Loading...
HomeMy WebLinkAboutBP23-005PERMIT # g/ )3 I`OO � DATE. / ®cP IF SECTION I3S, 76 BLOCK If C7 1 - IIIIIII, LOT TYPE OF WORKAe4OLLIL.42>j JOB LOCATION ' / 174/ OWNEgYoQriOMQ1W&`06Q 1 CONTRALTO EE/I COSH v 0# TCO # FEE DATE INSPECTION RECOR.C) FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW4OLT a ALARM AS BUILT FINAL Q Wood / /e s es a r/4 �a/vraA0W FuMi/y pie✓oca6/eT y 3-� s7 Q SC'4 i/I�1�—/�2i�ic7nrYO O 7635 OTI IEfi APPROVALS ILTIFiNAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION fev�d �I /d�Ja.3 �yE 11R O t U Y tto (t � R �1�V4 Vv� V 7. 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.ryebrook.org TRUSTEES ACTING BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 2,2023 The Malvarosa Family Irrevocable Trust Ferdinando Malvarosa&Mario Malvarosa,Trustees 174 Fairview Avenue Port Chester,New York 10573 Re: Hillcrest Avenue, Rear Yard, Rye Brook,New York 10573 (House in Port Chester,174 Fairview Avenue) Parcel ID#: 135.76-2-6 Building Permit#23-005 issued on 1/13/2023 to Replace Failed Masonry Retaining Wall This certifies that the new wood tie retaining wall,constructed under the above captioned permit has been satisfactorily completed. Sincerely, 41 Steven E. Fews Acting Building& Fire Inspector /to D E C M W IE BUILDING DEPARTMENT For office use only: PERMIT# VILI AGE OF RYE BROOK ISSUED:/—/,3--d 3 APR - 6 2023 938 KING STRE*i,RYE BROOK,NEW YORK 10573 DATE: (914)939-0668 FEE: 4 //Q PAmM VILLAGE OF RYF BROOK N�ww.rvebrook.org BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ssssssssssss**x*s*****�.*axx***:::****sssssssssssssssssssss ssssssssss****M**+**ssssssssssssssssssssssssssssssssss****ssssssss Address: L &'Ct � p �_ Occupancy/Use: Parcel ID#: /35, -7& — —1p Zone: Owner: Address: P.E./R.A. or Contractor: !kAID Address:, Person in responsible charge: Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF N�EryW�YORK,COUNTY OF WESTCHESTER as: y I �/fC_h'.1 1'b I%A- kD5C, being duly swom,deposes and says that he/she resides at 'a 1 n� �o r rraL-" l V� nt Ninle of Applicant) (No.and Street) in COY i E'�1 ,in the County o in the State of 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:$ 2 D j 0(aD, 0 for the construction or alteration of: . 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 tkj§ 1/p Swom to before me this day of f 3 day of 20 _ S" a of Pro rty OvAer lsi e;f Applicant ( tl�C,- . -�' M C-C 4r'-e- ( ( Name of ProtrertyOwner PzqNarne of Applicant Notary Public NoWy Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No.01MEU60063 No.01ME6160063 x 12 2021 Qualified in Westchester County Qualified In Westchester County Commission Expires January 29,2Q� ommission Expires January 29,202? o�Q�6 4RC��Z V 9�2 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 : DATE: PERMIT# ISSUED' ' 3 'SECT: ( - 2 BLOCK:LOT: LOCATION: iC�-6 + OCCUPANCY: �X/ ❑ Violation Noted THE WORK IS... 01 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 ❑ OTHER �E Bkj� . 0 Zm w n 0� 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 ' I �1 ` eoj kp'2--DATE: u l-2073 _ ( , f u7 !T PERMIT# 12 v27 `�i ISSUED: t SECT: L�OCK: ZLOT: v LOCATION: 1 OCCUPANCY: ❑ VIOLATION NOTED THE WORK�I�S... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED FOOTING W ❑ 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 `n N w 5 CA N +4 0 04 ' A ;4 W y � y v W W 0. • I--I fir, x y W ` ono Z $ •�o 0. 41 en ►4 (aOD ° °, o v N x o Q ob A . 14 Q ° o & _ O avv I co z o y o . i7 s 00 Vr � �• "" z t i 00 z O O v v cs Val r)% RBIin a o0 M W UZ � b zd d Q A d a w = t v ' w a a H ¢� u z N xn c a prd ->a o 'S b 1 0 r� NV" cn W p w V W n; W Z � � 0 a Z Z o Aw z o � v ��° p v H v ° w C v A W w Ln C W z U C `� d E. V o v cn ©0 pro as . a CLi It gLU L o o � Z V 0 V i z � 0zui O O Cl) �I ��" a.1 a � v'�iab : ED BruML WC''D "ARTMENT JF�C E�V VILIrXi OF RYE BROOK NOV 2 1 2022 938 KING�STREET RYE BRooK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK Hww.ryebrook.or� BUILDING3 DEPARTMENT fOR 01'FICE USE ONLY. :�, •,.fir Approval Data DEC 2 7 202 Perm t# '� Application# Approval Signature: - ARCHITECTURAL REVIEW BOARD: Disapproved: Date: 12AlLz 2 BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee.-4 )/0 Permit t FENCE / WALL / GATE PERMIT APPLICATION Application dated: J��C3I �� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation.construction,repair or replacement of a Fence.Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook.as per detailed statement described below. Swimming pool fences must conform to the State Code, 1. Job Address: I ram. y� >�4P 1"O ��.:2 -//�' - �`C?�� 2. Occupancy/Use: S.B.L.#: � � ��' r Ct� Zone: 3. Proposed Fence/Wall Gate(describe in detail): 4. Property Owner: _ f' A :A I Address: _ _ K.-0 r N ,� C�[�-i,C3� C4 a�iS2C7 Phone# 2© -y23- fell# email: cJ�cvE? (YjI��G'GIJ Applicant: Address: Phone# Cell# email: - Architect/Engineer: v1e. M rr Address: 1171 Eas+ tli+hCLm 4ye. 06 e� Phone it 10 3 - $6 f-_2 2Q7 Cell# email:/ aL 0. -� Ctsrir Contractor: Ot/'� ltidSC��C�M` E L•tPS �/J Oi1/ u ��r� .� Y'lty�I/�5 AddressPhone: 2(�� 5. If buildin is located on'd=eotner to,htch str e�do front t>n: g 6. What is the estimated cost of construction_ 17 6-UV (NOTE:The estimated cost shall include all site impro ments.labor.material,scaffolding,fixed equipment.professional fees.and material and labor which may be donated gratis.) 7. Estimated date of completion: Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. C1'nn4rknc.v+ 5- s. STATE OF NE-WA�6 7COUNTY OF ) as: being duly sworn,deposes and states that he/she is the applicant above named. (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the 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 Ryc Brook and all other applicable laws,ordinances and regulations. sl Sworn to before me this Sworn to before me this day of IV", .� , 20 -Z 2-- day of 120 c '0' nature of ProArty Owmer Signature of Applicant ft?i Clha.G f Acd Print Name of Property Owner Print Name of Applicant N a _ u lic Notary Public ANDREW SCHLEMMER III Notary Public,State of Connecticut My Commission Expires Mar.31.2026 2 BUILDING DEPARTMENT D �j���`/� VILLAGE OF RYKBROOK �J E D 938 KING STREET RYE BROOK,NY 10573 (91�4)939-0668 FEB - 3 2Q23 www.rvebrook.org VILLAGE OF RYE. BROOK _BUILDING_ U_E_RAR i�1EN i F'OR OFFICE USE ONL1 FEB 0 6 202 Approval Date: ermit Applic n# Approval Signature: ARCHIT TURAL RE BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# : Other: _ Amendment Fee:,4/r_�-!�_/ Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: J is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an exi ti open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: :oayi QJ 4r ye— Existing Permit#: �/�3—�S 2. Parcel ID#: /,35, Zone: Original Approval Date: 3. Proposed Amendment(Describe in detail):. �► �h —� a t C Q n 4. Property Owner: Address: 3 0 C X-\"Gta, Phone# Za� Wa 3 —C� Cell# e-mail Applicant: (Q_ Address: Phone# Cell# e-mail Architect/Engineer: Address: Phone# Cell# e-mail 5. Occupancy;(I-Fam.,2-Fam.,Comm.,etc...)Prior to construction: After construction: 3 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No:Y(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered p ans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or qiore of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No: Area: t 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:__X (if yes,you must submit a Site Plan Application,&provide detailed drawings) :9.. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: k(if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No:_X_(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X If yes,indicate: TIER I: TIER II: TIER III: (if yes, a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ 114 K' (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y. State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the 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 G i' , 20 day of , 20 -'90at6re of 71operty QKVner � Signature of Applicant �C,C,' 1 Print Name of Property Owner Print Name of Applicant Notary Pub4ic G Notary Public 2 GREGORY M.RIVERA Notary Public,State of New York No.01RI6441398 Qualified In Westchester County Commission Expires September 26,20 r Building Permit Check List&Zoning Analysis Address: l'7 T,e,t ti�j F w lQ� .G �N `/ SBI_ 3 f ?�o - Z - Zone Use: Const.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant: Iti'1 L.V ►rl CL_0 S A Nature of Work:_`7JE�D L &G 7 P 1 L C-0> M Q 9 ►—a rzy —1 2-P=C-A•t t n► L C._ w / Reviews:ZBA: NOV 2 2 PB• BOT• Other. hMEP OK I,- ( ( ) FEES:Filing. S - BP: 2 C 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. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site rotection: S/W Mgmt.: Tree Plan: Other. ( ) (,Y SURVEY:Dated t I z Z Current: ✓Archival:- Sealed: •"Unacceptable: ( ) (• LANS:Date tamped ✓ Sealed: `'/ Copies: v Electronic `Other. ( ( License Workers Comp: Liabilit)r mp.Waiver Other. ( ) ( ) CODE 753#: Dated. N/A; ( ) ( ) HIGH-VOLTAGE ELECTRICAL.•Plans: Permit N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other: ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H W.I.C.:_Battery_Other ( ) ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other ( ) ( ) FIRE SUPPRESSION.Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other: ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ( ) Final Survey. Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. GARB mtg.date: t Z 2.1 2 Z approval 1- notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISITNG PROPOSED NOTES APPROVED A date. DEC 2 7 2022 Circle: Front: Front: Si : Main Co Accs.Cov Ft.H S Sd.H/Sb SOFA: Tot,Imp Parlun HHight/Stories: notes: BUILDING DEPARTMENT D Vn i VILLAGE OF RYE BROOK DI 938 KING STREET RYE BROOK, NY 10573 NOV 21 2022 (91,4)939-0668 VILLAGE OF RYE BROOK wwwxyebrook.org BUILDING DEPARTMENT t 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. L�'Ar• Job Address: 7y t I'Yteco . Lt§-n Date of Submission: Parcel ID#: �)—& Zone: eb-3 .iQ�j Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: ` "III 51 ICI: ( (-)\II'I I°:.'1 v1) B1 TIt I" APNLIf .eN I Cry The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner. m i �eu_A' Yfx� I. pleted Application - 2. �ti�o(2)sets of sealed plans. cone titll sire ;maximum Address: ti�CYlr�c�lLl lam. Iek itto%\able plan,vr ,0 x42..j andone ll"x17") 3.�(�Tw (2)copies of the property sumev. Phone# 4 (2)copies of the proposed site plan. Applicant appearing before the Board: 5. One electronic/disc coPy of the complete ` application materials. Filing Fee. Address: C&15c✓e 7. ( ) Any supporting documentation. 8. ( ) HOA approval letter. of applicable) Phone# G&zwa- 9y.(_PLi6tographs. Architect/Engineer: A h n*c Aci n _ 10.( ) Samples of finishes/color chart. to sample board or model may be presented the night of the meeting) Phone# 2,U3 'W.°l "77O`1. 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. Swom to before me this Z I Sworn to before me this day of over^ , 20 2-1 day of , 20 S' nature of Prop rty Owner Signature of Applicant Print!Fame of Property Owner Print Name of Applicant o is Notary Public ANDREW SCHLEMMER III Notary Public,State of Connecticut �` My Commission Expires Mar.31,2026 Village of Rye Brook ML MR IX [�R(�v� Agenda FB SE Architectural Review Board Meeting yj j AC SF Wednesday, December 21,2022 at 7:30 PM >J Village Hall, 938 King Street JM 1. ITEMS: 1.1. #5798 (Consent Agenda) Yinghao Wu&Mingzhi Chen 15 Berkley Lane Rooftop solar array. 1.2. #5799 (Consent Agenda) Rajapaksha Premarathna&Laura Tartagha 25 Wilton Road Rooftop solar array. 1.3. #5800 (Consent Agenda) Carmela Fournier 25 Winding Wood Road Rooftop solar array. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.4. #5801 Jeffrey Mensch & Hannah Mensch 10 Red Roof Drive In-ground swimming pool w/ patio and retaining walls. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 s t Architectural Review Board December 21,2022 1.5. #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 1.6. #5802 Steven Borzykowski&Marissa Borzykowski 4 Edgewood Drive New side entry and deck to facilitate proposed Tier II home occupation. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. #5803 Michael Malvarosa 174 Fairview Avenue (House in Port Chester-Rear Yard Hillcrest Avenue in Rye Brook) Replace failed masonry retaining wall w/wood de retaining wall. Approvals: Motion_ Second t '� 'Jli Abstention Aye; � Nay; Adjournment; Notes 1.8. #5804 281 Milton LLC c/o Korneliya Bruce 40 Country Ridge Drive Rear wood deck,new exterior doors,windows and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board December 21,2022 1.9. #5805 Tania Vernon 4 Lee Lane Replace existing retaining wall, repair rear bluestone patio and install stormwater management system. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. #5806 Win Ridge Realty LLC 5A Rye Ridge Plaza New tenant signs - "DAISO" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: January 18, 2023 Page 3 of 3 ,ram• 1 � lei R ^� -.OVA M' Ap r , • �; ~� .., to �i �. s ^ • "-- t�.. �`i `~�tom_\1r.V �f%�' r I a I-I , r ��14 ��4 8 i ♦ 4 ti ���4 z ,; `' _ 1� r ♦ psi_ `v\ ' J •+N/� Al � I rr dui .-fir _ '�. ' ��j..'_.b w r . . l� �• ifs �:3, , z•,.�. ..� , • RSA i M1 M• 5 y T- AMEM K m 4" �` MIS•. A 1 y •MA� a ._.. - .4_ 1 ;1 `•� �Dti �*f'•��ir.'r�''�.f,� �� +f-•� J?'' ,.i~ ig 1�.'�"' r-•'��.1�'R r, �_� "y',�=•,ir�''M• A= It�. �.� p ' �� M ♦mil 5)! .f I � N �. s h Y Laura Petersen From: Laura Petersen Sent: Tuesday, December 27, 2022 11:28 AM To: michaeljmalvarosa@gmail.com Cc: info@ahnemankirby.com Subject: Fence/Wall Permit for 174 Fairview Avenue Good morning, The fence /wall permit application has been approved by the Building Inspector. Before I can issue the permit the following items must be submitted to our office; � Copy of general contractor's valid Westchester County Home Improvement License. V 2. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) ./3. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 4. Building permit fee $263.00 (due once permit is issued and ready for pick-up) Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Ipetersenaryebrook.or4 i Laura Petersen From: Fernando Escalante <fortino.masons@gmail.com> Sent: Tuesday, January 10, 2023 10:51 AM To: Laura Petersen Subject: Westchester HIL - Jan 10, 2023 Attachments: Westchester HIL - Jan 10 2023 - 10-48 AM.pdf Scanned with TurboScan Good Morning Laura, Here is a pdf copy of license as requested. Let us know if you have any questions and how we can make payment. Thank you Fernando Escalante (203) 858-7635 Sent from my iPhone i d N �. = •� i 111 y > C0 Y � �� � C •CA O A EV i O i U 0 C§ 4 Y p V NC40ol�» O co GA •=� cam. W o � rn C � O =�'•i�= : � � 4� W � aXi C4.. z u v W > = �r cc 40 W O !' f v .-.. " U \. 1 4 Y rA En ^' A� V40 y 4-4 UCA r '�.+`� I � V y •,V.,, U �!!�� �.A: lhIl7 . �� !• .. ��f_! 1�:4 J��.�.`i� INw, ,;�. L1���. '.. _ ------- FORTESC-01 SSCHLUBACH A�ORD CERTIFICATE OF LIABILITY INSURANCE DAT11,417 DnYYY) 1/3/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CO CT Dalgle&Travers Insurance Agency PHONE FAX 22 Thorndal Circle,Ste.2 A/C,No, : 203)655-6974 Ax.Ne:(203 662-9361 Darien,CT 06820 INSURE 3 AFFORDING COVERAGE NAIL i INSURER A:MaIn Street America Assurance 29939 INSURED INSURER B:NOM Insurance Company 14788 Fortino Escalante Inc INSURERC: 2 Hollywood Avenue INSURERD: New Canaan,CT 06840 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 TYPE OF INSURANCE ADDL SUBR POLICY EPF POLICY EXP LTR POLICY NUMBERmmao= LIMITS A X COMMERCIAL GENERAL uABB.rrY EACH OCCURRENCE 2,000,000 CLAIMS-MADE 0 OCCUR MPK63636 1213/2022 1213/2023 DAMA GE TO RENTED- 500,000 PREMISES Me occurre MED EXP one erson 10,000 PERSONAL&ADV INJURY 29000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 POLICY❑ja LOC PRODUCTS-COMP/OP AGG S 4,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANYAUTO _ 81K63E36 12/3/2022 12r•3/2023 BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY _AUTOS yy p BODILY INJURY r ecddeM AUTOS ONLY _AUTOS o (P r a��M AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LU1B CLAIMS-MADE AGGREGATE DIED RETENTION$ WORKERS COMPENSATION I PER OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE (Ma ERMEM���EXCLUDED? N/A E.L.EACH ACCIDENT If yes,describe under E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Ref:174 Fairview Avenue 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 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF TATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured 203-943-1111 Fortino Escalante Inc. 2 Hollywood Avenue New Canaan,CT 06840 1c.NYS Unemployment Insurance Employer Registration Number of Insured I Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 06-1580610 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NGM Insurance Company 938 King llage Street Rye Brook 3b.Policy Number of Entity Listed in Box"1 a" 938 Ki Rye Brook,New York 10573 WCK63636 3c.Policy effective period 12/312022 to 12/3/2023 i 3d.The Proprietor,Partners or Executive Officers are t included.(Only check box if all partners/officers included) QX all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"I a'for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate Is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. ; This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. j 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: Stacey Schlubach (Print name of aulhonzed representative or licensed agent of insurance carrier) Approved by: ignature) (D te) Title: Insurance Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 203-655-6974 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www wcb.ny.gov <( pp 1 U 1 0 I W Cys w (NLU y ¢.. p t N Regent St z � 5� Z O U LWL J Z % J , we m s LU J Z > W, � O LU 2 > w u~i z J J -' > w J CL 0w j Z p O ZLL ~ U = > J LL 0 ? 1— w H ,� Z o N f' �r cn cn > u� c7 Q w z ° o X o 0 W I I W F- w z X mlp ?� n .sn3•y,a Q N li S k X o m z H w H w Z cr o eg. Is��� 1J4�n I I 5 N D �oap�uN o a J LO T M A .. 9 .. �l`PdNiQ15.'ONO?co '.Y. .4w. .• N ain0.ONOO LO T M T N T O T Lti u LO M T d J � W j J � zz M w ¢w Qo 0 0 z Q �O� � Q I L,Ll N 1z � >U sr>^✓r✓rrrrZ, rr. X X --- X-_____. x r. :i n N 3AV M31A VJ U W W- a2in0 'ONOO W W W- YCO F„ Lo CO W QN mU N O (Q') � h II m V i- a �� N U s W 0 yW p U)C] m P1 ow cr- :�i N uj a J �w L11 Q �® >m N N Y � / `9 iv �O a�saS� sit 400, oyo�a 10 ko cav ly A L U � w U Q U a U Uo O w U O = O p. LLI L II co J � 0 a a LU W U) 0 �N _d oZ zw 0 z a 6] m m 'wWr, Z U - Y. Q Z CL ul c' Ix U� � N� o � � N L1J ul c w E W r- m w Qar W E of f° Iz_ '.OR T Li o z N LtJ UJLO N T m CLD� G � O v MJT « 'o N E 7 W m m v co .0- c alga W o z N N 0Nzs W 5 W aci •.. 0. O ow H A t O W t U = 1 ..�� QO�Q a 1 a) E cQ��c o o c m a m o H 00 N 'ONOO `•o s o ean0 20W o O W E W V N a t 3 0 W T3 m .0 (V C y,m O W W > O c O �•O In J W m W cL iivmnwO m fy6 OJ(n m�z C O N y 2 N ZZ 1 � °� 4 U o 3 N o Z m° W S E of 0. w w m � � m _� a00 oo w= a N O W CL to N (� i o�m LLX m f'i°T° '14 �m '> aY m O d m w E �° o d w0) Ea v� m o 0-6 o•o ww (� ton m a-�`- 3 � c oin �z rn Z pG~pp C N L OB m C CL N U II p Y Q O Y/ Ui V C rn C 'tA .O—.. O r_ .6 ? 5 - .2 U CM >_ •� _ pp -co i vi O *" w J O m W ate, 'A V E 8 O•o LyW 0 o ct�i aXi J o "- cY c c o aci 00 m O W toi� O U 3 rn y •0 w m V! m p w N Li Z �' aiN�� � o °�2. ;� m0.2 ,W o to 3 0 LUm_ ° m a3f m NOg re a LU c-0mt- xk 00 Z O to l06 p ,N— fn c w Q Nw mP%' d W 21 W= e W Tm N NppN�y N w f- � -OWt��C "WO O O' •�� 8 m tb « N (U Z O O � 7 ..'C. vJ .�.. 11 m o :E Z) U) Lu F- to W LL V M T N T O T W r Co co Q LO 0 N J M Z z 0 ¢ a d N d d ¢ T laulamgjj" wd9£ZL-£Z/gZ/£o 6MP'6-SliesolenlelganyMalnllej7L4\6M0\esaeMeW£L906eAVmaltilejgL�Walad -\-Ny\alegs6\IaujeMq;lay\xogdapAgjl){uewouyy\Iawemu L.eA\slasn\ o