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HomeMy WebLinkAboutBP22-115PERMIT # 6, = 6-:. DATE: 4L3O EXP:/0 �3 SECTION BLOCK- -I LOT 6 TYPE OF WORK 4C� rowS � �/� in �Ss JOB LOCATION a Cv OWNER���/_ _ / "ems p�/ ,rp Q ie// neic>�r `' /7)7/O--S030 CONTRACTOR Lc6le c�.�ST�UC7�7U� 1`O/' - Qr/4�O�rP (9/4/) 939- 77,0� TCO # FOOTi N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPR►NKLER ELECTRIC C� LOW VOLT ALARM O AS BUILT O FINAL FEE DATE INSPECTION RECORD DATE INSP OTHER APPROVALS OTHER DR C� c�0,t t.?y ?�v l7 L� Q 11,W.k DY . 19 �7 A" ann&tic a%* 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 Michael Seidenfeld&Daniella Schneider 5 Jacqueline Lane Rye Brook,New York 10573 Re: 5 Jacqueline Lane, Rye Brook,New York 10573 Parcel ID#: 135.35-1-60 Building Permit#22-115 issued on 6/30/2022 for New Replacement Windows & Sliding Glass Door This certifies that the three new windows and one sliding glass door,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to For office use unh: DECIEWE BUILDING DEPARTMENT ForPERMIT#tp VILLAGE OF RYE BROOK ISSUED: CO SEP 2 0 2022 8 RING STREET,RYE BROOK,NEW YORK 10573 DATE: (914)939-0668 FEE: 0 PAID VILLAGE OF RYE BROOK ��ww.rvebruul;.t►r_ BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ............................................................................................................................. Address: I=-) (1[Sl 11'E'A�.t 11j1 1 / // ,�,.,^^ Occupancy/Use: Parcel ID#: / J5 "' �[� Zone: Owner: �"�I(Ijae-1 S eAde old Address: P.F./R.A. or Contractor: _DOyble ?_6 1 �Address: J Person in responsible charge: tA(If IQ Sr,Tl fY-_ Address: 1�73 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: �Q r►0. f_�ptl rt being duly swom,deposes and says that he/she resides at 6j J ie An (A in R(4 e Y'io f))L in the County of C Ivi Ite,Y in the State of�7 ,that ,, ., , \ I-,,.. 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:'- 9_:��5 , [)0 for the construction or alteration of: 'ns+a k\ y S 1k&Lh4 Q 1CA S.! fl ocq- 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 it%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. Sworn to before me this -7 Swom to before me this Iq day of- �t��� , 20 ZZ- day of 20—U_ Signature of Property Owner Ll Si rum of Applicant ;PrintNameof Prop Owner Print Name f Applicant t' THOMAS AMMON BENDALL Nota bait NOTARY PUBLIC,STATE OF NEW YORK NO.01 BE6367242 QUALIFIED IN NEW YORK COUNTY COMMISSION EXPIRES 02/23/2026 �`m VICTORIA M CAPUTj +! Notary Public,State of New Ouaiirietl in Westchester Co rW Registration No.OICA6386 MY Commission Expires Jan.2 QyE 4R(�� 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK Al CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: C ` I 1 V` Lq(-�P DATE: a ao PERMIT# - ' ISSUED:Aa4ECT: ' . 3�LOCK: i LOT: LOCATION: �Jt (� �1 ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS...X ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ` REQUIRED ❑ FOOTING / ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION r /� ❑ NATURAL GAS v�� Q C -s � ❑ L.P. GAS ❑ FUEL TANK t�- ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER Ln �. x R-i en " v v ; A. W x (F�il Le) M O b Q x v kn en O o ci ° y � � w A w G4 4 a z 0.4 w � � 4-4 � v 4 � W °O z w A C)- -0 V o a cu � A O W 0 0 as U !� 2 � A W V = � � �, � W h� 00 O z '� a o � � au U 00 Z Q 1 0 a� o � �4 O C O © V Q H W V V z " ° x > a „ O �y �n a Aa © z W � ,Z � 0 � � �.n � • BUILDING DEPARTMENT v VILLAGE.OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 �UN 2 8 Z�Zz (914)939-0668 ;-,►��c.�-)�ebre►nk.ol.�, VILLAGE OF RYE BROOK � a BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES Noi' RI':()UIRE VILLAGF: ARCHITEC'I`URAI, RF:VIF:1N' BOARD APPROVAI, FOR OFFICE USE ONLY: _ ) / APPROVAL DATE: JUN 2 8 2022 ERM1T#: ® I APPLICATION FEE: APPROVAL SIGNATURE: v PERMIT FEES: H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: is hereby made to the Building Inspector ofthe 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: 5 J rv— 2. ParcelID#: —r— 0 Zone: 3. Proposed Improvement(Describe in detail): QCt. in 14 I ITV 15 00 Y' 4. Property Owner: M (ChQ-f_j, o� I!(&n'tt / p y Address: 5 V i(G l�U t Ia� 10w Ryniz�L�7 105'7�3 II Phone# -! 0- -7/0 8'030 Cell# e-mail mtGhatI.S-ehlXlnki I �Cv� List All Other Properties Owned in Rye Brook: Applicant: GL ca-mlyyclab Address: rl Phone# V ce # e-mail 1-kLkltfz 7, .-04 iteq 1. eZ)A Architect: Address: Phone# Cell# e-mail Engineer: I Address: Phone# Cell# e-mail General Contractor: If .Address: Phone# - V ell# e-mail tp/ a0l, uA cll 8/12/2021 5. Occupancy; (1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: I I(QMt_W_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 yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of pmposed building in square feet: Basement: I"fl: 2°d fl: 31d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement; V,fl: 21 fl: 3`1 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:O Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;()Floor Framing[F]; ()Roof Framing[R];()Floor 8t Roof Framing[FR];Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17, What material is the exterior finish: 18. Roof style;peaked,hip,mansard,sited,etc: Rooting 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 of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No: ►r (Y.ves,applicant roust submit a separate Aulnmalic Fire Suppression System Permit application&2 sets of detailed engineered 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 Village Code? Yes: No:'Area: 23. Will the proposed proj5A require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: fj:ves,applicant must submit a Site Plan Application,&provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: f (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (fyec.the area of wetland and the wetland buffer zone must he properly depicted on 1he survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: ✓ (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER 1: TIER IT: TIER III: (dyes,a Horne Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ SAP ;�S, 00 Note:estimated cost shall include all site improvements,labor,material, segffolding,fixed equipment,pro;•ssional 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: 3 1,3 D/;2 p a �,- (2) 811 212 02 1 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. i:'S�-::A'SA'kxk•�k::3h�::1 A-.C A-1--L-i::YRAA..A.. � ..., ..,A.,kki..k....A..:..........A....................1i.....St....,.k�k.......k5kA 7.w..�.,...1'k.. tA ST TE OF NEW YORK.COUNTY OF _ ^"LI: ) as: t LC_ , L (t-1 _,bcin duly sworn,deposes and states that he,shc is the applicant above named, (print name of individual signing as the applicant) and fm ter states that f s)he its tlic legal owner of the property to which thus application pertains, or that (s)he is the �rf - for the legal owner and is duly authorized to make and file this application. (indicate ardiilect,contnacior,agent,attorney.etc.) That all statements contained hercin arc true to the best of hislltcr knowledge and belief, and that any work perforated, 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 cunnections or sources of infiltration into the sanitary sewer system on or from the subject property. 5wom to before me this of Sworn to before me this day of 20 day of ,20 re of Property w ♦ 'nat e of Applicant so)�rr_el Print Name ofProperty Owner t Print Name of Applicant .k' &.I--V--d- _V6 rvutttNtc notary Public RE=NEISHA WILLIAh1S NOTARY PUBLIC,STATE OF NEW YORK SHARI MELILLO NO.01WI6421579 Notary Public,State of New York QUALIFIED IN KINGS COUNTY COMMISSION EXPIRES 0910712026 No.01ME6160063 Quallfled In Westchester County Commission Expires January 29,201L3 8/12/2021 LICENSE NUMBERS: PAGE 1 OF 4 WESTCHESTER WC-15450-H04 YONKERS: 1122 CONNECTICUT: 578736 PUTNAM PC-2892-A � 0 �� 1BLE A CONSTRl C f IUN CORP. � (914)939-7710 Fax:(914)939-5991 BBB 9 Jean Lane•Rye Brook,NY 10573 NAME: _NUCHAEL SEIDENFELD ADDRESS: _5 JACQUELINE LANE CITY: _RYE BROOK STATE/ZIP: _NY 10573_ DATE: _MAY 4,2022 PROPOSAL: SOLID VINYL REPLACEMENT WINDOWS INSURANCE: All work involved within the following proposal is covered by Workman's Compensation, Public Liability and Completed Operations Insurance. OPTIONS: 1) Double Pane X 2) Glass: X LOW E/ARGON 3) Grids: _NONE_ 4) 'creens: X_',/2 Screens 5) Lift rails& locks_LINEN Color Customer Initials Date PAGE 2 OF 4 i7N 6) Interior wood moldings_X_Re-use existing INTERIOR TRIM MAY NEED TOUCH UP PAINT AFTER INSTALLATION MAKE: IDEAL MODEL: PLATINUM PICTURES ARE FOR INFORMATION PURPOSES ONLY WINDOW STYLES: Color: LINEN Inside LINEN Outside Double hung(s): _2-1 GARAGE, NEAR SLIDER Slider(s) 3 liter 0 Sliding Glass Door: 1 Picture Window(s)_1 FRONT TOTAL UNITS: 3 WINDOWS & 1 SLIDING GLASS DOOR* *SLIDING GLASS DOOR IS NOW HARVEY INDUSTRIES TRIBUTE SERIES WITH WHITE BLINDS BETWEEN THE GLASS. ALL HARDWARE IS WHITE EXTERIOR TRIM IN WHITE ALUMINUM. WHEN INSTALLING 3 WINDOWS AND 1 SLIDING DOOR WE WILL BUILD OUT FRAMES RIGHT SIDE—2 FRAMES AND 1 UPPER BOTTOM SILL—BACK INCLUDES SLIDING GLASS DOOR AND FRONT PICTURE & 2 FLANKERS CHANGE OUT SICKLE HOOF TO STRAP ON ALL LEADERS ** ALL PLANS AND PERMITS TO BE OBTAINED BY HOMEOWNER** DOUBLE "R" TO CART AWAY ALL JOB RELATED DEBRIS. Hidden rotted wood to be priced accordingly. Please note: When a dumpster is removed there may be some wood and a small amount of debris remaining. Please use caution in this area. A job sign will be placed on the property near the road at the start of the job and shall remain there for two(2) weeks upon completion of job. Customer Initials Date PAGE 3 of 4 To accomplish our goals, Double"R", uses photographs of homes and aspects of homes in many types of media (newspapers, radio, television and the internet) and uses photos in our own publications. It is the right of the individual whether or not to consent to the use of his/her photograph for the above publicity purposes. By signing a contract with Double"R", you will hereby authorize us to use any photographs taken of your home before, during or after the project for marketing purposes. Written documentation of disapproval is required by Double"IZ" if you wish to exercise your right not to all us to use such materials. You, the owner, may cancel this transaction at any time prior to midnight of the third business day. After the date of this transaction, such cancellation must be made in person, at the offices of Double ' 1Z­ 9 Jean Lane, Rye Brook, NY, or in writing, postmarked prior to the fourth (4) business day. If you cancel this agreement at any time subsequent to midnight of the third (3)business day after the date of the contract and prior to the start of the work, you agree to pay us the difference between our estimate of the cost of material and labor and the amount of the total sale (our lost profit). We reserve the right to cancel this contract at anytime within fifteen (15) days of this contract. If we cancel, you will be promptly notified in writing by an authorized office of Double..f ­ A Construction Corp.. If we cancel, we will promptly return any down payment(s) you have made. You agree to pay cash according to the terms shown below, or, if your credit is approved, to sign a note provided by us for payment of the amount due. You also agree to sign a completion certificate upon completion of work. If you fail to pay according to the below terms and have not signed our note, the entire unpaid amount becomes immediately due and you must pay a collection cost equal to our actual costs of collection, up to 15% of the total amount you owe, plus attorney's fees and court costs. No credit will be given for the return of any materials purchased by Double"R" A Construction Corp. The installation will begin on or about and will substantially be completed It is understood by you that the following contingencies could materially change the estimate completion date stated above: customer's inability to obtain or qualify for financing, inclement weather, strikes or other labor disruptions, non-availability of materials, acts of God, or any other. The buyer and the seller understand that with reference to the aforementioned completion date, time is not of the essence. CONTRACTORS PERFORMANCE WARRANTY: Double . 1R. proposes to furnish and install labor and material. All work will continue on the job without stopping until completion barring any circumstances beyond the contractor's control. All labor provided is unconditionally warranted for a period of Five (5)years from date of installation. Customer Initials Date PAGE 4 of 4 ACCEPTANCE: The below prices, specifications and conditions are satisfactory and are accepted. You are authorized to do the work specified. Payment will be made as follows: 7,450.00 1,175.00 EXTERIOR CAPPING TOTAL: $ 8,625.00 SALE TAX: $ PERMIT FEES (IF APPLICABLE): $ TOTAL SALE: $ PAID WITH ORDER $ Cash Check # BALANCE DUE: $ Terms: Cash to be paid as follows S (2"`' deposit of 1/3"' is due) "-if iviii�i etivn Financing balance $ (3*" deposit of 1/3"' is due) Day of completion Customer Signature: vase: DOUBLE "R"A CONSTRUCTION AUTHORIZED SIGNATURE mom Ideal in pjaf,"um Double Hung Window _ 00002 _ M - 25 _ 00205 SAP Frame and Sash N�\�Or:� F�,�slrall0� vinyl Foam Filled Ra��ng��rctl'r` Energy ELITE Package w/G rids NERGy PERFORM ANCE RATINGS E -- Solar Heat Gain CoefC1ent U Facto � w27 0 w 20 RFORMANCE RATINGS ADDITIONAL PE U.S./I-P) ViS%ble Trans mittance Air Leakage � 0 . 3 0 . 43 -- MMMMMMM wnvlacturer stkPulates that these rating s conform to app���ble NFRc procedures for determining ►+dtole roola 1 onnanoe. NFRC ratings are determined f a ed a d �a� m �he SOU Ilty Of anY D NMC does not reeomend any p rforrnance Inbrm�tton. sgccMlt proAud s1u product for amy specMlc use• Consult manutadurer�INter�u«9 r other product Pt THERMAL -- PATIO DOOR NO GRIDS NO GRIDS WITH GRIDS WITH GRIDS Product Line Glazing Description P I II-r ENERGY STAR' P h-.1 ENERGY STAR` u SHGc W Zone Compliance U SHGc W Zone Compliance TG 2X Low ton ENERGY STAR®Package 0a0 aaa o,rekIN4 se 0.21 0.21 0.35 N Nc sc s 2X Low-E/Arm ENERGY STAR® a oa9 oae oA4 so 0as oat 0.3eVinyl Patio Door Low-E/Arm ENERGY STAR®Packs a a" oaz os+ 0.29 0.24 0.45Blinds Between Glass 2x Low-E 0a9 az5 owl ore - - - Low-E 0.33 o27 om 0 33 0.24 0.45 Clear OAS os'r oeo 0.45 0S0 0.52 Non-Impact DP50 Low-E/Argon ENERGY STAR®Package eras eras oA3 Nc sc eras o zo qaz Nc sc s Note:Bli,ds Belvwen,Gloss are avaiable on Standard Size 2,3 d 4 Ltte doors that use a T panel width(60M,90M 8 12068 door sizes). Custom sizes are available as special order only. WOOD NO GRIDS NO GRIDS WITH GRIDS WITH GRIDS Product Line Glazing Descriptionrh�,sl PerftmnaK.e FNEHGY S Perfwrnanw TAR" rhr+md ENERGY STAR° u SHGc yr Zone Compliance u SHGc VT Zone Compliance Majesty DH Thermal-ock DIG 2X Low E/ 0-n 1 0.20 asi Nc an as sits Nc 2X Low-E/Airgon I I 0ao aaz 04s Nc a3o a24 -1 Nc sc s Majesty PW ThermaLoek DG 2X Low-E/Argon Nc 2X Lnw-E/Aroon Nc L am a2s owa I I Nc sc s Majesty Casement ThermaLock 2X Low-E/KiWon TG eras oax sae M Nc sc am gzt a.ss Nc Sc s Majesty Awning ThermaLock 2X Low-E/ tm TG o n sat gas Nc sc am ar ors; N NC Sc s 2X Low-E/Ar n TG nx sax eras Nc sc a30 0.21 0.35 nc sc s Majesty Fixed Lite ThermaLook 2X Low-E!Krypton TG o.xs eras 0.44 Nc o 2z a23 a3e N Nc sc s 2X Low-E/ 0d0 0aa 0.K Nc 0.30 0.25 0.43 NC SC 1: Majesty GllidinU Window SunGail'High Solar Heat Gain Package a.m erns o ss Nm sae a4 a4e Nee NC Majesty Sliding Door Low-E/Argon ENERGY STAR®Pak- Nc Majesty Out-swing Door 2X Low-E/Argon ENERGY STAR®Parka a Nc Majesty In-swing Door 2X Low-E/Argon ENERGY STAR®Package eras o 3s o.a Nc aze qa ass Nc Indicates Tempered Glass 'High Solar Heat Gan(SHGc)glazing is designed for use in the Northern ENERGY STAR®climate zone only.Windows glazed with High SHGc glass.The Norlhem ENERGY STAR®climate zone is the BLUE region shown on the map. High SHGc glazing can quality for the Northern ENERGY STAR®climate zone by meeting either of the throe Equivalent Energy Performance(EEP)aderia shovn below. I' Northern US Climate Zones U-Factor SHGc ¢0.27 ANY North-Central M28 a 0.2t Im 0.32 Im a:0.29 2120.37 0.42 South-Central - ------ - North-Central <=0.30 <c 0.10 f01rt ll-col tfN <s 0.30 <a 0.25 ` Southern <s 0.40 -car 0.25 's Notes: U-Factor In accordance v tth NFRC-t 00 and based on whole window values. Performance values shown are fa'Sngls Strength'glass,unless otherwise noted. Performance with'Double Strength'glass,ddferant relnforcwrnent.levels,may va/.. Performance wlth t'grlds may vary. Select glass types shown-others are available subject to special inquiry. Tempered Low-E and Bronze Tint glass will affect U-Factor.SHGc and VT values, _ ♦ Ratings depend size tested. Obscured glass Is treated as Clear glass and shas the same thermal data. - Our products are tested tern perfomhance regularly, re Al Patio Door Gann lg Option&are Tampered Glass only. Test results subject l0 change, _- - _. - - Of � ,rsr'.. 111.. Ill r +�+t�_►t.tl1;�.4h llil!:wE; ,1��44��11i��tr,ra{ ►••sil�ll�lllll'`�4 -5 loll ..# ♦ =*. UJ c.. M a o o CO �, 0 •� � � :ram ch O Cs� (r FBI *NMIZ O_ U un t .T ection •E H v :R"• ' UJ ui w s p Ll .1,.� i•r J w Z > �.1 CID w X o Z ,•'rr cam;,.-< •a :I � 3 c / IL O s V .�7 N LO y dL t• O C � e� �71.. .�� d > +. 1 :s '+ . ,e��r 1"ji'_�i�.�'.��--,.--^a�?�'.`.'�'��'11 f� �?'=e^`T+'�''„•j�i*�*�s�"�l�#/ '111 1 l(o)>� ",�Ill.1 VIY1��1,,� ��+ ; r��l l�l 1 ll�lll, �F ,1 1 '?t;• A�"f, I.lilt �1Nt^ 'l.- H�^�� Ili'.11�l `•1 �/A� 1 �17 1� + A!"�® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 11l2412021 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 NAME; Charles Eatman Dur-America Brokerage Inc AI�N 212)302-2672 Fv �: 718 956-9731 214 W 39th Street, Suite 207 EMAIL ADDRESS: certificates@duramerica.com New York, NY 10018 INSURER(S)AFFORDING COVERAGE NAICif INSURER A:_-ATLANTIC CASUALTY INSURANCE CO42846 INSURED INSURERS:-, Double R A Construction Corp INSURERC: 9 jean Lane INSURERD: _ Rye Brook, NY 10573 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 00003019.1454864 REVISION NUMBER: 140 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. IN TR TYPE OF INSURANCE ! L SUER POLICY NUMBER NINIDD POLICY EFF POLICY EXP LIMITS A X CONIN;CRCIAL GENERAL LIAGILT' y L302000882-0 10/15/2021 10ii 5i2022 EACH OCCURRENCE 5 1 OOO 000 DAMAGE 0 RENTED CLAIMS-MADE a OCCUR PREMISES Ea occ itrance $ 1002000 MED EXP(Any one person) E 51000 PERSONAL&ADV INJURY E 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PE� LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED S NGL L $ Ea accident ANY AUTO Rnnp Y IN It IRY(Per re ) $ OWNED SCHEDULED BODILY INJURY(Per t AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTndY DAMAGE _ AUTOS ONLY AUTOS ONLY P a H 1 1 E UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE _ DED I I RETENTIONS b WORKERS COMPENSATION PER - ANDEMPLOYERS'LIABILITY YIN STATUTE ER _ ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101..Additional Rernarks Schedule,may be attached if more space is required) Village of Rye Brook is included as additional insured 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 RI dirlinn IlPnni-tr t ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook, NY 10573 i (F P) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by F_P on 11/24/2021 at 11:22AM NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 � ^^^^^^ 061605879 %01� * DURAMERICA BROKERAGE INC 214 W 39TH ST STE 207 NEW YORK NY 10018 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DOUBLE RA CONSTRUCTION CORP VILLAGE OF RYE BROOK 9 JEAN LANE BUILDING DEPARTMENT RYE BROOK NY 10573 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2336 816-0 972357 06/13/2022 TO 06/13/2023 6/2/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2336 816-0, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT ANTHONY SOTIRE VICE PRESIDENT MARIA SOTIRE DOUBLE RA CONSTRUCTION CORP 2OF2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE SUR NCE FUND T DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 773230516 U-26.3