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BP22-171
PERMIT # DATE: G' : 4 D(P: %zok SECTION �' S c- BLOCK �,. LOT TYPE OF WORK C Ooe?I/e•! JOB LOCATION rv V� ]� �[ OWNER�0,1 j `�SC' //O�P 4 7 rOb 7 Se/%ovle 691441) g YL 0/ oS EST. \/Co # Tro � FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING Cl RGH PLUMBING GAS C7 SPRINKLER ELECTRIC 0 LOW -VOLT CI ALARM CJ AS BUILT 0 FINAL I NSP OTHER APPROVALS ARB BOT PB ZBA OTHJ=R FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT VILLAGE; F RYE BROOK WESTCHEB Q COUNTY, NEW PORK 194� NO: 22-128 Certificate of Occupancy Ehis is to certify that ,n 5DOzVlCoaie of, RVIL0 '&CDO k., N y having duly filed an application on IJfU [/GJ j f� 20�_requesting a Certificate of Occupancy for the premises known as, W P/0Cff DYI V , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: Block: _Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. cV- /7 J , issued L3 1AP 20 2, 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 the following New York State Classifications,Use: rl�'- {Q/'j'�/�� Construction: for the following purposes: CQ r-?L ) 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 height h�tained b de,,ne all the building be moved from one location to another until a permit to accomplish such change has a om Buy -ng Inspector. Building Inspector,Village of Rye Brook: Date: S E P 2 1 2022 R For office use only: D C� \� -' jD BUILD ENT PERMIT# ' 17I VIL OF RYE OK ISSUED: SEP 15 2022 938 DING STRE YE BROOK, YORK 10573 DATE: - 9 �Q6 O,c FEE:,`//O-- PAIDJN VILLAGE OF RYE BROOK W BU!LDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Address: Z 3 courI "J l4126-B. pq= Occupancy/Use: i GY''�1 Parcel ID#: Z °( a �Z -- — Z Zone: �s Owner: Address: 7-3 C ovr0n-j tZ4 0dt Q6, P.F4�r Contractor,, rn G S C-ck rl C','k C. QZ- Address: 33 D•MTh., �h jj( 1,14 Person in responsible charge: Address: ' Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: AALrNon.S S*-tU 5 6004P, being duly sworn,deposes and says that he/she resides at Z 3 C_ay-1+-j f21 W'e ctL (Print Name of Applicant) (No.and Street) in�*t- X)r )ac_ in the County off j PS �� in the State of ,that (City/Town/Village) ��TT 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 equiplent,professional including the monetary value of any materials and labor which may have been donated gratis was: for the construction or alteration of: C, 6n_N i n 2 l-4Lv4,4- �h 4-,, Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of c , 20 day of , 20 a e of P Owner Signature of Applicant hn G S Co (-L , --j P' t Name of Propirty ^Ow r t Name of Applicant N ry Public 5tiA111Notary P Notary Public,state of New York 9 ARI MEULLO No.01ME6160063 Notary Public,state of New York Qualified In Westchester County No.01ME6160063 Commission Expires January 29,20_ Qualified in Westchester County Commission Expires January 29,20_ '9a2 BUILDING DEPARTMENT 0 ILDING 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: ��-�D ATE: S � ( 2 PERMIT# ISSUED: 1142SECT:( BLOCK: LOT: LOCATION: L -p�l Z� �- -� '���i OCCUPANCY: 2- 0 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 s s . W ir u a O v�a o p W v u Q xCL �r N d� JX M�•K A ? y o c J N LL a V L 9 m O e-ti \ Q � o ® ° w,°, o oo o s L H w W W °° 0 .2 000 � . u ".6 Lam'.. r e ca 61 = W w x to ACL L G s • o Q A uz° o Z Q00 rn � Q W v :z ID Z2 _^ =1 w O O wW � I~ w OH °+� � u to z O z tz� 2 V) WV w o $ w p 'n � F.f Paz V v c� z O v ° L Y N z w 0 W. d za4 0 W 4 � auo. W � BUILD MENT E C IE� �"J F VIL OF RY OOK 938 KING ET RvE BR ,NY 10573 SEP - 9 2022 ID 4 -0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: { Approval Date; Alrntit#: /Q �— — Application Fee: $ Approval Signature: Permit Fees: i �O Disapproved: Other: 9Y ic******k*:F**k*1:k***©*�F*k1k*:k*�c k:l•***k i:�Fk***:kkk***9c*�c ki��c:k*fk**:F9:i:**k****:M�:ir**k****3.•l•**k*****i;*************** Application dated: — /mod is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the interior alteration of an existing building,,or for a change in use,as per detailed statement described below. 1. Job Address: 'L3 COjnt�lj SZ110 6--e- SBL: f Z9,52 Zone: -) 2. Proposed Improvement. (Describe in detail): (►1 o,\4e- 1_0",)-12, �_-u eL —Dein .� 1�1 'u n.Y�,�l.mczr►� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:_XG Yes: if yes, indicate: TIER I: TIER II: TIER III: 4. 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...) :No: Ir Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: I Fafnil 4 After Construction: Yh 6. N.Y State Construction Classification: N.Y. State Use Classification: a 10vte, 7. Property Owner: 6k1()AA-, pn 16 Q eb c3r-a.14Address: Z3 CAy+`t 3-nj a1060, &L Phone# Cell# (9 I'�) C1 Z4 — 01 (-S' email: Z)LC 7(ool,CON 8. Applicant: Address: Phone# Cell# email: 9. Architect: /�Oh,n G S C�r-t" 3L Address: ram 1-4 111 /ZMa� c Phone# `914) 'L73-?3-5m Cell#�q !¢) 7/4-01,5-Z. email:-SGS"r" oc4 e 6mu(1T�� 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ �j OO C7 (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: (1) 8/12/2021 BUILD MENT VIL E OF RY OOK U U 1J 938 KING ET RvE BR ,NY 10573 A . SEP - 9 2022 Q 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, 14 nAi-Nu h 9. S C i O , residing at, L3 -,j N 10" (1 11 (PSift name) (Address where;you lire) 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; Z 3 co_ 1 3mj r-4 06 e Q g vy2. , Rye Brook, NY. (Jots 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. 4 v= (Signal Prop ner(s)) rint Name of Property ner(s)) Sworn to before me this day of e , 20_Q])__ L (Notary Public) SHARI MELILLO Notary PubliC,State ot New York No 01ME61.60063 qualified In W ry Westchester county COrnmISSIon Expires (2) 8/12/2021 This form must be properly completed ¬arized by the Design Professional of record and the Property Owner. Failure to provide this comple ; 11 1� permit application will delay the permitting pro , L� Notice of Utilization of Truss Type, Pre-Engineer rBQING E OF RYE BROOK or Timber Frame Construction. (Title 19 Part 1264& 12 DEPARTMENT . To: The Building Inspector of the Village of Rye Brook. From: '7b 'N Y) C3. S CCU-1j eC _U __TL O1rZ � Subject Property: 2]) JZ/196,e 6W�e_SBL:i Z 1.S Z — 1-1 Z Zone: — 1S Please take notice that the subject; ❑ One or Two Family; ❑ Commercial, ❑New Structure ❑ Addition to an Existing Structure Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) ❑ Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders&Beams (F) ❑ Roof Framing(R) • Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before me this Sworn befo a me this day of ,20 day of r ,20 'Z. f Prop ner �gnature of Design Professional c1- t e Prope e P ame of Design Pr essi nal otary PuRI MElSLLO Notary Public I Notary Public,State of New York SHARI MEULLO No.o1ME6160063 Notary Public,State of New York Qualified in Westchester County N No.01ME6160063 Commission Expires January 213,20 Qualified In Westchester County Commission Expires January 29,20.! (3) 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. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WES CHESTER ) as: 3y)v-, 6, :�7,car-]a- O(L , eing 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 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 day of , 20'�> S' e o �ignature of Applicant Pri ame of pert; n Y4q Name of Applicant _ \ 1 Notary Public Notary Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No.O1ME6160063 No.01ME6160063 Qualifled In Westchester County --7 Qualified In Westchester County commission Explrts January 29,20Z Commission Expires January 29,2023 (41 8/12/2021 Building Permit Check List&Zoning Analysis Address: �_?� 1��� �' �� SBL: Zone:' L l Use: 1 Const.Type: Other. Submittal Date: C'L ZZ Revisions Submittal Dates: Z Z Applicant: <—,- i C I n,...! 'E_ Nature of Work G O M%A--, L F_—�I_S:j2 N 4 Reviews:ZBA: S E P 1 2 2022 PB: BOT: Other. OK ( ( ) FEES:Filing. BP: r C/O: Flood Plane: Legalization: ( ) (� APP: Dated: ✓ Notarized SBL: --truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO: Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed Unacceptable: ( ) ( LANS:Date Stamped: ✓ Sealed. `J Copies: Z Electronic: Other. (� ( ) License Workers Comp: Liability: Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL.Plans: Pemut: N/A Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit: Nat. Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval notes: REOUIRED EXIMNG PROPOSED NOTES APP 1T2022 Area: oaee i Circle: rmnta_g Front Front: Sides: fir. Main Cov Accs.Cow. Ft.H S S .H Sb: Tot.Img F Im : P Height/Stories: notes: JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road REV PLA I S 3 2022 Armonk, N.Y. 10504 DAT�Qf Phone: (914) 273-7350 EPaDTME�IT Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 9/13/2022 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook, NY 10573 Dear Mike: RE: 23 Country Ridge Drive Enclosed is a copy one 11 X 17 and one 24 X 36 copy of the revised basement bedroom drawing with the window egress information added. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. Continuation Declarations AS W TRAVELERS J HOMEOWNERS POLICY Named Insured Your Agency's Name and Address ANTHONY CRISCIONE STUART E COHEN LTD 23 COUNTRY RIDGE DR NORTH 293 RTE 100 STE 109 RYE BROOK NY 10573 SOMERS, NY 10589 Your Policy Number: 980267299 632 1 For Policy Service Call: (914) 276-3222 Your Account Number: 912870030 For Claim Service Call: 1-800-CLAIM33 Policy Period Location of Residence Premises FROM: 09-20-22 To: 09-20-23 12:01 A.M. 23 COUNTRY RIDGE DR N STANDARD TIME AT THE RESIDENCE PREMISES RYE BROOK NY 105731029 Section I - Property Coverages Limits of Premium Liability A - DWELLING $ 930,000 $ 2,029.00 B - OTHER STRUCTURES 93,000 INCL C - PERSONAL PROPERTY 651,000 INCL D - LOSS OF USE 279,000 INCL Section 11 - Liability Coverages E - PERSONAL LIABILITY (BODILY INJURY AND $ 300,000 $ 34.00 PROPERTY DAMAGE) EACH OCCURRENCE F - MEDICAL PAYMENTS TO OTHERS- 2,000 INCL EACH PERSON Policy Forms and Endorsements HO-2 (12-86) Homeowners 2 Broad Form HA-300 NY (05-15) Special Provisions - New York HA-390 NY (12-02) Workers Compensation and Employers Liability 55621 NY (02-09) Homeowners Additional Coverage $ 15.00 58065 NY (05-15) Value Added Package - PLUS New York $ 458.00 58244 (10-10) Identity Fraud Expense Reimbursement Coverage $ 25.00 Total Premium $ 2,561.00 Your Premium Reflects the Following Credits or State Surcharges Security Credit -518.00 Account Discount -634.00 Loss Free Credit -352.00 Continued on next page Insured Copy Page 1 of 4 PL-6651 1-97 577/0F7966 DEC#.21 007707/00850 F3115AH5 0303 08/01/22 Policy Deductible: $ 1000.00 All perils insured against In case of loss under section I, only that part of the loss over the stated deductible is covered. First Mortgagee NATIONSTAR MORTGAGE LLC ISAOA PO BOX 7729 SPRINGFIELD OH 45501 LOAN NUMBER: 0039018999 Your Insurer: The Charter Oak Fire Insurance Company One of The Travelers Property Casualty Companies One Tower Square, Hartford, CT 06183 For Your Information For information about how Travelers compensates independent agents and brokers, please visit www.Travelers.com or call our toll free telephone number 1-866-904-8348. You may also request a written copy from Marketing at One Tower Square, 2GSA, Hartford, Connecticut 06183. You may be eligible for a policy in a newer product from another of our Travelers companies. How we determine the price for a policy is done differently for the newer product. For example, we may use new criteria or use the existing criteria, such as age of home or construction type, in a different manner. A new product policy might cost you less or more than what you now pay. It may also have different features than your current policy. You may continue with your current policy, or you may request a policy in the new program. We also offer many other ways to save on your premium. Travelers is here to help - so contact your agent or Travelers representative to discuss whether a different Travelers Homeowners insurance policy is right for you. We have increased the coverage limit on your home by 7. 9% to reflect the estimated cost to rebuild your home. This increase is based on information we received from CoreLogic, an independent firm specializing in construction costs. Each home is unique and you know your home best. Your coverage amount may need to be adjusted, higher or lower, based on your home's specific construction details, updates or upgrades. If you disagree with your coverage limit, please contact your Travelers representative or agent who can work with you to help you decide the appropriate amount of insurance for your home and process any necessary adjustments. Continued on next page Page 2 of 4 AL-8651 1 97 577;OF7968 CEC-.21 Continuation Declarations AMk TRAVELERS J HOMEOWNERS POLICY Named Insured: ANTHONY CRISCIONE Policy Number: 980267299 632 1 Policy Period: 09-20-22 To: 09-20-23 Effective Date: 09-20-22 For Your Information (continued) It is important that the information we used to rate your policy is correct. It is your responsibility to make sure that the information on these Declarations is accurate and complete, including checking that you are receiving all the discounts for which you are eligible. To see a full list of discounts offered, including discounts for having multiple policies with us, protecting your home with safety devices and being claim free, go to www.travelers.com/discounts. Once at the website, type in your policy number 9802672996321 and product code HL1 to view the discounts available. If any of the information on the Declarations has changed, appears incorrect, or is missing, please advise your Travelers agent or representative immediately. Your Travelers agent or representative is also available to review the information on the Declarations with you. IMPORTANT FLOOD INSURANCE NOTICE Your homeowners or dwelling policy does NOT provide coverage for loss caused by flood or mudslide, which is defined, in part by the National Flood Insurance Program as: A general and temporary condition of partial or complete inundation of normally dry land areas from overflow of inland or tidal waters or from the unusual and rapid accumulation or runoff of surface waters from any source. If you are required by your mortgage lender to have flood insurance on your property, or if you feel that your property is susceptible to flood damage, insurance covering damage from flood is available on most buildings and contents in participating communities through the National Flood Insurance Program. Information about flood insurance and whether your community participates in the program can be obtained from your insurance company, from your insurance agent/broker, or directly from the National Flood Insurance Program by calling 1-800-638-6620 or via their website at http://www.floodsmart.gov. Rating Information Only Dwelling Occupied By 1 FAMILY Territory 00049 Construction FRAME Protection Class 4 Year Built 1963 Rate Tier REG Not More Than 100 Feet from Hydrant, 1 Miles from Fire Dept. Please be advised that effective March 1, 2013 the New York State Insurance Department's name was changed to the New York State Department of Financial Services. Important Notice: A Loss free credit is applicable to all Homeowner policies if the account has been loss free for three or more years. This credit is applicable for both new and renewal business. The credit is applied at the new business or renewal date and is only removed at the next applicable policy renewal after a qualifying applicable loss. The credit is applied at the time of the fourth policy renewal. This is not a bill. The mortgagee will be billed separately for this policy. Thank you for insuring with Travelers. We appreciate your business. If you have any questions about your insurance, please contact your agent or representative. Continued on next page Insured Copy Page 3 of 4 PL-8651 1-97 577/OF7888 DEC*:21 007708/00850 F3115AH5 0303 08/01/22 For Your Information (continued) These declarations with policy provisions HO-2 (12-86) and any attached endorsements form your Homeowners Insurance Policy. Please keep them with your policy for future reference. Page 4 of 4 PL•8E61 1.97 577/OF7998 DEC#:21 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence "This foray cannot be used so waive the workers'compensadon rights or obligations of any party." Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ❑ I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. LR I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for in on the bu permit. �,MWait& o omeown (Da a Signed) p �1y � ����s� � C- Home Telephone Number tA� (Homeo er's Name Printed) Sworn to before ore this 00 day of Property Address that requires the building permit: �� r D ( o my ley or �f bllc) s ��ig� Notary Public,State of New York No.OIM E6160063 Qualified in Westchester County Commission Expires January 29,20z— Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB WARNING: THESE DOCUMENTS ARE NOT General notes: ELECTRICAL LEGEND LEGEND VALID UNLESS SEALED AND I. All WORK SHALL CONFORM TO THE 2020 NEW YORK STATE BUILDING CODE,RESIDENTIAL CODE, CONTENT.EXCAVATION MUST BE FREE OF WATER WHILE FOUNDATION WORK IS IN PROGRESS. FIRE CODE,ENERGY CONSERVATION CONSTRUCTION CODE,EXISTING BUILDING CODE, TRUCKS,BULLDOZERS OR OTHER HEAVY EQUIPMENT SHALL BE OPERATED WITH CAUTION AND SIGNED IN INK,NO SCANS, MECHANICAL CODE,FUEL GAS CODE,AND PROPERTY MAINTENANCE CODE. IN SUCH A MANNER AS TO CAUSE NO DAMAGE TO FOUNDATION SYSTEMS, NEwnECORA SHMfai WWC0N5f161 XN REPRODUCTIONS OR COPIES 2.CONTRACTOR SHALL PROTECT a BRACE ALL WORK FROM DAMAGE DURING CONSTRUCTION. 9.ALL STRUCTURAL STEEL SHALL BE NEW,CLEAN AND STRAIGHT AND SHALL CONFORM TO THE (%a a POLE 110 MIL11-WAY A5 D1K+P,WD) LATEST EDITION FOR A.S.T.M,DESIGNATION A-36 OR A-500 FOR All'45'SECTIONS.ALL n NEWt)ECOPAI�IMNeR SWIfCN ° wewr WA110N ARE AUTHORIZED BY WITHOUT 3.ALL WORK TO BE PLUMB a TRUE,ALL PLUMBING WORK TO BE IN COMPLIANCE WITH NYSL HVAC STRUCTURAL STEEL WORK SHALL COMPLY WITH SPECIFICATIONFORS FOR THE DESIGN, WRITTEN AUTHORIZATION OF WORK LOGE IN CODE,ALL ELECTRICAL WORK TO BE IN COMPLIANCE WITH WITH S O FABRICATION STRUCTURAL BUILDING HRAE STANDARDS,LATEST EDITION.ALL CONTRACTORS AND ST TUTEOF S EEL CONSTRUCTION LAATESTT EDITION PROVIDE STIFFS ER ANGLES OR PL OF THE AT" ES 4 KtWvfcORAwc9P0a9 O EX15twu CON51T61CfUN fo 5fnY JOH N G.SCARLATO JR., SUB-CONTRACTORS SHALL BE LICENSED AND INSURED.All PLUMBERS AND ELECTRICIANS ARE UNDER ALL POSTS,COLUMNS OR STRUTS THAT ARE CARRIED BY STEEL BEAMS AND IN THE r_r-1 RESPONSIBLE FOR ANY ADDITIONAL PERMITS.APPROVALS AND INSPECTIONS THEIR PARTICULAR WEB Of BEAMS CANiILEVEREO OVER COLUMNS OR BEAMS SUPPORTING HANGERS.UNLESS GfCI NEW necoKAp�011Nn fA.I.1C�CLl>f BdlElS?l.Pf I�Cepme ---- eximmG to Of IuOHIen ARCHITECT, TRADE MAY REQUIRE OTHERWISE SHOWN OR SPECIFIED PROVIDE 6XSXY2 BEARING ON CONCRETE MASONRY IF ANY. FURTHERMORE; 4.LUMBER MATERIALS USED IN THE BUILDING SHALL BE GOOD,SOUND,DRY FREE FROM ROT, 10.HEADERS TO BE(3)7'X I WIN 2X6 WALLS OR(212'X 10"IN 2X4 WALLS UNLESS OTHERWISE NOTED. 4h New DecoRAa FALfcmuf wir wrwcePrra e IT IS A VIOLATION OF NEW LARGE AND LOSE MAY BE IMPAIRED.KNOALLTS,SHAKES AND OTHER IMPERFECTIONS WHERNEW LUMBBR SHALL CONFORM TO 20 NEWEBY THE STRENGTH INSULATION IN FLOORS,WALLS AND CEILINGS TO BE A COMBINATON Of f ISERGLASS BA 9LI (SNOYIM AS Tc�MItalt Of COIF i�oulaMENf) O HOOK NlMhOeTt CHAPiE 23.FASTENING SHALL CONFORM TO 2020 NYSBC TABLE 2304 0.1 YORK STATE BUILDING CODE 11'CONTINUOUS RIGID.OR SPRAY FOAM OR CELU OUS INSULATION TI PES TO CONFORM TOT. ' NEWneCOR aW eecePrnat YORK STATE LAW FOR ANY ALL LUMBER SHALL CONFORM TO THE REQUIREMENTS OF THE AMERICAN WOOD COUNCILS 2020 NYS ENERGY CONSERVATION CONSTRUCTION CODE CHAPTER A. Newl�lorle OUTIef O NthD�VLEfie!' PERSON,UNLESS ACTING NATIONAL DESIGN SPECIFICATIONS FOR BENDING STRESS AND DEFLECTION,AND 2020 NYSBC 2306. WESTCHESTER COUNTY IS CLIMATE ZONE 4A. ALL WORKMANSHIP INCLUDING BLOCKING,MILLING,BRIDGING,ECT.SHALL CONFORM 701HE 2020 UNDER THE DIRECTION OF A NYSBC AND OR 2020 NYSRBC.PROVIDBEAMS,E LEDGER,BANDLOCKING,NAILER$RAERS TO BE SET ANDWITH ROUGH FRAMING 12.ALL FOOTINGS TO BE A MINIMUM OF 3'-e BELOW GRADE,OR LOCAL FROST DEPTHAS SPECIFIEDBY ARDWARE AS REQUIRED.ALLIV NATURAL CROWN UP. NEW iV CABLE anef XX ELEVATION LOCAWN LICENSED ARCHITECT,TO PROV DE DOUBLE RAFTERS ANDVISIBLE HEADERS(STS AROUND ALL ROOF SKGRADE STAMP.ALL STRUCTURALYLIGHTS UNLESS OTHERWISE NOTED. THE ARCHITECT.UNDERPIN WHEN NECESSARY. NEWCAf 6 eil•CP.NEf POT:rGUraf \:/ ALTER IN ANY WAY THESE ALL LUMBER J1hALL BEAR TGI.&LVL BEAMS OR EQUIVALENT SHALL BE INSTALLED PER DRAWINGS LUMBER INCLUDING BUT NOT 13.HOUSE TO CONFORM TO ANY LOCAL SUPPLEMENTAL CODE. LIMITEO SEALED AND SIGNED MANUFACTURERS SPECIFICATIONS.ALL HANDLING AND INSTALLATION PROCEDURES MUST BE 14.PROVIDE BLOCKING AS REQU RED TO BEARING POSTS ONTO GIRDER OR BEAM CONDTIONS 5"Wilt 6AFfeL SUPPLIED BY THE MANUFACTURER AND SHALL BE FOLLOWED.TJI JOISTS AND LVL BEAMS SHALL AND VERIFY ALL BEARING TO FOOTNG. o New Len WgR•tro Ll,airPua c 5t1'IP DOCUMENTS WITHOUT THE NOT BE ALLOWED TO GET WET AT ANY TIME. 15.TO THE BEST OF MY KNOWLEDGE.BELIEF AND PROFESSIONAL JUDGEMENT THESE PLANS AND VER.PY WITH OWIa NOTE: EXPRESS AND CONDITIONED S.WITH USE OF ANY TRUSS TYPE.PRE-ENGINEERED OR TIMBER CONSTRUCTION A SIGN Will BE SPECIFICATIONS ARE IN COMPLIANCE WITH 2O20 N.Y.S.ENERGY CONSERVATION CONSTRUCTION COD L� PLACED AT OR ADJACENT TO THE ELECTRIC METER WITH SPECIFICATIONS PROVIDED BY THE 16.All DECK RAILS AND STAIR HANDRAILS SHALL CONFORM i0 THE 2020 N.Y.S.BUILDING CODE NeWTCE55EnWH9(EVOIANLIGHf AS PER 2020 RESIDENTIAL CODE OF NEW YORK STATE SECTIONS R314-315 AND PERMISSION OF THE ARCHITECT.O SECTIONS 1014 HANDRAILS AND 1014 GUARDS. 5"BAfFIe WfHLeN5 2020 FIRE CODE OF NEW YORK STATE SECTION 915,THIS PROJECT WILL ARCHITECT. 0 w o 5MOKe newor REQUIRE FULL COMPLIANCE WITH SMOKE AND CARBON MONOXIDE AND HEAT ITH 6.ALLTHE PROVISIONS CONCRETE f A LS AND CONSTRUCTION MET100,AND THEHODS SHALL BE IN NEW ACCORDANCE DETECTORS THROUGHOUT THE HOUSE INCLUDING AREAS NOT DEPICTED OUTSIDE RESIDENTIAL CODE CHAPTER 8.All CONCRETE SHALL E TYPE-1.3000 PSI COMPRESSIVE ESSIVE ATE 1 7.ALL ROOF LIING SYSTEMS SHALL BE INSTALLED TIES)AN COMPLIANCE WITH 2O20 N.Y.S.N Y S BUILDING CODTH E WIND CONNECTORS IHURR:CANE © WEE17 CAM MONOxve nelecf0l: OF THE MAIN SCOPE OF WORK, AND SECURELY TIED IN PLACE SO AS TO STRENGTH AT 28 DAYS.REINFORCING BARS ETO CONFORM 0 020 NYS BUILDNGVENT DISPLACEMENT DURING RErING. 18,All POSTS TO FOUNDATION FOR THE PURPOSE OF SUPPORTING THE ROOF OR OTHER STRUCTURAL O INCLUDED AREAS ARE GENERALLY,ALL BEDROOMS AND ADJACENT HALLWAYS CODE REINFORCING S HALL MODIFICATIONS ACCURATELY NS ALL 31B. ELEMENTS SHALL BLOCKING AS SPECIFIED BY THE ARCHITECT OR A NOMINAL DIMENSION OF 4X4 SC N6w 5hw/CMON M01404 E COM,000flfc10R WITHIN 10 FEET OF BEDROOMS,ON EACH LEVEL OF HOME INCLUDING BASEMENTS RENFORCiNG SHALL BE ACCURATELY INSTALLED TO REQUIRED ELEVATION FROM STRUCTURAL ELEMENT TO BE SUPPORTED CONTINUOUSLY TO A SOLID MASONRY 7.CONTRACTORS TO VERIFY ALL CONDITIONS AND DIMENSIONS PRIOR TO STARTING WORK. FOUNDATION THAT EXTENDS BELOW REQUIRED FROST DEPTH AND RESTS ON A FOOTING OF QAND HABITABLE ATTICS,WITHIN THREE FEET OF BATHROOMS. ANY DISCREPANCIES ARE TO BE REPORTED TO ARCHITECT.ALL WRITTEN DIMENSIONS ON TYPICAL CONSTRUCTION. H WJV H:Af MOCfOR AS PER R2020 RESIDENTIAL CODE OF NEW YORK STATE APPENDIX J, AND THE THE DRAWINGS SHALL TAKE PRECEDENCE OVER ANY SCALED DIMENSIONS. 19.ALL SIMPSON STRONG TIE CONNECTORS AND ANCHORS ARE DESIGNED WITH SPECIFIC LOADS AND OO OAftERY OPeT?A1En SMOKE/CAFDON MOtJOXInE CLASSIFICATION OF WORK THE DETECTORS MAY BE BATTERY OPERATED WHERE B.AlL FOOTINGS$HAIL BEAR ON UNDIs1URBED VIRGIN SOIL HAVING A MINI.WWM SAFE BEARING CAP SPECICIT FIED B.SUBSTITUTIONS T OR ENE HANGERS IS F FOR DIFFERENT UT MODEL NUMBERS THAN COWOOffOCfOR CEILING FINISHES ARE NOT BEING REMOVED TO EXPOSE THE FRAMING,AND ONLY CAPACITY OF 2 TONS PER SO.FT.BRACE RETAINING WALLS OR FOUNDATION WALLS AS SPECIFIED BY THE ARCHITECT OR ENGINEER IS FORBIDDEN WITHOUT VERIFYING THE REPLACEMENT NEED BE HARDWIRED WHERE THERE IS ACCESS TO AN UNFINISHED ATTIC FOR REQUIRED.BACKFIIL WITH APPROVED MATERIAL,BACKFILLING UNDER SLABS,AROUND PART WITH THE DESIGN PROFESSIONAL. JJNct1oN 001LTOR LlairflXta WIRING. FINISHED BASEMENT N aT PIERS AND ON EACH SIDE OF FOUNDATION WALLS SHALL BE DONE IN LAYERS NOT TO EXCEED ALL SCONCE JUNCiION OOXI .APPROVED 10 INCHES.COMPACTION SHALL BE 95%OF MAXIMUM DENSITY AT OPTIMUM MOISTURE W IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO ENSURE THE DETECTORS ARE FOR USEASQ WN.LLICHfJ.4 WNPDX TO CODE BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED. SEPARATE APARTMENT OR I CLIMATIC&GEOGRAPHIC DESIGN CRITERIA FOR RESIDENTIAL DISTRICTS cen.wur,wr�n�or�cEv.luNctlpNooX DWELLING UNIT CLIMATE 7019(AT" WI'V 51'Een I 5t'ECW weAiFERNG f ICE Nd11ET; FLOOn A'R 5YEen 9Ff ECT5 WOON TJe0Rl5 ZO9 CAfffjW Of P 11H E X il:PIM 48(moist) 20 P5P 115/I20 NO NO NO 0 5evem 42" W5 15 EEO'D RRM MAP 9-2B.07 500 52.2- • � PERMITJ s # � J 7/ SBa FILE COPY 8 AM- DATEMP VE 777 � eyreSS WThM4W 9/S/22 155MP FOR LeCK ZAWN BUILDING IN CT 11 Isla of Rye Brook IMY A I � �J i� f I� � n� i I•--� I • (2)•,�HarrZS�+'�,cw,I'�s EG.rt.ess WInD�w� REVI p 1"I SEP..1.3 2022 w ('61 L-L_lIST jWI A_rf DAI E T o h n G. BU I L D I N C.a D'_'ARTit I _ 9 d ... Spa ri ato Jr.DA 141L LLL�I-p t, I,T,�,G Architect Bfin yram Hill Road ���I'-A7� 4• pop room#4 w,�ri, 1�-rf� Armonk,NY 10504 �` GHP 617 Phone:(914)273-7350 H� aFIRIsy JGSCARLATO@GMAIL.COM o - ';.�- � 5 . _ SIN 00 6 Q . i O 11.1�1�y—, �iS z�cG -� - -—- -- CRISCIONE RESIDENCE 23 COUNTRY RIDGE DRIVE RYE BROOK, N.Y. 10573 , LOWER LEVEL CONVERSION OF DEN TO BEDROOM 4-1 � I • P Gl.a 81-d1 1 r I . 191-di 7L4 Gr,d;>�.Gr1� Lwst;T Grai�GrG -GENERAL NOTES cf 1=1'r�j PLANS -4F rL— --- �P DETAILS k zip ! DRAWING NO. e � ------ - $CA�'yi�- ca H `'�A..�, �/�li_�T`�a '' sc,�•t-�I/qiI:11�11' i-.—__. r_._._ --___._—._._ --_. ._.—..---...— �O���Na'�°1i • 'f