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HomeMy WebLinkAboutBP22-079LRB LS PERMIT # �c) '© 7 1 DATE. s o c c EXP; � . d� -- SECTION BLOCKLOT TYPE OF WORK 40 JOB LOCATION 40 /QG OWNER L//� 2//►'� .�/C �A /X.� �QVQ CONTRACTORS 'J7iI� '7 C - O.�� chy 3)9y10 ^� EST. VCO # U7_l TCO if FEE DATE ___ INSPECTION RECORD i DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT 0 FINAL r I 4R 7. �9 406 anniumaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David.M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE September 30,2022 Guillermo Prieto&Susana Zavala 58 Tamarack Road Rye Brook,New York 10573 Re: 58 Tamarack Road, Rye Brook,New York 10573 Parcel ID#. 135.60-1-12 Building Permit#22-079 issued on 5/26/2022 for New Replacement Window This certifies that the one new window,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to D ECENED BUILDING DEPARTMENT PERMIT#,&'0c)c)-079 SEP - 8 2022 VILLAGE OF RYE BROOK ISSUED: 0)10 8 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE:,A Z/Q-- PAID& BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS fliiitfiiiffifittitiRifittliftt►tittii�ttti�Rltfifttit►iiittiitiifttiittf ittifit►i#tttitttit#ttiitiRRRttit4iRiiiiitlilt!flit♦ Address: 58 Tamarack Rd �C 't"' NY 10573 Occupancy/Use: /r41 _Parcel ID#: 135.60-1-12 Zone. Owner: Susana zavala Address: 58 Tamarack Rd�qyQsl-J'KNY 10573 P.E./R.A. or Contractor: nisi D-e.,f,,, r t-S A Address: Person in responsible charge: ����' � Address: t o`S 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: Sit c-4t-sL being duly sworn,deposes and says that he/she resides at Se 7c A ,,&- in in the County of in the State of NY ,that 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: 1602.00 for the construction or alteration of: one Replacement window 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-IO.A.of the Code of the Village of Rye Brook. T Sworn to before me this 91— Sworn to before me this day of �. , 20 ZZ day of , 20 Signature operty Own r Signature of Applicant SU Sa'?O� ZGt vCA 10 Print Name of Prope er Print Name of Applicant Public Notary Public ONMAUWAM Notary K*ft Of fftN York I.D.DIAWIW C0L AA 6M 61WW 03/01/2025 QyE BRC��, O� 2m 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 : ` CIS C ��l\VAC ATE: C h PERMIT# (C ISSUED SECT: BLOCK: LOT: 2 LOCATION: k o `` C C OCCUPANCY: Iv ❑ 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 ,49"FINAL ❑ OTHER _ a = e a _ L., N a � N N w � ■ a � N N C1; � � ■ N w „ • N ■ L [T] i'°r'I y s. ❑n ■ W Qa 79 n, O v ■ a W yP4 o r OJ o o bt ' Q \ O F+ O O g y °icn 0 3 a Q o kn o o Ln oo _ CST d 0.]' 0 aU � W 00 N M q Au o P t v = w z a c to 1-•� r' (� M O o U W 6 � � c� o 00ON u 0 ,5 1 p w V A a w V �j W 4 z x s 0 a ti A U d p U � o � � ^ O O a Ji U FowA 2 L U p V °' b � C7 A z 0 00 Ln A W 0 od [ � z iUi W� � p 4 •' C v , m A4 � ry x a BUILDING DEPARTMENT R IE C F �V F.VILLAGE OF RYE BROOK 938 KING ST-IkEET RYE:BROOK,NV 10573 MAY 19 2022 (914)939-0668 \+H��.r\ebr„tik•rit�, VILLAGE OF RYE BROOK BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR Ex I I•:ltl m Nx OItK NN IIIcII Dor", \t)11Zvol.Iltl•: 1'II.L \(:I: ,alt( 1117 LC I tilt\l. RI-IN II:\1 B0:\Itl) :XvvRO\ \i. FOR OFFICE USE ONLY: -- - ---- MAY 2 4 iia �-U �' APPROVAL DATE: PERMIT#' V 7 9 APPLICATION FEE: APPROVAL SIGNATURE; PERMIT FEES: �A? - H.O.A. APPROVAL: DATE: DISAPPROVED'. OTHER: Application dated S� /—a�' is hereby made to the Building lnspectorofthe Village of Rye Brook,NY,for the issuance of a Permit Im the construction of buildings,structures,additions•aherations or Im a change in use,as per detailed statement described below. I. JohAddl'ess: �') 1 ctir�c,r c c I[ ' -Ck - 2. Parcel ID#: - _ Zone: 3. Proposed Improvement(Describe in detail): R- Lvv\ e`ft L,,­ct S� v^� 4. Property Owner: Address: C-tAL QLe 1, — - -- — --- Phone# rltiw4 " SiIS I Cell # e-mail SAS c r\c�c. i�4t. ,-.; •1,cp List All Other Properties Owned in Rye Brook: 4 Applicant: _ �... L-4---C_k :- (-, - I Address: Phone# i CLLI te- �u cell # r e-mail she C rn ,-t��•. Architect: f +-vt^ it Address: Phone# Cell# e-mail Engineer: :Address: Phone# C'cll# e-mail General C'ontractor: ` cy", ki�t o c. � _ — Address: '���.5, ,+c c �a Q�1� '�k• Phone# 6 tF S? r Cell#.. e-mail �`)s.r m"�-k� \G >4 �vt d S C- 1 �l 111 xf1?2021 5. Occupanev:(1-Fam..2-Fam.-C'nmmercial..etc...)fire- construction;_ 4 .�c,vti` l Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side vard: other: 8. if building is located on a corner lot, which street does it front on: 9. Area of proposed building in square tecC Basement: I" tl: 2"1'fl: 31 fl: - 10. Total Square Footage of•the proposed new construction: 11. For additions, total square footage added: Basement: 1`' tl; 2nd fl: 3'fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: _ N.Y. State Use Classification: 14, Construction Type& Location: ( )Typical Western Lumber Frame, ( )Timber Frame [TC]:( )Wood Truss[TT]: ( )Pre-engineered wood[PW]; Located;( )Floor Framing [F];( ) Roof Framing[R]; ( )Floor& Roof Framing[FR]: Other: 15. Number of stories: Overall I leight: Median Height: 16. Basement to be full.or partial: finished or unfinished: 17. What material is lire exterior finish: 19. Roof style; peaked,hip, mansard. shed,etc: Roofing material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation ofa new.or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler.ANSI- System. FM-200 System. Type i Hood. etc...)Yes:_No: 'y (il.rex. applicant nnn.a.ctrh+rrit a Acp(Jrcur Ataornutir 1•ire SlIlywrxsion Ststern Permit application&?sets of detailed ei-kgMeered plans) 22. Will the proposed project disturb 400 sq. ft. or more of land,or create 400 sq. ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Vitlage Code'? Yes: No: Area: 23. Will the proposed project require a Site flan Re%iew by the Village Planning Board as per§209 of Village Code? Yes: No: y (it'll-es.upplirant"nevi submit er Site flan.-Ipplication. &provide detailed drals-ings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if.rev. von mist sub,nit a Site Plan.d pplic union. &provide a detailed arp(ir;raphical surrey) 25. is the lot located within 100 fi. of Wetland as per§245 of Village Code'? Yes: No: (il)es. the area of wetland and the ni dump httj/i,r-nor nnrst he properh depicted on the.survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9,128 07? Yes : No: (il•res, the area and elevations of thr flood plane must he proper•lc depicted on the.varver&site Phno 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: appliccrrrt nncct suhrrtii a Trrr Renrot'al Permit.lppliruriunl 28. Does the proposed project involve a I lomc-Occupation as per§250-38 of Village Code'? Yes: No: k indicate: TiER I:_ TIER Ii: TiER III: (ila'es,a Rance Occupation Permi!Application is reyuiredl 29. What is the total estimated cost of•construction: S � lC {, Vole:estimated c•ostshall include fill site inrprovenuans. icrhor, rrrcrterial,scuff riding.fixed equipment,prolessiorutl fees. incllydinr;am material and labor trhich nrav he donated gratis. 11 the linal cost exceeds the c.�thnaied cost. urr additional fire trill he required prior it)issuance of'the C-'O. 30. Estimated date of completion: (2) 8 122021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NV 10573 (914)939-0668 ���ra.rr el7r��ok.or� AFFIDAVIT OF 'COMPLIANCE VILLAGF. CODE §216 • STORM S1 WI`.RS AND SANITARY SFWI-RS 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: C', 31, �_�:� C._ ,.._� c} residing at, �� \ ►��. k_ e.Q. being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the legal owner ofthe property to which this Affidavit of Compliance pertains at; cF T� (�v�c� f c ,c tC �_c•� Rye Brook, NY. Further that all statements contained herein are true, and that to the best of'his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stonnwater 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. C�ffscxn a Zit 043 (Ck Sworn to before me this day of' 4 t; t'ubfacC .Y. 242 tloaifled In�west (p CitmmKat r Feb 23,�b �?1 8,12 2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are nonrefundable. h#fk:k#i4 tYY�t sQ*Yt*#ttWo4**rt**ek*************r4•14***�t#####1k#el'###lY'al**+:*k*******kf;*****ir**x***x*>rk•k**ai:rxi°k:Y STATE OF NF.W YORK,COUNTY OF WESTClIESTER 1 as; _ -��-"_ -A C'" , being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing ac 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 Sworn to before me this 19 day of _ _ °y 20 day of -- 20 22 Sionature of Property Owner Signatin t,l'Ap€ I0ni C" Print Name of Property Owner Print Nanic of Applicant Notary Public :Votary Public SHARON A. STRAIN 4 k otary Public,State of Connecticut Commission Expires Dec.31,2024 (4) s t2!zoz1 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 sighed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. wwwwwwwwwswwwwwwwwwww,�wwwwre***wwwwwwww*wwwwwwww*w*ww*wwa�wwwwwwwwwww,�*w*wwwwwwwwwwww*:�w*wwwww*w*wwwwwwwwww� STATE,OE= NE%A' YOItK,COEINTY OI= WI ST('IIGSTEIt ) as: t^�_ � Q " being duly sworn, deposes and states that he/she is the applicant above named, (print name ufindi%idual.ilning as the apt)hcarn and further states that (s)hc 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,cuntraclor,went,aimme)•,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 he 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 aye Brook and all other applicable laws, ordinances and regulations. By signing this application. the propert,� 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 source of infiltration iltration into the sanitary sewer system on or from the subject property. Sworn to before me this` 4 Sworn to befbre me this day of M44 _, 20 24 day of 20 IL 0— Signalureol'PropertN )\c ner Signature of Applicant tJy,SonOl Z ca QCA to Print Name of Prupert} Owner Print Name of Applicant \ tiara�P, it Notary Public Wad C, Y. Plttrlic. xn'_�,1►21 Dated- 512012013 "Eli i tylA GLi�s 1?.tCkaigzmg Spacer G Anjou) FaC> " t 650013&se ProSolar Suparcapt 718 r_� 0;, 3 0:, F a 02 0.2'i o m o �C.aa.sge. 003ase � y. ProSolaru47 prcep a : . ® m m o• , Transom 00 Base ProSolar Supercept 1' 0;27 • 027 ' 0.2 Double-Hung 50013ase ProSolar Supercept 71S" 0:28_ 0:28„ _ .R; 0 28 U2 e e o Picture Casemeot_((all I� 50013as,e ProSolar Suporcept 718" 0.26 1 0.:28 C: q.?_5,� a o 0 Picture 090.14 EW9 ProSolar SuForc�pt Ile" 0 7 ' 0„29 + 0.2E; e o _ .._._._... -- - 2 Panel Slider t3500 t3asB,.... ProSolar Su pt 7/8" 0; 6 `�► 029, 0 �3 , . ® •- 3 Panel SlidersMim 0.28' Garden Door(CH. 6St3ne Star ro o(`r .'. (' Super Spacef ,' 3. 9�..' �► • I'a p 2 v;9Patio Door INOVO B00'it3asH [ikQier sypet$paoef !1 0':Q w oer aa,New Atstdeo, ragOsr,:. ,.and HIM�washln�tgn. Awning(Inc Hopper) 610013ase Pro Solar Inteltpt 7L8" 0.27 , 4 • 'a m o 0 r1 s. a Casement100 Base Pro Solar Intercept 71e 0.27 tD 24 • ?►'. a p ll ` i s'k . Ati39���Snrxam.exsxsMON, 11 ¢'.tyc.'�n:SfPiA•,.�O1ID16'ia • ®_ Double'-Hung 100i_ner Sta.f i'o Solar Supercept 9/4"' 0.30 0 o I 0' !7 q' e o Picture Casement(No Hinge) 6100138se_ Pro Solar Intercept 718' 0.27 0.28 0 ® I^ 0.27 0 J o 0 0 Picture 6100 Base_ Pro Solar Intercep)t 3/4" 0.27 031 m e I. 0.27 0_., 2 Panel Slider _ 6100 Base_ Pro Solar Intem6t 3/4"' 0.30 I 0,28 + 0.30 0" 3 Panel Slider 61.00 Base Pro Solar -_�Intercept 3/4 0.30 0.29 • r 4 3 0., I o �� •u /ocatai everywhere d{leho,Netra�(q-A�6�fv� {�l�o,O'E�qcn,Utah,and. Washington. Patio Door INOVO 6100 EnergyStar I�ro Solar �Super Spacer 1M $ p,?S • e � : 0�'3 _® o �' Patio Door NARROW FRAME 61100(PD.05).Efase Pro S.oiA In t 314' 0,28 U.3p 0 6 c r■ }iordes located.'oWlyln following markets,oal(ats,,Denver,Oeq*.4 l#tll+r,l!(olitltletn NJ,!onq Island,NY. Hwning. ._: ro$ S A. ercept 1a' 0.27 , iA P + ' l_F o0 Casement 6200 Base 'SHADE 3la" 0 29 0:1% o o v �'P ,$ Picture Casement-NH 620 'base Rrt?ftjt SHAp A$ypercept 314 0.25 0.21 • ,� .p 0 1 J a • Picture Window 6200Ea&Q Ciro Sta[@[,SHADE B.Upercept ,° 0.26 0,� • • '� • 0 2& i o s • .nilMr Wi _.�.�_�... • .. .. ,.w ... ry Single Hung_ _ 626Q3@50... ... Pro SoIBrSHADE Stlpercept .. ¢' 0:28 i C( • ® �' c 0.28; Sin le.Slider F3as� to Solar SHADE Supercepf`, s(41 0.28 v �o �' 0.28. .. r► 3 Panel Slider 6200 E3ase fyro SOieitSHADE Superce-1 31A' 7 0;?.;.< ® • e Hgmes'located 1n coastal areas. Y� Awning S6q0OVL EWdO.: [ W% ,Qtl Supereept ?" 0,26 Os • 0 ® ® Q 2 s q'. o Casement SE;t3kOVL 4ase PSlLaritf�,. Super spacer 1" p,25 0 ?3 a o .® 'e 0.28 p 21 • ® o 0 ,Spar Doubly Hung Sf?+300VL base _PSlla Super., er0.25 • a e 0.2g •� _. a �+ 0.29; 0:23. .< Slider SB*300VL asB PSG!L � Int rpept 1 29 0..5 ! • � v Patio Door SE+300VL TC l � mP38bt db,1 Lrimi pbrSpa r 1 0.30 0'19 • e . m Garden Door(CM), SE*300VL Base _ PS11,ami Super Spacer i" lJtptl t.. « • '► 0 4 ° °.�®. •Dots Indipate Energy$fir r,@r}lfisd fcr that zAne WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-1ZHVOAFE Sheet:t of 1 Customer:sosana zavala Job#:1-1ZHVOAFE COnsultanC Aldervon Brown Date: 0511512022 New Window Hinge Locations Existing Window Measurements Grids Product Options Labor Options From outside, Left 10 Right Bays.Bows Location Color Rough Opening #of bars #of bars Csmnts.t Pnl. use L.RorS Glass Mix Items Hard— Cow Screens For doors use Mull *S'=stationary or w g [ £ 13 'X" oparsbng Style Wraps _ F Code (Y/N) Style Code Series Code 3 w TR— FI., PT<120,STD,White, WRAR.LSR 1 DINE 1st SH-A Y DH 6500 WH BZ 32 A8 28 GlassPack:Standard SPECIAL CONSIDERATIONS: 1:White Map Color manor Casing Type Bay or Bow vnndow: ealboard material(vinyl only-Birch or Oak) ay Protect Angle 13O or 451 ay Flanker Type(DH.SH,or Camnt) Top of window to soft(ka3les) I tied to soffit.color of sOfd material I have mimed and agree with all the Ion Sp9dflCatiens above and 01e slruct Root(Yes or No)' Special Terms and Conditions on the following page Garden Window: alboard Material(vinyl only-While Plonite.Birch or Oak) A 1 iiddR 4F. 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L71 ii �� , it*'� ,Vsf( .4 '1; i ,Y3rt: � r ' 1 {;``[1I�t�7 �2 1.,,!?r•> r �� 'r 4�} ,• (�w-f �� f 1ak V j� tY r��� :.. �i�✓ '� ,��7�'/��, 1 � �.2'.�,'�y�` aR j.i"��;y�}r � }y i��,r >f •°f�. �r �� f�r;•� e�' �. �I.kf, ° .'i ,U!��1 f, „4, h�!�� �; ��;i't��t is \�}'1P;?'n{ j�F-rt�(,�,(id r f:.�.,r. toll, r l��, ' ° '��'c e„ V -'}L�� - � '•t t�Lr 1y t!�"i.�.^7 e i��.i u y.. �.. r:Y ,Yij sit' '�,,'•N .:i,d� i i tR L,�.,. d t•"{ .� 111:l r,.1 �� 1'\ k�\ i F r�., t fi� � Y,j°'l ��5 � ,: n4%�t �'r\ \�i,•J'.J•{ r�tk�7.u.+1.d,7 z ,, efs �i�w s r�{"� �ty' .fr>f t. t1. t 1.L � a yyly F iyiv,;j` .�h ,r h r.,:1 r I i.�r✓' r f�,�*f AV-,� �,� 7 3+� •i t fi� 1 tr a y,( a vl p� r2:, >1 , '7 i•:. a .ie 7 to c d .>kr L pQ?3 ■ it9'Windo s are atio Doors X. 111 J Y 'N j < ..F�'7 h1 �t � SIf {� k�wY;Y'I�', � 32"' iYY• fn..., nl�'i�tt4.�l�� .: IIY S + N I � � 1 'j"��'/�33..i�,'+t�a'7�1✓j ��8j �k}G'F3>K'+, l� �: '���� y��.,r a�' ns},'r�,`� � t� �X •61 ^. � �,• ;I�• � +"�� .3 �, ,a.+�C 4� rw •�``+ '"<Fw62S; u� EN VantagePointe 6600 Series Efficiency to the Maximurn m Combines the best from two of America's leading Our glass packages are designed to provide maximum energy companies: Simonton®Windows and The Home Depot® efficiency year round.Your home stays comfortable no matter the * Features award-winning quality construction, beauty,style weather...and your wallet will thank you, options,value,and energy-efficiency ■ Two panes of double-strength glass for the best thermal ® Learn more at vantagepointe.simonton.com performance no matter where you live - Minimizes heat transfer without sacrificing quality of light Uncompromising Curb Appeal a Protects your home from harmful UV rays m Deeply beveled,miter-cut sashes create the rich stylish look of a real wood window , ® Triple-Step Sloped Sill offers a classic exterior while �� rF a m lti„e providing a watertight seal against driving rain F1111 ® Low gloss exterior always looks freshly painted Boston,MA $2,982 $1,6e0 44% Dallas,TX $1,406 $1386 41% Beyond Simple Aesthetics Derive, $1,207 $1,4 32% Denver,CO $2,207 $'1,481 32% to Thick,multi-chambered construction provides superior Seattle.WA $1,213 $t315 38°r6 structural integrity and increased insulating performance S.Won the onnuelonnyowlorheelkVtooNpandsevinpecekdefionfhaMMeCan6rolCapor WW36691133eri W cekublor.to and UN ese'melad sevhps br yourlame,Val cerdin wp.wm aril the TschnoW,sectlm.Go to x>r»ceNineka+p.oa JepWkalbNeneryyrak.hlm brnaie hk mabm. a Fusion welding of the sash and frame creates a weathertight fit Sound &Security is made up of two panes of laminated glass d Reinforced interlocking center rail virtually eliminates air and Argon Gas for a stronger barrier against forced entry. and water infiltration m Reduces up to 50%of unwanted outside noise m 100%vinyl means no peeling, cracking, or fading or m Blocks 95%of UV rays while allowing maximum visible light corroding m Highly energy-efficient Easy Operation and Maintenance w Low-profile tilt latches"allow both sashes to tilt In for 0600 Series windows Installed by The Home Depot'have Owned the ENERGY STAR' effortless Cleaning euell6catlon In most styles which means Iheylo dutlgned to use less energy,help am l� money onutlRtybllls,endhelpprulectlheenvlronment. ® Constant Force Balance System"along with contoured rails molded into the sash for smooth and effortless operation 'Av°llgoloWion Double Hung wadoaa."NolovellableInellmankels l Home Improvement Agreement: Page 1 Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers Aldervon Brown Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name (914) 347-6900 customercancellationnortheast@hom Phone # R�WP vider Email Address Service Provider License #(s) 2. Customer Information zavala susana Westchester 1-1ZHVOAFE Customer Last Name Customer First Name Store # /Branch Name Customer Lead/PO# 58 tamarack rd Port Chester NY 10573 Customer Address City State Zip (914) 305-5545 susanaarteprieto@hotmaiI.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 6 Skyline Drive Hawthorne �� NY 1 10532 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. ,17 Acknowledged by: 05/15/2022 Customer's Signa re U 0 Date 460 Standard Form HIA(21 Jul.21)(E) Generated Date C)F�r"022 Lead/POtt 1-17H\/nAFE v 0.1.12 Home Improvement Agreement: Page 2 c 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 11/11/2022 Approximate Finish Date: 12/11/2022 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. 7. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 11602.00 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 10.00 (If applicable,total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD, MA, ME(33%),NJ, WI(99%) Deposit% 125.0 Deposit Amount $ 1400.5 71 Remaining Balance $ 1201.5 8. Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 9. Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as"Customer" above; and(iv) Electronic signatures will be deemed originals for all purposes. X 05/15/2022 Customer's Signature Date X /s/The Home Depot 05/15/2022 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (914) For any other concerns, contact The Home Depot at 1-800-466-3337 4W Standard Form H1A(21 Jul.21)(E) Generated Date .D.F/15/2022 Lead/PO# 1_17HyOAFE � �� Building Permit Check List&Zoning Analysis Address: 5 J —CA Act C'R2 —1R t, SBL: Zone: - 7 Use: 2 Const.Type: Other. Submittal Date: 5 1�Z Z Revisions Submittal Dates: Applicant: Z y IJt,A Nature of Work t,� Reviews:ZBA: MAY 2 4 2022 pB: BOT: Other. OK ( ( ) FEES:Filing.��-�BP: t ``�°. -- C/O: Flood Plane:�Legalization: ( ) ( �APP: Dated: ,/ Notarized SBL: ✓�rnm I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO: Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival:- Sealed: Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed Copies: Electronic: Other. ( ) ( License: ✓ Workers Comp:✓ Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Penn it N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A Other. ( ) ( ) Final Survey. Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval:- notes: ( )ZBA mtg.date: approval notes: ( )PB mtg. date: approval:- notes: APPROVED REQUIRED EXISITNG PROPOSED NOTES�: gate: MAY 2 4 2022 Cir FroaW Front: Front. sue: 13&Lr. 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K � �r.,k ! /) r '�Y`ifhZ�� N:_ \' '/-�•-\ l ...y/��" \.'ti71�3� .�!� \ Yam"_ �\ �,�".� 7+ `�, � �""+\R,` `/„'_'\ .v{vl:. A DATE MIDD/YYYY) lh. � CERTIFICATE OF LIABILITY INSURANCE (M0310112022 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 INSURERS), 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 MARSH USA,INC. NAME: PHONE FAX TWO ALLIANCE CENTER C No): 3560 LENOX ROAD,SUITE 2400 E-MAIL ADDRESS: ATLANTA,GA 30326 INSURER(S)AFFORDING COVERAGE NAIC M CN101642069-HomeD-GAW.-22.25 INSURER A: I Remblic Insurance Co 24147 INSURED INSURER B: New Hampshire Ins Co 23841 THE HOME DEPOT,INC. HOME DEPOT U.S.A.,INC. INSURERC: ACE American Insurance Company 22667 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL 004348037-16 REVISION NUMBER: 1 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 UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER M DD YY M DD YYY A X COMMERCIAL GENERAL LIABILITY MWZY316648 03/01/2022 03/01/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTM5-- CLAIMS-MADE X❑ OCCUR PREMISES Ea occurrence $ 1.000,000 X SIR:$1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 X POLICY JE C LOC PRODUCTS-COMP/OP AGG $ 2,000.000 OTHER: $ A AUTOMOBILE LIABILITY MWTB316649 03/01/2022 03/01/2025 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO SELF INSURED AUTO PHY DMG BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB N OCCUR MWZX 316647 03/01/2022 03/01/2025 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ B WORKERS COMPENSATION WC 065886029(WI) 03/01/2022 03/01/2023 X STATUTE ORH AND EMPLOYERS'LIABILITY C YIN WLR C68916409(AZ,IL) 03101120Z2 03101I2023 E.L.EACH ACCIDENT $ 5,000,000 AND EMPL IETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? LN] N/A (Mandatory in NH) Continued on Additional Page E.L.DISEASE-EA EMPLOYEE $ 5,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. 0 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD INEWR Workers' CERTIFICATE OF ATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured Home Depot USA, Inc. 770-433-8211 2455 Paces Ferry Rd.,C-20 Atlanta,GA 30339 1 c. NYS Unemployment Insurance Employer Registration Number of Insured 76011130 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 58-1853319 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) AIU Insurance Co. 3b. Policy Number of Entity Listed in Box 1 a" WC 065886028 Village of Rye Brook 938 King St 3c. Policy effective period Rye Brook, NY 10573 03/01/2022 to 03/01/2023 3d.The Proprietor, Partners or Executive Officers are ✓� 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: Michael Price (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �' April 05, 2022 (Signature) (Date) Title: C.E.O. North America Telephone Number of authorized representative or licensed agent of insurance carrier: 212-770-7000 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.web.ny.gov