HomeMy WebLinkAboutBP23-037PERMIT # �QA
SECTION
TYPE OF WORD
JOB LOCATION
OWNER
CONTRACTOR
EST. COST
V/CO #_G(
TCO #
� 03 7DATE: 3 a3 SM4
3 BOCK LOT,
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FEE, IlU-Pb
FEE DATE
INSPECTION RECORD
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FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING
RGH PLUMBING
GAS 0
SPRINKLER
ELECTRIC O
LOW -VOLT 0
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AS BUILT
FINAL lPe.4at E 1 L-LOtr/
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OTHER APPROVALS
ARB 44
BOT
PB
ZBA
OTHER
3$UILT/FINAL SURVEY
REQUIRED PRIOR TO
FINAL INSPECTION
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.ryebrook.org
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
January 16,2024
James Bogucki& Nicole Zillitto
300 South Ridge Street
Rye Brook,New York 10573
Re: 300 South Ridge Street, Rye Brook,New York 10573
Parcel ID#: 141.43-1-1
Building Permit#23-037 issued on 4/3/2023 for a New Fence
This certifies that the new three foot high white vinyl fence and gates,installed under the above captioned
permit has been satisfactorily completed.
Sincerely,
19-�a'
Steven E. Fews
Building& Fire Inspector
/to
�� U V BUILDIl6��'MENT For office use onl
PERMIT
VILLAGE OF RYE BROOK ISSUED: -3--t:)3
DEC - 7 2023 938 KING STREET,.RYE BROOK,Npw YORK 10573 DATE:%,�-7-013
(914)939-0668 FEE: g // p PAm Z
VILLAGE OF RYE BROOK ww v�,ryoropk:org
BUILDING DEPARTMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE,
AND CERTIFICATION OF FINAL COSTS
TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION
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Address: O C;n ,�'- fi
Occupancy/Use: arcel ID#:may/_y / Zone: !C )-/C
Owner: tJ ,r,le -Z, 11 j-)4.c) Address: 3D0 e f-�--
P.E./R.A. or Contractor: ktn—, 1-enc.N_ Address: 4$' GraS54 SP,Q,yj Q,a ��n��kers N� in�tn
Person in responsible charge: j::'rcwA k Address:
Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a
Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance
with law:
STATE OF NEW YOM COUNTY OF WESTCHESTER as:
J�j k c o ly 7_A k 4 r being duly swom,deposes and says that he/she resides at '2 DO SO«+u Q,d
(Print Name of Applicant) (No.and Street)
in k i l p ar on iC ,in the County of 1,&j e 5� r_�jPSk-�e,c in the State of (vj t/ ,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:$
for the construction or alteration of:
Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of
Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in
accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and
as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an
owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly
or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building
Inspector as per§250-10.A.of the Code of the Village of Rye Brook.
Swom to before me this Sworn to before me this y
day of , 20 23 day of %Xtf--AYJe&— , 20 23
Z� .,
Signature R perry Own✓ Sign a of-Applicant
Print Name of Property Owner Print Name of Applicant
Notarrub
�pO 0 NEM 0
NOTIIRYPUBLICSTIriEOfN@WYaiK NOT UB CSTATEOPNENYM .
uMY OOt1NiY si:2izoz:
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1932 BUILDING DEPARTMENT
❑rBUILDING INSPECTOR
[y ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS: DATE: Z 20Ly
PERMIT# ` G3 " Uy ISSUED: " 3- 23 SECT: /Y/• y� BLOCK: LOT:
LOCATION: VIC n-A �4 QAL Q&L')0. • OCCUPANCY: � /'J
❑ Violation Noted THE WORK IS... 3 PASSED ❑ FAILED /REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
� 1
❑ Natural Gas
❑ L.P. Gas
❑ FUEL TANK U
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
Q,-'TINAL Fe�crz
❑ OTHER
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BUILDING DEPARTMENT D ECENED
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 FEB 21 2023
(914)939-0668
www.gebrook.org VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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FOR OFFICE USE ONLY:
PP Fj 20�3 Application# p�J~�J-7
Approval Date: Per it
Approval Signature: ARCHITECTURAL REVIEW
BOARD:
Disapproved: Date: S
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: Permit Fees:,NL'�y5'_�)U(LE:7
*##*#*#t#*#*#t*t#***#t#t#t##tttNt**##t***NN*ttt**t*ttt#####t#t#**##t#**t######*********##*###t###t#t#**tttt
FENCE / WALL / GATE PERMIT APPLICATION
Application dated: '2,12,023 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit
for the installation,cons4tiction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of
Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code.
1. Job Address:
2. Occupancy/Use-&Y)- mtW, S.B.L.#:� C�/, 03 Zone:
3. Proposed Fence/Wall/Gate(describe in detail):
i %Ityr.1Q-SSir- Vir-+
4. Property Owner:
Address: �i0() Rz► 105771
Phone# Cell#J 914) Z 1-7- WK1 email: NI Z 11,fia(d 6rwis A .CpyA_
Applicant:
Address:
Phone# Cell# email:
Architect/Engineer.
Address:
Phone# Cell# email:
Contractor: k Cip rl /
Address&Phone: S t - 3760
5. If building is located on a corner lot,which street does it front on: s � tP
£ 4"
6. What is the estimated cost of construction `t.
(NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and
material and labor which may be donated gratis.)
7. Estimated date of completion:
t
811212021
Please note that this application must include the notarized signature(s) of the legal owner(s)
of the above-mentioned property, in the space provided below. Any application not bearing
the legal property owner's notarized signature(s) shall be deemed null and void, and will be
returned to the applicant.
,,tSTATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the
for the legal owner and is duly authorized to make and file this application.
(indicate architect,contractor,agent,attorney,etc.)
That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use
conducted at the above captioned property will be in conformance with the details as set forth and contained in this application
and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire
Prevention&Building Code,the Code ofthe Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this, rh Sworn to before me this
day of :!2brx AQ'- , 20'4 day of 920
-;�L-� #__
Signatu(of Prope ner Signature of Applicant
_ t��_Ap_ L_t1ch-0
Print Name of Property Owner Print Name of Applicant
Notary Itubli t-2 ' Notary Public
DOMINO
NpM��Y YOHK
uC.#M
2
8112/2021
-Budding Permit Check List&Zoning Anal sis
Address: e SBL: y,J—
Zone: a- _ZX Use: 2,�Q Cont. ype: Other.
Submittal Date: ��\ evision Submittal Dates:
Applicant: �� 11 t 4 0 1
Nature of Work. �-l.l� F 4 y e_N� +e ,A C Q_
Reviews ZBA: F EB 2 6 2023 pB: BOT
Other.
"�8 e
NEED OK
('FEES:Filing. BP: \��� C/O: Flood Plane: Legalization:
( ) ( ) APP: Dated: Notarized. SBL Truss I.D. Cross Connection H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening:
( ) ( ) EN VIRO: Long. Short Fees: N/A:
( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt: Tree Plan: Other.
( ) (1,)SURVEY:Dated: Current 1--Archival Sealed Unacceptable:
( ) ( ) PLANS:DatS Stamped. Sealed Copies: Electronic Other.
(/ (Jr License ,/✓ Workers Comp: ✓ Liab' ' L Comp.Waiver. Other.
CODE 753#: Q 303—00ra— CEO Dated: ,3-3o--43 N/A:
( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plan: Permit N/A Other.
( ) ( ) LOW-VOLTAGE ELECTRICAL:Plan: 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:Plan: 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.
GARB mtg.date ` % approval � notes:
( )ZBA mtg.date: approval;- notes:
( )PB mtg. date: approval: notes:
REOLMED EXLSTING PROPOSED NO 23
A=& Date: TK+
Circle:
Fla
Front.
Front
Sides:
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Hd ht/Stories:
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' BUILDING DEPARTMENT RFEB
VILLAGE OF RYE BROOK 2 1 2023
938 KING STREET RYE BROOK,NY 10573
(914)91 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS
This form must be completed and signed by the applicant of record and a copy shall be
submitted to the Building Department prior to attending the ARB meeting. Applicants
failing to submit a copy of this check list will be removed from the ARB agenda.
Job Address: 30 5 • )2,�e5f ty Y /OS73 Date of Submission: r�
Parcel ID#: Zone: 0C-;� 7
Proposed Improvement(Describe in detail):
Fe APPLICANT CHECK LIST:
MUST BE COMPLETED BY THE APPLICANT
The following items must be submitted to the Building
Department by the applicant-no exceptions.
Property Owner: tCA 2 b
q 1. ( Completed Application
r�}� 2. ( )Two(2)sets of sealed plans. (one full size (maximum
Address: allowable plan size=36"x 42") and one 11"xlT')
13
Phone#
( Sb� 3. (Lewo(2)copies of the property survey.
�Q14 2 -7 n 4. (�o(2)copies of the proposed site plan.
Applicant appearing before the Board: 5. ("y6ne electronic/disc copy of the complete
application materials.
6. iling Fee.
Address: 7. ( )Any supporting documentation.
8. ( )j!9A approval letter. (if appli able �ssv
Phone# 9. ( graphs. Lk- 14 0'�,,
Arch itect/Engineer: 10.( amples of finishes)color Chart. (a sample board or
model may be presented the night of the meeting)
Phone#
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions&Procedures,and that their application is complete In all respects. The Board of Review reserves
the right to refuse to hear any application not meeting the requirements contained herein.
Sworn to before me this I �_") Sworn to before me this
day of feb(E;0 C , 20 23 day of 20
Signature o perty er Signature of Applicant
Print Name of Property Owner Print Name of Applicant
// 4--'�-Ald
Notary lic Notary Public
6IXMWESTCI*M of M YORK
uC.#t01 t'+ t�#TYO
8/12/2021
cs� I
4R �• Village of Rye Brook ML vf MR
Agenda FB SE
�<<`���J y Architectural Review Board Meeting
AC SF
0 c�..t`, Wednesday,March 15,2023 at 7:30 PM
Village Hall,938 King Street JM
�7.
1. ITEMS:
1.1. ARB23-008 (Consent Agenda)
Gerardo Paico Eusebio&Libia Declet
493 Ellendale Avenue
Rooftop solar array.
1.2. ARB23-015 (Consent Agenda)
Blake Silverman&Aleaa Silverman
18 Milestone Road
Rooftop solar array.
1.3. ARB23-016 (Consent Agenda)
Jose Sagastizado&Noemi Sagastizado
28 Division Street
Rooftop solar array
1.4. ARB23-017 (Consent Agenda)
James Bogucki&Nicole Zillitto
300 South Ridge Street
3'high white vinyl fence and gates.
1.5. ARB23-018 (Consent Agenda)
Greenway Close LLC
78 Greenway Close
4'high split rail fence w/ black mesh.
1.6. ARB23-019 (Consent Agenda)
Daniel Lyons&Michele Lyons
12 Country Ridge Circle
5'high white vinyl picket fence.
1.7. ARB23-020 (Consent Agenda)
Scott Levy&Nicole Levy
42 Meadowlark Road
6'high white vinyl privacy fence and 4'high gates.
`,,^ Consent Agenda
Approvals: Motion . \ Second ``�^ Abstention
Aye; �" Nay; y Adjournment;
Notes
Page 1 of 3
Architectural Review Board
1.8. ARB23-013 March 15,2023
David Richardson&Alexandra de Vaux Richardson
44 Rock Ridge Drive
Rear patio,driveway,walkways and fence.
Approvals: Motion Second Abstention
Aye; Nay; Adjournment;
Notes
1.9. ARB23-021
Win Ridge Realty LLC (BondVet)
164 South Ridge Street
Illuminated sign.
Approvals: Motion Second Abstention
Aye; Nay; Adjournment;
Notes
1.10. ARB23-022
Jamie Billington&Kara Billington
6 Bonwit Road
Front and rear two-story addition,covered front porch,deck and interior alterations.
Approvals: Motion Second Abstention
Aye; Nay; Adjournment;
Notes
1.11. ARB23-023
Ervin Gomez&Maria Gomez
59 South Ridge Street
2nd story addition over existing two car garage.
Approvals: Motion Second Abstention
Aye; Nay; Adjournment;
Notes
Page 2 of 3
M
Architectural Review Board
March 15,2023
1.12. ARB23-024
Patrick Carroll
8 Oriole Place
Rear deck,entry stoop repair,new railings, front door,windows above front door and
siding.
Approvals: Motion Second Abstention
Aye; Nay; Adjournment;
Notes
NEXT MEETING:
April 19, 2023
Page 3 of 3
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W.C.LIC#10412-H99 L -n
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Cips Fence Co. Inc. —L>V Crn q /30 a
VL
d/b/a "KING FENCE" % I I So
Westchester • Rockland • Connecticut cd-�A
48 Grassy Sprain Rd. Yonkers, N.Y. 10710 Phone: (914) 337-8700 • Fax: (914) 337-9131
The followmg,is the Agreement between(or among)Cips Fence Co.,Inc.(d/b/a King Fence").("King Fence)and the customer(s)signing below Qointly and severally the
"Customer")and shall be effective upon signing by King Fence
PROPOSAL SUBMITTED TO CUSTOMER PHONE DATE
BOG UCKI 609-3976 8/26/22
STREET JOB NAME
300 SOUTH RIDGE STREET EMAIL JAMESRBOGUCKI@GMAIL.COM
City,state,zip JOB LOCATION
RYE BROOK , N.Y. 10573
ESTIMATOR JOB PHONE JOB FAX
FRANK CIPRIANI
MATERIA_L_S:
INSTALL AN APPROX. 180' LINEAR FEET OF 3' FEET HIGH WHITE VINYL
SPACE CLASSIC VICTORIAN PICKET STRAIGHT TOP .... WITH 1 SINGLE GATE
4' FEET WIDE AND DOUBLE GATE 8' FEET WIDE ...
REMOVE AND CART AWAY EXISTING WOOD FENCE .
REMOVAL , MATERIAL AND LABOR COSTS $8,850.00 PLUS TAX
THIS QUOTE IS ONLY GOOD FOR 30 DAYS DUE TO RAPID MATERIAL INCREASES
CHARGES TO CUSTOMER/PAYMENT TERMS:
The base charge for the work(including,without limitation, labor)and Specified materials shall be$ payment of which shall
be made as follow.
50%DEPOSIT AND BALANCE DUE UPON COMPLETION UNLESS OTHERWISE AGREED UPON SIGNING.
1.Title to Materials:
Until payment in full hereunder has been made to King Fences,all materials shall remain the property of and title thereto shall remain reserved and vested in King Fences.King Fences may,at
its sole option,in the event of a default by Customer in any of its obligations to King Fences,remove any and all materials supplied by or on behalf of King Fences,notwithstanding,that the same
may be attached to or be part of the Subject Property(including/without limitation,the materials).The foregoing removal right is in addition to and not in substitution for any and all other rights
which King Fences may have at law,in equity,by Contract or otherwise.
All materials supplied in accordance with the specifications set forth in this Agreement(the"Specified Materials")are guaranteed to be as specified in this Agreement.All work to be performed
in accordance with this Agreement(the"Work")will be completed in a workmanlike manner in accordance with standard practice.
Any alterations or deviations from the specifications contained in this Agreement will be subject to an additional charge to Customer over and above the amount specified in this Agreement.
Any specifications,estimates and Completion times contained in this Agreement are subject to delay or Cancellation by King Fences by reason Of anything beyond the Control Of King Fences,
indudina,wdhout limitation,strikes,accidents,fees or acts of God.
CUSTOMER RESPONSIBILITY:Customer agrees that:
1.It shall located,identify and clearly designate to King Fences the parameters of the property upon which the work is the subject of this Agreement to be done(the"Subject Property),and any
easements and underground cables,pipes and the like affecting the Subject Property and shall defend and hold King Fences harmless from any loss or liability(including,without limitation,
attorneys fees)arising from claims asserted against King Fences with respect to any of the foregoing;
2.It shall obtain permits,permissions(including,without limitation,permission from owners of property adjacent to the Subject Property(the"adjacent Property")to enter upon the Adjacent
Property)and variances in connection with the work;and
3.The proposal contained herein is based upon the express condition that all of the work can be completed without interruption.Accordingly should the Customer cause or fail to prevent any
delays or interruptions in the work whether the same is being done by King Fences,its employees or subcontractors,for any reason including,without limitation,requests for changes or inability
or failure to provide proper access to the Subject Property or the Adjacent Property,Customer agrees to pay additional Charges covering any additional time and expenses incurred by King
Fences by any reason of the foregoing.
LATE PAYMENT CHARGES:
Customer agrees to pay late payment charges at the rate of 16%per annum on all amounts due hereunder more than thirty(30)days past the date of payment thereof
NON REFUNDABLE DEPOSITS:
SECTION HEADINGS:The headings used here in are intended to be for convenience of reference only and shall not define or limit the scope,extent or intent or otherwise 3
affect the meaning of any portion h
Acceptance of proposal_C",ok7er hereby epts this proposal and agrees that all prices,specifications,agreements and conditions contained herein are satisfactory
nd agrees that the customer shall contract between Customer and King Fences.C [ er hereby authorizes King Fences to commence the,work a�s Spec ed in this proposal.
Si2r
Title: W Y�!>^� Initial:
ustomer's of Acceptance: a�— Initial Z
Agreed. ps Fence Co.,Inc.d/b/a"KING FENCES"
By: F ANK CIPRIANI Title : PRESIDENT Initial:_F.0
Agr ed and Accepted.(If more than one customer; each Customer by its signature below hereby agrees to be jointly and severally
bou d by this Agreement)
Cus omer:
e:
Laura Petersen
From: Laura Petersen
Sent: Friday, March 17, 2023 3:07 PM
To: nzillitto@gmail.com
Subject: Fence Permit Application for 300 South Ridge Street
Good afternoon,
The fence permit application has been approved by the Acting Building Inspector. Before I can
issue the fence permit the following items must be submitted to our office;
AGeneral contractor's contact name (first and last) & phone number.
Copy of general contractor's valid Westchester County Home Improvement License.
✓3. General contractor's valid liability insurance (the Village Of Rye Brook must be the
/ certificate holder)
✓ 4• General contractor's valid workers compensation on a NY State Board form (C105-2 or
U26.3)
5. Building permit fee $135.00 (due once permit is issued and ready for pick-up)
V6. Contractor must call UDig NY and get a ticket number.
Thank you
Laura
Laura Petersen
Office Assistant
Village of Rye Brook
938 King Street
Rye Brook, New York 10573
Phone(914)939-0668 1 Ioetersen(cDrvebrook.org
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CIPSFEN-01 LNEMBHARD
ACORO UAIL NM DO YYYY
CERTIFICATE OF LIABILITY INSURANCE 12,29/2022
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 cartificate holder in lieu of such endorsement(s).
PRODUCER J2WCT Liveen Nenlbhard
Ference Gray Insurance Brokerage. LLC PHONE FAX
19 Mill Street (AIC.No.
EXt! (914) 335-1855 A ; .43,
Port Chester.NY 10573 IAEj&%ss.Incmbhard@cfgins.eom
:NSURFR'S Al-FORONU LU"�1-RAUL
INSURER Erie Insurance Company 26263
CIPS Fence Co.Inc.dba King Fence nsuR R
FRANK CIPRIANI
48 GRASSY SPRAIN ROAD INSUR:R D
YONKERS,NY 10710 IN6uRl R I
.. 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.
eqR ADOL SUBR POLICY EFF POLICY EXP
TYPE OF INSURANCE Iuso 11M POLICY NUMBER lY1ElZfltYxM (mmmnrvYvvl LIMBS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000.000
C-A MS-!JADE X OCCUR Q47-6950084 11119/2022 11/12/2023 PREAt E Exla TO RENTED 1.000.000
IEa lrrercel 5
MED EXP.Any one person; S 5.000
P ERSCWY 6 ADV INJURY S 1.000.000
GFNL AGGRFGATF LIMIT APPLIFS PER G+FNFRAt.AGGRFGATF S 2.000.000
POLICY X JECT LOC PROOUCTS-COMP)OP AGG S 2,000.000
i O-HER
A AUTOMOBILE LIABILITY EOOMaBIN D SINGLE LIMIT S 1.000.000
ANY AUTO C111-6940010 11/19/2022 11/1W2023 BODILY INJURY(Perpe•sonl s
OWNED SCHEDULED
AU-OS ONI Y X AUTOS����EE RODII Y INJURY{Par a l.dert; $
X DAMAGE
AUTOS ONLY X AUTOTWI Per ADERideni) $
S
A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE = 5.000,000
EXCESS UAB CLAMIS-MADF 035-5170349 1111/2022 1111/2023 ACGRFGATF $ 5.000,000
DIED X RETENTIONS 10,000
WORKERS COMPENSATION PFR OTH•
AND EMPLOYERS'UAIRUTY YIN STATUTE ER
ANY PROPRIE TORIPAR-NE R E XECUTN E
OFFICER6'ENBER EXCLUDED'
Ft EACH AC.GIUFNT $
I ndelory rn I El DISEASE-EA EMPLOYEE $
11 yyrs.desrroe finder
DESCRIPT:ON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
A Snow Plow Removal 047-6950084 11/19/2022 11/19/2023 1,000,000
DrSCRIPTI0%'OF OPE RAT:0%S"LOCATIONS!VEHICLES IACORO 101.Addiboml Renwka SthadWe,roar lee aaaetwr R Here apeto fa raquhod)
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
9 Y ACCORDANCE WITH THE POLICY PROVISIONS
938 King Street
Rye Brook.NY 10573
AU-RURVI-D RLI'RLSLNTATIVL
ys��{�lli•f lLlrf�:
ACORD 25(2016,103) " 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ZME
Workers' CERTIFICATE OF
Compensation
N.- Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE
1a.Legal flame Aoottress of InsurM ut,.: ,, n__ e>,7eieplwne Number of enu tc
Abel HR It,Inc labor contractor,for leased workers to (609)860-A400
Cips Fence Co,Inc dba:King Fence 'c NYS Vw rOD rrwl ins rance Employer RegbMon Nwnow d r-
48 Grassy Sprain Rd
Yonkers,NY 10710
Id Feoerat ERtoloyer IOertef 81 m Nlr+lber of klursd or Soaal Sear,-,
Work Locaoon of Insured tOnty-eojre0 a Coverage is specitia*1rtrea It:oenm N.Mw
locations n New York State i.e.a Wrap-Up Poky)
13-4049813
2.Name and Aditw of En*Repuestng Proof(Y Coverage(Ertety Bung 3a Nar-e�f r--ar ce Carrier
Lfed as ete C taie H*W) Zurich-Amencan Insurance Company
Village of Rye Brook
3a Polio!vutnoer ct Eruty LISteC in 8C:..a
938 King Street WC 11-33-516-00
3c.Poker elective penes
Rye Brook. NY 10573 3/1/2023 to 3/1/2024
3d The Proonewr partners.or Executive Offiows,are
nowed 'Ony vieoi wX"al parinerssomoers nduedI
al exauaed or Oman pa-twsmfficers eududeo
This cenifes chat tie rouranoe caner indicated above n bou I insures the busom refenncea above in Dos-18'for workers'Con•pensaton under?*New York State
Workers'Cornpertsmn Law.(To use the form,New York(NY)must be lsted user iwn 3A on this IWORMATION PAGE of the womers corripensatlon nwrartce
oolic1, 'he I-s�rance Carrier or Woe agent wd send e+a CerAcate of Isaance to tt+e enERy fated above as the cemfcate holder in box-7
The insurance;outer must rdiy ate above eerfdiale holder and the Workers Cortgensabort Bard woW 10 days IF a poky is carreled due to nonp®rwi of
pluni rns;or wow 30 deys IF there are reasons other 11wt raveyrrow of promwmrs no cernoel rx milt y or ehww the nsaed from the coverage indicated on tries,
Cw9cale (These ru0`pes may be sent Dy regular mad.)Oeiervae tM Cwtkaie is vabd`or ore year after the form is approved by re ir,swartce canner or ft Ycensed
agent.or Led lire poiry e1; 0on daft bled to box 3C,WW%ever is ewM
The cwWAN a ittwW at a -oft of villornlebon only and wde no ngttts upon V*cerdficaee'+drier This cerlikale does not amend extend or a1w the coverage
afforded by lee poker 1ttlftd.nor does A wrifer any rights or reeponsibbbes beyond those eorrtaned in the referenced pokc)
This can kale me)be used n evidence of a Workers'C or-,oenMon tattoo a ristrarre orry wrre tre wxWtyr g poky s n sited.
Pleewe Nor upon arreaa- of er wo�Yars'oo Pal:-i -sun party indicated a ore■lone.I/to Duarnae aane%m to be nerved an a Rafe.. km or melted OWN by a ceraaaar
holder.the brine"mist tirade east oMiar holder wilt+a now".rt+iaae d WaAw ia'Conpwaaaon Campo or cow aut+ormed goof tllr to belereees is oatpyarp wile the
maroatcry Mwerage remoemera of trie Now York Sate workers Covowsitew Low
under penalty or pervry.I ow*Me I eon ar&K**zea iwaeanrtne or.carved ayerlt d rrurwoe tanrr Mtnoed abas and to fee reamed maewd bn Its omerap as
depicted on thi t M
Approved by Douglas Jones
iPmr name d aunontee eor•.ser+rattie a rctnesd sgenr y nyurants camera
ADDroved bY' 3/30/2023
S,enaw e'. Datei
Title: Vice Presdent
Telephone nwroer ct autnonzec reprewtative or beense:agent o'muranoe came- (480)951-4177
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) ww.wcb.ny.gov
Laura Petersen
From: UDig NY Exactix <tickets@exactix.udigny.org>
Sent: Wednesday, April 12, 2023 7:00 AM
To: Steven Fews
Subject: Message from UDig NY
****LATE****
DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/12/2023 07:00
To: VIL RYE BROOK PRIMARY Transmitted: 04/12/2023 07:00 00001
Ticket: 03303-002-295-01 Type: Late Previous Ticket:
------------------------------------------------------------------------------
State: NY County: WESTCHESTER Place: RYE BROOK
Addr: From: 300 To: Name: S RIDGE ST
Cross: From: To: Name:
Offset:
------------------------------------------------------------------------------
Locate: WORKING IN THE FRONT, BOTH SIDES, AND THE BACK OF THE PROPERTY
NearSt:
Means of Excavation: POST HOLE DIGGER Blasting: N
Site marked with white: N
Boring/Directional Drilling: N
Within 25ft of Edge of Road: N
Work Type: FENCE INSTALL
Estimated Work Complete Date: 04/12/2023 Depth of excavation: 2 FEET Site dimensions:
Length 8 INCHES Width 8 INCHES Start Date and Time: 04/12/2023 07:00 Must Start By:
04/26/2023
------------------------------------------------------------------------------
Contact Name: JESSIE PEREIRA
Company: CIPS FENCE CO INC DBA KING FENCE
Addrl: 48 GRASSY SPRAIN RD Addr2:
City: YONKERS State: NY Zip: 10710
Phone: 914-337-8700 Fax:
Email: infor@kingfenceny.com
Field Contact: FRANK CIPRIANI
Alt Phone: 914-337-8700 Email: matthew.warne3@gmail.com
Working for: BOGUCKI
------------------------------------------------------------------------------
Comments: Lookup Type: PARCEL
------------------------------------------------------------------------------
Members: ALTICE USA BELL-VALHALLA/ WSCHSTR
CIT RYE CONED
NYS THWY AUTH / NY SUEZ WTR WESTCHESTER
VIL RYE BROOK WESTCHESTER CTY SWR
1
Laura Petersen
From: UDig NY Exactix <tickets@exactix.udigny.org>
Sent: Thursday, March 30, 2023 5:11 PM
To: Steven Fews
Subject: Message from UDig NY
****REGULAR****
DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 03/30/2023 17:10
To: VIL RYE BROOK PRIMARY Transmitted: 03/30/2023 17:11 00002
Ticket: 03303-002-295-00 Type: Regular Previous Ticket:
------------------------------------------------------------------------------
State: NY County: WESTCHESTER Place: RYE BROOK
Addr: From: 300 To: Name: S RIDGE ST
Cross: From: To: Name:
Offset:
------------------------------------------------------------------------------
Locate: WORKING IN THE FRONT, BOTH SIDES, AND THE BACK OF THE PROPERTY
NearSt:
Means of Excavation: POST HOLE DIGGER Blasting: N
Site marked with white: N
Boring/Directional Drilling: N
Within 25ft of Edge of Road: N
Work Type: FENCE INSTALL
Estimated Work Complete Date: 04/12/2023 Depth of excavation: 2 FEET Site dimensions:
Length 8 INCHES Width 8 INCHES Start Date and Time: 04/12/2023 07:00 Must Start By:
04/26/2023
------------------------------------------------------------------------------
Contact Name: JESSIE PEREIRA
Company: CIPS FENCE CO INC DBA KING FENCE
Addrl: 48 GRASSY SPRAIN RD Addr2:
City: YONKERS State: NY Zip: 10710
Phone: 914-337-8700 Fax:
Email: infor@kingfenceny.com
Field Contact: FRANK CIPRIANI
Alt Phone: 914-337-8700 Email: matthew.warne3@gmail.com
Working for: BOGUCKI
------------------------------------------------------------------------------
Comments: Lookup Type: PARCEL
------------------------------------------------------------------------------
Members: ALTICE USA BELL-VALHALLA / WSCHSTR
CIT RYE CONED
NYS THWY AUTH / NY SUEZ WTR WESTCHESTER
VIL RYE BROOK WESTCHESTER CTY SWR
1
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Chicago TIM?Insurance Company Nome r'if/e Division
„ J.A.K1RRY Co. BY LAC &,c2,
MCw York&C—'.I censed
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Only copies from the original of this survey marked with an original of
the Land Surveyors embossed seal or red colored seal shall be considered
to be true, valid copies.
Said certifications shall run only to the person for whom this survey is
prepared and on his/her behalf to the title company, governmental
agency and lending institutions listed hereon. Certifications are not
transferable to additional institutions or subsequent owners.
Unauthorized alteration or addition to a survey map bearing a licensed
Land Surveyors seal is a violation of Section 7209, Subdivision 2 of the
New York State Education Law.
Possession only where indicated.
Adjacent property lines and easements not surveyed or certified
—
Access to adjacent rights of way, easements and public or private lands
not guaranteed or certified
Underground utilities shown hereon are approximate and should be
1
verified before excavating.
Additional underground utilities are not shown or certified
Encroachments and structures below grade, if any, not shown or certified.
U�
.m
Subject to covenants, easements, restrictions, conditions and agreements
of record
Premises hereon being Lots 19, 20, 21 22 in Block D
o _
ca
a portion of and
Q '[�/
o
as shown on a certain map entitled, "Map of Chester Terrace, Property of
W.
1101
Dixon Kitchen, in the Town of Rye, N.Y."
Said map filed in the Westchester County Clerk's Office, Division of Land
Records on August 5, 1924 as map number 2650.
f
Surveyed in accordance with Deed Control Number 583553290.
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Premises shown hereon designated on the Town of Rye -Village of Rye Brook
Tax Maps as: Section 141.43, Block 1, Lot 1.
Fob
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co
Property Address: 300 South Ridge Street
Rye Brook, NY 10573
e
THIS MAP IS FOR BUILDING DEPARTMENT PURPOSES ONLY.
>�y
MAP IS NOT TO BE USED FOR TITLE TRANSFER PURPOSES.
(�
MAP MAYNOT BE CERTIFIED TO TITLE COMPANIES ANDJOR BANKS.
FENCE AS BUILT
PREPARED FOR
NICOLE ZILLITTO
a
JMINnooa
AND
1
JAMES BOG UCKI
°
SITUATE IN THE
-
VILLAGE OF RYE BROOK
TOWN OF RYE
�J M
WESTCHESTER COUNTY, NEWYORK
DD
SCALE: 1" = 15'
DEC 2 9 2023
GRAPHIC SCALE
15
VILLAGE OF
0 7.5 15 30 80
RYE BROOK
BUILDING DEPARTMENT
( IN FEET
1 inch = 15 ft.
Surveyed: November 22, 2022
Map Prepared: November 23, 2022
Map Revised: December 21, 2023 to show fence as built
Niw York State Licensed Land Surveyor No.050604