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HomeMy WebLinkAboutBP23-014PERMIT # &_ olz) 3 - J SECTION f;) 4 TYPE OF WORK r ve.- JOB LOCATION ; J cc OWNER EST. COST � V/cO #..c TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT C7 FINAL .3 , <edlva, f,leya/lzeASeo~4 w 4yresS lJ/ioW lcma 7a—/c)8g /� �✓ C�erac�ily a'�viCPS Co�,o Cv/o'Yio ereZ C9/y)`/y�-��'�ro Jap - FEE J 7 _ �OZ!; _ FEE4 //D--pd DATE 3 _ FEE DATE INSPECTION RECORD DATE I NSP OTHER APPROVALS ARB BOT Ps ZBA OTHER FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: ?3-188 Certtf tcate of Occupaucp This is to certify that /-/z Pie /Jz of, /C / V Y having duly filed an application on )A�oVe j)�Uer,�'a20 requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY,located in a PU Zoning District and shown on the most current Tax Map as Section: Block: ) Lot: /. 4 , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building �Permit No. —(J , issued CS / 20.23, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: fR 3 lonf'-rJaZ27il Construction: , for the following purposes: ae-& Z. &aa.I/Z e zvJJ--)d Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINIS APPROVED FOR USE AS A SEPARATE APARTMENT DWELLING UNIT This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be mad nor shall e building be moved from one location to another until a permit to accomplish such change been o ed fr �Buildmg Inspector. Building Inspector,Village of Rye Brook: Date: DEC 0 4 2023 DFor office use onl BUILD � MENT PERMIT# o� -OlL/ NOV _2 VIL�.b[1 i OF RYE V4POK ISSUED: 0 938 KING STRE)� JIYE BROOK,. !W YoRK 10573 DATE: VILLAGE OF RYE BROOK '� 9 �Q66,> FEE: ,� //Q— PA» BUILDING DEPARTMENT , L 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 ►t►►♦►ft►■M►tttttt/tititttitittiititit•1lttttttittttt►►t/♦►►ftfft►tut►►►itttt•itiititttttttitttittftttf►►►►t►►t►fitt►ttttttt Address: �-��.5 _c L a.- e Occupancy/Use: / ,C4_ 14. Parcel ID#: D 9, ­)S - �' Zone: 6— Owner: e, Address: a_�cs ,. ; _< (c- -e ,�1-Fe t?-DcJL— P.E./R.A. or Con Iractor: <<< Address:q 4 CG p4f I o-?c 14 Person in responsible charge: 4 ac , Address: 191 Ce1c:, n/�_ ( ^_Lo.1� ,,,It- Application f lo�cf 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: C;Z4 00 %(--1 being duly swom,deposes and says that he/she resides at f� j c-- c .._ . _p L -e (PrintIName of Applicant) (No.and Street) in --, c,-L,- -----,in the County of cam) cc Fc L c t ( 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 p o for the construction or alteration of r o 4-o -c.t e C, -e C, Fu e d L c, — Deponent firther 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. 41 Sworn to bef re me this 019, � Sworn to be ore me this day of,. 20Q7a day of 120,3 i Signipu ofPrlp Owner Sigsa t JC. �� r Print N of P petty 1 Aotary a of A� lic Public Public _�_---- Lynda Dcrerizis 9/12/2021 Lynda Derenzis Notary Public-Connecticut Notary Public-Connecticut My Commission Expires My Commission Exoir,;s November 30,2024 November30,202d �yE BR(�k. cu � • �9a2 BUILDING DEPARTMENT BUILDING INSPECTOR /❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - -- - - - - - - --- -- - ADDRESS : 1 DATE: PERMIT# lT ISSUED: \, .q7 SECT: BLOCK: LOT: � r LOCATION: L� (1 �11 OCCUPANCY: A ❑ Violation Noted THE WORK IS... ❑ PASSED FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING �� o ❑ INSULATIONS ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION I,FINAL ❑ OTHER 9 ■ ■ a s ' C> 1 M N \ ✓ � 'ti C M • A or Z w a w > w z U' a n w O W a a Ln ao a a I� � i� ��, � .�''�. � •�� ate., � � �v�,, � �� 00 00 a N It u 4-1 O b 0""4 w 010 cc) 1.0 � � p � aa,� a u pp pC a 2 44 00 (20 .� � r O V W O A co © A " V O V ■ z O Z � � �. � � � 3 � � U Q1 b � ■ I� d' � .:a o ai .� U ■ 00 W W � x c o � 4w u 'PO N C� z0 F W o p a aid H -� o p� QO �1 U 4 p p�.i U0o � � 'o � 4 Z ^ �w ��",� w z O O OF cu V a to w ►1--��1 F^,� �r O Z Z cnoa ,y U �% V U z °� ao �' CA m o ui `a J Z ti C7 A z O P. �• WO > Q rJ N p; F W. u a � vU) A a w W p b m m ■ { BUILDING DEPARTMENT D E C E W E VILLAGE OF RYE BROOK DEC 2 9 2022 938 KING STREET.RYE BROOI{,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rvebrook.org BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION "°..�Ye t�1'6�iLeIC i.✓`:7 �4ii. ' Approval Date: P t : GJ Application Fee:$ Approval Signature: WV Permit Fees:$ is��1,�-�rec: Other: `. ` n Application dated: �9 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an building,or for a change in use,as per detailed statement described below. 1. Job Address: �D )'P�c ..-< SBL: 49. —/-/"V kone:�U 6 2. Proposed Improvement.(Describe in detail): ' _ 6 1 e J- �cx,,, 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: L,/ Yes: If yes,indicate: TIER I: TIER II: 'TIER III: 4. Will the proposed project require the installation of anew,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...):No: L,­'� Yes: 131ease submit P.scpp,"Fte F'-l[tomatic Fie Sup resslon System-~ermit applIcction L"t 2 sets oT detaileel engineered plans) 5. Occupancy,(1 fam.,2 fam.,comm.,etc...)Prior to Construction: I c After Construction: / Fc 6. N.Y State Construction Classification: N.Y.State Ilse Classification: 7. Property Owner: -i- Address: .11 )G c � Lc, _e Phone# Cell# 9j /- -7 i S - i-7 S a email: ' 1 e I u , I S. Applicant: c, _ - _ Address: Phone# Ce # email: 9. Architect: S'L c L'. e Address:44 t w - 0 Phone# 4 t,I- cl PC, Cell# email:4,,;L L, tl w-s .1 t l ex-c L" tIer j( '. 0,r t'- 10. Engineer: A JA Address: Phone# Cell# email: 11. General Contractor:(11 e c, Cc,_E-u 4 F: _, CC-a Address:.-4 C'c.G'F_�_ �l�u�, b!�y -74{L�P«- et 1 402 V Phone# CCU# q.(, email:L,�.o •_o,r �o P . l_cti- 12. Estimated cost of construction $ a OG b"d> ;MOTE:The estimated cost shall include all labor,material,sca:ioldin .fi::eti equipment,pr®fessional fees,and inaterial and labor which n-ay be donated gratis) 13. Job Timetable:Start - Finish: Ck- , e: ,c 1.-- c, -EL c (1} 3/12/2021 BUILDING DtPARTMENT VILLA E OF R'9 ROOK DEC 2 9 2022 938 KnvcT.RYE$R ' NY 10573 -� VILLAGE OF RYE BROOK - BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 31, e<< i�e /(-z , residing at, 2 A'S <C- 117-f �.Q�L. ell ( rint name} {Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; _ L C_ _ e /� , Rye Brook,NY. rob Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of er(s)) C. , R I tL— (Print Name of roperty Owner(s)) SworRa,bef9re me this day o , 20 blic} (2) Lynda Derenzis Notary Piiwic-Connecticut My Commission Expires 9/12/2021 IlovQmhe; 30,2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEVA YORK,COUNTY OF WESTCHESTER ) as: 1.. , (' / t-�_ ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of ibdividual 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,co actor,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. Swo?tefore me this �(J Sworn to before me this day /LG� 2 day of , 20 Signitur f ro rty Owner Signature of Applicant t✓ C Print Name mperty ner Print Name of Applicant Public Notary Public Lynda perenz s Notary Public Conne ifles t My Commission EXP Novemder30,2024 (4) 8/12/2021 , , f [�] M M Q � � ►� L !� ° O z L x ° 0Ln Ln o F+1 U oo V N ;� z x �' F ` awe ~ � o Q w 0-4 r W w v z ' w � '�' V WW F-� z W a ° a 0 ►.. lip � z 0-4 rA 00 0-4 en VN w .. ~ w V w 4 o zz a z o .. U W a w w � oc cr z V c z cn 3 d w t- V o Hg N ► a w w as ' �I 124, a w = � BUILDING DEPARTMENT MAR 3 0 2023 VILLAGE OF RYE BROOK — i 938 KING STREET RYE BROOK,NY 10573 ! VILLAGE OF RYE BROOK (914)939-0668 4 BLjlL.DiVG DEPARTMENT www.ryebrook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 23-014 EP#: Approval Date: MAR 3 IzM3 Permit Fee: $ Approval Signature: Other: =tuiApplication dated, 03-07-23 is hereby ma dg Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 2 Jasmine Lane SBL:_129.25-1-1.460 Zone:J�L�� 2.Property OwnerRrynn Peltz& Jay Peltz Address: 2 Jasmine Lane Phone#: 914-472-1288 Cell#: email: 3.Master Electrician: Denis M. Fortino Address: PO Box 713 Rye, NY 10580 Lic.#: E-51 Phone#: Cell#: 914-760-5226 email: dfortin0 enterpriseelee.com Company Name: Enterprise Electrical Consulting Address: PO Box 713 Rye, NY 10580 4.Proposed Electrical Work/Fixture Count: Wiring for conversion of basement storage area to new bedroom 5.31 Party Electrical Inspection Agency: S W I S STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,deposes and states that he/she is the applicant above named,and does finther (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn m to before e is day of ,20 day of ' 0 Signature of Property Owner Signat&e of Applicant Denis M. Fortino Print Name of Property Owner Print,N me of p licant Notary Public Notary Public GREGORY M.RIVERA Notary Public,State of New York No.01 R16441398 Qualified In Westchester County n commission Expires September 26,20=� • STATEWIDE • CA(]) Service With baegrif.v 1:1 Main Street,Fishkill, NY 12524 1 email:• - . • SWIS JOB APPLICATION tel845.202.7224 fax 914.219.1062 SWISNY.com SWISTraining.com Office Use Elect.Permit# Date Bldg Permit#� Utility ID# Final Certificate# City/Village Q i Zip IV,;"- 3 Township County Address Cross Street Seytiortt� / Block K/ Loy, Owner Name/Address(if different than above) f�/r[� I` v i 1 Contact Number lP �asement ❑1 st Fl. ❑2nd FI.rJ[ 3rd FI. ❑More Than 3 FI. T Garage ❑Attic ❑Outside �Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information t� MAR 3 0 2-19-3 VILLAGE Or RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed Items to be inspected,If at any time of inspection additional hems have been Installed,you are authoraed to make the inspection and adjust the fee for the additional Items inspected.The applicant declares that there Is no open applications for the above address with ally other Inspection company.The applicant,owri r or auftwized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Nam /2 Signature Address RD 71 3 City/State I "J. Zip Code i License# ,s� / Phone# t [ � � 0�� State Wide Inspection Services I 1080 Main Street US OCT — 2023 F2 1, 12524 02- � 845 202-7224 24 Phone X0 V'riVILLAGE OF RYE BROOK Email: Fax STATE WIDE INSPECTION SERVICES Email: o BUILDING DEPARTMENT ffice@swisny.com Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Enterprise Electric Corp. Brynn Peitz&Jay Peitz PO Box 713 2 Jasmine Lane Rye, NY 10580 Rye Brook, NY 10573 Located at: 2 Jasmine Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-079 129.25 1 1.46 Certificate Number: 2023-7236 Building Permit Number: BP 23-014 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 2 Jasmine Lane, Rye Brook, NY 10573 The Basement was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 4th day of October 2023. Name Quantity Rating Circuit Type C/O Smoke Detectors 02 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Building Permit Check List&Zoning Analysis Address: r \�( � �`'1C� SBL `2_`6 25• Zone: Use: Const.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant: 1 2 Nature of Work c, a3 c-L6k l C—\. (O �� �' `� 5A� cw� C O 01 �1 cSZ av Reviews:ZBA: 2�1 �-� PB• BOT• Other. ( VFEES:Filing BP: C/O: Flood Plane: Legalization: ( ) ( ) APP: Dated.�C Notarized:_—SBL: Truss I.D. Cross Connection: H.O.A.: PNI ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review. Street Opening: ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan Other. ( ) ( ) SURVEY:Dated: Current Archival• Sealed. Unacceptable: ( ) (,KPLANS:Date Stamped Sealed Copies: Electronic: Other. (� ( ) License: Workers Comp: Liability: Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. ` G V-u— ( ) ( ) 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. O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER. Other. ( ) ( ) Other. ( )ARB mtg.date: approval: notes: ( )ZBA mtg.date: approvaL• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISE NG PROPOSED NOTES Art& CLU Fie Front: From Smogs: Main Cow. 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A��9 DATE(MM/DD/YYYY) CC CERTIFICATE OF LIABILITY INSURANCE 12/08/2022 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 MICHAEL J DONNELLY NAME: Donnelly Insurance Center A/CONNo Ext: (914)347-6500 FAX, No): (914)347-6303 6 North Lawn Ave. E-MAIL INFO@DONNELLYAGENCY.COM ADDRESS: P.O.BOX 880 INSURER(S)AFFORDING COVERAGE NAIC# Elmsford NY 10523-0880 INSURER A: Utica First Ins Co(Mutual) 15326 INSURED INSURER B: THE PRESIDENT CONTRACTING SERVICES CORP. INSURER C: 34 GAFFNEY PLACE INSURER D. INSURER E: YONKERS NY 10704 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2291532544 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. POLICY EXP TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/ Y EFF DD MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENlErT- CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Anyone person) $ 51000 A Y ART3000616240 09/24/2022 09/24/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY ❑ JECT OTHER: A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PAINTING-INTERIOR CERTIFICATE IS SUBJECT TO TERMS,CONDITIONS AND EXCLUSIONS OF THE ACTUAL POLICY AT THE TIME OF ISSUANCE.CERTIFICATE HOLDER IS/ARE ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN VILLAGE OF RYE BROOK ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING ST AUTHORIZED REPRESENTATIVE f�� RYE BROOK NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 ',0 ^^^^^^ 843141572 � DONNELLY INSURANCE CENTER AGENCYINC PO BOX 880 ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER THE PRESIDENT CONTRACTING VILLAGE OF RYE BROOK SERVICES CORP 938 KING STREET 34 GAFFNEY PL RYE BROOK NY 10573 YONKERS NY 10704 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2556 286-9 596615 09/28/2022 TO 09/28/2023 12/8/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2556 286-9. COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK. EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS:I/WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT EXAU EULOGIO PEREZ SOLE OFFICER/OWNER OF THE PRESIDENT CONTRACTING SERVICES CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE SUR NCE FUND 7 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 312124834 I'-4" I'-4• 1'-4•I'-I' DECK Aeove-J _ 12•CoOL4AwN -_-` Ec[--.-r* E C t r .. � .. .. 8r 3 COVEris nr , ...r.•vr•. .yam 10'GONG. •p �J I +■i■ FooTnNs I ' '� LL • j o SONOTUSE DE C 2 9 2022 ARCHffEMRE 2a x60 j ELIJESTONE ,ol tlo»ee SLAB Nor.,00.l,W 02040 VILLAGE OF RYE BROOK �m www,.n=womo.:lwv com I '-C - '-Ih3s' l,__r74 s° BUILDING DEPARTMENT _ 1 b • ' -----------TEMPERED—-(3)2X6 1 I (ern) ' r P I �tftf0 AFICh r 96'HI6H�0 1 I ��• K. 1 1 �/ 1 j , HANDRAIL 1 1 cowir J J FINISHED j 3 3 BEDROOM , 1 I Ar z I 1 z ' 1 1 Q•- - 1 I 10 N N MOT WATER: I 1 _ ; N COM2 FINISHED � 17ER z BASEMENT � zb+�� ; 14 MANIFOLD � I 14 1 I �---2X4 51UD 1KAL.L, tib 1 SEE DETAILS —EJECTOR P�R TT T/ 51- j' 2'-10• 3'-0' I BATHROOM N °!-0 I 1 ' O 11 � 1 i i 2x6 INT,WALI +� tib 32•x60'TU6 I w/SHO o , V) L i i O m I I 2xb STUD WALL Q 04 I 1 C L - - 1 1 in c J a- I 1 1 I U • O +- �T '.0 0 z° V - 1 I 2x6 INT.WALL in. LL CL oc ui Q Q i i 1 i i I I I OUTLINE OF 1 1 STUD KAL.LL 1 1 1 I 1 ABOVE 1'1 r, j � O O I j 1 I 1 Uy i E LE C• , PANEL i 12•xWx4• i DEPRr;5VON I 1 IN SLAB� Z O W i UNEXCAVATED i + -J Q No UNFINISHED 1 A`� ; ; , O UTILITY I ; SLAB ON GRADE i W � ��. ° in I I I ' IV-4 _I9'-I'------- i I 1 I Li 2 V N 1 ' irlI 1 11 Q Z u nn``- • • , I I I I ii� Q g c 1 I I ( w W � � � V r-- i �I 1 I ' I J I 1 'I 10• x I � i i I •�I L------------- - I 1 ----------- -----------------_ _-------J • 1 1 1 • I 1 1 I (SHED BASEMENT NOT a Zj t UNEXCAVATEI�, I------- I FIN USE AS A 1 J , S'-M ON 311 APPROVED FOR L----- I SEPARATE APARTMENT OR I ---------------.-- � -�• NTT '1'-l0' i a'-2• - Ib'-s° I >K I 4L• DWELLING U I � i BASEMENT FLOOR PLAN w/ WALKOUT SCALE I/1.62 I'-0• FLOOR AREA 12•CO.C3'UNIT e EASEMENT 792 SQ.FT. FRST FLOOR 1,654 SQ.FT. SECOND FLOCK, 1,001 SO.FT. TOTAL 3A47 SOFT. �pp GARAGE 503 SOFT 0 2' VOLUME 32,436 CUTT.