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INSPECTION RECORD
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. 19
VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher J.Bradbury
www.ryebrook.org
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E. Fews
Stephanie J. Fischer
David M.Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
June 12,2023
Javad Valad&Julie Valad
165 Betsy Brown Road
Rye Brook,New York 10573
Re: 165 Betsy Brown Road, Rye Brook,New York 10573
Parcel ID#: 135.44-1-22
Building Permit#22-090 issued on 6/8/2022 for New Stone Veneer Fa4gade
This certifies that the new stone veneer,installed under the above captioned permit has been satisfactorily
completed.
Sincerely,
Steven E.Fews
Building&Fire Inspector
/to
For office use o 1 :
BUILDW6 PAkTMENT PERMIT# �� D 90
MAR 7 2023 VILL4, OF RYE ) OK ISSUED: 41-9-4 3
S KING STREE..Tj YE BROOK,*E V YORK 10573 DATE: :3—/7—eta
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT S O64$; FEE: , /f��PAIn
r eY
APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE,
AND CERTIFICATION OF FINAL COSTS
TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION
itt+►+++tt+++q♦itt+licit ty i++t++++++t t++tt+i•+++t►pt►►t+t►tttt tt►ttttit►Lltt►tttttt.tggi►tt ptt t►t►t►►t t+►i►pfit►N t+►t
Address: J A'
Occupancy//Use: l e "arcel ID#: 351 c� n Zone: — C�
Owner: VA, Address: r6dv\
P.E./R.A.or Contractor: -y- Address:
Person in responsible charge: f►( o�jot Address: 0„4
Application is hereby made and submitted to the Building Inspector of the Village of dye Brook for the issuance of a
Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance
with law:
STATE OF NEW YOR COUNTY OF WESTCHESTER as:
being duly sworn,deposes and says that he/she resides at 1&5 19ebtf
rt Name o Appli ant) 1p No.and Street)
in C ,in the County of v`^'���" 'V in the State of ,that
(City/Town/Village)
he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,
labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may
have been donated gratis was:$ 14 G c�
for the construction or alteration o£ S4 GNL F-,LaA(�—
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 Sworn to before me this
of L✓ ' , 20 day of ,20
Signature o wner Signature of Applicant
3` j
Z AGA c
Print Name I
top S 0 er Print Name of Applicant
Notary Pu 1 10 Notary Public
MICHAEL ESQUIVEL S 12 2021
Notary Public-State of New York
NO.01ES6442359
Qualified in Westchester County
My Commission Expires Oct 11,2026
PINtim
BUILDING DEPARTMENT
)iUILDING 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 : ' ` V ` V D TE:
PERMIT# � ISSUED /iECT: 1 Z f iBLOCK: LOT:
LOCATION: OCCUPANCY:
❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ Natural Gas
❑ L.P.Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ ROSS CONNECTION
/11 FINAL
OTHER
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BUIL R� MENT
VIL E OF RY . K APR 2 7 2022
938 KING ET RYE$R ,NY 10573
VILLAGE OF RYE BROOK
rg BUILDING DEPARTMENT
FOR OFFICE USE.ONLY: f�� ���t
Approval Date: MAY 2 5 ermit#i �'CT((]]0 Application# 1`
Approval Signature: : ARCHITECTURAL REVIEW BOARD:
Disapproved: : Date:
BOT Approval Date: ase# : Chairman:
PB Approval Date: Case# Secre /—A C
ZBA Approval Date: Case#
Other: //}� /
Application Fee: 'Pi��Permit Fees:
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: 3-22-2022 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: 165 BETSY BROWN ROAD
2. Parcel ID#: 135.44-1-22 Zone: R-10
3. Proposed Improvement(Describe in detail): INSTALL NEW STONE VENEER OVER EXISTING STUCCO FINISH FOR FRONT OF HOUSE
4. Property Owner: JAVAD VALAD
Address: 165 BETSY BROWN ROAD,
RYE BROOK,NY 10573
Phone#3q 7 31W-5S.%.i Cell# e-mail lavad.valad@gmail.com
List All Other Properties Owned in Rye Brook:
Applicant:
Address:
Phone# Cell# e-mail
Architect: M'CHIEL A.BOENDER
Address: 109 WILLETT AVENUE,PORT CHESTER,NY 10573
Phone# 914-937-4226 Cell# e-mail michiel@edgewterarchitects.com
Engineer:
Address:
Phone# Cell# e-mail
General Contractor:
Address:
Phone# Cell# e-mail
{1)
8/12/2021
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-FAMILY Post-construction: 1-FAMILY
6. Area of lot: Square feet: 12,008.6 SF Acres: 0.27568 ACRES
7. Dimensions from proposed building or structure to lot lines: front yard: 35 rear yard: 56'-4-
right side yard: 19, left side yard: 15' 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: NA I`fl: NA 2nd fl: NA 3,a fl: NA
10. Total Square Footage of the proposed new construction: NA
11. For additions,total square footage added:Basement: NA I I fl: NA 2nd fl: NA 31d fl: NA
12. Total Square Footage of the proposed renovation to the existing structure: NA
13. N.Y.State Construction Classification: VB N.Y.State Use Classification: R-3
14. Number of stories: 2 Overall Height: NA Median Height: NA
15. Basement to be full,or partial: NA , finished or unfinished: NA
16. What material is the exterior finish: EXISTING STUCCO,PROPOSED STONE VENEER(FRONT FACADE)
17. Roof style;peaked,hip,mansard,shed,etc: FLAT Roofing material: MEMBRANE
18. What system of heating: NA
19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application.
20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic e
suppression system?(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...) Yes: No:
(ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineeredplana)
21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impe ious coverage requiring a
Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area:
22. Will the proposed projec require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: NO: V (ifyes,applicant must submit a Site Plan Application,&provide detailed drawings)
23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:
(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:
(ifyes,the area of wetland and the wetland buffer"er 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:
(ifyes,the area and elevations of the flood plane must be properly depicted on the survey&site plan)
26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:
(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:
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: S. 9, 000 Note:The estimated cost
shall include all site improvements, labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which
may be donated gratis.if the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO.
30. Estimated date of completion:
(2)
8/1 212 02 1
a
BUICETRYE
R MEN
VIL , OOK APR 2 7 2022
938 KING661{,NY 10573 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
***k9r**********************t•k Yr k 9r is aF*ir*a'c k:kz***k:Fir*ic***k****ki:*•lrkir ir*******-k*7l'**i<**k*#*********F-k it*k***•kk**
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 WITS 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:
331, JAVAD VALAD , residing at, 165 BETSY BROWN ROAD,RYE BROOK,NY 10573
(Print namc 1 (Address where you live)
being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the
legal owner of the property to which this Affidavit of Compliance pertains at;
165 BETSY BROWN ROAD , Rye Brook,NY.
(Job Address)
Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that
there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further
that there are no roof drains, sump pumps,or other prohibited stormwater or groundwater connections or sources
of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State,
County and Village Codes.
(Signatur f erty O cr(s
61 U
(Print Name of Property Ownerls�
Sworn to before me this ) 2
day of f 1 20 ?i7i
(Notary Public)
IAN S LANDSMAN
Notary Public of New York (6)
REGISTRATION#01LA6428986
COMMISSION EXPIRES 02/07/2026
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 non-refundable.
*****,r*�ts:*******�*****,r*****,e,r********,r****,r*,r,r*****�***,t**,r,t***,t*�*****t�.*,t***,t,�*�****,►******,r,r*rr***,r*w*
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as;
MICHIEL A.BOENDER ,being duly sworn,deposes and states that he/sh&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)hc is the
ARCHITECT 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.
Swom to before me this I I��� Swornto before me this \
day of ts 1 , 20 day of , 20 C,r:)
Sign re'o rop er Signatu of plicant
ie�,'\J%� A I A Z 16111 t-&—
Print Name of Property Owner Print Name of Applicant
IA44)�
Notary Public Notary Public
SHAR1 MELILLO
Notary Public, State of New York
LAN� Now York No. 01 V1 E6160063
REMotwy GISSRATIONa1f Now Y ork Qualified in Westchester County
Commission loxpires January 29,20�2
COMMISSION EXPIRES 0210712026
(8)
8/12/2021
Building Permit Check List&Zoning Analysis
Address: L (o S �-Lf y--�3, SBL: t 3 S <<}L}
Zone:2'l -0 Use: Zt 0 Const.Type,___2M Other.
Submittal Date: 2:1 Z Z Revisions Submittal Dates:
Applicant: V A L A;�>
Nature of Work
Reviews:ZBA: APR 2 9 2022 PB: BOT: Other.
NE
K
( ( ) FEES:Filing.�7S• BP: DO 1'-')1)C C/g Flood Plane: Legalization:
( ) (.YAPP: Dated. ✓ Notarized. ✓ SBL• ✓ Tnus 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:
( ) Pic,
ense Workers Comp: Liability Comp.Waiver t� Other
( ) ( ) CODE 753#: Dated: N/A:
( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other.
( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A Other.
( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other.
( ) ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other.
( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A Other.
( ) ( ) H.V.A.C.: Plans: Permit N/A Other.
( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other.
( ) ( ) 2020 NY State ECCC: N/A: Other.
( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other.
( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other.
( ) ( ) Other.
(4 A"mtg.date• � 1 royal• 4), notes:
( )ZBA mtg.date approval: notes:
( )PB mtg. date: approval:- notes:
REOUIRED EXLSIING PROPOSED NOTES
APPRUVLU
Aux eAtA.
MAY 2 5 2022
Qr&-
FrQnW
�
Front:
Front
Sides:
Main Cov
Accs,Cov
Ft.H/Sb:
Sd H/Sb:
SSA
Tot,Imp:
F Im :
P n .
Hight/Stories:
notes:
(r `
BUILDING DEPARTMENT APR 2 7 2022
-[Tj
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK
(9114)939-0668 ! BUILDING DEPARTMENT
wwwxvA rook.org
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: 165 BETSY BROWN ROAD Date of Submission:
Parcel ID#: 135.44-1-22 Zone: R-10
Proposed Improvement(Describe in detail):
NEW STONE VENEER OVER EXISTING STUCCO FACADE FOR APPLICANT CHECK LIST:
MUST BE COMPLETED BY THE APPLICANT
FRONT OF HOUSE The following items must be submitted to the Building
Department by the applicant-no exceptions.
Property Owner: JAVAD VALAD 1. ( Completed Application
2. ( Two(2) sets of sealed plans. (one full size{maximum
Address: 165 BETSY BROWN ROAD,RYE BROOK,NY 10573 allowable plan size=36-x 42"1 and one I I-x 17")
3. ( )Two(2)copies of the property survey.
Phone# 4. 4Two(2) copies of the proposed site plan.
Applicant appearing before the Board: 5. One electronic/disc copy of the complete
MICHIEL A.BOENDER application materials.
6. ( Filing Fee.
Address: 109 WILLETT AVENUE,PORT CHESTER,NY 10573 7. ( )Any supporting documentation.
914-937-4226 8. ( )HOA approval letter. ffapplicahle)
Phone# 9. (V Photographs.
Architect/Engineer: ARCHITECT 10.( )Samples of finishes/color chart. (a sample hoard or
Phone#
914-937-4226 model may he presented the night of the meeting)
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions&Procedures,and that their application is complete in all respects. The Board of Review reserves
the right to refuse to hear any application not meeting the requirements contained herein.
Sworn to before me this ' .v Sworn to before me this
day of 17 . M L, 20_2Z day of , 207 a
i
Signature of Properoff dwAer Signa of p cant
JAVAD VALAD 1�44— C�
Print Name of Property Owner t ame of Applicant
Notary Public Notary Public
SHARI MELILLO
III Notary Public, State of New York
IAN S LANDSMAN No. 01 MiE61 E0063
Notary Public of New York Cualified in Westche=ter County�l
REGISTRATION$01LA6428985 Commission Expires January 29, 20 0
COMMISSION EXPIRES 02/07/2026
8/12/2021
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT Page 1
938 KING STREET, RYE BROOK,NY 10573
(T) 939-0668 (F) 939-5801
ARCHITECTURAL REVIEW BOARD
Wednesday, May 18, 2022
ANNOUNCEMENT: PER THE GOVERNOR'S EXECUTIVE ORDER THIS MEETING WILL BE
HELD VIRTUALLY THROUGH THE ZOOM PLATFORM. THE PUBLIC CAN ACCESS THE
MEETING THROUGH THE FOLLOWING LINK: https://us02web.zoom.us/o/81417970741
OR
BY OPENING ZOOM AND ENTERING THE MEETING ID: 81417970741
NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.#
75 Woodland Ave Roof Top Solar Array Consent 5694
(Mutino)
17 Talcott Road Replace Original Consent 5695
(Bennet) Decking/Railing On Agenda
Existing Deck W/Trex
Brownstone
257 Betsy Brown Roof Top Solar Array Consent 5696
Road(Mauriello) System Agenda
40 Hillandale Rd New 5Ft High White Consent 5697
(Johnson) PVC Privacy Fence Agenda
20 Magnolia Drive Roof Top Solar Array Consent 5698
(Lubin) System Agenda
108 Old Orchard New Fencing Rear Yard Consent 5699
Road(Koslow) Agenda
11 Candy Lane 6' Privacy Fence Rear and Consent 5700
(Gordon) Partial @ Side Yard Agenda
165 Betsy Brown Install New Stone Veneer Consent 5701
Road Over Existing Stucco Agenda �(
Finish(Front
44 Lawridge Drive Re Appearance -Partial 5686
(Bauer) Second Story Addition,
Interior& Exterior
Renonovations
ML NM
MR SE
JM V F
AC MI
KC
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" ' I "i'+�' '�y. +F n 'r ,*fir i • ; 1:,t ✓ 4
Laura Petersen
From: j <javad.valad@gmail.com>
Sent: Wednesday,June 8, 2022 9:19 AM
To: Laura Petersen
Subject: Re: Building Permit Applications - 165 Betsy Brown Road - New Stone Veneer Facade
and Finished Basement - No Bedroom
La u ra,
I dropped off the form the basement cost me 10,000 the stone is costing me 8,000.
On Thu,Jun 2, 2022, 1:25 PM Laura Petersen<LPetersen@ryebrook.org>wrote:
Good afternoon,
The building permit applications have been approved by the Building Inspector. Before I can
issue the building permits the following items must be submitted to our office;
V/1. Estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00)
(due once permits are issued and ready for pick-up)
/2. BP-1 form (attached) with notarized signature
Thank you
Laura
Laura(Petersen
Office Assistant
Village of Rye Brook
938 King Street
Rye Brook, New York 10573
Phone(914)939-0668 1 Fax(914) 939-5801 1 Ioetersen aOryebrook.org
1
Homeowners Policy
' Sterling Insurance Company Renewal Offer Declaration
182 Barnerville Road, P.O. Box 9, Cobleskill NY 12043 Original Effective Date: 11/15/2019
Declaration Effective Date: 11/15/2021
POLICY NUMBER POLICY PERIOD
H019142726 FROM 11/15/2021 TO 11/15/2022 12:01 AM EASTERN STANDARD TIME
NAMED INSURED AND ADDRESS: AGENCY:329-3 PHONE: (718)383-0306
JAVAD VALAD GREENPOINT INSURANCE BROKERAGE CORP
JULIE VALAD 680 MANHATTAN AVENUE
165 BETSY BROWN RD BROOKLYN,NY 11222
RYE BROOK,NY 10573
THIS REPLACES ALL PREVIOUSLY ISSUED POLICY DECLARATIONS, IF ANY. THIS POLICY APPLIES ONLY TO ACCIDENTS,
OCCURRENCES,OR LOSSES WHICH HAPPEN DURING THE POLICY PERIOD SHOWN ABOVE. THIS DECLARATION DOES NOT
SUPERSEDE ANY CANCELLATION NOTICES.
PREMIUM SUMMARY
Your total policy premium of$2,242.00 breaks down as follows:
Basic Premium $1,971.00 Auto Home Discount $0.00
Endorsement Premium $271.00 NYS Fire Fee $0.00
INSURED PROPERTY ADDRESS-LOCATION 1
165 BETSY BROWN RD RYE BROOK,NY 10573
LIABILITY LIMITS-LOCATION 1
The Liability Limits in this section are shared by all items at this location where coverage is indicated
COVERAGE Limit
Coverage L-Personal Liability $1,000,000
Coverage M-Medical Payments $5,000
COVERAGES-STERLING SELECT HOMEOWNERS ITEM 1-LOC 1-BLDG 1
COVERAGE LIMIT PREMIUM
Coverage A-Residence $673,100 $1,849.00
Coverage B-Related Private Structure on the Premises $67,310
Coverage C-Personal Property $538,480
Coverage D-Additional Living Expense or Loss of Rents $201,930
Coverage L-Personal Liability see LOC 1 Liab section above $95.00
Coverage M-Medical Payments see LOC 1 Liab section above $27.00
FORMS AND ENDORSEMENTS-STERLING SELECT HOMEOWNERS ITEM 1-LOC 1-BLDG 1
FORM DATE DESCRIPTION LIMIT PREMIUM
MI-117 05/12 Business Definition Clarification
NE-185 12/05 Automatic Inflation Protection
MI-189 10/01 Identity Fraud Endorsement $10.00
NM-19 10/06 Policy Endorsement
NE-243 06/99 Inflation Guard $41.00
Quarterly Increase: 1%
MI-342 07/14 Underground Utility Line Endorsement $15.00
NM-346B 09/13 Equipment Breakdown Enhancement Endorsement $20.00
ML-3T 06/99 Causes of Loss Section
MI-55 06/99 Replacement Value Cov.C-Personal Property $185.00
MI-87 06/99 Exclusion(Asbestos Dioxin or Polychlorinated)
ML-9 01/87 Principal Liability and Medical Payments
NY STAT-1 11/08 NY Statutory Endorsement
SML-159B 05/18 Sterling Insurance Company Select Endorsement
Renewal Offer Declaration for H01 9142 72 6 effective 1111512021 to 1111512022 created 1 011 612021 12:51:58 AM Page I of 2
STERLING SELECT HOMEOWNERS ITEM 1-LOC 1-BLDG 1
Program Sterling Select Homeowners Property Form ML-3
ACV/RC Residence Replacement Cost Insurance To Value 100%
Deductible 1,000 Construction Frame
Number Families 1 Family Protection Protected
Occupancy Primary Year Built 1948
Hazardous Condition Applicable N/A New Home Credit No
POLICY FORMS AND ENDORSEMENTS
FORM DATE DESCRIPTION LIMIT PREMIUM
FMD-1 08/08 Important Flood Exclusion Notice
ML-119 03/13 Incidental Property Coverages(Debris Removal)
NIL-20 06/99 Agreement
MI-21 05/10 Suit Against Us Amendatory Endorsement
MI-217 09/99 Intentional Acts Clarification
ML-430B 02/08 Renewal Endorsement
ML-60 06/99 Modification of Terminology
MI-73 05110 Earth Movement Exclusion Clarification
NM-83 02/02 Amendment of Policy Conditions
NM-84 08/07 New York Amendatory Endorsement
NSC 01/91 Notice to Senior Citizens
MORTGAGEES
MORTGAGEE 1
FOR LOC 1 -BLDG 1
QUICKEN LOANS,LLC
ISAOA
PO BOX 202070
FLORENCE,SC 29502-2070
Loan#3465180023
Renewal Offer Declaration for H019141716 effective 1111512021 to 1111512022 created 1 011 612 021 12:51:58 AM Page 2 of 2
8R�C
FMD-1
ryC6,»• IMPORTANT FLOOD INSURANCE NOTICE Ed.8/08
Your homeowners or dwelling policy does NOT provide coverage for loss caused by flood or mudslide,which is defined
in part,by the National Flood Insurance Program as:
A general and temporary condition of partial or complete inundation of normally dry land areas from
overflow of inland or tidal waters or from the unusual and rapid accumulation or runoff of surface
waters from any source.
If you are required by your mortgage lender to have flood insurance on your property,or if you feel that your property is
susceptible to flood damage, insurance covering damage from flood is available on most buildings and contents in
participating communities through the National Flood Insurance Program.
Information about flood insurance and whether your community participates in the program can be obtained from your
insurance company,from your insurance agent/broker,or directly from the National Flood Insurance Program by calling
1-800-638-6620 or via their website at http://www.floodsmart.gov.
FMD-1 Ed.8/08
k,.. ML430B
Ed.2/08
RENEWAL ENDORSEMENT
Refer to Supplemental Declarations if information is not shown on this form.
We provide coverage under this endorsement subject to the terms contained in the General Policy Provisions.
This policy may be continued by payment of the required premium for the next policy period.The premium must be paid
to us as specified in the premium notice.
If any of the forms attached to your policy are revised,we will enclose a copy of that revision with your renewal policy.
If we adopt any revision of forms or endorsements during a policy period which would broaden coverage under this
policy without additional premium,your policy will be liberalized to include that broadened coverage.
THIS CONTINUATION CERTIFICATE IS CONDITIONED ON PAYMENT OF THE REQUIRED PREMIUM
FOR THE NEXT POLICY PERIOD. THIS IS AN IMPORTANT INSURANCE DOCUMENT AND IT SHOULD
BE RETAINED WITH YOUR POLICY.
PLEASE REFER TO YOUR POLICY FOR A COMPLETE DESCRIPTION OF YOUR COVERAGES AND
FORMS.PLEASE CONTACT YOUR AGENT FOR ASSISTANCE.THANK YOU.
ML-430B Ed.2/08
NSC
Notice to Senior Citizen Insureds
New York Insurance Law provides that Senior Citizen Insureds may designate a third party to whom we shall submit Notices
of Cancellation,Nonrenewal,or Conditional Renewal.
If you are a Senior Citizen Insured(age 65 or older)and a New York resident,you may elect to designate a third party to
whom we will transmit copies of such notices.
In the event you wish to designate a third party for this purpose,you must notify us by certified mail,return receipt requested,
that a third party has been designated. Such notice to us must contain,in writing,an acceptance by the third party designee;
such designee shall provide written notice to us and to the senior citizen insured.
If you are a Senior Citizen Insured and need assistance or additional information regarding this subject,you may contact
your agent,or you may write to the company at the Home Office,Bamerville Road, Cobleskill,New York 12043.
Sterling Ins.Co. 1/91
Sterling Insurance Company
PRIVACY NOTICE
Your Privacy Is Our Concern
Sterling Insurance Company has been providing quality insurance products since 1895 and we
consider it a privilege to be able to assist you with your insurance needs. We also recognize that
with this privilege comes responsibility—a responsibility to protect your personal privacy. We
take this responsibility very seriously. This Privacy Notice is provided for information purposes
only,you need not respond to this notice. If you have any questions or comments,however,you
may write to: Privacy Officer, Sterling Insurance Company, PO Box 9, Cobleskill,NY 12043.
• TYPES OF INFORMATION COLLECTED AND FROM WHOM
We collect nonpublic personal information about you and claimants under our insurance
policies from a multitude of sources in order to facilitate the quoting and providing of
insurance coverage, servicing accounts,billing, claims handling,preventing fraud,
regulatory compliance, administering benefits etc. as permitted by law. Most of the
information collected, (such as name, address, date of birth, social security number,
driver information and coverage information) comes directly from you by way of
insurance applications, verbal communications and transaction information such as
billing and claims records. Depending upon the nature of the relationship, and when
legally permitted,we may gather information from outside sources such as motor vehicle
records, loss information reports, consumer reporting agencies, court records,physical
inspections of your property, our affiliated companies, automobile dealers, attorneys,
treating physicians,public records, lenders,the US Postal Service, claims adjusters, law
enforcement agencies and your agent or broker.
• SHARING INFORMATION GATHERED
We do not disclose personal information regarding customers or consumers to anyone
except as necessary for conducting business or as permitted by law. We do not sell
information.
• SECURITY POLICIES AND PROCEDURES
All employees are restricted from accessing nonpublic personal information about
customers and consumers except when they need to know information to provide
services. The company maintains physical, electronic and procedural safeguards that
comply with federal and state regulations to guard personal information.
• SUMMARY
Your privacy is important to us. We do not,have not,nor intend to sell private
information about you to others. We value our relationship and will endeavor to earn
your trust every day.
Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance
Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence
**This form cannot be used to waive the workers'compensation rights or obligations of any parry:«*
Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence
(including condominiums) listed on the building permit that 1 am applying for, and I am not required to show
specific proof of workers' compensation insurance coverage for such residence because (please check the
appro 'ate box):
I am performing all the work for which the building permit was issued.
I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work
for which the building permit was issued or helping me perform such work.
I have a homeowners insurance policy that is currently in effect and covers the property listed on the
attached building permit AND am hiring or paying individuals a total of less than 40 hours per week
(aggregate hours for all paid individuals on the jobsite) for which the building permit was issued.
I also agree to either:
♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on
forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing
the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours
for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE-
200 exemption form; OR
♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence
(including condominiums)listed on the building permit that I am applying for,provide appropriate proof of
workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair
of the NYS Workers' Compensation Board to the government entity issuing the building permit if the
project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for
w k ' dica don the building permit.
b 6 ZZ-
( ignature of Home`o'wnler) (Date Signed)
ZOl� "� 1 Home Telephone Number
(Homeowner's Name Printed)
Stern to before ire this T day of
Property Address that requires the buil g permit: G
• (county or Notary Public) ----- •
DREWALVANM
t*aqr PAft_oR Nrw YG*
00 '_ MIMON �ioli
Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage.
BP-1 (12/08) NY-WCB
&JA&T CONOfilm
RA5i1tRCH AS THE DOCUMENTATIOKAH ALIZATTON OF AN EXISTING BULDING REQUIRES
THAT CERTAIN A5SUNPTION5 BE MADE REGARDING EXISTING CONDITIONS AND BECAUSE SOME
OF THESE A55UMPTION5 MAY NOT BE VERIFIABLE UTHOUT EXPENDING ADDITIONAL SUMS OF
MONEY.OR DESTROY OTHER 05E ADEQUATE OR SERVICEABLE PORTIONS OF THE BUILDING,THE
OUNER AGREES THAT,EXCEPT FOR NEGLIGENCE ON THE PART OF THE ARCHITECT OR
CONTRACTOR THE OtvNe1 HILL HOLD HARMLESS,INDEMNIFY AND DEMO THE ARCHITECT AND
CONTRACTOR FROM ANY AND ALL CLAMS ARISING OUT OF THE PROFESSIONAL SERVICES
UNDER THIS AGREEMENT.
NOTE ALL EXISTING PLJ%&iG,ELECTRICAL 1 WAC SYSTEMS TO BE INSPECTED BY
A LICOM PLUMBER OR E.ECTRICMAN AND REMOVE.MODIFIIED OR ADDS TO
AND/OR OTHERUSE CIERTTFTE FOR CODE CO"MANCE AS REQUWM.
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Approval Date: ,all SBL# l '03.57r 4,1 f 1 Z
Chairman: -5 - DATE APP 0 MAY
BUILDING iNSPE(TOR of Rye Brook,NY
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-_:...._... �.:':.:--- PER CODE AND AS�OIRECTED BY LOCAL BOILING OFFICIAL EACH DETECTOR SHALL BE L15TtS]BY AN APPROVED AGENCY.
_... -- - - - - MHERE APPLICABLE)OR BATTERY P09ERED IN AREAS W
- -- --_ — - - - _ --- _ -.� :: -- Di SCOPE OF RENOVATION DIRK(AS ALLOIIED BY CODE). Q
EXTERIOR ELEVATION - FRONT SCALE:Vfur-o° NNEKMRE o0 NOTE: ALL CONDITIONS SHOWN ARE EXISTING UNLESS OTHERWISE NOTED - a
EX15TNG STUCCO AS NEW CONSTRUCTION. z V) O
0 1 R6 10 ZO 30 MALLS THROUGHOUT O W
N E RA L C O N p T O N / E M L T N CONSTRUCT O N N TES CONTRACTOR TO REMOVE EXIST. FINISHES TO EXPOSE EXIST. FRAMING
Q CONDITIONS t NOTIFY ARCHITECT FOR FIELD INSPECTION OF EXIST.FRAMING a M]L
THESE SPEDFICIATIONS ARE MADE N WERAL FOU MY TI•IOSE SECTIONS APPLICABLE To THIS PRO= M MOLRTON NOTES COIN1IN101 Dg„iO M NOS ICOINTi IRA CONSTRUCTION NOTES CONrnNM CONDITIONS PRIOR TO REMOVAL OF ANY FRAMING MEMBERS TYP.IF NEC. J (�
SHRILL PERTAIN GC ASSUMES COMA.ETE RESPOMITY FM TFeI USE ONNCE OR OM15SO15. S PHIASNG OF PRO.ECT TO BE COO1Q W/OWNER PRIOR TO COMMENCEMENT OF PROTECT. LR CONTRACTOR SHALL COMPLY WITH ALL AP LrAlLf PROVISIONS S OF FEDERAL STATE AND LOCAL CODES 7.ALL LUMBER SHALL BE DOUGLAS FfRIAO NCt Z 1250 PSI SINGLE M50 P9 IEPETITIVE,EA20Q000 PS 09%INSURAICE
NQUDM BUT NOT LIMITED 10 THE STANDARDS OF THE EPA,OSHA.NESHAP.DEPARTkW OF LABOR AND MiOISTUE CONTENT NAM1M8 NI Mb1 CERTFEO PROVE PFESSUE TREATED MEM ERRS AS WIRED. ^a aWw10WOwGeGaousFWONMO � 0 W i
B.CONTRACTOR TO COORD,W/OWNER ANY RL ALL MATERIALS TO REMAIN I TO BE REFURBISHED DBPARTiM I Nf OF BNVIION�NTAL C01WIVATION,ETC WiTH REGARD TO HWNDLK REMOVAL.rRA1G RT, INASMUCH UCH AS TIE R ARING AND/OR REHABL�TA71ON OF AN EXISTING LONG NAM THAT CERTAIN 0 �- � �
A CONTRACTOR 9Mll gQ1E PAY FOR AND WWiMI OIURMG OQ611IlCTDI ALL OF Tit NSRAM PC1LMOeS ff011l®TO D6YOSAL MOOR OTHERWISE 06TUBANCE OF WARDOU5'MIAT6RALS NCLUDNC,,BUT NOT,METED TO TOXIC a ALL CONCRETE SHALL BE M R MW PS AT 28 DAYS.BOTTOM OF FOOTINGS TO REST ON LEVEL U06TUBED ff MADE REGARDING E705"TING OONpTItIS AND BECAUSE SiO►E ff THESE I�tAMPT1O15 MAY EO A Q
COG ALL WOK PBFOR►ED BY HIAM AND EACH OF HL Sls M MCTOLS AND MAJOR SIl RJ%NOLLIDIG MMtIM COVERAGE FOR T.UPON REMOVAL OF EIOSTNG ROB PRIOR TO MEMMOVA.OF STRUCTURAL B.BMBn CONTRACTOR SHALL WASTE C)DOICAL,WON,ASBESTOS,AND(ELATED PRODUCTS,ETC ANY SIOR WORK SWLL BE MONITORED FOR 90L WiTH A MNMMMI BEARING CAPACITY OF 4000 PSF AT A M�OF 3-'BELOW R19N CRAOE NOT BE VBT IABLE WiiHOUT E7PB�G ADDITIONAL SUMS OF MONEY,CA OESTRDY ODO MM1Sf ADE"TE ,��,R R A. ���
WORM COMFE6ATRON,GENERAL LIARJfY AM OISABI.P OWIRACHIR 9WL NOT OOM►BICE WOK LIR SAlCH NSWWCE NOTIFY ARCHITECT FOR INSPECTION AND/OR V13F070 OF EJOSTNG CONDi1 6 ASSII►ED AS SHOWN ON COMPLIANCE AND SHALL BE PERFMAH)BY CONTRACTORS LICENSED TO DO SUCH WORK OR 93VIDFJIBLE FOJRIDrIS OF THE 01101%THE OWNER At�ffS THAT,OCEPT FOR HEG.KE1NCE ON THE ' \1 A. 0- 1 p !r
HAS 10 ATAND AND®IIFiCATES HAVE BEEN LTUM TO THE 0#8L OW►6t SURER BE NAMED AS ADi MNAL NW. ORAWNM PART OF THE ARCHITECT OR CONTRACTOR THE OWNER WILL HOLD HNRMLEK 1�IFY AND DIMMED � ` � �"
CONSTRUCTION NOTeB L�Y EJLSiNG OR PNOVCE PEW ELECTRICAL SEHTVICf AS REOIIED BY NEW WOF�(IF M1Y.ON ALL iEW THE ANCHTECT MD CONTRACTOR RJR ANY NO ALL CLAMS ARM OUT OF THE PRMSIONAL SERKES "�� �'�4
B TO THE RiLEST EXTENT RUM BY LAW,THE CONTRACTOR SHALL KEIMY NO HOLD H%LESS THE OIVNEI AiD B OEmQJiTON i REMOVALS SHOWN ON DRAWINGS ARE ABBRE07ED FOR CLARITY.AOCCMMKM ALL REMOVALS UIEiI THE AS MR3P.TIE OMI W 0O7RK:TC R ML OMRY WITH ALL AIRCAA LE PROWMSO6 OF HOER,. � w � � �
ARCHITECT,AND THEIR AMM NO EMPLOYEES FROM AND ALL CLAMS,OAMAGFS,LOOK AND EiFBNES iIf11JREIG BUT NOT REOUPED TO ACHIEVE THE FINAL OE90�L REMOVALS NCLUDE BUT ARE NOT LIMITED TO COSTING PUNTING T ALL WOK LABOR AEI)MATERIALS,SHAD.COWY WITH TIE 2020 NYS HE PREVENTION*0 RUM CODE B MODIFY EXISTM AND/CA PROVE NEW HNAC SYSTEM AS REOUPRD BY NEW WORK AND AS RE MED TO STATE AND LOCAL CODES NCLUDM BUT TROT EMTED TO THE STA DAU OF THE EPA,DOW NE6HM. Mn
LUMIED TO ATTORNEYS FIB,MIN OUT OF OR RESULTING FROM THE W(II&WO OF THE WWUK RROVOG THAT ANY 30 FTI(T1JNF8,CABINETRY,DOORS,WIDOWS,WALLS,(SIGs AND FLOOR FRAMNG OTHER THAN MEMBERS OESIM AND OTHER APPLICABLE STATUTES,CODES AND OnN*KK INCLUDNG PROVISOES OF THE EMI GY PROVDE RiE9 I AF TO Al SPACI?S AS iEQI�R'EA OOOE ����LABOR�� �ENVi�NMBNfAL OONSRR3NATIOL ETG WK1H R[{GARD TO 9 O� 5 3 y0� m LL,I
CLAIM OAMAK�,LOSS OR OPB6T`0 6 A111BUfAIIJ TO BAY tiA>gY!1A TO OtSTRICIni OF TANGIBLE PROBITY p1H191 THIN TO REMIMR M THE RDIL DE9CTl CONSHNATION CONSTRUCTION CODE AID RE0111OMENTT CIF UTILITY COMPANB HAVNG IMACT1M WA CLM FBANAL TRANSPORT,DBMOSAL AND/M OTHERWISE DiSTUSAfIfE OF'HAZARDOUS'MAT6iALS �1 � Z
THE WW iTSaFI NQ.UDNG THE LOSS OF THE IM RES LTNG THEREFROM EFTOM AND 0 6 CAUSED N VI W OR N PARR BY ANY N L(X flVl PATQi AO/OR REPNi i]OSTNG COQTIONS AS(FOCI®AAD/()A U'ARAOE TO MEET BULU)NG CODE AS EM NI NOT LUIED TO TOM WASTE 018A'11,RADII ASH=AND RHAi®R>�T>A Eft ANY BICN VIOL( 0 NE
WHOLE OR N PART BY AEA'WQM ACT OR 3M OF THE ODNTRACfOR NEQI(R1TR ACT OR WSON OF THE WMMCTOL 8 STOW-W d NEEDLE AND OTT•E M ADEOWTELY PROTECT Ep511VG CMTRX10 WrICH WOULD 2 CONTRACTOR STALL OBTAIN ALL PERMITS AND CONSTRL CTIOtN APPROVALS.PAY FOR ALL FED RELATM TO DiECTED BY LOCAL BLLOtNG OFFKVL 9*1.BE MMXTO0 FOR 0%AA E NO SWL BE PBFGW BY COITRA,TO S LWM TO DO SUCH WORK aGGawuGG:MG�ueGamnGenrMAGaemG�onea
ANY SIDOOITRACTOI ANYONE ORECTLY OR NaECTLY BROS BY ANY OF THEM OR A R I E FOR*OIE ACTS ANY OF THEM ODOMRSE BE TEMPQIWY INSLPPORTED AS A RERT OF CONSTRXIXK TEMPORARY SUPPORTS SHALL BE N THE CONSTRUCTION OF THIS PROTECT AND SHALL BE RE5PO ME FOR NOTTRCATiON TO LOCA!SUM
MAY BE LIABLE UAROLESS OF WHETHER OR NOT if 6 CUM N PART BY A PARRY KBH8 H EREUMBR PLACE PRIOR TO DEM UTICK DEPAIMAE NT HAVING.AUII WTION N CO ILINCTION WiTH ANY WOLFED INSPECTIONS 12 PROVIDE HAD WIE BATTERY BACK-W SMME DEiECTORLS,RATE-CF-RISE ItAT DETECTORS&CARBON
MONOXIDE DETECTORS AS*0 BY CODE EXACT QUANTITIES&LOCAT1aa AS INDICATED ON ORAWINS AND/OR AS NOTED
DEMOLITION NOTES0,DO M FRAMING SHIA L BE NSPECTTD BY CONTRACTOR TO INSIURE THAT iT 6 ADEQUATE TO SIPPCMRT ALL 3 CONTRACTOR 9*1 VISIT THE SITE AND FAMLARZF HIMSELF WiTH GENERAL CONDNT"B VCE R WHICH BUOM THE AS OIECTED BY LOCAL M OFFICIAL.
NEW CONSTRUCTION UCTION MO/OR MODIFY if AS iEaUIEDL NOW 6 TO BE PEIFORMM POOR TO SL&A SON OF BM OOMMEINCENE NT OF WOK SHAD BE DEBT AS
L CONTRACTOR SHALL FRFM AL LABOR MATERIALS AND EOURMENT AS RECURED TO COMPLETE THE CONTRACTORS STATEMENT THAT SUCH WOO(SHALL BE DEMO WITHOUT ADDITIONAL COFT. R ARCHITECT 6 fE5PONWf ONLY FOR WOO(SHO NI ON THESE DRAWINGS.GENERAL CONTRACTOR TO
DEMOLITION&REMOVAL OF ALL ITEMS AS SHOWN ON DRAWN M t EXISTING PLUMB ,NVAC I ELECTRICAL SYSTEMS TO BE MIOOM AS REOD TO SERhICE NEW DM DOM COODNATE WiTH OTHER CONTRACTORS AND/OR SLIPPLE6 FOR FR"NTE(IRATION OF LEI-ATED SPP M FOR 9/29/20
ITEMS S WHICH WILL NOT BE REW N NEW OEM AM M BE CXM'L.ETELY REMOVED WHERE POSH F WHERE i.OaENSONS AND REPRESENTATIONS RELATING TO THE EXISTING SITE AND BUNG CODITM ARE ARE PROPER NTMTION OF RELATED WOK NMLKP G BUT NOT LIMITED TO THE FOLLOWING DIM BY,
2 ALL OBWOLfRON{BUS SHALL BE REMOVED iiOM TIE PREMISES EXCEPT THOSE ITEMS TO BE MEN, EXISTING ITEMS CAN HOT BE COMPLETELY REMOVED OR 6 NOT COST EfFECTNE TO DO SO,RiNG TO BE CAPPED APPROAMATE CONTRACTOR SHALL VERIFY EXISTING CONDITIONS AND OIA NSON6 PRIOR TO Att CONSTRUMION A MECHNNCAL AND e.ECTMAL TRADES FRONT EXTERIOR ELEVATION MAB/GR �
RETUI+ED TO TENANT OR OW NR OR AS OTHERMISE OiECTEQ UPON COMPLETION OF DEMOLITION WORK ALL OFF,DUCT WOOL TO BE PROPETLY SFNEKFF,WRING TO BE PiIOPBLY DISCONNECTED A TERkfNATTO BB•fN0 AD REPORT ANY DI�ANCES TO THE ARM ECT INWRITING NMEDIATE LY. B EOUPMERNT SPECiALTES
AEAS SHALL BE LIFT BMROOM CLEAN CSC SWILL MNMAN DUMPSTHR ON-9TE AS RfQD COOQ W/OWNER FNSI SURFACES TYP. EGA JOB NO.:
S UNDER NO STANCES 6 THE CONTRACTOR TO SCALE'DRNWta N ORDER TO OIBTAP ObENSOMS ANY N.AiRCHITECT HAS NOT BEEN IETANED TO PE FCRM FELD StIFeRV19ON OF THE PROTECT NOR DOES If ASSUME GENERAL NOTES&LEGENDS 20-022
2 ALL A"ff BLM WHICH ARE NOT INCLUDED N SCOPE OF WORK TO BE SEALED-OR W/"TIC DUST 12 NASMICH AS THE IBMRODB.NG AND/OR 181ABLJTATION OF AN cow BIJ.)w MEQUES THAT CERTAIN OIkSTIONS REGARDING MOM SHALL BE REELED TO THE ARCHITECT WHO STAIR.PROV0'THE INFO MATkX ANY RESPONISB M OTHER TI MR FOR THE ACCURACi'OF THE DRAWINGS SL MTTED MEWNTH ANY BARRIERS,NCLLM ANY WAC DUCTS TYP. ASSUMPTIONS BE MADE RWCAINDNG OM00FIXT)ON5 AND BECAUSE SOME OF THESE ASSLI MPTIONS MAY N07 BE IAV MTHOR®ADDITION OR ALTERATION TO THESE DOCUMENTS 6 A VIOLATION OF THE LAW EGA PNf NO
VBRRA&E WIiHOUf EfPKW ADDmow sm OF MONEY,EY,OR DESTROY OTTfRV a AEQLUATE OR SEIME 1BLE fl ALL WPiDOW I DOOR TAMP HARDWARE,BASEBOARDS,CROWN MOLDINGS,ETC TO MATCH SLOG STANDARQ ALL - V'i OT
i.WHEW MERMiOVAL.S ARE NOT POSSIBLE WITHOUT DAM OF DISTING COMTIONS TO R MW GC SHALL REPAiR PORTIONS OF THE RUM THE OW0 AGREES THAT.EXCEPT FOR FE{L.IGM ON THE PART OF THE ARCHITECT MT31Oi DOORS TO MATCH BLOG STANDAM CONTRACTOR TO CCICROL W/OWNER It TENANT ANNY AM TO
OR iEPL ACE SAME AS REOUREOL OR CONTRACTOR THE OWNER WILL HOLD FOAMLESS,INXWFY AND DEFEND THE ARCHITECT AND CONTRACTOR RECEIVE FINISHES,TEM WOO(.DOORS,ETC WHCH ARE TO BE DIFFERENT FROM BLDG STANDARD PRCR TO BD
FROM ANY AND ALL CLMIS AFDC OUT OF THE PROFSSICNk S@TVICT:S LEER THIS AGE E MEN(. SUBMITTAL TYP