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HomeMy WebLinkAboutBP23-046PERMIT # &D3 044 & SECTION TYPE OF WORK JOB LOCAT ON < OWNER / r_nNTRnr.Tnp EST. COST lo/c0 # DATE:4%)73 aps BLOCK LOT c -Q,Ies Aa C2 C919)490-1n/30 FEE AIID &" FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING - RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL INSP 11 l/ Qn�C- OTHER APPROVALS ARB BOT PB ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-077 Certif tcate of (Occupancy This is to certify that Lf-.15 ) ic to �B lQ Q of, '� lnari� having duly filed an application on ���20 ��3 requesting a Certificate of Occupancy for the premises known as, + Q.rack )C rl , Rye Brook,NY, located in a )Q-7 Zoning District and shown on the most current Tax Map as Section: /` .J Block: --]:�L Lot: J and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. �� issued 20 a.J, 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:fir) - aln//L/ Construction: for the following purposes: 9 S /` % n Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: 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 ldin in e ex' ilities shall be made, and no enlargement, whether by extending on any side or by increasing in he' ht a be mad nor s e building be moved from one location to another until a permit to accomplish such change has ee fined fro the ilding Inspector. MAY 1 5 2023 Building Inspector,Village of Rye Brook: Date: 1E C E u `/ E BUILDIN64ER?X:�MENT For office use onl : PERMIT# MAR 2 2 2023 VILLAGE OF RYE BROOK ISSUED: Lj-D 7—�)3 NG STREET,RYE BROOK,NEW YORK 10573 DATE:.--,.>a-,'-)3 (914)939-0668 FEE: S //p = PAID Z( VILLAGE OF RYE BROOK �'�'Y►'�17��apkar8 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 ►s•wrwrrrrrrrtttttttt►►►w»►w»w»»wrr►rrr►rttttttt►w»w•rwwrwrwrtr■■tttt■trt►rw»»»»»rrr►•►ttttt►t►►»w»»wrrrttt►ttttt►►►r•»rwwrw» Address: Occupancy/Use: G Parcel lD#: ��J�i 6-c--)- _3-6- I Zone: l 7 Owner: O (t e �l.Ja.� Address:Cjo 120 Ze.r)cv l SS F1--,L P.E./R.A. or Contractor: i-LP W LL C-. Address: y 3(n W t I ltz 44- Auk_ Person in responsible charge: C h 0Yr�,e ROS a e(�it Address: (0 1r,J t k�p Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: NN l..e_. k S A,4A L being duly sworn,deposes and says that he/she resides at Lt ?(P W (Print Name of Applicant) (No.and Street) in in the County of 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:S 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§250-1O.A.of the Code of the Village of Rye Brook. Sworn to be ore me this O Sworn to before me this day of 71'r�� ,20 13 day of ,20'q Signature f Property Owne Signature of plicant /1'1� �C� 1 r1/u�.� Ch 17, Print Name of P�elrtywner %,Name of Applicant �BRYAN L ROZENCWAIG j �' Public-State of New York Notary Public NO.02RO5020765 Notary Public LMy Qualified in Westchester CountySHARI MELILLO Commission Expires Nov 29,202� Notary Public,State of New York 8/12/2021 No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20. BUILDING DEPARTMENT G INSPECTOR ISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : \`� i DATE: 51 - : � 1 PERMIT# ISSUEDE BLOCK: LOT: LOCATION: {2 Q \ �� \ ( �'�� 1 OCCUPANCY: 2, ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural GaslL- ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER C N c '° ■ N N a v ti QI � � . W W c� U � y •� � O j r� V � Ln � C Mui � . O 1•-� b �/-{_ QI:7 O © O cl O C* W 55 rr--,, Ff Ir 9 Ef3 w +. o w y to ' ou O O O\ O N `fi a z v Z 0 � AQ .. � C bA• 00 0 zz O .D U � � 2 - o � ° � O zo Z z ¢ h+l M O V C) ° a\ U C7 A z O w > o r-I z W W O ^' 4 a 00 A W z @ oA 5� " a � - 0 a b = ? a. : BUILDING DEPARTMENT Q C E WE VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 MAR 2 2 2023 ID (914)939-0668 wwwxyebrook,ors! VILLAGE OF RYE BROOK BUILDING DEPARTMENT **************wwwwwwww***************w*w*w*wwwwwwww*w+wwww++**++*****+**+++*+****w**w***+*+**wwwwwwww*w**** FOR OFFICE USE ONLY: Approval Date: APR � --0 Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: t'1C EXTERIOR BUILDING PERMIT APPLICATION Application dated- 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: 8 l l2 4 2. Parcel ID#: )2)5. 5J-S-J4 Zone: R-2 3. Proposed Improvement(Describe in detail): h�r 0 "do' s 4. Property Owner: CST-4- = O C- Address: 62-e JCwA-I L-- � 5 �� M2A-cdow Cr-,rsAkc AA1 f Phone# ?/7- �1i !- (C 3 31 Cell# e-mail 8 L �!� �t�.i.o►✓ List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: 0j�r j Address: Phone# - ell# e-mail Engineer: Address: Phone# Cell# e-mail General Cont t'ractor: L�Ly � C1 ` �'I�l�l Y 1 I C }�bsej I �� Address: U4�CD 1,011 Wit 1 1}-,t��V et)t4 C -''JJYOV f Chf Q Ir Phone# Cell# j 4""i�q0'l�l e-mail (1) 8/12/2021 5. Occupancy;(1-Fatn.,2-Fain.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: s Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: LVZA 9. Area of proposed building in square feet: Basement: 1'fl: tad fl: 31 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 11,fl: 2n'fl: 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y.State Use Classification: 14. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: �An-Cn t SIX X) 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating:, t d 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic gre suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (f yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: X/ Area: 22. Will the proposed proje equire 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) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within I00 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) / 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:V/ (tf yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: f (f yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: "r Indicate: TIER I: TIER H: TIER III: (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S / r) O S-Z3 Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fired 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 of the CIO. 30. Estimated date of completion: n-0 r'_'2— (2) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KR4G STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE 13 Address: Section,• > S " Block: Lot: cl PERMITTED COVERAGE RATI S IN RESIDENTIAL D _ ISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5.000 30% 5% 3.5% R-21F 5,000 30% 50/6 3.5% Existing: Pro osed: 1. AREA OF LOT 75 n Sq. Ft. 0 Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building t (Including Attached Garage or Accessory Building) 1467 Sq. Ft y y Sq Ft b. Area of 1"Floor Divided By Area of Lot x 100 -Z S. 3 % S. 3 % 3.AREA OF ACCESSORY BUILDING f (Includes Detached Garages, Tool Shed,Playhouses) _� Sq. Ft, Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 % 4. AREA OF DECK Sq. Ft. Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 % I attest to the best of my knowledge and belief,the above information is correct. i aature (3� 9112+2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: "_j 4Z ✓ Section: %� � S 2 Block: Lot: `� ` � Zone.- IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards,sports courts,swimming pools,patios,sidewalks,ramps,terraces and driveways. TOTAL MAXIMUM PERMITTED MAX, PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq•ft•) For Base Lot For Lot Area YARD(%) Area(sq.ft.)* Over Base R-35 15 Lot Area N R-25 20 0 to 4,000 0 _ 55 4 001 to 6 00 2,200 35 R-20 30 6,001 to 12,000 2 900 27 R-15 35 12,001 to 16,000 4,520 26 R_15A 35 16,001 to 20,000 5 560 25 20,001 to 30,000 6,560 24 R-12 40 30 001 to 40,000 8,960 23 R-10 45 40,001 & larger1 i,260 22 R-7 40 R-5 30 *"Base Lot Area"is the minimum end of the lot size R2-F 30 range in the"Lot Area"column Area of Pot: /� S� s .ft. Existing Allowed Proposed Total im ervious eovera e=/ S`�� S �i _ S A. 2- �o o g , ft. i y� S .ft. Front im ervious covers e= 3� G Rio % % I attest to f my knowledge and belief,the above information is correct. Archit 's ture (4) srw2021 BUILDING DEPARTMENT VILLAGE OF RYE$ROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK RE OVATION IN RESID NTIAL DISTRICTS Address- Section; Block- Lot: (' IM M OSS FLOOR R USS FORMULA Maximum Gross Floor Area = 4,000 +[(Lot Area-21,780) x 0,11478421 ]: a. Allowed - "7©©'0 Sq. Feet b. Existing = C/ro � Sq. Feet c. Proposed = Sq. Feet DIE CK T O OR RESIDENTI iSTRICTS DEFINITION: A standard deslgmed to regulate the height flf a building in relation to the average grade of the co po the lot line from which It Is set back. The ratio mod the maximum NIgiming at the average Permitted Height of auildln ring an inclined li portl plans of �g grade along the Portia of the tot line from which the setback Is measured and rising toward the bulldlin9 at the spedBad retlo ebme which no,part of any building, other then minor architectural features such as chimne windows not covering more than 10%of the entire roof area,AM be permitted to wrtand.Height and Setback shall be calcuated using the formula; ys, skylights and dormer awl where X is the required sift or front yard ratio for the Zoning district in which a property is located man as epsclfied In Amide Vill of Chapter 250. A complete elevabon view for the proposed improvement must be included on the drawings FELL!N YQUR RATIOS J%%W EXL MOV PAVPOAW FRONT: FRONT: ffFR7ON�T:s SIDE: SIDE: 0 FRONT: FRONT: FRONT: .48 �?s SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: - FRONT: .60 ALM SIDE: SIDE: SIDE: 1.60 FRONT: — FRONT: FRONT; 60 ILl! SIDE: SIDE: SIDE: 1.e0 FRONT: FRONT: FRONT: .90 Al161A4 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 *12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 AF'10 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 ALP SIDE: SIDE: SIDE: 3.00 FRONT, FRONT: FRONT: 1.20 l SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.26 AL2F SIDE: SIDE: SIDE: 4.00 I attest my knowledge and belief, the above Information is correct. (5) 8/12/2021 BUILDING DEPARTMENT 0 VILLAGE OF RYE BROOK MAR 2 2 2023 938 KING STREET RYE BROOK,NY 105 3 (914)939-0668 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS _:r am ;lr-" FSWlE&tbS 4M._ _... .. . - _ CKLL 1a7.Y. X= : _— STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: J, IYCj- Jf//�J i` _, residingat, 4.1j- lid > 0901 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; y ' `y� +�`=C ry l�d , Rye Brook,NY. 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. I�: z Lz' re ��IDiFti Sworn to before me this 2 1 day of 20 23 EVAN L ROZENCWAIG ublic•State of New York NO.02RO5020765 Qualf1 11 In Westchester County My Commission Expires Nov 29,2025— -3- 8/12/2021 + � 4 41, oth4;4 C. 4;U4. fit;� 4;4;- C� �4;-- C t; C;fi1;toU16- 6A4 4; 00 = p a 4-, N N j J N N N oG J � w � � Ln o H o W c �I H Lf) ►nen z °C �" dA ►+1 c w v � O v H _ en H O Lr) q x 0 A z � � � W : OWE ^ 00 Z O h�1 rtA 0 j..r I A q O .< �E LAC y' ;> U (� w O (� °` w z Lin 0-4 CA L � U O o,� � z = w i•—i � � OC E3 ~ ~ Q C O A y V O a a zz sn : w W V Q w w U zg w O W O H 44 w z o a u, _ 3 a d in V H 8 ►-� o w z � x = rA oo A o z a w � - z w 0 � - BUILDING DEPARTMENT I APR 11 2023 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 105731 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION jD Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP Approval Date: Permit Fee:S Approval Signature: Other: Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical ectuinment. 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 I,ocal Codes. 1.Address: I �K J� 1 l� SBL: /3 5-1 57c) 7 l/ Zone: 2.Property Owner. E5 ()f ,,,-\ Address: 5 S (�-4 �Q, SC-�✓Slit Phone#: S ��_ (p 33 I Cell#: email: ,�' �j c/-�c,,-in3.MasterElectriician/LicensedInstaller: Address: Lic.#: Phone Cell#: �3- sJ -0J Company Name: �ytL emaild (��IIC ,� � Address: � "� eL %C' 17 �} t Ptii C 7- 4.Proposed Electrical Work/Fixture Count: ctAl p :J C gTZ:L rn At e A 2� sw ,>r� S sN �I c 15 , -4S 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Gi l� A­-�'/e"y being duly swom,deposes and states that he/she is the applicant above named and does further :i mdi%wual;grin a,t:' state that(s)he is the Mce.S4-t /fin lc I IJ for the legal owner and is duly authorized to make and file this application. <<.r)r, 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 )- U day ,20 Z_3 Sworn to before m this f !`� �h _ day of M ,20 t ignsiture of rty Owner Signature ofApp�'cant Print Name of Property Owner BRYAN L ROZENCWAIG Prmj Name of Applicant ec � Notary Public.State of New York /1 NO.02RO5020765 Notary Public Qualified in Westchester County My Commission Expires Nov 29,202S Ohl tary Public� ANNA KIELBAgA NoUry Public• State of New Yoris Reg.No.01KI6373519 Qualified In Putnam county My Commission ExO"July 30,20A/2023 STATEWIDE • Service Willi hile rilv 1:1 Main Street,Fishkill, NY 12524 1 email:office@swisny.com SWIS JOB APPLICATION84 1 914.219.1062 • Office Use Elect.Permit#Z-:1"`Q 3_ 0 9 7 Date _ Bldg Permit# Utility ID# Final Certificate# City/Village G � Zip 'i l� — Township County Address 48( Ta r+N)A (ALA_- Cross Street L� ( `V Section Block Lot K= Owner Name/Address(If different than above) Contact Number Basement .- 1st FL 0 2nd FI. [J,3rd FI. ❑More Than 3 FI. ❑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 L.GG-4/l Z k. ,Broo tc I [EcE_�wE D APR 11 M3 VILLAGE OF RYE BROOK L BUILDING DE- ARTMENT 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 items have been installed,you are authorized 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 any other Inspection company.The applicant,owner or authorized agent agrees to all the above terns and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name J Date Signature f� Address r City/State __ Zip Code i License# l ��' :' Phone# R E ` EID State Wide Inspection Services 1080 Main Street MAY 11 2023 Fishkill, NY 12524 a 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com — Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Acevedo Electric LLC Leslie Bloom &Salle Bloom Carlos Acevedo 81 Tamarack Road 67 Norton Avenue, Rye Brook, NY 10573 Darien,CT.06820 Located at: 81 Tamarack Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-087 135.52 � 54 Certificate Number: 2023-3430 Building Permit Number: 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: 81 Tamarack Road, Rye Brook, NY 10573 The Basement, First Floor,Second Floor,Garage, and Exterior were 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 20`h day of April 2023. Name Quantity Rating Circuit Type Second Floor Bedroom 1 Receptacles 03 Sconce 01 Switch 01 Bedroom 2 Receptacles 02 Sconce 01 Switch 01 Name Quantity Rating Circuit Type Hallway Bathroom GFCI 01 Sconce 01 Bathroom Fan 01 Switches 02 Hallway Switches 02 Ceiling Light 01 Master Bedroom Receptacles 05 Switches 01 Ceiling Fan/light 01 Master Bathroom GFCI 01 Sconce 01 Bathroom Fan 01 Switches 02 First Floor Family Room Luminaires 06 Receptacles 06 Switches 03 Dining Room Receptacles 02 Luminaire 01 Switches 02 Living Room Receptacles 02 Luminaire 01 Switch 01 Page 2 Name Quantity Rating Circuit Type Kitchen Counter Receptacles 01 GFCI Receptacles 02 Luminaires 04 Switches 03 Refrigerator Receptacle 01 Dishwasher Receptacle 01 Garage Motor Receptacle 01 Receptacle 01 Ceiling Light 01 Basement Ceiling Light 02 Switches 02 A/C Condenser 02 Attic Air Handler Unit 01 Basement Air Handler Unit 01 Smoke Detectors 03 C/O Detectors 03 A Visual Inspection of existing conditions was performed on April 20`h,2023,of the Basement, First Floor,Second Floor,Garage,and Exterior and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. C Officer; Frank J. Farina oll Cl N • a � � r�-1 � a W v a a Q xrn 04 W gig h I W L W s ~ N a 4 p Ln o� ''� o v Lli Lin v ' H O Z o w N oWit A �i z Z � w H c/) ~" � x �' a�i W A Fm x a o w � w w oo W z �� v O H o C o o z wz H N z a ox W � W H M �r M z z ON a �--� 200 cs Z a � � �z O ad pq a o z w w O a O U °z a N N O o v� VN va- V W. x A A o �. ep W O0 a z a ° AG w ] �'I a w x � DC� �VI� I BUILDING DEPARTMENT MAR - 9 2023 VILLAGE OF RYE BROOK VILLAGE Or F2Yc BROOK 938 KING STREET RYE BROOK,NY 10573 gUILDINr DEPARTMENT (914)939-0668 PLUMBING PERMIT APPLICATION Approval Date: Permit Fee: $ J P, Approval Signature: y Other: Disapproved: (fees are non-refundable) ************************************************************************************************** Application dated, 3'9 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work willbe in conformance with all applicable Federal,State,County and Local Codes. 1.Address: `W /\' /3rC G %1' SBL: / i o�-'�—J Zone — 2.Proposed Work: ecrc h•4> 3.Property Owner: LcS1'e �tco,' Address: C/o Ru2cncJ�'Ifg5 5 S Phone#: l Z -�'3 J- 0 c c L Cell#: 9 1.7— 7 c- C 3 3 J email: 4.Master Plumber: Yam/h't_� Addres;.-S_,— Gs c Yd 2 SCE�f � lOS'�� Lic.#:-� P'ho/ne#: L 1 y Cell#:L% 7`/ !�s 7� email: Company Name: Address: 9 INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: � -S Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas -3 Basement r P{ U aD�� 1st Floor 2nd Floor P Yd Floor 4m Floor 5's Floor Exterior 5.*List Other Equipment/Provide Details: li4e" A WV-3 W a-1% W $ yl ail w i�A L"a sd-uUe 43 l,-e 0t ah (Notarized Signatures Required Next 2 Pages) an2no21 STATE OF NEW YORK,rCOUNTY OF WESTCHESTER ) as: hi c kqe �a; fi th t c �o being duly swom,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 k 7 11 C?� e Cb r 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. Sworn to before me this 19 Sworn to before me this �-5- day of �c�/ti�ci�, ,20 13 day of M1 VC ,20 o`Z� Signature of Property Owner Signature of Applicant ltl"'11-td �e'� V- P&LI"t Print Name of Property Owner Print Name of Applicant BRYAN L ROZENCWAIG otary Public-State of NOW York .02R05020765 Notary lic Qualified in Westchester County otary Pub I My Commission Expires Nov 29,202f JACQUELINE DONOGHUE Notary Public-State of New York H NO. OID06385516 Qualified in Bronx County 2pZ My Commission Expires Jan 7,�9, b =:e,.be properly ,�? _e`F t�' _s ez?twety and=s.i.c �-- � - � ,7/aer;S`. of tie Sa:'aject propel-, Ez :�:e appLc� o''record-n 'Le spaces �Yo rcec.E�,•�p� c��7ars =e':ed 1-2 `_5 ems.-ety a"�&c: L � QS_y s=b eG 5''c be de.-m-1 7r�_s � bsr`i JV returned to the aw ica.t. -2- 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAR - 9 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 11 VILLAGE OF RYE BROOK BUILDING DEPARTMENT a *s**,t*******,t,►*+r**************,r*,r,ttr*tr****rr**,r*********,r******,t*****,r*,r********it,r***int,t*****,r**,r,r******* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS .,....s,.0 MUM F`-' "O.:.:.ti.�:.F_M_ 7 ._ ld��' ?_1"J�lx'' ..Y li?Sso C^ r ratc 37-7 -..:.^<' Oil �?aJ1 siC ?�a'.?e2 ^ ? �',' C.s^i. 11T !'J'? �CF 5'._._ -_k"G :021=30ZO«N �.... .M Y'".�eFe ... "4r '^., .L nP'°s^-er.:'.:.� J..";.. ..-.,.;� "7` ;2a T� r.. -,�•• ;"s .. '�JL.. i.U7-7 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 810 c""N ; G e c M¢9 1— ,residing at, � � `f l S �4 t �1�C /�ri�c� /�? y 1 �g o 2 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; 9 1 /s ue r 4 c k A�, ,Rye Brook,NY. 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. It] 'c4 R ic (Oi.: Xt C00,1011 04 /_r_c C :r/'ckC L1r@ 9I�v:%� Sworn to before me this day of r{i•-i^iq e-y 20 13 BRYAN L ROZENCWAIG ublic•State o/New York NO.02RO5020765 Qualified in Westchester County My Commission Expires Nov 29,202>_ -3- 8/12/2021 p4FILE : ANDERSEN'" P V� WI N D O W S & DOORS CREATED DATE SOLD BY: SOLD TO: 4/10/2023 Q 12 Saw Mill River Road, Hawthorne, LATEST UPDATE SINCE NY 10532 Frank Rappa 914-347- c sos = 1400 4/10/2023 1�E4 co�"�* OWNER FRANK RAPPA Customer Quote - Pricing QUOTE NAME PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID facelift john Unassigned Project 3855402 ORDER NOTES: DELIVERY NOTES: Line# Description Unit Price Qty Ext.Price 100-1 400 Casement, 28 3/8 x 48, UC: CW14, Installation Flange, $740.59 3 $2,221.77 Hinge with Wash Mode,Trim Stop Profile: Traditional, Left, White Exterior Frame,White Exterior Sash/Panel, Pine w/Unfinished Interior Frame, Low-E4,Argon Filled, Glass Grille Spacer Color= Stainless, Grilles: None, Hardware: / Window Opening Control Device-No, Unit PN:1309418, / Unit CPD Number=AND-N-1-01590-00001, -US Energy Cd Star-,Version:2/8/2023 a 5.7- 28.375 -- - �- RO-28 875 Comments: Room:None Assigned Line# IDescription IUnit Price I Qty I Ext.Price 100-2 Hardware: PSC Contemporary Folding White PNIA361561 $21.83 3 $65.49 Comments: Room:None Assigned Line# IDescription I I Unit Price I City I Ext.Price 100-3 Insect Screen 1:400 Series Casement, CW14 Full Screen Aluminum $57.56 3 $172.68 White PN:1345056 Comments: Room:None Assigned Quote#: 3855402 Print Date: 4/12/2023 1:40:57 PM UTC All Images Viewed from Exterior Page 1 of 2 �j RuildinQ Permit Check Lis^t&Zoning Analysis y Address: ", (;lr_i(1 ac C SBL - Zone: � I Use: 2 l� Const.Type: v Other. Submittal Dater Revisions Submitt2l Dates: Applicant: �O ZO i 1C �3 �t \ S/� OF Nature of Work. SU Y As Ca j,J q VQ.C 1 oc ZA--ri o -V , n CL Reviews:ZBA: PB• BOT• Other. ]MED O ( ) (L —FEES:Filing: BP: Flood Plane: Legalization: O (,)—APP: Dated ✓ Notarized: ✓ SBL 1.CC/Q Truss I.D. Cross Connection H.O.A.: ( ) ( ) 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: (� PLANS:Date tamped Sealed opies: Electronic. Other ( (�License Workers Comp: Liability Comp.Waiver Other. ( ) ( ) CODE 753#: Dated: N/A; HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A Other. F e �-11 �Fe(— p0 ( ) ) LOW-VOLTAGE ELECTRICAL-Plans: Permit: N/A: Other. (�"j'FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery: Other PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other: ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK Plans: Permit: Fuel Type: Other: ( ) ( ) 2020 NY State ECCC: N/A: Other ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER Other ( ) ( ) Other. ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES APR 2 0 2 U APPRUVL An& 023 Circle: •� Front Front: Sim: �r Main Cov Accs.Cov Ft.H S Sd.H/Sb S� Tot.Imp Ft.In' P�-S•. Hight/Stories: notes: W x n cOI,JS �1-e 21 C—me.r C Cc r' CeSs e a � o� " 2 ; Laura Petersen From: Tara Orlando Sent: Thursday, March 2, 2023 9:50 AM To: Bryan Cc: Steven Fews; charlie@faceliftsrenovations.com; Laura Petersen; K Subject: RE: 81 Tamarack Rd Mr. Rozencwaig, As I explained yesterday when we spoke, the house does not pre-date the Zoning Code and requires a Certificate of Occupancy. Tara Tara A. Orlando Planning Board& Zoning Board of.appeals Secretary `Village of Rye Brook 938 Xing Street Rye Brook, New York 10573 Office (914) 939-0668 From: Bryan<blrlaw@gmail.com> Sent:Wednesday, March 1, 2023 3:30 PM To:Tara Orlando<torlando@ryebrook.org> Cc:Steven Fews<SteveFews@ rye brook.org>; charlie@faceliftsrenovations.com; Laura Petersen <LPetersen@ryebrook.org>; K<kbbrl7@gmail.com> Subject: Re: 81 Tamarack Rd Tara, Laura, and Steven, While the current owner bought the house about 50 years ago and did a few permitted expansions and additions, the house was built long before that.Wasn't the original construction done before a Certificate of Occupancy was required rendering a letter explaining that sufficient? Bryan Bryan L. Rozencwaig Attorney and Counselor at Law (212) 831-0995 Telephone (646) 514-1007 Facsimile 1 BLRLAW@Rmail.com J 60 East 42nd Street,40th Floor One Grand Central Place New York, New York 10165 Preferred mailing address: 29 Chase Road, Suite 26 Scarsdale, New York 10583 On Mar 1, 2023, at 9:46 AM,Tara Orlando<torlando@rvebrook.org>wrote: Mr. Rozencwaig, To legalize the existing single family dwelling(to obtain a C/O) you must submit a complete exterior building permit application, one current survey of the property, signed and sealed by either a NYS licensed land surveyor or a NYS professional engineer, two sets of as-built plans of the house, signed and sealed by either a NYS professional engineer or a NYS licensed architect. There are two open permits which were attached in my previous email. Thank you, Tara 7'ara A. OrCando Planning Board& Zoning Board of Appeals Secretary Village of Rye Brook 938 Xing Street Rye Brook, New York 10573 Office (914) 939-0668 From: Bryan Rozencwaig<blrlaw@email.com> Sent:Tuesday, February 28, 2023 2:32 PM To:Tara Orlando<torlando@ryebrook.ore> Cc:Steven Fews<SteveFews@ryebrook.ore>; charlie@faceliftsrenovations.com; Laura Petersen <LPetersen@rvebrook.org>; K<kbbrl7@gmail.com> Subject: Re: 81 Tamarack Rd Tara and Steven, 2 Please explain what we need to do to deliver to the buyer either a certificate of occupancy or pre-date letter for any alterations which require a certificate of occupancy including air conditioning equipment, decks, fences, patio. If Rye Brook does not issue such a certificate of occupancy or if the alterations were done before a certificate of occupancy was required, I need a letter stating that. Can you also please confirm that the open permits are closed? I have ordered a survey if that helps. Bryan Bryan L. Rozencwaig Attorney and Counselor at Law (212) 831-0995 Telephone (646)514-1007 Facsimile BLRLAW(&gmail.com 6o East 42nd Street, 4oth Floor One Grand Central Place New York,New York io165 Preferred mailing address: 29 Chase Road, Suite 26 Scarsdale, New York 10583 On Fri, Feb 24, 2023 at 3:58 PM Tara Orlando<torlando@ryebrook.org>wrote: You're welcome. Our records consist of what is on the approved plans (attached 2708). If you're talking about the Property Record Card, that is the Town of Rye Assessor. There are two open permits (attached 46 &MP03-41). There is not a permit or C/O for the entire dwelling. According to the Town of Rye Existing Conditions Map created in 1930,prior to the adoption of the 1931 Town of Rye Zoning Code, no dwelling was situated on the subject lot in question at that time. All of the records pertaining to the property are available on our web site at the following link: hops://ryebrook.org/docsrb/ Thank you. 3 Tara A. OrCando Planning Board& Zoning Board of.Appeals Secretary `Village of Rye Brook 938 .zing Street Rye Brook, New York io573 Office (914) 939-o668 From: Bryan Rozencwaig<blrlaw@email.com> Sent: Friday, February 24,2023 1:39 PM To:Tara Orlando<torlando@ rye brook.ore> Cc:Steven Fews<Steve Fews @rye brook.o rg>; charlie@faceliftsrenovations.com; Laura Petersen <LPetersen@ryebrook.ors>; K<kbbr17@Rmail.com> Subject: Re: 81 Tamarack Rd Thank you so much. Now that these permits have been closed and the approvals of the kitchen, bathroom additions, den expansion including the 2nd fireplace are closed on the record: a) will the town records now show the house as having 2 fireplaces and 2.5 bathrooms? b) are there any other open permits? Bryan 4 Bryan L. Rozencwaig Attorney and Counselor at Law (212) 831-0995 Telephone (646)514-1007 Facsimile BLRLAWagmail.com 6o East 42nd Street,4oth Floor One Grand Central Place New York,New York io165 Preferred mailing address: 29 Chase Road, Suite 26 Scarsdale,New York 10583 On Fri, Feb 24, 2023 at 8:56 AM Tara Orlando<torlando@ryebrook.org>wrote: Good morning, Please see attached. This will close out open permits 284&2323. Thank you. 7'ara A. Orlando Planning Board& Zoning Board of.Appeals Secretary Village of Rye Brook 5 �•,1r bf� 1' � 4'yjr'� :y,tt I r#�% +Y�+ , ♦ � r., b42 = .�. 1 :+ �) t( �� t 4 y 1 �1 ��'7`C !1 � '�;.; �'� 4 , rr•.! �Y� �1.4f t '� '�i r - }.r �'�•I 1 .� 1.7 15 _ 44 — - / hS '111^r fA cis K. y _ 00 co 5k� asp LL Fr 99 J 1ZC M — `.r•� r �"F s • , � " • k ` I'd {l t tlrtr � T} At 1!�i71 , �' � qyS' � R� • r���{' . t"� 1 „ r� r• ,In i � �''�'I l-�•.•� � rl � t;i�� „�a�'��'�� r `�. A`�O�� CERTIFICATE OF LIABILITY INSURANCE DAT3/15/2ILYYYY) 3/152023 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 NAME: Betty Reyes The Willett Insurance Agency PHONE 914481-5599 No): 888 371-9783 AIC No 338 Willet Ave ADDRESS: bettyreycs@thcwillettinsurance.us INSURER(S)AFFORDING COVERAGE NAIC 0 Port Chester NY 10573 INSURER A: Westchester Insurance Company INSURED INSURER B: Westchester Insurance Company FLPW,LLC INSURER C: 436 WTLLE17 AVE INSURER D: INSURER E: PORT CHESTER NY 105733176 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 FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE INSD WV0 POLICY NUMBER MIDD (MMIDMIYYM LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ©OCCUR PREMISES eoccurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y CONNYF161721334 06/30/2022 06/30/2023 PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,000 POLICY JOPRECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: f AUTOMOBILE LIABILITY UUMBINILLI Ea accident $ ANY AUTO BODILY INJURY(Per parson) _ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY Bi,R1RY(Per accident) S HIRED NON-OWNED f AUTOS ONLY AUTOS ONLY Par accident S x UMBRELLA LJAS [ OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CwMs-MADE UMBNYFI61723761-002 06/30/2022 06/30/2023 AGGREGATE $ 1,000,000 DED RETENTION 3 10,000 $ ORKERS COMPENSATION ND EMPLOYERS'LIABILITY YIN STATUTE I ER NPR ❑ NIA E-L.EACH ACCIDENT $ OFFICE=C!MBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S It yas,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT II DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more spa"Is required) 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 r3e{-h� fte.yes Rye Brook NY 10573 ®1988-2015 ACORD CORPORATION. All rights reserved. ACORO 25(2016103) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:6A58337D-AD03-4FA1-A59B-519CED31215B y"EORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name 8 Address of Insured(use street address only) 1b.Business Telephone Number of Insured 436 Willett Ave (914)937-2237 Port Chester, NY, 105733176 1c.NYS Unemployment Insurance Employer Registration Number of Insured I Work Location of Insured(Only required if coverage is specifically limited 'to certain locations in New York State,i e.,a Wrap-Up Po)icy) 1d.Federal Employer Identification Number of Insured or Social Security Number 20-5611509 2.Name and Address of Entity Requesting Proofof Coverage 38.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) SinusPoint America Insurance Company The village of stye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"1a" Rye Brook, NY 10573 WC 10331600 3c.Policy effective period 07/25/2022 to 07/25/2023 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partnerstafficers included) i ® all excluded or certain partnerslofficers 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 forth,New York(NY)must be listed under Item 36 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 an 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 Print name 6f authorized representative or licensed agent of insurance carrier) Approved bye 3/17/2023 (Date) Title: LrPELT02,Telephone Number Number of authorized representative or licensed agent of insurance carrier:(855)-880-0204 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-106.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www,wcb,ny,gov VINYL FENCE � .PROPERTY LINE 13O FILE MAP LOT NUMBER (1) Offsets shown are not intended to be used for the construction of any structure, fence or other such permanent additions. (2) This survey is intended to be used for TITLE PURPOSES ONLY and is subject to whatever facts a more complete title search may reveal. (3) Property corner monuments were not placed as a part of this survey. (4) Encroachments, vault and Easements, if any below surface or otherwise nonvisible, are not shown hereon. (5) Grounds snow covered at time of survey. N m Lo Q A# tv.✓ vv Online W SCALE = I"=15' U S OO(D5 100" r_ n n n i W Tamarack Road Designated as Lot Nos. 129 & 130 in Block H On "Revised Map of Tamarack Gardens" Filed in the Weschester County Clerk's Office on August 6, 1930 as Map No. 3675 AW1640 February 24, 2023 Title Survey Reproduction or copying of this document may be a violation of copyright law unless permission of the author and / or copyright JOB No. DATE DESCRIPTION holder is obtained. GUARANTEED T0: The certifications herein are not transferable. 1. Brendan Farrar Conley and Rebecca Sullivan Conley 2. Future Title Agency, Inc. 3. First Republic Bank 4. Old Republic National Insurance Company Property Address: 81 Tamarack Road Village of Rye Brook Town of Rye County of Westchester State of New York Drawn By: Mc Tax Designation: District: - Section: 135.52 Block: 3 Lot: 54 Checked By: AFA NOTICE: © 2022 Alli Surveying P.C. All Rights Reserved Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a violation of section 7209, sub -division 2, of the New York State Education Law. Real Property I Real People I Real Solutions ALLI SURVEYINr_3 P.C. , . 'e, 1, N_ 77-16 164 Street, Suite 202 Fresh Meadows, NY 11366 Tel: 212-732-1393 www.allisurveying.com E-mail: info@allisurveying.com Records of Frank E. Towle Inc. Harwood Surveying, & Aristotle Bournazos PC F=CIE VIIP= MAR 2 2 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT RAMZAN ALLI, LS License No. 050457 A copy of this document without a proper application of the surveyor's inked or embossed seal should be assumed to be an unauthorized copy. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 >1 00 00 L L lITRE STONE ARCHITECTURE&CONSTRUCTION TREESTONE BuildersGroup,Inc K K 2 South St.Suffern,NY TEL: (201)906-9484 Treestone Architecture,PC TEL: (201)906-9484 ,J H H CH IST P ER PAPALEO CHtI N.Y.035207 N.J.Al 18082 DEN 26'-1°xll'-1" # ISSUE DATE 1 EXISTING CONDITIONS 03.14.23 G G - - — BATHROOM GRAVL SPADE a BEDROOM 14'-0"xll'-I' LINEN GL05ET GRAVU.SPADE _ GHAN6ING 4-0THROOM 3 -- F 5'�✓"xb'-8" GLOSET F CRAWL SPACE O / LIB EXTERIOR TRIM T01MAT CLOSET MTI*.PROVIDE AIR SEALING v KITCHEN AR011W7 NEW WII✓DOW # REVISION DATE IS'-5"AY-3" REMOVE EXI51I46 HW OK ` 1 PROVIDE EGRESS WIND 04.17.23 PROVIDE IEW GVU4 EGRE55 - DINING ROOM WINDOW BY ANDER50N. E GL05ET\ P15N TRIM TO MATGff EX15T - FOVIDER ROOM NEW EXTERIOR TRIM TO MAT - - EXI5TIN6.PROVIDE AIR SEALIN6 GL05ET ® BEDROOM BEDROOM AROUND PEW WINDOW - -- II'-9"xl6'-b" REMOVE EXI5TIN5 NWOW. PROVIDE NEW GW14 E6RE55 �� OL05ET/ WINDOW BY ANDER50N. OIL rux - - DN SLAB ON GRADE 6ARA6E D NEW GYP.BD.TO MATO CFEW N DRAWN BY: BASEMENT LIVING ROOM TR MI TO MATCH EXIST CHECKED BY: 24'-b"xI2'-3" 21'-3"xl2'-1" FILE COPY UP 9;A. �a�� �ro�� ®F71 0P / GWI4 WIIU�O a OVER TYVE TO MATGN EXI5TIN6 r'�Vt / OVER TYVEK i�11LDIN6 V82AP C OVER�'GDX.PROVIDE R15 C FIBER6LA55 BATTS AND AIRSMOO REMOVE EXI57IN6 WINDOWS. PROJECT# 2306 FRAME IN TO AGGOMMODATE REVi NEW 0114 EGRE55111WOI 15Y ANDEIZON' PLO APR 18 2023 PROJECT LOCATION: DAB 81 TAMARACK ROAD BUILDING DEPARTMENT RYE,NY B PERMIT# SBL# �-3-' RESIDENCE DATE A EXISTING CONDITIONS BUILDING IN ECTO 'e'age of Rye Brook,NY A A PLANS _ BASEMENT FLOOR PLAN _ FIRST FLOOR PLAN SECOND FLOOR PLAN A 1 SCALE:1/4"=1'-Off A 6 SCALE:ll4"=I'-011 SCALE:1/off=1'-011 r 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Am 10 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 00 L L RCEST0NC ARCHITECTURE&CONSTRUCTION ELECTRICAL LEGEND: ....... ...._ —¢— RECESSED LIGHT FIXTURE JQ JUNCTION BOX;CEILING LIGHT FlXTURE WALL SCONCE TREESTONE BuildersGroup,Inc K K 2 South St.Suffern,NY ._...- � EXHAUST FAN �$ SINGLE POE srnral TEL: (201)906-9484 115 VOLT DUPLEX RECEPTACLE Treestone Architecture,PC 115 VOLT 20 AMP WAD RECEPTACLE TEL: (201)906-9484 — 115 VOLT DEDICATED RECEPTACLE, SEPARATE CIRCUIT&ISOLATED GROUND Q THERMASTAT S.D. SMOKE DETECTOR a CEILING FAN INRED NTH SEPARATE S'MTCHING — FOR UGHT RXIURE IN FAN H H CH ST R PAPALEO N.Y.035207 N.J.Al 18082 ## ISSUE DATE z O 1 EXISTING CONDITIONS 03-14,23 S.D. Jj )✓ / ## REVISION DATE --- — , , DN T E 1 7 E _ — -- - Qr — — D 0 ON DRAWN BY: CHECKED BY: V JO JO s.D. TmEESTONE C C UP UP O O O ' PROJECT# 2306 :: - PROJECT LOCATION: 81 TAMARACK ROAD RYE,NY B B RESIDENCE EXISTING CONDITIONS A A ELECTRICAL PLANS BASEMENTIELECTRICAL PLAN FIRST FLOOR ELECTRICAL PLAN SECOND FLOOR ELECTRICAL PLAN A-1 SCALE:1/4 -I-0 SCALE:1/4 -1 0 A-11 SCALE:1/4 -I 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Eml 0 1