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HomeMy WebLinkAboutBP22-138PERMIT #�` SECTION TYPE OF WORK JOB LOCATION o -DATE: �� D(P: &3 aQAlaoo&41)279- Y' EST. VOCO # FEEl gLnff% 1 J; 4fy - TCO # FEE DATE INSPECTION RECORD DATE E _ FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT 7 .5 ALARM AS BUILT COD FINAL :4tt OTHER APPROVALS BOT PB - ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTP COUNTY, NEW YORK > =' NO: 23-118 Certificate of Occup ucp This is to certify that of, U4s� `mk4 A r having duly filed an application on 20 G<requesting a Certificate of Occupancy for the premises known as, 9 , Rye Brook,NY, located in a 9-7 Zoning District and shown on the most current Tax Map as Section: 135. 5oq Block: 3 Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. -/,3U , issued 20o?a, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under-theme following New York State Classifications, Use: u// L Construction: �L , for the following purposes: rky Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in hpight shall be made r sha building be moved from one location to another until a permit to accomplish such change ha b ,taine Building Inspector. Building Inspector,Village of Rye Brook: Date: JUL 28 2023 �yE DR ,1 tcb 4.°o J�v Ql�r+4 v�y . �9 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 28,2023 Gregory Andronico&Jaclyn Andronico 92 Windsor Road Rye Brook,New York 10573 Re: 92 Windsor Road, Rye Brook,New York 10573 Parcel ID#: 135.52-3-51 This document certifies that the work done under Mechanical Permit #23-106 issued on 7/13/2023 for the installation of a new heat pump split system and ductwork has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDWd DEAkTMENT For office u e onl : 3DPERMIT# VILLAGE OF RYE BROOK ISSUED: _ —a MAY — 2 2023 4138 KING STREET,RYE BROOK,NEW YORK 10573 DATE: s -a3 (914)939-0668 FEE: ,& PAMA, VILLAGE OF RYE BROOK www,ryebrook.org 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 t►t♦itfi►tp►tftttt►►►it►tt•tittiiiiitittiti#►iJifft►fttt►►►■t#►f►►#t►►►iititi►tiittit►f►•►■t►►ft►►t►t►►►►►►►tf►►►ti►•tt►►flit Address: J 2 �i rl e6 6Z /1 U N o Occupancy/Use: )C7,44 Parcel ID#:_ 3J�� .Sc� �q—5� Zone: Owner: lie /u.( CC ✓U Address: .2 Uy4 M GSA en e-d i P.E./R.A. r Contractor:,da,,,��t' �� �� c�tAddress: ? � rr c� A 4 W i4 l���ccin✓� Person in responsible charge: - Address: /I Cu� Q'A o c/ P Application is hereby made anj 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 YOM COUNTY OF WESTCHESTER as: J 01 fie. C Q G —f� being duly swom,deposes and says that he/she resides at 2 y --t 06 fit""CLc" A f (Prinl Name of Applicant) (No.and Street) in W PQ Ctt`,1A A / ,in the County of W 490 t C LLL4 }-C'L in the State of f 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:$ c-<D for the construction or alteration of: /-i v 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. 1 Sworn to before me this Sworn to before me this day of \ , 2( day of , 2AA �A PA)f i') C1 a7 mo o Sig'adure o1&W11 Owner Signature of licant Mof Owner Print N e of Appli t r Notary Publ}jotary Public,State of New York otaryPv1WREa6Ry M.RNERA No.01ME6160063 Ndwy Public,State of New York Qualified in Westchester County-) No.OIRIS441398 8/12/2021 ommission Expires January 29,20L- I (hl&Nfled In Westchester County COBIrMt"Expires September 26,2 E BRcb 1982 BUILDING DEPARTMENT Q BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— ` ` ` DATE: PERMIT# \ `�f ISSUED�1- SECT: �l . LOCK: LOT: I �1 LOCATION: �t� ��r�`-"� hw �'1 SU I CCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING r �C! ` ' < U ❑ 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 0- PINAL �❑ OTHER "E BR(b, O� 2m • 1982 BUILDING DEPARTMENT 4 B ILDING INSPECTOR SSISTANT 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 - - - - - - - - - - - -- - - - - - - - t ADDRESS- "� } J� ( �V ATE: �(I C Z PERMIT# 2�Z— ISSUED: U t �SECT:_ J WLEOCK: -) LOT LOCATION: r` � &:1L{ �:�1r t I (fr, OCCUPANCY: -2 `(�N ❑ VIOLATION NOTED THE WORK IS... / ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ` REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ OUGH FRAMING INSULATION ii ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER PE BR(�j�. O�` tim 9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR }ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK `❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : T2 `—k))r) SS ` K0 DATE: , PERMIT# 1 _; & ISSUED: C IL' SECT: BLOCK: LOT: LOCATION: Z Sx+ � ��� i tt asu (,C r� OCCUPANCY:��J 1i ❑ VIOLATION NOTED THE WORK IS... [] ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ;007 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 4 e Bkj� BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ' l ,n u Ir �/ y/7a2Z ADDRESS : C� V DATE:_ PERMIT 2 Z ISSUED:I ,vI12 �`� SECT. LOCK: LOT. LOCATION: A ob( G-lpA Ruo<-'v'?OCCUPANCY: 1 ❑ VIOLATION NOTED THE WORK IS... .-&'ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER i N N N off' a N NPL4 010 o � _ ° o = ILn MCI ch a ,N p N t ' o ~ qj V rl � � o z g 1-4 0 : CJ V 00 W ° o V 4 ro'° M C w s v Q p = q c Q pC wow cQ Ncq o f 00 oval GQ W 0 A v s a o cn a N ti o u o p �j Q z o ,^ � o o o °c a b � � W. ZO M O � a w � 4) 0 o BUIL R MENT V �� VIL E OF RYES OK u 938 KING ET RI BR -c NY 10573 JAN ' s 20 22 rg VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: AUG - 1 20Z �Perniitg / ` ~ Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: U Date: J AN 1 5 2027 BOT Approval Date: Case# Chairman: _ PB Approval Date: Case# ; Secretary: ZBA Approval Date: Case# VI- Other: Application Fee. Permit Fees: t t-L(oc? ))EXTERIOR BUILDING PERMIT APPLICATION L—&Application dated: — Z>C_� 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: 92 Windsor Road Rye Brook, NY 2. Parcel ID#: 135.52-3-51 Zone: R-7 3. Proposed Improvement(Describe in detail): Second floor addition over the existing first floor to construct a bedroom bathroom, closets, and a new hallway to access the same. 4. Property Owner: Greg Andronico Address: 92 Wndsor Road Rye Brook, NY Phone# Cell# 347 649-4424 e-mail gandronico17@gmail.com List All Other Properties Owned in Rye Brook: NA Applicant: Greg Andronito Address: 92 Windsor Road Rye Brook, NY Phone# Cell# 347 649-4424 -e-mail gandronico17@gmail.com Architect: David Mooney Address: 6 Blind Brook Lane Rye NY 10580 Phone 4914 967-0960 Cell# 914 588-1251 e-mail dwmooney@gmail.com Engineer: Address: Phone# Cell# e-mail General Contractor: Q _S C0/71k -'-' Y l O Address: �T �I�G>r7t �1C'PSS2 024 WA14 _/q//I-S A) 7 /Oeb Xo Phone# CeI1# �� Q1 �Vqlp e-mail (11 8/12/2021 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-family Post-construction: 1-family 6. Area of lot: Square feet: 7,187 Acres: 0.1649 7. Dimensions from proposed building or structure to lot lines: front yard: 29.68 rear yard: 30.01 right side yard: 23.49 left side yard: 17.91 other: 8. If building is located on a corner lot,which street does it front on: 92 Windsor Road 9. Area of proposed building in square feet: Basement: I'fl: 2"d fl: 311 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: I,,fl: 2"1 fl: 282 sf 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: VB N.Y. State Use Classification: R1 14. Number of stories: 2 Overall Height: 23' Median Height: 21'-8" 15. Basement to be full,or partial: partial finished or unfinished: unfinished 16. What material is the exterior finish: Wood shingles 17. Roof style;peaked,hip,mansard, shed,etc: peaked Roofing material: Asphalt shingle 18. What system of heating: hot water baseboard 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 fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: x (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: X Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (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: x (ifyes,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: x (ifyes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No; x (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: X (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: X Indicate: TIER I: TIER 11: TIER III: (ifyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: None 29. What is the total estimated cost of construction: $ 84,600.00 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 requiredprior to issuance of the CIO. 30. Estimated date of completion: June 2022 (2) sn212021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET Rvr BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: 92 Windsor Road Section: 135.52 Block: 3 Lot: 51 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88 YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% X R-7 7,500 23% 4.5% 3.5% R-5 1 5,000 1 30% 5% 3.5% R-2F 5,000 1 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT 7,187 Sq. Ft, 7,187 Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) 1,047 Sq. Ft. 1,047 Sq. Ft. b. Area of 1st Floor Divided By Area of Lot x 100 14.56 % 14.56 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages, Tool Shed, Playhouses) 0 Sq. Ft. 0 Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 0 % 0 % 4. AREA OF DECK 0 Sq. Ft. 0 Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 0 % 0 % I attest to the best of my knowledge and belief,the above information is correct. Yv ` ej a Architect's Signature 1�) 9/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 92 Windsor Ave Section: 135.52 Block: 3 Lot: 51 Zone: R-7 IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts, swimming pools,patios,sidewalks, ramps, terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD(%) Area(sq.ft.)* Over Base R-35 l5 Lot Area % R-25 20 0 to 4,000 0 55 R-20 30 4.001 to 6,000 2,200 35 6,001 to 12.000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R-I2 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 R2-F 30 *"Base Lot Area"is the minimum end of the lot size ---- range in the"Lot Area"column Area of lot: 7,187 s .ft. Existing Allowe Proposed 3ZZ-� Total impervious coverage = 1,579 S .ft. 4 1,579 S .ft. Front impervious coverage = 6 % 40 % 6 I attest to the best of my knowledge and belief,the above information is correct. C v Architect's Signature (4) en 2/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 92 Windsor Ave Section: 135.52 Block: 3 Lot: 51 MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000+ [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = 2,325 Sq. Feet b. Existing = 1,585 Sq. Feet c. Proposed = 1,867 Sq. Feet HEIGHT/SETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10%of the entire roof area, shall be permitted to extend. Height and Setback shall be calculated using the formula; Helaht 1 Setback=X, where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EUS77NG PRO101"ED REAL//RED FRONT: FRONT: FRONT: .44 R,35 SIDE: SIDE. SIDE: 1.20 FRONT: FRONT: FRONT: .48 "S SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 "0 SIDE: SIDE; SIDE: 1.60 FRONT: FRONT: FRONT: .60 AILIN SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 RLY A SIDE. SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 AL12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 A1610 SIDE: SIDE: SIDE: 2.40 FRONT: .7525 FRONT: .7525 FRONT: .96 ANY SIDE: 1.2889 SIDE: 1.2889 SIDE:: 3.00 FRONT: FRONT: FRONT: 1.20 R3 SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 R-2F SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. • Architect's Signature (5) 8/12/2021 BUILD �� MENT D IE C IE � Vl H VIL E OF RY OOK 938 KING ET RYE BR ,NY 10573 JAN - 6 2022 4 -0 - w VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 1, Greg Andronico , residing at, 92 Windsor Road (Print name) (Address N%here you tire:) 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; 92 Windsor 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. Nkl_�'4A ( �A 10 W.LO t`" , rc Greg Andronico (Print Name of Propert> 0mner(s)) �p Sworn to before me this 1 day of 10ai.9r�Y ,20 Z otary Puhlic) DREW P.ALEXANDER NOTARY PUBLIC OF NEW YORK LD.#OIAL64I4"6 (6) MY COMMISION EMPIRES 03/01rM5 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. STATE OF NEW YORK, COUNTY OF WESTC14ESTER ) as: Greg Andronico _ _ being duly sworn, deposes and states that he/she is the applicant above named, (print name of individuat 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 dttly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of 1-two'( , 20 day of� � �,, x , 20 10 CAt,/\01 L I �,Z) 5'>>atur r e tv Ow Sig lure f ppl c nt Greg Andronico Greg Andronico Print Namc of Property Owner Print Name of Applicant otary p N Publie DREW P.ALEXANDER DREW P.ALEXANDER NOTARI. .#01 C 41 NEW YORK NOTARY PUBLIC OF NEW YORK I.D.#OlAL6414646 MY.COMMISION EXPIRES 03/0112025 I.D.#OIAL6414646 MY COMMISION EXPIRES 03/01/2025 (R} 8/12/2021 BUILD MENT D � VIL OF RY, OOK 938 KING ET RYE BR ,NY 10573 SEP 14 2022 I Al VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICL LSE 0NL1 Approval Date: OCT 2 5 2022 Permit# 2 — � Application# 51 Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: 0 Z BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: 41.2 Amendment Fee:/01` �� Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: 01/06/2022 is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address:92 Windsor Road Rye Brook NY Existing Permit#: BD 22-138 2. Parcel ID#: 135.52-3-51 Zone: R-7 Original Approval Date: August 0 1- 22 3. Proposed Amendment(Describe in detail): Revise for additional space in Master Bedroom in Second Floor 4. Property Owner: Greg Andronico Address: 92 Windsor Road Rye Brook NY Phone#347 649 4424 Cell# e-mail gandronico17@gmail.com Applicant: Greg Andronico Address: 92 Windsor Road Rye Brook NY Phone#347 649 4424 Cell# e-mail gandronieo17@gmail.com Architect/Engineer: David Mooney Address: 5 Blind Brook Lane, Rye NY 10580 Phone#914 967 0960 Cell#914 588 1251 e-mail dwmooney@gmail.com 5. Occupancy;(1-Fam.,2-Fam.,Comm.,etc...)Prior to construction: 1-Fam. After construction:1-Fam. 6. Will the proposed amendment 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: X (if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:—No: X Area: 1 sn 2/2021 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: x (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No:_X (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: X (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: X (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: X (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X If yes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. 102 sq-Ft additional Area (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $10.000 additional cost (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.) 16. N.Y.State Construction Classification: VB N.Y. State Use Classification: R1 17. Estimated date of completion:December 2022 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Greg Andronico , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the 92 Windsor Road Rye Brook NY for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of , 20 oZ a— day of , 20 00" Signa re o o e y Owner a u f A li ant Greg Andronico Gr g Andronico Print N e of roperty Owner Prin N of Applicant of Public 2 �Jak'V°►'L S�`-�-- nc 9 Id a►-rum( I V)CJJ� (' �1( (O(o w ► ca'�` l`1 (/'i�� O ll eb(�w O-q�]\_ 8/1 2/2021 U 1 Vd i //Y 1 oil 1,`I , e it � � N r N c � aT i N W c Q Nt o ff ,. 46 z cn fW� p. y MM e •�• W a � OG O U .� w a eh oG A oc a x N z 4 W ~; o u . CIAM "� `' a q H � s en Ln 00 1WT . A00w o u A V UM1~i ? M � Z � �a 00cr" p( w a � ►." F � � H < C U (� V � •• � V `� W rz � z �I a a z w = d r. BUlL�l1 E� MENT D C E �W Lj V"C.E OF RYE ROOK i 938 iKlru3ti9'ra ET RYE BR(XW. NY 10573 OCT 2 5 2022 (914)IV~ N k.orr VILLAGE OF RYE BROOK L_VUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATI .14 Westchester County Master Electricians License Required \ FOR OFFICE USE I a BP tt: � 1 3 EP C T 2 5 2022 .-J Approval Date: Permit Fee: /5 3 5 Approval Signattllre: Otter: Application dated, is hereby made to the Budding Inspector of the Village of Rye Brook NY,for the iwAance of a Permit to install and/or remove electrical equipment,wiring, fixtures. or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document. the applicant A property owner agree that all electrical work performed will be in conformance with all applicable Federal.State. County and local Codks. 1.Address: C? O-L �1,t L 0 �5Q 1- 1ZO d J SBL: 13S;S —3-5/ zone. 2.11"ropertyOwmer: 6g�f-,ft{� -A/- r) a 1 `/�d AAi6'0'Aades&- 9;L 1,1#4 s,,, r217 Phone x: V 3' 7 6 ti q L/y14 Cell email: 3.Master Electrician: Victor Valdovinos Address: 4 Erie rd New Fairfield CT 06812 Lic. #- 1 M Phom 0: _ -_Cell a: _ 114-494n1520 _ •-mad: VictorElectricCorp@amp Company Name: _ _ Victor Electric Corp Address_ 4.Proposed Electrical Work fixture Count: A a 5 �tit' &d A jQ0_AA , M&h;.k t- Qu.+ } and G 1 OSa+ GE D RezeSSL yJ IS t —ri ft FG I _ L S%-i iCAC 5 )2, au'F le,F-s Ssr►n t l -1 6C,1,6 inoIt a l 5.3`'Party Electrical Inspection Agenc% W f-S .taw**:w.*...:.�.:.:::.*:.•::�:::::..::.:.::::::..::::.:::�•:���.�•:...:::**::::.:..nww..�:.., STATE OF NEW YORK.COUNTY OF WESTCHESTER ) as: 40 V 1 rio) being fly swam dcpows and states that rdshe is the appiamm above named and does further Ui im ss a of Huhl-wuat m4mng as tune aPPliostl �l C} ti���L 1 C stale that(s►he is the legal owner of the property to which this application pertains,or did(s)he is the for the legal omw and is duly authorized to matte and tale this application. IW&CAe ono ukvL caatracmr.Seat.artiw111ry.CU.) The undcmgned further states that all statements contained herein arc true to the best of hisim kwwkdge ashd belief,and that any work pcdormcd.or use conducted at the abo%c caoioncd pnv+c'rtf t ill be to cunftxman c with the dRstls as set forth said contained in this apphcanon and in any accompanying approved plats and>pecificatxns.as Nell as in accordance with the New York ttatc Uniform Fire Pre%entx n& Building Code.the Cody of the Village of R%c Brook and all othct applicable laws.onimancek and regulations. 1T-Sworn to before hrle this DREW ALVANDER Sworn to before me this S` v of A,-4 _ O" Of New York day of ,20 Z,7 _ t.D.MAL641616 f -rty Owner COMMMON EXPIRES 03/01/2025 Signature of Applicant � -- Print N Owner a of t DANtEI S. DEN Notary Public• State of New York No.01 D16098926 otary (qualified In Putnam C ty tan' Public [my Commission Exptree` STATE WIDE INSPECTION SERVICES, INC. L I Service With Integrity 0:0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# Date Bldg Permit# ;,� .- Sq Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County Address Cross Street Section Block Lot \A ., . Owner Name/Address(If different than above) Contact Number ❑Basement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters #Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation RFcEOwF I OCT 2 5 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address Name License# Date Signature � --.— Address City/State Zip Code a Company Phone# 3 R 0 V State Wide Inspection Services v 1080 Main Street _ Fishkill, NY 12524 APR 18 2023 845 202-7224 Phone �Cl 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@swisny.com BUILDING DEPARTMENT Website: www.swisny.com Service With Integrity - --- -------•-- BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Victor Electric Corp. Gregory Andronico Victor Valdovinos 92 Windsor Road 4 Erie Road Rye Brook, NY 10573 New Fairfield, CT 06812 Located at: 92 Windsor Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-259 135.52 � 51 Certificate Number: 2022-7553 Building Permit Number: BP 22-138 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 92 Windsor Road, Rye Brook, NY 10573 The Second Floor Master Suite Addition were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 17th day of April 2023. Name Quantity Rating Circuit Type Receptacles 12 GFCI 01 AFCI 01 Switches 06 Smoke Detectors 01 C/O Smoke Detectors 01 Luminaires 07 officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. r s a E LO N N e, ,n N \ \ a N N Ln L C- W ■ W i.- W Ln Lr? �O t� ■ x eLn n ON z z ci. w z $ a ►- Q P., W z 0\04 UA Lin 00 N r A � z c� o O \ v � Sz W ►-� z O M J, z r Q � � o z •• � Z 1 A z W � ~ Q M W Z o z � O U a '• u W PLO � cn � O Cn �F'r � � � W N F o � p� v a a G, w °` x c� A c7 A c � z z can L A 0 U Q w si �I ca a n E C E ME BUILDING DEPARTMENT OCT 1 1 2022 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK t 938 KING STREET RYE BRQOx,NY10573 BUILDING DEPARTMENT (914)939-0668 www.ryebroo,k.org PLUMBING PERMIT APPLICATION ^' FOR OFFICE USE ONLY BP#: olor/ 3 9 PP#: ��13-T Approval Date: 0 C T 1 2 022 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. U t 1.Address: �� 1n U S0 Z 12U , SBL: 1355 1.5 2 .3•- Zone: 2.Proposed Work: 3.Property Owner: �j_l C .6&ZY q t/J20A,/,'GOAddress: (,(/Lrrclsd if /e�/ Phone#: Cell#: 3Y7-6�y- Ll y� email: 4.Master Plumber: fj?,W 4,L� BA e"l'/ Address: /a Z_44�-;5/ .3,01V (/AO Iy�10dO Lic.#: Phone#: L Cell#: /y �^� email: T&_ 7✓AV,�U1�2009&,>�� Company Name: / /� �f Address: 54A4 l -4S vt INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor / 3td Floor 41 Floor 51 Floor Exterior 5.*List Other Equipment/Provide Details: 7C7! P JJc/ "� �i Ss (Notarized Signatures Required Next 2 Pages) -1- 8/12/2021 ST OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contactor,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 for me this Sworn to before me this day of lhY>y ,20 2,2— day of ,20—/ Z t a e f Owner Sign of Applicant ram,�1 �1r rc�n Cc� Print�Na of Pr rty Owner Print Name of Applicant Notary Pu E YORK No CARLA A MURRELL NOTAR1 PUBLIC-STATE OF N NO-..7-'' PUBLIC-STATE OF NEW YORK No.01V16412798 0.01 MU6315908 Qualified in Westchester County O� : f:e^. Westchester County My Commission Expires O1 11 2025 My Commission Expires 12-01-2 22 This application must be properly completed in its entirety and must include the notarized signature(s) o? the legal owner(s)of the subject property, and the applicant of record in the spaces provided.Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 8/12/2o21 R � D�I � BUILDING D"ARTMENT OCT 1 1 2022 VILLAGE OF RYE B OOK 938 KING STRXET RYE BR NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: , residing at, G a cis 4 &C4 04 r ( rint name) (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; W►nd S()C i2 p( , 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. -54- (Sip urjjf P rty s)) C-A fyAi od J rah I CO (Print 14ame of roperfy Owner(s)) Sworn to before m s day of , 20 (Notary Public) ENESSA VITIELLO NOTARY PUBLIC-STATE or NEW YORK No.01 V16412798 Qualified in Westchester County 3 My Commission Expires 01-11-2025 8/12/2021 H s. a �. C CIO H � a Vl V -5 w W r LOen A ae y d O W O s W z ^ O 1�1 Q M ►�+ O A CO rT ONO a zk o o w > 3 1 J U U a � c� ►., ,� Q Mw x .� � � , OQ c � ° v � Cc Cc ~ w/ J i A v U WW a o „ w d W z w o a., ►—� Z v, � Z22 y3 V V a �, , � o � a v� > ' N z w o a"z 0 �fl4 .4.B cn � l 9 z ° aS .� BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAY - 2 2023 938 KING STREET RYE BRooK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT QV,t a-/,31' FOR OFFICE USE ONLY: PERMIT#:�1�°�3 '-1 Approval Date: Permit Fee: $ Q00" Approval Signature: Other: Disapproved: (fees are non-refundable) ******************************************************************************************************* REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance.(Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit•COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation. (48 hour notice required 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, c�K3 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. rrW 1. Address: D, ( Qd SBL: I S-)'3-11 Zone: rr� 2. Property Owner:GmoA(cj Andcr)()" Address: Phone#: '�..C q14 4 a4 Cell#:R?�6q4-1144 Q4 email: 22'' 3. Contractor: n is t C roc, Address: QL1 3y C.Cnrj._ &IN &A,,k4 4 Ipyi�y Phone#: A t p—�3C►• 3c1�_Q Cell#: email:C t9/}nr A/v D Jo 26C � 4. Scope of Work:New Installation(�r f fOTMA Replacement( )�•Removal(1)'•Other( ): 5. List Equipment: a &. 1 F��� A Dm @ —1 &L X GO AA t 6. Location of Equipment: G 04-C1 C442 r e-(:,A r t.J!' InCM2 7. Method of Installation/Removal(list all equipment needed to perform job): • 1 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: J 97 (4 <<4 A ✓A.^4 a-'<D ,being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. 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 Sworn to before me this day of \ 20 day of ,20,L— Signat& o operty wner Signfiure of Applicant ( ,—Ce- , Name of perry Owner am f Applicant No Public No blic SHARI MELILLO Notary Public,State of New York GREGORY K RNERA No.01ME6i60063 Qualified In Westchester Count Nefary Public,State of New York Commission Expires January 29,20,_ No.CIR16441398 Qualified In Westchester County Commission Expires September 26,2 This application must be properly completed in its entirety and must 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. i 2 3/3/2023 C0 FUJITSU SUBMITTAL 24RGLXD a�n f;r, .,r Inverter Driven Heat Pump24,000 BTU Mid Static ducted Job Name Location Date Engineer — --------- - - Approval -- — Submitted To Construction Submitted By Unit No Reference Drawing No PRODUCT FEATURES • Up to.80"WC • Two wire or Three wire Controls • Automatic Airflow Adjustment • Heating operation rated down to-5 F outdoor temperature. • Quiet Operation(as low as 24 decibels) • Long Lineset Lengths(up to 246') `J r�rnu MODEL Indoor Unit ARU24RGLX Outdoor Unit AOU24RGLX System 24RGLXD@8r EFFICIENCIES 0 7 Year Compressor,5 Year Parts out-of-the-box Warranty SEER 17.5 WARRANTY EER 12.6 HSPF 10.8 kW/kW 3.84 ' COP ntwhW 13.1 10 Year Compressor, iu Year tarts warranty when registered within 30 days i3OUTDOOR TEMPERATURE OPERATION of installation in a residence Cooling 'F('C) -5 to 115(-20 to-46) Heating -5 to 75(-20 to 24) Rated 24,000 lime Cooling 5,400-29,000 :• 12 Year Compressor,12 Year Parts Warranty when registered within 30 days Min.—Max.Rated BTU/hW 2 ,000 � of installation in a residence,and installed by a Fujitsu Elite contractor Heating Min.—Max. 5,400-32,400 REQUIREMENTSLINESET Connection Method Flare Liquid in(mm) 0 3/8(9.52) Gas 0 5/8(15.88) ACCESSORIES Pre-Charge Length 65(20) UTY-RNRUZ2 Wired Remote Control Minimum Length ft(m) 16(5) UTY-RVNUM Wired Remote Control Maximum Length 164(50) UTY-RSRY Simple Remote Control Max.Height Diff. 98(30) UTY-LBTUM IR Receiver Kit INDOOR DIMENSIONS UTY-TTRX Third Party Thermostat Adapter Net(H x W x D) in 11-13/16 x 39-3/8 x 27-9/16 UTY-TFSXZ2 WiFi Module mm (300 x 1,000 x 700) UTY-XSZX Remote Sensor Gross(H x W x D) in 15-3/4 x 48-3/4 x 34-7/16 mm (400 x 1,238 x 875) Net Weight I (k9) 93(42) Gross Weight 110(SO) 'OUTDOOR DIMENSIONS Net(H x W x D) in 32-11/16 x 35-7/16 x 13 mm 830 x 900 x 330 This system combination is Energy Star qualified Gross(H x W x D) in 39-3/8 x 41-S/16 x 17-1/2 mm 1,000 x 1,050 x 445 Net Weight lb(kg) 134(61) Gross Weight 152 (69) ETA w Indoor Unit ETLH:3170288 Outdoor Unit ETLff:91987 Due to continuous product improvements,specifications are subject to change without intertek notice. Please log in to the Fujitsu Portal for the most up-to-date documentation Effective Date: 311912019 Version 24RGLXD-2018A https://portal.fujitsugeneral.com 1 II1 t t t FUJITSU SUBMITTAL 24RGLXD a/cyon Inverter Driven Heat Pump Ili BTU Mid Static ducted 1711 t, ELECTRICAL SPECIFICATIONS High 800(1360) Voltage/Frequency/Phase 208-230V160Hz/1 Cooling Medium 636(1080) Voltage Range 187-253 V Low 518(880) Cooling Rated 8.3 Current Indoor Unit Airflow Quiet 400(680) Heating Rated 9.0 Rate High 800(1360) Cooling A 15.6 Heating Medium CFM(m3/h) 636(1080) Maximum Operating Current Heating 16.1 Low 518(880) Starting Current 9.6 Quiet 400(680) MCA 20.8 Outdoor Unit Cooling 2,119(3,600) Maximum Circuit Breaker 30 Airflow Rate Heating 2,119(3,600) CoolingRated 1•9 SOUND PRESSURE Input Power Min.—Max. kW 0.63-2.82 High 34 Heating Rated 2.06 Medium 29 Min.—Max. 0.54-2.96 Cooling Low 26 Power Factor Cooling % 99.5 Indoor Unit Quiet 24 Heating 99•5 High d6(A) 34 Medium 29 Moisture Removal pints/h(Uh) 4.0(1.9) Heating Low 26 Energy Star YES Quiet 24 Drain hose Material PVC Outdoor Unit Cooling 53 Size in(mm) 0 13/16(20.7)[I.D.],0 1-1/16(26.6) Heating 55 Operation Cooling -F(-C) 64 to 90(18 to 32) REFRIGERANT Range %RH 80 or less Type R410A Heating -F(°C) 60 to 86(16 to 30) lb oz 4 lb 10.1 oz Static Pressure Range in.WIS 0.12-0.80 Charge g 2,100 Pa 30-200 Oil Type POE(R668) The Fujitsu logo is a worldwide trademark of Fujitsu General Limited.The Halcyon logo and name is a worldwide Note:specifications are based on the following conditions: trademark of Fujitsu General Limited and is a registered trademark in Japan,the USA and other countries or areas. Cooling:indoor temperature of 807(26.7•C)08/617(19.4'C)WB,and outdoor temperature of 957(35'C)DB175•F(23.9'C) Copyright 2018 Fujitsu General America,Inc.Fujitsu s products are subject to continuous improvements.Fujitsu reserves W8.Heating:Indoor temperature of 707(21.1'C)OBI607(I5.6'C)WB,and outdoor temperature of 47'F(8.3'C)08/437 the right to modify product design,specifications and information in this brochure without notice and without incurring 16.1'CI WB.Pipe length:251t.(7.5m).Height difference:Oft.(OM)(Outdoor unit-indoor unit). any obligations. Fujitsu General America,Inc. - 353 Route r West Fairfield,NJ 07004 ::: ::: t CP FUJITSU SUBMITTAL 24RGLXD ka-lcyon Anverteir 1 1 1 /" /!/ / /�/ / / DIMENSIONS Und in(mm) 40-15116 1,040 2-1116 H-13I16 ]s 1N 695 300 V115fte•6>31-V2 1-7/6 2-15018 1ao.e=eoo� N7) y� 5 i50 (lfq) co.+n+iS rg —� s1R IO'--O O 4 C Z r— IP e3/te t-1/e 4 100 6 P115rt6.7-21-w16 1-1N — s.1tn6 feel 6 Ptoo.7=700 31 (US) 7-tN 70 tM 196 6 R10j 1-16r16 3D.31611_000 Side vww(L) Top view Side view(R) �15 3 7A 2-6l6(05) �t) ry Fmnt view 1y B Rcar vines tMi W q—) Tay vlaw sa�q ttn rx1 taC1M ful 11 fl l I 3 Ffoa vYw 1— .LMI vlo� la M F i aaa w fY�Ym rbw The Fujitsu logo is a worldwide trademark of Fujitsu General Limited.The Halcyon logo and name is a worldwide Note:Specifications are based on the following conditions: trademark of Fujitsu General Limited and is a registered trademark in Japan,the USA and other countries or areas. fooling:Indoor temperature of 80•F(26.7'C)OB167•F(19.4Y)Will,and outdoor temperature of 95•F(35Y)DB/75'F(23.9•C) Copyright 2018 Fujitsu General America,Inc.Fujitsu s products are subject to continuous Improvements.Fujitsu reserves WB.Heating:Indoor temperature of 70'F(21.1'C)D81607(15.6•C)WB,and outdoor temperature of 47•F(8.3'C)D11/437 the right to modify product design,specifications and information in this brochure without notice and without incurring (6.1•C)W8.Pipe length:25ft.(7.5m),Height difference:Oft.(Om)(Outdoor unit-indoor unit). any obligations. F t 1 11 1 1 % 1 Building Permit Check List&Zoning Analysis S� 1 -'Address: �'L 7i W 11..oi D S n tL., IZ-i�. SBL: Zone:'-�i _Z Use: 2 o Const.Type Other. Submittal Date: i f Revisions Submittal Dazes: Z 2Z 1 Applicant: V-A L C o Nature of Work: Z F't�Z? ►-� 1'o n �'� SY�-2. S Reviews:ZBA: J A N — 6 2021 PB• BOT• Other: hap QK i , z�� . -- ( ( ) FEES:Filing._ 7��-'�BP: C/O: Legalization: ( ) (-�APP: Dazed: Notarized SBL: Truss I.D. ✓Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening- ) ENVIRO:Long. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Si Protection: S/W Mgmt: Tree Plan Other: ( ) (� SURVEY:Dated: l l Z ��Z Current: f Archival: Sealed. - Unacceptable: PLANS:Dattp Stamped: ✓ Sealed: `/ Copies Electronic: ✓ Other. (� (Cy License: Workers Comp: ✓ Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:PLUM: 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. (,y ( ) 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. (.FRB mtg.date: l ZZ approval:- '"V`L notes: ( )ZBA mtg.date: approval- notes: ( )PB mtg.date: approval: notes: 1 REOUMED PROPOSED NOTES AUG — 1 2022 AA 0<- IF-xIXT• rjo0 0F • Date: Ci Froze Fs4n� F� 13�r Main or Accs.Cov Ft.H/Sb: Sd.H/Sb: Tot. 3"L o l S ?,i t U 51, � Et,_�: 'f-9 fo (� - P HA"/Stories: notes: 1 mA�j� 'vV L.L— /,cn to St-- ,4- `t 26 - BUILD I MENT D = E J J L � . VIL " OF RY OOK 938 KING Q ET RYE BR ,NY 10573 JAN - 6 2022 4 9 9-0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: 92 Windsor Road Date of Submission: Parcel ID#: 135.52 - 3 - 51 Zone: R-7 Proposed Improvement(Describe in detail): Second floor addition over the existing first floor to APPLICANT CHECK LIST: 1'Ius"r BE: CON]PLETEU BY THE APPLICANT include a bedroom, bathroom and closet as well as a The following items must be submitted to the Building hall way leading to the same Department by the applicant- no exceptions. Property Owner: Greg Andronico 1. (\)Completed Application 2. (\)Two (2) sets of sealed plans. (one full size (maximum Address: 92 Windsor Road Rye Brook, NY allo%%able plan size=36"x-12"} and one I I-xIT) Phone# 347 649-4424 3. ('v Two(2) copies of the property survey. 4. ( \)Two (2) copies of the proposed site plan. Applicant appearing before the Board: 5. ( v One electronic/disc copy of the complete application materials. Greg Andronico 6. Filing Fee. Address: 92 Windsor Road Rye Brook, NY 7. ( )Any supporting documentation. Phone# 914967-0960 8. ( ) HOA approval letter. (ijapplicable) 9. (\) Photographs. Architect/Engineer: David Mooney 10.( ) Samples of finishes/color chart. (a sample board or Phone# 9140967-0960 model may be 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 H Sworn to before me this day of 114,004, , 20 ZZ day of JLj�vv�J►ti7 , 20 22 Slfa ure Jroplo Owner Sign ture of is Greg Andronico Greg Andronico Print Name of Property Owner Print Name of Appl can ry Public otarn Public ll[ DREW P.ALEXANDER DREW P.ALEXANDER NOTARY PUBLIC OF NEW YORK NOTARY PUBLIC OF NEW YORK I.D.#OIAL6414646 I.D.#OIAL6414646 MY COMMISION EXPIRES 03/O1/2025 MY COMMiSION EXPIRES 03/01/2025 8n2/2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, January 19, 2022 NAME&LOCATIONS TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED 57 Hillandale Road Amendment To Prior 5670 (Grossberg) Approval 275 S. Ridge Street Legalize Store Front 5671 (Washington Park Changes Plaza) 10 Arlington Rd New Single Family 5672 (Gizzo) Dwelling w/Attached 2 Car Garage 47 Hawthorne Ave New 1 Family Dwelling 5673 (Miller) 92 Windsor Road 2nd Floor Addition(Master 5674 (Andronico) Suite) �L NL-L ML NM MR SE JM SF AC ✓ MI KC UR(�v� Village of Rye Brook ML MR n Architectural Review Board Board MeetingSE W �c�..�� AC SF t Wednesday,October 19,2022 at 7:30 PM Village Hall,938 King Street J 1. ITEMS: 1.1. #5772 (Consent Agenda) Bruce Rubenstein&Sandra Rubenstein 140 Country Ridge Drive 4'-0"high partial fence. 1.2. #5773 (Consent Agenda) Daniel Wurtzel&Helene Wurtzel 43 Meadowlark Road Rooftop solar array. 1.3. #5774(Consent Agenda) Michael Ross&Heidi Li 151 North Ridge Street Rooftop solar array. 1.4. #5775 (Consent Agenda) Richard Greenberg&Elizabeth Greenberg 1 Milestone Road Replace decking&railings on existing rear deck. 1.5. #5776(Consent Agenda) Fernando Rosales&Leslie Rosales 68 Tamarack Road Replace wood tie wall w/masonry and add flagstone to existing steps. 1.6. #5672 (Consent Agenda) G&G Homebuilders Corp 10 Arlington Place Change front and rear doors. (Amendment to Prior Approval) 1.7. #5784(Consent Agenda) Fabricio Denadae&Luciana Chieus do Amaral 110 Brush Hollow Close Legalize conversion of attic to living space-install skylights. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 4 Architectural Review Board October 19,2022 1.8. #5767 (Re-Appearance) Pawling Holdings LLC 261 North Ridge Street New stone and clapboard siding,windows, front entrance and dormers. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. #5777 Breddy Alfaro 81 Hillcrest Avenue Legalize new flagstone walkways,rear patios and remove shed. Approvals: Motion Second Abstention Aye; Nay; Adjournment, Notes 1.10. #5674 Gregory Andronico&Jaclyn Andronico 92 Windsor Road Addition to master suite. (Amendment to Prior/Approval) X Approvals: Motion `— Second J� Abstention Aye; Nay; Adjournment; Notes 1.11. #5778 Win Ridge Realty LLC New awning for"Madison's Niche" 114 South Ridge Street Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 �� ¢ � �� '���'. .!�' w fir. �"`r� 4 -f'r�i .�ay�•C - ' 7 Cseas _? n• '., _ Win+— .�,...._ . _ ,,,�• r, 1 .. r. �r A� h a W i yr, I i► k y h � }t PIP At j t `- .1 50-P: r � . -.� /. A A :� A .,'T`AI"ri�.\ A .� •.F t+ ^ ;. A AAA' 76 k�i � V ���<1!• , V <��� n V 1 re it+: ,�1♦ rr �'�11• ' Y� t.`'`� /",�i.t4 r �_t.;:/11� •8 iit>^ /♦ �J ♦ f/ V It,�.k .IRci10i►1,__. �. 14ci1ici;l. k�� ' '��Ih4�1�i;�'_..; Il _,,f�',�111c,�, '- C` )) igo-. -sr...1,1�111' $ 5$Et�►il�ll .rA._- �sE?'. Il�ll�:::a- ! 11�11 rf+�3 �- ':111 1� A"a -moo".11��11 F �i -.111�11► re\'-i (O y FFFCCC .�_ C I ' / C c x 8 0 i � O y"y It U O �+ V W CD a W i W Q u� On c S _ m ; to)lr rO O W CLa 0 VC►.y rL fA w �- .�a p �Go► yt� e w N � • i••� X 0 a tts's)• �•+ Cl) t, LLB c > C4 ^ u. > A cz U m i C Q _�: A� 111(111(/11'. ppppS= 1/1111(1,1 -gf�' -g�$ 111(1,11►,1 (#,,pp1 ppF� 1,111,111,',1jps,--g,` I,NN��, 11111,1 111'�jl,l p ♦1 t;r}iiAA 3.1,;t \1� ;.��1';FA� tk •11• 48sA ga* 1� 1$$g A�hg�.. ��j/I �ffiA�� '111/1( ��A (1(11 ��tlA� - ' ACORO`� DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/30/2022 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 Michael J Donnelly NAME: Donnelly Insurance Center HCONN. Ext: (914)347-6500 FAX No (914)347-6303 6 North Lawn Ave. E-MAIL INFO@DONNELLYAGENCY.COM ADDRESS: P.O.BOX 880 INSURER(S)AFFORDING COVERAGE NAIC H Elmsford NY 10523-0880 INSURER A: RUTGERS CASUALTY INSURANCE CO 41378 INSURED INSURER B: Santiago's Contractor,Corp. INSURER C: 24 Independence Street INSURER D: INSURER E White Plains NY 10606 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2252432064 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OFANY 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 TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE OLICY EFF POLICY EXP LIMITS LTP. POLICY NUMBER MM/DD/YYYY (MMIDD/YYYY COMMERCIALGENERALLIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED CLAIMS-MADE ®OCCUR PREMISES Ea occurrence S 100,000 MED EXP(Any one person) $ 5,000 A r SKP311044220 05/14/2022 05/14/2023 PERSONAL aADVINJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY 7JECOT- 7 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea acadent ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per acadent) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per aceident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED I I RETENTION$ S WORKERS COMPENSATION PER OTI+ AND EMPLOYERS'LIABILITY YIN STATUTE I JER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT S OFFICERWEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) CARPENTRY NO ROOF REPAIRS NO ROOF REPLACEMENT CERTIFICATE IS SUBJECT TO TERMS,CONDITIONS AND EXCLUSIONS OF THE ACTUAL POLICY AT THE TIME OF ISSUANCE.CERTIFICATE HOLDER IS/ARE ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT 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 BUILDING DEPT ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING ST AUTHORIZED REPRESENTATIVE RYE BROOK NY 10573 (cD 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 ^ ^^^ ^ ^ 223931930 a� MICHAEL DONNELLY DBA DONNELLY INSURANCE CENTER x PO BOX 880 ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SANTIAGO'S CONTRACTOR CORP VILLAGE OF RYE BROOK 24 INDEPENDENCE ST BUILDING DEPT WHITE PLAINS NY 10606 938 KING ST RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2255 751-6 57366 01/19/2022 TO 01/19/2023 6/30/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2255751-6, 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. JORGE A.CAAMANO-PRESIDENT SANTIAGO'S CONTRACTOR CORP. 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 STAT SUR NCE FUND �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 246770756 U-26.3 AC�® DATE(MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 07/10/2023 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: R038 Luna Dur-America Brokerage Inc PHONE (212)302-2672 FAx�:(718)956-9731 214 W 39th Street, Suite 205A 40O L633: cortMcates@duramerhm.com New York, NY 10018 INSURERS AFFORDING COVERAGE NAK:A INSURER A: UTICA FIRST INSURANCE CO INSURED INSURER B: Amsterair Inc INSURERC: 2930 Bruckner Blvd INSURERD: Bronx, NY 10465 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 10035400-361692 REVISION NUMBER: 37 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. l�TR TYPE OF INSURANCE ADDL BR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY ART3000202770 05/16/2023 05/16/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE 41 OCCUR PREMISES EaEoccurrence $ 50,000 MED EXP(Any one Parson)i $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) _ OWNED SCHEDULED P BODILY INJURY(Per accklent AUTOS ONLY AUTOS ( ) = HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per acddsnt $ f USE r A LAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE III _ DIED I RETENTION $ WORKERS COMPENSATION PER TH- AND EMPLOYERS'LIABILITY Y/N STATUTE .R ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT f OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE i NyS 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 apace Is required) 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 g Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE 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 07/10/2023 at 12:44PM YOR Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Amsterair Inc 718-239-3950 2930 Bruckner Blvd 1c.NYS Unemployment Insurance Employer Registration Number of Bronx, NY 10465-2101 Insured N/A Work Location of Insured(Only required if coverage is specifically limited to Id. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 2930 Bruckner Blvd, Bronx, NY 10465-2101 83-1025269 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Village of Rye Brook NorGUARD Insurance Company 938 King street 3b.Policy Number of Entity Listed in Box"l a" Rye Brook, NY 10573 AMWC336796 3c. Policy effective period 12/04/2022 to 12/04/2023 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) X❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box"Ila"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, 1 certify that 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Dave Simmons (Print name of authorized representative or licensed agent of insurance carrier) Approved by: /� 07/10/2023 _._._""" (Date) Title: Vice President of Sales Telephone Number of authorized representative or licensed agent of insurance carrier: 800-673-2465 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov 2 3 4 6 i 8 I B 10 1^ 12 93 'F4 16 16 17 18 19 2C 21 22 ARGYLE ROAD ZONE:R (50 FT. R.O.W.) A SITE B S 89°06'00'r E ` a e 115.00' § Locus SCALE r'=zsB' I o 1 ABBREVIATIONS 2 RET. RETAINING � I _sroNE c��e __2ON1N65E1 _ N,F NOW OR FORMERLY R.O,W. RIGHT OF WAY c c� ftWAY ors I C 5 STONE lANOING gN Q Wac OFFPSI—P N F 3Q01 — �bavN -71 IS ANCELA lZZO _ i3552-3-52 I III EXISTING w 1 STORY 2,1 STORY BUILDING -✓4aED WrEWA WAY 0 D 0 A C PCPCH CD o pig 29,68' O S/tP5 ON Z HQ 1 _ 511EV5 _ .- - CONL'kEIE L. N F PA]iQ ON O E ✓OHN AL,VAN 3O RSON EN �CO � ]'I IsD E CONCRETE REl. WALL CERTIFICATION NOTE'. TRY—— heaby—Deto. HE03E u�8•y�0 r � 115.00' / VILLAGE OF RYE BROOK h c�mmelu - I BUILDING'L'EPARTMENT New Yorx Tltle Agency, F • Gregory F Antlrenlao&T,Yy,Antlmnieo DARIS ,KA✓ANAUGH Nove7ther21,201? a 135.52-3-50 Dale SURVEY NOTES ASPHALT DRIVEWAY scale. to' I,-.11 T.O'Duckley,Ls.,me surveyor who made HIs map.de RGt Lr y ,4, o awnrc d r F h f p.. .d a K©FrTGA F d' Lot Area=],187-60 3q_FU(9.17 Ac.) 1'r5 Cutle f P act'Cs far Lentl urwys adopted b U New York Shta d_ 252'_I61.:C6 Asscueticn a�Pro'ealond Lentl 6urveyo11 q GRAPHIC SCALE'. 96 26B Died Control No VA,T 4"l4 antl, a cedaln map entitled. ���T1 - aererenae "Revised Map.rd—aark Y...s.In the roWn R R2,New York the pvpody 10 D i6 26g W Temareok 9"ans Inc',premises being Lot Nos. .3 antl port of Lac N.of FEET ,n tM1e Westchester County Clelrc's Office,Dn,sion o - ecords,oh Augutne6,1980 as Map No.3673- Untlenrountl udliDe=_,TacTRlee end slruA—I ere not stows he�aor'There maybe 'nIRMI 11,utllllias the IO,d ,f whhh are presently unknown.Airy party 011z the utility Information and data deplUed ohthls survey shau con-the \/> "DIG SAFELY NEW YORK"phone npmber at 800,96-]502 a mi,umum of forty G e'gM AS)hoursoriorm any wnstmalon aclvitiesmverlry the locmionmany antl OP' \\ ocyAR' G al uwm5mwd u'Ilues. Property suble—eny end.11 public or private resr—,wve—,decaredons andloreasements of rewN,IT any. V Olmereooe shown Dom sA—t—V,p11pory llnas are notimended tc he used H, n t o th.—pr —Th, No orec LIRA,,d dd y RAp b a2 I VIA,a Ic land 41 E L. t5 tti h'"n2,of the New Vork o Ed:- L A�OF VE✓yr `C- Syc/�m /(� J� 0 aTO THE BEST OF My KNOWLEDGEh1 rl AND BELIEF THIS MAP IS 5pp0 SUPS. �- - - -. -- _. NEMHNKIRBY SUBSTANTIALLY CORRECT A6 NOTED HEREON ru '�} - - --- EN S PLANNERS v H 5` C .IXS H 1171 Eesl P A I, tl CT C58.8 Tel'.2C386 ]C] F -203,885.48 9 y ALD T.O'BUCKLEY,NY LS,039834 DATE �y� � 1__- cERTFDATON NOTE 21-111T www ahnemankirby coin urro REV.#'. REV.DESCRIPTION. DATE; 1 2 3 4 5 51 7 1 8 9 10 11 1 12 13 1 15 1 16 17 18 19 1 20 21 22 . N . rn pt > w . o N S• 3 [', /, = a P. 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