: //-3o'Z/SECT: , f BLOCK: LOT:L LOCATION: 1 La",, OCCUPANCY: _-�;/(-) ❑ Violation Noted THE WORK IS... ❑/PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING R-IROUGH FRAMING ❑ INSULATION ❑ Natural Gas M -3 . ❑ L.P. Gas C . ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ' QyE BRC��, cu � .��O•c • 19b2 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: �1t �(a2J DATE: PERMIT# `�`� �` _ISSUED: 1 ? 1�SECT: BLOCK: LOT: LOCATION: -Q-Qz \ -, OCCUPANCY: {.J ` ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED OOTING ❑ F FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E 4RO o`` tim w � 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:_ lDATE: Z O [-Z Z PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: A OCCUPANCY: -Z/-J ❑ VIOLATION NOTED THE WORK IS... / ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ XNDERGROUND PLUMBING NOTES ON INSPECTION: jr ROUGH PLUMBING ❑ROUGH FRAMING LI INSULATION /J i/ ❑ NATURAL GAS � - ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING -� ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�uk cu � BUILDING DEPARTMENT BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK l❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: I QI c�`� W y'—``� �DATE: PERMIT# 2 y ISSUED: ( �t 12-�SECT: 'g BLOCK: LOT: LOCATION: I�T�-�-�Q�-' Aft`' OCCUPANCY: k-3 ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ ,UNDERGROUND PLUMBING NOTES ON INSPECTION: �'ROUGH PLUMBING [ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL L A L—1, 2 (P D V LQ� p►� ❑ OTHER �E BRC��, '9a2 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 rygbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - -- - - - ---- - - - ADDRESS : DATE: '��� PERMIT# " '1 - ISSUED: SECT: `` `C� BLOCK: LOT: LOCATION: C 1/� ��f'l \ �l OCCUPANCY: L \ ❑ VIOLATION NOTED THE WORK IS... [I/ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRC��. O� 2m cu � 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 : `� , ` n`` DJ TE: Y PERMIT# ISSUED: ` t 1 9ECT: BLOCK: LOT: LOCATION: -�� t° ''► �<_ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE 1 ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�k, cu � BUILDING DEPARTMENT ❑B ILDINGINSPECTOR t1SSISTANT 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 : �fy ATE• PERMIT# ISSUED: \\\\ SECT: BLOCK: LOT: LOCATION: (, V�_�` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... D ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION % REQUIRED E FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER N N Yi ,11 ■ 11� I, AA III -N A. i1�1A 11 N ,�'-11: N II ,I r r Y M ■ N r N - _ IIf I�11 N _. N M ■ Ift AS-BUILTIiFINALSURVEY VILLAGE OF RYE BROOK PERMIT#: BP 21-313 0 REQUIRED PRIOR TO 10 10 FINAL INSPECTION BUILDING DEPARTMENT ISSUED: 11/30/2021 0 0 938 KING STREET, RYE BROOD., NY 10573 Exptizn: 11/30/2022 0 1� (914) 939-0668 www.aebrook.org BUILDING PERMIT FOR THE CONSTRUCTION OF; 2 STORY FRONT ADDITION; FRONT PORCH; NEW DECK; 1 INTERIOR ALTERATIONS; LEGALIZE FINISHED BASEMENT AT: 39 MEADOWLARK ROAD ,", BUILDING CLASSIFICATION& PARCEL ID#: R-3/ONE FAMILY RESIDENTIAL/ 129.84-1-7 t$ lift PROPERTY OWNER: LAWRENCE ROSE & LAUREN ROSE (914)522-9784 11 1 LICENSED CONTRACTOR: WESTCHESTER DESIGN & REMODELING CORP(914) 740-5739 AI EMERGENCY CONTACT: YENER BARRIOS(917)291-8208ft III t� VALUATION OF WORK: $126,000.00 FEE PAID: $19965.00 t�? 9ft HOURS OF OPERATION OF CONSTRUCTION EQUIPMENT/VILLAGE CODE§158-4:WEEKDAYS-8:OOAM TO 6:OOPM OR DUSK,WHICHEVER 1S EARLIER; „ SATURDAYS-9:OOAM TO 4:OOPM; - SUNDAYS& HOLIDAYS-No CONSTRUCTION A(-I'IVITY ALLOW Et)Ift � If? This permit is valid for a period not to exceed twelve(12)months from the date of issuance,and covers only that work listed above.Separate permits are required for any electrical,plumbing,fire suppression, fire/smoke/carbon monoxide detectors/alarms,or any other work not covered under this permit.The approved plans must be kept on the job site&be made available for review by the Building Department upon demand.Any amendments or changes to the approved plans must be designed by your architect/engineer and submitted to the Building Department for review and approval prior to performing the work. A Certificate of Occupancy or Certificate of Compliance is required in order to close out this permit. FINISHED BASEMENT NOT 10 APPROVED FOR USE AS A to SEPARATE APARTMENT OR Ift DWELLING UNIT 0 10 _ Michael J. Izzo 1� IV Ift Other Approvals: Architectural Review Board 9/16/2020 & 1/21/2021 Building& Fire Inspector Zoning Board of Appeals 9/1/2020 THIS PERMIT MUST BE CONSPICUOUSLY POSTED AT THE JOB SITE n I r r w w Y n r e r r u ■ _ Y w q Y ■ r ■ N ■ N Y BUIL03;9-5801 ENT VI OK REVISED _ Zi93 KING NY 10573 APPLICA�TIOJ�AN �� 14)93 DATED: OCT Qi9 «««*rs«�«•««****s«w«w«««w*s»«ww«*«*rr+�«*s**trt«w****x*******«***+wss*w*«*****wr« UI�FOR OFFICE USE(1N1M: NG DEPARTMENT %bv 2 9 7 f, Approval Date: it# Application# Approval Signatures ARCHITECTURAL &EVIE V BOARD: Disapproved. Date: Vim' BOT Approval Date: U Case# Chairman: , ` �- PB Approval Date: Case# Secretary: ZBA Approval Date: Zt=> Case# t Ct O� Other:Application Fee: ermit Fees: 90 1 EXTERIOR BUILDING PERMIT APPLICATION Application dated: �Pliis 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. I. JobAddress: Q y o t.I Lar ij.w 2. Parcel ID#: 1M . 1 -2 Zone: R-Z O 3. Proposed Improvement(Describe in detail): -) r F0 Li;.GAt-nr— _CiNtsti�� 2 11 gym/wig AMU•A A, 8 F y o s Ac,- 4' paga; ,I'LII�. _ new i,:,Nr�ut�,,:, 4. Property Owner: Lauren � U ci rm 6?.[r R - --a SfrJir�.C,_ Address: rnecg now Lay-jr- Phone Cell# /' Z z - 22 A 4 e-mail .r,.r i �S�d List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect:Y h h V S Cer.—A Ch--4 J-Th ('.4-. t Address: Za ���f�i/( I'D t h'7a�1 IC,�, O�� Phone#ry/ 2 73 '� Cell# q/Lf 2 14-- Q I rZ e-mail j[f 1 Q� zZ�rttr r Engineer: �' t Address: Phone# Cell# e-mail — General Contractor: S7GG�lPST+o/ be S/ � rG! 2//,l CAAr + of W ckllter 1090- a"r!o S Address:Phone# Cell# /�} p/7-a 91- Q c-00 Q,p e-mail (I) 3121119 5. Occupancy,(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction:) tryy -74 6. Area of lot; Square feet:, L Pj S Acres: a 7. Dimensions from proposed building or structure to lot lines: front yard: -L rear yard: f 3 8 cf right side yard: Z o left side yard: 31_ 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: I'fl: 2nd fl: Yd fl: 10. Total Square Footage of the proposed new construction: 1 3✓ S6 1c-f ego 11. For additions,total square footage added:Basement: C� I"fl: ?4. r 2ne fl: G. j 3m fl: 40 12. Total Square Footage of the proposed renovation to the existing structure: 11 'Z.i f— /� 13, N.Y.State Construction Classification: � 1 N.Y.State Use Classification: w Z 14. Number of stories: Z. Overall Height: Z.1 Median Height: <s�ls-#�i�� 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. 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:�1 (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervI us coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area:,3. :3 22, Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: ,,*i (ifyes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (fyes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of Wetland as per§245 of Village Code? Yes: No: (:f yyes,the area ofvvetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. 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) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TtER II: TIER III: (!f yes,a Hame Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $L .I& d oa— _ Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional.fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an addition aI fee will be required prior to issuance of the CIO. 30, Estimated date of completion: (2) 3/21/14 BUI:LWNG DEPARTMECNT VILLAGE or-RYE BROOK ------� s 938 KINrj STRr.ET RYE BROOK,NY 105 (914)939-06681 FAx(914)939-5801 iREVISE APPLI�C I JAN - 7 2021 RESIDENTIAL LOT AREA G �t'1 DINOK G DEPARTMENT Address: 39 ?1 f—,%DVWZetY/GScetion: )_?-I Blocic: � l�at: PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS Local Law 3-8$ YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 1 4% 5% R-25 25,000 14% 1 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5°/a 3.5% R-7 7,500 23% 4.5%n 3.5% R-5 1 5,000 30% 5% 3.54 R-2F 5 000 30% 5% 1 1 3.5% Existing: Proposed: 1. AREA OF LOT -1 Z�Sq. Ft. 3 Z Z-t f Sq. Ft. 2.AREA OF HOUSE a. Coverage of Main Building p (Including Attached Garage or Accessory Building) 13-3 3 Sq.Ft. Sq. Ft. b.Area of 14 Floor Divided By Area of Lot x 100 4.7.5 % !% 3.AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed,Playhouses) d Sq. Ft. 0 Sq. Ft. a. Coverage of Accessory Building Area of Accessory BuIlding Divided By Area of Lot x 100 d % O % r 4.AREA OF DECK 6 Sq. Ft. o Sq. Ft. a.Coverage of Deck Area of Deck Dlvlded By Area of Lot x 100 U % Q00 I attest to the best of my knowledge and belief, the above information is correct, cltitect's Sign re (3) J111/l9 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STRFET RYE BROOK,NY 10573 (914)939-06681i~Ax(914)939-5801 RESIDENTIAL LOT AREA COVERAGE Address: 13 f'►'1 �c,C�'Ut-�'�'t rlcSec t° ion: 1 7-1.81 Block: Lot: PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DEC ZONE DISTRICT S©. FEET BLDG. BLDG. M CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2 F 5,000 300 5% 3.5% Exi In : Proposed: 1. AREA OF LOT " Sq. Ft. 3 Z. Z-$S'Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building c (Including Attached Garage or Accessory Building) S-3 3 Sq. Ft. I /6 `4 Sq. Ft. b. Area of 1s'Floor Divided By Area of Lot x 100 4 • 7S % % 3. AREA OF ACCESSORY BUILDING (includes Detached Garages,Tool Shed, Pla ouses) Sq. Ft. d Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided B Area of Lot x 100 % n % 4. AREA OF DECK 6 Sq. Ft. s r Sq. Ft. a. Coverage of Deck Ca� Area of Deck Divided By Ar of Lot x 100 O % % I attest to the best of my k owledge and belief,the above information is correct. chitect's Sig e (3) 3/21/l9 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 Fax(914) 939-5801 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 311 ection: 1 7 r.C,4 Block: I Lot: 7 Zone: —Z IMPERVIOUS SURFACES(Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts,swimming pools,patios,sidewalks,ramps,terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD(%) Area(sq.ft.)* Over Base R-35 15 Lot Area(°10) R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R_12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 R2-F 30 *"Base Lot Area" is the minimum end of the lot size range in the"Lot Area"column Area of lot: . 2-1 Z sq.ft. Existing Allowed Proposed Total impervious coverage = S3 i� S .ft. 4 S-r S .ft. 516 s •ft• Front impervious coverage = Zde � % 30 % % I attest to the best of my knowledge and belief,the above information is correct. chitect's Signature (4) 3/2111$ BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 3 1 fhect10c,-,; j_cj,-k Section: :1 Block: I Lot: 7 MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area =4,000 + [ (Lot Area - 21,780) x 0.11478421 ]: a. Allowed = S qy` Sq. Feet b. Existing - Z S' 9 q Sq. Feet c. Proposed = '�7 Z Sq. Feet HEIGHTISETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10%of the entire roof area,shall be permitted to extend. Height and Setback shall be calculated using the formula; Height!Setback=X,where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXIST/A/O PROPOSED MEOWRED FRONT: FRONT: FRONT: .44 R-35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 J?ZS SIDE: SIDE: SIDE: 1.30 FRONT: g 9 FRONT: . Sed FRONT: .60 040 SIDE: 1.a�1 SIDE:j, .g4 SIDE: 1.60 FRONT: FRONT: FRONT: .60 /7 1.5` SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 J?1SA SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 IR 1Z SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R 10 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 /T7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 R-5 SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 ILZF SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief,the above information is correct. hitecI's Signa (5) 3l2tl19 BUILD MENT D VIL C Ox: 2Y OOK 938 KING NY 10573 C1C► 2 9 2019 (914)9 9 39-5801 w$�1 VILLAGE OF RYE BROOK BUILDING DEPARTMENT w,rww*w,rw*,twt:www***wwwwwwww*wawrvr*vew,rw+w*:tw***,rw,wwt***w**+**:rww:tw:t**w,**w,rww*wwr+t ,t*�r,t,t• AFFIDAVIT OF COMPLIANCE VTt LAGE_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 WESTCHESTER2 } as: 31, —C: W r E�+L ,��;.� residing at, ,1 l—�fLef' Oc�.l�Gar/G 90 (Trot name) (Address wbcrc you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 3fl - W , Rye Brool(, NY. (Job.Addros) 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 hind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ignatur A-C-- of P )perty Owner(s)) (Prin(Namc of F'raperty Owoa(s)) Sworn to before me this _ da o f IJl�t-Q�- k— , 20 I q (Notary Public) DENISE BERGONZ NOTARY PUBLIC OF NEW JERSEY My Commission Expires 315023 (G) 3121/19 This form must be properly completed &notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. Title 19 Para 1264 & 1265 NYCRR To: The Building Inspector of the Village of Rye Brook. From: h -6 Subject Property: T3 '11 ^MecZ W-- n�e-(C. roSBL: I Z`1. 84 -?-7Zone: Z-ZO Please take notice that the subject; II One or Two Family; ❑ Commercial, ❑ New Structure AAddition to an Existing Structure J4 Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) X Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); )I Floor Framing, including Girders &Beams (F) ❑ Roof Framing(R) ❑ Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy,the subject dwelling or building utilizing truss type, pre-engineered wood,or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§iz65 for One&Two Family Dwellings. Date agn frores onal 0VL Dale Pr y Owner /1)b,(q o Date 14clary Public i�1 DENISE BERG NZI . NOTARY PUBLIC OF NEW JERSEY My Commission Expires 31512023 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. ***+F*•Ar+k******h***:k itr•k*sk is ye ir:ryt R�r:r,t*t#*•le k***�k at�trtir***�k*ir:4*i:**�kf ik*ie,twk***#kiF irir**#•.F*�*irk**k**#**ftlFiFiFi►****#**F***fir STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing ns 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 /arc-i_-VA lex'-T" for the legal owner and is duly authorized to make and file this application. (indicate archilcct,contractor,agent,utlomey,etc.) That all statements contained herein are true to the best of his/leer 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 lie/she has Inspected the Subjcct property, and that to the best of his/her knowledge there arc 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 �) �{ Swan to before me this day of p/ , 20 -1 day of d , 20� I Sign ture of Property Owner 3-6ialure of Applicant ff __ L' LG W rg nN Cl-?%),S P, 71,y- G Print Name or Property Owner Print Name or Applicant otary Public Notary Public DENISE BERGO NOTARY PUBLIC OF NEW JERSEY SHARI MELILLO My Commission Expires31512023 Notary Public, State of New York No.01 ME6160063 Ouallfled in Westchester County rr11 Commission Expires January 29.20"7-3 (S) 3121/i4 REVISE Bumn VIL »`o Rf SI TED: JAN - 7 202 938 KING I✓T Ri ;B , (914)9 ff' ` "; 9 39-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: Permit# Application# S Z �— Approval Signature: ARCHITEC REVIEW BOARD: Disapproved: Date: t Z I Z BOT Approval Date: Case# Chairman: 0-1 PB Approval Date:_ Case# Secretary: y112 ZBA Approval Date: Ctl Case# Other: Amendment Fee:_ (Z��-��Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: 31 g1V)eAQ w Lar1<_ a2Qc,t7 Existing Permit#: 2. Parcel ID#: I Z I - Zone: R-Z 6 Original Approval Date: 3. Proposed Amendment(Describe in detail): A e-ul _ D,i 14'e'k 10 6,0_17o Lea 'PAC t c Irr�eL lcSo In ic)S`�Up- +4 Ln(L� /J 47 f� o1fJ�l� nT 4. Property Owner: Address: 19 m'P_C.boWj C4r k lL:rno 10'T,e "GIC-. At y /6.5 7.3 Phone# Cell#_f 14) S ZZ - `/7$4 a-mail L u,ur:!3 jLosy_ I r `r Applicant: &tAd—t Address: Phone# Cell# e-mail Architect/Engineer: c1Nr\ G. _�cA r an- Address: 3.3 f t4 min IJill ro A7z",hY_, A/y /0 94, Phone# //. ?i7 3-73$ti Cell 9/ � 7 f 4- 01 S , e-mail ZR2 SCArzi 5. Occupancy;(1-Fam.,2-Fam.,Comm.,etc...)Prior to construction:1 After construction:_ 6. Will the proposed amendment 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:W(ifyes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No:t>/, Area:�n kid e, I � 3/21/19 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes:—No: ✓(if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No:_1,,(ifyes,you mustsubmit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 11 of a Wetland as per§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) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes:_No: v (ifyes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12, Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes:_No: ✓ (if yes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes:_No:A,-_If yes,indicate: TIER I:____TIER II:_TIER III:_(if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure,and if so,provide such additional footage here. p (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: S b (The estimated cost shall include all site improvements, labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y.State Construction Classification: N.Y.State Use Classification: t -Z 17. Estimated date of completion: 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 vold,and will be returned to the applicant-Please note that application fees are non-refundable. STATE OF NEW YO ""RK,COUNTY OF WESTCHESTER ) as: s�h S�r�5 t;,t r/w .. .�1L ,being duly sworn,deposes and states that he/she is the applicant above named, (print name orindividuaI 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 ofthe Village of Rye Brook and all other applicable laws,ordinances and regulations.Bysigning this application,the property owner further declares that lie/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or otherprohibited stormwater or groundwater connec��ti��oppns or sources of infiltration into the sanitary sewer system on or from the subject property. Swom to before me this 3 o`J41 Sworn to before me this da of C �C�Q. , 20 day of 'Vio'i 20� VS' Va1uofProperty0 er tgnalure of Applicam c/ Print Name of Property Owner (—print Name of Applicant 1 Notary Public t Notary Public 2 SHARI MELILLO DENISE BEROONZI Notary Public,State of PJewYork NOTARY PUBLIC OF NEW JERSEY No. 01 ME6160063 My Commission Expires 3/512023 ,Qualified in Westchester County, CnmmiScinn Exnirr��.13'rn��-•oo �^ 3/21119 BUILD MENT D [ECIEMEB VIL ;'0_ F R: OOK 938 KING r R� = t. ,NY 10573 O C T 1 2 2022 •)o VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Nov 2 1 2022 Approval Date: _ er it# Application Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: ----Case# Chairman: PB Approval Date: Case# Secretary ZBA Approval Date: Case# Other: Amendment Fee: Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: 10 /o o�Q is hereby made to the Building Inspector of the Village of Rye Brook,NY, to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: 9 Vn�eecj)oLj LatIc lW Existing Permit#:BP �3l 3 2. Parcel ID#: Z 1 i �14 � i — / Zone: -'Z.Q Original Approval Date: 3. Proposed Amendment(Describe in detail): 120 ham, 'QIe C, 111 ALAS 4 F �PYIA�CJ�'�Y�y `Q.a1�,lJ�'1 Yl4l � e.�5 4. Property Owner:_ L.Cx. & Address: 39 YYle-a0 0(A[t'a.rtC 1-40 1g�1-P' b0X1Cj ray /orrs 73 Phone# Cell 4_7/W 5-Z Z— 9-28 4 e-mail V( Utj!le to 1 r c Applicant: t C Address: G►�,� Phone# Cell# e-mail Architect/Engineer: Address: T Phone 0/47_73- 73 Sy Cell# 9/.4 '7/4_O/%Z e-mail 3 S ei,r-(u� 5. Occupancy;(1-Fam.,2-Fam.,Comm.,etc...)Prior to construction: om,.64 After construction: 1 62 � '!4 T--- 6. Will the proposed amendment 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:j/'(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:—No:. Area: 3 L S i sit 2/202 t 6. 4Viii the proposed amendment require a�itc Nan Review by the Village Planning Board as per§IUJ uI Vtilagc t_,udu7 Yes: No:_,Z(ifyes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: i/' (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. 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 properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (if yes,the area and elevations of the flood plane must be properly depicted on the sut vey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: NoV (i Eyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: %,-- If yes,indicate: TiER I: TIER II: TIER IiI: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. - (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ - to smx 'W_ rv-wUn-L...I (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) _ 16. N.Y.State Construction Classification: N.Y.State Use Classification: 17. Estimated date of completion: 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. :tft:t:t$*tt:p:tdr*kXt*�kkJk•/r it at*:t:t:t:t:t:t*ir:k:t;rtt:t+�i::tst:t t4 t4 s4+t:ti•fi:tth:4:Vrh:4:t:tikfiir+t:t:t4k:t tt at:t�r:t:t:tdr:4:Ir:4:t dr�i:tir:4:Irk4r e4a4 sti:1rks4:lr:t:lrtdY�lr:t�i*:4 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: -' any-, G 'Jo C_arI rn l~. d2[L , 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,altortley,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 Fite 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 (Q Sworn to before me this day of , 20i day of O c'�� ,20 Signet e Of Prop ty Owner CAgnature of Applicant �(�wrtNtt �iJ• "ROSQ -10h1 G 5Cr'_/C1A YJ '- Print Name of Property Owner P e'of Applicant L� La otary Public Notary PSHlic ARI MELILLO DENISE BERG ZI Z Notary Public,State of New York NOTARY PUBLIC OF NEW JERSEY No.OIME6160063 My Commission Expires 3/5/2023 Qualified In Westchester county Commission Expires January 29,201 i V12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 ICING STREET RYE BROOK,NY 10573 REVI =171EVIED (914)939-0668 FAx(914)939-5801 PLA r_�' ��. �; OCT 14j202J2 RESIDENTIAL LOT AREA COVERAGE RYE BROOK 2 p 1719 BUILDING DEPARTMENT Address: ;/ J 122 e,CWVLACt4CSion• Block: Lot: PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3 88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT 3 Z�Sq. Ft. 3 Z ZAS`Sq, Ft. 2. AREA OF HOUSE a. Coverage of Main Building Cy (Including Attached Garage or Accessory Building) 15-3 3 Sq. Ft. /G4 Sq. Ft. b. Area of 161 Floor Divided By Area of Lot x 100 4 ,7.r % 5 —% 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) v Sq, Ft. Sq. Ft. a. Coverage of Accessory Building O Area of Accessory Building Divided By Area of Lot x 100 % VISq. 4. AREA OF DECK 6 Sq. Ft.a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 O % I attest to the best of my knowledge and belief, the above information is correct. chitect's Sign re (3) 3/21119 BUILDING DEPARTMENT REVI VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 P LLA (914) 939-0668 Fax (9I4) 939-5801 DAT OCT 14 2022 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DI F EPARTMENT Address: 39 me�owl�r(Section• 17 °/ M Block• I Lot: 7 Zone: R —Z O IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of clements including, but not limited to, court yards, sports courts,swimming pools, patios, sidewalks, ramps, terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD(%) Area(sq.ft.)* Over Base R-35 15 Lot Area(%) R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 35+ 16.001 to 20,000 5,560 25 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 R2-F*"Base Lot Area"is the minimum end of the lot size 30 range in the"Lot Area"column f Area of lot: 32 Z 5- sq.ft. Existing Allowed ZPri0o sed Total impervious coverage = S3 (O S .ft. 4 S.Y S . ft. S�,��r S .ft. Front impervious coverage % 30 % I attest to the best of my knowledge and belief, the above information is correct. t4 chitect's Signature (4) 301/19 M : C7 N to � a N N N = W " N 44 0 = � a u W : it Cn w C! = W N (] 00 00 Ad 0 00 rn p N z a o _ N F A = : O w > Z 0-4 z r- 0 w Q� >, e W z u N w 00E-. z o O A 04 N W I Q00 = l o aLO1-1 O Z w Loy 00 co c[r,,, _ 110 Q O W M W z CA O Z V° z° z LT _ Q _ pro, V � Q zd- p Q 1 � w M 0 t W� r. i ' ' l 0-400 C� w w °� c _ H r W Q C, •, T" W Q iG , z N , 3 ' O ' V V � ' O H � � V O W zom M W a �Q ; a a z � w = � • �III�44;49044l4400 41 4A 0 4&4 4 4 4 4 4 4;4 04;0000U404 0 0 44 4 ° BUILDING DEPARTMENT VILLAGE OF RYE BROOK JAN 17 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 www.ryebrook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: / EP#: r � Approval Date: � Permit Fee: $ 3 �\2 Approval Signature: Other: ******************************************* ****************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, - Z�A is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. per/ '7 \ 1.Address: 3� MF Ova �+�� oo.� SBL: Za//4 7'�— / Zone: '�O 2.Property Owner: LRwr-P,nc o, 'i'L4v,r-ee&9(, Address: 39 Phone#: 0 Cell#:q 14-51Z-R?84 email: 3.Master Electrician/Licensed Installer: 1_?kr e.,f-0 Address: 115 T rvSQGc-k- kge, VA,�4,J4 Lic.#: 1543 Phone#:114-932-OL4,30Cell#: // email: Nj t 54S Company Name:?tn2lrb F.kectr-1 G 1nG Addres9 S �I�121J'02�GC rI �(v\CA,j ,Cow 4.Proposed Electrical Work/Fixture Count: 1,01 re, i)e4_) t1kC�,cr\ Cen Dua lD n I nG�J d►nG L l A h t G n(,t . j DorKPtS� �PLtt��c�S - wtrG ✓ZZt�tJ ir�2�I.,r �e�k A �icc�.t`S `t G�NC't'S tiltrB +4V�4C e,CG.tut fA CI)ALL k4AX 16,P (1) CohdGn5or-, p�� 1 zC'� ZS-�•n.�-.� frc�h �1 cad c�'t o r� I✓t Ll v�J t n�,, F�T�b�xt�+f o o w�y Fe,.w.�l-P r-oo w. 5.3,d Party Electrical Inspection Agency: Lev��j (Z-oov,, �x►St►�o� (ootSGvvu rt�' STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn toefore me this �1 day of ,20 day of-J flD��^Ar`` ,20 _ Signature of Property Owner Signature of Applicant SNo, t.C�--�1 .�e�,v- c� Print Name of Property Owner me of Applic E Notary Public Nott� 01m 160063 Qualified In Westchester County 10/30/2023 rrlssion Expires January 29,20�� STATE WIDE INSPECTION SERVICES, INC. ••0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# 3 Date Bldg Permit# Scl Ft Plumbing Permit# Final Certificate# City/Village JU ` L ' Zip Building Dept. County Address t_lwLr Cross Street Section Block Lot Owner Name/Address(If differentthan above)J ��r c,tc ►�,��" Y l •tvr 1�t:;� Contact Number ❑Basement ❑ 1st Fl. ❑ 2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation / �c l e 1 U rt I1c l 5 �, P [�C�I I L P_ l �k�U✓ 1 LJL.1 s JAN 17 2024 VILLAGE OF RYE B,--,OOK BUILDING This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,ifat any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address t-It It e-k Name Z )C License# {3 Date I - Signature _ Address ! City/State 1 , y y �( �+ Zip Code i Company ��eGt ✓ tL ; Phone# ( _ JC{8C) VERFSEP �JState Wide Inspection Services CA) 1080 Main Street Fishkill, NY 12524 Tb�aS 2025 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES EmailfficeCa wisn .com VILLAGE OF RYE BROOK : o s y Website: www.swisny.com Service With Integrity BUILDING [.DEPARTMENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Pineiro Electric Inc Lawrence& Lauren Rose Eric Pineiro 39 Meadowlark Road 115 Prospect Avenue Rye Brook, NY 10573 Valhalla, NY 10595 Located at: 39 Meadowlark Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-013 129.84 1 7 Certificate Number:2025-3225 Building Permit Number: BP21-313 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at:39 Meadowlark Road, Rye Brook, NY 10573 The Basement, Hallway, Laundry Room, First Floor Kitchen, and Second Floor Master Bathroom were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 17th day of June 2025. Name Quantity Rating Circuit Type Kitchen GFCI Receptacles 09 Recessed Luminaires 14 Switches 08 Ceiling Fixtures 04 Oven 01 Stove 01 Dishwasher 01 Refrigerator 01 Hood 01 Disposal 01 Name Quantity Rating Circuit Type New Foyer Switches 06 Sconces 02 Receptacles 03 Recessed Luminaires 06 Ceiling Fixture 01 Master Bathroom Receptacles 04 Recessed Luminaires 03 Ceiling Fixture 01 Sconces 02 Switches 05 Electric Mat w.Thermostat 01 Master Bedroom Recessed Luminaires 06 Switches 03 Master Bedroom Recessed Luminaires 06 Switches 03 Basement Legalization Receptacles 15 Recessed Luminaires 06 Ceiling Fixtures 06 Switches 06 Bathroom GFCI 01 Light/Exhaust 01 Switches 02 A Visual Inspection of existing conditions was performed on June 171h,2025, of the Basement and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. a N p N c 0 N W a N ^ ' W a U ►-a = f--a y r oo a A OWG M [� _ � t x 00 0 rs' cn F W ap r �-+ Q z w ca a� v O ,� Z ;D Q O v •• CN r l � Z M W A � N � w 0. O U U • W r� �+. O z 16 � ►-� W � 3 � Q a � F 8 � � U � W z a �, � °' x • to p CC ENE DD BUILDING DEPARTMENT FEB 16 2022 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: r.,)Z—313 EP#: -0 3 a FEB 1 7 1021 Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) ****************** Application dated,� ` is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an or re ove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. o,/ 1.Address: 3 7 111e,44 OGr�� Gr iz,0. SBL:/a9• d 7 —�` Zone: 2.Property Own/err: J e Address: / A e��OUGy/.��� �4 Phone#:9/7 .5 2`2 - ?y Cell#: q email: - 3.Master Electrician: Address: Lic.#Z-400 Phone#:jay-S7� i!`l�Z Cell#;&%� �1 Z-� 87`� email�l —y nc(I C oo. Company Name:/l/ttA2��l�C &C CT/ll6 CZ? ,• Address: ,Ql�� �C S Cn �G '(�/�ZoC�r//C 4.Proposed Electrical Work/Fixture Count: w261C2 e C���Gl� S l Ce li.�� �%/�- f7�it/��•e�f.✓ �F/-h%�J/��S ********************************************************************************************************* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to hefore me this I b day of ,20 day of u ,20 Signature of Property Owner Sign a of App cant Print Name of Property Owner Name off App�U� Notary Public Notary Public SHARI MELILLO Notary Public, State cf New York C` in Wesich:'z er County Commission Expires January 29.2t 2n021 Westchester Rockland Electrical Inspection Services, Inc. �t � Phone: 914-347-3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY P.O. Box 208 Fax: 914- 4 Carmel, NY 10512 �. BUILDING PERMfT NO. DATE TEMP k p�VVV111��I������pppfffsss a' C�jr�-r.�� �l TOWNSHIP / STR'7,�/D NO„Op `{,�Q, w C)W� ..: ii� rJ I POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUS PING OCCUPANC/Y�/— �/ OWNER'S NAME AND ADDRESS' S`. / I L NE NUMB I —7 D �. i CURRENT PLIED BY FROM OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUOREWATTS EACH INSPECTION OUTSIDE 1 BASEMENT "'FL. - FTB 1*20U�/ 2-2 FL.3-FL. BUIL ING D REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: /Le�v Se el 9///e-le THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL TH S E ABOVE�TER�MS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE V``ERVIGE ✓ CHARACTER OF WORK NEWrO ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS /�IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD F] UNDERGROUND❑ 0/ ) !J P I/ I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLIqATION MAY BE RETURNED. �z/ -:•���i!- D�F OF COMPPPP�J�Y��� DATE OF P��ION (; XIGNA�JR6�OF APPLIC yr• / �/� ZIP,CODEx v�/ LICENSE NO.WHEN APPLICABLE s £ N 9 N N � C fpx3�� ■ z M � � ! f�l ■' w � x C 00 'Z o -u F" z eq H N I - O LnLn = a 00 cz cj z U z W Zj cM en w �• �' � V h � w � w = � p A x y 0. � 5w en O U zz � a .. W 4 N a 0-4 1 u. 04 z c w og a � x e 9 x x 4 L L 6 L z x ! L a6 x L4 yF- (3RC�v� BOIL E MENT VIL E OF RYE , OK NOV - 3 2022 938 KIN ET RYE B NY 10573 ``-- - i VILLAGE OF RYc BROOK _BUILDING, DiPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 21-313 EP#: C;Q —D�q Approval Date: NOV 1 3 A22 Permit Fee: $ 225.00 _ P Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, /l 3-a is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 39 Meadowlark Road Rye Brook, NY 10573 SBL: 129.84-1-7 zone: 4 Q0 2.Property Owner: Lawerence & Lauren Rose Address: 39 Meadowlark Road Rye Brook, NY 10573 Phone#: 201-310-2195 Cell#: 201-310-2195 emai I: 3.Master Electrician: Jeffrey Porter Address: 28 Willett Ave Port Chester, NY 10573 #1�000042793 Li Phone#: 914-937-2600 Cell#: 914-447-6635 email: nmercedes analltimedetection_com v Company Name: All Time Detection Address:28 Willett Ave Port Chester, NY 10573 4.Proposed Electrical Work/Fixture Count: Installation of a low voltage residential alarm system with 3 Heat detectors, 5 smoke detectors and 2 smoke/CO detectors. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Jeffrey Porter ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 day fj ,20 Signature of Property Owner SV Fof Ap l ant Jeffrey Porter Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 9/12/2021 D EC IE �V/ IDState Wide Inspection Services FEB 2 3 2023 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: All Time Detection Lawrence& Lauren Rose 28 Willett Avenue 39 Meadowlark Road Port Chester, NY 10573 Rye Brook, NY 10573 Located at: 39 Meadowlark Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-269 129.84 Certificate Number: 2023-0703 Building Permit Number: BP 21-313 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 39 Meadowlark Road, Rye Brook, NY 10573 The Basement, First Floor,and Second Floor were inspected in accordance with the NYS and NFPA 70- 2017 and the detail of the installation,as set forth below,was found to be in compliance on the 10th day of February 2023. Name Quantity Rating Circuit Type Smoke Detectors 05 C/o Smoke Detectors 02 Heat Detectors 03 Officer: Frank]. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Ln CAo N N c N C w N N � = a 4n V �, L� .n = Ln w �� M c • � w a Q n xw - � a In 0000 U o N 5 $ L W v ' O o �I o A Z Z O E , � o i wCha O z z ° wz Z M W �,. CN 00GIN Eo a M � zz = w z H N n = a z _ w ` w r� u of 16 0 o W � o o �- L N N o ►.. z 0, w i x 02 w a o < _ yF, 13Rnv� o � �v' BUIL E MENT MAR 3 0 2022 VIL E OF RYE OK 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required 1� /- FOR OFFICE USE ONLY BP#: 21-313 EP#: Cd —Q 6 Approval Date: APR — ,5 022 Permit Fee: $ 225.00 -- Ph' Approval Signature: U Other: Disapproved: (fees are non-refundable) Application dated, 3-30--<�>a' is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State, County and Local Codes. 1.Address: 39 Meadowlark Road Rye Brook, NY 10573 SBL: 129.84-1-7 Zone:Ic-kO 2.Property Owner: Lawerence & Lauren Rose Address: 39 Meadowlark Road Rye Brook, NY 10573 Phone#: 201-310-2195 Cell#: 201-310-2195 email: 3.Master Electrician: Jeffrey Porter Address: 28 Willett Ave Port Chester, NY 10573 Li#t20000427s3Phone#: 914-937-2600 Cell#: 914-447-6635 email: orter alltim�d t tion_ _om Com#pany Name: All Time Detection Address:28 Willett Ave Port Chester, NY 10573 4.Proposed Electrical Work/Fixture Count: Installation of a low voltage residential alarm system with 3 Heat detectors 5 smoke detectors and 2 smoke/CO detectors. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Jeffrey Porter ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Lawerence &Lauren Rose for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this March day of ,20 day o 2 ,20 22 AWL Signature of Property Owner Si of Applicant Jeffrey Porter Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 8/12/2021 Westchester Rockland Electrical Inspection Services, Inc. # Phone: 914-347-3595 DO NOT�WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue ' Fax: 914-347-3596 Elmsford NY 10523 ��r ` r J6 f�j BUILDING PERMIT NO. TEMP s DATE Zq 1 2c CITY OR VILLAGE ,� ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT I.��y OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER ` ;5 I�j�. 7��c� j 1�t J;"`(►J�1��1�, t'k'� -q CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDFWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE L I BASEMENT Lj 1'FL. i P ; Y"FL VILLAGE OF RYE BROOK ; 3-FL REMARKS.LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; ij��l�'1.1.�1"TtivN I �� � V "11F-1(Q� �t�lf , ,rtL ' ,y�1 S�-iSi+✓Yrl �:� Smo c r` r c-rutz S THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT.OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW�] ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD[-' UNDERGROUND GAA- I I I � i AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. I NAME OF COMPANY DATE OF APPLICATION SIONATLOW OF AP_"ANT 1 STREETA0DRE83 TELEPHONE NO. V CITY OR P06T OFFICE i ZIP CODE LICENSE NO.WHEN APPLICABLE s ■ . M s ■ tn a 00 m F'" F A a tF W p. Z N114 N �+ u ■ eN-� 0 Z w A H w a A w Ln Ln O =. w op z (A N m V (� O H z o ° it 0z a C7 � � ►-� x g A � � z w > A V Q > w A as Q og s W a w N ° g a _ i s BUILIADE R,'TMENT VIL E OF R oK MAR 12 2022 938 KmpQ*4ET RYE BWW,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ww of — _ •____ PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: -ZI— 3 13 PP#: S=)�--0 3�Q Approval Date: MAR 2 3 1 Permit Fee:S Approval Signature: Other: Disapproved: (fees are non-rehmdabie) Application dated, — '1`i- ) j hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&.property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 3 9 0-ea L W C Q.'(6 d SBL:: . '�? Zone: —9DO 2.Proposed Work: d �� 0V\ 0 Ml VA l 3.Proerty Owner: LL W►'"e tiv C2 a;-e Address: 9ftkG W 1c r 1 C c PhdAe#: Cell#: a(-)) -3)o - aN)q ,�' email: LW)Zt.sL' 1. s✓ G1' 4)L- cot 4.Master Plumber:)ILL y A ilk i a JUG to �0� Address:I 3A&L"j?iCf 1 Lic.#: Cell 77�I y�y-C14-3 7 email:/ sty Company Name:gC h 9,Ai- , v1e J P41 i,,�C Address: INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOL .nw G SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tuba Service Service Sewer LP Gas Basement 1 st Floor ` 2nd Floor ) 31 Floor 4°i Floor 5 Floor Exterior y/ / 5.*List Other Equipment/Provide Details: A)Ei.�S�`l e i yyg /�C fit//�i 1042Lo I—L A 1l (Notarized Signatures Required Next 2 Pages) •1- 8/12/2021 LSPATE OF NEW YORFTOUNTY OF WESTCHESTER ) as. G W rery Q- K0 S2 being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this S� �l C9-1 Sworn to before me this day o � � 20 AC dad o' �— 20 9-�— Sty, t re of Property Si ature of Applicant G W r2 N CQ "'RasQ LG W reyv CQ t]S2 Print Name of Property Owner Print Name of Applicant _ t Notary Public otary Public DENISE BERGONZI DENISE BERGON21 NOTARY PUBLIC OF NEW JERSEY NOTARY PUBLIC OF NEW JERSEY MY COMM ^ion My Commission Fmirm Z/SMXYj� This application Iltust i,6W 2R?mpleted in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. _2. 8/12/2021 BUIgETI)RYE MENT VILOF RY 00K FR 2 2 2022 938 KING BR ,NY 1OS734 VILLAGE OF RYE BROOK korg BUILDING DEPARTMENT ****#*****R*R****RRR*A**AR*****R####AAR*R##*RA##*RRRRAARf R###*R#R#f*########RRA*##RARE#R###RRA#*#f###R# AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 f 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 r'e" C.Q I�SQ- residing at. rneG d o h,l�•�C I, l grva, N% 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; 39 mecdowk( k `12d. --, 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. Sworn to before me this �� S day of 20 o _ DENISE BERGONZI NOTARY PUBLIC OF NEVI JERSEY MY Commission Expires,3/5/2023 s/12no21 _ O LN N N W 9 �y o N ceq a cr, \ M V ■'' 11 a 4r N _ v v a F2 b = " ... �v 00 IZ x 'v w v a W 00 O .b 'Iwoeo Z 141 p PLO O W Z w° o ° o w o M o -w O z W (110 o g �i W rnLn 0-4 v O N OMO O p z 94 u a M M q * O u 1g o w° s (� r O W 00 w V « '... o W a z w H � z v o W0-4 ci c% ~ Q M w0 .4 ►-1 z ^ A >° .s E15A w U W x ME g M p0 W Z � uAs ZW U M ] cf e a W �•.! M zZ 'C � 0 � 0 _ ( , o • u o w M Zo tea' Q oa ' G O 'o. U W O z o � . ■ frl p o O a / l $ w N 1� v/ z u a. 'n P °• a o C7 A O �, ., . CN z w O z e M ~ w z H 0 g ob _ v p w o ~ � 8 ado _ �I ra a a a° a z � � �� b BUILDING DEPARTMENT VILLAGE OF RYE BROOK REJAN - 9 2024 [�� 3D 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK r BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: Approval Date:_I -�-H. ' zo4q Permit Fee: $ loo Approval Signature: Other: x/c-0 Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U263/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=S 100.00/unit• COMMERCIAL= S350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. ********************--**11*************************************************************************** Application dated, 1'9 d is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations.la /� J 1. Address: 3 1 4,4Rk SBL: - -_7 Zone: 2. Property Owner: Lf1 W L�4/V C4 Address: �79rnRla d.J L,�4lc/�� Ryl�oK ny/��� Phone#: 2 61 3 L D 2/Q S Cell#: email: 3. Contractor: 7 2 c Tic- /yJn Aiv L c..( Address: t1G D /✓/ylAi--r+ /_C Phone#: f�y �3 V f jJ / Cell#: email: 4. Scope of Work:New Installation�-Replacement( )•Removal( )•Other( ): 5. List Equipment: Co N Jf RN�4.� j� 'S(�1�/Cf} 2�I �✓/�2 N �62 /4gn.,1 4c t_ M0 S i/Zg Ply I!R D}aR rl S"A i- /Y9///(Z. — 6. Location of Equipment: L, -26-A L.L ,g c2/�A�v�I C.�. �/ � CDC✓ C�.S pT U�✓�PZ [.tzc,E 7. Method of Installation/Removal(list all equipment needed to perform job): CO,,✓'JQ-Ivs � �iv 5 rB L L {{���I f L f//I•Jd c.._ :,s✓/.�?JI� �y�v L Diu�� �i,-��si v,r r c.?�e�c %�/,:e!c.� ,�C7"S�a L` N u- f A(/� .cc�Gt" �J c t�u�Q E' �-/►�D L L FQ/L L� SvPi�� / %�/diy t 10/30/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this J Sworn to before me this y of 20dq day of ,20 OSignature of Pro�Owner Signature of Applicant {,G�Wrow Ct, L) (ti�bde. Print Name of Property Owner Print Name of Applicant Notary Public Notary Public DENISE BERGONZI NOTARY PUBLIC OF NEW JERSEY MY Cmatobsim Expiroa 3V5 M8 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 10/30/2023 Air Leakage Report Date: 1/19/26 Property: 39 Meadowlark Road JCD Energy Address: Rye Brook,NY Rater Name: Joseph Di Gioia Owner: Lawrence Rose Phone: 203.923.3019 Weather Site: Westchester,NY Authorized Signature: File Name: 39MEADOWLARK.big Rating Type: Confirmed Whole House Infiltration: Blower Door Test Heating Cooling Natural ACH 0.4 0.4 ACH @ 50 Pascals 2.6 2.6 X PASS CFM @ 25 Pascals 770 770 CFM @ 50 Pascals 985 985 Eff.Leakage Area(sq.in) 99 99 Specific Leakage Area 0.0002 0.0002 ELA/100 sf shell (sq.in) 2.2 2.2 Duct Leakage: Leakage to Outside Units DUCTS D , 1-� CFM @ Pascals 89 �h ��) L, �� V";' L CFM25/CFMfan 0.08 'r CFM25/CFA 0.18 CFM per Std 152 N/A CFM per Std 152/CFA N/A CFM @ 50 Pascals 90 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Eff.Leakage Area(sq.in) 6 Thermal Efficiency N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage 0.07 X PASS Ventilation: Mechanical None Sensible Recovery Eff.(%) 0 Total Recovery Eff.(%) 0 Rate(cfin) 0 Hours/Day 24 0 0 Cooling Ventilation No Ventilation ASHAAE 62.2-2020 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 -2020 Ventilation and Acceptable Indoor Air Quality in Low Rise Residential Buildings,a minimum of 51 cfm of mechanical ventilation must be provided continuously,24 hours per day. Alternatively,an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example,a 103 cfm mechanical ventilation system would need to operate 12 hours per day,as long as the system operates to provide required average ventilation once each hour. REM[RATE—Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty.of energy cost or savings ©.Architectural Energy Corporation,Boulder,Colorado 1985-2023 O FERGUSON Home Heating&Cooling Controls,Sensors&Zoning Thermostats 8 You last purchased this on December 27,2023. View Purchase History coora.e�wrwq sawn. Mitsubishi Touch"' RedLINKT" Programmable Thermostat > Part#MMHK2 Item#8224824 Manufacturer Part#MHK2 14 Call us for price_ Quantity — 1 + Packaging Info: Add to Cart Quantity Per Each:1, Inner pack:1 4 Add to My Lists View our policy for FREE Shipping Learn More 0 How to get it: 0 Pick Up Available Q FREE Shipping Available 14 in I o,s%,i d,Hw Available for immediate shipment See what's available Frequently Purchased Together Price for bundle - + + $569.43 Add To Cart This Item:Mitsubishi Touch' RedLINK1 Programmable Thermostat/$312.128 Honeywell Home Redl-ink® Indoor Wireless Room Sensor(2 Pack)/$115.727 Mitsubishi Kumo Cloud-Wireless Adapter-Interface Control 2/$141.578 Product Details Specifications Auto Switching Heat Cool: No Battery Size:AA Battery Type:Alkaline Brand Model Compatibility:PCA-A24KA7, PCA-A30KA7,PCA-A36KA7,PCA-A42KA7,SVZ- Collection:Touch'RedLINK'" Depth: 1-1/16 in KP12NA,SVZ-KP18NA and SVZ-KP24NA (ool (alc Project Name: Laurence Rose Address: 39 Meadowlark Road,Rye Brook,NY OUTDOOR DESIGN CONDITIONS Weather station:White Plains,Westchester Co.AP Summer Outdoor F: a Summer Indoor F: lijkLI& Design Grains: ® Daily Range: Winter Outdoor F: Winter Indoor F 1111111111111MW Cooling RI-I: Elevation(Ft): LOAD CALCULATION TOTALS HVAC System: Bedrooms Heated square footage: 111111IM1111111 Heating BTUH: Cooled square footage: 111111IM1111111 Cooling BTUH: Heated volume(above grade CF): CFM: .. Cooled volume(above grade CF): Sensible cooling: Exposed wall area(SF): Latent cooling: SHR: Load Calculation Cooling Heating )00 10,000 15,000 20,000 25,000 BTUH Approved ACCA MJ8 Calculations Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA. All computed calculations are estimates on building use, weather data, and inputted values such a R-Values, window types, duct loss, etc. Equipment selections should meet both the latent and sensible gain as well as building heat loss. lio HEATING AND COOLING LOADS HEATING LOADS Heating Loads SECTION AREA HEATLOSS aboveGradeWalls aboveGradeWalls 912.8 5,135 1 . ceilings 498.8 1,099 windows ducts ducts 0 1,832 i-Womm floors 275 1,825 floors infiltration 0 2,499 skylights 0 0 . — infiltration windows 228 11,505 Totals 23,895 COOLING LOADS Cooling Loads aboveGradeWalls SECTION AREA SENSIBLE LATENTr--------_-- AEDExcursion 0 299 0 ceilings aboveGradeWalls 912.8 2,134 0 ceilings 498.8 948 0 windows ----. ducts ducts 0 1,030 181 infiltration floors 275 454 0 infiltration 0 341 464 occupants occupants 0 690 600 plants 0 0 300 skylights 0 0 0 windows 228 7,324 0 Totals 13,221 1,546 FENESTRATION LOADS Warning (0): This application has glass areas that produced relatively large cooling loads for part of the day. Zoning may be required to overcome spikes in solar load for one or more rooms.A zoned system may be required,or some rooms may require zone control(provided by individual.motorized,thermostatically controlled dampers). AED Graph(mid-summer) 10,000 ti 5.000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 BTUH ---- Average Average 1.3 This graph represents hourly aggregrate fenestration loads in mid-summer. AED graph(fall) 10,000 5.000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 BTUH -- Average Average' 1.3 This graph represents hourly aggregrate fenestration loads in October. COMPONENT LOADS ABOVE Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12&Os w Exposure: NE Healing BTUH: 748 U Value: 0.097 Area 133 Cooling BTUH 311 insulation, Stucco or Siding. Map trace wall Frame Wall,Wood framing. R-11 cavity Construction nr 128-0s w Exposure: SE Heating BTUH: 583 U Value: 0.097 Area: 103.6 Coding BTUH: 242 insulation, Stucco or Siding. Map trace wall Frame Wall, Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: SW Heating BTUH: 753 U Value: 0.097 Area: 133.8 Coding BTUH: 313 insulation, Stucco or Siding. Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 128-Os w Exposure: NW Heating BTUH: 621 U Value: 0.097 Area: 110.4 Cooling BTUH: 258 insulation, Stucco or Siding. Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NE Heating BTUH: 631 U Value: 0,097 Area: 112.2 Cooling BTUH: 262 insulation. Stucco or Siding. Map trace wall Frame Wall,Wood framing. R-11 cavity Construction nr: 12B-Os w Exposure: SE Heating BTUH: 614 U Value: 0.097 Area: 109.2 Cooling BTUH: 255 insulation. Stucco or Siding. Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SW Heating BTUH: 616 U Value 0,097 Area 109.5 Cooling BTUH: 256 insulation, Stucco or Siding. Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr 12B-Os w Exposure: NW Healing BTUH: 569 insulation, Stucco or Siding. U Value: 0.097 Area: 101 1 Coding BTUH: 236 BELOW There are no components for this section. Default small windows for wall id GUT798 Construction nr: 1 G U Value: 0.87 Hea0ng BTUH: 303 Window, NFRC rated, Clear glass. E poswe 6 SHGC 0.67 Cooling BTUH: 140 Default medium windows for wall id 6347798 Construction nr. 1G U Value: 0.87 Healing BTUH: 1,211 Window, NFRC rated, Clear glass. Area 24 Exposure NE SHGC: 0.67 Cooling BTUH: 560 Default small windows for wall Id 6347799 Construction nr. 1 G U Value: 0.87 Healing BTUH: 606 Window, NFRC rated, Clear glass. E posure SE 12 SHGC: 0.67 Coding BTUH 468 Default medium windows for wall Id 6347799 Construction nr I U Value: 0.87 Heating BTUH: 606 Window, NFRC rated,Clear glass. E posure: 12 SHGC: 0.67 Coding BTUH: 468 SE Default small windows for wall id 6347800 Construction nr: 1G U Value: 0.87 Heating BTUH: 606 Window, NFRC rated. Clear glass. Exposure 12 SHGC: 0.67 Coding BTUH: 493 Default medium windows for wall id 6347800 Construction nr. 1G U Value: 087 Heating BTUH: 1,211 Window, NFRC rated, Clear glass. Area posure sw SHGC: 0.67 Cooling BTUH: 986 • WINDOWS Default small windows for wall Id OU7725 Construction or 1G U Value 0.87 Heating BTUH: 303 Window, NFRC rated. Clear glass. E Posure: 6 SHGC 067 Cooling BTUH: 161 Default medium windows for wall id 6347725 Construction or 1G U Value: 0.87 Heating BTUH: 1,211 Window, NFRC rated, Clear glass. Area:sure: Nw SHGC 067 Cooling BTUH: 645 ExpoDefault small windows for wall Id 6347778 Construction nr 1G U Value: 0.87 Heating BTUH: 303 Window, NFRC rated, Clear glass. Exposure: 6 SHGC: 0.67 Cooling BTUH: 134 Default medium windows for wall id 6347778 Construction or 1 G U Value: 0.87 Heating BTUH: 1,211 Window, NFRC rated, Clear glass. Exposure: 24 SHGC. 0.67 Cooling BTUH 547 Default small windows for wall id 6347779 Construction or 1G U Value: 0.87 Healing BTUH: 606 Window, NFRC rated, Clear glass. Exposure: 12 SHGC 0.67 Cooling BTUH: 441 SE Default medium windows for wall id 6347779 Construction or 1G U Value: 0.87 Heating BTUH: 606 Window, NFRC rated, Clear glass. Area Exposure. 12 SHGC: 0.67 Cooling BTUH: 454 SE Default small windows for wall id 6347780 Construction nr 1G U Value: 0.87 Heating BTUH: 303 Window. NFRC rated, Clear glass. Area Exposure 6 SHGC 0.67 Cooling BTUH 236 Default medium windows for wall id 6347780 Construction or 1G U Value: 0.87 Heating BTUH: 1,211 Window. NFRC rated. Clear glass. Area. 24 Exposure sw SHGC 0.67 Cooling BTUH: 965 Default small windows for wall id 6347733 Construction or 1G U Value. 0.87 Heating BTUH: 606 Window. NFRC rated Clear glass. Area: Posure. 12 SHGC 0.67 Cooling BTUH: 311 Default medium windows for wall id 6347733 Construction nr 1G U Value 0.87 Heating BTUH: 606 Window. NFRC rated, Clear glass Area: 12 Exposure NW SHGC 0,67 Cooling STUH 317 Window cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. CEILINGS Map trace generated ceiling Gelling under attic or attic Knee wall, Asphalt Construction or 166-25 ad Area. 275 Heating BTUH: 606 shingles,Dark,R-25. ding BTUH 523 Map trace generated ceiling Cedingunder attic or attic knee wall,Asphalt Construction or. 16B-25 ad Heating BTUH: 493 p U Value: 0.038 Area: 223.A Cooling BTUH: 425 shingles, Dark, R-25. SKYLIGHTS There are no components for this section Skylight cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. There are no components for this section. Map trace generated floor Floor over enclosed unconditioned crawl space Construction or 19A-Ocp Heating U Value:0.295 Heating BTUH: 1,825 Cooling BTUH: 454 or basement, no floor insulation,Carpet or Area 275 Coding U Value 0.295 F Value: NIA hardwood. VENTILATION There are no components for this section. HOT WATER PIPING There are no components for this section. • System generated ducts(above conditioned space) EHLF: 0.083 Heating BTUH: 1,832 Attic-Trunk and Branch ESGF: 0.087 Sensible BTUH: 1,030 ELG: 181 Latent BTUH 181 INFILTRATION NCFM Healing 40 Heating BTUH: 2,499 Leakage Category. Semi-Tight Sensible BTUH: 341 NCFM Cooling: 21 Latent BTUH: 464 BLOWER • •' There are no components for this section. HUMIDIFICATIONWINTER There are no components for this section. OCCUPANTS Nr.Occupants: 3 Sensible BTUH: 690 Latent BTUH: 600 APPLIANCES There are no components for this section. Plant Size: small Quantity: 5 Latent BTUH: 50 Plant Size: medium Quantity: 5 Latent BTUH 100 Plant Size: large Quantity: 5 Latent BTUH 150 ROOM DETAIL Room name:Bedroom 1 Heated square footage: ® Total Cooling BTUH: SWIM Cooled square footage: ® Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Exposed wall area(SF): � Load Calculation Cooling Heating 0 5,000 10,000 15,000 BTUH AED Graph(mid-summer) 6,000 = 4,000 J m 2,000 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH — Average Average` 1.3 AED graph(fall) 6,000 = 4,000 m 2,000 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH — Average Average 1.3 ROOM DETAIL Room name:Bedroom 2 Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: KEM Heated volume(above grade CF): CFM: IFEM Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 2,500 5,000 7,500 10,000 12,500 BTUH AED Graph(mid-summer) 6,000 = 4,000 m 2,000 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH — Average Average 1.3 AED graph(fall) 4,000 2 2,000 a1 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH — Average Average'1.3 000 :TU/H MULTI-POSITIONWWII 24.000 BTU/H HEAT PUMP UNIVERSAL OUTDOOR UNIT Job Name: System Reference: Date: Indoor Unit.......................................................................SVZ-KP24NA Outdoor Unit SUZ-KA24NA2 .................................................................. i i o e INDOOR UNIT FEATURES • Ducted air handler provides a solution to cool and heat large zones • Highly efficient totally enclosed ECM motor • Selectable external static pressure:0.30,0.50 and 0.80 in.WG with 3 fan speeds at each static setting • 1 inch R4.2 fiberglass free insulation reduces condensation and boosts efficiency • Positive pressure cabinet with air leakage of less than 2.0%at 1.0 In.WG(Tested per ASHRAE Standard 193) • Unique blow through design allows simple coil cleaning when the blower is removed • Multi-position installation:horizontal(left or right),vertical(up or down) • Optional electric heat kit for additional heat capacity • Optional humidifier control and ERV control • Built-in humidifier control,ERV control and auxiliary heat control • Optional downflow kit • Multiple control options available: kumo cloud"smart device app for remote access Third-party interface options 11 Wired or wireless controllers OUTDOOR UNIT FEATURES • Variable speed INVERTER-driven compressor • Innovative Joint Lap DC Motor leads to high efficiency and reliability • Pulse Amplitude Modulation technology • High-performance grooved piping for increased heat exchange efficiency Specifications are subject to change without notice. Oc 2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: I 1 l I I Maximum Capacity BTU/H 24,000 Rated Capacity BTU/H 24,000 Minimum Capacity BTUIH 12,400 Cooling at 95'F Maximum Power Input W 1.920 _..- --- --_- — Rated Power Input W 1.920 Moisture Removal _,- L Pints/h ----_-, 4.1 -- Sensible Heat Factor 0.81 P—M,r Factor 1208V 1230A % 98.0/98.0 --_-- --- _ —I- I Maximum Capacity BTU/H 28.000_ Rated Capacity BTUIH 25,300 Minimum Capacity BTU/H 14.600 Heating at 47°F ._-..___..._ -. _. Maximum Power input W 2,270 Rated Power Input W 1,910 Power Factor 1208V/230V) _ % 99.0/99.0 Maximum Capacity BTU/H 14,6D0 Rated Capacity _ BTU/H 14,6D0 Heating at 17°F, Maximum Power Input W 1,710 Rated Flower Input 1.711) SEER I SEER2 18.0 1 17.9 EER'I EER2'_- 12.5111.6 -WSPF IM I HSPF2IM _10.4 18.3 Efficiency COP at 47°F' -- 3.8 COP at 17-F at Maximum Capacity' 2.5 _ ENERGY STAR"Certified No Voltage,Phase,Frequency 2081230.1,60 Guaranteed Voltage Range V AC 187-253 Voltage Indoor Outdoor,St-S2 V AC 2081230 Voltage:Indoor Outdoor S2-S3 V DC 24 Electrical -__ - ShorFeltcult Current Rating JSCCRJ kA 5 Recommended Fuse/Breaker Size(Oudoor) A 20 Recommended Wire Size[indoor Outdoor] _ AWG 14 Power Supply _ Indoor unit is powered by the outdoor unit MCA A 30 Fan Motor Full Load Amperage -_- - A _._ 2.4 Fan Motor Type OC Motor j Ak"Rate at Cooling,Dry CFM 515-625-735 Airflow Rate at Heating,Dry CFM 515-625--735 Sound Pressure Level(Coding]_ _. dB(A1 33-36-41 Sound Pressure Level[Heating)- dB[A) 33-36-41 indoor Unit External Static Pressure n.WG 0.30-0.5-0.8 Drain Pipe Size In.(mm1 3/4119.051 Coating on Heat Exchanger External Finish Color Hot-dip coated steel(ZAM) Unit Dimensions W x D x H:In.[mm] —17 x 21.618 x 3g-13/161432 x 549 x 1,0111 Package Dimensions.`_-- W x D x H:In.(mm) 21 x 28-3/4 x 44-3/8 1460 x 730 x 1.127]- Unit Weight i Lbs.[kgl 931421 Package Weight Lbs.[kg) r 106 148) Indoor Unit Operating Temperature Cooling Intake Air Temp[Maximum/Minimump F I 90 DB,72 WB/68 DB,61 WB Range Heating Intake Air Temp[Maximum!Minimum] F 77 DB 159 DB NOTES AHRI Rated Conditions 'Coding(Indoor//Outdoor) F 80 DB.67 WS/195 DB.75 WB (Rated data is determined at a fixed compressor speed) 'Heating at 47°F(Indoor l Outdoor) 'F 70 DB,60 W8//47 DB,43 WB 'Heatlng at 17°F(Indoor I Outdoor) `F 70 OB,60 WB 1!17 DB,15 WB 'Indoor/Outdoor Unit Operating Temperature Range(Cooling Air Temp[Maximum:Minimum]). •Applications should be restricted to comfort cooling only:equipment coding applications are not recommended for low ambient temperature conditions. -Outdoor Unit Operating Temperature Range(Cooling Thermal Lock-out t Re-start Temperatures,Heating Thermal Lock-out/Re-start Temperatures): •System cuts out in heating mode to avoid therrnislor error and automatically restarts at these temperatures. Specifications are subject to change without notice. ©2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: I ♦ ♦ / MCA - - A - -- 17.0 )_ _- MOCP A 31 L Fan Motor Full Load Amperage A 1 1 Fen Motor Output W 60 Mrflow Rate[Cooling/Heating] CFM 2020 1930 Refrigerant Contrd LEV Defrost Method _ Reverse Cycle Coating on Heat Exchanger Blue Fin Coatis Sound Pressure Level,Coding' _dB(A) 55 Sound Pressure Levei,Heating° dB(A) 55 Outdoor Unit Compressor Type OC INVERTER-driven Compressor Model SN8220FQGMlT Compressor Rated Load Amps A -- 13 Compressor Locked Roles Amps A 16.0 Compressor Oil JType h Charge) oz. FV50S/ 15.6 External Finish Color Ivory Munself 3Y 7.B/1.1 Bases Pan Heater Optional Unit Dimensions W x D x H:In.(mm) 33-1/18 x 13 x 34-518 1840 x 330 x 6801 Package Dimensions W x D x H:In.(mm) 38-9/16 x 16.9/16 x 39[980 x 420 x 990] Unit Weight Lbs.[kgJ 129159) Package Weight Lbe.[kgJ 145166) _ Coding AU Temp(Maximum I Minimum)• — —�- - •F —- _ 1/5 DB/14 DB Outdoor Unit Operating Temperature Codlrlg Thermal Lockout/Re-start Temperalum— -F 1/5 Range Heating Air Temp[Maximum I Minimum) 'F 75 DB,65 WB/14 OB,12 WB Heating Thermal Lock-out/Re3tart Temperatires" 'F 10/14 Type. R410A Refrigerant .-Pre-Charged Refrigera� mAmounl Lbs,oz 4.0,14.0 - - ----- -- Maximum Pre-Charged Piping Length Fl.1mJ 25.0[7.5] Addilional Refrigerant Charge Per Additional Piping Length oz/Fl.[glmJ 0 538[501 Gas Pipe Size O.D.[Flared] In.Jmm] 5/8[15.881 —— Liquid Pipe Size O.D.[Flared] In.JmmJ _ 3181952] Piping Maximum Piping Length Ft.[m] 1001301 Maximum Height Difference FL JmJ — _100[301 Maximum Number of Bends 10 NOTES: AHRI Rated Conditions 'Coding(Indoor//Outdoor) 'F SO DB,67 WB//95 DB.75 WS (Rated data is determined at a fixed compressor speed) 2Heating at 47"F(indoor 11 Outdoor) •F 70 08.60 WB 1/47 DB,43 W8 'Healing at 17'F(indoor 1 Outdoor) •F 70 DB.60 WB//17 OB,15 WB •Indoor/Outdoor Unit Operating Temperature Range(Cooling Air Temp[Maximum Mimmumj): •Applicaltons should be test6cled to comicrl cooing o*1 equ ipmeel coding applications are not recommended%i taro emblem 1a,nperalure condiNom. **Outdoor Unit Operating Temperature Range(Cooling Thermal Lock-out I Re-start Temperatures;Heating Thermal Lockout I Restart Temperatures): •System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. rc)2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. INDOOR UNIT ACCESSORIES: SVZ-KP24NA IAirzong ZBS Wired Bluelace Principal Controller White 113 AZZBSBLUEFACECB Airzono ZBS Wired Blueface Principal Controller White 0 AZZBMUEZEROCB LA�.n.ZBS Wired Lite Ckintroftr White 0 AZZBSLrTEC8 iAirzone ZBS Winless Lite ConWolwWhke 0 AZZBSLrrERS Airzono ZBS Wireless Think Controller White 0 AZZBSTHINKR8 BACnet'and Modbus'Interface 0 PAC-UKPRC001-CN-1 CN24 Relay Kit 0 CN24RELAY40T-CM3 Control Interface, Connector cable for remote display In PACSA88HA EP rr Extender El PAC-WHISVI IE-E ourno,station-for kumo doucr In PAC-WHS01HC4E Remote Operation Adapter' r PAC-SF40RM-E Thermostat interface i PAC-US444CN-1 Thermostat Interface L PAC-US445CN-1 USW Adapter r- PAC-VMSWIUiP-E Wireless Interface for kumo cloud' F PAC-USWHS002-WF-2 Flush Mount Remote Temperature Sensor f PAC-LISSEN002-FM-1 Flush Mount Temperature Sensor L PA SSEN001 Remote Sensor [Remote Temperature Sensor I- PAC-SE41TS-E Wireless temperature and hurnitity sensor for kumo cloud i PAC-USWHS003-TH-1 Deluxe Wired MA Remote Controlert i, PAR40MAAU Simple Ductless Wired Remote Controller r' PAC-SDW0IRC-I Wired Remote Controller Simple MA Remote Controller* -J I PAC-YT53CRAU Touch MA Controllerr L PAR-MIMAU-N -:T kumo touch-RedLINK"Wireless Controller . MHK2 Wireless Remote Controller Wireless MA Receiver 113 PAR-FA32MA-W Wireless MA Remote Controller 10 PAR*U2MA-E Blue Diamond(Advanced)Mini Condensate Pump wi Reservoir&Sensor(208/230V)[recommended] I o X87-721 Blue Diamond(MegaBlue Advanced)Condensate Pump w/Reservoir&Sensor 0 X874= Condensate Blue Diamond Sensor Extension Cable—ISIFt. -t- C13-103 Refcc,Condensate Pump(100-240 VAC)up to 120,000 BTLI/H In COMBI 20/2PR.1PR shielded-1PR plenum wire for Alizons,1001tresil In CW204282-100 control W111111 2012PR.shielded+1PR plenum wire for Alrzone.500 It rest 11 CW2042,S2,1" (30AI600V U L)[rite 2-X 4'utility box]-Black El TAZ-MS303 Disconnect Switch (30AI600V UL)[its 2-X4*utI11ty box]•White o TAZ-MSMSW Do.nfiow K t Downfiloiv Kit 0 DFK-S Electric Heat Lockout It3kW Electric Heat Lockout 0 ETC-211020-MT Electric-Healer lo EH03-SVZ-S Electric Kit Heats kW Electric Heater ;o EH05-SVZ-S SkW Electric Heater 0 EHO"VZ-S IV x 319'x 10'x 5W Lineset(Twin-Tube Insulation) 0 MPLS385MI2T-10 100 x 31W x 100'x SW Unseat(TwIri-Tube Insulation) L MPLS,3658IZT-100 15'x 3,18'xlSx 5/8"Uneset(TWIn-Tubeinsulation) o MPLS38581ZT-15 Unesol ---------- 3(YxT8"x30'x 5/8'Lineset(Twiri-TubeInsulation) a MPLS385812T-30 50 x 3 8'x 50 x 5/8'Lineset(Twin-Tube Insulation) t E3 MPLS385812T-50 65 x 3 8"x 65'x 518'Uineset(Tirin-Tube Insulation) I Ei MPLS3858I2T-65 Terminal Block Separate Terminal Power Block rl, SPTBI NOTES: !PAC-SF40RM-E(Unable to use with wireless remote controller) Specifications are subject to change without notice. C 2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. OUTDOOR UNIT ACCESSORIES: SUZ-KA24NA2 Air Oullat Guide Air Outlet Guide r- MAC-866SG-E M-&P.Series Maintenance Tod Cable Set C M21 EC0397 CaHroYService Tod --- -- USB/UART Conversion Gable(Required for all laptop connection) r M21 EC1397 14 Gauge,4 wire MiniSplit Cable--250 ft roll I S144-250 14 Gauge,4 wire MiniSplil Cable-250 ft.roll ❑ SW144.250 —_ -, 14 Gauge,4 wire MiniSplil Cable---50 ft.roll --_ - - - ---- --- o 514450 minii-Spht wire 14 Oauge,4 w re MiniSplit Cable-50 ft,roll F SW 1445D 16 Gauge,4 wire MiniSpiit Cable-250 ft.roll i S164-250 16 Gauge,4 wire MlniSpiit Cable-250 ft roll __ I_ SW164-260 16 Gauge,4 wire MiniSplit Cabla-501L roll t. S164-50 16 Gauge,4 wire MlniSplb Cable-60 ft full r SW 16450 _-- Condensing Unit Mounting Pad:16"x 36"x 3' !❑ ULTRILITEI Mounting Pad -_..--------.-..--------------- - --------- _ Outdoor Unit 3-1/4 Inch Mounting Base(Pair)-Plastic ❑ DSD400P Optional Wrest,Meaner sass Flsahx F MAC542B"l 16 Single Fan Stand r QSMS1801M 24 Single Fan Stand I QSMS2401M Stand - Condenser Wall Bracket L QSWB2000M-1 Outdoor Unit Stand-12"High ❑ QSMS1201M Specifications are subject to change without notice. Oc 2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. INDOOR UNIT DIMENSIONS: T� Unit:rrn(in.) view Note: Elilctncal entrance fa SVZ located on both left end dgnt side of the(abinet. 026 Knodrout Hole.. See dghl or Left side view for kriockctd e26 Knockout Hob local ons. for electrical heat wrong 2-e4.8 Busing Hole. for 4 ric hoat ninstallation fij i)R4(�erppaear�anrecomppelicppOvIges GrAeere nnMneceoMfwdo) II r1 1 - - B(tlud) - ota.osl�gwa•rv) At01•I 7 ) - n u ) u Iu 0�rrrepa�k��orDa 115 DUCT 1 Ia 71 1/ I eta:r Y4)VPT ) I. r,l tHer.+r bh) I r Pppri��m�vaNNryyy adarolylnn,��gP• - I I I ) ois-y �3I1'FPT II. 141 30PII Pill 8613 s/al COL • • • ServrMary tlraiP Poe • • • tree Pipe =Emerge^ey ArarNrrqq (E, Y�rynnpp) 1e.05(3ra) ,ghl)T e26 K ckoul ftde 65./ 019.05(3r4)3/4fPT (HMsonbl Ripnl) (Indoor'Ofdoor 00 Ird Knockout Hole 1 r I ) connetlion (IMoo• Osdoor aril (Primayajryy aar@elun�Wpe (Rrmde tara+nssronj corx'ef ) bGB-015j 314)3)a'FPT (RM'10:6 cGl=W rtmillWal comrd uox • • .- • � (Remove&ower Panel) Om • • • Left side Q,Ir .irl _ Rgm sde view ) view Unit:mm(in.) Model Nominal Fitter Size Duct Connection Byotlom SVZ-KP12NA - SVZ-KP18NA 5508 x 406.4 x 25A 376 x 402 - (20 x 16 x 1) (14-13/16 x 15-7/8) SVZ-KP24NA - SVZ-KP30NA 508 x 508 x 25.4 477 x 402 SVZ-KP36NA (20x20x1) 1 (1B-13/16x15-7/8)J 77=7-)6.811-112) Model A B C D E F G H J Gas Pipe Liquid pipe SVZ-KP12NA a 9.52 (3/8) a 6.35 SVZ-KP18NA 432 376 281 224 1,010.8 680 823 735.5 360 a 12.7(1/2) (114) (17) (14-13116) (11-1/8) (8-7/8) (39-13/16) (26-13/16) (32-7/16) (29) (14-3/16) SVZ-KP24NA .52 SVZ-KP30NA 534 477 382.6 266.5 1,113.8 737 953.5 792 461 a 15.88 a SVZ-KP36NA (21) (18-13/16) (15-1/8) (10-112) (43-7/8) (29-1/16) (37-9/16) (31-3116) (18-3/16) (5/8) (3/8) 8) Specifications are subject to change without notice. ©2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. OUTDOOR UNIT DIMENSIONS: SUZ-KA24NA2 Unit: inch REQUIRED SPACE m '1 20 in.(500 mm)or more when front U and sides of the unit are clear 16-7/16 mml Drain hole 01-5/8 110� Air in 1-9/16 4 q1� e o� (70p ore mom) ' Air in r' �' v i I I Air out �p��l „•r �4�n J 2-holes 13/32 X 13/16motel2 6-7/8 19-11/16 01 `2 When any 2 sides of left,right and rear of the unit are clear 33-1/16 3 /16 4-5/1 Service panel Liquid refrigerant pipe joint Refrigerant pipe(flared)o 1/4(KA18) Refrigerant pipe(flared)o 318(KA24/30/36) LO -.. .'— N N o N ¢o `' rn Gas refrigerant pipe joint i cc a, Refrigerant pipe(flared)o 1/2(KA18) Refrigerant pipe(flared)o 5/8(KA24/30/36) 7-11/1 1340 Satellite Boulevard Suwanee,GA 30024 Toll Free:800-433-4822 www.mehvac.com a. FORM#SVZ-KP24NA&SUZ-KA24NA2-202304 tetertek Specifications are subject to change without notice. 0 2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SUZ-KA24NA2 HORIZONTAL-DUCTEDMID STATIC D••• UNIT MITSUBISHI ArIk ELECTRIC 000 OUTDOOR UNIT Job Name: System Reference: Date: Indoor Unit.........................................................................PEAD-A24AA7 Outdoor Unit......................................................................SUZ-KA24NA2 urn`A. .to s INDOOR UNIT FEATURE • Unobtrusive ceiling-concealed design for short-run ductwork • Wide ranging external static pressure(0.14-0.60 in.WG) • Built-in condensate lift mechanism(up to 27-9/16") • Auto fan speed mode • Optional FB Series filter boxes for easy access and service Ideal for residential homes,retail shopping centers,larger classrooms,office complexes,conference rooms,ballrooms,fitness centers,and more • Multiple control options available: o kumo cloud'smart device app for remote access c Third-party interface options Wired or wireless controllers OUTDOOR UNIT FEATURES • Variable speed INVERTER-driven compressor Innovative Joint Lap DC Motor leads to high efficiency and reliability • Pulse Amplitude Modulation technology • High-performance grooved piping for increased heat exchange efficiency Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: • t , t I t t . t I 1 Maximum Capacity BTU/H 24,000 Rated Capacity BTU/H 24,000 _ Minimum Capacity BTU/H 12,000 Cooling at 95'F' Maximum Power Input W 1,920 Rated Power Input W 1,920 _ Moisture Removal Pints/h 4.9 Sensible Heat Factor 0.77 Power Factor % 97.9/97.9. Maximum Capacity BTU/H 28,0g0 _ Rated Capacity BTU/H _ _2600 Heating at47'F' Minimum Capacity BTU/H 14,400 Maximum Power Input W 2,540 Rated Power Input W 1,990 Power Factor % 98.8/98.8 Maximum Capacity BTU/H 15,000 Heating at 17'F' Rated Capacity BTUM 15.000 Maximum Power Input W 1,650 Rated Power Input W 1,650 _ SEER 18.0 EER' 12.5 HSPF[IV] 11.2 Efficiency COP at 47'F' 3.6 _—_---�- COP at 17"F at Maximum Capacity' 2.66 ENERGY STARE Certified Yes _ Voltage,Phase,Frequency 208/230,1,60 Guaranteed Voltage Range VAC 198-253,187-253 Voltage:Indoor-Outdoor,S1-S2 VAC 2081230 Electrical Voltage.Indoor-Outdoor,S2-S3 V DC 24 -— Short-circuit Current Rating[SCCR] kA 5 Recommended FuseBreaker Size(Oudoor) A 20 Recommended Wire Size[Indoor-Outdoor] AWG 14 Power Supply Indoor unit is powered by the outdoor unit MCA A 2.63 Fan Motor Full Load Amperage A 2.1 Fan Motor Output W 121 Fan Motor Type DC Motor Airflow Rate at Cooling,Dry CFM 512-635-741 Airflow Rate at Cooling,Wet CFM 461-572-667 Airflow Rate at Heating.Dry CFM 512-635-741 _ Sound Pressure Level(Cooling] dB[Aj 30-33-37 Indoor Unit Sound Pressure Level[Heating] dB[A] 30-33-37 External Static Pressure in.WG 0.14-0.2-0.28-0.40.6 Drain Pipe Size In.[mm] 1-1/4[32] Condensate Lift Mechanism,Maximum Distance In.from) 27-9/16[700] Coating on Heat Exchanger — Extemal Finish Color Galvanized Unit Dimensions W x D x H:In.[mm) 43-5/16 x 28-7/8 x 9-7/8[1100 x 732 x 2501 Package Dimensions W x D x H:In.[mm] 53-3/16 x 34-11/16 x 13-7/16[1350 x 880 x 3411 Unit Weight Lbs.[kg] 691311 Package Weight Lbs.[kg] 82[37] Indoor Unit Operating Temperature Cooling Intake Air Temp[Maximum/Minimum]* °F 90 DB, 72 WB 166 DB, 61 WB Range Heating Intake Air Temp[Maximum/Minimum] "F 77 DB!59 DB NOTES: AHRI Rated Conditions 'Cooling(Indoor//Outdoor) °F 80 DB.67 WB ll 95 DB,75 WB (Rated data is determined at a fixed compressor speed) 'Heating at 47°F(Indoor//Outdoor) °F 70 DB.60 WB/l47 DB,43 WB 'Heating at 17°F(Indoor Il Outdoor) "F 70 DB,60 WS ll 17 DB,15 WB Conditions `Heating at 5°F(Indoor//Outdoor) °F 70 DB,60 WS ll 5 DB,4 WB 'Heating at-4°F(Indoor//Outdoor) °F 70 DB,60 WB ll-4 DB,-5 WB 'Heating at-5°F(Indoor//Outdoor) °F 70 OB,60 WB/!-5 DB,-0 WB 'Heating at-13°F(Indoor//Outdoor) °F 70 DB,60 WB//-13 DB,-14 WB *Outdoor Unit Operating Temperature Range(Cooling Air Temp(Maximum I Minimum)): •Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. **Outdoor Unit Operating Temperature Range(Cooling Thermal Lock-out/Re-start Temperatures;Heating Thermal Lock-out/Re-start Temperatures): •System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: • I , 1 11 1 1 I 1 MCA A 17.0 MOCP A 31 Fan Motor Full Load Amperage A 1 Fan Motor Output W 60 Airflow Rate CFM 2020/1930 Refrigerant Control LEV Defrost Method Reverse Cycle Coating on Heat Exchanger Blue Fin Coating Sound Pressure Level,Cooling' dB(A) 55 Sound Pressure Level,Heating' dB(A) 55 Outdoor Unit Compressor Type DC INVERTER-driven Compressor Model SNB220FQGMlT Compressor Rated Load Amps A 13.0 Compressor Locked Rotor Amps A 16.0 Compressor Oil Type d Charge oz. FV50S/1 15.6 Eztemal Finish Color Ivory Munsell 3Y 7.8/1.1 Base Pan Heater Optional Unit Dimensions W x D x H:In.[mm] 33-1/16 x 13 x 34-5/8[840 x 330 x 880] Package Dimensions W x D x H:In.[mm) 38-9M6 x 16-9/16 x 39 1980 x 420 x 990) Unit Weight lbs.[kg] 129[591 Package Weight Lbs.[kg] 145[66] Cooling Air Temp[Maximum/Minimum]' "F 115 DB 114 DB Outdoor Unit Operating Temperature Coaling Thermal Lockout I Re-start Temperatures" `F 1/5 Range Heating Thermal Lockout/Re•elart Temperatures" "F 10114 Type R410A Refrigerant Charge Lbs,oz 4,14.0 Changeless Piping Length Ft.[m] 25.0[7.51 Additional Refrigerant Charge Per Additonal Piping Length oz./Ft.[g/m] 0.538[50] Gas Pipe Size O.D.[Flared] In.[mm] 5/8[15.881 Liquid Pipe Size O.D.[Flared] In.]mm] 318[9.521 Piping Maximum Piping Length Ft.[m] 1001301 Maximum Height Difference Ft.[m] 100[30] Maximum Number of Bends 10 NOTES' AHRI Rated Conditions 'Cooling(Indoor//Outdoor) "F 80 DB,67 WB//95 DB,75 WB (Rated data is determined at a fixed compressor speed) 'Heating at 47'F(Indoor!/Outdoor) -F 70 DB,60 WB/!47 DB,43 WS 'Heating at 17°F(Indoor//Outdoor) 'F 70 DB,60 WB ll 17 DB,15 WB Conditions 'Heating at 5°F(indoor//Outdoor) •F 70 DB.60 WB//5 DB,4 WB 'Heating at-4°F(Indoor I/Outdoor) •F 70 DB,60 WB//4 DB,-5 WS 'Heating at-5'F(Indoor//Outdoor) -F 70 DB,60 WB//-5 DB.-6 WS 'Heating at-1YF(Indoor//Outdoor) 'F 70 DB,60 WB//-13 DB,.14 WB 'Outdoor Unit Operating Temperature Range(Cooling Air Temp(Maximum/Minimum))' •Applications should be restricted to comfort cooling only,equipment cooling applications are not recommended for low ambient temperature conditions. "Outdoor Unit Operating Temperature Range(Cooling Thermal Lockout I Re-start Temperatures,Heating Thermal Lockout/Re-start Temperatures): •System cuts out In heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. INDOOR UNIT ACCESSORIES: PEAD-A24AA7 3-Pin Connector ❑ PAC-715AD BACnet"and Modbus Interface ❑ PAC-UKPRC001-CN-1 CN24 Relay Kit ❑ CN24RELAY-KIT-CM3 Connector cable for remote display ❑ PAC-SA88HA-EP IT Extender ❑ PAC-WHS01IE-E Control Interface kumo station'0 for kumo cloud` ❑ PAC-WH501HC-E Lockdown bracket for remote controller ❑ RCMKPICB Remote Operation Adapter' ❑ PAC-SF40RM-E Thermostat Interface ❑ PAC-US444CN-1 USNAP Adapter ❑ PAC-WHS0IUP-E Wireless Interface for kumo cloud' ❑ PAC-USWHS002-WF-2 Flush Mount Temperature Sensor ❑ PAC-USSEN001-FM-1 Remote Sensor Remote Temperature Sensor ❑ PAC-SE4ITS-E Wireless temperature and humitlty,sensor for kumo cloud' ❑ PAC-USWHS003-TH-1 Airzone ZBS Wired Blueface Principal Controller White ❑ AZZBSBLUEFACECB Airzone ZBS Wired Lite Controller White ❑ AZZBSLITECB Airzone ZBS Wired Think Controller White ❑ AZZBSTHINKCB Airzone ZBS Wireless Lite Controller White ❑ AZZBSLITERS Wired Remote Controller Airzone ZBS Wireless Think Controller White ❑ AZZBSTHINKRB Deluxe Wired MA Remote Controller' ❑ PAR-40MAAU Simple MA Remote Controller' ❑ PAC-YT53CRAUJ Touch MA Controller' ❑ PAR-CT01MAU-5B kumo touch"RedLINK`Wireless Controller ❑ MHK2 Wireless Remote Controller Wireless MA Receiver ❑ PAR-FA32MA-W Blue Diamond(Advanced)Mini Condensate Pump w/Reservoir&Sensor(208/230V)[recommended) ❑ X87-721 Condensate Blue Diamond(MegaBlue Advanced)Condensate Pump w/Reservoir&Sensor ❑ X87-835 Blue Diamond Sensor Extension Cable—15 Ft. ❑ C13-103 20/2PR,1 PR shielded+1 PR plenum wire for Airzone,100 it reel ❑ CW2042S2-100 Control Wire 20/2PR,shielded+1 PR plenum wire for Airzone,500 ft reel ❑ CW2042S2-500 (30A/600V/UL)[fits 2"X 4"utility box)-Black ❑ TAZ-MS303 Disconnect Switch (30A/600V/UL)[fits 2"X 4"utility box)-White ❑ TAZ-MS303W Filter Box Filter Box with MERV 13 Filter ❑ FBM2-3-A 10'x 3/8"x 10'x 5/8"Lineset(Twin-Tube Insulation) ❑ MPLS385812T-10 100'x 3/8"x 100'x 5/8'Lineset(Twin-Tube Insulation) ❑ MPLS385812T-100 15'x 3/8"x 15'x 5/8'Lineset(Twin-Tube Insulation) ❑ MPLS385812T-15 Lineset 30'x 3/8"x 30'x 518"Lineset(Twin-Tube Insulation) ❑ MPLS385812T-30 50'x 3/8"x 50'x 5/8"Lineset(Twin-Tube Insulation) ❑ MPLS385812T-50 65'x 318"x 65'x 5/8'Lineset(Twin-Tube Insulation) ❑ MPLS385812T-65 NOTES: 'PAC-SF40RM-E(Unable to use with wireless remote controller) Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. OUTDOOR UNIT ACCESSORIES: SUZ-KA24NA2 Air Outlet Guide Air Outlet Guide ❑ MAC-886SG-E M-&PSenes Maintenance Tool Cable Set ❑ M21 EC0397 Control/Service Tool USB/UART Conversion Cable(Required for all laptop connection) ❑ M21EC1397 14 Gauge,4 wire MiniSplit Cable-250 ft.roll ❑ 5144-250 14 Gauge,4 wire MiniSplit Cable-250 ft.roll ❑ SW144-250 14 Gauge,4 wire MiniSplit Cable-50 ft.roll ❑ S144-50 14 Gauge,4 wire MiniSplit Cable-50 ft.roll ❑ SW144-50 Mini-Split Wire 16 Gauge,4 wire MiniSplit Cable-250 ft.roll ❑ 5164-250 16 Gauge,4 wire MiniSplit Cable-250 ft.roll ❑ SW164-250 16 Gauge,4 wire MiniSplit Cable-50 ft.roll ❑ S164-50 16 Gauge,4 wire MiniSplit Cable-50 ft.roll ❑ SW164-50 Condensing Unit Mounting Pad:16"x 36'x 3" ❑ ULTRILITEI Mounting Pad Outdoor Unit 3-1/4 inch Mounting Base(Pair)-Plastic ❑ DSD400P Optional Defrost Heater Base Heater ❑ MAC-642BH-Ul 18"Single Fan Stand ❑ QSMS1801 M 24"Single Fan Stand ❑ QSMS2401 M Stand Condenser Wall Bracket ❑ OSWB2000M-1 Outdoor Unit Stand—12'High ❑ QSMS1201 M Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. INDOOR UNIT 1 • 1 Opposite piping 378(14-15/16) 153(6.1116) Note 1.Use an M 10 screw for the suspension bolt wde wew (field supply). Fresh air intake a100(3-15116) Dnsln I e O.D e32 1-114 knock out hole 2.Keep the service apace for maintenance (Emergency drain) "1—TT Note 4 at the bottom. Bottom _ 3•e2.9(1/8)mount hob 33his drawing is for 24-30.36.42 KBTU/H e125 �#- Inlet air models,whlch have 2 tans. I side view 09-12-15 18 KBTU/H models have 1 fan. 15(5/8) 9(3/4) 210(8.5n8 4.If the inlet duct is used,remove the air 1 filter(supplied with the unit),then 211E 9 Ire rri M install the fitter(field supply)at the suction side. Outlet eir Top 5.Heat air to 0°C(32°F)or higher when side view L view I taking fresh air with a fresh air intake. p Q U Air fitter Air Air outlet inlet 8 U) A Unitmm(in.) Model J 1 Gas pipe 2 Liquid pipe �+ 10(7116) 09 KBTUM 62 09.52 01.35 S i7S ^T�i rr'' 2-1/2 3/8 (tl4) ,1 ,18 82 012.7 06.35 MH LLJ AKBTU/H 2-1/2) 1/2) 114 d ?l (Suspension bolt pitch) 24,30 KBTUM 86 e15.88 09.52 x 57(2-1(4) 843(25.118 �t r`+ (2S/8) (518) (3/8) Fi 36,42 KBTUM 732(28-7/8) N m r�3 32(15116) 700 27-8/78 a! b 238(9-3/e) Drain pipe Drain pump Unit:mm(in.) 2 Refrigerant piping(liquld) 10(7/18) (ImeamltlR Dvmo owed Model A B c D E F G H N $ (o.oe32(1.1/g1 To 09,12,15JB 900 954 1000 880 800 858 72 KSTU/H (35-7116) (37-9116) (393/B) (33-7181 a (31-1/2) (33-13116) (2-7/8) 1100 1154 1200 1060 1000 1058 A "KBTUIH (43-yt6) (45.7116) (47-1/4) (N-314)11 (39-318) (41-11/16) 78 w 1400 1464 1500 1360 1300 1358 (3-118) rs (55.1/8) (57.114) (59-1118)(53AI18114 (51.3116) (53-112) .., m ro 2X2�2. 1l8 ) Contrd box Bottom 1 Refrigerant piping(gas) Terminal bktdr Transmission g 871e1 I Terminal block Power... Piping aide view 1 356(14-1116) I Drain plpe(0.0032(1-114))(Graysy drain) Specifications are subject to change without notice. 0 2021 Mitsubishi Electric Tirane HVAC US LLC.All rights reserved. w. Sao z w �9 a • o° '�. l ` ..• tit '• `► jw A r T � jjl� l O w, �� ��� t�' r�k �� = •yam �Y� .a,�..a,� +rK"-.f ��� .♦ �","_ Jac 9 ilk. it jr . ;�Lfs• art . REC ENE ` JAN 2 6 2024 VILLAGE OF RYE BROOK Angelo Spray Foam Corp BUILDBUILDING DEPARTMENT ING . . _......__..�... 329 Ely Avenue Norwalk,CT 06854 M` (646)548-4547—Office 10 Angelosprayfoamcorp@gmail.com Angelo Spray Foam Corp January 26, 2024 Certification of Spray Foam Insulation 39 Meadowlark Road Rye Brook, NY CLOSED CELL Kitchen exterior walls (R21) Raquel Rojas Angelo Spray Foam Corp (646) 548-4547 VILLAGE OF RYE BROOK ZONING BOARD OF APPEALS RESOLUTION WHEREAS, application has been made to the Zoning Board by Lawrence Rose & Lauren Rose (the"Applicants") for a front yard setback variance of 13.2 feet where the minimum required front yard setback for this property is 45.2 feet pursuant to Village Code § 250-19.H(1), in connection with the proposed two story front addition and new front porch alterations, on property located at 39 Meadowlark Road, in an R-20 zoning district on the South side of Meadowlark Road, approximately 830 feet from the intersection of Oriole Place and Meadowlark Road. Said premises being known and designated on the tax map of the Village of Rye Brook as Parcel ID# 129.84-1-7 (the "Property"); and WHEREAS, a duly advertised public hearing was held on August 4, 2020 and continued to September 1, 2020, at which time all those wishing to be heard were given such opportunity; and WHEREAS,the public hearing was closed on September 1, 2020; and WHEREAS,the proposed action is a Type II action pursuant to the New York State Environmental Quality Review Act and accordingly, no further environmental review is required; and WHEREAS, the Board, from the application, after viewing the premises and neighborhood concerned, and upon considering each of the factors set forth at Section 250-13(G)(b)[2][a]-[e] of the Rye Brook Code, finds: 1) The variance WILL NOT create an adverse impact to the character of the neighborhood; 2) The benefit the Applicants seek CANNOT be achieved through another method, feasible for the Applicants to pursue, that does not require the variance; 3) The variance IS substantial; 4) The variance WILL NOT create any adverse impacts to the physical or environmental conditions of the neighborhood; and 5) The need for the variance IS self-created. D ^ E 0 V E SEP - 2 2020 1313/08/7/6896v/ 9/2/20 VILLAGE CLERK'S OFFICE -1- NOW, THEREFORE, BE IT RESOLVED that the said application for a front yard setback variance of 13.2 feet where the minimum required front yard setback for this property is 45.2 feet pursuant to Village Code § 250-19.H(1) is hereby GRANTED on the following conditions: 1) No permit or certificate of occupancy shall be issued until the Applicants have paid in full all application and consultant fees incurred by the Village in connection with the review of this application. 2) The variance shall only apply to the front porch alterations set forth in the Applicant's plans last revised on August 20, 2020 (Drawing No. A-1). This Resolution does not grant a front yard setback variance to any other portion of the home. 3) The front porch shall remain open and unenclosed. 4) No second story addition shall be installed over the front porch except as permitted in the plans last revised on August 20, 2020. Dated: September 1, 2020 Don Moscato Mr. Don Moscato, Chairman Mr. Moscato called the roll: Steven Berger Voting: _x Aye Nay Abstain Glenn Brettschneider Voting: _x Aye Nay Abstain Jamie Schutzer Voting: _x_Aye Nay Abstain Joel Simon Voting: _x_Aye Nay Abstain Don Moscato Voting: _x_Aye Nay Abstain _5_Ayes _0_Nays Abstain 1313/08/716896v 1912120 -2- RECEIVED SEP - 9 2021 VILLAGE OF RYE BROOK VILLAGE CLERK'S OFFICE ZONING BOARD OF APPEALS RESOLUTION WHEREAS, on September 1, 2020 the Village of Rye Brook Zoning Board of Appeals granted Lawrence Rose & Lauren Rose (the "Applicants") a front yard setback variance of 13.2 feet where the minimum required front yard setback for this property is 45.2 feet pursuant to Village Code § 250-19.H(l), in connection with the proposed two story front addition and new front porch alterations, on property located at 39 Meadowlark Road, in an R-20 zoning district on the South side of Meadowlark Road, approximately 830 feet from the intersection of Oriole Place and Meadowlark Road. Said premises being known and designated on the tax map of the Village of Rye Brook as Parcel ID# 129.84-1-7 (the "Property"); and WHEREAS, on March 2, 2021 the Board granted a six (6) month extension of the variance referenced herein to expire on September 2, 2021, unless a building permit is issued; and WHEREAS, the Zoning Board is in receipt of a letter from John G. Scarlato Jr., dated September 3, 2021 requesting an extension of the variance for another six (6) months; and WHEREAS, the Applicant needs more time to start the project due to current economic conditions and the availability of material and contractors; and WHEREAS, the Zoning Board has the authority pursuant to Village Code § 250-13.1-1 to grant an extension of the original variance approval for an additional six (6) months if the applicant demonstrates that there is a good cause for an extension. NOW, THEREFORE, BE IT RESOLVED, that the Village of Rye Brook Zoning Board hereby grants a six (6) month extension of the variance referenced herein for property located at 39 Meadowlark Road to expire on March 2, 2022 unless a building permit is issued prior to March 2, 2022. BE IT FURTHER RESOLVED, except as specifically modified by the amendment contained herein, the Zoning Board of Appeals Resolution dated September 1, 2020, and the conditions set forth therein, is otherwise to remain in full force and effect. Dated: September 8, 2021 Mr. Moscato called the roll: Steven Berger Voting: Aye Glenn Brettschneider Voting: Aye Jamie Schutzer Voting: Aye Joel Simon Voting: Excused Don Moscato Voting: Aye 10 VILLAGE OF RYE BROOK D DD ZONING BOARD OF APPEALS MAR - 4 2021 RESOLUTION VILLAGE CLERK'S OFFICE WHEREAS, on September 1, 2020 the Village of Rye Brook Zoning Board of Appeals granted Lawrence Rose & Lauren Rose (the "Applicants") for a front yard setback variance of 13.2 feet where the minimum required front yard setback for this property is 45.2 feet pursuant to Village Code § 250-19.H(1), in connection with the proposed two story front addition and new front porch alterations, on property located at 39 Meadowlark Road, in an R-20 zoning district on the South side of Meadowlark Road, approximately 830 feet from the intersection of Oriole Place and Meadowlark Road. Said premises being known and designated on the tax map of the Village of Rye Brook as Parcel ID# 129.84-1-7 (the "Property"); and WHEREAS, the variances will expire on March 1, 2021 pursuant to Village Code § 250-13.1-1; and WHEREAS, the Zoning Board is in receipt of a letter from John G. Scarlato Jr., dated February 4, 2021 requesting an extension of the variances; and WHEREAS, the Applicant seeks to delay the start of construction given the current state of uncertainty with the COVIDI9 pandemic; and WHEREAS, the Zoning Board has the authority pursuant to Village Code § 250-13.1-1 to grant an extension of the original variance approval for an additional six (6) months if the applicant demonstrates that there is a good cause for an extension; and NOW, THEREFORE, BE IT RESOLVED, that the Village of Rye Brook Zoning Board hereby grants a six (6) month extension of the variance referenced herein for property located at 39 Meadowlark Road to expire on September 2, 2021 unless a building permit is issued prior to September 2, 2021. BE IT FURTHER RESOLVED, except as specifically modified by the amendment contained herein, the Zoning Board of Appeals Resolution dated September 1, 2020, and the conditions set forth therein,is otherwise to remain in full force and effect. Dated: March 2, 2021 Don Moscato Mr. Don Moscato, Chairman 1313/008/4846-7701-8846v1 314121 Mr. Moscato called the roll: Steven Berger Voting: Aye Glenn Brettschneider Voting: Aye Jamie Schutzer Voting: Aye Joel Simon Voting: Aye Don Moscato Voting: Aye 1313/008/4846-7701-8846v1 314121 L y tt• y Itt. Y Y y . 1 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Fax (914) 939-5801 Christopher J. Bradbury www.rvebrook.org TRUSTEES BUILDING&FIRE Susan R.Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein NOTICE OF HEARING ON APPLICATION NOTICE IS HEREBY GIVEN that the undersigned has tiled an application to appear before the Zoning Board of Appeals of the Village of Rye Brook. Application * 19-014 Applicant: Lawrence Rose& Lauren Rose 39 Meadowlark Road Rye Brook, New York 10573 Applicant Proposes to: Construct a two story front addition, new front porch, new rear deck & interior alterations. At the premises known as 39 Meadowlark Road in the Village of Rye Brook, New York, situated on the South side of Meadowlark Road. approximately 830 feet from the intersection of Oriole Place and Meadowlark Road. designated and shown on the most current tax map as Parcel ID# 129.84-1-7, the applicant does hereby request a variance(s) from the following applicable section(s) of the Zoning Ordinance: 9 250-19.H. (1) The minimum required front yard setback for this property is 45.2 feet. The existing non-conforming front yard setback is 42.41 feet. The proposed construction will result in a front yard setback of 32 feet. Therefore a front yard setback variance of 13.2 feet is requested. A Public Hearing on said application will be held before the Village Zoning Board of Appeals on Tuesday, February 4, 2020, at 8 o'clock p.m. at the Village of Rye Brook Offices located at 938 King Street, Rye Brook, NY 10573. Plans and other materials associated with the proposed application may be reviewed and downloaded via the Meetings/Agendas link from the Rye Brook website homepage. and are available for review at the Building Department. J Dated: 6(-63-2N ; Christopher J. radbury, ge Clerk y L�L�uJJ L��L i VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914)939-0668 Fax(914) 939-5801 Christopher J. Bradbury www.rvebrook.or¢ TRUSTEES BUILDING&FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein NOTICE OF HEARING ON APPLICATION NOTICE IS HEREBY GIVEN that the undersigned has filed an application to appear before the Zoning Board of Appeals of the Village of Rye Brook. Application N 19-014 Applicant: Lawrence Rose& Lauren Rose 39 Meadowlark Road Rye Brook, New York 10573 Applicant Proposes to: Construct a two story front addition, new front porch, new rear deck& interior alterations. At the premises known as 39 Meadowlark Road in the Village of Rye Brook, New York, situated on the South side of Meadowlark Road, approximately 830 feet from the intersection of Oriole Place and Meadowlark Road. designated and shown on the most current tax map as Parcel ID# 129.84-1-7, the applicant does hereby request a variance(s) from the following applicable section(s) of the Zoning Ordinance: S 250-19.H. (1) The minimum required front yard setback for this property is 45.2 feet. The existing non-conforming front yard setback is 42.41 feet. The proposed construction will result in a front yard setback of 32 feet. Therefore a front yard setback variance of 13.2 feet is requested. A Public Hearing on said application will be held before the Village Zoning Board of Appeals on Tuesday, August 4, 2020, at 8 o'clock p.m. at the Village of Rye Brook Offices located at 938 King Street, Rye Brook, NY 10573. Plans and other materials associated with the proposed application may be reviewed and downloaded via the Meetings/Agendas link from the Rye Brook website homepage, and are available for review at the Building Department. Due to public health and safety concerns related to COVID-19,the Zoning Board of Appeals will not be meeting in-person. In accordance with the Governor's Executive Order 202.1,the August 4,2020 Zoning Board of Appeals meeting will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments. The public can wa tch etch the Irve meeting on Cable TV, online from the Public Meetings link on the Village website (www.rvebrook.or¢), and through the Zoom App. If any interested members of the public would like to provide comments on an application, comments can be called in during the meeting at+1(929)205-6099,Meeting ID: 838 3889 4816 or provided through the written chat section of the Zoom meeting. Comments can also be provided via email before and during the meeting to Michael Izzo,Village Building Inspector,at mizzo(a),rvebrook.or¢. Please check the meeting Agenda posted on the Village website for further instructions to access the virtual meeting and for updated information. Plans and other materials associated with the proposed application may be reviewed and downloaded via the Public Meetings link from the Rye Brook website. Dated: Christopher J. Bradbury, illage Clerk QyE OR C�4Cj-JV i G� V G J�Gc V4u J 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Fax(914) 939-5801 Christopher J. Bradbury www.rvebrook.orq TRUSTEES BUILDING &FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein NOTICE OF DISAPPROVAL Application # 19-014 November 25, 2019 Lawrence Rose &Lauren Rose 39 Meadowlark Road Rye Brook,New York 10573 PLEASE TAKE NOTICE that your application for building permit dated, October 29, 2019, for the premises located at 39 Meadowlark Road, Parcel ID# 129.84-1-7, has been disapproved because of non- compliance with the following section(s) of the Code of the Village of Rye Brook: § 250-19.H. (1) The minimum required front yard setback for this property is 45.2 feet. The existing no-conforming front yard setback is 42.41 feet. The proposed construction will result in a front yard setback of 32 feet. Please revise your plans to fully comply with the applicable section(s) of Village Code, or an appeal to this decision may be brought before the Village Zoning Board of Appeals (ZBA) in accordance with §250-13 and §250-40 of the Code of the Village of Rye Brook. Applications to appear before the ZBA are available at the Building Department or online at www.ryebrook.org. Sincerely, Michael J. Izzo Building & Fire Inspector mizzo -,Uebrook.org BUILDI TMENT p [E C E O V E VILL OT'R OOK >lrrrrr sr JAN -3 2620 RY ` ootc;NY;,] 3 PHONE(914)9 > 914) 939-5801 VILLAGE OF RYE BROOK wVWMVWV /rg BUILDING DEPARTMENT APPLICATION TO THE ZONING BOARD OF APPEALS Application Fee: $350.00 aid • Escrow Fee: $1,000.00 aid Date:11;3/'2Q0� 9rvk�r�9r4:stkk*9c�rSrok�r9c9e:Fk�e**i kk*9c�kk�k*k9ci�c�l*Y:t9c:@�9e**9:*4*��*ok*ok9eM**:t�inteYirok1r9e4tlr*9ek9e9t9eak Subject Property: 3°� P-)E-CLDOW LQr1L 910 Parcel ID#: I29 e Q94 —1 --1 Zone: R-Zo Property Owner: 6 LO_uren Address: 39 M eRT}owL_arlCr Phone#: J Cell#: 114 JrZ Z- 77 84 email: --Gal re►\ ro k_\ c..sLg .@ 6»m.m,Coo, Applicant: Address: Phone#: Cell M email: Attorney/Agent: h C a. Address: 3 8 ..mk;.\ 141 fir non f ' f dT_ Phone#: a _3- 73 Sb Cell #: 9/ —01 -Z email_l 6$Czar-J, �--u y The applicant named herein does hereby request an appeal from the decision made by the Building Inspector on an application dated 1 l I Z , 20 1 9 , whereby the Building Inspector did: Grant: ( )/Deny; (�- the applicant a permit for �p,A-J Eronj} 101-44 AZaor'-1 9 G On y�'ic r, G ht9 1�494y j Yo n+ ,pu rvl, 1. Type of Appeal: (4ariance to the Zoning Ordinance ( )Interpretation of the Zoning Ordinance ( ) Certification for Continuation of a Nonconforming Use ( } Permit for Occupancy ( )Permit for Use 2. This application relates to: ( )Use ( )Area ( )Height (vfSetback ( )Other: In connection with: ( )A Proposed Building ( )An Existing Building 3. Previous Appealfs); ( )Have (Have Not been made with respect to this particular decision of the Building Inspector, and ( )Have ( )Have Not been made with respect to any other previous decision(s) made by the Building Inspector regarding the subject property. List All Previous Zoning Appeals Either Granted or Denied Concerning the Subject Property a. A requested variance was( )Granted I( )Denied on application# dated, for, b. A requested variance was( )Granted/( )Denied on application# dated, for, c. A requested variance was( )Granted/( )Denied on application# dated, for, t (Use additional sheets if necessary) 3/21/19 4. Alteration: If work constitutes an alteration or extension to an existing building,�7 describe briefly: rron+ Ave/h ors 7b ,�. u Li Y nu S leK Oec,4 i ,00/1 /'n'77 )CO��g& 5. Construction Cost: What is the estimated cost of the proposed work? $ /So/000, o 0 6. Reasons for Appeal: A. An Area Variance to the Zoning Ordinance is requested because strict application of the ordinance would create the following hardship: anLT Wo,±� _A, o,&& - i y"OZAer- -1 o wreoe" � S C Yoy-,* of -t-6s , Faw.�4 U A,1 A C P-(L46 6 0,KS a� a Yt y 4Nev- l_eas-e_L so w-e. Car V-Ao-\- Gyp of-kr *-4.v- Gr SepC-C. F-tj-tr r-e eds A, coy-e- aL,y� tJJ 1 $c.*h r^n 0,Y)y I-El by\. net..,, 1:(% ,h aCfcA, is -For -r-jnQA av f2 r%n -+a- :51G jfa 'Vr-P— k�onmeo 'Co mw-- le&coow, ou4-r to Afu c . W o,,t✓o cl^e"e C..'Mict, VNayhr UQ)-�6-1 $ —to 210-$-L P2434er -44 tr-ear of }-6QA, Wavt.h c, v1OC n t' QYy B. An Interpretation of the Zoning Ordinance is requested because: C. A Use Variance to the Zoning Ordinance is requested because strict application of the ordinance would create the following hardship: 2 (Use additional sheets ifnecessaiy) 3/21/19 7: Requested Zoning Anneals: I.Section of Rye Brook Code: § ZS•O— 1 9. I.4• 1) Zoning Requirement:'T 4c yni n trh rm 12e va�ired F'ro„r tiara Se earn IFoc 7-41s p2 „y,, S 451Z Fbirr, -C12�Paca -1 r n� non r nn Comm r n 4 FrOn f y a rh 5-e r•.E ,y -4 2.$1 I=r Proposed Work: pron( - en Cm 5-ky,,e.1=On )i 11 (Z�u�-i- T3A•c,,, Qi:- 32 P' Requested Variance: 1 3. Z �1 15oo?" I/4rrlenc� �-'rnr. (Letllrersu� �C.-,�- �4rr� 4-eT� �c 4ef 13 n' 62 1 0.4 An •. j 1-1�ianjr y✓l� 5•eTl31�c,L, II.Section of 4e Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: M.Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: IV.Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: V. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: 3 (Use additional sheets if necessary) 3/21/19 8. Item checldist of information from instruction sheet: Wrop r of Disapproval erly Completed &Signed Original Zoning Variance Application (v)"T (2) Sets of Sealed Plans ( Non-refundable Application Fee of$350.00 ( crow Account Fee of$1,000.00 ( ) Provisions of any deeds, covenants, easements or restrictions affecting the kind of improvements allowed or prohibited upon the premises. { ) Notarized Mailer& Sign Affidavits, Area Map &Public Notification List (Please note that the notarized affidavits must be received by the Building Depatlment by no later than the Thursday prior to the scheduled zoning hearing) ######R#R####R#RR##RR#RRR#R#R#####R#######R#R#R########R##########R#######RR###########RR################## This application must include the notarized signature(s) of the applicant of record as well that of the legal owner(s) of the subject property in the spaces provided below. Any application not properly signed shall be deemed null and void and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: .�hn G Scar I a,{ e�2. ,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 A.(2Cd4-x 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 determination of, and any conditions set by the Rye Brook Zoning Board of Appeals, with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. �/, Sworn to fore me this A Sworn to before me this day of �•CD�c(�-(h i , 20 Ql day of , 20 L Notaty Public 6 - Notary Public Sign tule of Property Owner Signature of Applicant L�WromeQ G)- Po% Print Name of Property Owner Print Name of Applicant DENISE BERGONZI NOTARY PUBLIC OF NEW JERW My Commission Expires 3/5/20;V—!� 4 3/21/19 JOHN G. SCARLATO JR. ARCHITECT 33 BYRAM HILL ROAD L ARMONK, NY 10504 FEP _ 3 2021 PHONE 914 273-7350 VILLAGE CIF RYE 13ROOK EMAIL JGSCARLATO@GMAIL.COM -._��I � t?EAF TMENT September 3, 2021 Village of Rye Brook Zoning Board of Appeals 938 King Street Rye Brook,NY 10573 RE: 39 Meadowlark Road Dear Zoning Board of Appeals: We would like to request an extension of another 6 months to the approved zoning variances we got last year. Do the COVID-19 virus and the economic conditions and the availability of material and contractors the homeowner needs more time to start the project. There plan is to start this coming spring. We thank you for your consideration on approving the extension. Sincerely, John G. Scarlato Jr. Architect. gyp - FEB - 4 2021 JOHN G. SCARLATO JR. VILLac�E a RYE BROOK BUILDING OETIARTP.IENT ARCHITECT 33 BYRAM HILL ROAD ARMONK, NY 10504 PHONE 914 273-7350 EMAIL JGSCARLATO@GMAIL.COM February 4,2021 Village of Rye Brook Zoning Board of Appeals 938 King Street Rye Brook,NY 10573 RE: 39 Meadowlark Road Dear Zoning Board of Appeals: We would like to request an extension of one year to the approved front yard setback variance we got last year. Do the COVID-19 virus and the economic conditions the homeowner needs more time to start the project. We thank you for your consideration on approving the extension. Sincerely, John G. Scarlato Jr. l� Architect. i i II I August 24, 2020 pECENE�_ FSEP 22 2020 Zoning Board of Appeals LAE OF RYE BROOK Village of Rye Brook BUI DING DEPARTMENT 938 King Street Rye Brook, NY 10573 Re: Rose Residence 39 Meadowlark Road Members of the Zoning Board of Appeals: I am a neighbor of Lauren and Lawrence Rose who reside at 39 Meadowlark Road, Rye Brook. I have reviewed copies of the most recent revised plans for the renovation of the Rose residence submitted to the Zoning Board of Appeals, including the plans for the front porch addition. I am in full support of the renovation as proposed by the Roses including the front porch. I believe the renovation will enhance and beautify our neighborhood and have no detrimental effect. Respe Ily submitted, i v L Name Address )6&- Z// ECEWE August 24, 2020 I f V SEP - 2 2020 Zoning Board of Appeals VILLAGE OF RYE BROOK j Village of Rye Brook BUILDING DEPARTMENT 1 938 King Street Rye Brook, NY 10573 Re: Rose Residence 39 Meadowlark Road _. Members of the Zoning Board of Appeals: I am a neighbor of Lauren and Lawrence Rose who reside at 39 Meadowlark Road, Rye Brook. I have reviewed copies of the most recent revised plans for the renovation of the Rose residence submitted to the Zoning Board of Appeals, including the plans for the front porch addition. I am in full support of the renovation as proposed by the Roses including the front porch. I believe the renovation will enhance and beautify our neighborhood and have no detrimental effect. Respectfully submitted, Name Address PC 649 �T JOHN G. SCARLATO JR. D ARCHITECT 33 BYRAM HILL ROAD JUL 3 0 2020_ VILLAGE OF RYE BROOK ARMONK, NY 10504 - BUILDING DEPARTMENT PHONE 914 273-7350 FAX 914 273-9222 July 30, 2020 Village of Rye Brook 938 King Street Rye Brook,NY 10573 RE: 39 Meadowlark Road AFFIDAVIT OF MAILING NOTIFICATION & POSTING OF SIGN Dear Zoning Board of Appeals: This letter is stating that my office Mailed out the Notice of Public Hearing letter for 39 Meadowlark Road, according to the village's regulations. The mailing was mailed on July 24, 2020. The sign was created in accordance with the regulations of the village of Rye Brook and put up on July 27, 2020, and will stay up till after the meeting on August 4, 2020. Sincerely, John G. Scarlato Jr. Sworn to before me this day 92020 Notary Publice-�� SHARI MELILLO Notary public, State of New York No. 01 ME6160063 Qualified in Westchester County Cnmrnlssinn Exnirns.larn ia^ ?a ?n 7iQ. JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 8/27/20 Tara Village of Rye Brook 938 King Street Rye Brook, NY 10573 Dear Tara: RE: 39 Meadowlark Enclosed is a copy an 11 x 17 and 24 x 36 copy of revised pages per zoning board . A-1 A-2 A-7 are pages revised showing change in roof of porch and portico. If you have any questions, please give me a call. Thank you for your help. Sincerely, -/1 John G. Scarlato Jr. JOHN G. SCARLATO JR. ARCHITECT 33 BYRAM HILL ROAD ARMONK, NY 10504 PHONE 914 273-7350 FAX 914 273-9222 August 24, 2020 Village of Rye Brook AUG 2 5 2020 938 King Street Rye Brook,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Zoning Board of Appeals: This letter is stating that my office created and posted the variance sign for 39 Meadowlark Road in accordance with village regulations. The sign was posted on August 18, 2020 and it will remain up until after the zoning board meeting on September 1, 2020. Sincerely, John G. Scarlato Jr. Architect Sworn to before me this day of 2020 Notary Publi Ae-xx-� SHARI MEULLO Notary Public,State of New York No.01 ME6160063 Oualifled in Westchester County Commission Expires Januanv 29.20 Tara Gerardi From: Lawrence Rose <lwrose1 @gmail.com> Sent: Wednesday,July 1, 2020 9:07 AM To: Tara Gerardi Cc: Lauren Rose Subject: Rose Residence - 39 Meadowlark Road Please place our application on the agenda for the August 2020 ZBA meeting. Thank you, Lawrence Rose oF � o � � Lawrence W. Rose JUL - 2020 C: (201) 310-2195 E: lwrosel(a gmail.com VILLAGE OF RYE BROOK ; BUILDING nEPART-MI.ENT i Tara Gerardi From: Lawrence Rose <Iwrose1@gmai1.com> D E V �J� � �V E Sent: Monday, February 03, 2020 9:37 AM To: Tara Gerardi Cc: Lauren Rose FEB - 3 2020 Subject: Re: Rose VILLAGE OF RYE BROOK BUILDING DEPARTMENT 39 Meadowlark Road Please be advised that we respectfully request an adjournment of our appearance before the Zoning Board of Appeals. We will advise once we are in a position to reschedule. Thank you, Lawrence Rose On Mon, Feb 3, 2020 at 9:24 AM Tara Gerardi <t erardi ,ryebrook.org> wrote: Will it be for next month's agenda? Please send me something in writing stating you would like an adjournment. Tara TARA A. GERARDI SECRETARY — PLANNING BOARD, ZONING BOARD OF APPEALS & ARCHITECTURAL REVIEW BOARD VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NEW YORK 10573 OFFICE (91 4) 939-0668 FAx (914) 939-5801 i y DR Village of Rye Brook Zoning Board of Appeals Meeting Tuesday, February 4, 2020 at 8:00 PM Lo�� Village Hall, 938 King Street 1. ITEMS: 1.1. #19-016 Bradley Scharf&June Scharf 8 Magnolia Drive Construct a rear one story addition& new rear deck. Mail Affidavit Sign Affidavit Approvals; Adjournment Aye; Nay; 1.2. #19-014 Lawrence Rose & Lauren Rose 39 Meadowlark Road Construct a two story front addition, new front porch, new rear deck& interior alterations. Mail Affidavit Sign Affidavit Approvals; Adjournment Aye; Nay; DM MI SB SF GB PP JDS K&B JS DH 1 1}R(�v� Village of Rye Brook Ap-enda Zoning Board of Appeals Meeting c� Tuesday, February 4, 2020 at 8:00 PM Village Hall, 938 King Street 190 1.3. #20-001 Edward Holleran&Nancy Holleran 7 Ridge Boulevard Legalize the existing two car garage addition permitted on 8/22/1953. Mail Affidavit Sign Affidavit Approvals; Adjournment Aye; Nay; 2. SUMMARY APPROVALS: 2.1. Approval of January 7, 2020 Zoning Board Summary Approvals; Adjournment Aye; Nay; DM MI SB SF GB PP JDS K&B JS DH 2 Village of Rye Brook ,X .SRC u . A enda J w U y-' Zoning Board of Appeals Meeting tL C C.;ram Tuesday, September 1, 2020 at 8:00 PM Village Hall,938 King Street ANNOUNCEMENT: Due to public health and safety concerns related to COVID-19, the Zoning Board of Appeals will not be meeting in-person. In accordance with the Governor's Executive Order 202.1, the September 1, 2020 the Zoning Board of Appeals meeting will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments. The public can watch the live meeting on Cable TV, online from the Public Meetings link on the Village website (www.ryebrook.org), and through the Zoom App. If any interested members of the public would like to provide comments on an application, comments can be called in during the meeting at+1 (929)205-6099, Meeting ID:816 6847 3172 or provided through the written chat section of the Zoom meeting. Comments can also be emailed before and during the public hearing to Michael Izzo, Village Building Inspector, at mizzo(&ryebrook.org. Please check the Village website for updates. INSTRUCTIONS TO ACCESS THE VIRTUAL MEETING: If you have a computer,tablet or smartphone, you can register, log in and see the video and hear the audio of the live session. You can access the Zoom meeting at hMs://us02web.zoom.us/i/81668473172and clicking on"Join a Meeting", and enter Meeting ID: 816 6847 3172 (no password required). You can also call in to the ZOOM meeting at+1 (929)205-6099, when prompted, enter 816 6847 3172#. On the evening of September 1, 2020, 5 minutes before 8:00 p.m., log in with your computer, smartphone or telephone. You will be placed on hold until the meeting starts. Questions about accessing the Zoom videoconference should be emailed to amarshallArryebrook.org. 1. ITEMS: 1.1. #19-014 (Adjourned from 8/4/2020) Lawrence Rose &Lauren Rose 39 Meadowlark Road Construct a two story front addition,new front porch,new rear deck&interior alterations. Approvals; Adjournment DM ✓ MI Aye; S - C,0"-U �T�o�A L SB SF GB v' PP Nay; JDS K&B JS 7 44 DH 1 1.2. #20-014 Feliks Koyfman& Susan Lutinger 4 Old Orchard Road Install a 22kw natural gas fired generator in the front yard. Mail Affidavit Sign Affidavit Approvals; Adjournment Aye; Nay; 2. SUMMARY APPROVALS: 2.1. Approval of August 4, 2020 Zoning Board Summary Approvals; Adjournment Aye; Nay; DM / Ml SB ✓ SF GB '-T PP JDS ,/ K&B is DH 2 Village of Rye Brook R�u�: Agenda Zoning Board of Appeals Meeting " ` `° "J" Tuesday,August 4,2020 at 8:00 PM Village Hall, 938 King Street ANNOUNCEMENT: Due to public health and safety concerns related to COVID-19, the Zoning Board of Appeals will not be meeting in-person. In accordance with the Governor's Executive Order 202.1,the August 4, 2020 the Zoning Board of Appeals meeting will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments. The public can watch the live meeting on Cable TV, online from the Public Meetings link on the Village website (www.ryebrook.org), and through the Zoom App. If any interested members of the public would like to provide comments on an application, comments can be called in during the meeting at+1 (929)205-6099, Meeting ID:838 3889 4816 or provided through the written chat section of the Zoom meeting. Comments can also be emailed before and during the public hearing to Michael Izzo, Village Building Inspector, at mizzo ,ryebrook.org. Please check the Village website for updates. INSTRUCTIONS TO ACCESS THE VIRTUAL MEETING: If you have a computer,tablet or smartphone,you can register, log in and see the video and hear the audio of the live session. You can access the Zoom meeting at https://us02web.zoom.us/i/83838894816 and clicking on"Join a Meeting", and enter Meeting ID: 838 3889 4816 (no password required). You can also call in to the ZOOM meeting at+1 (929)205-6099, when prompted, enter 838 3889 4816#. On the evening of August 4, 2020, 5 minutes before 8:00 p.m., log in with your computer, smartphone or telephone. You will be placed on hold until the meeting starts. Questions about accessing the Zoom videoconference should be emailed to amarshallna,ryebrook.org. 1. ITEMS: 1.1. #19-014 (Adjourned by Applicant from 2/4/2020) Lawrence Rose & Lauren Rose 39 Meadowlark Road Construct a two story front addition, new front porch, new rear deck& interior alterations. DM / MI SB V SF Mail Affidavit Sign Affidavit GB PP Approvals; Adjournment JDS K&B JS Aye: DH Nay: 2. SUMMARY APPROVALS: 2.1. Approval of July 7, 2020 Zoning Board Summary Approvals; Adjournment Aye; Nay; DM / M[ SB V SF GB PP JDS K&B JS DH BRnvk Village of Rye Brook Agenda Zoning Board of Appeals Meeting Q t` Wednesday, September 8, 2021 at 8:00 PM Village Hall, 938 King Street 1.3. #19-014 Lawrence Rose&Lauren Rose 39 Meadowlark Road Request extension of approval of Zoning variance,Village Code 250-13.H. Approvals; L� Adjournment Aye; ` v�j p -'T Nay; 2. SUMMARY APPROVALS: 2.1. Approval of July 6,2021 Zoning Board Summary Approvals; Adjournment Aye; Nay; 2.2. Approval of August 3,2021 Zoning Board Summary Approvals; Adjournment Aye; Nay; DM NU y SB SF GB K&B JDS JS DH 2 BR(�v� Village of Rye Brook enda Lo''' 1' Zoning Board of Appeals Meeting 4 tLLt.�u +w Wednesday, September 8,2021 at 8:00 PM Village Hall,938 King Street 1. ITEMS: 1.1. #21-026 (Adjourned to Octobers,2021) Howard Gordon&.Susan Gordon 11 Candy Lane Rebuild rear deck with new firepit and install new siding. 1.2. #21-028 Valenti Communications Corp. 111 South Ridge Street Convert office space to an art studio. Mail Affidavit Sign Affidavit Approvals; Adjournment Aye; Nay; DM MI SB SF GB K&B JDS JS DH Village of Rye Brook Rnv� Agenda J� Zoning Board of Appeals Meeting tip c,."uJ�v Tuesday,March 2,2021 at 8:00 PM Village Hall, 938 King Street ANNOUNCEMENT: The March 2,2021 Zoning Board of Appeals meeting will be held via videoconferencing and in-person, if permitted by the Governor's Executive Orders. The public will have an opportunity to see and hear the meeting live and provide comments. Further information on in-person attendance, if permitted,will be available on the Village website. The public can watch the live meeting on Cable TV,online from the Public Meetings link on the Village website(www.ryebrook.org), and through the Zoom App. If any interested members of the public would like to provide comments on an application,comments can be called in during the meeting at+1 (929)205-6099,Meeting ID: 843 6290 2127 or provided through the written chat section of the Zoom meeting. Comments can also be emailed before and during the public hearing to Michael Izzo,Village Building Inspector,at mizzo(2ryebrook.org. Please check the Village website for updates. INSTRUCTIONS TO ACCESS THE VIRTUAL MEETING: If you have a computer, tablet or smartphone,you can register, log in and see the video and hear the audio of the live session.You can access the Zoom meeting at https:Hus02web.zoom.us/i/84362902127 and clicking on"Join a Meeting", and enter Meeting ID: 843 6290 2127(no password required). You can also call in to the ZOOM meeting at+1 (929)205-6099,when prompted,enter 843 6290 2127#. On the evening of March 2,2021, 5 minutes before 8:00 p.m., log in with your computer, smartphone or telephone. You will be placed on hold until the meeting starts.Questions about accessing the Zoom videoconference should be emailed to amarshall(iDaebrook.org. 1. ITEMS: 1.1. #21-002 Michael Suesserman& Caren Suesserman 23 Rocking Horse Trail Construct a rear deck expansion, new deck roof, new rear masonry patio and new rear landing. Mail Affidavit Sign Affidavit Approvals; Adjournment Aye; DM MI SB SF Nay; GB K&B JDS JS DH 1.2. #19-014 Lawrence Rose & Lauren Rose 39 Meadowlark Road Request extension of approval of Zoning variance, Village Code § 250-13.H. Approvals; Adjournment Aye; S To �'`o"'` S v��'-►'T�� Nay; 2. SUMMARY APPROVALS: 2.1. Approval of November 4, 2020 Zoning Board Summary Approvals; Adjoumment Aye; Nay; 2.2. Approval of December 1, 2020 Zoning Board Summary Approvals; Adjoumment Aye; Nay; DM MI SB SF GB K&B JDS JS V/ DH Mike Izzo From: Mike Izzo Sent: Wednesday, December 21, 2022 9:3S AM To: 'Lawrence Rose' Cc: Lauren Rose; Yenner Barrios; Steven Fews; Tara Orlando; Laura Petersen Subject: RE: 39 Meadowlark Road Dear Mr. Rose, Thank you for the email. Upon review of your permit file, I see that permit# BP21-313 expired on November 30, 2022. Please note that the Village Fee Schedule lists a $500 fee to reinstate an expired permit for a period not to exceed six (6) months. However, it has been and continues to be Building Department practice to allow a thirty(30)day grace period to all permit holders who request a permit extension. Since your permit expired within the 30- day window of your extension request, the expired permit fee is hereby waived. I am pleased to inform you that a six (6) month extension to your open permit#BP21-313 has been approved, and that the new permit expiration date is,May 30, 2023. Please arrange for all work to be completed and successfully inspected, and for all paperwork&fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy/Certificate of Compliance closing out the permit on or before that date. Please note that in accordance with Village Code§250-10.A., it is a violation to use or occupy or to allow the use or occupancy of any building,premises,or part thereof without a Certificate of Occupancy duly issued by the Building Inspector. Thank you. Michael J. Izzo Building&Fire Inspector Village of Rye Brook,NY (914)939-0668 —Original Message From: Lawrence Rose <Iwrosel@gmail.com> Sent: Wednesday,December 21, 2022 7:17 AM To: Mike Izzo <Mlzzo@ryebrook.org> Cc: Lauren Rose <laurenroselcsw@gmail.com>; Yenner Barrios <wdremodeling@icloud.com> Subject: 39 Meadowlark Road Mr. Izzo- Please allow this email to request a 6 month extension for the building permit for 39 Meadowlark Road. Thank you, Lawrence Rose Lawrence W. Rose C: (201) 310-2195 1 Building Permit Check List&Zoning Analysis Address �cC i'"L �� �v fit_ � SBL• C_Zf • — Zon�20 Use: Z t Const.Type: er fp 24 l� \ Submittal Date: Revisions Submittal Dates: l Applicant: __Oo S F__ 11 Nature of Work Z ST 7 AO> Reviews:ZBA: Nov 1 8 2019 PB: BOT: Other. OK ( ) FEES:Filing. 7 S•- BP-5�,8 9 �u C/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 I { Current: ✓ Archival• Sealed Unacceptable: ( ) ( ) rOES. Date Stamped ✓ Sealed J Copies: Z Electronic: Other (� e:753#: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. (vY ( ) 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 20I7 NY State ECCC: N/A: Other. (� ( ) Final Survey Final Typo: RA/PE Sign-off Letter. As-Built Plans: Other. ( (JJ BP DENIAL LETTER: ✓ C/O DENIAL LETTER: Other. (� ( ) mtg.date: 20 approval• (D -zo notes: ( mtg.date: Z) approval• notes: O l 'Zn approval: l Z l IZk notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area Z,o 3Z�ZSS, y - OL Circle: l ZS > 12 15_ - 06- Fron Front: Front: Z �ZTI[- 3 zSn - L9 , t l 3 z F .Y D 4S Q �j Ar- . Sides: cS k o zo s S6 .3 Oh. Rear. t3�s .4 0 MainCov. I 1W Lt•7S -C Oh- Accs.Cor. !�3 Ft H Sb: Sd.H Sb: Tot : cl 10' 573 l b S(1)(o lot,. Ft Imy: o ° o Z�. to Z-s•t Z Par ' . Height/Stories: notes: I-��—� V•vK• �.n�Sid, t l I!a> £F_ �Ac_ n1 S'— ELo 0— 1 .2 ��ti \ .�_ ` BUILD MENT VIL Ia'O.FR ,i OOIC D M 938 NV 10573 v 1{this ���Ri�G B[t , (914)9 39-5801 OCT 2 9 2019 w�Nv. ` ,r7o'ot. r� #W#rt##irtirtrt rtirt4Wrt#rtrtrt W#rtrtrtWkrtkirt#W#Wrt#rtiWrtrt#rtWWi WW i#ik#rtrtk##k#i#########krtkkkWWkk ikW#�}�q©E+®�'«RY£;+gf�00K ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APOUaW§EPARTIVIENT This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Addrcss: 3J Date of Submission: Parcel ID#:!Z_ 9�1 A 1 :� Zone: { -20 APPLICANT CHECK LIST: Proposed Improvement(Describe in detail): MUST BE COMPLETED BY THE APPLICANT �s tan+ 420ak � m Q der- M 4 19190070l) The following items must be submitted to the Building efG�rt°✓ a12 1,h 14Plj ,r .�C Department by the applicant-no exceptions. �� 1 d ��� 1. ( ' Completed Application Nam, ��'`''��`f 'S/non y 2. (-f Two(2)sets of sealed plans. (one full size(maximum Property Owner: our pjo 4 Lc,Jr t^�j allowable plan size=36"x 42") and one I I"x 17") �— 3. ( "Two(2)copies of the property survey. Address; �L6�,c.'(►' �_ 4. (��wo(2)copies of the proposed site plan. Phone# S' z z — 9 7 p 5. (.)One electronic/disc copy of the complete Applicant appearing before the Board: placation materials. G. ( Filing Fee. 'T hV �' ��ark�1PA ,�� 7. ( )Any supporting documentation. 8. ( )I-IOA approval letter.(if applicable) Address: /3-3 ��^���� {�,�1I � 1,ej�N tpia1Cr 9. (-)'Photographs. Phone# f 314 Z7 3- 73 5� �'y 10.( )Samples of finishes/color chart.(a sample board or % - 05 model pray be presented the night of the ineeting) Architect/Engineer: 4fikn� Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. ll Sworn to before me this Sworn to before me this d day of ��� , 20� day of ell ignatur ofP pertyOwner S' atureol'Applicvx wre4vM"RDS4- Print Name of Property Owncr Print Name of Applicant Namry Public Notary Public DENISE BERGONZI 111 SHARI iAELILL0 NOTARY PUBLIC OF NEW JERSEY Notary Pub!!r,State of New York My Commission Expires 31512023 No.01 ME6160063 Qualified in Westchester County U21/19 Commission Expires January 29.20 j VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, September 16, 2020 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on September 16, 2020 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/j/87221419610 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 872 2141 9610 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 14 Carlton Lane Re-Appearance To Show Consent 5052 (Khobragade) Finishes, and Details On Agenda Plan(Portico& Windows) 432 N. Ridge Street Re-Appearance To Show Consent 5058 (Gabriel) Details In-Ground Pool, Agenda Patio SWM System 30 Woodland Ave 4' & 6' White Vinyl PVC Consent 5061 (Blanco) Fence Agenda 2 Brook Lane Amendment to Shed Size 8' Consent 5062 Camacho X 10' - 8'X 12' Agenda 165 Betsy Brown Rd Replace Existing Deck Consent 5063 (Valad) Boards With Trex,Add Agenda Cable Type Railing 67 Bellefair Rd Re-Do Existing Patio Area Consent 5064 (Carbo) in Paver Stones, Re Black Agenda Top Driveway w Belgi/ Block Borders 2 Millenium Place Construct Stair Run Down to Consent 5065 (Prathy) Grade From Existing Deck Agenda to Match 15 Country Ridge Dr Roof Top Solar Array Consent 5066 (Cappelli) Agenda ML NM MR SE JM SF AC MI JB 14 Wyman Street Roof Top Solar Array Consent 5067 North(Garrick) Agenda 2 Latonia Road Re-Appearance To Add Consent 5068 (Pascuma) Colors&Details On Plan Agenda For Deck 8 Concord Place Replace Decking/Railing On Consent 5069 (Levine) Existing Deck w/Tuscany Agenda Timbertech/Westbury 36 Roanoke Ave Legalize Rear Elevated Consent 5070 (Veloz) Deck,New Patio Door& Agenda Egress Window 3 Country Ridge Rear Addition, Elevated 5071 Circle(Porter) Deck, Rear Patio, Legalize Side Steps, Remove Patio 221-223 S. Ridge St Remove Rear Porticos& 5072 (Sadofsky) Elevated Decks, Replace Doors w/Casement Windows 11 Berkley Dr New Rear Deck& legalize 5073 (Sabato) Rear Patio Door 7 Berkley Lane Replace Existing Deck 5074 (Kaplan) 998 King St(Cohen) Construct 16 X 20 Pergola 5075 On Existing Deck 4 Sleepy Hollow Rd Side Yard Deck, 6'PVC 5076 (Cecere) Privacy Fence, Shed& Reduce Impervious Coverage 39 Meadowlark 2nd Story Addition,Front 5077 Road(Rose) Porch,New Deck; Interior Alterations "� v 25 N. Ridge St Replace Existing Side 5078 (Montanez) Entrance Deck& Stairs; Replace Rear Entrance Steps, ML NM MR SE JM SF AC MI VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Thursday, January 21, 2021 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on January 21, 2021 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/i/82284377958 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 822 8437 7958 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 165 Betsy Brown Amendment to Prior Consent 5128 Road (Valad) Approval, (Front Door Agenda Change) 2 Wilton Circle Legalize New Rear Raised Consent 5129 (Charney) Patio & Sitting Wall Agenda 6 Loch Lane Roof Top Solar Array Consent 5131 (Orselli) Agenda 24 Latoma Road 6' High White Vinyl Fence Consent 5132 (Rothbart) w/Gates Agenda 39 Country Ridge Dr Swimming Pool Fence. 6' Consent 5119 (Austrian) Hight White PVC @ Side Agenda Yards & Black Chain link 6' @ Rear 15C Rye Ridge Plaza New Sign & Awning "Green 5133 Win - Ridge and Tonic" 5 Parkwood Place In-Ground Swimming Pool, 5130 (Kohn)) Patio, Outdoor Kitchen & Fence 780 King St Extend Existing Deck w; 5134 (Heinberg) New railing & Decking. New Roof Over Deck 39 Meadowlark Re-Appearance to Show cj-16 - O 5122 ML t/ NM v MR v SE JM SF AC r/ MI KC Road(Rose) Revisions 24 Sleepy Hollow Rear Addition, Deck,Patio 5135 Road(Iacobelli) & Front Covered Porch 980 Anderson Hill Amendment To Prior 5136 Road Approval. Construct New Blind Brook Club Golf Teaching Building, Reconfigure Front Entrance & Golfing Landscape 6 Latonia Road Re-Appearance To Show 5120 (Casino) Revisions 12 Lincoln Ave Two Rear Dormer Additions 5137 (Bainton) & Interior Alterations 57 Hillandale Ave 1 Story Addition, 2nd Story 5138 (Grossberg) Addition, Rear Covered Porch & Front Portico ML NM MR SE JM SF AC MI KC VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, December 16, 2020 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on December 16, 2020 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/i/82284377958 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 822 8437 7958 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 35 Country Ridge New Casement Windows & Consent 5116 Dr. (Kaufman) Gas Fire Place Agenda 1 Winthrop Dr New 6' &4' High White Consent 5117 (Adler) Privacy Fence (Oklahoma) Agenda 10 Beacon Lane Roof Top Solar Array Consent 5118 (Bellatoni) Agenda 992 King Street Legalize Rear Wood Patio Consent 5119 (Leshman) On Grade & Hot Tub Agenda 19 Maywood Ave Driveway Widen, Retaining Consent 5100 (Ocasio) and Wall Fence Agenda 6 Latonia Rd Rear 2 Story Addition. Rear 5120 (Santorelli) 1 Story Addition, Front Portico,& Exterior Alterations 2 Charles Lane Amendment to Prior 5121 (Kaplan) Approval, Siding Cedar Shingles, Composite Deck- Wood& Eliminate Bathroom Window 39 Meadowlark 2nd Story Front Addition, Nl7 ��i O 5122 (Rose)Rose Front Porch, &New Deck ML NM MR SE JM V SF AC MI KC V Y ' 37 Hillandale Road Inground Swimming Pool, 5123 (Fischer) Equipment, Patio& Retaining Wall 8 Winding Wood Rd Convert Existing Screen 5124 (Garofolo) Porch To Conditioned Living Space 10 Pine Ridge Road 2nd Floor Addition&New 5125 (Leon) Roof Over Front Porch 2 Crossway (Fery & Amendment Prior To prior 5126 Yablow) Approval 144 Country Ridge Remove Side Stoop/Stairs, 5127 Dr(Rackenberg) Add new Side Door w/Landing ML NM MR SE JM SF AC MI KC y Village of Rye Brook ML X MR enda FB V SE 0 Architectural Review Board Meeting AC SF Wednesday, November 16, 2022 at 7:30 PM Village Hall, 938 King Street I J M 1. ITEMS: 1.1. #5786 (Consent Agenda) Daniel Marks &Yael Marks 18 Hillandale Road Rooftop solar array. 1.2. #5787 (Consent Agenda) Chris John& Seba Samuel John 11 Legendary Circle Rooftop solar array. 1.3. #5788 (Consent Agenda) David Lawrence&Marjorie Lawrence 15 Magnolia Drive Rooftop solar array. 1.4. #5789 (Consent Agenda) Dean DiLeo& Gail DiLeo 9 Beacon Lane Rooftop solar array. 1.5. #5790 (Consent Agenda) Felipe Blasques Lombardi&Alessandra Edwiges Naves de Jesus 109-1 Lincoln Avenue aka 1 Blind Brook Terrace 4' high black aluminum picket fence. 1.6. #5791 (Consent Agenda) Janina Rzeszutkowski 48 Tamarack Road Replace driveway& driveway retaining walls. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 4 Architectural Review Board November 16,2022 1.7. #5652 Abhinav Gautam&Pooja Singh 11 Berkley Drive Changes to windows and doors; fireplace bump out. (Amendment to Prior Approval) Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. #5077 Lawrence Rose&Lauren Rose 39 Meadowlark Road Rear deck. (Amendment to Prior Approval) Approvals: Motion CY\C. Second Abstention Aye; Nay; Adjournment; Notes 1.9. #5792 Colin McGovern&Andrea McGovern 11 Churchill Road 2nd floor addition,new front portico,interior and exterior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. #5793 Keith Cheung&Jessica Luk 14 Rock Ridge Drive Enclose front porch. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 Architectural Review Board November 16,2022 1.11. #5794 Win Ridge Realty LLC 5A Rye Ridge Plaza New storefront. Approvals: Motion Second Abstention Aye; Nay; adjournment; Notes 1.12. #5737 JPS Edgewood LLC 6 Edgewood Drive Changes to garage doors&metal roof. (Amendment to Prior Approval) Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. #5795 Washington Park Plaza Associates (American Prime Restaurant) 275 South Ridge Street New aluminum awning w/ lights. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. #5796 2 Elm Hill LLC 2 Elm Hill Drive -Lot#2 New single family dwelling w/ finished basement. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 • Architectural Review Board November 16,2022 1.15. #5797 2 Elm Hill LLC 2 Elm Hill Drive-Lot#3 New single family dwelling w/ finished basement&existing swimming pool to remain. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: December 21, 2022 Page 4 of 4 ID LfAATI J L, JAN - 7 2G21 I JOHN G. SCARLA oNT BUILDING DEPARTMENT I ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 1/5/21 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook, NY 10573 Dear Mike: RE: 39 Meadowlark Road This needs to go back on architectural review because the PDF copies were the old sets. I am not sure if just the disc had the wrong copies of the drawing and the original drawing s I submitted in November were incorrect too. I enclosed one 24 x 36 and one 11 x 17 copies, revised pages of application and a disc of the revised drawings from your review. The client also decided to not do the rear deck but instead to do a masonry platform and stairway down and redo the existing flagstone patio. If these are the same drawing just recycle them. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. D ECEM JOHN G. SCARLATO JR. NOV 12 2020 V1. YE: FIR6 OK ARCHITECT B LDING DEPARTMENT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 10 20/20 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook, NY 10573 Dear Mike: RE: 39 Meadowlark Road Enclosed is one 24 x 36 and one 1 1 x 17 copies, revised pages of application and a disc of the revised drawings from your review. The client also decided to not do the rear deck but instead to do a masonry platform and stairway down and redo the existing flagstone patio. Let me know if you need to send this back for architectural review again. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 10/28/19 Mike Izzo Building Inspector Village of Rye Brook 938 King Street FR D Rye Brook, NY 10573 OCT 2 9 20 9 VILLAGE OF RYE BROOK Dear Mike: —BUILDING DEPARTMENT RE: 39 Meadowlark Road The project will need a front yard variance for the porch and the second floor bath room and foyer addition. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 11/21/19 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook, NY 10573 Dear Mike: RE: 39 Meadowlark Road Enclosed is one 24 x 36 and one 11 x 17 copies of the revised A-1 drawing with the front yard average set back added. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. RCCIOWFc`�, ' NOV 2 3 2021 JOHN G. SCARLATO JR. VILLAGE OF RYE BROOK ARCHITECT ' ----DEPARTMENT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@a GMAIL.COM 11/22/21 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook,NY 10573 Dear Mike: RE: 39 Meadowlark Road Enclosed is one 24 x 36 and one 11 x 17 copies of revised drawings the changed work for the finished basement from the original open permit. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. Laura Petersen From: John G. Scarlato,Jr. <jgscarlato@gmail.com> Sent: Friday, November 19, 2021 4:59 PM To: Laura Petersen Subject: RE: 39 Meadowlark Road - Basement Plans Yes I need to figure out the issue on what they file for the permit years ago on the basement and what they built, apparently they are not the same. Will look at it Monday. Best Regards, John John G. Scarlato, Jr., Architect 33 Byram Hill Road Armonk, New York 10504 O: (914) 273-7350 jgscarlato@gmail.com www.scarlatoarchitects.com From: Laura Petersen<LPetersen@ryebrook.org> Sent: Friday, November 19, 2021 2:40 PM To:John G. Scarlato,Jr.<jgscarlato@gmail.com> Subject: 39 Meadowlark Road - Basement Plans Hi John! Do you have the basement plans for 39 Meadowlark Road? The property owners now have a contractor and the basement plans are the last of Mickey's notes that we are waiting on. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax (914)939-5801 1 Ioetersen(&ryebrook.or4 1 Yener Barrios Westchester Design &Remodeling Corp. 914-740-5739 Office 917-291-8208 Mobile Email:wdremodeling(cDicloud.com On Nov 21, 2023, at 11:29, Laura Petersen<LPetersen@ryebrook.org>wrote: Good morning and thank you for the updated insurances. I have copied the Building Inspector on this email. Please be advised the permit for 39 Meadowlark has expired. There was only one permit extension request granted and that extended expiration date was May 30, 2023. Please advise as to the status of the work remaining on this permit for the addition. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-06681 Ipetersenervebrook.ong From:WD REMODELING <wdremodelinp,@icloud.com> Sent:Tuesday, November 21, 2023 9:28 AM To: Laura Petersen<LPetersen@rvebrook.org> Subject: Updated Certificates for 39 Meadowlark Rd Good morning Laura, Attached you will find updated Certificates for 39 Meadowlark Rd. Thank you. Have a wonderful Thanksgiving. Yener Barrios Westchester Design &Remodeling Corp. 914-740-5739 Office 917-291-8208 Mobile Email:wdremodeling(cDicloud.com 2 Laura Petersen From: Steven Fews Sent: Tuesday, November 21, 2023 3:47 PM To: WD REMODELING Cc: Laura Petersen Subject: RE: Updated Certificates for 39 Meadowlark Rd Expires: Wednesday, March 20, 2024 12:00 AM Good Afternoon Yener... The permit is already expired.You must come in an pay the expired permit fee,ad the HVAC contractor must file asap. After that is done we can schedule the next inspection. Thank You. i Steven E. Fews 60 Building Inspector& Fire Inspector Office (914)939-0668 l From: Laura Petersen<LPetersen@ryebrook.org> Sent:Tuesday, November 21, 2023 3:32 PM To:WD REMODELING<wdremodeling@icloud.com> Cc:Steven Fews<SteveFews@ryebrook.org> Subject: RE: Updated Certificates for 39 Meadowlark Rd Ok thank you. There is a $500.00 Administrative expired permit fee that is due. Please also be advised we have not yet received an HVAC permit application for any proposed HVAC work. Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-06681 Ipetersen(&ryebrook.orci From:WD REMODELING<wdremodeling@icloud.com> Sent:Tuesday, November 21, 2023 3:21 PM To: Laura Petersen<LPetersen@ryebrook.org> Subject: Re: Updated Certificates for 39 Meadowlark Rd Hi Laura We are starting the other phase of work. The renovation of the deck. Please let me know what we need to do to extend the permit. 1 A •�:0. 'M' �3tN'�;��ty�y '•V rt f�A lf�. x '� JJI _ ., l ,O' h, �\ f:,• ���„� �;�;�1%i��ll �• / " 11/�reli� �� v���� lip�ill _���� 111eieieill rl� � . 14/e�11 -_ .; i .• ninu'- irs:.111/111 -.s-E"�.� 111�111 3 "ir.::111�111 f°Fy. *':-111�111,.'I•+ �-111�111. "r=i' �'3sc':111�11/1 --- -- `�~ i - w `S N Lij ' � yr � It — \I• L • ° = E ••� r, }. �• •'� u'C •ray LLJ o F— N tZ�-• G� } ° � section �c.�» — ` wx W a a.Lu ° 4-y UUJ U o Z r fir. nna U O <(0)> EE unu i ( ) :" •'=. � •3 � :-�:yam' ' •�C cz cd u /3 O E -W', i : R N 2 'ilAiri OD :\g,rA(off>j U CrA .. q .2 > �_�• 1•i s, rFF..1. .1'?ibi'1 ,E0507#11, •/111 II1111111 1/�d1 1 11 r e� s1, A RI ,Af M. '•s' f'V ', � ..'• ...e... Y.i.' y w �r rY , � v 1rl.i -•�Y�JaY'.4."F� •dlp J .. Iih. � CERTIFICATE OF LIABILITY INSURANCE �TEIMM 1 1v152o2z 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 polity, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of stxh erWarsemeIA s PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER _ HOME OFFICE: P.O.BOX 328 PA/CONE, Eatl:888-3M 4949 i vc.Nor 507A464664 OWATONNA,MN 55060 E-MAIL DARESS:CUENTCONTACTCENTERQFEDINS.COM INSURERISI AFFORDING COVERAGE NAIC p INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 2864684 INSURER e:FEDERATED RESERVE INSURANCE COMPANY 16024 ARCTIC MECHANICAL INCORPORATED INSURER C: 460 N MAIN ST PORT CHESTER,NY 10573-3310 INSURER D: INSURER E INSURER r. COVERAGES CERTIFICATE NUMBER:90 REVISION NUMBER:0 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. USR TYPE OF INSURANCE ADDIL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS T N I YY 1 /YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1.000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED _ $100,ODO PREMISES lEa ocarrancel__ MED EXP JAM a»parson) EXCLUDED A N N 9W7993 01/18/2023 01/182024 PERSONAL&ADV INAMY $1,000,000 L AGO LIMIT APPLIES PER GENERAL AGGREGATE $jr,000,000 X POLICY u ❑lAC PRODUCTS-COMPIOP AGO S2,OW,WO OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMITMe S1,000,000 X ANY AUTO BODILY INJURY(Per person) _. q OWNED AUTOS ONDULED LY SOS N N 9907993 01/182023 01/18/2024 &DOILY INJURY(Per accident) NONHIRED AUTOS ONLY AUTO ONLY PROPERTY DAMAGE AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5.000,ODO A EXCESS LIAR CLAIMS-MADE N N 9907994 01/182023 01/182024 AGGREGATE $5,000,000 DEC) I X I RETENTION 510.000 WORKERS COMPENSATION X PER STATUTE O R AND EMPLOYERS'LIABILITY ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 B OFFICER/MEMBER EXCLUDED? NIA N 9298530 01/182023 01/182024 (Mandatory in NMI E.L DISEASE-EA EMPLOYEE $1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 DE SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Rarnarks StlrAuM,may be atOdrd 1f more span N nOtrnQ CERTIFICATE 14OLDER CANCELLATION 286-468-4 90 0 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a.i 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016M3) The ACORD name and logo are registered marks of ACORD Workers' SYORK TATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1 b Business Telephone Number of Insured ARCTIC MECHANICAL INCORPORATED 914-934-8301 460 N MAIN ST PORT CHESTER.NY 10573-3310 1c NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i e..a Wrap-Up Policy) Number 06-1596446 2 Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Reserve Insurance Company 3b Policy Number of Fntity Listed in Box"ta" Village of Rye Brook 990 9298530 938 King St Rye Brook, NY 10573-1226 3c Policy effective period 01/182023 to 01/18/2024 3d.The Proprietor,Partners or Executive Officers are aincluded tonly check box it ail paitneis'officeis included) all excluded or certain partners/officers excluded This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2" The insurance Carner must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by Jean Newkirk (Pant name of authorized representative of licensed agent of insuiance carrier) Approved by 41 Signature) i ate) Title: AUTHORIZED REPRESENTATIVE Telephone Number of authorized representative or licensed agent of insurance carrier: 888-333-4949 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcbny.gov �1 DATE(MM/DLYYYYY) AC")?" O CERTIFICATE OF LIABILITY INSURANCE 2/21/2022 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: Ifthe certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subjectto the terms and conditions of the policy,certain policies may require an endorsement.A statementon this certificate does not confer ri ghts to the certificate holder in lieu of such endorsement(s). PRODUCER: GUN EI Rhett Butler PHONE NAM USRisk,LLC A/C.NO.EXT: (866)315-3838 A/C,No,: (214)265-4932 ADDRESS: I nfo@securityamericains.com 8401 N.Central Expressway,Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC# Dallas TX 75225 INSURER A: Underwriters at Lloyds,London AA1122000 INSURED: INSURER B: All Time Detection I nc;Tri County Electronic Security INSURER C: Systems co inc; United Security Associates Ltd;All Time INSURER D: Security Inc;All Tech Security 28 Willett Avenue INSURER E: Port Chester NY 10573 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONSAN D CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MMIDD=r LIMITS GENERAL LIABILITY EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY $100 000 PREMISES Ea occurrence CLAIMS-MADE ❑X OCCUR M ED EXP(Anyone person) $10000 A SPG21030 6/1/2021 6/1/2022 PERSONAL&ADV INJURY $1 000 000 GENERALAGGREGATE $2 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2 000 000 POUCY X JEQ LOC PROFESSIONAL UABIUTY $1 000 000 AUTOMOTIVE LIABILITY COMBINED SINUEETTIVIT— (Ea accident ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED PROPERTY AUTOS Per acciderrt DAM AGE X UMBRELLALIAIB X OCCUR EACH OCCURRENCE $5 000 000 A EXCESS LIAB CLAIMS-MADE SPG21030UMB 6/1/2021 6/1/2022 AGGREGATE $5,000,000 DED X ETENTION$ 10,000 AND EMPLOYERS'LIABILITY EACH OCCURRENCE ANY PROPRIETOR/PARTNEWEXECUiIVE DAMAGE TO RFN7717— OFFICERIMEMBER EXCLUDED? YIN N/A PREMISES Ea occurrence (MandatoryinNH) ❑ M ED EXP(Anyone person) ff rs describe under DESCRIPTION OF OPERATIONS below PERSONAL&ADV INJURY DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(AltaCti AWIRD101,Addftloniwemar e,If more spaces required) CERTIFICATE HOLDER CANCELLATION Vi I I age of Rye Brook SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 King Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CORDANCE WITH THE POUCYPROVISIONS. Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE Randall Goss,CEO/Chairman DocuSign Envelope ID:F9D8C696-18DF-4013-8F47-DDDE24E2EEE5 NEW Workers' CERTIFICATE OF YORK STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured TRI-COUNTY ELECTRONIC SECURITY SYSTEMS 1c.NYS Unemployment Insurance Employer Registration Number of 28 WILLETT AVE Insured PORT CHESTER,NY 10573 1d. Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured (Only required if coverage is specifically limited to 13-3004221 certain locations in New York State,i.e.,a Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Co.of North America Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"1a" Rye Brook,NY 10573 C70149230 3c.Policy effective period 10/01/2021 to 10/01/2022 3d.The Proprietor,Partners or Executive Officers are ❑X included.(Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Lynne Boone (Print name of authorized representative or licensed agent of insurance carrier) Docu 4/1/2022Signed by: Approved by: p61J?dY796468 (Date) Title: Assistant Program Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 214-721-6248 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov Acct#:2834374 � a ,a rn is i e� N s CC M r � >)� 4 E co rn i•� yU U _� • rn tt y � �� •� W O U +•+ w n w .a9r�' co» a 0 co y CC p�7 x U D�ection Lij IT .� o ,ti ' .a ED a` O w we �e5 wia+a+' 00 N Z > o (v)> V; X z �Ntlyyy(0) f rr� co ri cc L j c z co I 0 == Vp ��(`O. ).>.r_WIW_�� d./..!6� �3..1.1.111���e== r*�3•:'�G.�.11�:�-!=� �'.�11.1.11�. =f' ='.��1.1.N�.. �_-,. --� ' r`.��1..I�i�/."�'�e (0)f�\ TE A`C>R" CERTIFICATE OF LIABILITY INSURANCE DA09/222021 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 CONTACT Linda Argiento NAME: Avanti Associates PHONEN (914)738-1900 FAX x . C,No (914)738 1992 AlC AI 201 Wolfs Lane E-MAIL linda@avantiassociates.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL i Pelham NY 10803 INSURER A: Merchants Preferred Ins Co 12901 INSURED INSURER B: Westchester Design&Remodeling Corp. INSURER C: 160 Fourth Street INSURER D: INSURER E: New Rochelle NY 10801 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2181178799 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LIMITS LTR INS WV POLICY NUMBER MM/DDIYYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2'000'000 DAMAGE TO RENTE17- CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ '000 MED EXP(Any one person) $ 10,000 A CTRIO04220 03/12/2021 03/12/2022 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 4,000,000 POLICY ❑jEa ❑LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accklent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PERTE OTH- AND EMPLOYERS'LIABILITY YIN STATU ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook is included as an Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St. AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, LOTH FLOOR,WHITE PLAINS, NY 1 0601-441 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE �. 0 ^^^^^^ 352288932 AVANTI ASSOCIATES 201 WOLFS LANE PELHAM NY 10803 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER WESTCHESTER DESIGN AND VILLAGE OF RYE BROOK REMODELING CORP 938 KING ST. 160 FOURTH STREET RYE BROOK NY 10573 NEW ROCHELLE NY 10801 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1478 350-0 959138 04/11/2021 TO 04/11/2022 1122/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1478 350-0, 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. YENER BARRIOS 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: 862506031 U-26.3 0 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/20/2023 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 CONTACT Linda Argiento-REP NAME: Avanti Associates PHONE FAX A/C No Ext: A/C,No): 201 Wolfs Lane E-MAIL la ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 Pelham NY 10803 INSURER A: Merchants Preferred Insurance Co 12901 INSURED INSURER B Westchester Design& INSURER C: Remodeling Corp INSURER D: 160 Fourth Street INSURER E New Rochelle NY 10801-3737 INSURER F COVERAGES CERTIFICATE NUMBER: CL2332954583 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 AUUL151JtJK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/VVYV MM/DD/YYYV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 2,000,000 UAMAUL IQ KLN I ED 500,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence S MED EXP(Any one person) S 10,000 A CTRIO04220 03/12/2023 03/12/2024 PERSONAL&ADV INJURY S 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE s 4,000,000 X J O- 4,000,000 POLICY ❑PRO ❑ LOC PRODUCTS-COMP/OPAGG $ OTHER EMP PRACTICES LIAB $ 100,000 AUTOMOBILE LIABILITY QOtABINED SINGLE LIMIT s 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ A OWNED �/ SCHEDULED CAP1080068 09/29/2023 09/29/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE s AUTOS ONLY /� AUTOS ONLY Per accident PIP-Basic s 50,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ s WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 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) Village of Rye Brook is included as an Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St. AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 _-( ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ,-,I 17-- \\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 "fT' ^^^^^^ 352288932 '�'Y,74 1-.a AVANTI ASSOCIATES `h*; , 201 WOLFS LANE ❑gayAV- PELHAM NY 10803 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER WESTCHESTER DESIGN AND VILLAGE OF RYE BROOK REMODELING CORP 938 KING STREET 160 FOURTH STREET RYE BROOK NY 10573 NEW ROCHELLE NY 10801 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 1478 350-0 898674 04/11/2023 TO 04/11/2024 11/20/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1478 350-0, 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. YENER BARRIOS 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 SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 907538902 U-26.3 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Friday, November 19, 2021 11:44 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 11/19/2021 11:42 To: VIL RYE BROOK PRIMARY Transmitted: 11/19/2021 11:43 00001 Ticket: 11191-000-843-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 39 To: Name: MEADOWLARK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: MARK ENTIRE PROPERTY NearSt: ORIOLE PL & ORIOLE PL Means of Excavation: BACKHOE Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: DIG ADDITION Estimated Work Complete Date: 11/24/2021 Depth of excavation: Site dimensions: Start Date and Time: 11/24/2021 07:00 Must Start By: 12/09/2021 ------------------------------------------------------------------------------ Contact Name: JOE CARDUCCI JR Company: JOSEPH CARDUCCI INC Addrl: PO BOX 372 Addr2: City: MAMARONECK State: NY Zip: 10543 Phone: 914-447-7825 Fax: Email:joecarducciinc@aol.com Field Contact: JOE CARDUCCI JR Alt Phone: 914-447-7825 Email:joecarducciinc@aol.com Working for: YENNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK 1 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Thursday, November 18, 2021 8:38 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 11/18/2021 08:36 To: VIL RYE BROOK PRIMARY Transmitted: 11/18/2021 08:37 00002 Ticket: 11181-000-295-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 39 To: Name: MEADOWLARK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT OF PROPERTY NearSt: ORIOLE PL Means of Excavation: EXCAVATOR Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: PORCH INSTALL Estimated Work Complete Date: 12/15/2021 Depth of excavation: Site dimensions: Length 14 FEET Width 40 FEET Start Date and Time: 11/23/2021 07:00 Must Start By: 12/08/2021 ------------------------------------------------------------------------------ Contact Name: YENER BARRIOS Company: WESTCHESTER REMODLING CORP Addr1: 160 4TH ST Addr2 City: NEW ROCHELLE State: NY Zip: 10808 Phone: 917-291-8208 Fax: Email: wdremodling@icloud.com Field Contact: YENER BARRIOS Alt Phone: 917-291-8208 Email: wdremodling@icloud.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK WESTCHESTER CTY SWR i UNAUTHORIZED ALTERATION TO A MAP BEARING A LICENSED PROFESSIONAL LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. THE CERTIFICATION IS NOT AN EXPRESS OR IMPLIED WARRANTY OR GUARANTEE, IT IS PURELY A STATEMENT OF PROFESSIONAL OPINION BASED ON KNOWLEDGE, INFORMATION AND BELIEF, BASED ON EXISTING FIELD EVIDENCE AND DOCUMENTARY EVIDENCE AVAI�ABBLE. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SEQUENT OWNERS. PLAN PREPARED PURSUANT TO SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. SUBJECT TO THE FINDINGS OF AN UP TO DATE TITLE SEARCH. UNLESS THE SURVEYOR'S ORIGINAL SIGNATURE AND SEAL APPEARS RAISED ON THIS MAP, IT SHOULD NOT BE CONSIDERED A TRUE AND CORRECT COPY OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. Se< �298 OF LEGEND IRON PIPE a SEWER MANHOLE ELECTRIC METER GAS VALVE FIRE HYDRANT 0 UTILITY POLE UTILITY POLE WITH LIGHT * LIGHT POLE 0 POST j DECIDUOUS TREE CONIFER TREE FA -cl AIR CONDITIONER 52 50,,...... - POINT OF BEGINNING PROPERTY LINE RETAINING CONCRETE SPOT ELEVATION PROPERTY LINE FILED MAP LOT CHAIN LINK FENCE WOOD FENCE SEWER LINE OVERHEAD WIRES STONE WALL TREE LINE INTERMEDIATE CONTOURS INDEX CONTOURS N/F SCHWARTZ CNTRL# 522143127 SBL 129.84-1-1 FM 13334 PART OF LOT 29 & 30 BLOCK A FM 12390 LOT 21 BLOCK A N/F SNISKY CNTRL# 402690636 SBL 129.84-1-8 FM 13334 PART OF LOT 30 BLOCK A 45.y Ifs 3:It I,.I..I 1I c: STC � REl Y sTo � ,: �'? „tea POB BEING A 864.79' ALONG THE NORTHWESTERLY SIDE OF MEADOWLARK RD. FROM A CURVE END (R=30% L= 47.19') CONNECTING THE NORTH— WESTERLY SIDE OF ORIOLE PL. TO THE NORTHERLY LINE OF ORIOLE PL. N/F BARNETT L6922 P793 SBL 129.84-1-6 FM 13334 PART OF LOT 28 BLOCK A C:\Users\Owner\Desktop\SURVEY FOLDER\SEAL + SIGN NEW.PNG �O O� s� CAUsers\Owner\Deskt;SYITE DER\39 MeaJc, Lark Rye\TAX.PNG ORIOLE PL LOCUS MAP (N.T.S.) SURVEY NOTES 1. THIS PLAN WAS PREPARED FROM AN ON THE GROUND FIELD SURVEY CONDUCTED BY RLS ON OCTOBER 1, 2019 AND ON THE FOLLOWING DATUM — MERIDIAN: FM 13334 HORIZONTAL: ASSUMED VERTICAL: ASSUMED 2. REFERENCES STREET NAMES, R.O.W. WIDTHS, PROPERTY IDENTIFICATION NUMBERS, OWNER NAMES, EASEMENTS, AND ANY ADDI1ONAL INFORMATION SHOWN HEREON ARE REFERENCED FROM THE FOLLOWING MAPS AND DOCUMENTS. A. LAND CONVEYED TO LAWRENCE & LAUREN ROSE BY CNTRL# 420150361, FILED IN THE WESTCHESTER CO. CLERKS OFFICE ON NOVEMBER 20, 2001. B. MAP 13334 ENTITLED, "SUBD. MAP SEC. 4 MEADOWLARK", PREPARED BY CHAS. H. SELLS AND FILED IN THE WESTCHESTER CO. CLERKS OFFICE ON JUNE 7, 1962. 3. THE SURVEYED PROPERTY IS SUBJECT BUT NOT LIMITED TO THE INFORMATION SHOWN HEREON. ALL INFORMATION THAT MAY AFFECT THE QUALITY OF TITLE TO BOTH THE SUBJECT AND ADJOINING PARCELS SHOULD BE VERIFIED BY AND ACCURATE AND CURRENT TITLE REPORT. 4. THE LOCATION OF THE UTILITIES AS SHOWN HEREON HAVE BEEN COMPILED FROM VISIBLE STRUCTURES AND INFORMATION OBTAINED FROM VARIOUS SOURCES. THE ACTUAL LOCATION OF ALI UTII ITIFS AND I,INnFRGROUND STRUCTURFS SHAI L BE CONSIDERED APPROXIMATE AND SHALL BE VERIFIED BY THE OWNER PRIOR TO ANY CONSTRUCTION. 5. WETLANDS, ENVIRONMENTAL AND/OR HAZARDOUS MATERIALS LOCATION, IF ANY, NOT COVERED UNDER THIS CONTRACT. [OR] WERE LOCATED AS MARKED AT THE TIME OF THE SURVEY. 6. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209. SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 7. CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. THIS PLAN NOT VALID UNLESS ORIGINAL STAMP AND SIGNATURE OF A LICENSED SURVEYOR ARE LOCATED HEREON. 8. OFFSETS OR DIMENSIONS FROM THE PROPERTY LINES TO STRUCTURES ARE SURVEY REFERENCES ONLY, AND NOT INTENDED TO MONUMENT THE PROPERTY LINES, NOR ARE THEY TO BE USED IN OR GUIDE CONSTRUCTION OF ANY TYPE. 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O u .E W (L - -• p v' 'm U N_ 2 U V .n r- •0 'n - O f-� .0 C1 N 'CD c��,. .y 2 Il W �/ = u u ar u c , c c u u �' m .y - a m eo U o z }+ r 3 v, C rJ, q q M'^ >= a D N y fA A u a o u a LL p `° u U a _ fl m= C V `� o V V c u a P 4 v v a 2 z 17 I C U D m U G L ,Up -' u 0 •O o .U, 's �00 .0 m a� y N 2 Ra Y] O O •`e3 C L 'O .n L = U ;a m >, 3 J o u •c+ ❑ O •x Gu :.^. _ o C^ -0 C a 0 e0 m u u ui C M U D w a '' v` c __ d Q ^ a v_ =- q .Y C_ U " ° O 3 C: C CO y - U 0 O _N .0 i Z U II i _- a R. .- L _ Ir v •i� O pp 4 U {+ v- L s .,_ O- a S �� o b s^ a ;; rs a 1, w o 1. u F x y u o m= a b Y U- n ern _� - I' l - ; m L- G •., C s 3 F G? co $! - w 0 G K>> �' o o / n lt7 �m w O - in .X '�. L u u a 'D In •u '� O O .:p _ " O _ I :'� .n •^ 7 •r7 u c3G u D. .G .� O ^ _ V J u `J. .0 C . 9 a % � u 4� c °A^ G O cJ - u 'O u.- a U ry ri o .n 0 •- 0 3 Z U °O O u U i) :'t u ,p G r ..: W it Cu._ - [-ate Nu oa u w , - g a - 3b.. c .Oc c« -,^F- j I' z O f""' ,-i u C y .^ .. O N w- q O '".\ O N M-0 u w C d- O v> n C i. .� > H C -u :n 'u O a A L^ .w p- - U a a u C. m, >^_ U '_] ❑ t9 v. Ca aL, u 2 O .a r. m O O a• U q? ` sb c a U m r? .Dn = vs C- U ^!. 'r •p z < <= U D o - E ❑ �- •-' O O rs o „i a o [� s o s u U U r a u- p « y o c- s a? D o Gi m Q- a m "? o_ �n y 3 t_ rs ^_ - o s o_ R c� " tl O e r c vi n tea, Pa. C '�"'��'� 'i r a r` X a v E o m �, o y F" u n> u s c ^� u r= 3 >, s I) 1 N y U T N M a 0 •D N. a t9 L=. O Q..D .S w a y � p, �' _^ LL 0 .G .F_ C O• O •N U y Ln = E7 ; ',--. z U y C L C m u Ya - ..,, ` C N A -- A � -0 � Y .--� � O L 11 I I w .. c w a on c u_ _ F- F 0 ^ - ^ u �n . G _ U N U C N 1~ Z O N m .W C t2 M C. n• m ... a y y V Y!! V] C �D U C>_- C f_ -, W _v„ m h U U U a A ,, 0 7 ?' m 7 C U O >_, G U D. U ¢ h -� cui h 'o .. u h '., " M cDi er .._, y U to o 4._� - •- ? 4 e" ""• y o z r L < e o ,u o t_ t. \ O z u rr c a s_ ^' a u >, Go N d u u m •a A M= a= U - ISc7-� O z O a 0 ^ d C ^ C N N O O N O din U u `7 ? O D a^ k= J w E U U Z Y .� vd O a' rr7 n O y rs C a CU u7 O >> U � U C O 'ca d h L h= C. 1 p .n E d U h .= v y !- z P. C C r N" a o= 0 0 O U A v >= > '� 0 "- U U U U D. w h F �D_• u U C C. -a cD y a ti. - U N �� D F',� e'ao. a U I.-= o 0 0- M o c^o cu u c, o m < mrn 1I _ o o L c In c0 1,7 U E V; u .y - y C x ,_. to °O q H r+, U u �a < a .= O e c Q 1 , I 1 ❑ 0 ti ['- 'C O a, A eD c>a L O^ Q u a q c a, a t� c, i., U "' N° c, CS urn L; c c R'.G o w� yx%= W-o 1:4L-0 a C. a N n '-" o _ O Ln DD O O u D N .- C Ai u. v %" C r ¢= •q M I W H Z to W (Y ,.; ,... U �'• O C q y aa i C V', e, d u ,t3) G N O C O O h U G m J W D O U a C. U LL' O U j U a._ �� 0 0= O^= w ^ U a .- ow z > >.�o c an p z I _ WO w� , t°o Cv oEu yv i'�, = u o. .o °s �y t4 N u r,-vc ` ^? <=Wml 0 W WLL . U v; �+ N U ,- .^_ ^'� U U u r •y'• tJ 'q G y >, y u '^ N U C+ .0. J O .... > y .D O r r C_= r \ N - a- I W 0 U e. L . _= C C O N q -.4 W c- .O ,,O O O- W G' 7 G c u r > N u r I. ❑ 0 IY ,-• `v U Iz Y -p °n i . 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W o` U U �, G �. u- C C 'a 0 G G C O 3 m C 0 0 ,. i iA axj a 'C C CFA _ 3 U o= O _ = ... C n C a c �. U U a a`�',e c _ r j oo O y a �- _"�, v v C ucEpn r. o a u t� ..., u 3 0 3 0 / ;,� - L. .. o ;n ' . w a a, c y, o c y- ._ e C . t~j y U 4. U m L^".Q a C _.O ` .U.. Z. J J ZO. GD O O O o U V y a.... u w C o a�� a C u U° a 'a � = u y 'd L OD a r, a ; O < ^ � .E t y o. m Y c� -_ � a 6� C> y .O ..OL_. O �, Q- 7 u � 0 O� .- a g o V y 0 .D U >, v c C '0 y F 'yc y U c U O ,° u _ � m � -o e � '_ < U _ . m Oo '% m = a E y .0 ar U .p a '.n y a O a r G C U C C: C J 0O 'O f�Y J r "t N u 2 {- 00 R' m CO O^ .�..' U C ,o x C E V- OW �' V. -C c. '_ .� f? tZ '^ '� D u .a i v O -D O C 7 N C• C - •a C aX, R3 U .n W 4 = q d L W w u U U� '_ .C. C x "' u u faA [7 U O C y D. C _ ❑ U L Ci U_ d .C.. U V, N r-„ U Q -- r.' .p O- p .D t_ M C m "' L J! U Z v v �, - C C 7 E ♦D ` a) p X .. U .... 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