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HomeMy WebLinkAboutBP22-130PERMIT # 94)Q2 /N30 DATE: EXP; SECTION$POCK LOT, TYPE OF WORK / i /m /?Ce 4 JOBLOCATION /0`) I)J./Jd;4 c? _ iEO CONTRALTO V'co # FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT OCR ALARM AS BUILT FINAL INSP p,3 y/�i1ce A)/AM Jz /hf4 Flo 93- 59�y -40%/o Aalvile2 Vpq)393-��yc� OTHER APPROVALS ARByu�� ?��� BOT PB ZBA OTHER ��WUflFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION DR J I/ � Lt„ VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 18,2023 Benjamin Rubin&Rochelle Rubin 65 Winding Wood Road Rye Brook,New York 10573 Re: 65 Winding Wood Road, Rye Brook,New York 10573 Parcel ID#: 135.34-1-40 Building Permit#22-130 issued on 7/22/2022 for a New Fence This certifies that the new four foot high white vinyl fence and six foot high white vinyl fence with lattice top, installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to E C EN E BUILD � MENT For office f v -136 RMITJUN - 2 2�23D VIL OF RYE$ OK ISSUED: 9 8 KING STRE YE BROOK, YORK 10573 DATE: VILLAGE OF RYE BROOK 9 FEE: PAID BUILD114G DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, A wn t,V D �!`A T)!1N l�1F F1N A i 9""QTC ANDTO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Adtlrecc S \v�l�If,t.y' wui 2ck 2'ft 15rv6L ( Al Y (C-j S 73 Occupancy/Use: Parcel ID#: Zone: 2 �5 Owner LA At-( I— !t 1�OCL.G�(e �'�h�.� Address- P.E./R.A. or Contractor: Address: Pemnn in resnonsihle.charge Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance or a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance ith la STATE OF NEW YORK,COUNTY OF WESTCHESTER as: t.�t U 1�1 I V JZ LA�vj heinv rdndv,wnrn rderur,e,and cavc that h./,he recidre at �� W 1� , n_ A I� IL LI S (Pr nt Name of Applicant) _ (No.and et) in Z n '8 6 D0 z' .in the Countv of \"�Q l^e SAC in the State of . )4 that (City/town/Village) he/she has supervised the work at the location indicated above.and that the actual total cost of the work.includine all site imnrovements. labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated eratis was:S Z 0 E S ro Y for the construction or alteration of: n Q W 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/comaleted in accordance with the annroved plan,and anv amendment,thereto extent in cn far a,variation,therefore have heen leaally anthnri7erd and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful foran 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,n,e or,tnrchrre anti)a Certificate of Oervinanr-y or Certificate of CnrnnlianeP,hall have here duly i„nerd by the Rniklina Inspector as per§250-10.A.of the Code of the Village of Rye Brook. V Sworn to before me this Z Sworn to before me this YO Vlo nA w'e of rr owner Nfgfufure of Appuwfu t Name bf Property Owner Print Name of Applicant 1 NMan,Ppi.lir Nnian,R,hl:� SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County?i7 'ommisslon Expires January 29,2 �E BRC�k O� Zm cu � t7 �y�n BUILDING DEPARTMENT , UILDING 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 : `�...+�� / DATE' PERMIT# ISSUED: SECT:: BLOCK: LOT: LOCATION: , `' � , �y ` ` 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 ❑ _CROSS CONNECTION FINAL ❑ OTHER s CV N cV v m� x 4-4 R+ W y � Cl) W A a w =� a � � �r.TT,, .n cq C � c� � • M W M oa U lull �` s H/ � U7 O O CD H 0KK, W ' 1-4 Z w oo C 0 T7 [ O Ir W ~I yLr d W Z� Ljry i O s Clco O �j v ' O N �aoa °a , o W O A ° ; -4 a N W M G00 am. W `i' x z g P°a > OZ . w HO 'av �V _ O �1~ A W E- p3 z 101, � �t �n 0 �-, Z �' z U w o o A cn MM � Z •CL IL � - ? � v) h� V03 Ln W z a O B o �. W O U W A Q ¢ � �I G� Ca-+ � W � x � � � a •es _ BUILD-N DEPARTMENT [E C E �W E VILLAGE OF ire ROOK JUL - 6 2022 938 KING'STREET RY ,NY 10573 �;� VILLAGE OF= RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: JUL 1 ZaZ2 Pe it# � Application# Approval Signature: I ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# ; Chairman: PB Approval Date: Case# Secretary: 1 ZBA Approval Date: Case# Other: \ Application Fee 5- Permit Imo: ` FENCE / WALL / GATE PERMIT APPLICATION Application dated: �'� "� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address: 65 Win nqw Rnad S BVe Brook New Ynrk 10573 2. Occupancy/Use: )-4fq S.B.L.#: 35i 3 4/0 Zone: -) 3. Proposed Fence/Wall/Gate(describe in detail): Will furnish and install(285) liner feet of white vinyl fence privacy with lattice fence 6'Hight,(46) linear feet of white vinyl Privacy with diagonal lattice fence 4'H(1)matching walk gate 5'Wx6'H. 4. Property Owner: Benjamin Rubin Address: 65 Winetingwood Roan.1;RVA Rrank , New York 10573 Phone# 214-693-5944 Ceti# 914-691-5944 email: �h n hPnarcqmq;ii rnm Applicant: Benjamin Rubin Address: 65 Windingwood Road S, Rye Brook New York 10573 Phone# 214-cg3-5gdd Cell# Sarma email: Ruhin_hPna@gmail_rom Architect/Engineer- Address: Phone# Cell# email: Contractor: �:/ �oy 4/0,7 j? NJ14km� � t ,4n-LC// +' . /O /►7 lP� Address& Phone:."S� 04?14CW7 S.S7 4U/- A &/04 e—W /CGelle, A)1 /090 5. If building is located on a corner lot,which street does it front on: 9/4/—,3 73_Q410(o 6. What is the estimated cost of construction $20,564.15 (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: 8/12/2021 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. TE OF NEW YORK OUNITY OF WESTCHESTER ) as: 1 being duly sworn, deposes and states that he/she is the applicant above named, C_Xrint narnellof individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this t Sworn to before me this day of l l t , 20_11 day of 120 e of Property Owner Signature of Applicant 7?-C JA Ei, t Name of Property Owner Print Name of Applicant Notary Public Notary Public sHAitl MELILLO Notary Public,state of New York No.O1M E6160O63 Qualified In Westchester County commission Expires January 29,2� 2 8/12/2021 / Buildin-Permit Check List&Zoning Analysis Address: (Q w � �4 _ ` " 0 Zone• � SBL: ��� �� S Use Z Co Type: Othe r. Submittal Date: D b Z-2- Revisions Submittal Dates: Applicant: Nature of Work �� W 1'�i e Vx r, ie(1CQ W t LCx��L2 O ----------- Reviews:zBA:JUL 1 2 2072 PB: BOT: 0ther. l OK ,,() ( ) ( ) FEES:Filing 2 Q~ BP: oc� / C/O: Flood Plane: Legalization: APP: Dated: Notarized: SBL: Truss I.D. Cross Connection: ( ) ( ) Scenic Roads: Ste Slopes: Wetlands H.O.A.: ( ) ENVIRO• Steep °P�' Storm Water Review Street O—Fees: pening: ( ) ( ) SITE PLAN:Topo: Site Protection: W M N/A. S / gmt: Tree Plan: Other. ( ) (4'SURVEY:Dated: Current: Archival: Sealed: Unacceptable:(� ( ,)/PLANS:Date ed Sealed Copies: Electronic: (") License: Workers Co LiabiliOth� (,�CODE 753#• t� c�a — / �/ mP Waiver. Other ( ) ( ) HIGH-VOLTAGE ELECTRICAL p — "6C7_`G D Dated N/A 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 ( ) ( ) PLUMBINCx 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 INTER; C/O DENIAL LETTER: Other: ( ) ( ) Other. (✓)ARB mtg.date: "2D approvaL• ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval: notes: EME INQ PROPOSED NOES JUL 2 1 2022 Fromm Front: Front~ Sides: Main Cov: Acts.Cov Ft.H/Sb• S .HS : .FA: Ft.Imp: P i . Htight/Stories: notes: \Y\O ?O Sdye -I C_ \ W ( \\ `1 L BUILDINGARTMENT U L� , 1 TJ VIL E OF RYE, BROOK JUL - 6 2022 938 KING ET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK w=_��grQ BUILDING DEEPARTMENT 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. 65 Windingwood Road S,Rye Brook New York. 10573 Job Address: Date of Submission: Parcel ID#: Al-1-1/0 Zone Proposed Improvement(Describe in detail): Will furnish and install(285) liner feet of white vinyl fence privacy APPLICANT CHECK LIST: with lattice fence 6'Hight,(46) linear feet of white vinyl MUST BE COMPLETED BY THE APPLICANT Privacy with diagonal lattices fPncP 4'H(I)matchino wa!k c,',lf, The following items must be submitted to the Building 5'Wx6'H. Dart ent by the applicant-no exceptions. Depart Property Owner: Benjamin Rubin 1. ((completed Application 2. ( )Two(2)sets of sealed plans. (one full size (maximum Address:65 Windingwood Road S,Rye Brook New York, 10573 allowable plan size=36"x 42")and one 11"x17") 3. (-)"Two(2)copies of the property survey. Phone# 214 693 5944 4. ( )Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (( One electronic/disc copy of the complete Benjamin Rubin Vplication materials. 6. (L.,fFiling Fee. Address:65 Windingwood Road S,Rye Brook New York, 1057 '' 7. ( )Any supporting documentation. 8. ( )HOA approval letter. (ifopplicable) Phone# 214 693 5944 9. (photographs. Architect/Engineer: 10.( )Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions& Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this day of 20 day of , 20 z-�2, , ZZL-,�� l - ure of Property Owner of)TP1 scant t l t�1i►'t'� L� r-. iA 1 G, I z �r Zu 41, nt Nam f Prope�rty/Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified in Westchester County ommisslon Expires January 29.20_ 8/12/2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, July 20, 2022 NAME&LOCATION TYPE OF APPLICATION_ MOTION SECOND APPROVED REJECTED APPL.# 7 Talcott Rd Roof Top Solar Array Consent 57254 (Ambati) System Agenda 18 Belle Fair Rd 4' High White Vinyl Consent _5726 (Desai) Privacy Fence - Rear Agenda 412 N. Ridge Street Roof Top Solar Array Consent 5727 (Yu) System Agenda 65 Winding Wood New 6' High Fence In Consent 5728 Rd(Rubin) Rear, 4'High Side Front Agenda A v 66 Valley Terrace Roof Top Solar Array Consent 5729 (Friedlander) System Agenda 283 Neuton Ave Roof Top Solar Array Consent 5730 System Agenda 30 Argyle Road 2 Story Addition, & 1 5731 (Nunziato) Story Addition 14 Elm Hill Drive Re-Do Rear Patio, Add 5732 (Levinson) Fire Pit& Outdoor Kitchen 217 S. Ridge Street New Business Signs 5733 (Riemer Insurance group) 37 Winding Wood New Rear Wood Deck& 5734 Road(Chi) Masonry Patio 116 S. Ridge Street New Sign & Store Awning 5735 (Win Ridge) For"Chopt" ML ✓ NM MR +✓ SE JM ✓ SF AC ✓ MI KC VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T)939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD PAGE 2 July 20, 2022 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL# 6 Edgewood Drive 2nd Story Side Addition 5737 (Shalem) 32 Country Ridge Amendment to Prior 5738 Dr. (Hochfelder) Approval 6 Eagles Bluff Basement Addition 5739 (Bruantuch) w/Patio Above & Mesa Block Wall ML NM MR SE JM SF AC MI KC �, " � ���� � , .;� , �, •, I a � �.l ������''��l � I ��� ' III l 1. \ � - i,�, • .. I � t �I ' I III II G..� 'a rc.' Y✓- p I r Yii tk` tLS Ar Mlk Or- OW s _ �' . t� y Z AO- v ir1 ..,,able ' I, - Ili"+' � ���� Ss� '��• {�� . i w i • :i 10�f 1! - '1, �• 1. C, - S: 30 771 .�. ' ' �� •� ..l• _ _� -. .y'� h�� Lry mil. J. !�:l y .;�,. 'r - ,ram': �. �� '�•�' ,, �'. \ t , I•J . S �Y�• rS.�� ilk ' � � I S' �, K 25) HORIZONTAL .......... 2WITH 3"BOARDS �5D SMALL DIAGONAL LATTICE ....................... ....................... ....................... ....................... ....................... rrrn rrrrrrT rnTrTr►r R � ....................... ....................... OLD ENGLISH LATTICE SQUARE LATTICE The Illusions Vinyl Fence Semi-Privacy line has one of the largest selections offered Also popular in the Semi-Privacy series is"Old English Lattice."It's designed to look and is specially designed for basic privacy without a"closed in"feeling.This like a vinyl version of the common fence style used for growing vines,gardens,and extensive selection offers standard semi-privacy styles with space between the hedgerows.Semi-Privacy fence panels include a metal reinforcement channel in boards to allow air to flow through as well as the well known Board-on-Board styles the bottom rail to help create a stronger and longer lasting fence.Available in colors with overlapping boards that provide both privacy and airflow. and woodgrains. i 1_11 I.l I 1111__I-J �•=•=•=•=•-:��:�:��•:❖:�:- III II II II II ll II II II II - - - �IIIIIIIIillllllllllllllll A i D, Al SEMI-PRIVACY WITH 6"BOARDS SEMI-PRIVACY WITH 6"BOARD SEMI-PRIVACY WITH ALTERNATING SEMI-PRIVACY WITH 3"BOARDS NO DIAGONAL 6"AND 1-1/2"BOARDS • ' _ 111111111111111111111111111� 2a0 ._�2aDDL-----V2_7001 �27�1 BOARD ON BOARD BOARD ON BOARD WITH BOARD ON BOARD WITH BOARD ON BOARD WITH DIAGONAL LATTICE STRAIGHT PICKET TOP FRAMED PICKET TOP woo-aoua)SUOISnip-mmM JlIHA ONV 39139 91SSVIO ALF I i - 311HM ONV AVH9 OISSV13 Ij ® J 7 Laura Petersen From: rubin.bena@gmail.com Sent: Friday,July 22, 2022 3:12 PM To: Laura Petersen Subject: RE: Fence Permit Application - 65 Winding Wood Road Attachments: Benjamin Rubin Rye Brook.pdf Hi Laura, Please see attached and below: Company Name: Gemelos Renovation & Maintenance LLC General Manger:Adelo Ramirez Tel.914-393-2406 Email: losgemelos167@me.com Address: 5 Anderson St, Suite 402 New Rochelle NY 10801 DigNY number—07222-001-400 Thanks, Ben Rubin From: Laura Petersen <LPetersen@ryebrook.org> Sent: Friday,July 22, 2022 11:40 AM To: rubin.bena@gmail.com Subject: Fence Permit Application -65 Winding Wood Road Good morning, The fence permit application has been approved by the Building Inspector. Before I can issue the fence permit the following items must be submitted to our office; . General contractor's contact name & phone number. Copy of general contractor's valid Westchester County Home Improvement License. ✓3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $309.00 (due once permit is issued and ready for pick-up) /1. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura (Petersen Office Assistant 1 00 A, Ml ;.. yyy����,,(,,,'����� 1- yl/l/,lll�l =: : �(s .11llll��ll/ll t: ss :�11111111f1�: as a :1�1111�illlll.c e, w i;lllll ll'1�1-a sss .Ih111�'ll/�.. et 11111�11115s o O s~ wwr<(o> N ,ti \ ' O " C) -ram 0 c i \ °: E p N Q •� �1 C) r C •� iS \ i Ow Co U cV W ' W '° section W Z U c° CJ J W06 Cl) <(res)> O aa� : O 7 U u aA v ter ' v 0 Lu 00 a O Z p c - �� W Z W U) to • i�j O w (]y �fLLI 9z Ca tco» I U •3 C o ( , I CO \ ) y W .� •U � = Mom C C7 <(0)f O Z ch as C CO.) U 14 a� _ (ham r. . OA y .4 O Q 1 r,. — — --- - — ---— ---- �j 9 i . 1 11 s. _ 'I► 11 :ae_ r : I <(o)> A H •/1.1•�1111 iIA 11/��)1111_ R 11111�11111 1111♦1.1/11 Y,.�Fl€A t 1� `;'111� t �• O t,� ;�I n. �3 yA, (�a� � �T� v,� �- �� .F. � �0�4 • W � 5 .J'�'-\< ••0j'. _ `� � 1F .�� I ACCAR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) 14._� 1 07/22/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Joyce Alessi Coverage by Design Corp. PHONE (631)649-7999 FAX,NO: (631)649-9324 87J N.Industry Ct E-MAILADDRESS: jalessi@coveragebydesign.com1 INSURERS AFFORDING COVERAGE NAIL• Deer Park NY 11729 INSURER A: Penn Star Insurance Company 106736 INSURED INSURER B Gemelos Renovation&Maintenance LLC INSURER C: 5 Anderson Street INSURER D: _ 402 INSURER E: New Rochelle NY 10801 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR IIPOLICY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DD POLIYEFF MMDD EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE j 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A PAV0379168 06/12/2022 06/12/2023 -PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X JEST LOC PRODUCTS S 2,000,000 POLICY❑ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Me accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) i HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAO OCCUR EACH OCCURRENCE S EXCESS LAA CLAIMS-MADE AGGREGATE i DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT = OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The certificate holder is designated as an additional insured as per written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village Of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 939 King St, AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 l ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 � ^^^^^^ 831830524 COVERAGE BY DESIGN CORP 87J NORTH INDUSTRY CT DEER PARK NY 11729 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GEMELOS RENOVATION & VILLAGE OF RYE BROOK MAINTENANCE LLC 938 KING ST 5 ANDERSON STREET STE 402 RYE BROOK NY 10573 NEW ROCHELLE NY 10801 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2460 200-5 104199 12/21/2021 TO 12/21/2022 7/22/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2460 200-5, 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:/NVWW.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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 10 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STAT SU NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 844691565 U-26.3 Laura Petersen From: Mike Izzo Sent: Friday, July 22, 2022 12:53 PM To: Laura Petersen; Steven Fews; Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday, July 22, 2022 12:52:53 PM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 07/22/2022 12:51 To: VIL RYE BROOK PRIMARY Transmitted: 07/22/2022 12:52 00003 Ticket: 07222-001-400-00 Type Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 65 To: Name: WINDINGWOOD RD S Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: MARK ENTIRE PROPERTY, FRONT, BOTH SIDES, AND REAR NearSt: OLD ORCHARD RD & LATONIA RD Means of Excavation: HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: INSTALL FENCE Estimated Work Complete Date: 07/27/2022 Depth of excavation: Site dimensions: Start Date and Time: 07/27/2022 07:00 Must Start By: 08/10/2022 ------------------------------------------------------------------------------ Contact Name: SONYA CHADEZ Company: LOS GEMELOS RENOVATION AND MAINTENANCE LLC Addrl: 5 ANDERSON ST Addr2: SUITE 402 City: NEW ROCHELLE State: NY Zip: 10801 Phone: 914-393-2406 Fax: Email: losgemelosl67@me.com Field Contact: ARDILO RAMIREZ i Alt Phone: 914-393-2406 Working for: BENJAMIN RUBIN ------------------------------------------------------------------------------ Comments: 285 LINEAR FEET OF FENCE Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 WINDING WOOD ROAD SOUTH 5 73°-4`)'20" L 100.00, 70.00' 0' We rc Q it E 1 O C 2 III .►�— r I —20.4--Ct a. 0 0 o .., Q O °o z O .65 p O p ONE STORY FRAME in q� a and gate BLDG. - 63r,pQ e n c e L., a I PAVI t 2.2W GSW w 0 .rt oar. cwva # O c S-BUILT/FINAL SURVEY o 3 `9 REQUIRED PRIOR TO z`4- TAX LOT No.40 �rc Ln FINAL INSPECTION `° AREA=1500050.F. 37W - LOT 24 rc'� '" Lor;;s LOT 25 ASR. rc 3.5W M, .LWt 45/,A--' ! e WOOD y ,fix, �i 37Vo -_�Kxb RVQ� �VVI 1� �7 �y rcNa F CA OF 5 TONE RAT.WALL ALONG PROPERTY L'Nr �y N 73 45'20"W 100.00, PERMIT* �A)Q-43(o FILE COPY sBL# 1 3s-, 3`t —l - Lk z� DATE APPROV UL Wilage of Rye Brook BUILDING INSPECT ,Vi ag�ofRye Brook.tlY Architectural Vevi Board :Approval Date: 711 Chairman:— ql E� Ii REVI PLA JUL 14 2022 - - DAT D: BUILDING DEPARTMENT ( FOR TITLE PURPOSES ) I--- E G E N [=) JOB # 23046—W No. So. E. F.E. W.W. C.D. ENT.UND. ENT. L.A. A. CL. RT. NORTH I SOUTH I EAST ( FIRE ESCAPE I WINDOW WELL I CELLAR DOOR I ENT. UNDER ENTRANCE I LOW AREA I AREAWAY I CLEAR I RIGHT LIGHT OUI UTILITY ( CATCH lWATER I PARKING TRAFFIC ILJHYDRANT I ELECTRIC TREE O I I EOAPBASIN BOXTMANHOLE MANHOLE O MANHOLEWEPOST POLEVALVE MERSIGN� R 5URVEY OF LOT No.22 A5 5t�OWN ON MAP TOWN OF RYE "MAP SECTION D RYE ACRE5" FILED IN W. C. R. O. WE5TCh ESTER COUNTY ON MARCH 51 1,953 A5 MAP No.795 I STATE OF NEW YORK SURVEYED JAN UARY 15, 2023 UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES OR CERTIFICATION ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. BLOCK: I LOT (s) : 40 SECTION: 135.34 COUNTY: WE5TCh E5TER DWG BY: 5rdjan B. CHK'D BY: WINDING WOOD ROAD SOUTH C/L OF STONE RET. WALL ALONG PROPERTY LINE �o FLA5TIC FENCE �.0 � E0 �- � N 73 4 5' 2 0" W 100.001 NOW OR FORMERLY DUNLEVY MI L5ANK NElf CO r y, 050307 / A A n S� mult InGs _VINCENT M.- TEUTONICO N. Y. S LIC. No. 050307 OFF. (914)365-1847 ; FAX (914)365-1849 ,� Lr.r•r-rl l E-mail. BIGAPPLELS®YAHOO. COM FILE COPY FINAL SURVEY D F=Ck Wip-1 JUN 2 8 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT SCALE: 1 "= 20'