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HomeMy WebLinkAboutBP23-013PERMIT OOZ SECTION TYPE OF WORK JOB LOCATInm CONT ACTOF COST_ CO #� TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW4OLT ALARM AS BUILT Cl FINAL 3 DATE.• 3 aPr lz L' BLOCK % LOT OTHER APPROVALS 20 /a ceooenP..e7l� ✓ LRAM ARB 47icy/ rive BOT -c� el�jT/z iSC�/> Zc��uS /g�)c�'�3- E>7i' PB �40 Ps% Cis /�i��®sirs ,LLL- ,�Q �l�c.too� ������- 3/8/ zBA p OTHER / oa FEE 4 FEE ��Q DATE G I1 I�C� FEE DATE INSPECTION RECORD DATE INSP IZ-IZ-Zo23 i %o I1' eC w /? /tlPe^J"cv DR � 3 19 t l�4.nj+j V J J�wWW 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 December 12,2023 Clifford Gevirtz&Alison Lazarus 31 Longledge Drive Rye Brook,New York 10573 Re: 31 Longledge Drive, Rye Brook,New York 10573 Parcel ID#: 135.67-1-14 Building Permit#23-013 issued on 2/6/2023 for Replacement Windows This certifies that the twenty five new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, %,- 4 Steven E. Fews Building&Fire Inspector /to P , ` L BUILDING(DEPARTNIENT For office use only: PERMIT#8�3"013 DEC - 5 2023 VILLAGE OF RYE BROOK ISSLJED:,�—Cp- 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: (914)939-0668 FEE: VILLAGL=. OF i )'E BROOK BUILDINi--, '=JARTMENT �tiw�+.r�cl�roukarr„ 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 till iiitlbitill#b4h+iii+#t4fi#h##+#bifirt ifirtktliki##k#4 b44 thkt###4rt4rt#h+rt+ktrt44###fik4###4#4fik♦kkh##i44kihh bbb tl ihii##rt 4rtlitlbbtrt Address: 31 Longledge Dr Occupancy/Use: Residential_parcel ID ; 135.67-1-14 Zone: Owner: Alison Lazarus Address: 31 Longledge Dr P.E./R.A. or Contractor: Renewal by Andersen Address: 2041 W Main St., Stamford CT 06902 Person in responsible charge: Franklin Barahona _Address: 2041 W Main St., Stamford CT 06902 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: Alison Lazarus being duly sworn,deposes and says that he/she resides at 31 Longledge Dr Print Name of Applicant) (No and Street) in Rye Brook ,in the County of Westchester in the State of New York that n;Vitla;;cl he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 84,088 for the construction oralteration of: Installation of( 25 ) Replacement Windows into Exisiting Openings with no Structural Alterations. (914)843-0798 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§2.50-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of edam(�, /- s , 20 day of QCrV 6e-r , 2023 Signature of Property weer Signatui cant Alison Lazarus Franklin Barahona Print Name of Pr9ifei t�Owt ui 'amp f Ap - SO )/—f Notary Pubic Nutar% Publ SCOTT J.GOWE Rocky FUoco NOTARY PUBLIC OF NEW YORK Notary Public,State of New York I.D.001GO6357188 ,TRegistration No. 679354 MY COMMISSION EXPIRES 1 l'�Z Qualified In Westch slte3County Commission Expires:August 13,2025 �yE BR(Zjk. l7 BUILDING DEPARTMENT ❑ UILDING INSPECTOR eJ 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: / o�OIL re DATE: PERMIT# DP Z J 1 3 ISSUED: Z--6-Z-3 SECT: ). `� �,/ BLOCK: LOT: LOCATION: hclt vJ�'� bpi J S OCCUPANCY: 2.1 V ❑ Violation Noted THE WORK IS... U► PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas All YVI N C✓o h/5 Z PZq Cp C/ . ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER : M = N � W C 4-4 72 h+y 4-1 ui to s � � � � W •� III. rd / '` � C",.i ` . v : V p 1 r-1Ln V m -: O Z Lin0 V J \ O Q O O a. (� m W O Ln O � GN p a x O Q o 7 A 00 00 ~ ~ Gcl u a b V s A H wLenn co z o m O moo ° w � 0 o WM M w c7 sn GI) U � � O EO A N A~ p W zz � � cP c VTR s 00 �1 ..a U W w O o a 4 v 'N � H - � 1 zz � M Z W z ° wT- oo A U dull o ? ' � a Ld M q W g : PLO. a W x a BUIL RTMENT U c E ow E VIL%ET RYE'0400K JAN 2 7F3] ID 938 KINGYE 11116 i ,NY 10573 -0668 VILLAGE OF RYE BROOK °HOC BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: FEB O 2 er it# Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: / _Permit Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated: January 20,2023 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. I. JobAddress: 31 Longledge Drive 2. Parcel ID#: 1_'�5- &-7 ) - )`"7-` Zone: �- 3. Proposed Improvement(Describe in detail):. Installation of(25)Replacement Windows into Existing Openings. No Structural Alterations 4. Property Owner: Alison&Cliff Lazarus Address: 31 LongLedge Drive,Rye Brook NY 10573 Phone# 914-843-0798 Cell# 646-228-6122 e-mail AliLazl@GMail.com List All Other Properties Owned in Rye Brook: Applicant: Kat Wood Address: 2041 West Main Street, Stamford CT 06902 Phone# 203.406.0545 Cell# 203.482.3181 e-mail Permits@RBAWestchester.com Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Fairchester Custom Windows dba Renewal by Andersen Westchester Address: 2041 West Main Street, Stamford CT 06902 Phone# 203.406.0545 Cell# 203.482,3181 e-mail Permits@RBAWestchester.com (1) 8/12/2021 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Family Post-construction: n/a 6. Area of lot: Square feet: 4126 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: 9. Area of proposed building in square feet: Basement: 11 fl: 2n4 fl: 3'd fl: 10. Total Square Footage of the proposed new construction: n/a 11. For additions,total square footage added:Basement: I'fl: 2nd fl: 3111 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. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17, Roof style;peaked,hip,mansard,shed,etc: 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 (if yes,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: X (if yes,applicant must submit a Site flan 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 of 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: X (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"free Removal Permit as per§235 of Village Code? Yes: No: X (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 Nome 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 84,088 Note.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.If the final cost exceeds the estimated cost,an additional fee will be requiredprior to issuance of the CIO. 30. Estimated date of completion: 4/10/2023 (2) 8/12/2021 [ECEF BUILDING DEIE' R MENT v IED VIL ACE OF RYE KOOK 938 KING ET RYE BROOK,NY 10573 JAN 2 T 2023 414)99-0668 VILLAGE OF RYE BROOK 1 ,1 BUILDING DEPARTMENT AFFIDIAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 1, Alison& Cliff Lazarus , residing at, 31 LongLedge Dr. Rye Brook NY 10573 (Print munc) [Address where you h%ei 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; 31 LongLedge Dr. Rye Brook NY 10573 , Rye Brook,NY. (Job Addressl 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. - 7L—Cm,_ ('�i�nature of Property Owners!i (Print Namr d'Prop,20N C)•, Sworn to before me this s day of , 20 3 Franklin Barahona Notary Public-State of Connecticut My Commission Expires 12/3 U2027 (Notary I' (6) 8/12/2021 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: Kat wood ,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 Contractor 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 ;ij- Sworn to befo me this 019 day of _��C, , 20 day of , 20-L Signature of Property Owne Signature of Applicant 414—� h Print Name of Property Owner Pri ame of Applicant Notary Notary Pu Franklin Barahona (,Notary Public-State of Connecticut My Commission Expires 12/31/20 (g) 8/1 212 02 1 Order Summary dba:RENEWAL BY ANDERSEN OF WESTCHESTER AND Alison&Cliff Lazarus FAIRFIELD COUNTY 31 Longledge Dr RENEWAL Legal Name:Fairchester Custom Windows LLC I License n CT HIC#.0667292 Rye Brook,NY 10573 brANOERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 I�Ii1tMf uM�iadtlwra Phone:203-406-0545 1 Fax:203-406-0828 1 tech Orbawestchester.com C:6462286122 Measure Tech: Nigel Jefferey, •O UNIT NOTES i I 001 002 003 004 QaCk 005 •• •O• 105 104 r------ -- -- - -- - UNIT NOTES 103 102 101 106 107 f 109 I 108 t ' 117 110 FHo�T ni 112 113 114 u5 116 12/13/22 — Page 12 / 49 Order Summary ... W� dba:RENEWAL BY ANDERSEN OF WESTCHESTER AND Alison&Cliff Lazarus FAIRFIELD COUNTY 31 Longledge Dr RENEWAL Legal Name:Fairchester Custom Windows LLC I License N CT HIC#.0667292 Rye Brook,NY 10573 6r AN DE R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 n;u,.wca�a a.w■r•i Phone:203-406-0545 1 Fax:203-406-0828 1 tech®rbawestchester.com C:6462286122 Measure Tech: Nigel Jefferey, •• FLOOR 202 — UNIT NOTES 203 JOBPHOTOS 12/13/22 Page 13 / 49 { -h i i i , -f _ I j S .►.fir z i s r,� ' ; . l { { i I B i {K j � I i 1 { 1 t sw Y _ ' ,4t,. •:d.i "�t� .'t�#.c< y(��a�e. k F �`k�' y�,l t'.�'r+i � � � l � ,��1 �'-tl'y� 1 1 i 1 E i I F f - p � ,� ,..tip• � �w.��'`!�; .R�•s;^SC t ri v 1� _, ��. 1 � fy} 'y �, r. � �- r _ _,. ���.. k s `�, 1 )j '+ ` Y +tl� �'�el�rn.uw..y.`.w y3nw.-rr..�_ .r.-!y+Y4+s�o. F . ,' �'qOr fC _. -ram i� ++�w - �• ""-t ,,. .. �� _ 1 ;� t �,�,. �., -, ,.. "�'" '_ I� _ ,1� �, Y � h `` •f� I Y . ~.� 7 ♦��AJ s _ •� 4 - ._ .R Y.! t. ,.��'�.. ' . �� .a .���' , y � �� `; �'� ._ _.. ,ti �� .�= ��?�� - t' .s-.- .�'''' _ k '. 4± rTa'� t� ,t" '�; I a I J .. f �__—— _ �s� � 1 _ •� 7 _�+� t �ac-�. Lm�. _ i .. ... -. 4 �� �� �. .�' 1�� 4 �r � --- i I � _ _. ., ra . _.._., - � i �� I . ft � w n t l ll0.ru`- F 4' - h Y �r x aar _ 4LO x w• r �1�c .t i - s 'ia s� 1 � f t d i 44 1 � S � y L k 1 U lS' Li RENEWAL byANDERSEN Technical Data FULL-SERVICE WINDOW&DOOR REPLACEMENT SPECIFICATION AND TECHNICAL MAN UAL 44 t N RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance ProductRenewalby U-Factor(BTU/(hr ft2 oF))' F Solar Heat Gain Coefficient(SHGC)2 Andersen Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4® Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 Low-E4®Sun Casement Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Fixed Low-E4®SmartSun'" Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E411SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with HeatLock® Full Divided Light Grilles 0.26 0.24 0.17 0.16 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with SmartSun' Without Grilles n/a 0.19 n/a 0.17 .37 Without Grilles 0.43 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4® Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 Low-E4®Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 Low-E411SmartSunT" Without Grilles 0.31 0.28 0.19 0.18 .65 Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E411SmartSun Without Grilles 0.27 0.25 0.18 0.18 .63 with HeatLock® Full Divided Light Grilles 0.27 0.25 0.17 0.16 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with Without Grilles n/a 0.20 n/a 0.17 .37 SmartSunT" Without Grilles 0.46 - 0.58 - .82 Clear Full Divided Light Grilles 0.46 - 0.52 - Low-E4® Without Grilles 0.33 0.30 0.31 .72 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.20 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 DG Double-Hung (All Frames) Low-E41SmartSun' Without Grilles 0.32 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.30 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.29 .47 Enhanced Triple pane Without Grilles n/a 0.20 n/a 0.19 .43 with SmartSunTm Low-E ma unw,'Low-E Low- Sun'and HeatLock(iD are Andersen trademarks for"Low-E'glass. 1)U-Factor defines the amount of heat loss through the total unit in BTU/hr/ft2.°F.The lower the value,the less heat is lost through the entire product.Window values represent non-tempered glass.Use of tempered®ass can increase U-Factor ratings.See andersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both i irecdytransmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product 3)Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum. •NFRC ratings are based on modeling by a third-party agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of Apol 2021.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data may change over time.Ratings are for sizes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered @ass,different grille options,glass with capillary breathertubes for high attitudes,etc."Low-E40,'Low-E40)SmartSun""and'Low-E4®Sun" 09-9 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS NFRC Total Unit Performance (continued) Renewal Product . � by Glass Type II Clear WifhOutGrille's 0.46 0.44 0.57 0.57 .82 Full Divided Light Grilles 0.46 0.44 0.51 0.51 Low-E4® Without Grilles 0.33 0.30 0.31 0.31 .72 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.19 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 D• Double-Hung 1 (Full Frame) Low-E40SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4®SmartSun Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.28 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM' Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Low-E4® Without Grilles 0.33 0.30 0.31 0.31 .72 Full Divided Light Grilles 0.35 0.31 0.28 0.28 Low-E4®Sun Without Grilles 0.34 0.30 0.20 0.19 .40 Full Divided Light Grilles 0.35 0.31 0.18 0.18 0• Double-Hung IInsert Frame, Low-E40 SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E411 SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.27 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSun' Without Grilles 0.47 0.45 0.59 0.59 .82 Clear Full Divided Light Grilles 0.47 0.45 0.53 0.53 Without Grilles 0.34 0.30 0.31 0.31 .72 Low-E411 Full Divided Light Grilles 0.35 0.32 0.29 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E411 Sun Full Divided Light Grilles 0.35 0.32 0.18 0.18 Low-E40 SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.31 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.27 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.28 .47 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSun' 'low-E,10 SmartSun'.'Low-E4®,'Low-E4®Sun'and HeatLock®are Andersen trademarks for'Low-E'glass. 1)U-Factor defines the amount of heat loss through the total unit in BTU/hr/ft2.°F.The lower the value,the less heat is lost through the enure product Window values represent non-tempered glass.Use of tempered glass can increase U-factor ratings.See andersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product. 31 Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum. •NFRC ratings are based on modeling by a third-party agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of April 2021.Due to ongoing product changes,updated test results,or new industry standards or requirements.this data may change over time.Ratings are for sizes specified by NFRC far testing and certification.Ratings may vary depending on use of tempered glass,different grille options,glass with capillary breather tubes for high altitudes,etc.'Low-MD,`Low-E4®SmartSunn"and'Low-E4pb Sun' 09-10 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL byANDERSEN Technical Data FULL-SERVICE WINDOW&DOOR REPLACEMENT SPECIFICATION AND TECHNICAL MAN UAL tip i 5 '> J-1 r 4 ► .� AA -„M - s RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST i NFRC Total Unit Performance Renewal y U-Factor (BTU/(hr ft2 oF))' Solar Heat Gain Coefficient(SHGC)' rProductPOEM" Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4" Full Divided Light Grilles 0.32 0.29 0.25 0.25 A. Without Grilles 0.32 0.29 0.17 0.17 .40 Low-E41 Sun Casement Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Fixed '71, Low-E4'"SmartSunTM Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4"SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with HeatLock° Full Divided Light Grilles 0.26 0.24 0.17 0.16 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with SmartSuni" Without Grilles n/a 0.19 n/a 0.17 .37 Without Grilles 0.43 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4" Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 Low-E41 Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Low-E41 SmartSun'"' Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4�SmartSun Without Grilles 0.27 0.25 0.18 0.18 .63 w with HeatLock' Full Divided Light Grilles 0.27 0.25 0.17 0.16 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced rtpane with SmartSunT"Sun'"" Without Grilles n/a 0.20 n/a 0.17 .37 Without Grilles 0.46 - 0.58 - 82 Clear Full Divided Light Grilles 0.46 - 0.52 Low-E4 Without Grilles 0.33 0.30 0.31 .72 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.20 0.19 .40 Low-E41 Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 DG Double-Hung Without Grilles 0.32 0.29 0.21 0.21 .65 (All Frarnes'- Low-E4'�1'SmartSunTM Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E41SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.30 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.29 .47 Enhanced Triple pane withSmartSun'"I Without Grilles n/a 0.20 n/a 0.19 .43 Low ma Ow-E4®Sun'and HeatLock@ are Andersen trademarks for'Low-E-glass. 1)U-Factor defines the amount of heat loss through the total unit in BTU/hr/ft2.°F.The lower the value,the less heal is lost through the entire product.Window values represent non-tempered glass.use of tempered glass can increase U-Factor ratings.See andersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmtted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product 3)Visible Transmittance(V)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum. •NFRC ratings are based on modeling by a third-parry agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of April 2021.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data may change overtime.Ratings are for sizes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different grille options,glass with capillary breather tubes for high altitudes,etc.'Low-E4®,'Low-E4®SmartSun^'"and'Low-E4®Sun" 09-9 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) Renewal by Andersen' U-Factor r 1`1.:2 o1I Solar Heat Gain Coefficient(SHGC)1 Product utGrilles 0.46 0.44 0.57 0.57 82 Clear Full Divided light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.19 0.19 .40 t: Double-Hung Low-E4m Sun Full Divided light Grilles 0.35 0.31 0.18 0.17 'Full Frame, Low-E411SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E411 SmartSun Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.28 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSun""` Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.35 0.31 0.28 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.31 0.18 0.18 L• Double-Hung (Insert Frame) Low-E40 SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4aSmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.27 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM Without Grilles 0.47 0.45 0.59 0.59 .82 Clear Full Divided Light Grilles 0.47 0.45 0.53 0.53 Without Grilles 0.34 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.35 0.32 0.29 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.32 0.18 0.18 Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E42 SmartSunTM Full Divided Light Grilles 0.34 0.31 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.27 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.28 .47 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSunTM 'Low-E4m SmartSun",'Low-E4T,'Low-E4(&Sun'and HeatLock®are Andersen trademarks for'Low-E-glass. 1)U-Factor defines the amount of heat loss through the total unit in BTU/hr/ft2.°F.The lower the value,the less heat is lost through the entire product.Window values represent non-tempered glass.Use of tempered glass can increase U-Factor ratings.See andersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defines the fracbon of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product. 3)Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the value.from 0 to 1.the more daylight the product lets in over the product's total unit area.Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum. •NFRC ratings are based on modeling by a third-party agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of April 2021.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data may change over time.Ratings are for sizes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different grille options,glass with capillary breather tubes for high altitudes,etc.'Low-Mli"Low-E40D SmartSun-and'Low-E4®Sun' 09-10 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGSAND TEST DATA NFRC Total Unit Performance (continued) (BTU/(hrft2oF))' Solar Heat Gain Coefficient(SHGC)l High Performance Glass Type Product Without Grilles 0.44 0.42 0.61 0.61 .82 Clear Full Divided Light Grilles 0.45 0.43 0.55 0.55 Without Grilles 0.31 0.27 0.33 0.32 .72 Low-E4® Full Divided Light Grilles 0.32 0.28 0.29 0.29 Low-E41Sun Without Grilles 0.31 0.27 0.20 0.20 .40 Full Divided Light Grilles 0.33 0.29 0.18 0.18 Picture (Full Frame) Without Grilles 0.30 0.26 0.22 0.22 .65 Low-E40 SmartSunTM Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E41SmartSun Without Grilles 0.25 0.22 0.22 0.21 .63 with HeatLock® Full Divided Light Grilles 0.25 0.22 0.20 0.19 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM Without Grilles 0.45 0.43 0.64 0.64 .82 Clear Full Divided Light Grilles 0.46 0.44 0.57 0.57 Without Grilles 0.31 0.27 0.34 0.34 .72 Low-E4® Full Divided Light Grilles 0.33 0.29 0.31 0.31 Without Grilles 0.31 0.28 0.21 0.2 .40 Low-E4®Sun Picture Full Divided Light Grilles 0.33 0.29 0.19 0.19 'Insert Frame, Low-E4"SmartSunTM Without Grilles 0,30 0.27 0.23 0,23 .65 Full Divided Light Grilles 0.32 0.28 0.21 0.21 Low-E41SmartSun Without Grilles 0.25 0.22 0.22 0.22 .63 with HeatLock® Full Divided Light Grilles 0.25 0.22 0.20 0.20 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM Without Grilles 0.44 0.42 0.61 0.61 0.82 Clear Full Divided Light Grilles 0.45 0.43 0.55 0.55 Without Grilles 0.31 0.27 0.33 0.32 0.72 Low-E411 Full Divided Light Grilles 0.32 0.28 0.29 0.29 Without Grilles 0.31 0.27 0.20 0.20 0.40 Low-E4®Sun Full Divided Light Grilles 0.33 0.29 0.18 0.18 Picture (Universal Frame) Without Grilles 0.30 0.26 0.22 0.22 0.65 Low-E4®SmartSunTM Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4®SmartSun Without Grilles 0.25 0.22 0.22 0.21 0.63 with HeatLock® Full Divided Light Grilles 0.25 0.22 0.20 0.19 Enhanced Triple Pane Without Grilles n/a 0.16 n/a 0.30 .50 Enhanced Triple pane with Without Grilles n/a 0.16 n/a 0.20 .45 SmartSunTM 'Low-E44p SmartSun-,'Low-E4(1 -Low-E4®Sun'and HeatLock(&are Andersen trademarks for"Low-E"glass. 1)U-Factordeflnes the amount of heat loss through the total unit in BTU/hr/ft2.°F.The lower the value,the less heat is lost through the entire product Window values represent non-tempered glass.Use of tempered glass can increase U-Factor ratings. See andersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product. 3)Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum. •NFRC ratings are based on modeling by a third-party agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of April 2021.Due to ongoing product changes.updated test resuits,or new industry standards or requirements,this data may change over time.Ratings are for sizes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different gHlle options.glass with capillary breather tubes for high altitudes,etc."Low-E40','Low-E41)SmartSun^r'and'Low-E4®Sun' 09-11 COMPANY CONFIDENTIAL- REVISION AA-01 h,! Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison 3 Cliff Lazarus Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 by A N D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 sales@rbawestchester.com C:6462286122 Alison &Cliff Lazarus 12/05/22 BUYER(S)NAME CONTRACT DATE 31 Longledge Dr, Rye Brook, NY 10573 (914)843-0798 6462286122 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER alilazl@gmail.com gevny@msn.com PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $84,088 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $27,906 BALANCE DUE: $56,182 We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at AMOUNT FINANCED: $0 this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. METHOD OF PAYMENT: Credit Card Financing NOTES: 20 year installation warranty. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 12/08/2022 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Brian Greenberg Alison Lazarus Cliff Lazarus PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 12/05/22 Page 2/ 26 it Itemized Order Receipt �, Fj DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus Legal Name:Fairchester Custom Windows LLC 31 Longledge or RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 by A N D E R$E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 ROOM: OW Misc, Misc, Miscellaneous Item, Building Permit Fee - $30 0 H per $1,000 Job Cost 001 Storage Area 57 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame. 61 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 1 DP Rating: + 30 / - 30, Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions. Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 002 Office 57 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame. 61 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 1 DP Rating: + 30 / - 30, Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, TruScene, Half Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 003 TV Room 21 W Window, Casement, Single, Left. Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 40 1 DP Rating: + 40/ - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window 12/05/22 Page 3/ 26 Itemized Order Receipt &A DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison 8,Cliff Lazarus Legal Name: Fairchester Custom Windows LLC 31 Longledge or RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 by AN D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 ROOM: SIZE: DETAILS: PRICE: 004 TV Room 45 W Window, Picture, Insert Frame, Exterior White, Interior White, 61 H Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / 35. Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille. Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 005 TV Room 21 W Window, Casement, Single, Right, Base Frame, Exterior 61 H White, Interior White, Performance Calculator, PG Rating: 40 1 DP Rating: + 40 / - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window 101 Den 75 W Window, Gliding, Triple, 1:1:1, Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / - 35. Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 12/05/22 Page 4/ 26 !"RAF Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus Legal Name: Fairchester Custom Windows LLC 31 Longledge Dr RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 byANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 w vm:,�wn.a+a.nra Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 s • • DETAILS: 102 Den 27 W Window, Casement, Single, Right, Base Frame, Exterior 61 H White, Interior White. Performance Calculator, PG Rating: 40 1 DP Rating: + 40 / - 40, Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window 103 Elevated Entrance 52 W Window, Picture. Insert Frame, Exterior White, Interior White, 52 H Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / 35, Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, 2nd Floor Elevation , Full Frame and metal removal Insert Frarne 2nd Floor Elevation 104 Kitchen 45 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame. 61 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 1 DP Rating: + 30 / - 30, Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Distressed Bronze. Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops. Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 12/05/22 Page 5/ 26 �� Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTGHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus RENEWAL Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr CT HIC#.0667292 Rye Brook,NY 10573 brANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 1•i Lei%,rAl•it JL ilrptlq Phone:203-406-0545 I Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 • • DETAILS: 105 Kitchen 75 W Window, Gliding, Triple. 1:1:1, Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / - 35, Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 106 Kitchen 45 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame, 37 H Exterior White. Interior White, Performance Calculator, PG Rating: 40 1 DP Rating: + 40 / - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen. Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 12/05/22 Page 6/ 26 Itemized Order Receipt 10 ARV3 DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 tr A N D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 ROOM: SIZE: DETAILS: PRICE: 107 Dining Area 110 W Window, Gliding, Triple, 1:2:1, Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 25 1 DP Rating: + 25 / - 25, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock. Estate Finish Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening., 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation 108 Living Room 27 W Window, Casement, Single, Left, Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 40 1 DP Rating: + 40 / - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen. Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation 109 Living Room 27 W Window, Picture, Insert Frame, Exterior White, Interior White, 61 H Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / 35, Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation 12/05/22 Page 7/ 26 Itemized Order Receipt ��®..�• DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus E Legal Name: Fairchester Custom Windows LLC 31 Longledge Dr R E NN E WA L CT HIC#.0667292 Rye Brook,NY 10573 br A N D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchesteccom C:6462286122 ROOM: SIZE: DETAILS: PRICE: 110 Living Room 27 W Window, Casement, Single, Left, Base Frame, Exterior White, 73 H Interior White, Performance Calculator, PG Rating: 40 1 DP Rating: + 40 / - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation , Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 111 Living Area 69 W Window, Gliding, Double, 1:1, Active / Passive. Base Frame. 73 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 ( DP Rating: + 30 / - 30, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull. Screen, TruScene, Half Screen, Grille Style, No Grille, Misc, New Interior Stops. Add new interior stops to Insert Frame Window. Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 12/05/22 Page 8/ 26 /3�^ Itemized Order Receipt '�Qy DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison 6 Cliff Lazarus RENEWAL Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr RE CT HIC#.0667292 Rye Brook,NY 10573 byNDEWAL En SEN 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 ROOM: SIZE: DETAILS: PRICE: 112 Bedroom 57 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame, 61 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 1 DP Rating: + 30 / - 30, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Half Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 113 Bedroom 21 W Window, Casement, Single. Left, Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 40 1 DP Rating: + 40/ - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock. Estate Finish Hand Pull, Screen, TruScene, Full Screen. Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window 114 Bedroom 45 W Window, Picture, Insert Frame, Exterior White, Interior White, 61 H Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / 35, Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation , Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening. 12/05/22 Page 9/ 26 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus RENEWAL Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr CT HIC#.0667292 Rye Brook,NY 10573 brANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 -.1 P-MI..1-1 e Phone:203-406-0545 I Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 ROOM: SIZE: DETAILS: PRICE: 115 Bedroom 21 W Window, Casement, Single, Right, Base Frame, Exterior 61 H White. Interior White. Performance Calculator, PG Rating: 40 1 DP Rating: + 40 / - 40, Glass, All Sash: High Performance, No Pattern, Hardware, Distressed Bronze, Estate Finish Extra Lock, Estate Finish Hand Pull, Screen, TruScene, Full Screen. Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window 116 Bathroom 45 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame, 61 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 1 DP Rating: + 30 / - 30, Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, Fiberglass. Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions. Cut and Remove existing wood mullions to convert multiple window openings to single window opening., 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation 117 Bathroom 28 W Window, Picture, Insert Frame, Exterior White, Interior White, 61 H Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / 35. Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 12/05/22 Page 10/ 26 � Itemized Order Receipt 3 DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr RENEWAL N RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 E ND •Erg 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 • • • DETAILS: 201 Bedroom 1 76 W Window, Gliding, Triple, 1:1:1. Base Frame, Exterior White, 61 H Interior White, Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / - 35, Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, New Interior Stops, Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening., 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation 202 Bedroom 2 76 W Window, Gliding, Triple, 1:1:1, Base Frame, Exterior White, 61 H Interior White. Performance Calculator, PG Rating: 35 1 DP Rating: + 35 / - 35, Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Stone, Standard Color Extra Lock. Standard Color Hand Pull, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, New Interior Stops. Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening., 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation 12/05/22 Page 11/ 26 ^,jAV—AV,' Itemized Order Receipt y DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Alison&Cliff Lazarus Legal Name:Fairchester Custom Windows LLC 31 Longledge Dr RENEWAL CT HIC#.0667292 Rye Brook,NY 10573 byAN DE R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)843-0798 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com C:6462286122 ROOM: SIZE: DETAILS: PRICE: 203 Bedroom 3 57 W Window, Gliding, Double, 1:1, Active / Passive, Base Frame, 61 H Exterior White, Interior White, Performance Calculator, PG Rating: 30 1 DP Rating: + 30 / - 30. Glass, All Sash: High Performance. No Pattern, Hardware, Stone, Standard Color Extra Lock, Standard Color Hand Pull, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, New Interior Stops. Add new interior stops to Insert Frame Window, Remove Wood Mullions, Cut and Remove existing wood mullions to convert multiple window openings to single window opening., 2nd Floor Elevation , Full Frame and metal removal Insert Frame 2nd Floor Elevation WINDOWS: 25 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1 TOTAL $84,088 Renewal by Andersen is committed to our c•ustomers'saftty by a� complying with the rules and lead-safe work practices specified by the EPA. 12/05/22 Page 12/ 26 i Building Permit Check List&Zoning Analys 1 Address: ` t� SBL: Zone:Use: l Const.Type V Other. Submittal Date: Revisions Submittal Dates: Applicant: Nature of Work: Reviews:ZBA: '�2� PB: BOT• Other. OK ( ) ( VFEES:Filing. BP: eC/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 Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current Archival: Sealed Unacceptable: ( ) ( ) PLANS.Date Stamped: Sealed Copies: Electronic: Other. ( ) ( �ILicense:—&,—Workers Comp: L—'' Liability: imp.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. ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approval;- notes: ( )PB mtg.date: approval• notes: REOUIRED EXIMN PROPOSED NOTES F Date• - Cir FronnW Front: Front: Sides: R3 r Main Cov. Accs.Cov Ft.HS : Sd.H/Sb S& Tot,Imp Ft.Im : P uig Hight/Stories �! notes: ���� t A Ac KATONAH MANAGEMENT SERVICES , INC . F�C EE W 7E� DD November 2"', 2022 1 FEB - 2 2023 VILLAGE OF RYE BROOK Mr.Cliff Gevirtz BUILDING DEPARTMENT 31 Longledge Drive Rye Brook,New York 10573 Dear Cliff: The Hidden Falls Board of Directors (`Board") has reviewed your request to replace and install new windows to your home at 31 Longledge Drive ("Application'). Your request is approved subject to the following conditions: 1. You must comply with the application submitted dated November 1 st, 2022, a copy of which is attached. The color of the windows must match the style of those that exist elsewhere in the community. This approval will expire after one year, after which you will need to reapply if you have not completed your modification. 2. You are responsible for any damage to any adjacent or common property. 3. Contractors are to remove all debris upon completion of work. Should you wish to change your request, you must submit your requested change to the Board before any work is done. The Association's approval is an architectural review and does not permit or authorize any change which would violate municipal or building ordinances. You alone are responsible for ensuring that you comply with any building department or other municipal requirements. Please review this letter to ensure that all aspects of your request have been addressed. If anything has been overlooked or omitted, please contact KMS immediately. No other approvals are implied in this letter. Should you have any questions, please call me at 914-639-4096 or email to KDeVito(a)KatonahMgmt.com. Thank you. Sincerely yours, .8,v a Kyle DeVito Property Manager cc:File 334 UNDERHILL AVE SUITE 5D - YORKTOWN HEIGHTS, NY - 10598 PHONE: 914-893-4096 - FAX: 914-276-6562 E-MAIL: KDEVITOQKATONAHM GMT.COM �- ' '�A�'�^r .; .�A' ,q�.� ^f Ate'" n A - !�b. s•��r ,nt;.C'� { WA mow ! ,, it. /`�< ��., }j ....a..... dt1 f4.•.Sip:.li1. � � r ��a��'t�'�_Y!1 t; � ,1141'��•fii:__ ;�`+�' l,�d`!(�, )i] _ d >. ci 0 v. `a CN -� •r L != C:) P is G (V C A. X� C)nw, r E v ,� N - = o 16 u I. ., 9LO •�- O w N u h CA 11 At W o hpti to = .2 otection <(.on► }� Eozv�i V c 4� V O U W 3 sLL. yo `Ca' ttas»� 4•■ CL W ` O F- U) 04 44 3 c f.r L 4CRip)) CN A m N ti ! v n1 1y. i, at )► ':� t' 1��l V.- 'INN" lnl, . -6 r- �.'�1 ! 1 --iT'__-.'1 j1 _ _' ,-...,�.t_ ar)r':- <R_ rp n - � l(ts)►+ o 111y,' ! i1,11�,! ,l, �� �,�r 3r II! 11t -",..� ► . t ;1; '.,Ny at � tt �.�.b4'' '.rllp�1 t, y� ` ... td ..�. �,.. 4r,., l..• �t.,i} .�,. . 1 , � y ^Y� ^4Nfd.: ��� .h�'�,;k�`'-���y���'•_:�_�'+6�5,4/eF''�._�.. 'Qs�. :`�I....y�j' .,d4�,� -.:• ..''f.�,fir � .._• '�c,iyA. FAIRCUS-01 TBRAND A�OR� CERTIFICATE OF LIABILITY INSURANCE F��91261'2022 (MMDD/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 CONTACT Theresa Brandon NAME: _ MBI Company Group LLC. PHONE FAX 280 State Street (A/C,No,Ext):(203)288-3401 (A/C.No): North Haven,CT 06473 AE pAIL .theresa.brandon@mbi-ins.com INSURERS AFFORDING COVERAGE NAIL# INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: Fairchester Custom Windows LLC dba: Renewal by Andersen INSURER C: Fairchester 2041 West Main Street INSURER D: Stamford,CT 06902 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSD WVD POLICY NUMBER MM YYYIfMMIDD(YYYYILIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE i OCCUR X S 2516791 8/12/2022 8/12/2023 DAM,GE TOSES ERaENTED n 500,000 MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 FW POLICY�X PE� LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident IxANY AUTO S 2516791 8/12/2022 8/12/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ AUTOS ONLY X AUUTO ONL� PerOaE i'W)' MAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE X S 2516791 8/12/2022 8/12/2023 AGGREGATE $ 4,000,000 DED I X I RETENTION$ 0 A WORKERS COMPE AND EMPLOYERS N SA LIABILITYTIONYIN X ER T X ORTH- ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ C 9099063 8/12/2022 8/12/2023 500,000 OFFICER/MEMBER EXCLUDED9 N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is Additional Insured as required by written contract per the endorsements included with this certificate. 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 g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INEW R Workers' CERTIFICATE OF ATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Fairchester Custom Wndows LLC. 203-406-0545 Renewal by Andersen Fairchester 2041 West Main Street 1c.NYS Unemployment Insurance Employer Registration Number of 204 Stamford,CT 06902 Insured Work Location of Insured(Only required if coverage is specifically limited to Id.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e,a Wrap-Up Policy) Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company 938 King llage Street Rye Brook 3b.Policy Number of Entity Listed in Box"1 a" 938 Ki Rye Brook,NY 10573 WC9099063 3c.Policy effective period 08/122022 to 08/122023 3d.The Proprietor,Partners or Executive Officers are Ll 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"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under tin 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 caller 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. 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: Theresa Brandon Print name of authorized representative or licensed agent of insurance carrier) Approved o1 (Signature) ate) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 203-288-3401 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