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HomeMy WebLinkAboutBP22-185PERMIT # � o�� � DATE: � aQ� EXP: SECTION `3.'5'1 50 `BLOCK LOT TYPE OF WORK / VG Gc JOB LOCATION M 5LIVI I/r2 OWNER Q Q O 4 4C0 CONTRACTOR O/PS P er I G- ✓ i FAT. COST 5 O OO - F l - O # FEE SATE TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING I� RGH PLUMBING GAS J� %i ML �. ¢ Z f f AS BUILT FINAL lr . ;/0C)3— 03 1 4LUC �/ �ec,7�%CSeiVic�2S OTHER • SIIETlFINAL SURVEY QUIRED PRIOR TO NAL IN WECTION VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 23-105 Certificate of ®ccupaucp This is to certify that k JaeobqFpa-ah Jacoby of, gqf-- C.JY LII having duly filed an application on 20 c?i3 requesting a Certificate of Occupancy for the premises known as, Ve , Rye Brook,NY, located in a P_/5 Zoning District and shown on the most current Tax Map as Section: Block: Lot: 65 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.4R�9 "/ , issued /'5—20 c22, 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: Q" Construction: f for the following purposes: Nov clerk S ho-I At / 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 shall be or shall a moved from one location to another until a permit to accomplish such change haZen obtai d from Build' nspector. Building Inspector,Village of Rye Brook: Date: JUL 0 5 2023 D �J L� IJ V For office use nIv: EB BUILDITMENT PERMIT# MAY 2 4 2023 VILLAGE OF RYE10K ISSUED: alOc�a 9 8 KING STREFT�RYE BROOK, W YORK 10573 DATE: _F- Qa3 VILLAGE OF RYE BROOK (914)9 -066$(. ' FEE: PAID BUILDING DEPART MENT www,rywo0k,6ru 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 rssr•p►►►as►►►ss►s►►s►•►s►►►ss►stsrsrst►rtssrsssrrr►♦►►sr►►ss►♦►s►►s►►►•tr►►►t►rrrrssrrrrrrsarp s►s►►►►tt►srrrasrr►s►►s►►s►► Address: �-�1 fji/LL Q1?1116r j/l0a'f ivy Occupancy/Use: S Parcel ID#: sD -/- SS Zone: Owner: Pfti J 41vO a1_,gK4.' ` AfOQY Address: 1� &C4 N/41 Q/We P.E./R.A. or Contractor: SF{2(t/6 fCtX2Lrf Address: Person in responsible charge: 91' .ago%{ 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: // L�e4,r (//� 'd,f 7 being duly swom,deposes and says that he/she resides at !v L'r,/M y/& (Print Name of Applicant) (No.and Street) in /�7 L4'- ,6/I00 6( ,in the County of We.S i C*I'611S7VZi2 in the State of /U ,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:S 1 Odd, for the construction or alteration of _/� /�,�- me 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-IO.A.of the Code of the Village of Rye Brook. 9 Sworn to before me this Jyl7 Sworn to before me this day of M a , 20c�,) 3 day of C� ( , 20 Signature of Property Owner CSignature of Applicant /LAKE' Sf}C 196'7 Print Name �off Property Own Print Nam of Applic � ant J O Notary Public Notary Public iiRESA SILVER 6vEk NOTARY PUBLIC-STATE OF rAW YORK �01ARY PUBLIC-STATE OF NEW Y66 ()" No. 60-4620378 No. 60-4620378 Qualified In Westchester County Qualified In Westchester County Commission E­'•^s April 30, a ea Commission rl' '-� gorll 30, -'2 0 a 7 QyE BRC��• O� Z� 1932 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 : c `C ' I �� `� X DATE: PERMIT# ISSUED: �'� SECT: ' , BLOCK: LOT: LOCATION: 4<, `►off` 1� . OCCUPANCY' ❑ violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION -� r ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING Q EROSS CONNECTION lb FINAL ❑ OTHER �E BRck, >> O /�• 1982. BUILDING DEPARTMENT ,AMUILDING 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 : �� C �� DATE: PERMIT# I ( ISSUED: SECT: ' � �BLO CK: LOT: LOCATION: OCCUPANCY' ❑ Violation Noted THE WORK IS... ❑ PASSED ,-E} FAILED REINSPECTION ❑ SITE INSPECTION 1 '\ O REQUIRED 1 ❑ FOOTING 'Q ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas { (-- '2S f \f (2 �CS1 0fZ) ❑ FUEL TANK ' V ❑ FIRE SPRINKLER fulc ❑ FINAL PLUMBING / , G 6 ❑ CROSS CONNECTION FINAL ❑ OTHER �E BRO BUILDING DEPARTMENT ❑ ILDINGINSPECTOR XAoASSISTANT 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: �J ' I J 1 Y DATE: PERMIT# V/ ' ISSUED: L2 J�7 [2:��ECT: BLOCK: LOT: —�C:ff �cLOCATION: OCCUPANCY: ❑ 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 a S ��C+I rY c Z- ❑- FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER N n w fY y W vj W � a� }+ � ■ ° �" O s Ctl LrJ C bA 41 M�1 � M � Q a -� � • o u :� an ' C3 W F. F. cr Cs 4 00 W00 M Q o L : m0C: v u >71 N � m a� N 'mN CC)as Q O h+i F-i G� �1 M V W or`o W 0 v� v Vi z-+ o „ U cq r' 00 uu v a+ ( k H O CA en ° a H a o .. U Z � , � � O p H a� �zo aa. CL W U U v c WWZ z A W O J J r-1 W 0 C o -° z •. A a W W p� aC � a'v in LU Q �t R-4 04 BUILotNd DEPARTMENT DFL�fL (�/](� 'VIL '�E OF RYE BROOK V L 938 KING�REET RVE BROOK,NY 10573 2 2022 (914) S- 6 " WWW.c I dMdLorgVILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: SEP 2 2 20 P rmit � Application 4 9�5—75 V Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: �C BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: 11 Application Fee- -75cd Permit Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated: ?,2, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of Permit for the construction of buildings,structures.additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress:16 Elm Hill Drive, Rye Brook 2. Parcel ID#: 135.50- 1- 55 Zone: R-12 3. Proposed Improvement(Describe in detail): Deck addition approximately 20' x 16' with steps. 4. Property Owner: Blake Jacoby Address: 16 Elm Hill Drive, Rye Brook, NY Phone# Cell# Blake Jacoby-914-830-3896e-mail blakejacoby@aol.eom List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell # e-mail Architect: n,a,t Address: /0 ,JL_ /f Phone# qly- G66, 39,•j f3 Cell# e-mail how Engineer: Address: Phone# Cell # / e-mail General Contractor: OlQL1 P Address: 0c11 /� `/7 / 0 s c� Phone# Cell# la3 a e-mail 111 8 1,VI 5. Occupancy;(1-Fam..2-Fam..Commercial.,etc...)Pre-construction: One(1)Family Post-construction: One(1)Family 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: let;side yard: other: S. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: N/A is,fl: N/A 2"dfl: N/A 3`d fl: NIA 10. Total Square Footage of the proposed new construction: Zero 1 I. For additions,total square footage added:Basement: NIA I;`fl: N/A 2nd fl: N/A 3'fl: NIA 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: 5B N.Y. State Use Classification: Single Family 14. Number of stories: N/A Overall Height: Median Height: 15. Basement to be full,or partial: NIA finished or unfinished: N/A 16. What material is the exterior finish: 17, Roof style;peaked,hip,mansard,shed,etc: N/A Rooting material: N/A 18. What system of heating: N/A 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 Aulomatic 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: X No: (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 (rf yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft,of a Wetland as per§245 of Village Code? Yes: No: X (ifyes,the area of uvdand and the wetland buffer:one muss he 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 ol'the flood plane must he properly depicted on the sunev&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 It: TIER Ill: (ifyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S Note.The estimated cost shall mchide all site improvements,labor.material,scq&lding,fixed equipment,professional fees.including am•material and labor N,hich may be donated gratis. lfdie final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C O. 30. Estimated date of completion: Three (3) Months 8,t_,202t BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYF BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Addt-ess: 16 Elm Bill Drive. Rye Brook,NY Section: 135-50 Block: 1 Lot: 55 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SO. 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% X R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT 13,650 Sq, Ft. 13,650 Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building 1,562 (Including Attached Garage or Accessory Building) Sq. Ft. 1,562 Sq. Ft. b. Area of 1"Floor Divided By Area of Lot x 100 11.4 % 11.4 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) Sq. Ft. Sq. Ft. a. Coverage of Accessory Building _ Area of Accessory Building Divided By Area of Lot x 100 % % 4. AREA OF DECK 0 Sq. Ft. 528 Sq. Ft. a. Coverage of Deck Area of Dec of Lot x 100 ® % 3 9 .14 J�G1 DE, ti s I attest to st of owl belief,the above information is correct. f Architect' ( re T�OP NEON 8/12/2021 BUILDING; DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK.NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 16 Elm Hill Drive,Rye Brook,NY Section: 135,50 Block: 1 Lot: 55 Zone: R-12 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 -' 1 Lot Area (%) R-25 20 0 to 4.000 0 55 R-20 30 4,001 to 6,000 2,200 I S 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 2 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: 13,650 s .ft. Existing Allowed Proposed Total impervious coverage= 2,413 S .ft. 4,948 S . ft. 2,941 S .ft. Front impervious coverage = 17.7 % 36.2 % 21.5 % RED ARC 1 attest to the be n geDa4 �` e above information is correct. I Architect's natur 6. .` :► 031M100 lE`��tO� (4) sn zrzoz► BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET Rvi. BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 16 Elm Hill Drive, Rye Brook, NY Section: 135.50 Block: 1 Lot. 55 MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) 0.11478421 j: a. Allowed = Sq. Feet b. Existing = Sq. Feet c. Proposed = Sq. Feet HEIGHT/SETBACK R TIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard de\250. complete gulate the height of a building in relation to the verage grade of the corresponding portion of the lot line from which it is The ratio modifies the maximum permitted fight of Building by forming an inclined plane beginning at the average grade portion of the lot line from which the setback measured and rising toward the building at the specified ratio above which any building, other than minor architectural atures such as chimneys, skylights and dormer windows not covering more ththe entire roof area, shall be permitted to a end. Height and Setback shall be calculated using the formula; Height I Setbac X is the required side or front yard rati for the zoning district in which a property is located as specified in Article VIII of C . complete elevation view for the prop ed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXIS77NO .1ROPOSASt RZOtIMED FRONT: FRONT: FRO : .44 AUS SIDE. SIDE. S E: 1.20 FRONT: FRONT: Pjb NT: .48 1L2N SIDE: SIDE: IDE: 1.30 FRONT: FRONT: R T: .60 R--20 SIDE: SIDE: SID : 1.60 FRONT: FRONT: FRONT: 60 /P 1S SIDE. SIDE. SIDE: 0 FRONT: FRONT: FRONT: .8 ���G� DE R-1SA SIDE: SIDE. SIDE: 2.40 � 9/ F� FRONT: FRONT: FRONT: .69 R-f2 SIDE: SIDE. SIDE: 1.60 FRONT: FRONT: FRONT: .80 R-10 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT FRONT: .96 03106� �¢ /�7 SIDE: SID SIDE: 3.00 OF N FRONT: FRO T: FRONT: 1.20 R3 SIDE: S E: SIDE: 4.00 FRONT: FA NT: FRONT: 1.20 R2F SIDE: DE: SIDE: 4.00 1 attest to the best of my knowledge an belief, the above information is correct. Architect's Signature i 8/1 21202 1 BUILDINq-DEPARTMENT VILL'J'E OF RYElokOOK JUL 2 2 2022 938 KING S ET RYE BROft,NY 10573 _J VILLAGE OF RYE BROOK WWW'Tv k'6r 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: 7 , residing at, /`vL/'► f//�� ��/ �rG'�j/QOGr��y �(/S�i�� Ynnt u.fmc, I:\ddres�%OICIC NOU irvci 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, 16 z-6m HIZ e p/� , Rye Brook,NY. (Awh 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. Ititenature r�ll'rirperty[7rtinerls}} ...__ _..__� �l�tGf ��c�137 1Print Name ul Propertm f xnerl,I, Sworn to before me this X,2 day of ,20 02 itiutrti Public, TERESA SILVER (6) NOTARY PUEtiC No. 60-4620378 a,(2nort OYatilled M Westohoster Goun-W CommNNon Exptrel April 30. (9 Q� "I 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 NE CO� TY FMEWESTER ) as: =Wfl& +W� tg duly sworn,deposes and states that he/she is the applicant above named, (print name of individ6al signing as a plicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the Demasi Architects P.C.-Luigi Demasi 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&Bui Iding 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 2019-4 day of �/ r//� 20 ZZ 7 Signature of Property Owner Signature of pii ant 1—?L4 6([2- J C al 7 _ Demai Architects P.C.Luigi Demasi Print Name of Property Owner Print Name of Applicant J,b) Notary Public Notary Public MeO : °_>: ,r- ^,ARRO-AKALSKI rEPESA SILVER Notary ru J(4, :state of New York NOTARY PUBLIC-STATE OF NEW YORK No.41-4700224 No. e0-462037$ Qualified in Westchester County Quallflec! in V',. Commission Expires September30, Commission Expires APFII 30, `f (81 911212(121 �Y l _ Ln O N Ln U � M M uj � w 1� �� � � � 7 � �_ C OA ►yl CA O > ul) V U F O en 4n Ln ° Z N w w W m N W d fn z p N W o aj s �W,, ono � _ H .4 o z - - 00 x H w U z �t w00 o 16 Oo Z ° o zV cr ip cz a o < Q « ma ✓ a ;L; N 0 Lao a Ey z C o w o Z z a 0s v ° w z 0e2 �q i�������� ��i����i�iii���i� ��� ir�d� ����� �R� ���������� �TY�i •• 3 < aRn0� JD BUILDING ISEPARTMENT MAR - 3 2023 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BR ,NY 10573 BUILDING DEPARTMENT (914)939-0668 FAX(914)939-5801 W"a .org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: d EP#: ( D3 o_'S Approval Date: Permit Fee: $ / �0 —�OL Approval Signature: Other: Disapproved: (fees are non-refundable) ************************************** ********************************************************** Application dated,CZ/Z2 Z is hereby ade to the Building Inspector of the Village of Rye Brook NY,for the issuance 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. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: I to 6 1 VYI tt I I I a r SBL:I�Ss s0 — — SS Zone: 2.Property Owner: a2c Q b�Ta llw Kf Address: Phone#: Cell#: 9'I Lf - 930 -38 9 (.0 email: j3,iQkeSuCo y Q 0 . C'Vir Y 3.Master Electrician: ,��¢pr� ft[y1.lY�y Address: /;3 �C l am MI, )y t�-w 6!2 1&& N Lic.#: Lz q Phone#: Cell#: (�4/-.5 2Z,4o email: LQLS,-- Icckr tL LLC 6-' Company Name: e�la ✓Yj& /Vi Lz'S Address: k33: Ptly6m ,�/, �w�R�zGr�/l /rY /opl 4.Proposed Electrical Work/Fixture Count: 700 QK( , QiC'1'(/1CG [10P1 rQ Ect) 1 Ca i✓«i ✓ L O1- r Zc.-,R ki p,t) t o v-h� Fir C=-X y ion S GCi ce 0,od ********************************************************************************************************* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: -00 ie9 k V9 #Qar y being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the /1J for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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 Cgde of the Village of Rye Brook and all other applicable laws,ordinances and regulations. f ' Sworn to fore me this worn to fore wie this 7 [i day of 20 20_ -7 Signature of Property Owl= Si Applicant Pn)kt Name of Prop er t Name of Applicant Y� Notary Public Notw__ P Lic_ rERESA SILVER MARTHA NELSON NOTARY PUBLIC-STATE OF NNW Vlf r v Notary Public,State of New York No. 60-4620378 No.01 NES054733 Auallfled In Westchester County Quollfle l In Westchester County Comn9selon Expires February 12 3/21/19 Commission Explrea Aplll 39.o1 Ug73 P ry �2027 INSPECTIONSTATEWIDE Service With littegrity 1080 Main Street,Fishkill, NY 12524 1 email.office@swisny.com SWIS JOBAPPLICATION ;. 12.7224 I fax9l4.219.10621 • • • Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑ 1 st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage iP 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information I M C 5- E D o� MAR - 3 2023 0 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 any time 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. Inspector Date Finalized Inspector# Company Name Date Signature Address City/State Zip Code License# Phone# Imo-, `V ��, 11 r_ State Wide Inspection Services CA— 1080 Main Street a MAR 2 2Qi� Fishkill, NY 12524 I 845 202-7224 Phone 914-219-1062 Fax STATEWIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@)swisny.com BUILDING DEPARTr0ENT 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: Laser Electric Services, LLC Jacoby& Paula Blake Gustavo Aquino 16 Elm Hill Drive 137 Pelham Road Rye Brook, NY 10573 New Rochelle, NY 10805 Located at: 16 Elm Hill Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-057 135.50 � 55 Certificate Number: 2023-1865 Building Permit Number: BP 22-185 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: 16 Elm Hill Drive, Rye Brook, NY 10573 The Garage and Exterior 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 20th day of March 2023. Name Quantity Rating Circuit Type Hot Tub 01 Dedicated Circuit Hot Tub 01 50AMP Exterior Sconce 01 GFCI Receptacle 01 The electrical inspection of the Hot Tub is valid on and limited to March 201h, 2023. Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. ail— Officer: Frank), 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. Building Permit Check List&Zoning Analysis Address: SBL: .S - L - Zone: I-?- Use: Z 1 Q Const.Type: Other. Submittal Date Z Z.'L Revisions Submittal Dates: ) Z G Z-L\ s> Applicant: Nature of Work Ali. -4- Reviews:ZBA: J U L 2 6 1011 PB. BOT: Other. OK ( ( ) FEES:Filing.?S' BP: 8` /�Lam`/O Flood Plane: Legalization: ( ) (,�A P: 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/k SITE PLAN:T o: to Protection: S/W gmt.: Tree Plan Other: (►� SURVEY:Dated Z Z 2- Current: Archival• Sealed— Unacceptable: (� (�LANS:Date Stamped Seale Copies:__Z Electronic: -� Other. License: ✓Workers Comp: Lability Z/ Comp.Waiver. Other P/( ( CODE 753#:// 3A.—=__14 oM-00 Dated-a 3.:- 1 N/A: ( ) HIGH-VOLTAGE ELECTRICAL.Plans: Permit N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.: _Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permir 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. (.44RB mtg.date: Z 1 - approval 2 notes: ( )ZBA mtg.date: approval notes: ( )PB mtg.date: approval:- notes: REQUIRED EMSMILN PROPOSED NOTES APPROVED l'Z'!rk ,00 , SEP 2 2 2022 Fie: g' Front: Front: 3 S 3 s- <7a> Main Cor. Accs,Cor. F S • . (0i H S : L (o� C A Tom: Pulsing Hcig Stories: Z notes t 0A L_� - GEF� �•w�. 2 � . BUILDING DEPARTMENT ECENJED VILLAGE OF RY> ,BROOK JUL 2 2 2022 938 KING STREET RYE BROOK,NY 10573 (914 9 9-OG,68 VILLAGE OF RYE BROOK ww:F ooior 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: 16 Elm Hill Drive, Rye Brook, NY Date of S bmissio Parcel ID#: 135.50 - 1- 55 Zone: R-12 l �7i Z Z Proposed Improvement(Describe in detail): Deck addition approximately 20' x 16' APPLICANT CHECK LIST: with steps. MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner: Blake Jacoby 1. (_�06ompleted Application 2. (_. Two(2)sets of sealed plans. lone fun size ;maximum Address: 16 Elm Hill Drive, Rye Brook, NY allowable plan size=36"x 42-1 and one I I'xIT'I Phone# Blake Jacoby 914-830-3896 3. ( -YTew"o(2)copies of the property survey. 4. ( JY<yo(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( ),One electronic/disc copy of the complete Demasi Architects P.C. - Luigi Demasi application materials. 6. (J.Filing Fee. Address: 105 Smith Ave. Mt. Kisco, NY 10549 7. (_),Kny supporting documentation. 8. ( )HOA approval letter. (ifopphcable) Phone# 914-666-3858 9. ( _�Kotographs. Arch itect/Engineer:Demasi Architects PC 10.( )Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# 914-666-3858 By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures,and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this /y day of L4 20ZIL day of ,20 s Z- Signature of Property Owner i1nature of App t & 4&_-!- J'4 Demasi Architects P.C. Luigi Demasi Print ame of Property Owner Print Name of Applicant otary Public .tar,Public rrr DEB(` 'IE SARRO-AKALSKI IERESA SILVER Notary :-'i,�b'ic, State of New York NGUW PUBLIC-STATE OF NEW PORK TERESA SILVER i'0 41-47CO224 "'o• ^ 4'` D3'fb NGZW PEIBLIC-STALE 'tF NEW YG.e QUa`'r.'r; in Westchester County 1,'uallfied In "ve,.1—j&FW county .0mt�,-,s ion Expires Septembw30, CO.r,Oht.,. .�o. �� ^.aril dA, a(� r?uo;Itlsd in 30 DRnuk Village of Rye Brook 11A. Agenda ''' Z Architectural Review Board Meeting cu �'tet +�v �"� 0 3 Wednesday, September 21,2022 at 7:30 PM Village Hall,938 King Street V J 1. ITEMS: 1.1. #5741 (Consent Agenda) Re-Appearance Marilyn Ullman&Lena Vladsky 51 Greenway Lane& 52 Greenway Lane New Arbors standard design fencing. 1.2. #5753 (Consent Agenda) Srikanth Ambad&Pranitha Mantrala 7 Talcott Road Rooftop solar array. 1.3. #5754 (Consent Agenda) Marc Abramson&Erika Abramson 47 Hillandale Road 6'-0"high white vinyl fence in rear yard. 1.4. #5755 (Consent Agenda) Matthew Byrnes&Helene Byrnes 7 Deer Run New windows to facilitate interior bathroom renovation. 1.5. #5756 (Consent Agenda) Philippe Ledesma&Tonella Ledesma 7 Bell Place 6'-0" high white vinyl privacy fence along rear yard. 1.6. #5757 (Consent Agenda) Benjamin Tapper&Erica Tapper 4 Deer Run Rooftop solar array. 1.7. #5767 (Consent Agenda) Pawling Holdings LLC 261 North Ridge Street New stone and clapboard siding. 1.8. #5768 (Consent Agenda) Ann Parkin&Jody Rasch 25 Hillandale Road Rooftop solar array. Page 1 of 4 t 1.9. #5769 (Consent Agenda) Michael Rosenfeld&Afton Rosenfeld 56 Lincoln Avenue 4'-0" high aluminum fence aloe. 1.10. #5771 (Consent Agenda) Blake Silverman&Alexa Silverman 18 Milestone Road 4'-0" high fence in rear yard along BelleFair Boulevard and 4'-0"high fence in side yards. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. #5758 Blake Jacoby&Paula Jacoby 16 Elm Hill Drive Rear deck and hot tub. Approvals: Motion '\C- Second Abstention Aye; _ Nay; 0 Adjournment; Notes 1.12. #5759 Michael Seidenfeld&Daniella Schneider 5 Jacqueline Lane Rear patio&retaining wall. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. #5760 Daniel Debari&Catherine Debari 11 Elm Hill Drive One-story addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 , „ 1 S I 1 'e • t Laura Petersen From: blakejacoby@aol.com Sent: Wednesday, October 5, 2022 1:26 PM To: Laura Petersen Subject: RE: Building Permit Application - 16 Elm Hill Drive $30,000 Sent from the all new AOL agp for Android On Wed,Oct 5,2022 at 1:11 PM, Laura Petersen <LPetersen@ryebrook.org>wrote: Good afternoon Mr. Jacoby and thank you for the information. The last item needed is the estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00) Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 laetersenOryebrook.org From: blakejacoby@aol.com <blakejacoby@aol.com> Sent:Wednesday,October 5, 2022 12:20 PM To: Laura Petersen<LPetersen@ryebrook.org> Subject: Re: Building Permit Application - 16 Elm Hill Drive Contractor name and number: i Flores General Repair, Inc (Sergio Flores) Sent from the all new AOL aop for Android On Wed,Sep 28,2022 at 4:18 PM, Laura Petersen <LPetersen@ryebrook.orq>wrote: Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office; /)l. General contractor's contact name &phone number. :412. Copy of general contractor's valid Westchester County Home Improvement License. /3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) V/4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) /5. Estimated cost of construction to determine the building permit fee ($15.00 per$1,000.00) (due once permit is issued and ready for pick-up) 6. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura Petersen 2 J.Y } r`1�( 1 ►�!+ t�M" i ♦�!."p "'Y1 `�A'( i A�Afln.,: .SYLAA t� '.f1U�A •S i4\\Aj r: t �A !•J ,�•y 7/ ��; v 1'+�' �11 I � ��l � f �4.d l,'(,;j�}�y11 " 1. � �"�•, ..v: 't A -.�►��� ,. If�`�,1'',�► a���.K III/I�"t,JI��� sH-\11//1//�1•r�' +,�'\Ij1/�/�1,����- � - I�/l�/�jl + 1 1 111 Ir 1 ' .� � •. brl �1 11 d 6 y1,•:I/III .r1 t 4ti11� /f y } 11�1� a ,i.�l / ;r e l 1 �i ss)�� .��. Gf.:.aa.,-aka 1�_...�� �i:�►.*�� tf�'��r a� ----- �:1 a � �(tta�) < • ev L N r 1 Y CD L o a CN -17 r Q •p" T y con r..+ o o ' Nection CIAvry a Qto rr oftl OI W O V' w c W C ^� TM �4co)t) O w m Z p L O a o . _ O ui .. v F• �. w c il.l 15 IN C t r cc co f ,` ..• ,};�11j�111 �l`�'�i�'��•lr,l�"rlj�/f sS+,a. J?}�rlll�lll;al�4�a {�IIII'T'����Pf'e5a. ; 11�11� aA � T..i. 1�1111111:1 �111111/ Ili/lllllll 111/11,/111 Illlll/l/�llr µ111/�/1/111� ` A �,11111/t1111 ] IA f J� �.. � i i► ► y,,�,,► +f w �t fit+ Al w,,,, + ► , �,.,� �r i �f ► T •. .A ON . l fu �0 N row �i�yJY;rau �I tir �u� � y ,r,•. rA� tf /%ovy O •C. ,,} J•\: ./ter t n }5°',JY '{ �yj�rT':4/r - ' DATE(MM/DDNYYY) ACOR[>W CERTIFICATE OF LIABILITY INSURANCE 10/04/2022 11111 � 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 REACT Daniel D Fitzpatrick FI TZPATRICK INSURANCE CHirER PHONE 914.739.6117 FAX 914.739.1553 (AC,No,.EM _ No): _ 54 W LCF$2AVBJUE E-MAILDE ESS: danf@fitzpatdcldnsurance.com PEBCSILL,NY 10566 INSURE S AFFORDING COVERAGE NAIL#I INSURERA: EVANSTON INSURANCE COWAW 35378 INSURED Flores General Repair hC INSURERS: P.O.Box 1902 INsuRERc: Ossining,NY 10562 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS.I TYPE OF INSURANCE ADDL SUER INSO Vivo POLICY NUMBER MM/UDCY EFF POLICY EXIYY LIMITS A COMMERCIAL GENERAL LIABILITY Y 3AA474748 05/06/2022 06/2023 EACH OCCURRENCE $ 1,000,000 CAMS-MADE � REM OCCUR REMGE TO PISES Ea occurrence) $ 100,000 MED EXP(AM one person) $ 5,000 PERSONAL&ADV INJURY $ 1+0w'0(X GENIL AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE $ 2,000,000 POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUrOMOBLE LIABILITY IETcINEID d.) LE LIMIT $ ANY AUTO BODILY IWURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 1AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LUAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LABILITY YIN STATUTE ER ANY PROPRI ETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) The certificate holder is additional insured. Job location-16 Bm Fill Drive,Rye Brook NY 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 Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 938 Kng St Fort Chester,NY 10573 AUTHORIZED REPRESENTATIVE V4444/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 262545639 FITZPATRICK INSURANCE CENTER 54 WELCHER AVE PEEKSKILL NY 10566 Imi I .N-3, SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FLORES GENERAL REPAIR INC VILLAGE OF RYE BROOK PO BOX 1902 BUILDING DEPARTMENT OSSINING NY 10562 983 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2296 223-7 371346 08/24/2022 TO 08/24/2023 10/4/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2296 223-7, 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. PRIES SERGIO FLORES FLORES GENERAL REPAIR INC 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 SU NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 372772550 U-26.3 Laura Petersen From: Mike Izzo Sent: Wednesday, November 23, 2022 10:46 AM To: Laura Petersen; Steven Fews; Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, November 23, 2022 10:46:11 AM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 11/23/2022 10:45 To: VIL RYE BROOK PRIMARY Transmitted: 11/23/2022 10:46 00004 Ticket: 11232-000-569-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 16 To: Name: ELM HILL DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: WORKING AT THE BACK OF THE HOUSE NearSt: Means of Excavation: HAND TOOLS Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: INSTALL DECK Estimated Work Complete Date: 01/31/2023 Depth of excavation: 42 INCHES Site dimensions: Length 20 FEET Width 12 FEET Start Date and Time: 11/29/2022 07:00 Must Start By: 12/13/2022 ------------------------------------------------------------------------------ Contact Name: SERGIO FLORES Company: FLORES GENERAL REPAIR Addrl: PO BOX 1902 Addr2: City: OSSINING State: NY Zip: 10562 Phone: 203-814-6632 Fax: Email: floresgeneral76@yahoo.com Field Contact: SERGIO FLORES Alt Phone: 203-814-6632 Email: floresgeneral76@yahoo.com 1 Working for: BLAKE JACOBY ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 NORTN z LAND NIF OF TALCOTT 0' 16' 32' 48' SCALE 1" = 16' T VOUATn 07028'35" FENCE YARD!5 0.8E 61 HIGH IRREG. FENCE FENCE r ONLINE FENCE 1.9'N X— X 9" ENCI 12" X' » '— " X— X- X— X X X— X 3= 14 2 1.4E FENCE IRREG. FENCE 6' HIGH 2.0'E 26" 0 0.4 E ME/ 0 VI -I/ 26 D E[NFRA d- c�i 0 = �`03 GRAVEL WOOD RET WALL Y A R D 4» w U AREA= 13, 650 Sq. Ff. 20 c� 0.313 ACRE YARD Uj FENC FENCE 0.1 '1N <0.5' N FENIC x 0.2' N GATE X --"-�C _.__X X —X FENCE 27.9' 1 STORY , 2.4' N EXTENSION z CM no M 0 cm-:r.: cc g FENCE 2.1'N 0 I �- L; w o TAX LOT 55 Uj o o. 16 / Eo N 1 STORY FRAME 1 / 1.5' • STOOP HEDGE PLANTER to 25 LAWN S 07028'35" W FENCE 1.7'N 9" 0.4'W CONCRETE SIDEWALK 3 z 3 o SLATE PATIO GRASS 0 En 23.5' / wI LI In M O ci w / C*4 Z CL GARAGE AT GRADE 23.5' / Q 21.4' -X X X GATE FEN 2.2'N C.� W LAWN 1.8' LAWN CM to M 0 CM �#�j y CONC • CONCRETE • GAS VALVE A.0 -AIR CONDITIONER CURB CUT 8'• TREE & SIZE ( • DRAIN INLET DI .TRENCH DRAIN -VINYL FENCE (V. F) -STOCKADE FENCE (S.F) X -CHAIN LINK FENCE (C.L.F) -PROPERTY LINE 0 •FILE MAP LOT NUMBER PO B -POINT OF BEGINNING >02 YARD z LAWN 105mOO'l 413w34' POB P.0 CONCRETE SIDEWALK CONC CURB EE�E= CONC CURB ELM HILL DRIVE ASPH,4L TIC PA l/EMENT DESIGNATED AS LOT No. 103 ON MAP ENTITLED, 'SECTION THREE, PINE RIDGE" FILED ON DUNE 26, 1958, AS MAP No. 11525 GENERAL NOTES 1. This is to certify that there are no visible streams or natural water courses in the property as shown on this survey. PROPERTY SITUATED AT o S�� 16 ELM HILL DRIVE �`,�„NY LainLaind Surueaycor TOWN OF RYE � � > ssf» �'�; F�� F ReAcovd,,vof -E"11B. Lo-veW S.P. Bekhe4l- I nc/. COUNTY OF WESTCHESTER _ _ 77-16164 Street, 3rd Floor, Fresh Meadows, NY 11366 Tax Section: 135.50 <` Tel: 71 -5 1-660o Tel: 212-732-1575 Tax Block: 1 Love\�,oe�°r nylandsurveyor@gmaii.com Fax: 631-930-3292 Tax Lot: 55 www.nylandsurveyor.com UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209, OF THE NEW YORK STATE EDUCATIONAL LAW. COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. Q O AUG 2 6 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AS -BUILT Date of Survey: August 02, 2022 OF NEB, �P ti►�Z A N q 'A rcsj OIL J CANp Raman Alli License No. 050457 REA 1141it PLA AUG3 12022 2020 Residential Cl 0?New York Rde ...DATE I K LAND NIF OF TAIC07-T RUILDIN Q FENCE YARD ONLINE Climatic 4 C-elc Pe51gn Criteria Tall Rwui) FENCE 07O 28'35"E�O.B'E HIGH IRREG.FENCE 105.00' - 43 IN 6rowd Vind 0951cr 506mv,1 5tb To Pall From V4]nW ke%llil Flood AV I'l Mean Mwl I E x X—x xSpecial wind Wind-aortae Des De51yn Heads IrcIeX Temperahre ` fk Q} X— 5" 5peed(mpW Y-- E X—X—X—X—X-1-1 1; Load Dain-15 Zone IRREG.FENCE TONI` **&q Termite ,,,E E FENCE 6 HIGH 2.0'E 30 IM 115-120 no NO Yes Z"I B Severe 42' Yes No 1500 or Lem, 522 F 0 LU 0 X0 Manual J Pe5ign Criteria —C IWOID FRETIALiL t Elevation Latitude Hinter 5wrAff Altitude Correction Indoor Des DesIcyCT Cooling HeatV=atl Heating (00IN Factor Temperature ol LU .Z: 45b 41 65 61 12 t Tub 2 , 4 C) New Ho = " Daily Range Winter Humidity amw Hurl YARD .0 . G00111,19 Temperature olfferel wind Veb,,4 hind Velocity GoIncident Heating (oolm M Bub aU-1 X 12 20.4 is 15 M 50 55 7' FENCE' FENCE OXN 5'N < E32.06' New Peck Village of Rye Brook A x > F 0-E 1 N Architectural ev Board G TE—4 T,1W1 zi 17,,— Approval NEC; frz�tw FENCE I SfbRY ST&P 7.3.y 2.4'N EXTENSION X—X— Chairman: W LOT 55 GATE x 1z FENCE No.16 2.2'N 1 STORY FRAME \ s FENCE 0 2.IN N 51 1,5' 15.81 GARAGE HEDGE STOOP AT GRADE LAWN LU 0L PLANTER 235 21.8, ....... Ln CU In IT Now:IfT RdIIsHoreThx25/b'Hde Cell 157 11 77 Provide 8'or 2'Dia P�e P411 as 90M LAWN Qj CU rl 0 x ,1�1 1 z CU LX 15/8'dla M Handrall Er '51 HEDGE PLANTER GRADE 3,z NJ HEDGE HEDGE W .,IS 07028'35"W 105.00' Vel 4'5p�lere CaM FE7'NCE 1.N 0-4'W 10 Vel 6'We cannot CONCRETE SIDEWALK CONCRETE SIDEWALK Pass 1hro# CONC CURB oCONC CURB Closed Riser 51;&De" ELM HILL DRIVE II'Min Tread Pl 5" El'A24' H/11/4'Max.Nosing Cmwxt From Will To cone.Pod. ASPHALTIC PAVEMENT 19=Oproz L J L-J ////1//- �e�� 5id� legation PERMIT# 0--3 5(,Clle:1/4"=l'-Ol' Dock Handrail 4 Stair Vatd SOL# AS 2022 I No 5Gale DATE APP V� SEP 2 -BUILTIFINAL SURVEY Site flan J5 — REQUIRED PRIOR TO FILE COPY FINAL INSPECTION Scale: 1" BUILDINGIN 20' Brook KY Original Survey Provided By Owner Lip FbdLre 73 Original Survey Drawn By: n -New Nall 7V -< NY Land Surveyor P.G. till 51�N- .9 - ExistTo-Match 11-16 164 Street,3rd Floor Fre5h Meadows,NY. Nowc5ee De elan) Original Survey Dated: Augu5t 2,2022 T EA151; Exl5t Hot Rib —vinyl lattice H/M Frame Survey 8 q/22 Zone: R-12 X, 1,15e: 51ngIe Fall Resider" Exist Revision Date Required By Gode, Provided r -------- Date April 21,2022 Lot Area 12�00 5f 13,650 5f b,Cal 51alo w—6 x 6 100 HW New 12'010,cm.lo Pier. Goncrete Pad Lot Nkm 65- 105' At Bottom OF 5taIrcase n Job No 221-154 Set Back5 For Deck5 L-1 L J L-1 L-1 516p, 15' 32Db' dear IeYatiorl Drawing Total Of Both 40' 80-3" ///////�� Rear 55- 31-%, Scale:1/4"=1'-0" of v o v, N Verify Existing Header Existing Window E(Istin 3 Ah jopq Existing HndoW New V-0'511ding Doors <C N O p General Notes: Existing k9ndow ALL NORK AND MATERIALS SHALL CONFORM TO THE 2020 RESIDENTIAL g' CODE OF NEN YORK STATE AND ALL LOCAL,COUNTY AND STATE CODES. 20'-5" CONTRACTOR SHALL PROVIDE ALL LABOR,MATERIALS AND EQUIPMENT w REQUIRED TO FULLY COMPLETE THE JOB.EXGEPT MERE SPEGIFIGALLY ~ z AGREED ON BY ONNER,JOB SHALL BE READY FOR OCCUPANCY IN A NOA Deck 600D N0RKMAN5HIP MANNER KITH ALL NORK DONE A5 5H0NN OR Sid (see Plan for T ) �Decking REA50WLY INTENDED ON DRANINGS,IT SHALL INCLUDE BUT NOT BE h9 Fa ul Li LIMITED TO THE FOLLONING: Typar Building Wap or Equal , BUILDING PERMIT GAULKIN6 Alumhum flashing INSURANCE ELECTRICAL _ EXCAVATION CARPENTRY Caulk Wder Flashing , m n` a "� CONCRETE NORK V! 4 � In m rn Q O ALL FOOTINGS TO BEAR ON 5OLID UNDISTURBED EARTH. ALL NEN WORK AND MATERIALS,UNLESS OTHERNISE SPECIFIED,SHALL Bituminous Membrane flashing �12'space for cover \ MATCH EXI5TIN6 G0N5TRUGTI0N. 36'H1gh Gable RaIIN \ Max 5padng To Be 3112" ALL MATERIALS SHALL BE INSTALLED IN STRICT ACCORDANCE KITH Stairs Down MANIFAGTURER'S 5PEGIFIGATI0N5. Ill 4'-0' z 2 x 10 Pressure Treated kidGraspable HandrallVig O wl(21 Roru W5 Code ALL FRAMING LUMBER TO BE#2 DOWLA5 FIR-LARCH OR BETTER. Ledger T x Tit Tub 4 Ledgerl-OK Screws a 12 0%Staggered W/ der PROVIDE ONE SMOKE DETECTOR IN EACH BEDROOM,IF NOT EXISTING ALREADY 4'-0' 14'-T' PLUS ONE 5M0KE d CO DETECTOR KITH HALLNAY ADJACENT TO BEDROOM A5 PER 2020 RESIDENTIAL CODE OF NEN YORK STATElashina detail J. - w y �, deck Plan �-6) Scale:1/4"=1'-0" Concrete Pad Provide Slmpson Metal Holddown At 2 x 10 Pressure Treated M �ry \ four Locations,Eveniy Distributed Ledger rJ(2)Rows III \ Along Deck And One Min 24'Of Ledgerl-OK 5crem®12'o/c 5taggered Each End OF the Ledger 51di (see Plan for T ) Existing Door Existing E!l�Window 6xtsthg -fill {(�� n9 � --- tt�� �w T Build W or I ec /Failing Note: Mar Fa for Specs Check Manufacture If Ite Deck�q See Manufacture For Specs _ 2'Joist (Required Po Ing Is 2 x 10 Pressure Treated Old 4 s l+ nb' ters Ba I o Composite Decking Ledger W/(2)Rows m LedgerLOK 5crers A 12"o% �O _ Azek Trlm Board U— f Note: 2 x IO Deck Joist ° Provide Solid Blocking o Both _ a 12'o/c Sides OF Post(W>ere Parallel -` To Joist) o -� o Metal Joist Hangers u m Note: (2)i/2'dla Hex Bolts N I III N Provide%rpson Metal Holddown v Provide Aluminum Flashing At four Locatbns,Eveni (3)2 x 10 Wood Glider 4-0' ` 20'-5' ®All Door Saddles Distributed Along Deck And One Metal Post Cap Q Provide 5oll d Wd Blocking kithln 24'OF Each End Of the b x 6 Wood Post(see Plan -_ a 16'o%a End Bays t�f Ledger fa 3' 3'b' 3' 3" 6"-8' Q 6'-7` 6-8' 3" Deck Joist b+�ry I 'I Ij All Lumber To Be No I(or Better)Pressure Treated 3)2 x 10 P.T.Girder �L(3 2 x 10 P.T.Glider ` m Southern Yellow Pine 'Sarpson'Post Base ——————— �-——————— —— — or equal 2 x 10 Deck Joist X S. -- — d 12`o% �° 12'dia Gonc.Pier/ I_ 6'Concrete 51ab w/ �. • 3" 14'-'P — 0. LIJR.241rdff 10 Rtah No '6 x b 10/10 WhA1 p Q a Double Frame �rH1 m ReVI51on Date r--------------- J�— `i Provide Glosed Riser Stair,Open I ry e� 3' 3'-b' 3' Date �IIhnngqi e��av The1d m �` +b0. 4'-0' April 21,2022 Passage OF A 4'dia Sphere. b Provide A 15/5'dla Hanchall At 1 l �„ Job No Ore(1)5ide OF Stair,Attach To Guard w/6alvanlzed Metal Brackets b�a�' Drawing Detail /�� oundation flanock 5(ale:I/2"=I'-0" Scale:1/4"=1'-0" Concrete Pad OF g ) m N O Cl� $ lS1 C�J_t N v g O Q O OO > �. -n -a z �-Q.Q0 C QD fl(b D 0 71 �- NLE 0 p —L 0 C N C� CJ O .. Lp O � II Z ZZ- � 0 A A G .ZI m N 82031'25" W LAND N/F OF KLEIN --< 1 Z&j__r oz 130,00' mz � z� X o IRREG. FENCE 6' HIG -$ _S m �Z IJ� I z m o Z O X N mm V n - W im M m z +� 3 7 N m; 0 o Z 'j 717 \ y x D Vf4-` r rn n M rn W Ul O O m o a c, Z z 2.4'S mr�r' C n 2 (n Z" 4' HIGH _--X l�J130.00' HEDGE HECG_ SI O � N cr O � 34" 8 1/4' Max co o fl m 7t' II �. o - o (� o< < CL rn Cb — -T ---- m i Q C a s"ING r 0 N --- LE d� 4► l� fl 74 m o _ OUTEll �- o 0 4 + D CO C7 < l� ct � � Mhhlum 3 CO ti 0� 9 O� Fri C Q C �g — mg AC 7p 41. -13 % — -- ° X fl _ � N N Z 73 o � o � � 6 � N A Deck Addition For TZ o t S I�e1�c�5 ir�h ite�ts i�.G. (" 105 SMITH AVENUE, MOUNT KISCO, NEN YORK 1054q QP p, 16 Elm Hirwi\/err� rNv ry e rook S HONE: (q 14) 666-3858 EMAIL: Lou@Demo5ik( hitect5.( om NJ These tans are not valid For a boil n permit unless on inall si ned and seal t tr (e and are c. vTon of one Structure onl <, person whose name appears on the plan5. --- I--- r> i�G) t Z M Z c0 ZD -n N m �n m O qcri w rn� � 1j:p � NO $�- j N EL fl k4 ti � goD ;Z N b L-------- v, �_ X � N _ o pro i � to S 3'-0' Hlgh Railing W 3 II/Ib" Max. Baluster 5pmhg 9 � > Peck Addition forC) ° `.� 17ea i Arch i te, c t5 F.GCID . 71 Qn-N 16 E�rr Hi� 105 SMITH AVENUE, MOUNT KISCO, NEW YORK 1054LI 41. n O O e r ®® k N,1 _4y:: HONE: 014) 666-3858 EMAIL: Lou®DemasiArchitects.com These plans are not valid fora builffnq permit unless 7773115 si ned and sealed bq the Architect and are for the c,on5trudion of one 5truclure onlftsle person whose name appears on the plans. 0' 16' 32' 48' SCALE 1" = 16' T T71 rl TAT71 NORtN z OF TALCOTT CONC • • • . • . CONCRETE CB . ... • • • CATCH BASIN CS • • . • • • • CELLAR STEPS GAS VALVE 13 0 -VINYL FENCE (V.F) A.0 • • • . • •AIR CONDITIONER S- S- -STOCKADE FENCE (S.F) CURB CUT x x - -CHAIN LINK FENCE (C.L.F) .... • • TREE & SIZE • -PROPERTY LINE ( ..... •FILE MAP LOT NUMBER ( • . . . • • . DRAIN INLET P'C • . .. • .POINT OF BEGINNING FENCE FEN3.5'N 07028'35" Ej 0.8 EE YARD IRREG. FENCE 'lam 05 `00, � 5.6'E — s— FENCE 1.9 N o x— x— x— x— x— —'S —s —s —S —S _.S ..._S 6 HIGH x 9" x " x x " — x " x ---1 _' ---s_ — _ _ _ — 12 14 22 co — 1.4E FENCE WIRE FENCE 6 HIGH ENCE 3.4'N go 1.9' E 26" 10.4E x 0 I0 0 — AREA — 13, 650 Sq. Ft. N FRAM E / / x C � I = 26 0.313 ACRE 0O SHED � 14.8 cv ■ I x ■ 0 `� _ I �? GRAVEL WOOD RET WALL w I w � z x TM wl Y A R D 14" r� 4" U U_ . 20 CONCRETE PAD CONC BASE o tV wl �x � L,(102) c� YARD w � 4.0' w I W_ x 0 = 32.5' 4.0' - WOOD DECK HOT TUBco I x FENC 0.1 ' N FENCE oi 18.1' 16.5 I YARD nn 0.5' N SLATE PATIO o WOOD DECK = x w I � FE x YARD x 0.2 N x x x x x x CS p" GATE III 27.9' FENCE 1 STORY STOOP 23.5' 2.4'N EXTENSION h O V Q W7-09� 4 W Uj o TAX LOT 55 Uj a / � o N6o. 1 / 0 N 1 STORY FRAME FENCE 2.1'N 15.8' 1.5' • STOOP HEDGE PLANTER 0- 25 LAWN S 07028'35" W FENCE 1.7'N 9" 0.4'W G R A S S / w/ M w /O CV GARAGE AT GRADE / 23.5' / J J Q 0 3 �>`' U its o � m a � � U Q W 0 HEDGE m i Ld 0 V) 21.4' X X X GATE LAWN LAWN 21.8' G R A S S CONC CURB CB 22= CONC CURB ELM HILL DRIVE ASPHALT PA l/EMENT DOCUMENT DESIGNATED AS LOT No. 103 ON MAP ENTITLED, 'SECTION THREE, PINE RIDGE" FILED ON JUNE 26, 1958, AS MAP No. 11525 GENERAL NOTES 1. This is to certify that there are no visible streams or natural water courses in the property as shown on this survey. FENCE 2.2' N w Uj Q ■► MLAWN Cq � CU 00 U) *<> 413n34'� �--POB P.c D E L�n' V/ I �; 3 MAY 2 4 2023 VILLAGE OF RYA BROOK BUILDING DEPARTMENT FINAL SURVEY Survey Updated: March 12, 2023 Date of Survey: August 02, 2022 PROPERTY SITUATED AT o a 16 ELM HILL DRIVE NY Land OWN OF RYE Surue�yar P.C. T COUNTY OF WESTCHESTER Z 13 'Re-C,(�-ir4' of. Fa41-11' . L t' - S. . 'C ," I n&. CITY & STATE OF NEW YORK 77-16164 Street, Third Floor, Fresh Meadows, NY 11366 Tax Section: 135.50 �` Tel: 71 -5 1-6600 Tel: 212-732-1575 Tax Block: 1 ��s °�� n landsur a Dry mail.c0m Fax: 631- 30-3202 °� rove„-� 0 Tax Lot: 55 www.nylandsurveyor.com UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209, OF THE NEW YORK STATE EDUCATIONAL LAW. COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. H P.T CW472 GW221 0 141 Ramzan i icense No. 050457