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HomeMy WebLinkAboutBP22-068��tMIT # i ��C19�4v�e l`oo��✓QrMS� ,�o%,Ce =M�Q2rV/ ou S �y�� �r�//Q (' � OYrer� >31a- �03 � �/1%a�i��P✓rPtcJ /�?siyn G�u�11C /°� aq Y>d � �l�rdi z �9i y)93 7-/.5'0� SECTION TYPE OF WO JOB LOCATION ow CONTRALTO EST. COST �co #� TCO # FEE DATE INSPECTION RECORD �\ DA �� FOOTING 1 0 FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALA P.M AS BUILT OTHER A ROVALS ARB �/�� �� c�Oc��- BOT PB ZBA OTHER A8-BUILT/FINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTbN �PC Qi t/Pd � ,30 a VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO. 23-033 Certif i rate of ®rrupaurp This is to certify that abl* "a/fon (Ida co/ es de A ffuda. EIeeirne Caomes Firnal-dez. Pah G of, R�& J- , having duly filed an application on In h( U k 20 requesting a Certificate of Occupancy for the premises known as, chl 161 L Qf 7e , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: ,5,470 Block: / Lot: /Q , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. c� , issued 20�a�, 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: - - FQ i / , Construction:, for the following purposes: Nat.) Don ���n new -encJ' nQ , loeW 6- -eaS , UPnlaje DC01 alarms - reduCe- 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 height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has been obt ' e e B ild' g Inspector. MAR 0 6 2023 Acting Building Inspector,Village of Rye Brook: Date: p EC ENE ` � BUILDING�llE"`kTMENT For office use ont PERMIT# —06s? JAN 3 0 2023 VILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: — U VILLAGE OF RYE BROOK (914)939-0668 FEE: — PAID IL BUILDING DEPARTMENT www.ryebrooV_ora 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 tsrsrrrsrtrtrtrstsssrrrsssssrssssssssssssssstrrrrrrsrrsssrtsrrsrstssssstssrrttrrrresessssssssssssssssssssssssssssssssssssssss Address: 11 Carton Lane Occupancy/Use:0kt°fM,✓k-P%fliParcel ID#: Zone: c�- Owner: Fabio Marconi G de Arruda/Eleine Gomes F PolidoAddress: 11 Carlton Lane, Rye Brook, NY P.E./R.A. or Contractor: Nature View Design Group Address: 7 Rye Ridge Plaza, suite 136, Rye Brook, NY Person in responsible charge: Address: 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: Fabio Marconi G de Arruda being duly sworn,deposes and says that he/she resides at 11 Carlton Lane (Print Name of Applicant) (No.and Street) in Rye Brook ,in the County of Westchester in the State of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ $28,500 for the construction or alteration of. New Pool Coping, New Fencing, New Steps, Upgrade Pool Alarms, Reduce impervious coverage 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 y Sworn to before me this day of , 20 day of , 20 Signature of Py perty Qwner Signature of Applicant 1M t e of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MEULLO .'votary Public,State of New York 811212021 No.OIME6160063 Qualified In Westchester County, :rm�risslon Expires January 29,2 QyE BRC��. 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 ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: � C DATE: Y� v PERMIT# % - F ISSUED: ' SECT: BLOCK: LOT: LOCATION: 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 Q'' FINAL ❑ OTHER QyE BRC>vk, 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 1 �CO Q DATE: PERMIT# `-zz _ ISSUED: �'()"ECT:�ALOCK: LOT: LOCATION: "tom' OCCUPANCY: 7 ❑ VIOLATION NOTED THE WORK I . ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED �,/�TOOTING �/❑ 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 _ = 0 eq N C W _ CD 00 N cs ri w o N 00 Do Ln en a• rL t `n ,n LOCs � oy V �?+ y Ln LT. _ C 7 U d• z M v a Sao a+ v +� a rncsrn 14 W " ° 3 3 8 Cc, W o O a 0o — W w � V L- W `I o a' 0 " � W o ' A U 0 wZ '� b ~ GICc N d0 (s7 Cf �w �� y p Q G cV 1�1 cc Z z U � ~p o � � � U C4 W oaC11_ � � SLn au . ° o off `° rT1 i..i o U x A 08 F- f ~J � Q IY-•i � � �+ � ° � � eya u og �� � W 0H p� a s--r zz H o 3 Z � - 4 a � LU 8a zoay .Joz LLJ � d aw $UILDING DEPARTMENT R ��,���;, ;,� . VIL�AGE OF RYE BROOK LE �/ 938 KING SiTREET RYE BROOK,NY 10573 --IDD ' MQ 939-0668 MAR 3 0 2022 i i".ryebrookxrp. VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: MaY 10 za ),VC7D Ob Approval Date: Pe rnit# Application#_ �� Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: 4 6 Permh Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated: ,30--�)1�1' is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: T 2. Parcel ID#: / 3 5-/ Y,=-� —/—/Q Zone: 3. Proposed Improvement(Describe in detail):L r t t V6 �(, C� w it6wO,e&S' " tv 4. Property Owner:: `W '� Address: M/v �{-!'Itit� ks4 Phone# -! j `�3 Cell# '`7 3 l e-mail cow_ YSr�N1 List All Other Properties Owned in Rye Brook: Applicant: d0 ' Address: (Ai l.i U p p� Phone# Ij•7 �JS�1, l Cell# � � Architect: 44N Address: �,/� Phone# 4JK pbq -bq0� Cell# QI�1 'ocUy- i`!W e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: '�I�FI✓FU � Address: -111 ,,�J4�i Phone# Q1q —I D 45a Cell#q`(r i 3� e-mail M14S C,6-pi �olV 3 91 (l� �/v�+I G� 5c>12v�ct<s�M'1�•Go M I L fr /q Pk)�0_2 �1�1 -634 .-103) 8/12/2021 5. Occupancy;(I-Fam.,2-Fam.,Comtnercial.,etc...)Pre-construction:^L Post-construction: 6. Area of lot: Square feet: V7/ Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I'fl: 21 fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: 1 s`fl: 2°d fl: 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y. State Use Classification: 14. Number of stories: Overall Height: Median Height: 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 automa'c fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 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§217 of Village Code? Yes: No: 1-k Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No- V (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: Norio (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: 49 (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:� (fyes, the area and elevations of theJlood 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: IV (ifyes,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: ­4 Indicate: TIER I: TIER II: TIER III: (ifyes,a Home 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: $ to o0o Note: The estimated cost shall include all site improvements,labor,material,scaffolding,fired 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: 01to /�� (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: 11 Carlton Lane Section: 135.42 Block: 1 Lot: 10 "Gone: R-12 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 % 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: 14,925 s .ft. Existing Allowed Proposed SZ�D Total impervious coverage = 7,524 S .ft. , n S 7,042 S .ft. Front impervious coverage = 14 % 40 % 14 % I attest to the best of my knowledge and belief,the above information is correct. Arc rte is Signature (4) 9/12/2021 BUILDING DEPARTMENT � Q � " F, ! W 1 E VILLAGE OF RYE OOK MAR 3 0 2022 iD 93$KING STREET RYE BRO NY 10573 (914)939-466$>` VILLAGE OF RYE BROOK www.r -ebr BUILDING DPP6RTMENT 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: ,/� 3J, P, O,A aCQ 4 b 1Z >� ,residing at, _WW LA,6 6 I�J120r5 Print name) (Adds mu lip0 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; �I (AA�U) 4mz�� ,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. ,nruurc f�IPruhc>'[� C nCrrwl) (Print Nnineot'Property Ownef(s)) Sworn to before me this 3K) day of 20 c'�_,�L (tiouiry Public) SHARI MELILLO Notary Public, Stai2 of New York 0,! 1 i_,r r:F33 01 in Counitir Commission Exnlres J�antlan,29, 20 (6) $!12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW PY-OM COUNTY OF WESTCHESTER ) as: OjiQ 1V' ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this . o Sworn to before me this day of wg- , 20 X:> day of , 20 i ature of Prope Owner Signature of Applicant Ni*P Print Name of Property Owner Print Name of Applicant Notary Public Notary Public SHAM MELILLO Notary Public, State of New York 1 ;. 0V.1091�_X63 0 +alified in Wesicli.?:ter County Commission Exrtires January 29.20 ` (8) 8/12no21 N � C N Q� W No\o t a 00 eq ■ � Lt7 N W n F A a Ca M x .0 U_ i X O N o .� OQ W : tkc M*I a H M W w s d r F '. o ' 00 a �! Ln Nv W e ., w G ri Ln Ln t- U '.� ' U_ > A V U ; 80 z � t U V oc 0-4 w U v z al z w 5 < w< oZ , L. z F 0 0 � o cn .. ;6 < �I ca z ca w x l'��i�a����i�,.'���A��i�i��i�i'�'��.i�+f����i��+l�i����� ,1��3 7���_ `• T'����3� t. BR BUIL MENT 9 - .. ._ i ..1 VIL OF RYE OK I J U L 2 7 2022 I 938 KIN ET RYE B NY 10573 VILLAGE i_liv R`(IE BROOK BtADING nL PP.RTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: C� EP#: Approval Date: JUL 2 8 2021 Permit Fee: $ Approval Signature: V Other: Application dated, -Z L 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: Z� ( f//Z L.�G% V Z 'A��` SBL�135 7 0� �— Zone:/C 2.Property Owner: FA b 1.C, m A rZC C,W 0 Address: // C A✓zO.., L AN C Phone#: %/y Cell#: email: 3.Master Electrician: e4A.) e4 Address: lylVVe Aa," Lic.#: Phone#:"- Ra f'7j y.,F✓ Cell#: f AA - qe 4 - /!(o y email' : CXn' L- -- &-c." A.1 I+a o, d aT Company Name: 1.f► Uzt�i[ii� � � Address: k A v'L C 4.Proposed Electrical Work/Fixture Count: /�/� Q c L_ aN t + - N1 C, ii GA L L l k t" �aL S k ( 5.31 Party Electrical Inspection Agency: STATE OF NEW ORK,COUNTY OF WESTC14ESTER ) as: Q G(L ing duly sworn,deposes and states that he/she is the applicant above named,and does further (print t1ameof individual signing as tW applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the N 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 be e e this /�� Sworn to beforgme this day ik ,20 Z 7— day of u W ,20 Z-2- Signature of Pro e Owner Si,/ V Print Name of Property Owner Pnnt ame ofj" ON STEVI t t NON Inlaxam OF NEW YORK Notary u rF NEW YORK Notary PublidNo. 01 1 234 OT 023E QMWIed In tttc stot County 3/ Qualified in es ester County My Commission Expires tobef 117!4.20 My Commissi n Expires ctober 14. 20_�O 6/23/2022 • STATEWIDE INSPECTION Service With Integriq 1:1 office@swisny.com SWIS JOB APPLICATION tel 845.202.7224 fax 914.219.1062 SWISNY.com • • Office Use Elect. Permit#—, <� ' Date -%-/ C.� Bldg Permit# Q Utility ID# Final Certificate# City/Village ��L Zip Township County r C. Address Cross Street Se yZe Block 7Lot Owner Name/Address(If different than above) � wI j �C�G 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 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 U" PooL LF JUL - 5 2022 VILLAGE OF RYL. BROOK BUILDING DEPARTMENT 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,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 Inspector# Company Name Dat7 v Signature Address C ity/State ,{ j Zip Code v U L_ License# Phone# (� State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 a 845 202-7224 Phone Tb 914-219-1062 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 Fabio Marconi Angelo P.Zaccagnino 11 Carlton Lane 81 Maple Ave Rye Brook, NY 10573 Rye, NY 10580 Located at: 11 Carlton Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP-22-155 135.42 10 Certificate Number: 2022-3369 Building Permit Number:BP-22-068 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: 11 Carlton 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 Pool Light 01 Exterior GFCI Receptacles 03 Pool Switches 04 A visual inspection was performed on the Inground Pool on September 14t",2022 and conforms to NFPA 70-2017 NEC to date. Grounding and bonding to current codes. Z �l� 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. M tn 00 JIA tn a% W ,m tn g W �O of W y Ln ,r Z w w w s ^ O w o � � Z c� z �y O A z zch w � ` rzi � w a W d Gtl z w � � � � f p �I O w O � w � � '� OZ � a W c°� z � Zo Z A ° A W W a � G� MCI I w r ~ 00 Z .a c°7 u V a a x a ? Ev. z o w F-4 0-4 O w a z oo zo w W � o t F S u 0 w o a z A Z a o ` x a a z w z pa, ° � O F. �I a 04 ova w on r9 Angelo Zaccagnino [3OARTMENT f EkD.O.B: 12/11/1968 '�Company: BUILDII��D EjuN - 2022ID Zaccagnino Electric VILLAGE OF RYE BROOK ` 81 Maple Avenue ,,��� j 938 KfNG� 'PkEET RYE B ,NY 10573 VILLAGE OF RYE BROOK Rye,NY 10680 \ (914)9 � )939-5801 BUILDING DEPARTMENT • License No. 766 Expires on:12131/2021 Peter Borducci ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY 114110 �-O(0 EP#: C 3 JUN-- Approval Date: Permit Fee: $ ��� Approval Signature: Other: Disapproved (fees are non-refundable) ************************************************************************************************** Application dated, to -2Z- 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. p 1.Address: l� C �/ Ow �ot/t/y' SBL: � Si `1 e� ��'�� Zone:/ -�Q` 2.Property Owner: /Abr u Address: /��� Taw A�z `,Phone#:f-SS ` Cell#: email: 1` 3.Master Electrician: /_\kO l' ,, 1 Z 6 Address: M 8EIC- A C rt /0'r � Lic.#: 7sy- Phone#may-gd Celle'9OG'!/feu email: " u (P- .u'W� • Dt�T Company Name:� C_C 6t ytu)#�% ��G�zTk<<- Address: '9'r/ /S7zWs c A-i4r yt�- 4.Proposed Electrical Work/Fixture Count: t�cc_'r'Sj o v►z �F.L- �G��!' � T-� fry,� (��r ********************************************************************************************************* STATE NEW YORK,COUNTY OF WESTCHESTER ) as: G tJ being duly swom,deposes and states that he/she is the appHnnni above named,and does fiuther (prit t (rn of in n•idual sigidng as the applicant) / state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is th LG�0-6- 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 bef e me this �r�L Sworn to re me this (!/ day f A u4tE 20 o day of 20 oar-r.a Sign of Property Owner S1 hl" 1 ' ,u d Print Name of Prboerty I)wner N S1VYEN , a t,rNON NOTARY PUBLIC-ST O IEW YORK riDI1 RIB Nota^ NO. 01 Qualified in Westcheste County-2 pypN1{�Q 11e51 r COW1fy„ 2 My C - ;ion Expires October 14, 207/- My Commission Expires October 14. 30:___l 3/21/19 Wesjohester Rockland Electrical Inspection Services, Inc. err Phone; 914-347-3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue FBX; 814-347-3596 s _ \ Elmsford, NY 10523r BUILDING PERMIT O. TEMP# JDATt CITY OR VILLAGE � ` Zl U� � TOWNSHIP COUNTY s STREET AND NO.OR ROAq - , ` J POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? MT✓ G• SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCC PANPY OWNER'S NAME AND ADDRESS HOME TELEISHONE N4BER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED 'V: 1 NUMBER OF OUTLETS NO.OF FI ES MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE 7 L BASEMENT I t 1"FL, 2N0 FL. I►___ ._ ° __. BROOK 3-FL. I -. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: Gcr G^j F'o 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[I EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION IGNAT F PLICANT 8TAEETAE83 ir.ry I /} TELEPHONE NO. CITY OR POST OFFICE { y� ZIP CODE LICENSE NO.WHEN APPLICABLE ���� • ff I Building Permit Check List&Zoning Analysis ikddress 1 1 � 1�- •D t-� 1 _ SBL: 13- 'i Z l 1 Zone _�Z Use: 2l•� Const.Type: Other. Submittal Date: 3� ° Z Revisions Submittal Dates: Applicant: Nature of Work (fo--p t^i!j i W R,%..t �.JN G t ra 4 �, IJ R-L,-J J c 9� i7 J4�cam. >OJ t— iA LA fZ-"_( 1-L 4 o S G o t�•��Cf='- evi w :zBA,A P R - 1 1011 PB• BOT• Other. OK ( ( ) FEES:Filing. BP: C/O: Legalization: ( ) (4-APP: Dated. ✓ Notarized: ✓ SBL: Truss I.D. Cross Connection: .-"" H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening- ( ) ( ) ENVIRO:Long. Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Si a Protection S/W gmt.: Tree Plan: Other. ( ) ( SURVEY:Dated ( Z l Current: ✓ Archival:- Sealed. Unacceptable: ( ) (✓�PLANS:Date Stamped Sealed: Copies-� Electronic. ✓ Other. ( ) (. License: Workers Comp: Liability. �mp.Waiver. Other. ( ) ( ) CODE 753#: Dated- N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery _Other. ( ) ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. Final Survey Final Topo: RA/PE Sign offLetter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. (.�ARB mtg.date: pproval• 20 2 Z notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval:- notes: APPROVED REOUIRED EXISTING PROPOSED NOTES MAY 1 0 1011 tZ ' S k 19 Date: Cir Froze Front~ Front Sides: RAar. Main cow Accs,Co� F S S S QE& Tot.!W: Z S7.4• 7 O'l Z C k o.- —[ZF> ► t2.V S Ft, Hd&/Stories: notes: g£!. S -M t C— �F -Ariz (J l c_ jD BUILDING DEPARTMENT VILLAGE OF RYE BROOK R EMAR3 :W] 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT 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: Qc (mq /i0� Date of Submission: Parcel ID#: /35, q� / — —/ Zone: -�l 2 3/�f�--z Proposed Improvement(Describe in detail): n�, APPLICANT CHECK LIST: 1�n MUST BE COMPLETED BY THE APPLICANT KK tMiX-tiiw(�FT�0/ '� C�41�Gb �EN The following items must be submitted to the Building %--o(-Vc AV%Win'W*ZV jA4(l�E�d� (WOU-V Departent by the applicant-no exceptions. Property Owner: A��, ,w , 1. ( Completed Application p f�'J vl 2.� ,J 7� 2. ( Two(2)sets of sealed plans. (one full size {maximum Address: � � �/� allowable plan size=36"x 42"} and one I PVT) 1 T) 3. ( Two(2)copies of the property survey. Phone# ����SJ �lJ'3( 4. �Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. Vone electronic/disc copy of the complete a plication materials. /�" 6. ( ling Fee. l.Gt Address: J&MA/ T&C dW k' 7. (��y supporting documentation. Phone# lal//_55j�7, 8. ( �PProval letter. (if applicable) 9. ( Photographs. Architect/Engineer:�N � 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# CjIq .�041yfly 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 OX C,\rl , 20 day of , 20 ignature of Propertewner Signature of Applicant &WIK 6 Print Name of Property Owner Print Name of Applicant SKARI MELILLO • ; of New York Notary Public ' Notary Public C,,tn'Ifjcu i,i V,'c_;I7! tc;r Courty Commission Exrnirc-.s.;anuan129.2011 III �f� wau P tai J6 c 3:2(:,k)t 8/12/2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET,RYE BROOK,NY 10573 ARCHITECTURAL REVIEW BOARD Wednesday,April 20,2022 @ 7:30 PM NAME & TYPE OF MOTION SECOND APPROVED REJECTED APPL.# LOCATION APPLICATION 22 Rocking Horse Install 4'Black Chain-Link Consent 5684 Trail(Leon) Fence&Partial 6'White Agenda Vinyl Fence in Rear Yard 14 Bobbie Lane Install Rooftop Solar Array Consent 5685 (Sorkin) Agenda 114 South Ridge New Tenant Sign Consent 5693 Street(Win Ridge "Madison's Niche" Agenda Realty LLC) 780 King Street Amendment-Change Gas 5134 (Heinberg) Fireplace to Wood Burning, Extend Chimney,Construct Built-in-Barbeque& Eliminate Two Skylights 545 Westchester Refurbish Exterior Steps, 5659 Avenue(Castiglia) Railings,New Aluminum Awning,Reface Retaining Wall&Repave Driveway 44 Lawridge Drive Partial Second Story 5686 (Bauer) Addition,Interior& Exterior Renovations,New Front Portico and Steps 28 Wilton Road Legalize Rear Yard Stone 5687 (Servedio) Patio&Retaining Wall 11 Carlton Lane New Pool Coping,New 5688 (Marconi G. de Fencing,New Steps, Arruda) Upgrade Pool Alarms& Reduce Impervious Coverage 32 Hillandale Road Second Floor Addition, 5689 (Bloomberg) Rear Addition,New Siding &Roofing 11 Berkley Lane Refurbish and Expand 5690 (Sakofsky) Existing Deck&New Stone Walk 10 Carlton Lane Rear One Story Addition, 5691 (Shirken) New Rear Deck&Interior Renovation 32 Country Ridge Second Floor Addition& 5692 Drive (Hochfelder) Interior Alterations ML ✓ SE MR SF pi- KC paversExisting AS4 - r Proposed httvs://www.cambridgepavers.com/l)avin2stones-sherwood �tf 4 a� tr New Pavers (gray) vs Old Pavers f T _ I 1 �l i .. .�1` �, �l •,r��f Ate'• �- ��•�>�*� .��,� ��'� �i r• white Fence and gate to be replaced — Access to backyard through driveway — with feet tall vinyl fence el a ` �•'• �� ����. Via. .!d �► �.•t v . �•�-���•vjv � '?ic x 3734 MAR 3 0 20 VILLAGE OF RYE 3ROOK ao, Q\ .s ON .i LINE 1 % rA� per 02� W IB/ CNAw LwR y, NCE LM"f' TO. 12• N/Ir G 5 S.YRW/ 5 ONCE of \Gole off, off=o tt�t� az'n RETIE PA l[R PAnO ••I Eoa P0�EO: m J 4?' x L O' a PODS STOW y N RET WALL 2 CRAW LINK R \} BBO ON FOP J CONCRETE AWR PATIO SLATE PATIO i= U RAISED ft" K DECK a \ 34.t' STOCKADE East SLATE WALK M� FENCE� 4 \I �"�-N 46 O ONE STORY FRAMB 1 BA5EMENT DWELUNG 51°"`LtNB O UA tA.i/ W j PLAT -BA SIY TB.3' Eft Uric Y SATE • ' STEPS SLATE I'ALK e 3 W Q VA h, MALL � ^ � S 0 O o � ; AA STEPS E o Cal 0�. O o ♦ N O9- \ R = 250.00 A = 20144'20 L = 90.49' 187.30 -- — — — ASPHALT CURB - C A R L T O N L A • THE PREMISES SHOWN HEREON DESIGNATED AS LOT NO 47 ON A CERTAIN F MAP ENTITLED'SECTION TWO-PINE RIDGE'.MADE BY RUSSELL MUNSON. DATED APRIL 29,145T AND FILED IN THE OFFICE OF THE COUNTY CLERK- SURVEY O F PROPERTY DIVISION OF LAND AM RECORDS ON NOV.15.1957 AS P NO.11307. • PREMISES ARE DESIGNATED ON THE TAX MAPS FOR THE SITUATE IN THE TOWN OF RYE TOWN OF RYE SEC ON GE F135.42 RYE BROOK BLOCK: 1 LOT: 10 VILLAGE OF RYE BROOK AREA:14,925 Sq.Ft.10.3426 Acres WESTCHESTER COUNTY • SURVEY IS SUBJECT TO ANY STATE OF FACTS WHICH AN UP-TO-DATE TITLE NEW YORK EXAMINATION MAY D13 Cl.OSE. • THE OFFSETS SHOWN HEREON ARE FOR INFORMATIONAL PURPOSE ONLY. OFFSETS ARE NOT INTENDED TO ESTASUSH PROPERTY LINES FOR THE ERECTION OF FENCES.STRUCTURES OR ANY OTHER IMPROVEMENT. SCALE:1'=2O • ENCROACIMENTS BELOW GRADE AND/OR SUBSURFACE FEATURES,IF ANY. SURVEYED:AUGUST 19.1998 NOT LOCATED OR SHOWN HEREON. SURVEY UPDATED:AUGUST 31,2010 • UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A SURVEY UPDATED:APRIL 30.2018 LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SURVEY AMENDED TO SHOW NEW FENCE&TREES:SEPTEMBER 1,2021 SUBDIVISION 2,OF THE NEW YORK STATE EDUCATION LAWS. • ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE TRUE Link VALID COPIES. • THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY CONDUCTED ON THE DATE SHOWN AND THAT SAID SURVEY WAS PERFORMED IN ACCORDANCE Land SU/Veyo/J P.C. WTTH THE EXISTING'CODE OF PRACTICE FOR LAND SURVEYS'ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS i,, 21 Gar*Pl—,S.W 1-8 Ph—84"28-5553 Wrwpac NY 10541 F-845-62NOW3 PREPARED FOR: FABIO MARCONI,GONCALVES de ARRUDA ELEINE GOMES FERNANDES POLIDO �j r THE JUDICIAL TITLE INSURANCE AGENCY,LLC WELLS FARGO N.A.,its successors and/or assigns as their interests may appear --��---^^—— RIK J.LI K � �sep r SM YORK STATE LICENSED NO SURVEYOR NO.050542 �.W r r j 1 • -` 1� � �l 1 r v IRP ♦• r d 1 �1� � �1.� •♦ /1. . 7t- pl�i' ..� QD c cd OODs syr� EV o .� o ry. -4-0 C ���• LO -- CD Cr W >- o •° <-dion cd WI LLJ LLJ rM ' VV • L W U � p •. � g" C •U_ .� _ «tom lii��jj/ N bC z O � L •u Al / .. . . . . . . • ► 'h .. . m NO WAVY, '��hhl�h go sue_ DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 0511 8/20 2 2 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 Kasey-Lynn Murphy NAME: C.Quick Insurance Agency PHE (845)497-1119 7010 FAX (845)533-1179 ,CON No Ext: A/C No 13 W.Main Street E-MAIL kaseym@cquickinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC N Washingtonville NY 10992 INSURERA: Selective Insurance Company INSURED INSURER B: NGM Insurance Company 14788 Mike Fence Corp INSURER c: Twin City Fire Insurance Company 29459 PO Box 391 INSURER D: ShelterPoint Life Ins Co INSURER E: New Rochelle NY 10802 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2251704603 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 ADULISU R POLIC POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY RRENCE $ 1,000,000 EACH OCCU CLAIMS-MADE FX-1 OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A Y S2514841 05/11/2022 05/11/2023 -PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 300,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED Y B1Z4851B 05/16/2022 05/16/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Uninsured motorist $ 100,000 UMBRELLA LIAB "•""""'•"'"''y'•'"""• OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A 16WECAD2LZG 04/23/2022 04/23/2023 E.L.EACH ACCIDENT $ 100,000 D?OFFICER/MEMBER EXCLUDE (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 Disability D D463691 04/23/2022 04/23/2023 NYS Statuatory Benefits DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) Village of Rye Brook is listed as the additional insured as per the above liability policies.Work to be performed for Fabio Marconi,11 Canton Lane,Rye Brook NY 10573 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 Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 G/ I—&U�/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured 914-636-8031 Mike Fence Corp PO BOx 391 1c. NYS Unemployment Insurance Employer Registration Number of New Rochelle NY 10802 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 1723579 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Twin City Fire Insurance Co Village of Rye Brook 3b.Policy Number of Entity Listed in Box"l a" 938 King Street 16 WECAD2LZG Rye Brook,NY 10573 3c.Policy effective period 4/9,41?ngg to 4/9�/9r9� 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 1a"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: Kasey Murphy (Print name of authorized representative or licensed agent of insurance carrier) Approved by: (Signature) (Date) Title: Account Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 845-497-1119 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 mob ^9.• - �� � ...,+/•1•� v 1/•f•/1 w '►1/�►�i► `� ?� � f/'iil �' f/'it! " ='�'i� "� = 4 •�'�•�1 � >; Y►/1/i�1: - �1/1/1d1 _ ;h lll,l a �_ ,1�1 ,i1►/1 1 1 +1► �r,,��l/1<ss)> 1 11/1, .r.a •�s : � /lili: Via`' ss .4 111.: 't- g`�: �1 11 : 'r 1/��.:;.,;g�xl,�(o)►�. i a+ s. CN . a 04 L. W 00 , CD r •-_� Ix L C �'" ice• E \ w � .J vOi �•� . CL a• �I Cp O .r.► co C ) .:>. It Lf) 7 a/ iti _� G���j +•� CD o00section =_ i :• "': i� Z �- U tin A' Qt� -1 -10 4 ^ ^ W W LLB uj ui �O za<(o r ,y, v F e� ye ea c� y CV 1< `Yco'. J O O y U 6 O En <(�s)>�•uyu� �►1 1+ �,�;;;11 Ih _ ►11 11 _� s 11 1+°iass;_� :'•i ► f ,�a .. Fa .�.'1. . . .q4$. . . �..::/ z�� u <(0)> �g Ip/l+, IpIN,� ,�►►//+��, +►flifh �+11//llh� �►11 h" W11►NI ....• � •..• •: ''����, :'. .•�r�` .:: �Y1}`'jl. •.. �V f�4.- .,• '- �e�.a..su,.s*�:: t;.. r ��,�. r ,}v'' • NATUVIE-02 LLANDRY ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(M 3/22/202YYY) 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: 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 endorsements. PRODUCER C NTACT Laura Landry Commercial Coverage,Inc. a/co,NN,Exq:(518)602-2023 alc,No:(518)602-0236 PO Box 5060 E-MAIL Saratoga Springs,NY 12866 .Iland ommercialcovera e.com INSURERS AFFORDING COVERAGE NAIC M INSURER A:Selective Insurance Company Of America 12572 INSURED INSURER B: Natureview Design Group LLC INSURER C 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRMWDDW A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR X S2440504 1/11/2022 1/11/2023 DAMAGE TO RIEaENTEDEMISES $ 500,000 MED EXP oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1'000'000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYFI jreT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 (Ea accident) $ ANY AUTO S2440504 1/11/2022 1/11/2023 BODILY INJURY Per $ OWNED SCHEDULED AUTOS ONLY X AUTOpSWry BODILY INJURY Per accident $ X AbTOS ONLY X AUOTNOS ONL� PROPER acadeTMrrtDAMAGE $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y A LITE 100,000 ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ C9083889 1/11/2022 1/11/2023 E.L.EACH ACCIDENT $ pFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE:Fabio Marconi-11 Carlton Lane,Rye Brook,NY 10573 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia. 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 lc.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically Id.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: 01/11/2022 to 01/11/2023_ 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 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 maybe 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) f Approved by: C� A• tta 03/22/2022 (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) pZ COVERAGE PERMEM-0 E?C19TIN6 PROPOSED V I Ng F N _ TOTAL AREA:14,4Z5 OF EXIST.CONCRETE SLAB MAY 9 2022 PERMITTED MAIN BUILDING:1196, HOUSE:2.510 5F(1596) NO G44AN6E PERMITTED DECKS:496 DEGKs 44 OF(0.69b) NO GHAN6E ' a GONGRETE PATIO:2,22q OF(1596) CONGRETE PATIO:2.22q OF-515 OF•5 1 PERMITTED ACoGES50MY BUILDIN&4% OF a 1.141 OF(1 I.-TWO MASONRY FINISH TO I AiMATCH EXISTING, NIALKWAY5:514 5F(5%) NO GHANGE EXIST.STONE PATIO BLUE570NE OR OTHER BUILDING DEPARTMENT DRIVEV4AYt 1.64 q 5F(1 1%) NO CHANGE W HANE TO REMAIN OWNER TO SELECT POOL:613 SF(4%) NO CHANGE FINAL FINISH SHEDt 55 5F(0.496) NO CHANGE PERMITTED IMPERVIOUS IN FRONT:40% EXI5TIN6 IMPERVIOUS IN FRONT: 49b 1•NOSING .' 04 RE-BAR AT ALL •,, ••, f: 2•T N051NGS TOTAL E)GOT140 VE MAX PERMITTED GOVERACM 26% G Et LY17. ) IMPERVIOUS OVERA6 1,524 OF(50. ) �. (4 fog: r ct with conforming uses A structure that is conforming in r::,._.•.c__, - -a•:. I .� #4 RE-BAR-12'O.G. GRAY HATCH INDICATES u no not conform to the lot area,c4uern footage,yard dimonsioft height S setback coverage.off-street parking boding or similar dimensional requirements i__,,;^ri__:;i`I'�F;i; f,;;— f ,•i:8 2 5F OF EXISTING of this chapter shall be doomed to bo dimanslonally nonconforming BOTH WAYS No permit shall e`1•�'--'"^•f �l�i^=f- I CONCRETE PATIO TO BE �Q be issued that too result in the increase of any dimensional nonconformity,but any �!_K'•_ a i7I_: ,��, REMOVED '�^� otructwe or any portlon thereof may be altered to dacrooso Its dimensional _yin'i`:'l:="i!•-9 J.t EXIST.STONE PATIO TO REMAIN nonconformity, ..''.I�Ir.'_=:Ilse_ I' OaJ:h• -flit-n= SII! y .l:l..- •. i•=-�1��_ -Ill _ Its -f LIP BLUE HATCH INDICATES 3 1 • •++�� / J._' ai'-.}7_#'. ;i 1r.,�U—`f' SF OF EXISTING �'.?�T �ylli ui i�l I-'; .•i:'•a: f •,t�ll,@i:GR-=1it� � 3/4'CRUSHED BASE LIGHT GREY AREA LANDSCAPE AREA TO BE • "� ;1 i p' r r`- t CONVERTED TO PATIO }� AWL- • �� rLr`�'`$^r il!r j_-;lt- ROCK REPRESENTS 43 1 5F L�I�;L'u::!!`: 'i C`3!a• II u,,J L :t ��Tlr jn "'�f"7 �'-=� •,•;., f2" ',t r-i,'i-I E-=,n �i ,I�•-'-r,t�l4 fi t OF EXIST.PATIO TO BEDASHED LINE INDICATES d •er+re�+htt+l� ,ilf=r`d if.-,lid_i'__!'r�tt xt`�� uy. . REMOVED-REPLACED rl I • , , ~I !�,�' F W/LANDSCAPE BED 0i(�IN t fC� ♦ WALL TO BE REMOVED Nth �, AS-BUILT/FINAL SURVEY 8� 11� I i f!n !Ii..h ill a•:, REQUIRED PRIOR TO -����:�--►��1<�y�,�, JV .ff.►7 �/ lrT.AaJ,-•Jt�•-•U1iru COMPACTED 5UBGRADE EXIST FENCE TO ILA V FINAL INSPECTION ¢ BE REMOVED - PATIO STEPS DETAIL,TYP C4UCWTr PA v.A PA A) Z 1•e 1'-0- PC^ 1A0 // FENCE TO BEIT? • # 10, REPLACED N/4 FT ��� Po BLACK CHAIN LINK p� ��� N trj 2I T y C Pooll. NEW MA50NRY 47 --NEW MA50NRY 5TEP5 TO REPLACE Q� STEPS TO REPLACE A/ EXISTING WALL ' Ui . 1 EXISTING WALL N / EXIST BBQ TO PER?AIT#I Z2 NEW PATIO EDGE- / BE REMOVED �� EXISTING PATIO s� SBL# ! PATIO TO REPAIR � � SEE STEPS DETAIL FOR7=- A5 REQUIRED - � s! A JRA, MORE INFORMATION IT DATE APPRQ MAY 1 0 2022 D REAR DOORS TO RECEIVE CODE COMPLIANT ALARMS PER 2020 NY RESIDENTIAL CODER 326 � �. CHAIN FENCE AT THE FR STOCKADE ¢P BE REPLACED W/kNHITE"LDING INSPECT R, filmRye Brooks NY FOOT HIGH,5ELF-CLO51N&GATE A Jr WALK r 4• AND LOCK(A5 REQ PER NY / TAP RESIDENTIAL CODE) Y y' s : IV* .{ �-*'' f' r 1}Ip MdstcanilLeisy 44 iLLC PO Box 2 4 :ff.WZ — h� Purchase I New York 110577 ��� • FRAME" 46 wwwjyierap.com ONE 914.204.6404 br Jaclyn@tylerap.com BA5EMFN'r OWELLING letcilsOs�ss7lvdlsitYtli�itO�ta yla V dmdi St��'t11/�r r; _ 1ne�f.nR�bf�Ita��an'arly�Ysl�aY PROPOSED WHITE VINYL W TALL FENCE hhhilYbl,Oli/N�•I�h>Yhtt<ttdeaa�sblttf�hhhh�t�h� in Address ?1 CQNtOrI !0a7Bh ��t��..r.wr.�■.ua�at�. 4.1 Jf Date Iseeom 05.05.22 REV 1/BD COMMENTS .sic. East Units &A le 1 StA t • PROVIDE WINDOW �1• � j1 RESTRICTIONS PER 2020 ; ..� I NY RESIDENTIAL CODE ,; ti",' - SLa� A4K _ I R-326(ALLOW MAX A . Mon OPENING OF 4•)AT ALL BACK A 51DE WINDOW5 r Prajeantaw MARCONI RESIDENCE Q «. 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