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HomeMy WebLinkAboutBP23-028PERMITS 3' n V oA 3 i7 �3 gPzJ - 3 l � SECTION 3 BLOCK LOT TYPE�5 TYPE OF WORK JOB LOCA)19N / P e- OWNER/`7C�PlIQ�S / CJ/4 ,yQCI CONTRACTORP I�ou/ GfJ/z .J�f �' ---�I f�t vet' T. COST 7 . 0 O FEE % YCOO Col4gi FEE 737P&ATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW VOLT 0 ALARM O AS BUILT O FINAL FEE DATE INSP o�odiale; C pl)`f33-90(r7 �303)9y6-00bes- R APPROVALS tt 4.�u JJ v 1�(G G V4 V�,t�J 4 J4G'V y V �C . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE March 4,2024 Meenakshi Kumaran&Sujatha Ramachandran 243 North Ridge Street Rye Brook,New York 10573 Re: 243 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.35-1-15 Building Permit#23-028 issued on 3/17/2023 for Replacement Windows This certifies that the eleven new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D '" BUILD ENT h For office use on -:y T� PERMIT#DD FEB 16 2024 VILI' OF RYE OK ISSUED: 3—/7- 3 938 KING STRE YE,BROOK, V VoRK 10573 DATE: VILLAGE OF RYE BROOK 9 "Q FEE:- 61 ( —— PAIDAL BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK AND PRIOR TO THE FINAL INSPECTION r►rrrrrr►r►rrrrrr►rrrr►►r♦►r►►rr►♦►rrrrrrs►♦♦►►►•r►r►rrrr►►rrrr►rprrrrrr►rrgrrgsrr►rprrsrr►ggrrrrr►rrrrrqrrr►rrrrr►rrr Address: Occupancy/Use: \���t Parcel ID#: �3S .3 S—1— �S ,l Zone:? S1A 4���•.o. �A^R a C A n at -13 Owner: ,� Address: a�3 N i c(cdL.. iA- 'tY' Ic (as P.E./R.A. or Contractor: Address: A R-Lc-s " 64,(9%.� 3aa3'---i Person in responsible charge: S0 4t t�ty I-&V✓rP-r Address: C TS a044*1411-2 1 l4,- �wS� �-� C-- Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a(aJ33 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: Q ►,d�. ti leing duly sworn,deposes and says that he/she resides at Print Name tZ of Applicant) (No.and Street) in VX D c ,in the Count f IS-�C Y o in the State of that (City;'Town Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:Sa- for the construction or alteration of: �/Ja►^� (���aCC vv�� Oa R Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-IO.A.of the Code of the Village of Rye Brook. Sworn to efore me this -2 ' Sworn to before the this tic day of , 20 day of N)AI Z i 20 ,i�L7�it.?/►moo —A�� Signature of Property Owner S igsKatiTrVorApplicant Print Name of Property Owner Print me of Applicant Votary Public N ary Public Nftry Public StMe of Nor York,Bronx f bwiy Commistiioln No.03-5000955 MY o3,15J c�W 7 �yE BR(�k• 1. 1982. cu � 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 wwwebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - -- - - - ADDRESS: L1 N L�e.y, L L O DATE: PERMIT# 3— O 2 ISSUED:-�-0-L3 SECT: S� BLOCK: LOT:�� LOCATION: � Q*'�#'j v�1_ OCCUPANCY: 210 ❑ Violation Noted THE WORK IS... 9 PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas '� ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION UrIINAL ❑ OTHER a 1 N N p�,• e� v : 00 a � - _ a � w '� Q W a v � Q. to O Lr .� 00 � A > 0 3 L ' W M '$ ti u in p ti 4 so t3 t�"A a � 11 ,..i • F-1 O 0 3 i o.• f O v V oOno p 0 � 14co � � '� a �, Z a , W ^ w '� j� M A O A U a� U M-+ o V �F�-I j c� �% z "D W W 6 �n "c 'o. Q a !' 00CN rn a s m zzwv a W © � ° � o 0 �a ,a 'F- u z o C u OJ a rn y a- = T. y o � BUILD $ RTMENT E C IE �W ,E V1L OF R OOK 938 K. Er RY> ,NY 10573 MAR 16 2023 14)939-0 VILLAGE OF RYE BROOK � � BUILDING DtEPARTPJEr J ------_!LT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REOURE VILLAGE ARCHITECTURAL REyim BOARD APPROVAI, FOR OFFICE USE ONLY: ll �} APPROVAL DATE: �� ��� P RMIT*: �-,;-?_ APPLIcATION FEE: � APPROVAL SIGNATURE: PERMIT FEES: Y D 3 7- D V E H.O.A.APPROVAL: X, DATE: DISAPPROVED: OTHER: Application dated:3-1 to—c) is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: e 3 N ' ' 2, Parcel ID#: 1 3S Zone: - 3. Proposed Improvement(Describe in detail): a✓1'loyL IMfL ,S i Ze- ire $Ate---t- t�.r C.�C G(26. vt 4. Property Owner: 1' ' k k'��'� ' to✓>rl a ro-n Address: a 3 K Q.' r1e Phone# �l�-u3� °�Q�� Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant: Address: 1 0!Z " wti & Vh.• G t e s-Iry C 0 L¢G 3 Phone# Q3-1�4-�� 8S Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Address: aL(S� ��•c a.s �,(. L t W 3 a 3 Phone# ��-� -���� Cell# e-mail tI) < 12;zo21 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: -k�►''^t+ Post-construction: " '�i 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: tight 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: 2"`'fl: 3" fl: 10. Total Square Footage of the proposed new construction: IL For additions,total square footage added:Basement: I`fl: 21"fl: 31 fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y. State Use Classification: 14, Construction Type&Location: O Typical Western Lumber Frame;O Timber Frame [TC];O Wood Truss[TT]; ()Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];()Floor&Roof Framing[FR];Other: 15. Number of stories; Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSI, System,FM-200 System,Type I Hood,etc...)Yes:_No: "'" (if Yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:_No: K Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: X (t'jyes,you must submit a Site Plan Application, &provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: yc (if yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (if yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: k' (#'yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: 'Y Indicate:TIER I: TIER I1: TIER Ill: (if yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 1 111 -) Note: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 required prior to issuance arthe CIO. 30. Estimated date of completion: t {z� $I12/2021 BUILD MENT L VIL of RY. OOK 938 KING d 'ET RYE IB3 ��,,NY 10573 MAR 16 2023 VILLAGE OF RYE BROOK rr BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST HEAR 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,_ Mt t n wk-�M► _,residing at, t:)q -a L (Print name) (Address wberc Vau In 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; i---I C LOLL S11 . , Rye Brook,NY. ,Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. 0.. )'i (Signature oFPruperty 0%mer(s)) (Print Nwnc o! Pri+tii rtv Ov,ncn�sl} Swam to before me this o day of d,,,c h , 20 3 (Notan Public) ANA M SALAZAR NOTARY PUBLIC.STATE OF NEW YORK i 1 Regisiralion No.OISA6365173 Qualified in Westchester County Commission Expires 10-02-2025 �.11202 t 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. wwwwwwwwwww*,r**,rwwww�rwwww*,twrr+r,rww,rw**wwwww,twww*wwwwwwwwwwwwwwwwwwwwwwwwwwwww*ww*www**,tr.,+*+rwwwwwwwwwwwww,tww STATE O�NEW YORK,COUNTY OF WESTCHESTER ) as: gttiU 0"� e ,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 w•-�, 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 16 Sworn to before me this day of Qr�� _, 20 day of , 20 Signature of Property Owner Signatu,a of Applicant Print Name of Property Owner Print Name of Applicant Notary Pub t Notary P46lic v AN A C.S ATE OF N GREGORY M.RIVERA NOTARY'PUBLIC.STATE OF NEW YpRK ReLisiraiion No 01SA6165173 Notary Public,State of New York Qualiked in µ'estchesterCounty No.CIRISM1398 Commission Expires 10-02-2025 Qualified In Westchester County 0 3 (G Z2- Commission Expires September 26,20 (41 811 212 02 1 Home Improvement Agreement: Page 1 ,ka Home Depot License#'s - For the most current listing visit www.Homedepgt.com/LicenseNumbers Rocco Deleo Salesperson Name Registration#(Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot The Horne Depot Service Provider Contact Name Service Provider Company Name (914) 347-6900 customercancellationnortheast@hom Phone # i er vider Email Address Service Provider License #(s) 2. Customer Information Kumaran I Meenakshi Westchester I F32446848 Customer Last Name Customer First Name Store #/ Branch Name Customer Lead/PO# 243 North Ridge Street Rye Brook INY 110573 Customer Address City State Zip (914) 433-9087 1 sujatha93@hotmail.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 6 Skyline Drive Hawthorne NY 10532 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE S GN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTI OF YO R RIGIJTTO CANCEL. Acknowledged by: 03/06/2023 Custom r s kigfiAKr-f Date 460 Standard Form HIA(21 Jul.21)(E) Generated Date �� ��n 2� Lead/PO# F 3 2AA R R d 8 ` Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: Os/o2/2023 Approximate Finish Date: 10/02/2023 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. 7. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 115772.50 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 10.00 (If applicable, total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD, MA, ME(33%),NJ, WI(99%) Deposit% 1100.0 Deposit Amount $ 115772.5 Remaining Balance $ 0.0 8. Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 9. Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are re iving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in erson listed as"Customer" above; and(iv) Electronic signatures will be deemed originals for all purposes.tA . A AAA 03/06/2023 nrs ignature Date X I/s/The Home Depot 03/06/2023 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (914) For any other concerns, contact The Home Depot at 1-800-466-3337 - 460 Standard Fonn H1A(21 Jul 21)(E) Generated Date 0 g/0 6/2II 23 Lead/PO# F 32A A R R 4 R c (I I I, Andersen Wood SPEC SHEET SC: na==a De1ea Measure Tech: INSTALLER: erancn Name 1V1sl,1111le Job• ,3}aa69aa Plop—By ISM: Slllp To Laaloo Cuslpnwr N—o Page' of l SPEG SPR SHEET• HEF NEW WINDOW I)NR LOOK O`mNs OT`T-NS ISTIX {TnowrW (51a•be� f4 SIP ict a Wol.Om '' flal OV1 �e r alYig WaiMW AMMMI wsEfl Sew Gaee einPBau G1em n SASH LIFT in�BASE UDOq TIEN TIP V&.§m rVPE LabTallAN' SCBRESOLD(TIpm TW): MEASURE TECH SIZE ONL ONLY p Caanaa HarMlup Oplpm OPTq pkpl Grdle OppaH(PEFl¢4SH PRgxGI OPY pl.o-ml OPnO- ym,p; OPT TOTAL MTnSM TW SC sarae,a •Bera •Oera /ears MISC Latour`Ea�x� $xae EHx. 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Customer Name DUN SPEC SPR 061Io13 Page 3 01 3 SHEET REF! NEW WINDOW UrriT vwrg OX OPTIONS ITredmoral fwrwer F."Slane _ a wnb ooI— Fuu off Sung BASE -1 EA�aI•p Willow A*WrFeP qAM INSER San Gaea einrtS» Gass n SASH LIFT ;n BABE LAOOft TYpe Wrboe TYPE f xiF�nrsF SC SLE SOLD(T910 TIPI MEASURE TECH SIZE IXIL ONLY Cevrrrl Hargolrq OPllab OPtq pi'o) pHb OplvrIPER SASH PRK:INL31 �.ry! Of`LIONS une priptyl UPL TOTAL LRnSM P LVY x wm.rd •e.r. •eara •sera •ear: Mix Laulm Erin Srree Ever m $WHer L. IWIDT S» Grd Elena ba Ven Ibriz HPnz TYae SMe Cdo Cda Lxbr SeA CODE WALL BILL SN Screen »prW GMb (per Ipw L IPor IPor mn Obe.v F;ni FriN CC ODE C CODE COO Cd Cade Wpm HnBM EIG Negnl EPT ANGL SMA enxgrHaMmg ISYI CORE Ov—CODE Co. CODE sasnl aeanl CODE San) Sanl CODE CODE CODE TYpa T CODE CODES I'll Iipe DH- 100 Sv 31 50 11 S'D n STD H STD WRAP A LDF 10 FA s DH- 100 SH 31 S1 a1 STD STD W. STD Ap Al Of Baa 0 31 50 STO Wl ITS IWH STO AP ALDF —So. fT T_.. xm.:lndur Mac t•pw,Nw&rAOMmee.apaab mrrulwr ermm•m uNp•aeeeueap ImA UrK�AI�n•mlr �areowma� Pmlra�Aryc ra. W w ry 1T NF W DOOR UNIT OR 8 F" REM HxbrFen MEASURE FULL FRAME Dlecc So Hnpa MULr"ONsK Energy Sler AWTn.nl / EacBrq Opw Typ Dow TYPE Gvw.F:rvs� SC SI'E SOLD IT;Db Tiq TECH SIZE ONLY OrYb Opdorb(PER SASH PRK:INp) GPTIG Oq: Opio Ilwyrd all Olazrsp Dux Op4pnc OPT1pN8 MISC IADfiR CPTKNzS OWwb PD TOTAL �1ppa ROI " PD PC Gsevg Hnged a00,6 m E;a� Sn Erar fnisn SI. IWIDT TIP EI E brmb Gnd Eden .— •Sr •Sr paor Opor A-Sr Lm LwJr Opore Oca . OD C D Caa Sze AW o am �eme Type Gre Gre Paee r1( �z1 pxvr So INw Vmlxq V_'b g'.' HRO HRDW Keyed MuxadI Sue m Code COD COD CODE COO Code m Hepn HEIGHT W TIP JSie Laelnn COD Ulpr Cdw COD Sun Ssn CODE CODE OUT P Marrdrq Ha pnlyl Typo Fer;eb LM SecMtl Nola MISC Lapp eem CODES Wign Np ter„ aw M H re D.ner 'All III I� IC) E: 11 �:5 E 11 NIN DC) WS UGFt5 1101;) 15' E R: 11 IE: ,S i WllIt.HAW"! 41, 4 ilia < n ' e dirx��ty,mr� I` STRENGTH & PER.FORMAN CE ENERGY EFFIC ENT COLORS THAT LAST Fibrex°material is 2X stronger than Our wealher-resist0t construction seals Durable,factory-finished interiors vinyl and it retains its stability and out drafts,wind ant water so well,you and exteriors feature a premium matte rigidity in all climates so wealhertigf t can relax in comforit whatever the weather. finish that isn't shiny like vinyl plus they seals stay weathertight. Plus, Fibrex material blocks thermal never need painting and won't fade, 100 Series products can withstand transfer nearly 70.0 times better than flake,blister or peel' temperatures up to 150°F,even in dark aluminum to help reduce heating On 100 Series products,the finish is colors, meaning they won't warp du to and cooling bills. 12X thicker than that of painted vinyl sun exposure, windows' resulting in superior scratch resistance so they'll look beautiful for years to come. ENVIRONMENTALLY RESPONSIBLE ADVANCED CRAFTSMANSHIP Our exclusive Andersen°Fibrex co posit( 100 Series products feature virtually material is composed of 40%reclaimed n seamless corners for a cleaner,more wood fiber b , most of whi h y weight,g ';tip contemporary look. is reclaimed from the rrionufacluiing f of Andersen wood windows. lsst2IMSt;13'.�3i... Ii�t0ity3xc ��"` I 00 Series sash corner seam See how Andersen created Fibrex material at ondersenwindows.com/fibrex Vinyl sash corner seam TRANSFERABLE LIMITED WdA NTT Most other vvindow and door warranties end w$en a home is sold, but our coverage— 20 years on glass, 10 years on nor-glass parts r transfers from each homeowner to the next. And,beta se it's not prorated,the coverage offers full benefits,year after year, owner after owner: So it con o d real value when you decide to sel�your home. 0WNE 20WNEff *Visiiandersenwindows.com/worrantylordei I ls."When 100 Senes products were rested agosi five leading compel tors'painted vinyl window products. 3 WINDOW & D (DR TYPES Choose the product style and fra a type needed to complete your replacement, remodeling or new construction project and bring your vision to life. 3 t J i SINGLE-HUNG CASE ENT &AWING GLIDING WINDOWS Single-hung windows Ca e CASEMENT ws are hinged Gliding windows have one stationary feature a stationary on the si Je and open outward sash and one operating sash that gliders GLIDING PATIO DOORS upper sash and operable to the lei I or right,while awning horizontally.A three-sash configuration, Patio doors feature one stationary lower sash that slides winclows are hinged at the top where Iwo sash glide past a fixed panel and one that glides smoothly up and down and open outward. center sash is also available. on adjustable rollers.Add character and light with a sidelight or transom. 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D .1.� �hy Il � � Il fii f,A.s,�ijj„',�F�Za -0 las•N 7���} ..:Il S°st iirY4��.. •Il' ti14tt��y'Z=?-.\�L+ �•tYi .�Y 'VsYr t��V�t{S�i ,'�, '+K�V�"rWW � ),rrVst jtrVk tq,,:��,,,y �•.Zii,�4V�} tlrVtls3ri.. » �, s V.•\w"'r �.y :;-,+`'' f�lYr �Yv\ �*yAL.;.3 y�.�•+ -:%r:V � v,' .•`�7yy; "�t�_�'�6C�"' h•t`�' s; �F�'�cf�..r..,r�j, sl��M���. 7OT2128/2023 (MMIDDIYYYY) AIR" CERTIFICATE OF LIABILITY INSURANCE 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 MARSH USA,INC. NAME` _ PHONE FAX TWO ALLIANCE CENTER c No Ext: C No): 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC X CN101642069-HomeD-GAW.22.25 INSURER A: Old R public insurance 24147 INSURED INSURER B: indemnily Ins Co Of North America 43575 THE HOME DEPOT,INC. HOME DEPOT U.S.A.,INC. INSURER C: ACE American22667 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA.GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004348037-18 REVISION NUMBER: 1 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 XP POLICY LTR TYPE OF INSURANCE INSD SUER POLICY NUMBER M DD YYY M DD EFF POLICY E YY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 316648 0310112022 03/01/2025 EACH OCCURRENCE $ 1,000.000 CLAIMS-MADE X� OCCUR PREMISES Ea occurrence $ 1,000,000 X SIR:$1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2.000,000 OTHER: $ A AUTOMOBILE LIABILITY MWTB316649 03/01/2022 03/01/2025 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB N OCCUR MWZX 316647 03/01/2022 03/0112025 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DM=RETENTION$ $ B WORKERS COMPENSATION SCFC50668198(WI) 03/01/2023 03/01/2024 X I PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER C YIN ANYPROPRIETOR/PARTNER/EXECUTIVE NIA WLRC50668150(MT) 03101/2023 03/01/2024 E.L.EACH ACCIDENT $ 5.000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 5,000,000 111 yes,describe under l Pa ge Continued on Additional e DESCRIPTION OF OPERATIONS below 9 E.L.DISEASE-POLICY LIMIT $ 5,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V?4vza", 7"ae_ 0 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YTEW Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured 770-433-8211 Home Depot USA, Inc. 2455 Paces Ferry Rd.,C-20 Atlanta,GA 30339 1c. NYS Unemployment Insurance Employer Registration Number of Insured 76011130 Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e., a Wrap-Up Policy) Number 58-1853319 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Company of North America Village of Rye Brook 3b. Policy Number of Entity Listed in Box 1a" 938 King St WLR C50668058 Rye Brook,NY 10573 3c. Policy effective period 03/012023 to 03/01/2024 3d.The Proprietor, Partners or Executive Officers are ❑ Included. (Only check box if all partners/officers included) ❑x 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 Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. 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: Eric D.Tonn (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Z/o8/Zo23 isigh�Eur0) (Date) Title: Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 678-795-4338 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