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HomeMy WebLinkAboutBP21-316PERMIT # & J/ SECTION TYPE OF WORK, JOB LOCATION _ OWNER CO NTRACTO R,A COST i CO k TCO # al EXP: DATE: m % LOCK LOT 4SOi lr n 400VQ%) tic?/7 i f"4 ZL62Y 70/7 �3 oo - E c►f S%i C C �]7'i" J. ,11 �TF lC)I I I INSPECTION RECORD DATE _ FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER �Z ELECTRIC . LOW -VOLT ALARM 2 AS BUILT __— FINAL ?Y7 Zo580 ��� �&1�CCa9nino -�P OTHER APPROVA S v I I ARB BOT PB ZBA FR A4-BUILT1FlNAL SURVEY REDUIRED PRIOR TO 1=1° AL INSPECTION VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK .moo` NO: 22-148 Certificate of Occupancy This is to certify that '\ � j�l JVQTJ C�(� AmV / a-hiar7 of, AYM41 /V ?' , having duly filed an application on a�.20-Q':k_requesting a Certificate of Occupancy for the premises known as, Ki ljcrne , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: 1 Q Block: Lot: J&, and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. I" I , issued 20_5gL, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises --o''r building or part thereof listed under the following New York State Classifications, Use: IV Construction: Iva for the following purposes: ���,() eQuY m asicy)`y �cryace A)I M Plow-hna rea S->�eos fo QYa�e Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: 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 heiglif sh 1 be shall the building be moved from one location to another until a permit to accomplish such change has e n Ming Inspector. Building Inspector,Village of Rye Brook: Date OCT 1 1 Z�22 : BUILDING DEPARTMENT For office use onl : DD PERMIT# 3w ESEP 2 3 2022 3S K VILLAGE OF RYE BROOK ISSUED: E:P2:3 2 10 2 2 KING STREET,RYE BROOK,NEw YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: PAro BUILDING DEPARTMENT WW 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 iifitftftkttGt4ti#tiii/►iki#►/k/#ktt►■iit/•it/#tf##t►ttitt►f#iiifiiitiitt►\i\\ttti\ti\\\\ff\►ft►\\tiff/fffk#/##titiiitti#/##i Address: J L I TTLE K1 NGS L,ANF Occupancy/Use: --Fae.M' IL(Parcel ID#: 13 0.7-7 Zone: /Q—01W Owner: T U S T I N N ATR A IU Address: 5 L 1 TTf'f;E KING$ (-AN F P.E./R.A. or Contractor: NA-FUKt-VI EW ()ES I(rN (S9-6UP Address: -7 P-Y6- Q I P 6-G pi-A2-A SUITE 13(o Person in responsible charge: t?f}V I O D F-L-A OLD ( Address: 1 9 Ye X(D6rE PL i42.f} SUITE 13(o 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: TU STU IJ NATr A rJ being duly swom,deposes and says that he/she resides at C9 I• I T11-E k I AS LAN E (Print Name of Applicant) I\u.and Sticen in �y( 8 QOC)� ,in the County of W AS T r✓4 Es TE in the State of N T ,that (City Town Vilkwc) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 1311 ;Z0 for the construction or alteration of: OtAJ R-CA4- S I tA.n.f `Deo r ►•1e 1 ?,Llha t& r gA r. N" Stq down �,,,,., "fe- -tp_T�o. NW Dlo.nbN►f LA fQN of OoLh-S. At-J S ffi 40-A fro+• A" eLh- hsW i►A jh'00 Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Q--Z' Sworn to before me this day of , 202a day of , 20 Signat Property Owner ,n�, Signature of Applicant jusht1 * t ame of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MEULLO Notary Public,State of New York No.OWE6160063 Qualified in Westchester County Commission Expires January 29,20 �E L3RC��• O�` tim BUILDING DEPARTMENT ❑,/BUILDING INSPECTOR J�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: L- 1 1 l `e `C ��� DATE: o 1-I v PERMIT# 1 ISSUED:l &-2LCT:\ �LOCK: �OT: _ 71e j LOCATION: C� V l Q OCCUPANCY: - ❑ 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 0' FINAL ❑ OTHER QyE BRcbl cu � • �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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : r � � �\� � DATE: — PERMIT# ISSUED: ` �AECT:\10 7'1LOCK: ' LOT: < LOCATION: OCCUPANCY: `� } ❑ VIOLATION NOTED THE WORK IS... p ACCEPTED ❑ REJECTED/REINSPECTION /❑ SITE INSPECTION ° � ( REQUIRED 0 FOOTING />,<-)'\ J ❑ 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 4R°°k Village of Rye Brook Public Works and Engineering Department O� 938 KING STREET•RYE BROOK,NY 10573 (914)939-0753 FAx(914)939-0242 INSPECTION REPORT Address: 7 ���L-� �/ Date: Name: !� /r/ Location: 44/C17— A � Permit#0 2,1' Phone: Work being Inspected: Work Inspected is: A to Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water Pass Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation (�E ) (/ 04-7-46 0� M Z Al - e� Lo 4i"atgraamei/f, Signatur BR �t Village of Rye Brook ° _m Public Works and Engineering Department 938 KING STREET•RYE BROOK,NY 10573 1982,-� (914)939-0753 FAx(914)939-0242 INSPECTION REPORT Address:fG Lm/__� Date: Name: //1 Ze /G/ Location: Permit#: Phone: Email: Work being Inspected: M Work Inspected is: Accepted Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water ® Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass (52 Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation N tes: 411/ G 3M 1'/W dic 117 / Gl �� Diagram: 104 xflf7 Signature BR(�� Village of Rye Brook Public Works and Engineering Department 938 KING STREET•RYE BROOK,NY 10573 1932,� (914)939-0753 Fax(914)939-0242 INSPECTION REPORT Address: L i Tl�, !` '�`�� Date: Name: /// Location: / � 10C Permit#: ^' �� Phone:: Email: Work being Inspected: "/ G� %Zf l/x Work Inspected is: t!!P Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water Pass Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk `Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation Notes: r Diagram: Signature �yE BRC��• BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : L A1 `` `--c: DATE: <-- PERMIT# y� r `� ISSUED: SECT: BLOCK: LOT: LOCATION: `�g OCCUPANCY: r ❑ VIOLATION NOTED THE WO ACCEPTED El REINSPECTION ❑ SITE INSPECTION RK IS 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 �E BRCuk 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- DATE: PERMIT# tZt' / ` ' \� ISSUED: SECT: BLOCK: LOT: LOCATION: ` �'. nC] �� c `).. 1 S.t� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BR�k. 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 : r` ` \ ` �— �� l��'� DATE: PERMIT# A? `-- t' �\ v ISSUED:N , � SECT: BLOCK: LOT: LOCATION: �` r -� OCCUPANCY' e ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION _,, REQUIRED ❑,:FOOTING �G , tI FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 7 ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER O� Z� 04 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.or8 - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - 1 21 ADDRESS :— ` C� l DATE: ! PERMIT# ISSUED: \ SECT: BLOCK: LOT: LOCATION:` 1 OCCUPANCY: ❑ 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 N �{` r V� `. ❑ L.P. GAS \l3f� � 1c ❑ FUEL TANK 1 � _�l' �� ❑ FIRE SPRINKLER �.. laZ. ,(gyp �2\CA ` " C d y ) -� } ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL v1 ❑ OTHER JJW R1 e N N w w a> d N N end O a� ■ s N N �tS > r.. p o o M00 M c 3 v o Q 00 00 o � o N a 4 ° co 00 � p a'c `� ° i v i�i. r�7 a� E 3 •v a. JVA � w Gcl w cn a-°'o a M � � W �.r J � y.. > •o � � e o tX vi00 `� H 3 z U oow ' � .oQ Qa � �..� U © U U z i TE E W Z h4 U H L1 G O 5- o J J w tn O p�4 140 .0 ' 5 a z •• A CL WUi BULL ;jR PAR MENT D � I M V [E V>lI. E I938 KING � ET , ,NY I4573 5EP - 1 2021 4 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE U ^ ONLY: 207 f�/-31 lv � Approval Date: Permit# Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: OCT 2 OZ BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: Cn ZBA Approval Date: Case# Other: Application Fee: Permit Fees: 1 t S' EXTERIOR BUILDING PERMIT APPLICATION Application dated: 2-1 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildi s,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: L-17TI,F k1111" �'✓ ' 2. Parcel ID#:_ 3 0, 7 7 — ol,C20— 016,H OC) Zone: A—;o 3. Proposed Improvement(Describe in detail): zfjW 00 4. Property Owner- 4 7 Address: s' L/ ,W40 Phone# .Zo I 7 f9F) - Z9 Q3 Cell#! S+¢/ :S- e-mail Tncx © List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# / e-mail Architect: ✓ 1/I -l't v Address: ' R$I t grt}t! r de w 2 Phase# '7/ 4/' -� /i lJ Cell# q e-mail Engineer: �� f Address: Phone# Cell# e-ma' General Contractor:/(/4"�► d re✓/C s I r0 Cr bood, Address: -7R P / P Mz,o r* 34P a , y AN 0$73 Phone# Cell# O T s' 78 7— &SSd e-mail (1) 8/1 21202 1 fi� N-F- T-G FACH7" 12R V F'-AI -Y 4er,W W rAollf d q PA-" a' T-D 1AC-q7' 144Zi�, 5. Occupancy; (i-Fam.,2-Fam.,Commercial.,etc...)Pre-construction:rt —F4,/Al Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: YO, �'' rear yard: 7 , right side yard: t R left side yard: I (d _other: 8. If building is located on a corner lot,which street does it front on: /►`,4 9. Area of proposed building in square feet: Basement: 151 fl: 2na fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 11 fl: 21 fl: 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y.State Use Classification: 14. Number of stories: Overall Height: Median Height: J 15. Basement to be full,or partial: 170,T1 4 finished or unfinished: XA2 d 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: (ifyes, applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets ofdetailed engineeredplans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§2I7 of Village Code? Yes:)<_No: Area: 22, Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: x (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. 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) 25, Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes:—No:- X (fyes, 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 is TIER Ii: TIER Ili: (ifyes,a Nome Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: xh 29. What is the total estimated cost of construction: S 8!�.000t co 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 additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: P45;c; Za 2 (2) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 5 Little Kings Ln Section: 130-77 Block: 1 Lot: 016.1 Zone: R-20 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 el.) Area(sq.ft.)* Over Base R-35 15 Lot Area %o 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 Z-F *"Base Lot Area"is the minimum end of the lot size R 30 range in the"Lot Area"column Area of tot: 20,248 sq.fL Existing Allowed Proposed Total impervious4,862 S coverage= .ft. 6,619.5 6,613 S . ft. S .ft. Front impervious coverage = 9.3 % 30 % 9.4 % I attest to the be t of y knowledge and belief,the above information is correct. AffLqffR;2tzs Signature (4) 8/1 212 02 1 BUILDJI 6,6EPARTMENT D L C IE � W FE DD VIL E OF RYE OOK 938 KING ET RYE ft NY 10573 S E P - Z�z `_(*14)V9-0668> vlLL,ac.(. OF RYIE BROOK �ti IC.a�rb BUILDING DEPARTMENT �f AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: l 31, J-u5 ✓� a , residing at, Lt f I� l �.F✓l (Print name) (Address where hilou livel 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; L-r1Q__ , Rye Brook, NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signatur verty Ow er(s)) J-(j s fi'A (Print Name of Property Owner(s)) Sworn to before me this 1 day of S �-e �,�RJ� , 20 :?_� (Notary Public) MARIA YSABEL BELLIARD NOTARY PUBLIC,State of New York No.OIBE6300097 (6) Qualified in Bronx County Commission Expires March 31,20_2.7r 8/f 2I202 t 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. STAT�F NEW YORK,COUNTY OF WESTCHESTER ) as: t t S b n 1 &, ,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 OwAk.r for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of 20 day of , 20 Signatur o ropetty Owner Signature of Applicant SOS be, Naf o", Print Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 ME6160063 Ouali'ied in Westchester County Commission Exoirns,Iarrn iPr P9 2n q lk) 811212021 O rl N � � a ~ v � 1 G4H � � 0-4 coo � :°00 � z a C>~ V W c Cn C7 d z � r O Z o z A z � Q ;J V 1.4 A 6 a W • ,.� c. V • '� V Z a c w M z z N . � z z w a a z o ° a N W c7 $ oLn cn 0 W z ,n z . < • a • w w O z 0 0.01 CQI w x Westchester County Electrical Licensing Boara Westcheste I Angelo Zaccagnino BUILDING DEP MENT D.O.B: 12/1111968 1 Company. VIL GE OF RYE OK ii� JUL 21 2022 ; i� Zaccagnino Electric 438 KIN REST RYE B ,NY 10573 81 Maple Avenue ]4) 939-06 VILLAGE_ OF ( ;'LE BROOK " 9 Rye,NY 10580 �; ` t� or 6I ILDING "PAR T P� ENT _icense No. 755 --_ _ :CTRICAL PERMIT APPLICATION xpires on:12/31/2022 Peter Borducci !ster County Master Electricians License Required FOR OFFICE USE ( BP#: /- 3l .o EP#: Approval Date: JUL2 Permit Fee: $ /,5-0— /— 6 Approval Signature: Other: Application dated, T 2-1 Z z is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. 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. /) 1.Address: A'7n c �✓ f 4/✓i SBL: 30,, -7 7'� — 1& Zone: C) 2.Property Owner: _J Ge s / :v Address: /�N N Phone#: Cell#: email: 3.Master Electrician: 4)qej!G �GZ`C C�f�y/a Address: V L— Lic.#: Phone#:gi(L ft-Va L1 Cell#'T! 7 email: Company P Y Name: -���-o�hi!/��0 �fE�TiG•- Address: -3 1 Al ejgr ✓G— 4.Proposed Electrical Work/Fixture Count: 5.31 Party Electrical Inspection Agency: STATE G /L F��YORK,COUNTY OF WESTCHESTER ) as: AA4 1V 1,being duly swom,deposes and states that he/she is the applicant above named.and does further ((mint name if individual signing a. the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the-�'A""A)o �-- for the legal owner and is duly authorized to make and file this application. (indicate arch�t,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. Swo or Sworn to b re me this da f 201 Aj day of ,20 71— AV Si nc of Prope er Signa re of ppV u iv r aQ��Q ti N d nt Nam t3 f e Print im=jgOF oiMON NOTARY P LIC•ST NEW YORK NOfllV NEW YORK Notary Pub t Notary P c Qualiubri in a cffster County ,n 9uolified In t ester COWNy My Commission Expires ober t4, 20 My Commission res robot 14, 20P 6/23/2022 INSPECTIONSTATEWIDE 1080 Main Street,Fishkill, NY 12524 1 ennoil:office@swisny.coni SwIts JOB APPLICATION1 914.219.1062 • Office Use Elect.Permit# /� Date 7 2 7 ZZ Bldg Permit# Utility ID# Final Certificate# City/Village Zip - Township County Address / L Cross Street Section Block Lot Owner Name/Address(If different than above) S , , Contact Numb@o` ❑Basement ❑1st FI. ❑2nd FI. ❑3rd Fl. ❑More Than 3 FI. ❑Garage ❑Attic Outside "Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information : z � Ilk ll JUL 2 7 2022 VILLAGE_ OF RYE: BROOK BUILDING DE"P,R►MfN This application Is valid for one(1)year from the date received by WAS.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.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. Inspector Date Finalized Insp o # Company Name : , , �" /, 'v Date ;; �. L`i Signa r Address ) City/State t C Zip Co e License# Phone# State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES 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: Zaccagnino Electric Justin Nathan Angelo P.Zaccagnino 5 Little King Lane 81 Maple Ave Rye Brook, NY 10573 Rye, NY 10580 Located at: 5 Little King Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-156 Certificate Number: 2022-4367 Building Permit Number: BP21-316 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: 5 Little King Lane, Rye Brook, NY 10573 The Exterior was 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 14th day of September 2022. Name Quantity Rating Circuit Type Spotlights 02 Exterior Wall Sconces 01 Wall Switch 01 Exterior GFCI Receptacles 08 Wireless Lutron Pico Switches 02 The electrical inspection of the Spa is valid on and limited to September 14`',2022. _ rJ Jb 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. • Building Permit Check List&Zoning Analysis J• -Address: 157 riZFZ__ � . rJ�� �� SBL: � �•7� — ! — L Zone -22> Use: 2 Const.Type: Other. Submittal Date: l Z( Revisions Submittal Dates: c1 (c> Z 1 O L, Z- C / 1 S Z C Applicant: l I 1 U LZ I f 1>J Nature of Work F-W VA S 9 N F2-�:z Lh q N4::a vi w :ZBA: S E P — 8 1011 PB: BOT: Other. OK ( ( ) FEES:Filing.��BP: I Z� S' � C/O: Legalization: k (. jAPP: Dated / Notarized SBL Truss I.D. Cross Connection H.O.A.: R Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: ✓ Street Opening. ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site P tection: S/W Mgmt.: Tree Plan: Other. ( ) (•� SURVEY:Dated: 3 0 Z Current: '� Archival• Sealed:- Unacceptable: ( ) (•� PLANS:Date tamped Sealed: ✓ Copies: "Z Electronic ✓ Other. ( ( License: Workers Comp: I Z Liability.].Comp.Waiver. Other. ( (yYCODE 753#:J_/0 9 j— — Dated- 9—cl 1 N/A HIGH-VOLTAGE ELECTRICAL:Plans: Permit:_ _N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: _N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plar _ rmit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plans: Permit Nat _ _LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permir NI A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/ _ —Other. ( ) ( ) FUEL TANK:Plans: Permit: ue Type: Other. O O 2020 NY State ECCC: N/A: Other. (rY ( ) Final Survey Final Topo: RA/PE Si offLetter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ( ) Other. mtg.date: 2 0 Z l approval:- I D 7-0 1 PZ I notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval: notes: REQUIRED E STIN PROPOSED NOTES APPROVED Ama: Zak. Z-o SL( Circle: FronW Front: Front: Sides: Rs2r. Main Cov _ Accs.Co Ft.HS : Sd,H S Tot : •3 — — Sww` �l� ►7 l Ft I: .3 `i P n • HHd&/Stories: r no 1 1. "' C 44 V S LA.-sp BUILDING DEPARTMENT R LEC IEMED VILLAGE OF RYE BROOK SEP - 1 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF (AYE BROOK wwW: Iraoi :or BUILDING DEPARTMENT L ########################################################################################################### ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS 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 Address: 5 I ITrtf— ICI I N6S Date of Subm / Parcel ID#: /30, 71- / "14, ;7/ Zone: R-�G Proposed Improvement(Describe in detail): N�yl A94e Dan7 "E k/ 1'A-770 APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT IN RFQ4V �/ J� /7Ci</N Cam/& The following items must be submitted to the Building To P.-n o. R&4 N n H 66 S,IN� Department by the applicant-no exceptions. Property Owner: j df f-1N `A-MY 14A-JW � 4 1. ( mpleted Application 2. (rwo(2) sets of sealed plans. (one full size {maximum Address: LH7-4—:� X 14GS tr, allowable plan size=36"x 42"1 and one I I"xl7") Phone# A,d 1 -Ig -- 7k f 3 3. (Two(2)copies of the property survey. 4. ( Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( )One electronic/disc copy of the complete tfA--r(1A V I FAW P i-s 10 6AOvt> LL C application materials. 6. ( ) Fi g Fee. Address: Pjtf-Z4 S �3 7. ny supporting documentation. 8. ( )jj0A approval letter. (if applicable) Phone# L141 27Y1 j'O 8 9. ( �tographs. / Architect/Engineer: �Rt& l ace-l rOno 10.( amples of finishes/color chart. (a sample board or Phone# `l 7 3 G 9 - � 1 model may be presented the night of the meeting) 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. Sworn to before me this Sworn to before me this day of �`Q�TQ.,,�,ti , 20 Z; day of , 20 Signat/r of roperty Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary tublic Notary Public MARIA YSABEL BELLIARD I I I NOTARY PUBLIC,State of New Yak No.0 1 BE6300097 Qualified in Bronx County Commission Expires March 31,20 Z7i 8/12/2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, October 20, 2021 ANNOUNCEMENT: PER THE GOVERNOR'S EXECUTIVE ORDER THIS MEETING WILL BE HELD VIRTUALLY THROUGH THE ZOOM PLATFORM. THE PUBLIC CAN ACCESS THE MEETING THROUGH THE FOLLOWING LINK: https://us02web.zoom.us/i/89381834463 OR BY OPENING ZOOM AND ENTERING THE MEETING ID: 893 8183 4463 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 31 Mohegan Lane 4'- 0" High Black Consent 5628 (Polay) Aluminum Fence Agenda 2 Tamarack Road Roof Top Solar Array Consent 5629 (DiCostanzo) System Agenda 541 Westchester Roof Top Solar Array Consent 5630 Ave (Galvez) System Agenda 104 Country Ridge New Hot Tub On Concrete Consent 5631 Drive(Savitt) Patio Agenda 2 Wilton Road Roof Top Solar Array Consent 5632 (Chen) System Agenda 980 King Street Amendment Legalization 5260 (Perez) To Prior Approval (Window, Door& Fence) 13 Knollwood Drive Amendment to Rear Patio Consent 5633 (Luceno) Location Agenda 5 Little Kings Lane New Masonry Terrace 5634 (Nathan) W/Planters& Steps to Grade ` � u 24 Beechwood Blvd Amendment to Prior 5635 (Moore) Approval (Exterior Site Work) 7 Holly Lane 2nd Story Addition(Master 5636 (Chalfen) Suite) ML V NM MR SE JM SF AC MI KC • S t t VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, ctober 20, 2021 167 Country Ridge Amendment To Prior 5637 Drive (Hugon) Approval (Exterior Work) 17 Wilton Circle 2nd Story Addition, Front 5638 (Tabakhov) Portico, Rear Patio& Interior Alterations 9 High Point Circle Exterior Changes, (Slomiak) Retaining Wall Ext, Regrade Yard. Stairs @ Driveway ML NM MR SE JM SF AC MI KC D V FL-: September 3rd 2021 SEP 10 2021 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT To Whom It May Concern, I,Justin Nathan of 5 Little Kings Lane, Rye Brook NY, understand that I am required to develop a full storm water management plan for a 100 year storm to catch all the water for the installation of my new proposed patio. I will be working with Gabriel E. Senor Engineering who has already started work on this project and will submit documentation shortly. Thank you for your time, Justin Nathan VPI �:�g c Soil Pemoum m All"(30 - Sr= of t pj (ApY(Time ROtePER 3 ))XW ftn, iUhr. Sr- 0_201 3.391 66 x 144U, ► __ _ �l f it�/�/�i�d Sr� 1.39C.F.1a.F.tOAv Sr- 1.W-26%dl.MGMIG FACMR Sr- 1.04, 4. Cakulete Recp mo sroragc VoLme(VS) 25 Yr. f3torrr�24 Haur f+ta�'�i#►���7 '!1G11t3�3 t}sN the Tathe 3-2 on Page 3.7 Laovn with 75% Grass user an W conAtion. wid Kydra vrc C,S for actts of this type. Trle exfsi. : s . The CU nu tb pauem&-d is 96. USN an Page 3,11) hY o �t�tx'ei�Yt. Ctcvrm the'c��h ti�,�,ott CN. 98 runoff m 6.23 mch 0,52 tt 034 Volume of St wag R f N) vs- 'Vc4ume X ,t4rtae oft rrtous Swleca . Vow 1183:c.F VbMmofChjmwftr voltom DIcr . t V - 14.9 C.FJL,F, ; 8 65-C.F. Vvr' 23_56 .FJLF. 8 24 HOW Per+cOWOn Ftd*'Voiume PW CUROC Chwnber(Vp)(pW L.,-.) Vp& bdtttom Su r%ce At"or Gr 1 _ x Soil PVC Rate(5r) V 11.46 CX.tLF.d* 7.-24 MDti Y per F j Vtt VW * Vp l�tr 23,55 + tt Jt- 35 01:C f= ;'L3- ?-D f S. Reczred Nam ter rat`C lac Coarn bws Owr R vWred Ntofurrw of SloraqW Total`Jtiu§ra W C teC G'ts� c f= s 33.21 txe= . „NUMA-W, Q'f LhIS Rega.jred 6uw t t.r. r 7 LF. per u t?t3 4.7`Gtrttec Cttwiow Lk^sts USE use 5 0 ° s total t L%Vt- 2 Cta,'recs �y Michal Nowak From: Michal Nowak Sent: Thursday, October 28, 2021 1:45 PM To: eliot@gesenor.com;JNate20@gmaii.com Cc: Tara Gerardi Subject: 5 Little Kings Plan Review Mr.Senor, The Public work and Engineering Department are in receipt of plans for improvements to the lot at 5 Little Kings Lane. Review of drainage plans was performed and the following comments need to be addressed prior to this application moving forward: 1. Please review code section 217 Stormwater Management https://ecode360.com/10843642 2. Percolation test must be performed onsite and results submitted for review please submit proof of perc test. 3. Design criteria is incorrect on plans. Design shall be for total volume storage of ALL impervious surfaces onsite. Total impervious onsite is 6613sf, please design system to this size and capture runoff from all impervious surfaces. 4. Design shall be for a 25 year storm event of 6.4 inches of rain. 5. No Credit is allowed by code for pre and post coefficients of runoff. Calculations shall utilize a Cn of 98 for all impervious. 6. Provide tree protection at the Drip lines of trees Not at the trunk. Complete a Tree removal application for work within 30 feet of trees. Superintendent of Public Works And Engineering ISA Arborist Village of Rye Brook 938 King Street Rye Brook,NY 10573 P: 914-939-0753 x 2965 F: 914-939-5801 °°Yab&wa%fi6—5fie Rie dheaat of W6 vim„ 1— Ow N E— O cV o a z cW a - a a �110 C IT, z w � Q x to . H f 0 1I _�J U 1 (Z N cl '^� N v I W zssxac. Z Q ifl • zo d Y O w N m O CL- LLJ V) WJ z \� �UU LO f a • -1 1F —_ Q 'Now - a _o o LL D v t0 V � ti � n „1 U Q� S2 ti I! V 4 gR� � 7 1 a � - W o ' z w � x LO W � y I U U 1 @ 1 v U Y w N �o d O~ OW o m� C,4 oLL�a W O.� o Z crn UJ y ti j � s cq Q � w oa � x Q z x LO z - N .(Do 0 @ V L cl A V 1 � W 0 So d _ w N N Q o a -- w ca- O Lu V) Z J_ i ), o 94 AL c I - - - x to 1 i / m tV N m w - Z is 11 • � y� 90 � N m F- Oz lu O } a -- �W W C� C/1 W Q a 0 5 } ty- co LO irl a w Q 0 U w • / t ►-1 z � rryy (Do l U Z •- L t0 Q) � n W Zo ECE4IVE SEP 2021 47, Ml I IF Al Ai /ems r� • Wr* 2:02 AA Q 1 5 foot French rf m b� 46 _ l h; r , !i-".E'VISE PLANS SEP 10 2021 DATED: s NG DEPARTMENT liag } v t Ira S Eow Ark Too lrN.:fsr#"4pp- 11V" "A SO 14 04 &0 4:36 AA O kichler.com X KICHLER fllfrflpy , Acid to Favorites [/j' shave Large Wall Wash Dual Socket Centennial Brass 15786CBRD (Centennial Brass) Write a review Ask a question < U In I I , ` • � ''" Shun; `(tour Prtrjtgs X s. 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Related images TimberTech RadianceRail by AZ... iiect.com 7:35 f .r AA Q 6 deck stairs - _ h else �, illy t i-- ask 1111 � �•�i Th•ll �tr;t��;rr;cr� r; Attaching Bottom Deck Posts Visit THISisCarpentry Related images V Ow_ 7:37 ., f AA Q bluestone stepping stones s 100% Pervious Walkway - VisitBluestone Stepping Stones Gard_ Related images How to Lay a Stepping-Stone ... pintel7:y 1.COI'I', Laura Petersen From: Laura Petersen Sent: Wednesday, December 1, 2021 11:16 AM To: ddelardi@aol.com;Justin Nathan Subject: Building Permit Application - 5 Little Kings Lane Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, CE// /g�/S— 7 7—20 S-Z?Z) ✓ 1• General contractor's contact name & phone number. �v/c/ 2. Copy of general contractor's valid Westchester County Home Improvement License. �3. General contractor's valid liability insurance (the Village Of Rye Brook must be the /certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) Building permit fee $1,275.00 (due once permit is issued and ready for pick-up) 6. Contractor must call Dig Safe NY and get a ticket number. This information can be emailed to me. 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 Iaetersen(EDryebrook.or4 1 -'V V i€ o ( C) O CN 00 � a b � p <cars)► > p O EV v o q 4iL aao)R� co 0 action , o)s W W O •o Wli2tL tto)»l i �J W y p m 3 . T., W o G � w w -S 00 w >- o cc o O � - • U .b a� p .: N `` L �] )! O N O c6 i Mim�ts jj CO U a) c i <to)> « a ? «o 1/ ch fill, V!4ap'. NATUVIE-02 LLANDRY ,d►�oRo CERTIFICATE OF LIABILITY INSURANCE DATE 2/1/2D/YYM 1 /v2o21 1 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). NTACT Laura Landry PRODUCER CNAO Commercial PO BOX 5060 overage,Inc. PHONE FAX No):(518)602-0236 ac,NE., Ext: 518)602-2023 Saratoga Springs,NY 12866 ApmpAgJJss0 Ilandry@Commercialcoverage.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Selective Insurance Company Of America 12572 INSURED INSURER B Natureview Design Group LLC INSURERC: 7 Rye Ridge Plaza Suite 136 INSURER D: Rye Brook,NY 10573 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTIR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE OCCUR X $2440504 1/11/2021 1/11/2022 DAMAGE TO R(EaENTEDISES $ 500,000 MED EXP(Any oneperson) 15,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY jpeT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS-COMP/OP AGG OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO S2440504 1/11/2021 1/11/2022 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY Ep BODILY INJURY Per accident $ X AUTOS ONLY X AUOTOS ONNLV Pe�acaGentDAMAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY WC9083889 1/11/2021 1/11/2022 100,000 STATUTE ER ANY PROP RIETOR/PXCLUDE/EXECUTIVE Y/N E.L.EACH ACCIDENT QFFICER/MEMBER EXCLUDED? N/A 100,000 (Mandatory in H) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additlonal Remarks Schedule,may be attached If more space Is required) RE:5 Little Kings Lane Village of Rye Brook is an additional insured,in regards to General Liability,if required by written contract per endorsement number CG 73 OONY 01 19 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ���yp Cam , to ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name and address of Insured(Use street address only) lb.Business Telephone Number of Insured 845-893-3778 Natureview Design Group LLC 7 Rye Ridge Plaza-Suite 136 Rye Brook,NY 10573 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically 1 d.Federal Employer Identification Number of Insured or limited to certain locations in New York State,i.e.a Wrap-Up Policy) Social Security Number 86-1298567 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Selective Insurance Company 3b.Policy Number of entity listed in box"la": Village of Rye Brook WC9083889 938 King Street Rye Brook,New York 10573 3c. Policy effective period: _01/11/2021 to_01/11/2022_ 3d. The Proprietor,Partners or Executive Officers are: ❑ included. (Only check box if all partners/officers included) x all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "la" 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"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums 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. Please Note:Upon the 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: David M Wallace (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Y'i• la 12/01/2021 (signature) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: Commercial Coverage Inc. 518-602-2020 Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb/state.ny.us Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Tuesday, November 9, 2021 12:27 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 11/09/2021 12:25 To: VIL RYE BROOK PRIMARY Transmitted: 11/09/2021 12:26 00004 Ticket: 11091-001-266-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 5 To: Name: LITTLE KINGS LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: Means of Excavation: MINI EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: MASONRY WALLS, PATIO INSTALL, WALKWAY INSTALL Estimated Work Complete Date: 11/19/2021 Depth of excavation: 5 FEET Site dimensions: Start Date and Time: 11/19/2021 07:00 Must Start By: 12/06/2021 ------------------------------------------------------------------------------ Contact Name: KAREN PRETE Company: NATURE VIEW DESIGN GROUP Addrl: 7 REY RIDGE PLAZA Addr2: SUITE 136 City: RYE BROOK State: NY Zip: 10573 Phone: 914-937-1508 Fax: Email: karen@natureviewdesigngroup.com Field Contact: KAREN PRETE Alt Phone: 914-937-1508 Email: karen@natureviewdesigngroup.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED MCI SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i F20,275.98 S.F. 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Truer_ as YAAV k rr i6 MY 4, I ! N(NC4lK.�t€7'6 sGkb vilr,� .rcca vsl:cextrlr A�•r'Nbbrl i 6LtE QLNf IxFFdrtc 13w4o.o F'Mr•y/Sy!tlr1G LEA% I ! F" Q T ,r \ Or`'3�q'� l.E Earl GRAIAC- oo l i PERMIT#/JPc�I paT jG-� _ -- oNLa3 „ -CoM7A�E- eu��oxP 101 Lnox,xr PINgL INSPECnONOT FILE COPY 6IAGf /fin_ l RNfmla* MY 9r1/97 Isae REV C s hl PLA 98CT 219 20E1 i DAT Q GENERAL NOTES ZONE CHART cwNG WATER QUALITY STRUCTURE CULTEC CHAMBERS SILT FENCE SF su^°�vs CATCH BASIN El RAIN INLET ITILITY POLE YDRANT H a#w..,aan"a 6,Cw I m� esmL� WATER VALVE ffnux �' Femsc GPS VALVE T. u.r oe.rv•�me ww.,.�.... d ^sees *LIAHT POLE GUY WIRES Fm° s ;s=o x tiw .anexo rsx'w'ws m w „rt p Iwn.s -� . .,....°,.. (D TELE.MANHOLE ndar.re;.,s7 v,z n s aao>ae�mw •"'"'.••"'•. ©SEWER MANHOLE BLUE STONE SLAB STAIRS DRAINAGE CALCULATIONS PATIOANALK DETAIL V(7H YIaiER MANHOLE ®ELECTRIC MANHOLE more ®➢RAIN MANHOLE ®MANHOLE _ .' µ"" ®ELECTRIC BOX EXISTING GRADE 12"NOS DRAIN INLET -. . w PROPOSE➢GRADE 1 4TREE SIZE �¢� � •-'-• •.� p - ,� SOIL STOCKPILING(SS) �TREE TO HE REMOVED a".w� - s ; ::- -' SF SF—SF—SILT FENCE AND LIMITS .... mma.c.. u.,.aLl v.n m .,o.:...T \ OF DISTURBANCE :a e wA=w am`melmd AREA MAP e ; EROSION CONTROL NOTES LW TREE PROTECTION J 1. ILL i } V � INe M�moPw;Y �^.an ^ 1.1—oFao oM ro w Ll El y�axor.—Tz �90". 4 CONSTRUCTIONENTRANCEDETAIL� DETAIL EJe zsY f _ I X[ST. ❑ 1 N-.,NBl PROP UPDATE EJC Py,�" IL tu.T NO DATE DEED BY e«d 0.n� REvs oNs STORMWATER POLL .AND EROSION CONTTK V D O ,✓25' 20 D PREPARED FOR: JUSTIN 9 S'uCTfOf t O T �soxexww.a OK ;_, O PART ENT O PROPERTY ADDRESS 5 1 IMPERVIOUS SURFACE AREAS RYE BROOK S Jna,u`^I I PROPOSED 'A.K.A.SECTION,3077 TAX BLOCK 1-LOT,6.1 \e -NG o ``k-- � w5. OVN OV SLR.kY OF PHOPEHfY PERFOAMEDBY I s Guw ,. d3 , SGALICE LAND SiJItVEYING xEmrtAw e oo r g VILLAGE OF RYE BROOK .�. ❑❑ _ Wes off srERCOUNry NEWYORK 211, - 7 GA RIEL �D P C BC 15 AWNC EBHECKED BY: LITTLE KINGSIV NEW IMPERVIOUS SURFACE TOTAL=1,709 SF a ?/ SWEC-1 TOTAL IMPERVIOUS SURFACE TOTAL=6,613 SF JOB NUMBER: RO.25265-3 FENCE Possession NOT indicated N7 ° 2 4 4' 37"E 135.00 0.3,S 0.4'E 0 CATCH BASIN _.._.._.._.._.._.._.._.._..—.•-••- - -••-•--- - - - - - - - - - FENCE This is to certify that this map and the survey on which it is based were made in FENCE METAL FENCE 1.3'S BOULDER n accordance with the"Minimum Standard" Detail Requirements for New York State ❑ DRAIN INLET 0.3E T- Association of Land Surveyors. This Survey is a representation of the property as 14-330 XL CULTEC D ------------r--------T___--_-_T_ z surveyed on August 24,2022,the date that the field work was performed. 71)UTILITY POLE Subsequent revision dates do not constitute an updated survey. PLAT --------+----- -+ -------+------- T -- ^+--------+--------� iGN POST ' ' m (PLAY AREA) WQ ` 'S-YO HYDRANT tD- STONE MASONRY RETAINING WALL STONE WV PLAT WALL WATER VALVE TRENCH DRAIN TEPS Eliot Senor,L.S. New York State Lic.No.049822 GV GAS VALVE > D.I. WALLS& Copies of the survey map not bearing the land surveyor's original blue signature and FLAGSTONE PATIO D�n ® STEPS embossed seal shall not be considered to be a true and valid copy. Copyright Gabriel CO)LIGHT POLE �D i O ❑co m-r M FLAGSTONE z --I rn E.Senor,P.C.,2022. ALL RIGHTS RESERVED. -•� TRAFFIC POLE 90 PLAT& m ❑Z m STEPS STONE WALL m U A Title report lists easements and restrictions if the report was not provided these TONE WAL ❑D Z TOTELE. MANHOLE BOULDE easements and or restrictions may not be shown.A copy of the title report was not � �O PLANTER ❑ provided. A copy of the deed was provided.Survey may be subject to easements not VN ELECTRIC BOX ElZ shown. 47.3' 0 SEWER MANHOLE FLAGSTONE STONE WALL Surface elevations CONC. PLAT Q and underground appurtenances,if any,whether or not shown are WATER MANHOLE rn 0' PLAT ❑ not guaranteed.Fences or possession lines generally do not follow a straight line.The 00 co z ; 05 survey shows straight lines between located points.Any dimensions shown are to the rn n w EO ELECTRIC MANHOLE 0) rn r---------- pw FLAGSTONE surveyed point only.Labeled dimensions cannot be used for any other point along ci X PATIO& �- the line. r W © DRAIN MANHOLE W FENCE STEPS P _ O .._.._.._.._.._..- ,�-� ; �,-•C••-.._.._.._. TWO STORY ty) GATE � m N N FENCE C FRAME �p _ Unauthorized alteration or additions to the survey map is a violation of Section 7209 MANHOLE _ 0.2'E -� � sub-section 2 of the New York State Education Law m DWELLING TEPPING co +242.5 EXIST ELEV. - 1 n ° EXISTING 2 No.5 STONE WALK❑ L0 +(242.5) PROP'D ELEV. � ❑❑❑❑ O-� a� r NOT FOR TITLE TRANSFER ,- 4X8 ❑m --,---- , i U) EVERGREEN DRYWELLS ❑ w i Z ' D ;O ! r -- , 14TREE � ,-----;X i-n a PLAT EXISTING FRAME cn T i t !z I 1W PLAT& m D L-___J-__ -J C !n SURVEY O F SIZE - P 46�� GENERATOR WALK DECK (n�, ;r i m PLAT ;m I TAX LOT No.16.1 — BLOCK 1 34.8' GAL----TE �9 ENCE LOCATED IN THE CHAIN LINK FENCE 0'8W TOWN OF RYE BROOK �P EXISTING WALL WESTCHESTER COUNTY, NEW YORK. EXISTING DRIVEWAY TO REMAIN �_ �..., �..._. 1 i ut` f r i SEP 2 3 2022 � LL.if\G E 1F R'Jl� 4 r'1��K I I D I I° N740 24' 37"E 135.00 SCALE: 1" = 20' DATE: SEPTEMBER 14, 2022 STONE CURB DROP CURB LITTLE KINDS LANEASmBUILT 1 DOCUMENT -J • ' o . Said "Map" is filed in the Westchester County Clerk's CONSULTING ENGINEER • LAND SURVEYORS office, Division of Land Records, on October 4, 1994 90 NORTH CENTRAL AVE., HARTSDALE, NEW YORK, 10530 NOTE: CULTECS AS PURPORTED BY OWNER. as R.O. Map number 25265. (914) 422-0070 FAX 422-3009 P:'\DWG Drawinas\RO#\RO25265 from Greq.dwq,9/14/2022 8:41:03 PM,\\server\iR-ADV C5030