HomeMy WebLinkAboutBP22-257PERMIT #/*,,I./
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INSPECTION RECORD
DATE
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9
sLR APPROVALS
`�yE BRC�v�
VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher J.Bradbury
www.ryebrookny.gov
TRUSTEES BUILDING&FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
David M. Heiser
Donald T.Krom,Jr.
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
June 9,2025
Emily Salter
73 Greenway Lane
Rye Brook,New York 10573
Re: 73 Greenway Lane, Rye Brook,New York 10573
Parcel ID#: 129.84-2-62
Building Permit#22-257 issued on 12/29/2022 for Replacement Windows & Door
This certifies that the two new windows and one new storm door,installed under the above captioned permit
has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
For office use onl��:
D E (� r� M 5D BUILDING DEPARTMENT PERMIT# - Jam' 7
V E � v L VILLAGE OF RYE BROOK ISSUED: i
8 KING STREET,RYE BROOK,NEW YORK 10573 DATE:
AN - 2 2025 (914)939-0668 FEE: C PAID
www.ry ebrooknv.Qo-,'
VILLAGE OF RYE BROOK
BOIL ERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE,
AND CERTIFICATION OF FINAL COSTS
- — _ - - - -- ---- -tiAL INSPECTZQN
Address: 73 Greenway Lane, Rye Brook, NY 10573
R-3/One Family Residential �u
Occupancy/Use: Parcel ID#: 129.84-2-62 Zone:
Owner: Emily Salter Address: 73 Greenway Lane, Rye Brook, NY 10573
P.E./R.A. or Contractor: Double R Home Improvements Address: 439 Willett Ave, Port Chester, NY 10573
Person in responsible charge: Ralph Caccomo Address: 439 Willett Ave, Port Chester, NY 10573
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:
Emily Salter being duly sworn,deposes and says that he/she resides at 73 Greenway Lane
(Print Name of Appiuxnt)
in Rye Brook ,in the County of Westchester in the State of NY ,that
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: 4,300
for the construction or alteration of: Replacement of upstairs bedroom windows (2)and storm door
Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of
Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in
accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and
as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an
owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly
or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building
Inspector as per§250-10.A.of the Code of the Village of Rye Brook.
Sworn to before me this Sworn to before me this
day of S\- �C_ , 20 J day of , 20
Si of Property Signature of Applicant
Name of Property I
er Print Name of Applicant
SJ a
Notary Public SHARI MELILLO Notary Public
Notary Public,State of New York
No.OIME6160063
Qualified In Westchester County
��Commission Expires January 29,20 Z
BUILDING DEPARTMENT
11 P-MLIDING INSPjIC,'J.IoR --
eAs-Nl,S'rAMr.BIMj.).)j,N(,4 N-,p.yt(-,Tojt VILLAGE O.-v RYE BROOK
11('01M F-MIOROMINTOIRIPICER 938 KIN-I:..SJ.'R-Ej4T-.RYL, BROOK,NY 10573
(914) 939-0668FAx(914)939-5801
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- -- - - - - - -- - - - - - - - -- - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - -- -
a Ly
BLOCK:-2— Lar: 6,2,
LOCATION: SelL OCCUPANCY:
11 VIOLATION No-ru'io T:tJ:V, WO�V,K AP:...11 SITE INSPE CI'lo-N
11 FOOTING
0 FOOIINC. �P 4.A.JNAGE
0
11 k-'1-NJPItlJZGlt0UNJ)PLUMBING ON I..'Nspf",G)"ION:
0 ROUGH PLUMBING
0 ROV.)C-,Jl FR&MING
1-1 INSIMA.11.4 D,N
El NA!jruRAi.(I'AS 2
0 L.P. GAS
0 FUELTAWK
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EC ENE
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK DEC 2 7 2022 ID
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
MM,ryelirook.org BUILDING DEPARTMENT
ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION
FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE:ARCHn'ECTURAL REVIEW BOARD APPROVAL
FOR OFFICE USE ONLY:
APPROVAL DATE: DEC 2 WERMIT :,&��D'577 APPLICATION FEE:'s
APPROVAL SIGNATURE: PERMIT FEES:
H.O.A. APPROVAL: DATE:
DISAPPROVED: OTHER:
*******s***************rtrt*********rt*rt***rt**rt****rtrtrtrt****rt**rt*rt*******rtrt***rt*******rtrtrt***rt**rt****rtrtrtrtrtrt*****
Application dated: /D��Td is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
I. JobAddress: 7 (,een ' L.aC� {�. D
2. Parcel ID#: /'�)�' sI',I— -)— & I _ _Zone: u,6
3. Proposed Improvement(Describe in detail): Fe_0 4 CZY WA1C-t 4 L e.�G'�C�t d C � �✓nD i✓1 �o��
W 1 Y)Jy_Ws C v SIouin jnU�
4. Property Owner:: 1 k
kw
Address: 3 Gyetyx L_-, Yam_ R (2 00 O ,`,,
Phone# Cell# l 1 4 y�A�4 e-mail Qml ks4 ,<,A r y I
List All Other Properties Owned in Rye Brook: 0
Applicant:
Address:
Phone# Cell# e-mail
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor: S,_or:_" f bt-e_ . Bon Q �+lk roxq'' 1
/
Address: `13to V 1 V� ,r�I f, Ave- Po r f C k e , L:k—j 10 7 3
Phone# ���{ �3� '1 XT:1 Cell# e-mail (4-'Pat
Co'M
(I)
Al12/2021
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: P r t Ck M Post-construction:
6. Area of lot: Square feet: [IjI() Acres:
7. Dimensions from proposed building or structure to lot lines: front yard: rear yard:
right side yard: left side yard: other: `/�
8. if building is located on a corner lot,which street does it front on: ,)A
9. Area of proposed building in square feet: Basement: 1"fl: 2"d fl: 3rd fl:
10. Total Square Footage of the proposed new construction:
11. For additions,total square footage added:Basement: I I fl: 2nd fl: 3ra fl:
12. Total Square Footage of the proposed renovation to the existing structure: "&
13. N.Y.State Construction Classification: N.Y.State Use Classification:
14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT];
()Pre-engineered wood[PW];Located;()Floor Framing[F];()Roof Framing[R];()Floor&Roof Framing[FR];Other:
15. Number of stories: *3 ,, Overall Height: Median Height:
16. Basement to be full,or partial: N —, finished or unfinished: /-�
17. What material is the exterior finish: 1e
18, Roof style;peaked,hip,mansard,shed,etc: Roofing material:
19. What system of heating: I lay bon-yd
20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application.
21. Will the proposed project require the installation of a new,or an extension/modification to an existing auto m is fire
suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No:
(tfyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans)
22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or moreQf impervious coverage requiring a
Stormwater Management Control Permit as per§217 of Village Code? Yes:_No:_Area:
23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: No: 1/' (if yes,applicant must submit a Site Plan Application, &provide detailed drawings)
24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:
(if yes,you must submit a Site Plan Application,&provide a detailed topographical survey)
25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No:
(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan)
26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:
fif yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan)
27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No:
(ifyes,applicant must submit a Tree Removal Permit Application)
28, Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:
Indicate:TIER I: TIER 11: TIER III: (if yes,al�,Home Occupation Permit Application is required)
T
29. What is the total estimated cost of construction: $ " �V o Note:estimated cost shall include
all site improvements,labor,material,scaffolding,feed equipment,professionalfees,including any material and labor which may be
donated gratis.If the final cost exceeds they estimated cost,an additional fee will be required prior to issuance of the GO.
30. Estimated date of completion:
(2)
8/12/2021
ECEW E
BUILDING DEPAR MENT
VILLAGE OF RYE KOOK DEC 2 7 2022
938 KING STREET RYE BRO*NY 10573
(914)939-066$ VILLAGE OF RYE BROOK
wwwxvebrook.org BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS
THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED
ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT
APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT .
STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as:
residing at, '73 L_x 6Q►%J:ag �Af\_Q Kqe bfcq� f
(Print nilme)
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,
73 LcLv\-j?— ,Rye Brook,NY.
(Job Address)
Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that
there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further
that there are no roof drains, sump pumps,or other prohibited stormwater or groundwater connections or sources
of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State,
County and Village Codes.
Z J AA
Prolr,
li
�E M- I� " Sa VWJ/1
(Print Name of Properly ,,n ni,+i
Sworn to before me this
da of� 20
1Nuturn Publr4J
SHARI MELILLO
Notary Public,State of New York
No.OIME6160063
Qualified in Westchester County
Commission Expires January 29,20L`> (3)
8/12/202I
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 andlor not properly signed shall be deemed null and void, and will be
returned to the applicant. Please note that application fees are non-refundable.
**�***a**,t�*********,t,r***rr*+r****,r,r*,�,rvrwvr****t,r,e,rf,r***,r**,t,t,tt**,r**,e**�tt,r,t********,r*,r t,rv�*�t*xw*x�r*,r*�r*+n►�***,r
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
:El-6 l u, ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name o 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
for the legal owner and is duly authorized to make and file this
application.
(indicate architect,contractor,agent,attorney,etc.)
That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or
use conducted at the above captioned property will be in conformance with the details as set forth and contained in this
application and in any accompanying approved plans and specifications,as well as in accordance with the New York State
Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances
and regulations_ By signing this application, the property owner further declares that he/she has inspected the subject
property, and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or
groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property.
Sworn to before me this Sworn to before me this
day of DQt1YYibU )—J , 20 Q.o, day of ,20
� I I -A `�L44;;_7
i a re of rpeity Owner Signature of Applicant
Gn�l L�� Sa ky-
Print Name of Prop Owner Print Name of Applicant
Notary Public Notary Public
SHARI MEUL,O
Ve`Uy Public,State of New York
No.o1ME6160063
Qu4ltfleti In Westchester County
Commission Expires January 29,20
(4)
8/1212021
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173'/z Ivy Hill Crescent
Rye Brook, NY 10573
914-939-2440
J
December 9, 2022 DEC 2 7 2022
VILLAGE OF RYE BROOK
Emily Salter BUILDING DEPARTMENT
73 Greenway Lane
Rye Brook, NY 10573
Re: Window Replacements in Bedroom
Dear Emily Salter,
The Architecture and Grounds Committee (A&G) has reviewed and
approved your application for the above named work. This project requires
a permit from The Village of Rye Brook. You are directed to submit this
letter to the Village along with your permit application. Once the permit is
obtained, a copy must be provided to A&G.
Work on the project may not begin until you receive written notice of
receipt of your permit from A&G.
If any changes are made to the original plans submitted to A&G, due to
input from the Village or arising during construction, the Committee must be
notified in writing. Work cannot proceed until you receive written approval
for those changes.
Failure to comply with these procedures will result in fines and/or work
stoppage.
If you have any questions, please contact me at: Property Manager.
Ashlee Adragna
Property Manager
173'/z Ivy Hill Crescent
Rye Brook, NY 10573
914-939-2440
EVBIULILDING
December 14, 2022 DEC 2 7 2022
Emily Salter GE OF RYE BROOK
73 Greenway Lane DEPARTMENT
Rye Brook, NY 10573
Re: Storm Door Replacement
Dear Emily Salter,
This letter serves as confirmation that the Architecture & Grounds (A&G)
Committee has reviewed and accepted your application for the above
named work. This approval is valid for six (6) months from today's date.
If any changes need to be made to the original plans submitted to A&G
either before or during construction, the Committee must be notified in
writing and your application must be amended. Work must stop and
cannot proceed until you receive written approval for those changes.
You are required to inform the Property Manager when work begins. When
the project is complete, the Property Manager must again be notified so
that an inspection may take place. Please include a photograph of the work
as well.
Failure to comply with these procedures will result in fines and/or work
stoppage.
If you have any questions, contact me at: Property Manager.
Ashlee Adragna
Property Manager
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AC40 0 CERTIFICATE OF LIABILITY INSURANCE DATE(M7/202 YYY)
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THIS CERTIFICATE 13 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: H the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.
H 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 endorsemerlt(s).
PRODUCER CONTACT Gerard$eWerd
NAME.
Borrelli Partners Insurance Agency PHCNH , (914)939-7900 A� (914)407-5088
287 Bowman Avenue AIL
ADDRESS:
Suite 406 INSURERIS)AFFORDING COVERAGE NAIC 0
Purchase NY 10577 INSURERA: Evanston Insurance Company 35378
INSURED INSURER 8:
ARC Home Improvements Corp. INSURER C.
439 Willett AVe
INSURER D
INSURER E
Port Chester NY 10573 INSURER F:
COVERAGES CERTIFICATE NUMBER: 22-23 MSTR 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.
LTR TYPE OF INSURANCE POLICY NUMBER MM/D LIMITI
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 1,000,000
CLAIMS-MADE ®OCCUR PREMISES Ea oecvrranca S 100.000
MED EXP(Any one n) 51000
A 3AA550197 04/01/2022 04/01/2023 PERSONAL A ADV INJURY f 1,000.000
GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 2,DO0,000
POLICY P" LOC PRODUCTS-COMP/OP AGG f 2,000,000
OTHER f
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f
Es aocklent
ANY AUTO BODILY INJURY(Per person) f
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Pw soGdent) f
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Par axklenl S
f
UMBRELLA LIAB OCCUR EACH OCCURRENCE f
EXCESS LIAS HCLAIMS-MADE AGGREGATE f
DED I I RETENTION f f
WORKERS COMPENSATION PER
10
AND EMPLOYERS'LIABILITY YIN STATU R
ANY PROPRIETOR/PARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT f
OFFICERIMEMBER EXCLUDED9
(Mandatory In ur.)uM N yes,dsacrDe M
E.L.DISEASE-EA EMPLOYEE f
DESCRIPTION OF OPERATIONS below —_ E.L.DISEASE-POLICY LIMIT f
DESCRIPTION OF OPERATIONS/LOCAT)ONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more open Is required)
Certificate Holder Is included as additional Insured when required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS.
938 King Street
AUTHORIZED REPRESENTATIVE
Port Chester NY 10573
O 19U-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
NYSIF
New York State Insurance Fund PO Box 66699,Albany.NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
^ ^^^^A 133940830
MARENCO INSURANCE AGENCY INC
2525 PALMER AVE SUITE 1 a
NEW ROCHELLE NY 10801
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
ARC HOME IMPROVEMENTS CORP VILLAGE OF RYE BROOK
DBA DOUBLE R ALL HOME IMPROVEMENTS 938 KING STREET
439 WILLETT AVE RYE BROOK NY 10573
PORT CHESTER NY 10573
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2358 628-2 876874 04/16/2022 TO 04/16/2023 5/5/2022
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO 2358 628-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/NVWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
FRANK J VERRASTRO
TREASURER
RALPH CACCOMO
ARC HOME IMPROVEMENTS CORP
TWO PERSON CORPORATION
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STAT SU NCE FUND
/yr
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER 864645330
U-26 3