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HomeMy WebLinkAboutBP22-227PERMIT # /O SECTION _ TYPE OF WORK JOB LOCAT N OWNER, CONTRACTOR EST. V*/CO # *4co INSPECTION RECORD FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS ED SPRINKLER ELECTRIC LOW -VOLT CJ ALARM * � DATE: a a LOT �ke�10,0 4 e5XleriGeffznoval7on y)zD&/ 97c) 3 09 &j ,2,9 w,APPROIALS I • • •-- I, THIS BUIIDiNG MU5T BE PO�fED WTTH A PERNIANEM CONSTRUC1ION� TYPE IDDMRCAMON SIGN; F PRIOR TO THE tSSUANi CE Of A C/0, AS REQUIRED BY NY STATE LAW. VILLAG*bF RYE BROOK WESTCHESTER COUNTY, NEW YORK .No: 23- 108 Certificate of Occupancy 'This is to certify that 1. ohn *!�V�n F Agobee0a /* qoY� of, k qe Byod k, Al ! having duly filed an application on 20 O2 O requesting a Certificate of Occupancy for the premises known as, (-17UrC/ // ROO , Rye Brook,NY, located in a !ti'"15 Zoning District and shown on the most current Tax Map as Section: 135., Block: / Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.c2d-4Q;2 7, issued / 16RS 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: e-'12fznl�vConstruction: for the following purposes: (:�;2 n 20f)7CL-) . ►r)4--eKI6 r x- erior ven0 tit.f/yr� 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 builOing in a safe and lawful condition. No changes or rearrangement in the structural parts of the build'n in the exit facili ' s shall be made,and no enlargement, whether by extending on any side or by increasing in height srbi be ma e,nor s the building be moved from one location to another until a permit to accomplish such change h be ained fr m the ui ing Inspector. ,�UL072013 Building Inspector,Village of Rye Brook: Date: QyE DR t4 4.�\aJJ V G VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 7,2023 Colin McGovern&Andrea McGovern 11 Churchill Road Rye Brook,New York 10573 Re: 11 Churchill Road, Rye Brook,New York 10573 Parcel ID#: 135.26-1-16 This document certifies that the work done under Mechanical Permit#22-186 issued on 12/14/2022 for the installation of two new condensers and two new air handlers have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to tc�4,laJJ V V 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.aebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 7,2023 Colin McGovern&Andrea McGovern 11 Churchill Road Rye Brook,New York 10573 Re: 11 Churchill Road, Rye Brook,New York 10573 Parcel ID#: 135.26-1-16 This document certifies that the work done under Mechanical Permit #23-096 issued on 6/21/2023 for the installation of a new hot water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-087 Temporarp * Certificate of ®ccupaucp This is to certify that of, k /V having duly filed an application on �( 20 p�i J requesting a Temporary Certificate of Occupancy for the premises known as, �h -chz Rye Brook, NY, located in a k/5 Zoning District and shown on the most current Tax Map as Section: / . 06 Block: / Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. , issued 20,;;L9, such authority and permission is hereby granted to the property owner to lawfully occupy or use aid premis or building or part thereof listed under the following New York State Classifications,Use: // Construction: �d for the following purposes: I /� rI ri r s i YCL Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: - ISJu l o 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 oybuil g or in the exit facilities shall be.4nade, and no enlargement, whether by extending on any side or by increasing injb�ede,n s e buil a moved from one location to another until a permit to accomplish such change hfrom th B 'Id' nspector. J U N 0 2 2023 Building Inspector,Village of Rye Brook: Date: �g�- For office use on1 G EkA BUILDINkTMENT PERMIT# —do17 VILLAGE OF RYE BROOK ISSUED: MAY 10 2023 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: —/0- c). (914)939-0668 FEE:W - PAID VILLAGE OF R1�'E BROOK I ,org BUILDING DEPARTMENT www,rygbrook 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 srrsssrrsrrsrsssssrrsrrrrrsrsrsrsrrrrssrsrs/Irrssrrrrrsrrrsrrsrrrsrsrsss►srsrssrssssssrsssss►ssssssurssssrssrsrrrrssssssrrssrr Address: C h y r C,n% D a.Ol RYA, g ro o k NY 10 Jr?3 Occupancy/Use: L F4 Parcel ID#: 3�. 26'! — 16 p Zone: —/ Owner: Cot1I W.GnvierA Address: It ChvmW%It !\,0ad P.E./R.A. or Contractor: 'T0 k-% S C ar l o"+,5 Address: Person in responsible charge: Cab kAC,&a-y m Address: It C kgt-r,�'j jl Load 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: nD I IA V C G d V&rto being duly swom,deposes and says that he/she resides at (Print Name of Applicant) II (No.and Street) in e P c'0 o k ,in the County of �Q,SV�G C�-e� in the State of y ,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:$ 4 C11�' & 0 8 1 II--__ -- � " for the construction or alteration of Z n at ->Pl0 or 4 l d l l'l ow �w rLrb of � �i(tec�p! c Y1md'to n 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. Swom to before me this 10 Swom to before me this 10 day of A 6L V , 20_3 day of � a!, , 20 Signature of Property Owner Signature of Applicant r-/C[A kG66V6ry\ Cohn kP'GCFVP'ry% Print Name of Property Owner Prin a of Applicant Notary blic N SHARI MELILLO ILLO Notary Public,State of New York Notary Public,State of New York 01ME6160063 No.O1ME6180083 No. 8/12/2021 Qualified In Westchester County Commission Expires January 29,2027 —1 Qualified In Westchester County Qualified ^-mmisslon Expires January 29,ZO�I p L C E ME BUILDING DEPARTMENT For office use only: MAY 3 0 2023 3 VILLAGE OF RYE BROOK PS �P UED —4g —�a7 VILLAGE OF RYE BROOK 8 KING STREET,RYE BROOK,NEW YORK 10573 DATE: S�73p-J3 BUILDING DEPARTMENT (914)939-0668 FEE:,*,3 /S PAID& www.ryebrook.org APPLICATION FOR TEMPORARY CERTIFICATE OF OCCUPANCY 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 shall have been issued by the Building Inspector.5250-10.A.code or the village of Rye Brook Address: 11 C.hnUVA111 44) Occupancy/�/Use: R'3 arcel ID#: 1,3 5. 2 ,- i -i b 11 pZone: {� Owner: Coltvl NBC&Overn Address: 11 ChdrGl►►I1 kOAd, Kwi ,Brno k- Contractor: C01Iy► kCGOAM k 4V1A Address: it p H {/ Person in responsible charge: C(J►A {1 //��lioye�n Address: -1 Reason for temporary use: Neaded for pc►mat-y `ei�deAe&'alk V►llag, vgP,Ceme*4s 4a< TCO have teen and Estimated date of completion: V ime Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Temporary Certificate of Occupancy for the structure herein mentioned in accordance with law: STATE OF NEWYORK, COUNTY OF WESTCHESTER as: I nD ,, ( _ r1 1111 iv C GQWA-yX being duly sworn,deposes and says that he/she resides at it Chv(cki l I UQd (Print Name of Applicant) II II (No.and Street) in_�p �roo in the County of\/Q6� in the State of P,that (City/Town/Village) he/she has supervised the work performed to date at the location indicated above, for the construction, alteration or repair of: Lhd Floor Adkiop ; In4moe d- &�w< Fenovy6r► Deponent further states that he/she understands that a Certificate of Occupancy must be applied for and obtained upon completion of the above captioned project in accordance with law, and that a Temporary Certificate of Occupancy shall only be valid for a period not to exceed thirty(30)days. Swom to before me this -? L) Sworn to before me this day of , 20Q—�� day of , 20 Signatue' fof Property Owner Signature o Applicant re6p1in )ACGoVem ame of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County Commission Expires January 29,2; 1 9/12n021 �E BR�� O� Zm cu � • �9a2 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 :— ` `�< ` 1 " " �I DATE: PERMIT# `ar ISSUED: �22,CT: BL K: ` LOT: LOCATION: OCCUPANCY: `�- ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL '^ l �❑ OTHER �E BRC��. 1. 1982 BUILDING DEPARTMENT ILDING INSPECTOR;U ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - (+ ADDRESS :— DATE. PERMIT# V ISSUED: �� SECT: BLOCK: LOT: /� 40� fN%,k\ 1 ;- 2- 1 y LOCATION: \` OCCUPANCY: ❑ Violation Noted THE WORK IS... ( PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FfNAL OTHER QyE BR(�k. cu � • 1982 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: U t C 1 1 m ` `L ` DATE: 51 U6116]3 PERMIT# \\1 ISSUED: �k It SECT: 1� LOCK:�LOT: LOCATION: L ` �1 C� \� 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 f/ / ❑ Natural Gas / �� ��' C` S ��VS� bp oc"A? ❑ L.P. Gas L ❑ FUEL TANK 14 ❑ FIRE SPRINKLER c��uS� �U>(� kC ❑ FINAL PLUMBING EI CROSS CONNECTION ry FINAL OTHER Q (- bk \Ct, QyE BRaj , cu � BUILDING DEPARTMENT UILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: , .1'\�1CC► ` , t DATE: -2 2 PERMIT# `� ISSUED: ( SECT: BLOCK: LOT: LOCATION: OCCUPANCY: 1`-� ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED�� ��, REQUIRED ❑ FOOTING ❑ FOOTING DRAINAG `�� ❑ FOUNDATION c ' , ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING '❑i INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER i - 1 yE BR��. O� 2 Y 1982 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 �-' DATE: ?) ` J -26-2-3 (1-2-PERMIT# � 2 �SSUED 9K: ECT: �J �13LOCK: ' LOT:I �:-x� �� - ,cam► - - LOCATION: 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 ' -t-�/-6u � [I INSULATION 1 ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER QyE BRnv'�• 19112 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 : ' drVo I( �) � 1 1 G � J DATE: � n U� PERMIT#_ L� L L� ISSUED: �\ l AWT: 17� BLOCK: \ LOT: LOCATION: ��1 �� �t C��� h��jCD OCCUPANCY: -Z ❑ VIOLATION NOTED THE WORK IS...)9 ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION U-A�aV\ REQUIRED ,0- FOOTING GJ�IZ(L-- ❑ 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 6 S ■ N N N Q n ■ lrl^•I � �.I � �� i.l CR = Or- W enA o 5 w $ A e / Ljr) T �{ N O W g 0-- C O0000 N 04 4 1 b H x 0 z �L9 � co � o 'G .� ■ Ro C v � � ■ � Imo" z 0 • z o � G o � . O g C y y w h O W p P—I \ Fes• V V z .d o. p o? cW7 v a Ca N a 4.W ,-- 00 W 72 0 U `i' ; 3 o a a Cd ° ^ cL � 'J a p q � d sFr a' t ww�rl 2) 20 O I� �i v, an o " N U7 � O O � ocw x I Za- a MM a V � U z � a � � w z h+� �' V U �., z O vo � � — a z W A ° d := � o J � a Z A W 4' of 'S o ■ x Ol- e 414141410.4 4141414;a 46 646 a a 9 4;.6 a a 4;4;4a449414a40a464aaaaQ41+14141 BUIL MENT VIL I; M 11!'E OOK 938 KING -L'r RYL BR ,NY 10573 OrT -3 2022 w O r pg 1,OR OFFICE USE ONLY: 6) Approval Date: NOV 9 Permit# 64) ) Application # Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: 2 Z Case# Other: Application Fee: Permit Fees: 60 G' � pp�� EXTERIOR BUILDING PERMIT APPLICATION tJ Application dated: s hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildin s,st uctures,additions,alterations'oar"for a change in use,as per detailed statement described below. 1. 7obAddress:_ �� � rCL 2. Parcel ID#: �'e �-1 o �- I '� �o _Zone: — S 3. Proposed Improvement(Describe in detail):_�s c Nn ELY'y I+v on '4 b lL -two o.�a-klon 05-- F',YS .T 1=t.ao,Ct.o He;, i� l p;0(L'h( G 4. Property Owner: O IN-'L GO'-1-e4L &n rNp-o.- -�)CX eck- VVI C &0 vt-eit h Address; It II 01-J +e t+ l\ " 'e-, Qa. 0S73 Phone# o 14 ��— °cal'L 5 Cell# 91-1�-3 e-mail C o -\n, Mk ► OAL List All Other Properties Owned in Rye Brook: Applicant:— s Address: Phone# Cell# e-mail Architect: 'v\r-, r k Address: 331. 0 Phone# 91 q 50 Cell# j i 4 �i4—ol SZ-- e-mail n r • jsi Engineer: Address: Phone# Cell# e-mail General Contractor: Address: Phone# Cell# e-mail (I) 8/12/2021 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: m t yy 6. Area of lot: Square feet: I G AILS Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: Z rear yard: right side yard: tt left side yard: 115 other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I"fl: 2"d fl: 3`d fl: 10. Total Square Footage of the proposed new construction: r 3s'L 11. For additions,total square footage added: Basement: "" I"fl: 2nd fl: 1 3SZ 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: G ZS 13. N.Y. State Construction Classification: 7:7-- N.Y. State Use Classification: �-- 14. Number of stories: L, Overall Height: Z 1 Median Height: -i 15. Basement to be full,or partial: FJ t, finished or unfinished: yv-% rX rgY.an 16. What material is the exterior finish:_ 1��st. CLc ,,ten A S 4,R I — t"- 17. Roof style;peaked,hip,mansard,shed,etc: h G ,t,Q, Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...) Yes: No:X (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq. ft.or more of land,or create 400 sq.ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: X Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: 4 (if yes,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 (if 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. (if yes, the area oj'wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No:-)C (if yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: K (if yes, 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 II: TIER III: (if yes, a Horne 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 JtO? Note: The estimated cost shall include all site improvements,labor, material,scaffolding,fixed equipment,profess/ n d�jortoissuanceoftheCIO. riling any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be 30. Estimated date of completion: (2) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: 1 � CV ktc k-�O M C4--) Section:) 35-,& . Block: I Lot: /G PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS Local Law 3-88 YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5%4 R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT I L 8V Sq. Ft. Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) �° 3 Z' Sq. Ft. Sq. Ft. �r b. Area of V Floor Divided By Area of Lot x 100 f• % "? 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages, Tool Shed, Playhouses) O Sq. Ft. Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 % % 4. AREA OF DECK o Sq. Ft. c Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 % '% I attest to the best of my knowledge and belief,the above information is correct. rchitect's Signatdre (3) 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: I I CIA%jaeA-- 1-6 i( " Secdon: 13S-. UP Black: 1 Lot: ) (. "Zone: EL 13- IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts, swimming pools,patios,sidewalks, ramps, terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD %) Area(sq.ft.)* Over Base R-35 15 Lot Area % R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 x R-1S 35 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R-12 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 *"Base Lot Area"is the minimum end of the lot size L R2-F 30 range in the"Lot Area" column Area of lot: I Gi S 25" sq.ft. Existing Allowed Proposed Total impervious coverage = 3"7 to S .ft. 5 74( S . ft. S q.ft. Front impervious coverage = `� % 3 5' % % I attest to the best of my knowledge and belief, the above information is correct. !! rchitect's Signa re (4) 8J 1212021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 939 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 11 �Wo-e," JA%kk Section: 135.ZCn Block: t Lot: I MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = y 3 I Sq. Feet b. Existing ZS Sq. Feet c. Proposed = Z y SO Sq. Feet HEIGHTISETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10% of the entire roof area, shall be permitted to extend. Height and Setback shall be calculated using the formula; Height I Setback = X, where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXISTING PROPOSED REOUWED FRONT: FRONT: FRONT: .44 R35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 /P25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 � � IN-20 SIDE: SIDE: SIDE: 1.60 FRONT: . G FRONT: . -17S FRONT: .60 py�-edg apt y-�►ykr R-15 SIDE: 1�(� I,L SIDE: � �I L SIDE: 1.60 FRONT: FRONT: FRONT: .80 /R-f5A SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 R-12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R f0 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 /P7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 /P-5 SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 0-2F SIDE. SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. chitect's Signat a (`;) 8/12/2021 BUILD MENT Val OOx to ...: 938 Kiw; r > �1� NY .10573 ####*t***;{*�-A•*######i*:k#*#**+k#*4****':##**iP.•#*##***t:#*#�r*i1r#�#k4:*•l,•#****#**#&},*#*#fir**:4#•k##7:+***k****++?;±-+*t AFFIDAVIT OF COMPLIANCE VILLAGE CODE 216% STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST REAR 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 WESTCHES`I'ER ) as: 12QOLe—� Al Lcv ektW1 , residing at,)l I l_nt?.— (PCInL na(11e) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; ,.Rye Brook, NY. pub 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 storznwater 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. Cwda-&( CPO��I�IY) (SiglKIMre of Properly Owncr(s)) 0"tireu Mc CQa �2 (Print Name of Properly Owrter(s)) Sworn to before me this 20 c� (Nouiry Public) SHARI MEULLO Notary Public,State of New York No.O1ME6160063 Qualified In Westchester county (G) commission Expires January 29,20� 8/12/2021 This form must be properly completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. :h 4t*:1,q:;1:;I:;1:a. :4:***at**4:of**1:is**:1:41*:1:4:11:11:;c4,.1;4::1::1: Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To: The Building Inspector of the Village of Rye Broolc. From: v. G S } i Subject Property: � I C&10&t1+ Hn I l rw SBL; zone: LZ-/S Please take notice that the subject; o One or Two Fancily; ❑ Commercial, o New Structure XAddition to an Existing Structure OCT -3 2022 u Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; o Truss Type Construction (TT) oPre-Engineered Wood Construction(PW) THIS 131PLI)ING MUST BF POSTED a Timber Construction(TC) WITH A PERIVI!?NFNT CONSTRUCTION TYPE IDENTIFICATION SIGN; in the following location(s); ❑Floor Framing,including Girders&Beams(F) oof Framing(R) PRIOR TOTMV MSUANCE OF A C/O, tFlogL A5 REUUiRED BY W STATE LAW. I 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 §ia64 for Commercial Buildings, and NYCRR §1265 for One&Two Family Dwellings. Sworn to before ne tlr's Sworn to before me this day of ,20 a-.'A ,-•— day of 20 Signature of Property Owner �ignature of Design Proles ' nal P Name of Property vnc Print Name of Design Professional No ary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01MEM0063 Qualified In Westchester County ommission Expires January 29,202_--3 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. +Yie*kiY***A-*****:l-'k*i*1*YF'!."I:*ie*'.:*'k'h'RtYF'A-'.5'*:Y�:*�'!."*4tt:Fh*ter,ky'k**:41.•ix*i^A'****f:*:F*:k****•ht.*;k*t;+;F•!;;4 i1•:t+k**************if*:k* STATE OF NEW YORK,COUNTY OF% ESTC14ESTER ) as: abhn (, r-% ,c 1-`,k ��, being duly sworn,deposes and states that he/she is the applicant above named, (print uttme ormdividual signing us the applicant) and further states that (s)hc is the legal owner of the property to which this application pertains, or that (s)hc is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,ationtcy,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 belbrc me this C9 9 day of M , 20�Z. day of Le- , 20 Z,Z Signature of Property Owner C/ ignawre orAppiicant C10 Mc �QG'tiQ1ZY�__ acrid 6 5 , � Print Name of Property Owner Print Name of Applicant Notary Public ary Public SHARI MEULLO SHARI MEULLO Notary Public,State of New York Notary Public,state of New York No.01ME6160063 No.olmE6160063 Qualified In Westchester County� Qualified in Westchester County Commission Expires January 29,20 commission Expires January 29,20Z (s! 8/12/202 t i i 00 N i N ..\.i r. C w (i F' ° � z W u, n CA A H M Oz � ' N � of W 00 O N F ' A av C z w °� � z a . � � � a o zen 0 i O C7 c z a z a � z zz OW J Z M A z a o ~ 00 a z pQ = M w i••i °a a C U o A a w ao a 0O w N C 1+ 1 N N a 0 � a O -. Ho W w o z z C7 w c� c G c a U F 8 x x v O w z a z w z A � � H O U y A w lac �I a a � w x � k BR BUILT 'I Eu MENT DEC - 1 2022 DD VILLAGE OF RYE K 938 KIN ET RYE NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT w �9gta .org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required C1 FOR OFFICE USE ONLY BP#: c_DQ>— EP#: Approval Date: Permit Fee: $ Approval Signature: Other: Application dated, ��— is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: G�y �v �� c-� SBL: \�5 Z-lo \—\� Zone: 9_1—_:�' 2.Property Owner: �.(\���zs 1 ��i�;�/"^(\ Address: `` Phone#: Cell#: fg1 19*723 email: Kw.►,n��tC.a�y Zy IQc� !Mc,-o, 3.Master Electrician: L t`j f Address: $k f=Gael �_1 P1V X *j y \OS 1 Z Lic.#:1i7-_- 10 Phone#: Cell#:?// S&O email: c=CAj'\,t.�,%j Company Name: �OCh \cam:�� Address: Q3 �C4 C(�`� �r3,t�Ir�2\ V�J� -051 Z 4.Proposed Electrical Work/Fixture Count: 5.3rd Party Flectrical Inspection Agency: S STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: 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 for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned finther 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 Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn to b ore me s day of 20 day of ,2 Signature of Property Owner Si ature o)T Applicants "9� a Print Name of Property Owner Pri ame of Applicant d Notary Public No GREGW RIVERA Nebq Public,State of New York No.01 R16441398 Qualified in Westchester County 6/23/2022 Commission Expires September 26,2 STATE WIDE INSPECTION SERVICES, INC.; CA0 Service Witli Integrity 0•0 • • SWIS JOB APPLICATION tel 845.202.7224 1 fax 914.219.1062 15WISNY.coml SWISTRAINING.COM Office Use Elect. Permit# Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# city ��/Village g •f Zip -7 Building Dept. County Address Cross Street Section Block Lot Owner Name/Address(If different than above) �1 l Contact Number or y 7 7 ❑Basement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation E WL4 C I DEC - 1 2022 VILLAGE OF RYE BROOK BUILDING DE^ARTMENT This application is valid for one(t)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address `'cz• _ NameAll ;01 License# Date Signature Address ' City/State Zip Code s-f 2 Company r� :� �� _—��, Phone# F E D D E C E "� 1 State Wide Inspection Services 1080 Main Street MAY 17 2023 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES I BUILDING DEPARTMENT Email: office@swisny.com _..__.._ -- — 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: R.O.M. Electric, Inc. Andrea&Colin McGovern PO Box 929 11 Churchill Road Carmel, NY 10512 Rye Brook, NY 10573 Located at: 11 Churchill Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-289 135.26 16 Certificate Number: 2023-1608 Building Permit Number: BP 22-227 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: 11 Churchill Road, Rye Brook, NY 10573 The Whole House was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 17th Day of May 2023. Name Quantity Rating Circuit Type Luminaires 82 Receptacles 81 Receptacles 04 20 Amp Switches 51 Dimmers 06 GFCI 13 AFCI 21 Heat Pump 02 Air Handler 02 Water Heater 01 Name Quantity Rating Circuit Type Dryer 01 Hood 01 Range 01 Dishwasher 01 Refrigerator 01 Microwave 01 Service 01 200 Amp Meter 01 Panel 01 Grounding and Bonding of Service to Current Code. f Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Page 2 CN M � a a r W ! a u n tc C� W a W 00 3 L r^r1 vt 1 \ O ♦� n � Q a N ''' .�' � H �' A ' Q F o M� N wj , Ln 000, Z a V w w e cn 2 , o z x W � z W00 Cie rwh ►� c/) r'' V a. Q ! h A C; , r" 4 > V i oc • H L Q u► A N w� ►� Y W e a v H a r It � e w N w w o z z2 ! x V O w z w 6 � c x �I 0.1 ►� z W z � i' i pC � O� � i BUILDING DEPARTMENT Ds I VILLAGE OF RYE BROOK APR 2 5 2023 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required Approval Date: Permit Fee: S Approval Signature: Other: ***sssssssssssss**s\\t*��*s**ss**s***s**sss *sss sss *sssssssss*s**s*ssssssssssssssssssssssss*sssssss Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. / 1.Address: C u cc,, t 1` Q 0. SBL:/ a(o ^-�l Zone: 2.Property Owner. Ol►n �AI✓Govern Address: 11 Ch,,M t I R04d, Rve Bran k W l OS 23 Phone#: Cell#: `ilq -2_6/- e7.n email: ,ZD1Ih,MC5Q'KLcaIRte�•GcrM 3-Master Electrician/Licensed Installer. -ZO Address: L ic. #:)�- l0 Phone#: C' CelI 0 H t-Q4 l S&b email: Company Name: OQ��-\e tc -- Address: \.J Vy \OStZ 4.Proposed Electrical Work/Fixture Count: 9' o CA ^ 10,5 c � M `+ -- --- --- 5.3'd Party Electrical Inspection Agency: ssttttt•isr,t*tttitst*haft:*s+***,�staw*stss*�*stt*ss**;:**ti*ttrsts***trttttt+rt*tt**tt*.t;*ww*tt*tt*t*s*,tf*• STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swum,deposes and states that he/she is the applicant shove named,and does further state that(s)hc is,the for the legal owner and is dul) authorized to make and file this application. 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 ati 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,ordinancm and regulations. Sworn to before me this Sworn to Xfore me this Jay of .20 day of ,20 ,'-)-I Signature of Property Owner Signature of Applicant Print Name of Property Owner 4Name of Applicant Notary Public _ LL — Notary Pilbllc,5t'te of New York No.01ME6160063 Qualified In Westchester County ;ommisslon Expires January 29,20�� STATE WIDE INSPECTION SERVICES, INC.! Service With Integrity 0•0 • • SWIS • B APPLICATION tel 845.202.7224 1 fax 914.219.10621 SWISNYcoml SWISTRAINING.COM Office Use Elect.Permit# f Date Bldg Permit# _� Sq Ft Plumbing Permit# Final Certificate# City/Village �; Zip , - Building Dept.. County Address Cross Street Secti n Block / Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps ..� )j Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P #Meters #Disconnect ❑Underground ❑ New ❑ Reconnect ❑Repair ❑Overhead ❑Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑NYSEG ❑Central Hudson ❑Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation p [SCENE APR 2 5 i2023 IL BU LDING nEPA- - 1 V LLAGE OF RYE BROOK 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. Email Address <� �" __ Name License# C Date / -,:� Signature Address f City/State ' Zip Code Company ` Phone# p DDState Wide Inspection Services 1080 Main Street MAY 11 2023 Fishkill, NY 12524 a 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES !-BUILDING DEPARTMENT Email: office@swisny.com 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: R.O.M. Electric, Inc. Andrea&Colin McGovern PO Box 929 11 Churchill Road Carmel, NY 10512 Rye Brook, NY 10573 Located at: it Churchill Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-096 135.26 16 Certificate Number: 2023-3634 Building Permit Number: BP 22-227 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: 11 Churchill Road, Rye Brook, NY 10573 The Basement, First Floor and Second Floor was 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 17' Day of May 2023. Name Quantity Rating Circuit Type Smoke Detectors 05 C/O Detectors 05 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. ; N N \ Ln eq W F m x Rt C a pq CA a w u G � r, rn .. W � z �"� `p V z � ^ oA � • z N z ~ x , Oz � w � � hx a N z '10111 O � z a ° C4 ,�/ w � ' W w f o x H a O n_ G3r V` 'n tn' H00 V w � H N z cz 0-4 O Z o O � z ul V) w s W 0 z a M a > o � Q v '� `� w a O w A z � W N aA � zg 4. Fo z t w o z Ln c cn � � x z H g z A 0 H p CC� �OM� t)R��j , BUILq� �EPI I MENT DEC 2022 VIL E OF RYEt OK VILLAGE OF RYE BROOK 938 KING ET RYc B ,NY 10573 BUILDING DEPARTMENT w or7 PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: QD— / PP#: =DD— I o / Approval Date: DEC 2 7 11 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: I, Ch `6\► I1 � SBL: /'3 C-)6 Zone:Z� 2.Proposed Work: Bc-t nrObMS {Of sec.-InA r_Iocf imc C\A m} (N 3.Property Owner:At\At ea i Collrn Mc.(so VtCr\ Address: Phone#: qIy- -L(0(- 67 Z3 Cell#: email: COIm- lY1gbmcrk I osrnco `i Go'M 4.Master Plumber: 'bC 1�1 -D t Lc"-) Address: 12.1 W CI Sb i n q+r, AtJC W•I'. O1 I0(o0 3 Lic.#: S 45 Phone Cell#: email tf'Id&1k F 1u rm6 t n9Q nwia,1.c cm I V Company Name:Brw&e JIS t2 4 ►} Address:I'Ll WC.S wrt W.P tr(, 10(.03 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary NaturalJ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 1 ` 2nd Floor Z I I I 3"Floor 4"'Floor 5'^Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 8/12/2021 STCHESTFR STATE Of NEW YOM COUNn OF WL ac(A being duly sworn,deposes and states that heshe is the applicant above named. (Mr"1;aVW�fr ivAW*"Mg as the VOWAKI and further states that(s)hc is the kegal owner of the property to which this application pertains,or that mhe is the for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of h i&bcr knowledge and belief,and that any work performed,or use conducted at the above cal:itioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and Vecif"ion&&%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 �-, "I'Sworn to before me this 4 Sworn to before me this day of 20 day of 20, Signature of S*naWe of Applicant Print Name of Property Owner Prim None of Applicant A. 17- Notary"Ic N;Dtluy GREGORY M.RIVERA GREGORY M.RIVERA NoWy PubffC.State of New Neary Public,State of Now York No.01 R16"139ti No.DIRIWi398 Qualified In Westchester C 1,nry Qualified In Westchester County Commis*on Expl"s Stplambe,* :i:, Commission Expires September 26,20_,�f BUILDING DEPARTMENT D D VILLAGE OF RYE BROOK R DEC 2 7 2022 938 KING STRim RYE BROOK,NY 10573 (914)939-06" VILLAGE OF RYE BROOK L BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAC 5E CODE §216- STORM SEWERS AND SANITARY SFWERS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 3. 1) 1l1 residing at,J1 �LI.GLd ��k L -oo It being duly sworn,deposes and states that(s)he is the applicant abo\,e named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at: Rye Brook, NY. 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 them 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. 4/00 Z Sworn to before me this day of 20 GREGORY M_MERA N*;"PUMIC.Statt of New Yor* No GIRIWi358 Ouakfied in Westchester County Commis~Expires September 2s,,o. �O "o ■ E � � N 0� w •n U "y7 a �y tn 9 y o �to) Q is t l.a �O 3 u y ..o H _ w 00 cc � ga � ovgc NFO ° 3 a i ~ A ;� 0 y, > v o a Q ? � n � b � E � r7 co Ao oo oo 7 z z a q AJ - 8V V WG zO Uz to 0.4 � ~ Q M tn p A W n J � E � 2 �,, z A Q V W r c� u 0 c W a < W c . V A u z c � Gv -OU w x Z 0 w x N z V N W yr Q N .x Oz yu Xv� � HO G 0-0 o ~ 28 ■ x v o O v �, '� � � �° � x �I � � Qr � CA Zvti � •°e v � �T*�a \■�Si�T+�•i�i� \3��F�Ti�i��i��i��i ����i➢i����i'9���T* ���y��?��i�$ BUILDINd 66PARTMENT DEC 14 2022 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 VJNG STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914 -0668 o k.o APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING,VENTILATION AND/OR AIR CONDITIONING EQUIPMEJN�T FOR OFFICE USE ONLY: PERMIT#: Approval Date: u� Z Permit Fee:$ �� y � <. — Approval Signature: Other: Disapproved: (fees are non-refundable) xrx,, x,,�xx�,���x*,t,t,k,t,t,k,k,t,k,t,t,t,t,t,t*�*t,t,tt,t,ttt*,t***,t*t,ttir,tie,t,t,tfr,t,t,tir,t,k,t*,t,t,t,t�*,t*��,t**,tt,t*,t�a,t,txaxxxxxxxxxxx REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance.(Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit:RESIDENTIAL=$100.00/unit•COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. ��t*��**********************************xxxx***ie****xxxxx*****Yxxxxxxxxxxxxx Application dated,/0►44--c dzs hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. 1. Address: \\ ou(o6l 1H N`� SBL: N)I U-1-I\P Zone: �- -/�- 2. Property Owner: A nt;MA fa C1O1 !M(GW(ft Address: 11 01)VI Phone#(!M 1y) 'M- I rl Z Cell#: email: 3. Contractor: M 1- j (cm-i fr' (6it1 it)c Address: 1591 Jry(-5:M 1Q0Q P O(X� Phone#: tt 1>��q -`1 y ell#: email:M N,4 N(-11D A &fVW.C o(r) 4. Applicant: Address: Phone#: Cell#: email: 5. Scope of Work:New Installation 04•Replacement( )•Removal( )•Other( ): 6. List Equipment: TWO 7kq.oyL INVA CA11 \NxA\(15 ko l eMW l 5V41? bo(\LNP. Two --3u,txi6 bKA mibyb%5\n btav JhAyA Q()Ar1%X( S 7. Location of Equipment: She(» 1 n 8. Method of Installation/Removal(list all equipment needed to perform job): tip Cv er VC U1ri �tnt5 %A W1 ►ce yI �U 1 8/12/2021 t ST�OF NEW YORK,COUNTY OF WESTCHESTER ) as: �,_Qfj1 A404L rr10 ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of in ividual 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 ce3n}f G,, C.tX;'V— for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before 'merthis J 2- day of c-e ,20 � day of �r,be✓,20 ;2A C"Iuo mc(potltm Ili' Signature of Property Owner S ature of Applicant ardr-ea me C-pova-n a0gb tAak-Afn d %:: of property Owner Print Name of Applicant 4 Notary Public No Public SHARI MELILLO KRISTIN A. SULLIVAN Notary Fubllc,State of New York Notary Public, State of New York No.01ME6160063 No. 01 SU6096569 Qualified In Westchester County oualified in Putnam County�e'5 r,omm§sioq Expires January 29.2P-3 Commission Expires July 28, 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. 2 8112/2021 5 Upn a ':p: f;i E 4e Y Ya ilk! 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Y@gg i � F � F � F € FFF � � f � � tFFPfFF � ! ! � � � 9 � SA5g9A9A A99ASAA99999A9 4 � aaeheaoaagq �7aaa4aoo4oao ° a ° O $ 9amAT4g 0 o: 6,000 BTU/H AIR HANDLER HEAT PUMP SYSTEM ff'ft ELECTRIC Job Name: System Reference: Date: Indoor Unit: Outdoor Unit: PVA-A36AA7 u PUZ-A36NKA7 ❑ PUZ-A36NKA7-BS _....._.....__,tea s � I INDOOR UNIT FEATURES • Ducted air handler provides a solution to cool and heat large zones • Highly efficient totally enclosed ECM motor • Selectable external static pressure:0.30,0.50 and 0.80 in.WG with 3 fan speeds at each static setting • 1 inch R4.2 fiberglass free insulation reduces condensation and boosts efficiency • Positive pressure cabinet with air leakage of less than 1.0%at 1.0 in.WG • Unique blow through design allows simple coil cleaning when the blower is removed • Multi-position installation:horizontal(left or right),vertical(up or down). For downflow configurations,the CMA-1 is recommended for proper management of condensate to prevent water blow-off in certain conditions • Optional electric heat kit for additional heat capacity • Optional humidifier control and ERV control OUTDOOR UNIT FEATURES • Variable speed INVERTER-driven compressor • Suction accumulator pre-charged with refrigerant volume for piping length up to 100 ft(70 ft.for Al2/18/24/30) • 24-hour continuous operation(cooling mode) • High pressure protection • Fast restart due to bypass valve make it ideal for equipment cooling applications,such as data centers • Superior energy and operational efficiency Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. Indoor Model number PUZ-A36NKA7 Outdoor Maximum Capacity Btu/h 36,000 Rated Capacity Btu/h 36,000 Minimum Capacity Btu/h 14,600 Maximum Power Input W 3,250 Cooling Rated Power Input W 3,250 Moisture Removal Pints/h 4.50 Sensible Heat Factor 0.77 Power factor % 88.30 Maximum Capacity Btu/h 42,000 Rated Capacity Btu/h 38,000 Minimum Capacity Btu/h 17,700 Heating at 47°FZ Maximum Power Input W 3,610 Rated Power Input W 3,030 Power factor % 96.00 Maximum Capacity Btu/h 27,800 Rated Capacity Btu/h 24,000 Heating at 17'F3 Maximum Power Input W 3,060 Rated Power Input W 2,990 SEER 19.30 EERt 9.80 Efficiency HSPF(IV) 9.50 COP at 47°F2 3.67 COP at 17°F3 2.35 Voltage,Phase,Frequency 208/230V, 1-phase,60 Hz Guaranteed Voltage Range VAC 198—253 Voltage:Indoor-Outdoor,S1-S2 V AC 208/230 Electrical Voltage:Indoor-Outdoor,S2-S3 V DC 24 Voltage:Indoor-Remote controller V DC 12 Recommended Fuse/Breaker Size A 30 Recommended Wire Size(Indoor-Outdoor) AWG 14 MCA A 5.50 Fan Motor Full Load Amperage A 4.40 Fan Motor Output W 430 Airflow Rate, Dry CFM 788-956-1125 Indoor unit Airflow Rate,Wet CFM n/a External Static Pressure in.WG 0.30-0.50-0.80 Sound Pressure Level dB(A) 30-34-38 Drain Pipe Size In.(mm) 3/4 FPT(19.05) Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. SPECIFICATIONS: 1 1 • 1 1 • 1 • 1 Indoor Model number Outdoor unit . Condensate Lift Mechanism,Max. Distance In.(mm) n/a Heat Exchanger Type Plate fin coil External finish color Galvanized steel cabinet-Powder coated Slate Gray W:In. (mm) 25(635) Unit Dimensions D:In.(mm) 21-5/8(548) H:In.(mm) 59-1/2(1511) Unit Weight Lbs.(kg) 78(172) Indoor unit operating Cooling Intake Air Temp(Maximum/Minimum) °F 90 DB,73 WB/66 DB,59 WB temperature range Heating Intake Air Temp(Maximum/Minimum) °F 82 DB/50 DB MCA A 25 MOCP A 31 Fan Motor Full Load Amperage A 0.5+0.5 Fan Motor Output W 74+74 Airflow Rate CFM 3,880 Refrigerant Control Electronic Expansion Valve Defrost Method Reverse Cycle Heat Exchanger Type Cross fin Sound Pressure Level,Coolingi dB(A) 52 Sound Pressure Level,Heating2 dB(A) 53 Compressor Type INVERTER-driven twin rotary Compressor Model MNB33FBRMC-L Outdoor unit Compressor Rated Load Amps A 8 Compressor Locked Rotor Amps A 13 Compressor Oil Type//Charge oz. FV50S//45 External finish color Ivory Munsell 3Y 7.8/1.1 Base pan heater n/a W:In.(mm) 1050[41-5/16] Unit Dimensions D:In.(mm) 330+30[13+1-3/16] H:In.(mm) 1338[52-11/16] - W:In. 42-15/18 Package Dimensions D:In. 17-11116 H:In. 56-4/16 Unit Weight Lbs. 214(97) Package Weight Lbs. 245(111) Cooling Intake Air Temp(Maximum/Minimum) °F 115 DB/0'DB Outdoor unit operating Heating Intake Air Temp(Maximum/Minimum) °F 70 DB,59 WB/-4 DB,-4 WB temperature range Thermal Lock-out/Re-start Temperatures" °F -8/-4 DB Refrigerant Type R410A Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. • . . 6. . • Indoor numberModel Outdoor Charge Lbs,oz 10 Ibs, 6 oz Gas Pipe Size O.D.(Flared) In.(mm) 5/8(15.88) Liquid Pipe Size O.D.(Flared) ln.(mm) 3/8(9.52) Piping Maximum Piping Length Ft.(m) 165(50) Maximum Height Difference Ft.(m) 100(30) Maximum Number of Bends 15 Notes AHRI Rated Conditions 'Cooling(Indoor//Outdoor) °F 80 DB,67 WB//95 DB,75 WB (Rated data is ZHeating at 47°F(Indoor//Outdoor) °F 70 DB,60 WB//47 DB,43 WB determined at a fixed compressor speed) 3Heating at 17°F(Indoor//Outdoor) °F 70 DB,60 WB//17 DB, 15 WB 'Wind baffles required to operate below 23°F DB in cooling mode. PUZ with wind baffle:0°F-115°F. "System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. SEACOAST PROTECTION • External Outer Panel:Phosphate coating+Acrylic-Enamel coating • Fan Motor Support:Epoxy resin coating(at edge face) • Separator Assembly;Valve Bed:Epoxy resin coating(at edge face) • "Blue Fin"treatment is an anti-corrosion treatment that is applied to the condenser coil to protect it against airborne contaminants. Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. ACCESSORIES: 6. . Signal Receiver ❑PAR-SA9CA-E Wireless Remote Controller ❑PAR-FL32MA-E Wireless Remote Receiver ❑PAR-FA32MA-E Backlit,Wall-mounted,Wireless Controller ❑MHK1 Portable Central Controller ❑MCCH1 Wired MA Controller ❑PAR-33MAA Simple MA Controller ❑PAC-YT53CRAU Touch MA Controller ❑PAR-CT01 MAU-SB Wired Remote Sensor ❑PAC-SE41TS-E Wireless Temperature and Humidity Sensor ❑PAC-USWHS003-TH-1 Outside Air Sensor for MHK1 ❑MOS1 Wireless Interface ❑PAC-USWHS002-WF-I Thermostat Interface ❑PAC-US444CN-1 kumo station® ❑PAC-WHS01 HC-E USNAP Interface ❑PAC-WHS01 UP-E IT Extender ❑PAC-WHS011E-E BACnet®and Modbus Interface ❑PAC-UKPRC001-CN-1 External Fan/Heater Control Relay Adapter ❑CN24RELAY-KIT-CM3 Connector cable for remote display ❑PAC-SA88HA-EP Connector for CN32(remote on/off) ❑PAC-SE55RA-E Remote Operation Adapter(with wire terminals for remote ON/OFF and operation status/error)' ❑PAC-SF40RM-E Blue Diamond Sensor Extension Cable-15 Ft. ❑C13-103 MegaBlue Advanced Blue Diamond Condensate Pump w/Reservoir&Sensor ❑X87-835-110 to 250V MaxiBlue Advanced Blue Diamond Mini Condensate Pump w/Reservoir&Sensor(208/230V)up to 48,000 Btu/h ❑X87-721 -208/230V [recommended] MegaBlue Blue Diamond Condensate Pump(110-230V)up to 170,000 Btu/h a X87-835 Drain Pan Level Sensor(Control for indoor unit shut off to prevent drain pan overflow) ❑DPLS2 3 Pole Disconnect Switch(30A/600VUL)[fits 2"X4"utility]-Black ❑TAZ-MS303 Separate Power Terminal Block Kit ❑SPTB1 Electric Heat Lockout Control ❑ ETC-211000-MIT Electric Heat Kit for Multi-position AHU ❑EH10-MPA-L(B) Electric Heat Kit for Multi-position AHU ❑EH15-MPAS-L(B) Unable to use with wireless remote controller Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. ACCESSORIES: • Twinning Distribution Pipe(50:50) o MSDD-50TR-E Air Outlet Guide ❑PAC-SH96SG-E(two pieces are required) Front Wind Baffle ❑WB-PA3(two pieces are required) Drain Socket o PAC-SG61DS-E M-NET Converter ❑PAC-SF83MA-E M-NET Converter ❑PAC-SJ95MA-E Control/Service Tool ❑PAC-SK52ST Condensing Unit Mounting Pad 24"x 42"x 3" o ULTRILITE2 Outdoor Unit Stand-12"High ❑QSMS1202M Outdoor Unit Stand-18"High ❑QSMS1802M Outdoor Unit Stand-24"High ❑OSMS2402M Heavy Duty Wall Mounting Bracket for Outdoor Units—Coated Steel ❑QSWB2000M-1 Heavy Duty Wall Mounting Bracket for Outdoor Units-316 Series Stainless Steel ❑QSWBSS 3/8"x 5/8"x 10'/1/2"Lineset(Twin-Tube Insulation) ❑MPLS385812T-10 3/8"x 5/8"x 15'/1/2"Lineset(Twin-Tube Insulation) ❑MPLS385812T-15 3/8"x 5/8"x 30'/1/2"Lineset(Twin-Tube Insulation) ❑MPLS385812T-30 3/8"x 5/8"x 50'/1/2"Lineset(Twin-Tube Insulation) ❑MPLS385812T-50 3/8"x 5/8"x 65'/1/2"Lineset(Twin-Tube Insulation) o MPLS385812T-65 3/8"x 5/8"x 100'/1/2"Lineset(Twin-Tube Insulation) c MPLS385812T 100 Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. DIMENSIONS: • • • 1 PVA-A36AA7 To� Unitmm(in.) vie Note 1.Keep the service space for maintenance at the front. o t Hol Kno o t Hol (Indoor/Outdoor unk connection) emote con er transmission) 2-e4.6 Burring Holes for electric heat installation ORef rgera=iping B Duc 28.81 548 21-5/8 )flareconnon(as) -3/16 (2)Ref rigerant pipinq C 76 3 a 117.4(4-5/8) 402 15.7/8 e26 Knockout He flare connection II uld roue N ront 11Ct (Indoors /Outdoor ro (Emertgen draiAiiQg) 4 Cr unit connection) e19.05 3/4 3/4°FPT Terminal block Primary drain pipe Remote controller transmission N (Gravity drain) Terminal block e26 Knockout Hole 77.8 3-1/8 0 e19.05 3/4 3/4'FPT Indoor/Outdoor unit connection (Remote cor0 er transmission) r I Horizontal left g(3/8) 43n1 3/4 nm"tyry rain �2-� eGd 05 3d/4 1�4'FPT u� 43(1-3/4) 8(3/8) :Secondary drainpipewergencydrainin ) W92(3-5/8) 30(1-3/16) 053/4 3i4'FP"�Cal rizonte t Co (7 Secondary drain pipe Pdmary drain pipe (Emergency draining) (Gravity drain) aL 019. 4 4'FP e19.05 3l4 3/4'FPT 55(2-3/16) p • R � 110111 Le si a 4Air inlet Ig t St e blew A Model *Nominal Fhw Stu Duet Connection pq PVA-Al2AA7 508 x 406.4 x 2&4 376 x 402 3 Air filler kQi PVA-A18AA7 20 x 16 x 1 1443116 x 15-7/8 Oltom - PVA4k24AA7 508 x 508 x 25A 477 x 402 VIEW PVA-A30AA7 120 x 20 Ill 18.17/18 x 15-7/8 PVA-A36AA7 50 80 8 x 9.6 25A 579 x 402 �rn PVA-A42AA7 20 x 24 x 1 22-13/16 x 15.7I8 eD n e J 36.8 1-1/2 UnIL mm in. Mo" A B C 0 E F D H J meat Pipe CLquid Pipe PVA-Al2AA7 431(17) 376(%113/16) 281(11-118) 224(9-719) 1275(5U-1/4) 680(26-13N6) 823(32-7116) 736.5(29) 300(144 MG) 012.7(1/2) 06.35(114) PVA•A18AA7 PVA-A24AA7 894(21) 477(18-13116) 362.E(15.118) 268.5(10.1/2) 1378(54-1/4) 737(29.1/16) 963.5(37A116) 792(31.V16) 461(1"16) PVA-A36AA7 ♦ii88(SIB) 09.52(318) _PVA-A36AA7 635(25) 5y(22-13116) 484.E(19.118) 317.5(12-1/2) 1511(69.1/2) 798.5(31-7H6) 1053(41.112) 853.5(33d16) 663(22.Y1.1 PVA-A42AA7 Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. DIMENSIONS: . 6. . P UZ-A36N KA7(-BS) Unit:mm<in> t FREE SPACE(Around the unit) 2 SERVICE SPACE 3 FOUNDATION BOLT 4 PIPIN&WIRNG DIRECTIONS Rears make n Fn�.Oi�al6gnan bebw sewnaon[Yunole Dnleleioln a/epeu leme0 Please saoae Oleunl imlt P•IQup.Idit mraieane v NY�x�°rol n the lmWeOm miXllll eh. bf 9elvKt lOCesn Ye wAId b—Ww an IN70�W.e ealb. fanN b.RgtR-.eCWD 0"'8A shown n ills Oelew dsgam. (Bills erid wasMn msl Oe FRONT,Rghl.Rear aril Below. � A7--I.- Side Air Intake i 7 F AY DI9e }Ti W YaY F Irerewtl Y,OMSDI - 1 °1 1N q1-Po.. Example of Notes O 8 Re{gY++GASaNm. (FIAREI a,SMWI t ReWY/etIOWPp wrWmlFWiE) 0.SH7RF) 0 •I.-11*o dSTOPVAIVEcpwtbnb MwMeb �^ Ywtlsb 4 E 0000 b ^ 000 � R Piping Knockout Hole Details f �emmems•- w�o� tl uY•tiYr®. m."^� ��eYnnOY+w d ti e �.rv,s rrm` fur, — •-0r ,. Ysm,smrme a 3 Ysro-nsn...P ear.m • + o ILK u o • @ 1° a's'wR'� a SaY�s - io AAMITSUBISHI k ELECTRIC COOLING & HEATING 1340 Satellite Boulevard,Suwanee,GA 30024 Toll Free:800-433-4822 ww�w..mmeehvac.com FORM#PVA-A36AA7/PUZ-A36NKA7(-BS)-201810 Intertek Specifications are subject to change without notice. ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. (001C �.M Project Name: 11 church hill rd Address: 11 Churchill Road,Rye Brook,NY OUTDOOR DESIGN CONDITIONS Weather station:White Plains,Westchester Co.AP Summer Outdoor F: Summer Indoor F: Design Grains: ® Daily Range: Winter Outdoor F: ® Winter Indoor F: Cooling RH: Elevation(Ft): LOAD CALCULATION TOTALS HVAC System:second floor Heated square footage: 11111IM1111111 Heating BTUH: Cooled square footage: ® Cooling BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Sensible cooling: Exposed wall area(SF): ® Latent cooling: SHR: r t® Load Calculation Cooling Heating 0 5,000 10,000 15,000 20,000 BTUH Approved ACCA MJ8 Calculations Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA. All computed calculations are estimates on building use, weather data, and inputted values such a R-Values, window types, duct loss, etc. Equipment selections should meet both the latent and sensible gain as well as building heat loss. HEATING AND COOLING LOADS HEATING LOADS Heating Loads SECTION • windows aboveGradeWalls 1,152 6,481 y ceilings 902 1,360 aboveGradeWalls ducts 0 1,108 infiltration 0 3,699 infiltration skylights 0 0 3 "`!, windows 180 3,341 ducts All ceilings- Totals 15,989 COOLING LOADS Cooling Loads AEDExcursion SECTI*N AEDExcursion 0 411 0 windows aboveGradeWalls. aboveGradeWalls 1,152 2,693 0 ceilings 902 1,173 0 ceilings ducts 0 921 143 plants ducts infiltration 0 462 628 2.2"r� occupants 0 1,150 1,000 occupants infiltration plants 0 0 300 15 71% skylights 0 0 0 windows 180 4,771 0 Totals 11,581 2,071 FENESTRATION LOADS Warning (0): This application has glass areas that produced relatively large cooling loads for part of the day.Zoning may be required to overcome spikes in solar load for one or more rooms.A zoned system may be required,or some rooms may require zone control(provided by individual,motorized,thermostatically controlled dampers). AED Graph(mid-summer) 7,500 = 5,000 00 2,500 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH — Average - Average'1.3 This graph represents hourly aggregrate fenestration loads in mid-summer. AED graph(fall) 7,500 __ _....,_......._.._.. _ ._..__...... = 5,000 m 2,500 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average - - Average 1.3 This graph represents hourly aggregrate fenestration loads in October. COMPONENT LOADS ABOVE System generated wall-NE Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NE Heating BTUH: 810 insulation,Stucco or Siding. U Value: 0.097 Area: 144 Cooling BTUH: 337 System generated wall-SE Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: SE Heating BTUH: 304 insulation,Stucco or Siding. U Value: 0.097 Area: 54 Cooling BTUH: 126 System generated wall-S Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: SE Heating BTUH: 473 insulation,Stucco or Siding. U Value: 0.097 Area: 84 Cooling BTUH: 196 System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SW Heating BTUH: 760 insulation, Stucco or Siding. U Value: 0.097 Area: 135 Cooling BTUH: 316 System generated wall-SE Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: SE Heating BTUH: 354 insulation,Stucco or Siding. U Value: 0.097 Area: 63 Cooling BTUH: 147 System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SW Heating BTUH: 523 insulation, Stucco or Siding. U Value: 0.097 Area: 93 Cooling BTUH: 217 System generated wall-NW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NW Heating BTUH: 624 insulation,Stucco or Siding. U Value: 0.097 Area: 111 Cooling BTUH: 259 System generated wall-NE Frame Wall,Wood framing, R-11 cavity Construction nr: 1213-0s w Exposure: NE Heating BTUH: 523 insulation,Stucco or Siding. U Value: 0.097 Area: 93 Cooling BTUH: 217 System generated wall-NW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NW Heating BTUH: 743 insulation,Stucco or Siding. U Value: 0.097 Area: 132 Cooling BTUH: 309 System generated wall-SE Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NE Heating BTUH: 371 insulation, Stucco or Siding. U Value: 0.097 Area: 66 Cooling BTUH: 154 System generated wall-S Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: SE Heating BTUH: 152 insulation,Stucco or Siding. U Value: 0.097 Area: 27 Cooling BTUH: 63 System generated wall-SE Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: S Heating BTUH: 270 insulation,Stucco or Siding. U Value: 0.097 Area: 48 Cooling BTUH: 112 System generated wall-SW Frame Wall,Wood framing,R-11 cavity Construction nr: 12B-Os w Exposure: SW Heating BTUH: 270 insulation,Stucco or Siding. U Value: 0.097 Area: 48 Cooling BTUH: 112 System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SW Heating BTUH: 304 insulation,Stucco or Siding. U Value: 0.097 Area: 54 Cooling BTUH: 126 BELOW There are no components for this section. Default small windows for wall id 3749170 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 205 NE Default medium windows for wall id 3749170 Construction nr: 1 G U Value: 0.32 Heating BTUH: 445 Window, NFRC rated, Clear glass. Exposure: 24 SHGC: 0.68 Cooling BTUH: 423 NE Default small windows for wall id 3749155 Construction nr: 1 G U Value: 0.32 Healing BTUH: 223 Window, NFRC rated, Clear glass. Area: 12 Exposure: SE SHGC: 0.68 Cooling BTUH: 381 Default medium windows for wall id 3749155 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Area: 12 e: SE SHGC: 0.68 Cooling BTUH: 395 ExposurDefault small windows for wall id 3749154 Construction nr: 1G U Value: 0.32 Healing BTUH: 223 Window, NFRC rated,Clear glass. Area: 12 Exposure: sw SHGC: 0.68 Cooling BTUH: 413 Default medium windows for wall id 3749154 Construction nr: 1 G U Value: 0.32 Heating BTUH: 445 Window, NFRC rated, Clear glass. Exposure: sw SHGC: 0.68 Cooling BTUH: 847 Default small windows for wall id 3749201 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Area: 12 Exposure: sw SHGC: 0.68 Cooling BTUH: 413 Default medium windows for wall id 3749201 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window,NFRC rated, Clear glass. Exposure: sw 12 SHGC: 0.68 Cooling BTUH: 423 Default small windows for wall id 3749200 Construction nr: 1 G U Value: 0.32 Heating BTUH: 111 Window, NFRC rated, Clear glass. Area: re: 6 SHGC: 0.68 Cooling BTUH: 125 EpoDefault small windows for wall id 3749186 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 205 Default medium windows for wall id 3749186 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 211 Default small windows for wall id 3749187 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 249 Default small windows for wall id 3749171 Construction nr: 1 G U Value: 0.32 Heating BTUH: 111 Window, NFRC rated, Clear glass. Exposure: 6 SHGC: 0.68 Cooling BTUH: 102 Default small windows for wall id 3749173 Construction nr: 1 G U Value: 0.32 Heating BTUH: 111 Window, NFRC rated,Clear glass. Are 6 SHGC: 0.68 Cooling BTUH: 173 Default small windows for wall id 3749212 Construction nr: 1 G U Value: 0.32 Heating BTUH: 111 Window, NFRC rated, Clear glass. Exposure: 6 SHGC: 0.68 Cooling BTUH: 206 Window cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr: 16B-38 ad Area: 120 Heating BTUH: 181 shingles, Dark, R-38. U Value: 0.026 Cooling BTUH: 156 System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr: 16B-38 ad Area: 228 Heating BTUH: 344 shingles, Dark,R-38. U Value: 0.026 Cooling BTUH: 296 ti System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr: 16B-38 ad Area: 63 Heating BTUH: 95 shingles,Dark, R-38. U Value: 0.026 Cooling BTUH: 82 System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr: 1613-38 ad Area: 169 Heating BTUH: 255 shingles, Dark,R-38. U Value: 0.026 Cooling BTUH: 220 System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr: 16B-38 ad Area: 208 Heating BTUH: 314 shingles, Dark, R-38. U Value: 0.026 Cooling BTUH: 270 System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr: 16B-38 ad Area: 24 Heating BTUH: 36 shingles, Dark,R-38. U Value: 0.026 Cooling BTUH: 31 System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr. 16B-38 ad Area: 72 Heating BTUH: 109 shingles, Dark, R-38. U Value: 0.026 Cooling BTUH: 94 System generated ceiling. Ceiling under attic or attic knee wall,Asphalt Construction nr. 1613-38 ad Area: 18 Heating BTUH: 27 shingles, Dark, R-38. U Value: 0.026 Cooling BTUH: 23 SKYLIGHTS There are no components for this section. Skylight cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. There are no components for this section. There are no components for this section. VENTILATION There are no components for this section. HOT WATER PIPING There are no components for this section. System generated ducts(above conditioned space) EHLF: 0.074 Heating BTUH: 1,108 Attic-Radial ESGF: 0.09 Sensible BTUH: 921 ELG: 143 Latent BTUH: 143 NCFM Heating: 131 Heating BTUH: 3,699 Leakage Category: Semi-Tight NCFM Cooling: 63 Sensible BTUH: 462 Latent BTUH: 628 BLOWER • •' There are no components for this section. WINTER HUMIDIFICATION There are no components for this section. OCCUPANTS Nr.Occupants: 5 Sensible BTUH: 1,150 Latent BTUH: 1,000 APPLIANCES There are no components for this section. Plant Size: small Quantity: 5 Latent BTUH: 50 Plant Size: medium Quantity: 5 Latent BTUH: 100 Plant Size: large Quantity: 5 Latent BTUH: 150 • 1 ROOM DETAIL Room name:primary bedroom Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 1,000 2,000 3,000 4,000 BTUH AED Graph(mid-summer) 3,000 = 2,000 m 1,000 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average — Average 1.3 AED graph(fall) 4,000 2 2,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average •-- Average" 1.3 ROOM DETAIL Room name:walkin closet Heated square footage: m Total Cooling BTUH: Cooled square footage: ® Total Heating BTUH: Heated volume(above grade CF): ® CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 200 400 600 800 BTUH ROOM DETAIL Room name:primary bath Heated square footage: ®i Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 1,000 2,000 3,000 BTUH AED Graph(mid-summer) 1,500 = 1,000 Pf 500 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average -- Average 1.3 AED graph(fall) 300 = 200 Co 100 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average -- Average' 1.3 w ROOM DETAIL Room name:bedroom#4 Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): ® CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 500 1,000 1,500 2,000 BTUH AED Graph(mid-summer) 600 = 400 m 200 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average --- Average 1.3 AED graph(fall) 600 = 400 ti m 200 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average -.._•, Average' 1.3 1. ROOM DETAIL Room name:bedroom#3 Heated square footage: Total Cooling BTUH: ®i Cooled square footage: ®. Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 1,000 2,000 3,000 4,000 BTUH AED Graph(mid-summer) 1,000 2 500 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average' 1.3 AED graph(fall) 400 _._..._._..._ __.._.....__............................__...........,..........._.........._._...._...__.._.._.....__._,.., 2 200 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average 1.3 ROOM DETAIL Room name:bedroom#2 Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): ® CFM: Cooled volume(above grade CF): Exposed wall area(SF): m Load Calculation Cooling Heating 0 1,000 2,000 3,000 BTUH AED Graph(mid-summer) 2,000 1,000 _......_ m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average -- Average 1.3 AED graph(fall) 2,000 1,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average .-- Average'1.3 ROOM DETAIL Room name:hall bath Heated square footage: ® Total Cooling BTUH: Cooled square footage: m Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Exposed wall area(SF): Q Load Calculation Cooling Heating 0 200 400 600 800 BTUH AED Graph(mid-summer) 600 = 400 m 200 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average - - Average'1.3 AED graph(fall) 600 = 400 _............... __ ....._............ __ __......... _._......... _...__.._._W_...__...._ ....... 00 200 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average -- Average'1.3 s ROOM DETAIL Room name:laundry closet Heated square footage: Total Cooling BTUH: Cooled square footage: m Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 200 400 600 BTUH Project Name: 11 church hill rd Address: 11 Churchill Road, Rye Brook,NY OUTDOOR DESIGN CONDITIONS Weather station:White Plains,Westchester Co.AP Summer Outdoor F: Summer Indoor F: ® Design Grains: ® Daily Range: Winter Outdoor F: ® Winter Indoor F: 0 Cooling RH: Elevation(Ft): LOAD CALCULATION TOTALS HVAC System:first floor Heated square footage: Heating BTUH: Cooled square footage: Cooling BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): EFJFM Sensible cooling: Exposed wall area(SF): 1111097912 Latent cooling: SHR: 1 t®s Load Calculation Cooling Heating 0 5,000 10,000 15,000 20,000 25,000 BTUH Approved ACCA MJ8 Calculations Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA. All computed calculations are estimates on building use, weather data, and inputted values such a R-Values, window types, duct loss, etc. Equipment selections should Fk meet both the latent and sensible gain as well as building heat loss. Default small windows for wall id 3749106 Construction nr: 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. e posure: 12 SHGC: 0.68 Cooling BTUH: 409 SE Default medium windows for wall id 3749106 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 409 SE Default small windows for wall id 3749107 Construction nr. 1G U Value: 0.32 Heating BTUH: 111 Window, NFRC rated, Clear glass. Exposure: 6 SHGC: 0.68 Cooling BTUH: 217 Default medium windows for wall id 3749107 Construction nr: 1G U Value: 0.32 Heating BTUH: 445 Window, NFRC rated, Clear glass. Exposure: 24 SHGC: 0.68 Cooling BTUH: 868 Default large windows for wall id 3749107 Construction nr: 1G U Value: 0.32 Heating BTUH: 668 Window, NFRC rated, Clear glass. Area: re, 36 SHGC: 0.68 Cooling BTUH: 1,301 ExposuDefault small windows for wall id 3749108 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Area: e: W SHGC: 0.68 Cooling BTUH: 422 ExposurDefault medium windows for wall id 3749108 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Exposure: 1 SHGC: 0.68 Cooling BTUH: 422 Default small windows for wall id 3749128 Construction nr: 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. exposure: 12 SHGC: 0.68 Cooling BTUH: 218 NE Default medium windows for wall id 3749128 Construction nr: 1 G U Value: 0.32 Heating BTUH: 668 Window, NFRC rated, Clear glass. Exposure: 36 SHGC: 0.68 Cooling BTUH: 653 Default small windows for wall id 3749129 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. exposure: e2 SHGC: 0.68 Cooling BTUH: 366 Default medium windows for wall id 3749129 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Areposure: Ea: 12 SHGC: 0.68 Cooling BTUH: 366 Default small windows for wall id 3749065 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. exposure: 12 SHGC: 0.68 Cooling BTUH: 409 SE Default medium windows for wall id 3749065 Construction nr: 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Area: 12 Exposure: se SHGC: 0.68 Cooling BTUH: 409 Default small windows for wall id 3749127 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. exposure: 1 SHGC: 0.68 Cooling BTUH: 160 Default medium windows for wall id 3749127 Construction nr. 1 G U Value: 0.32 Heating BTUH: 445 Window, NFRC rated, Clear glass. Exposure: 24 SHGC: 0.68 Cooling BTUH: 320 Default small windows for wall id 3749126 Construction nr: 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 261 Default medium windows for wall id 3749126 Construction nr. 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Exposure: 12 SHGC: 0.68 Cooling BTUH: 261 Default small windows for wall id 3749123 Construction nr: 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Areposure: 2 SHGC: 0.68 Cooling BTUH: 434 Default medium windows for wall id 3749123 Construction nr: 1G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated, Clear glass. Area: 12 SHGC: 0.68 Cooling BTUH: 434 Exposure: Sw Default small windows for wall id 3749124 Construction nr: 1 G U Value: 0.32 Heating BTUH: 111 Window, NFRC rated, Clear glass. Exposure: 6 SHGC: 0.68 Cooling BTUH: 211 Default medium windows for wall id 3749124 Construction nr: 1 G U Value: 0.32 Heating BTUH: 445 Window, NFRC rated, Clear glass. exposure: 24 SHGC: 0.68 Cooling BTUH: 843 COMPONENT LOADS ABOVE GRADE WALLS System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: Sw Heating BTUH: 287 insulation, Stucco or Siding. U Value: 0.097 Area: 51 Cooling BTUH: 119 System generated wall-SE Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SE Heating BTUH: 523 insulation, Stucco or Siding. U Value: 0.097 Area: 93 Cooling BTUH: 217 System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr: 1213-0s w Exposure: SW Heating BTUH: 641 insulation, Stucco or Siding. U Value: 0.097 Area: 114 Cooling BTUH: 266 System generated wall-W Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-0s w Exposure: W Heating BTUH: 473 insulation,Stucco or Siding. U Value: 0.097 Area: 84 Cooling BTUH: 196 System generated wall-NE Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NE Heating BTUH: 1,097 insulation, Stucco or Siding. U Value: 0.097 Area: 195 Cooling BTUH: 456 System generated wall-E Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: E Heating BTUH: 574 insulation, Stucco or Siding. U Value: 0.097 Area: 102 Cooling BTUH: 238 System generated wall-SE Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SE Heating BTUH: 523 insulation, Stucco or Siding. U Value: 0.097 Area: 93 Cooling BTUH: 217 System generated wall-N Frame Wall,Wood framing, R-11 cavity Construction nr: 1213-0s w Exposure: N Heating BTUH: 760 insulation, Stucco or Siding. U Value: 0.097 Area: 135 Cooling BTUH: 316 System generated wall-NW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: NW Heating BTUH: 523 insulation, Stucco or Siding. U Value: 0.097 Area: 93 Cooling BTUH: 217 System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Os w Exposure: SW Heating BTUH: 203 insulation, Stucco or Siding. U Value: 0.097 Area: 36 Cooling BTUH: 84 System generated wall-SW Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: SW Heating BTUH: 523 insulation, Stucco or Siding. U Value: 0.097 Area: 93 Cooling BTUH: 217 System generated wall-W Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Os w Exposure: W Heating BTUH: 591 insulation,Stucco or Siding. U Value: 0.097 Area: 105 Cooling BTUH: 245 BELOW There are no components for this section. Default small windows for wall Id 3749114 Construction nr: 1 G U Value: 0.32 Heating BTUH: 223 Window, NFRC rated,Clear glass. Exposure: sw SHGC: 0.68 Cooling BTUH: 434 HOT WATER PIPING There are no components for this section. System generated ducts(below conditioned space) EHLF: 0.127 Heating BTUH: 2,739 Closed Crawl Space Below Insulated Floor-Radial ESGF: 0.075 Sensible BTUH: 1,409 ELG: 817 Latent BTUH: 817 INFILTRATION NCFM Heating: 131 Heating BTUH: 4,249 Leakage Category: Semi-Tight NCFM Cooling: 63 Sensible BTUH: 530 Latent BTUH: 721 BLOWER • •' There are no components for this section. WINTER HUMIDIFICATION There are no components for this section. Nr.Occupants: 5 Sensible BTUH: 1,150 Latent BTUH: 1,000 APPLIANCES Standard kitchen and utility room,lighting:2,400 BTUH Quantity: Sensible BTUH: 2,400 Latent BTUH: Plant Size: small Quantity: 5 Latent BTUH: 50 Plant Size: medium Quantity: 5 Latent BTUH: 100 Plant Size: large Quantity: 5 Latent BTUH: 150 ROOM DETAIL Room name:kitchen Heated square footage: Total Cooling BTUH: ®i Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): 11111191,MI Exposed wall area(SF): Load Calculation Cooling Heating 0 500 1,000 1,500 2,000 BTUH AED Graph(mid-summer) 2,000 2 1,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average •--- Average'1.3 AED graph(fall) 2,000 _ _ _ ___-__.._,..w._�_. _,_....... .. ....... ......._........,......,..... _........_..._.�....__......._ . � 1,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average --- Average* 1.3 ROOM DETAIL Room name:dining room Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): CFM: Cooled volume(above grade CF): ®i Exposed wall area(SF): Load Calculation Cooling Heating rM 0 2,000 4,000 6,000 8,000 10,000 BTUH AED Graph(mid-summer) 10,000 2 5,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average' 1.3 AED graph(fall) 10,000 5,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average - Average' 1.3 ROOM DETAIL Room name:living room Heated square footage: ® Total Cooling BTUH: Cooled square footage: ® Total Heating BTUH: IMF 011111 Heated volume(above grade CF): ® CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 1,000 2,000 3,000 4,000 5,000 BTUH AED Graph(mid-summer) 2,000 1,000 ca 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average --- Average'1.3 AED graph(fall) 1,000 500 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average --- Average*1.3 ROOM DETAIL Room name:family room Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): ® CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 2,000 4,000 6,000 BTUH AED Graph(mid-summer) 4,000 2 2,000 ___ _ __._ ........... ..._.._._..._.__.............__..._____._---...__.....,...__.. __._ m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average - Average'1.3 AED graph(fall) 2,000 2 1,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average ---- Average*1.3 �1 . _ Vl _ 17* a. � •' w a � � � � y � m - c k aPLO Ch Ln J .S !^J N r' Gp L A po y co O �..yeel w C7 w 64 .. .. a . 00 z z 0-0 r � s z ^ > M� oo cn .a OG g w O .0 'Z Q m J yao � avu " x z A V d a �k z o 1 1 W O U O U p � a v A ►�" s Z a z A oe 9 0 � = s BUILD y, MENT VIL ? ` y OOK DD 938 KING NY 10573 J U N 19 2023 -� VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: /4 e)3 'D / (p Approval Date: JUN 1 5 2023 Permit Fee: $ /©o--Ab Approval Signature: \ Other: Disapproved: (fees are non-refundable) ******************************************************************************************************* REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form(Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit• COMMERCIAL=$350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the.Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, -/ l—Q>2 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations. L 1. Address: t k CNU O`� I 1 rR.61 SBL: at/�p— Zone: 2. Property Owner: VC � �n Address: i� C1'\U fCY\l Phone#: 4— Q 6 — Q�-_-� Cell#: email: - 3. Contractor: c IU,( V1 �`S FH Address: (2l W(kSh lry �� (--u W,p 1 U663 Phone#: 01, �— 11 t}"�'12 51 Cell#: email: )lea 57eL�itvC�i�.Lo�-i 4. Scope of Work:New Installation )•Replacement( )•Removal( )•Other 5. List Equipment: W Ale( �Acc�y 6. Location of Equipment: PJC'.�C_rn2(�, 7. Method Of Installation/Removal(list all equipment needed to perform job): 1 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: t-:U-n t i i�t lie✓ being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 day of ,20 YQ) Signature of Property Owner Signature of Applicant ern\e Print Name of Property Owner t ame of Applicant L Notary Public Notary Public SHARI MEULLO Notary Public,State of New York No.01ME6160063 Qualified in Westchester County —7 ^,•mmission Expires January 29.20? 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. 2 3/3/2023 RECEIVED VILLAGE OF RYE BROOK NOV - 2 2022 ZONING BOARD OF APPEALS V11"AGE CLERK'S p,rFlI;E RESOLUTION WHEREAS, application has been made to the Zoning Board by Colin McGovern and Andrea McGovern (the "Applicants") for (1) a front yard setback variance of 0.5 feet where the minimum required setback is 40 feet pursuant to Village Code § 250-20.G(1) and (2) a front height setback ratio variance of 0.174 where the maximum allowable front height setback ratio is 0.60 pursuant to Village Code § 250-20.I(1), in connection with the proposed 2nd floor addition, new front portico, interior and exterior renovation, on property located at 11 Churchill Road, in an R-15 zoning district on the east side of Churchill Road, approximately 600 feet from the intersection of Winding Wood Road and Churchill Road. Said premises being known and designated on the tax map of the Village of Rye Brook as Parcel ID# 135.26-1-16;and WHEREAS, a duly advertised public hearing was held on November 1, 2022, at which time all those wishing to be heard were given such opportunity; and WHEREAS, the public hearing was closed on November 1, 2022; and WHEREAS, the proposed action is a Type II action pursuant to the New York State Environmental Quality Review Act and accordingly, no further environmental review is required; and WHEREAS, the Board, from the application, after viewing the premises and neighborhood concerned, and upon considering each of the factors set forth at Section 250- 13(G)(b)[2][a]-[e] of the Rye Brook Code, finds: 1) The variances [WILL ILL NOT create an adverse impact to the character of the neighborhood; 2) The benefit the Applicants seek [CAN ANN ] be achieved through another method, feasible for the Applicants to pursue, that does not require the variances; 3) The variances Q9/ RE NOT] quantitively numerically substantial, but not aesthetically substantial; 4) The variances [WILL/Qoft O create any adverse impacts to the physical or environmental conditioeighborhood; and 5) The need for the variances OS NOT] self-created. NOW, THEREFORE, BE IT RESOLVED that the said application for (1) a front yard setback variance of 0.5 feet where the minimum required setback is 40 feet pursuant to Village Code § 250-20.G(1) and (2) a front height setback ratio variance of 0.174 where the maximum allowable front height setback ratio is 0.60 pursuant to Village Code § 250-20.1(1), in connection with the proposed 2nd floor addition, new front portico;i for and exterior renovation, on property located at 11 Churchill Road is hereby([GRANTE /DENIED] on the following conditions: \\ -- 1) No permit or certificate of occupancy shall be issued until the Applicants have paid in full all application and consultant fees incurred by the Village in connection with the review of this application. Dated: November 1, 2022 Mr. Don Moscato, Chairman Mr. Moscato called the roll: Steven Berger Voting: Glenn Brettschneider Voting: Y Jamie Schutzer Voting: Joel Simon Voting: y. Don Moscato Voting: - Ayes Nays / F X C` j-0P tCI W UJJ V 0 J �"yV" O 190 ¢01* Q.IUuIlQli aW VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury w%w.gebrook.= TRUSTEES BUILDING&FIRE INSPECTOR Susan R.Epstein Michael J.Izzo Stephanie J.Fischer David N1.Heiser Salvatore W.ilforlino NOTICE OF HEARING ON APPLICATION Potice is hereby given that the undersigned has filed an application to appear before the Zoning Board of Appeals of the Village of Rye Brook. Application # 22-034 Applicant: Colin McGovern&Andrea McGovern 11 Churchill Road Rye Brook,New York 10573 Applicant Proposes to: Construct a 2" floor addition, new front portico, interior and exterior renovation. At the premises known as 11 Churchill Road in the Village of Rve Brook, New York, situated on the east side of Churchill Road, approximately 600 feet from the intersection of Winding Wood Road and Churchill Road, designated and shown on the most current tax map as Parcel ID# 135.26-1-16, the applicant does hereby request a variance(s) from the following applicable section(s) of the Zoning Ordinance: §250-20.G. (1) The minimum required front yard setback is 40 feet. The proposed front portico will result in a front yard setback of 39.5 feet. Therefore, a front yard setback variance of .5 feet is requested. §250-20.I. (1) The maximum allowable front height setback ratio is .60. The proposed 2nd floor addition will result in a front height setback ratio of .775. Therefore, a front height setback ratio variance of .175 is requested. Ii public hearing on said application will be held before the Village Zoning Board of Appeals on Tuesday, November 1, 2022, at 8 o'clock p.m. at the Village of Rye Brook Offices located at 938 King Street, Rye Brook, NY 10573. Plans and other materials associated with the proposed application may be reviewed and downloaded via the Public Meetings&Video link from the Rye Brook website homepage and are available for review at the Building Department. t222:� Dated: c II' z2- Christopher J. Bradbury,Vft age Clerk �QyE DR 19 4Vth ai2lt[114Jl�Jmq VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury «-%%-Nv.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Michael 1. Izzo Stephanie J.Fischer David M.Heiser Salvatore W.Morlino NOTICE OF DISAPPROVAL Application # 22-034 October 4, 2022 Colin McGovern &Andrew McGovern 11 Churchill Road Rye Brook,New York 10573 PLEASE TAKE NOTICE that your application for building permit dated, October 3, 2022, for the premises located at 11 Churchill Road, Parcel ID# 135.26-1-16, has been disapproved because of non-compliance with the following section(s) of the Code of the Village of Rye Brook: 5250-20.G. (1) The minimum required front yard setback is 40 feet. The proposed front portico will result in a front yard setback of 39.5 feet. 5250-20.I. (1) The maximum allowable front height setback ratio is .60. The proposed 2nd floor addition will result in a front height setback ratio of .775. Please revise your plans to fully comply with the applicable section(s)of Village Code,or an appeal to this decision may be brought before the Village Zoning Board of Appeals (ZBA) in accordance with §250-13 and §250-40 of the Code of the Village of Rye Brook. Applications to appear before the ZBA are available at the Building Department or online at www.ryebrook.org. Sincerely, 16 Michael J. Izzo Building& Fire Inspector mizzo@,a,eb�g BUILDIBTMENT S CE� VE VIL OK OCT - 5 2022 RY ( VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION TO THE ZONING BOARD OF APPEALS Application Fee: $350.00 ( aid • Escrow Fee: $1,000.00 ( V15aid Date: �0 o2Oa oC Subject Property: L �U(C.�1� 14 Nll� 90010 j Parcel ID#: 1 3 S• Z,(P `� - �? Zone:R Property Owner: C oL 1)n a A gID$sw. M C Address: C --Mkt.[.14 t"`1 It . Phone M Cell#: (Q 1- 8 r] 7.3 email: GC1 L.tY1Tm(�ja�J•2(Z,Y1 Y.�t (,m � Applicant: _ G" C;-c C,r_JC4z6 AIZA64CAC Address: Phone# 914) Z 7, -7 3 Sb Cell M / -714= Q/a email: - y,SCX.('t ec.6 6GjM G.tG I r- I"- Attorney/Agent: Address: Phone#: Cell M email: ********************************************************************************************* The applicant named herein does hereby request an appeal from the decision made by the Building Inspector on an application dated oC.T '3 , 20 ZL ,whereby the Building Inspector did: Grant: ( ) /Deny: 0<) the applicant a permit for 11.,,a AJ2QlA3 6^ Ono iuLy Jal),1-7 60. c,2 jo(u. I. Type of Appeal: (Variance to the Zoning Ordinance ( )Interpretation of the Zoning Ordinance ( ) Certification for Continuation of a Nonconforming Use ( ) Permit for Occupancy ( ) Permit for Use 2. This application relates to: ( )Use ( )Area 04Height (Setback ( )Other: In connection with: ( )A Proposed Building 6()An Existing Building 3. Previous Appeal(s); ( )Have (Have Not been made with respect to this particular decision of the Building Inspector, and ( )Have ( )Have Not been made with respect to any other previous decision(s) made by the Building Inspector regarding the subject property. List All Previous Zoning Appeals Either Granted or Denied Concerning the Subject Propertv a. A requested variance was ( )Granted/( )Denied on application# dated, t r. b. A requested variance was ( )Granted/( )Denied on application# dated, f u, C. A requested variance was ( )Granted/( )Denied on application# dated, for, 1 (Use additional sheets if necessary) 8/12/2021 4. Alteration: If workconstitutes an alteration or extension to an existing building, describe briefly: . \./��., C�.C`e.. �0�0`�� ►'�;f�� 1'?2i.,..; �CenY_n �(�;;/t_. ���'�G� �'1'I a.in ��e.. <iy)/� cc � .. �7'0•�� P.-��r, lb�j r � ��-I'lc. -Bx.+Sr-1�raT 5. Construction Cost: What is the estimated cost of the proposed work? $ )OOG, do 6. Reasons for Appeal: A. An Area Variance to the Zoning Ordinance is requested because strict application of the ordinance would create the following hardship: � ���rw ch 64& e ur�Y4 r � ee 4. '11rhs t S c_cftv�x v.��"j1,e ��h T OF Ael,'J Sp_C e n n 'r6wru jb not me c� 5-2.'f 6 A c-A(-. r l o u t n 4dS f/4-)-F 6v a i j LOOL " (a"-ca a CO- Or P f wne- GnD we' ry-ed rht— wh'r' FW-rPj"T6 Y-- Muln 140m2 A 10Ak.Q /1-WO11C, hEvnC w,11 (3_e unpci ma.A Fit., W-c LAJ"vLn L-\►-r- 1v ►L0 �nv�'t ebX-I'mc..o 4a-g r ci n r 1-0o K- coil?, B. An Interpretation of the Zoninp, Ordinance is requested because: C. A Use Variance to the Zoning Ordinance is requested because strict application of the ordinance would create the following hardship: 2 (Use additional sheets if necessary) 8/l 2/2021 7. Requested ZoninS Appeals: I. Section of Rye Brook Code: §_ ZsC 20, Zoning Requirement: rl'N %Y\ i r►l U ,wi (Zeq y ,ram 6 pro S�t P,.e-4c I S Q.0 f'T Proposed Work: -Tke- 6?+rs ?t,5ret<—qA., n azAn," o an h a F-n�►} S�vp W 1� {ZecvL-c in, cnr 1r? 4e.T Bpcc A 3 Requested Variance: F-M n T V Qi19 Syl/3/�C�c Uar-ics�c.i H. Section of Rye Brook Code: § Z 5"0 - Z 0, Z C 3 Zoning Requirement: M 0.*.,vnw v+-, "Al- __91.JL- conje::e W-,-r o T S-cr B V+u c. (-,x.*1.e IS .Co Proposed Work:, prom Sir��r, 'i✓1�,��.� fi�n-h eh C,.'t \\\ l -�, a Requested Variance: �. 7 r_052krr M-0.2/ !#Ar- _ TrIS/�ti1C /ZOt*7 4 /S a�,jL-,Ave III. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: IV. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: V. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: 3 (Use additional sheets if necessary) 8/12/2021 8. Item checklist of information from instruction sheet: O Letter of Disapproval ( } Properly Completed & Signed Original Zoning Variance Application ( ) Two (2) Sets of Sealed Plans O Non-refundable Application Fee of$350.00 O Escrow Account Fee of$1,000.00 ( ) Provisions of any deeds, covenants, easements or restrictions affecting the kind of improvements allowed or prohibited upon the premises. O Notarized Mailer& Sign Affidavits, Area Map & Public Notification List (Please note that the notarized affidavits must be received by die Building Department by no later than the Thursday prior to the scheduled zoning hearing) ##Mrt###MMM#kkrtrt#rti#rt##rtk#krtkk#k####k#krt###rt#k#k#k#krt#####k#Mh#k#k#k#kMkk#####k#kM##M#M#k###kk#k#######M#M## This application must include the notarized signature(s) of the applicant of record as well that of the legal owner(s) of the subject property in the spaces provided below. Any application not properly signed shall be deemed null and void and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �hY1 G SCa,,,^-let,'-n 6nz , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)lie is the for the legal owner and is duly authorized to make and file this application. (indica econtractor,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 die determination of, and any conditions set by the Rye Brook Zoning Board of Appeals, with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. Sworn to before me this 8 Sworn to beforeme this 2-9 day of 20a-.;t day of< J- , 20 \v�� - "Act, Notary Public Notary Public CmC)lucr PC- Signature of Property Owner Stgnaturc of Applicant Op7G{r-eG fig( (�201)-ern Print Name of Property Owner Print Name of Applicant SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New YorkNo.01ME6160063 No.n Westchester Qualified In Westchester County Qualified In Westchester County Commission Expires January 29,20 Commission Expires January 29, � 4 8/12/2021 DR Village of Rye Brook y� �. Agenda v. �' Zoning Board of Appeals Meeting W c�cc,9 tc� 4. Tuesday,November 1, 2022 at 8:00 PM Village Hall,938 King Street �j 1. ITEMS: 1.1. #22-026 (Adjourned from 10/6/2022) Richard Bowman&Kristen Bowman 287 North Ridge Street Legalize driveway expansion. Mail Affidavit Sign Affidavit Approvals: Moved Second Abstention Aye; Nay; Adjournment; Notes 1.2. #22-031 Paul Grossberg&Marjorie Grossberg 57 Hillandale Road Install a 24kw LP fired generator and under-ground LP fuel tank. Mail Affidavit Sign Affidavit Approvals: Moved Second Abstention Aye; Nay; Adjournment; Notes DM MI SB SF GB K&B JDS JS DH Page 1 of 2 • Zoning Board of Appeals November 1,2022 1.3. #22-033 Danielle McCann 5 Elm Hill Drive Legalize existing in-ground swimming pool constructed under Building Permit#2499 issued 3/17/1981 &pool patio. Mail Affidavit Sign Affidavit Approvals: Moved Second Abstention Aye; Nay; Adjournment; Notes 1.4. #22-034 Colin McGovern&Andrea McGovern 11 Churchill Road Construct a 2nd floor addition,new front portico,interior and exterior alterations. Mail Affidavit ✓ Sign Affidavit Approvals: Moved Second Abstention R Aye; Nay;_ Adjournment; Notes 2. SUMMARY APPROVALS: 2.1. Approval of September G,2022 Zoning Board Summary Approvals: Moved Second Abstention Aye; Nay; Adjournment; Notes DM f MI f SB SF GB ✓ K&B JDs JS ✓ DH Page 2 of 2 JOHN G. SCARLATO JR. ! p OCT 2 6 2022 DD VILLAGE OF RYE BROOK ARCHITECT BUILDING DEPARTMENT 33 BYRAM HILL ROAD ARMONK, NY 10504 PHONE 914 273-7350 FAX 914 273-9222 October 26, 2022 Village of Rye Brook 938 King Street Rye Brook,NY 10573 RE: 11 Church Hill Road AFFIDAVIT OF MAILING NOTIFICATION & POSTING OF SIGN Dear Zoning Board of Appeals: This letter is stating that my office Mailed out the Notice of Public Hearing letter for 11 Church Hill Road, according to the village's regulations. The mailing was mailed on October 19, 2022. The sign was created in accordance with the regulations of the village of Rye Brook and put up on October 24, 2022 and will stay up till after the meeting on November 1, 2022. Sincerely, G. Scarlato Jr. —7 �. Sworn to before me this day C)C—\� a b 12022 Notary Public VN -R 1 SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County Commission Expires January 29,20L 1 Building Permit Check List&Zoning Analysis Address: 1 �-�-�J�I-G�\LC� �� _ SBL• Zone:_�Z't ,S_ Use: 77,10 Const.Type:— � Other. Submittal Date: 3 11 Z Revisions Submittal Dates: Applicant:_lam e-Ci rJ F—t2� Nature of Work: Nam- A:t�,TP 0 Da--l r / L Nit i'r� i O A-- evi w :ZBA: OCT - 4 2022 PB. BOT: Other. ( ( ) FEES:Filing: 7S• BP: 08 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: Sin Protection S/W Mgmt.: Tree Plan: Other. ( ) (J�SURVEY:Dated: Z� ZZ Current ✓ Archival• Sealed: Unacceptable: ( ) (.) PLANS:Date Stamped Sealed: ✓ Copies: 7- Electronic ✓ Other. ( ( License: Workers Comp: Liability: ✓ Comp.Waiver. ✓ Other. ( ) ( ) CODE 753#: Dated: N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL Plans: Permit N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. (vY ( ) 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. ( ) ( ) 2020 NY State ECCC: N/A: Other. (� ( ) Final Survey Final T o: RA/PE Sign-off Letter. As-Built Plans: Other. ( (� BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. (44ARB mtg.date: approval:- 1 k k�bk22 notes: (-)' A mtg. date: lk 1.ta- approval:- l LLVI,'L notes: ?,7— dD3f"f• ( )PB mtg. date: approval: notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: r < k— f 6,6�, — o� NOV 2 3 2022 Circle: too Dade. Fr a 7S cow - Front From: t-1 �l Z i�' �r �� 2 S� - Z , C, Sim: t -r S 'Z 2 G >3 Main or, l b '° 0 IR 1z Accs,Cov Ft.H/Sb: Zp. I. "" l T 5' 0&a- • T Sd.H/Sb• L ,G o L Sa 3�3—i— l6Z zS �F Tot.Imp: 5 6 3 — A F Im : S 19 — p� P i Hc*ht/Stories: notes: Residential Building Permit Fee Work Sheet Permit#: Date Issued SBL: Zone: Address: Property Owner& Contact Info: Job Description: For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements)x $300.00 x $I5.001$I,000.00 Basement Sq. Ft. x $65.00 x $I5.00/$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq.Ft. • New Construction Cost • MIng Penmt Fee Basement= sq.ft.x$65.00 = $ x$I5.00/$I,000.00 = $ Attached Garage= sq. ft.x$300.00= $ x$I5.00/$I,000.00 = $ I,Fl. = sq. ft.x$300.00= $ x$I5.00/$I,000.00= $ 2"d Fl. = 3 Z sq. ft.x$300.00= $ 4{ x $I5.001$I,000.00 = $ C� 3rd Fl. = sq. ft.x$300.00= $ x$I5.00/$I,000.00 = $ +1 Fl. = sq. ft.x $300.00= $ y x$I5.00/$I'000.00 = $ Total S4. 1~C 1 sq. ft. Total Cost= $ ['�—S/ ��� Total B.P.Fee= $ t Total Amount Paid = $ Total Amount Due= $ NOV 2 3 2022 Date: Signed: BUILD MENT VIL 'CQC; OOK 938 KING gtfi';. ,NY 10573 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: `k U-\"J&C'N� W D Date of Submission: Parcel ID#: Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: 1' MUST BE COMPLETED BY THE APPLICANT &--n0UCt-A.4Y.L The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner: S 1• ( `TCo pleted Application p tY .�1f11Dr�c� I/ L%z0 t�ryl `,yf' C,eLi n MC- c 4� 2. ( wo(2)sets of sealed plans. (one full sae (maximum Address: { C I A„ , � , t_,, ,,,� allowable plan size=36"x 42") and one I I"x 17") �- ��`�`-`T'�— 3 ( �(2)copies of the properly survey. Phone# �`1l4) Zco I -G z_� 4. ( 7 ►w (2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( ne electronic/disc copy of the complete appjcation materials. S CctrI C(--(A �.dol 6. ( fling Fee. Address:��j�j �j� J3 It ,L},-jP0-'k t' 7. { )Any supporting documentation. Phone# ?7°3--73 S'� �o.;tia� 8• ( ) A approval letter. (if applicable) 9. ( liotographs. Architect/Engineer: SC��,E QS UtfP 10.( )Samples of finishes/color chart. (a sample boa,•d or Phone# model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this P Sworn to before me this aL"; day of ,yCr`��/ , 20Q ;1_ day of , 20 a;) � Signature of Property Owner / /�q n y� Signature of Ap/pli 6y l/Q I '�hn U S C Gi-��y✓� IPr it Name of Property Owner Plante of Applicant L AZ �n " . V-\," Not. ublic SHARI MEULLO Notary Public Notary Public,State of New York III No.UMEU60063 SHARI MEULLO Qualified In Westchester County Notary Public,State of New York Commission Expires January 29,20Z-2 No.O1MEU60063 Qualified In Westchester Counw-? commission Expires January 29,01- 02I JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road ' Armonk, N.Y. 10504 OCT _-1 2022 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 10/3/2022 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook,NY 10573 Dear Mike: RE: 11 Church Hill Road The Enclosed building application needs two variances one for the front height setback ratio for the second floor addition and one for putting a portico over the existing front masonry stoop. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. y--QR Village of Rye Brook ML MR Agenda FB SE O Architectural Review Board Meeting AC SF Wednesday,November 16, 2022 at 7:30 PM Q Village Hall, 938 King Street JM 1. ITEMS: 1.1. #5786 (Consent Agenda) Daniel Marks &Yael Marks 18 Hillandale Road Rooftop solar array. 1.2. #5787 (Consent Agenda) Chris John & Seba Samuel John 11 Legendary Circle Rooftop solar array. 1.3. #5788 (Consent Agenda) David Lawrence &Marjorie Lawrence 15 Magnolia Drive Rooftop solar array. 1.4. #5789 (Consent Agenda) Dean DiLeo & Gail DiLeo 9 Beacon Lane Rooftop solar array. 1.5. #5790 (Consent Agenda) Felipe Blasques Lombardi&Alessandra Edwiges Naves de Jesus 109-1 Lincoln Avenue aka 1 Blind Brook Terrace 4' high black aluminum picket fence. 1.6. #5791 (Consent Agenda) Janina Rzeszutkowski 48 Tamarack Road Replace driveway& driveway retaining walls. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 4 Architectural Review Board November 16,2022 1.7. #5652 Abhinav Gautam&Pooja Singh 11 Berkley Drive Changes to windows and doors; fireplace bump out. (Amendment to Prior Approval) Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. #5077 Lawrence Rose&Lauren Rose 39 Meadowlark Road Rear deck. (Amendment to Prior Approval) Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. #5792 Colin McGovern&Andrea McGovern 11 Churchill Road 2nd floor addition, new front portico, interior and exterior alterations. Approvals: Motion V6 Second 46�- C Abstention Aye; Nay;_� Adjournment; Notes 1.10. #5793 Keith Cheung&Jessica Luk 14 Rock Ridge Drive Enclose front porch. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Vagc 2 of 4 Architectural Review Board November 16,2022 1.11. #5794 Win Ridge Realty LLC 5A Rye Ridge Plaza New storefront. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. #5737 JPS Edgewood LLC 6 Edgewood Drive Changes to garage doors &metal roof. (Amendment to Prior Approval) Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. #5795 Washington Park Plaza Associates (American Prime Restaurant) 275 South Ridge Street New aluminum awning w/ lights. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. #5796 2 Elm Hill LLC 2 Elm Hill Drive -Lot#2 New single family dwelling w/ finished basement. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 44 Architectural Review Board November 16,2022 1.15. #5797 2 Elm Hill LLC 2 Elm Hill Drive-Lot#3 New single family dwelling w/ finished basement&existing swimming pool to remain. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: December 21, 2022 Page 4 of 4 r On MV .0�01e- y ` .� ,� ,��, :� �, _,E. ,. i~ 4 1 �. '.` _. + ` ' � �• � t � o ��,,;�� " 'R `' '� '" '` .. . � ..�` ��� i � ,1 t � ; '+ _ � .i`+� r � ,.� �. ,� �� a• ,__. r ,,�. . °'��... * _ _ _- _� ,,�1,r •� _ ,.� +r' „_w... ;,.,.; ,.==:'ar:_.:�-s►•- �� - .,,,fix. ;� F ' T � S'�•_ — w �•ash;..�; •;�.. - ♦ :' {•-iy �� �w 1F�ty � 5.:k'E,'1 a�Y�•S y��S.£Ek�' If.� F� K"y ^�.'_ } ,r ^'4 �T�'�y�S.. •� C�C7i1�3�'1•.I� 1.� F=... ..�'� 5..,,.q., -''1 y_ of - )^ ._` v c",I ray•- �` ♦. •�'. ..=p a. y— ee f �__ ✓� R y t 1 _ t 'M� h^'}r fir , �;•', 5 r!'� + � );}.1fir. 't ��v�,1� j i r"l. �' f�,l�•�+ Ar?", fy �M ) V, art ►71 l (;I I .. Y,�, /� t,� ��l i ,� ,�•C�,� � ��L� If' `���'l. ti., 1i1'�r'.� l fill .. "11 11' , t'i ` •l�•1 /f( I,'(•, 1 .,f[ Y' �/y_[,?'•9� �.' 't] t �.,. r� 1. Il �. ;�1 .. �' /rA' f�Al�yr�f, \ r,"v .'ii SrJ',,'`Iw��.�• �1 � , I. .,J • _ `H`= • � -,_���Jam- �; 1�� � ��'':�; r ,. Y 'I'f .A�'• J�. , 01, Li •� ����f. rN " r�' �L�- � 1 .. � '•. 1,. S �r', , I w �J 1 NY�Y � 1�, T�`• 1',• �',/ I':r�}; � 1. ,�r.� ry � � , 't. ;, 1 .� '� � :A�i AL�Y I`.�� � _ •4' � ,JF i �' Vl. L•I' . . . . � . � • ®y4» .a « wi-la � � • � \ � . ��%�` . %� ► � ���\ AW Laura Petersen From: Steven Fews Sent: Wednesday,June 21, 2023 4:40 PM To: Colin McGovern Cc: Laura Petersen Subject: RE: 11 Churchill - Oil Tank Expires: Thursday, October 19, 2023 12:00 AM Good Afternoon Mr. McGovern, The Stop Work Order was placed on your door today for the violation. When I arrived to the office this afternoon, I learned that you had already submitted the violation fee for unauthorized removal of the Oil Tank. I believe that you have scheduled a re-inspection for the other outstanding items. During this inspection I hope to finalize everything so that we can issue a permanent Certificate of Occupancy. You can remove the stop work order, but do not discard it. I must stamped it and take it back for my files. Thank You. Steven E. Fews Building Inspector & Fire Inspector Office (914) 939-0668 -----Original Message----- From: Colin McGovern <colin.mcgovernl@gmail.com> Sent: Wednesday, June 21, 2023 1:19 PM To: Steven Fews <SteveFews@ryebrook.org> Cc: Laura Petersen <LPetersen@ryebrook.org> Subject: 11 Churchill - Oil Tank Hi Mr. Fews, As discussed, the oil tank at my home was taken out without a permit - it was cleaned and removed, with no oil spillage and I do not have a formal receipt indicating it's removal. I have submitted the $500 payment to the Village to address this matter. Thank you Colin McGovern Homeowner 11 Churchill Road i a � o w r � r hil O i [Z] Fes- � oG CO Ln 6Lj ran, O C �y ,.� � A/ A/ � •rn O C) 1 _ • I.+�I r u Cl m UJ tz cc Um CL uj N o ►�� o O w o L A E� In pi .� ca oLL c c Q • = N A � w ,^ V R W —°, E m 1 — AAA xA -� o E o C� 0 O o 0 .0 �y W w JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road D Armonk, N.Y. 10504 NOV 17 2022 Phone: (914) 273-7350 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Fax: (914) 273-9222 JGSCARLATO@a GMAIL.COM 11/16/22 Steven Fews Assistant Building Inspector Village of Rye Brook 938 King Street Rye Brook,NY 10573 Dear Steven: RE: 11 Church Hill Road Enclosed are one 24 x 36 and 11 x 17 copies and disc of the revised drawings from the last Architectural review meeting. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. DECLARATIONS Coverage afforded by this policy is provided by: State Farm Fire and Casualty Company PO BOX 88049 We will provide the insurance described in this policy Atlanta GA 30356-9901 in return for the premium and compliance with all applicable provisions of this policy. A Stock Company with Home Offices in Bloomington, Illinois. 56-C6-P885-9 Policy Number Named Insured and Mailing Address McGovern, Colin G &Andrea 128 Chatterton Pkwy Unit 1 White Plains, NY 10606-2207 The Policy Period begins and ends at 12:01 a.m. Automatic Renewal - If the Policy Period is shown as Standard Time at the residence premises. 12 months, this policy will be renewed automatically 09/28/2022 Effective Date subject to the premiums, rules and forms in effect each 12 months - Policy Period succeeding policy period. If this policy is terminated, we 09/28/2023 Expiration of Policy Period will give you and the Mortgagee/Lien holder written Limit of Liability-Section 1 notice in compliance with the policy provisions or as required by law. $510,000 Dwelling $382,500 Personal Property Deductibles - Section 1 $1,000 ALL LOSSES In case of loss under this policy, the Limit of Liability-Section 2 deductible will be applied per occurrence and will be $1,000,000 Personal Liability deducted from the amount of the loss. $5,000 Medical Payments to Others Earthquake: Policy Type Homeowners Hurricane 5% $25,500 Al - Replacement Cost-Similar Construction Policy Premium $1692 Increased Dwelling Up to $102,000 - Option ID Location of Premises 11 Churchill Rd Rye Brook, NY 10573-1110 Forms, Options, & Endorsements HW-2132 Homeowners Policy Amendatory Endorsement Hurricane Deductible Home Systems Protection Service Line Coverage-$10,000 Back-Up of Sewer Or Drain Mortgagee &Addl. Interests Agent Name&Address Mortgagee Robert L Stevenson II US BANK NA ISAOA 850 7th Ave Ste 1005 c/o Us Bank Home Mortgage New York, NY 10019-0027 PO Box 961045 (212) 397-0580 Fort Worth, TX 76161-0045 Loan Number: 2201480350 Prepared: 11-23-2022 Agent's Code:9D90 559-916.5 APPLICANT COPY 1000007 2020 127534 219 04-23-2021 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence ""This form cannot be used to waive the workers'compensarion rights or obligations of any panty." Under penalty of perjury, I certify that I am the owner of the I, 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. 1 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. 1 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 1 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 Clr 200 exemption form; OR • have the general contractor, performing the work on the I, 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 mare per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. L (Signature of Homeowner) _ (Date Signed) - ,� � ��'_i:L;c:,:�• Home Telephone Number i l, (Homeowner's Name Printed) SP 840bm Property Address that requires the building permit: JZ Notary Pubile,State of NOW York No.01ME8160063 Quallfled In wastehadw County :;ommisslon Expires January 29,202-� Once notarized,this SP-1 form serves as on exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB i'�A � 1 �� •+r +1 \A. i► � 1jA\ s A ..�� A `•. '_-- ti A. A� � .. % ssj>..Ad(s�_' -t 11A t - -fh� A �.. � O O O �� }�• O'• 4�y _O �Y,15} y .f ti'r�;�, '.�� +� � O .� >:.� ,ua'1;1r � -+at 1 n�ay,Y'1 ,�, tt�+�,, :,u�y,a v c.�'•`l Y v kQ v c rh 1► Lc`C� �f- � 41 .t �" �"`.1f♦ � v& >,.. fir � dR`�_.. . ef�1� •.�d�� f��f� � ,�& ti ° +' �a11/1111l,..:;5 �lillfl/li��.. _,:c 3'i%lt��111/1/11i�� .. s ���111/11i�/..._; :�,.•.��1111f11iy�.._:o ;}.��i!!�1lli��- '� y ' ', o. . . . . . . ..Rosi -- -- --- - -. --. -. —...---- ---- ---- -- - -- --- aw s co rf` / cct O r.-. i O > CO •yc c � V O •.GCS . EN p Z Q rn �„ p f/�) cn o ction w "') Q z r•l ui Q C ,r W.06 X �' = aAl Ycn cc cam•, ,fir ' P:`��, . � O � 9• .;tea` L W >~ c> � N CIO z COu co ' cn 7 y ^:$;,'l11111.: aaBx•i`y�l1l1!';is'S 2 x�,(111lll6' .ij _ PH011•i's':'. _Sr:;'�111 p�tFtl9sx a +•7`!) 't� )1r. lllfl/f1!!1 lllf/lfflil a� rillfl/i/lll 1111//11111 a 2sttEEFs �illfl//1!!ir ti r�yl/11/f!!� �1 "' � �ti F1 ,IS ��• A •�N 1^A _ �,1♦ - N� A'6G`S�ft; ���� t X bt*+j,���Y A a � { d s:s• .�siO •� Otx• vzlo �}s f'.••�Ov�" �Y 4Y O +/ ��Jtl1's+ � v�,,,�O CC(i •sty - ..��'' .._ ' 'T' ....\'�.+.�jam;. <�;N. �a'\• .. - l-�uti �-� MB,JHEAT-01 JSALKOWICZ ACORt� CERTIFICATE OF LIABILITY INSURANCE DAT 1 2/6/2/6/2022 D/YYYY) 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 CONTNAME:ACT Keep Insurance Agency 27 Cleveland Street a/°,,"N ,Ext:(914)220-1400 1 FAA/c,No:(914)220-1440 Valhalla, NY 10696 EAI -ML INSURERS AFFORDING COVERAGE NAIC f INSURER A:Main Street America Assurance 29939 INSURED I INSURER B:NGM Insurance CO. 14788 M&J Heating And Cooling Inc INSURER C: 627 Peekskill Hollow Road INSURER D: Putnam Valley, NY 10679 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110001000 CLAIMS MADE � OCCUR X MPZ4688E 10/16/2022 10/16/2023 DAMAGE TREMISESO R(EaENTED $ 600,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JE o = LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO MPZ4688E 10/16/2022 10/16/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AURTEOS ONLY AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X AUTO ONL� Pe�acEcidentDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYA LITE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y� WCZ4688E 10/16/2022 10/16/2023 E.L.EACH ACCIDENT . $ 1,000,000 (Mandatory in NHS EXCLUDED? N/p' 1,000,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Village of Rye Brook is considered an additional insured regarding licensing/permits 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10673 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured M&J Heating And Cooling Inc 527 Peekskill Hollow Road 914-879-7462 Putnam Valley, NY 10579 1 c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy) 1 d. Federal Employer Identification Number of Insured or Social Security Number 814393178 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NGM Insurance Co Village of Rye Brook 938 King Street 3b. Policy Number of Entity Listed in Box"1 a" Rye Brook,NY 10573 WCZ4688E 3c.Policy effective period 10/16/2022 to 10/16/2023 3d.The Proprietor, Partners or Executive Officers are Included.(Only check box If all partners/officers included) ® all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"T' insures the business referenced above in box 1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? YES ®NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy Indicated on this form, If the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business Is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the Insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Joseph Cantarella (Print name of authoriz re esentative or licensed agent of insurance carrier) Approved by: (Signature) (Date) Title: EVP Telephone Number of authorized representative or licensed agent of insurance carrier: 914-220-1400 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-15) www.wcb.ny.gov UNAUTHORIZED ALTERATION TO A MAP BEARING A LICENSED PROFESSIONAL LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. THE CERTIFICATION IS NOT AN EXPRESS OR IMPLIED WARRANTY OR GUARANTEE, IT IS PURELY A STATEMENT OF PROFESSIONAL OPINION BASED ON KNOWLEDGE, INFORMATION AND BELIEF, BASED ON EXISTING FIELD EVIDENCE AND DOCUMENTARY EVIDENCE AVAILABLE. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. PLAN PREPARED PURSUANT TO SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. SUBJECT TO THE FINDINGS OF AN UP TO DATE TITLE SEARCH. UNLESS THE SURVEYOR'S ORIGINAL SIGNATURE AND SEAL APPEARS RAISED ON THIS MAP, IT SHOULD NOT BE CONSIDERED A TRUE AND CORRECT COPY OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. LEGEND 1,,4 GAS VALVE WATER VALVE _Si SEWER MANHOLE 0 UTILITY POLE UTILITY POLE WITH LIGHT LIGHT POLE 0 POST Ac AIR CONDITIONER Ov VENT & OIL FILL .W DECIDUOUS TREE CONIFER TREE 8 POB BEING ON THE EASTERLY SIDE OF CHURCHILL RD. DISTANT x 594,98' SOUTHERLY FROM A CURVE END (R=30', L=39.17`) CONNECTING THE EASTERLY SIDE OF CHURCHILL RD. AND THE T� Q' SOUTHERLY SIDE OF WINDING WOOD RD. f� U t a x 2�9 y x Q7 I, �p BOA kmii 1F Ir N/F GOODMAN CNTRL#400690561 SBL 135.26-1-17 FM 7951 LOT 20 BLOCK G -�---- _�_ - PROPERTY LINE -ca a- c cr c— ca c C CHAIN LINK FENCE ----- METAL FENCE WOOD FENCE .. ...s- ....... __.. SEWER LINE oww OVERHEAD WIRES 52- MINOR CONTOURS 50- MAJOR CONTOURS ...... �_,_.. _._ _., �.. _ GAS LINE 56 1 STORY DWELLING xr I` r` f;, � 3 � ASPHALT _ �' mw Ci x F 2.8 3.0! WS x 0 w£ E W Q a ,moo If �Z� l N AREA=16825.0991±SQ.FT. � FENCE % x : ; ACRES=0.3863 j� L7198 P417 f ON PL SBL 135.26-1-16 x' FP�i 7434 LOT 21 , FLOCK G L :2 35 R=E50.00 1 (gRaOR CiN£ `- V/Teq) POB POINT OF BEGINNING PL PROPERTY LINE EOA EDGE OF ASPHALT CNC. CONCRETE FFE FINISHED FLOOR ELEVATION SRW STONE RETAINING WALL CRW CONCRETE RETAINING WALL LOCUS MAP (N.T.S.) MuNsimmamm 1. THIS PLAN WAS PREPARED FROM AN ON THE GROUND FIELD SURVEY CONDUCTED BY RLS ON SEPTEMBER 23, 2022 AND ON THE FOLLOWING DATUM - MERIDIAN: FM 7434 HORIZONTAL: ASSUMED VERTICAL: SCALED AS PER WESTCHESTER GIS (NAVD 88) N/F STEVENS 2. REFERENCES CNTRL# 441321626 STREET NAMES, R.O.W. WIDTHS, PROPERTY IDENTIFICATION NUMBERS, OWNER NAMES, SBL 135.26-1-43 EASEMENTS, AND ANY ADDITIONAL INFORMATION SHOWN HEREON ARE REFERENCED FROM FM 6921 LOT 7 THE FOLLOWING MAPS AND DOCUMENTS - BLOCK G A. LAND CONVEYED TO EUGENE J. BRUSCHI BY DEED BOOK 7198 PAGE 417, FILED IN THE WESTCHESTER GO. CLERKS OFFICE ON MAY 22, 1974. B. MAP 7434 ENTITLED, "MAP OF SECTION C, RYE ACRES", PREPARED BY HOWARD T. LOCKWOOD AND FILED IN THE WESTCHESTER CO. CLERKS OFFICE ON JULY 23, 1951. 3. THE SURVEYED PROPERTY IS SUBJECT BUT NOT LIMITED TO THE INFORMATION SHOWN - HEREON. ALL INFORMATION THAT MAY AFFECT THE QUALITY OF TITLE TO BOTH THE SUBJECT AND ADJOINING PARCELS SHOULD BE VERIFIED BY AND ACCURATE AND CURRENT TITLE REPORT. 4. THE LOCATION OF THE UTILITIES AS SHOWN HEREON HAVE BEEN COMPILED FROM VISIBLE STRUCTURES AND INFORMATION OBTAINED FROM VARIOUS SOURCES. THE ACTUAL LOCATION OF ALL UTILITIES AND UNDERGROUND STRUCTURES SHALL BE CONSIDERED APPROXIMATE AND SHALL BE VERIFIED BY THE OWNER PRIOR TO ANY CONSTRUCTION. 5. WETLANDS, ENVIRONMENTAL AND/OR HAZARDOUS MATERIALS LOCATION, IF ANY, NOT COVERED UNDER THIS CONTRACT. [OR] WERE LOCATED AS MARKED AT THE TIME OF THE SURVEY. 6. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. WESTON N/F STO N/F 7. CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN BY THE ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. THIS PLAN NOT VALID SBL 135.26-1-42.1 UNLESS ORIGINAL STAMP AND SIGNATURE OF A LICENSED SURVEYOR ARE LOCATED FM 6921 LOT 6 HEREON. BLOCK G 8. 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