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HomeMy WebLinkAboutBP23-056PERMIT# � �3-OS� DATE: 3 a3 ®c>a SECTION BLOCK � L/OT. TYPE OF WORK !! 0 0�1T" JOB LOCATION � %( )I'�i/J.GhO/1[�d/I � CONTRALTO T. COST ,# C23 - TCO # as - FEE DATE 3 I/iS / � 99 /l'S�9 879—.5100� �NSP CE TION RECORD DATE INSP FOOTING FOUNDATION FRAMING ' RGH FRAMING INSULATION PLUMBING 0 _- - ji� SPRINKLER ELECTRIC 0 LOW -VOLT ALARM AS BUILT C�� �� 4 FINAL Q�d �Q�►+s Ji G OTHER APPROVALS ARB % c L/ BOT PS ZBA OTHER AS-BUILTIFINAL SURVEY REQUIRED PR10R TO FiNAI INSPECTION VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 23-191 (fertifirate of ®rrupourp This is to certify that /) 7- )-r/ 1% V/ V/y of, Rap c/Ji'o(D k-1 / ) 7' having duly filed an application on V&rl )�er Jj_ 20_,�a requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a / IJ Zoning District and shown on the most current Tax Map as Section: j00?&6 Block: Lot: 13 , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.c-2, -CV , issued 20,.�2 , 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: I �' �/� Construction: , for the following purposes: ��I0� �r � + �� 1 S Ve -d Con6Y-P-e pafia it) Jh 0aVerS s �� Sll DIQ. Ir ,�jf 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 building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has ee fro Building Inspector. Building Inspector,Village of Rye Brook: Date: DEC 0 4 2023 For office PERMITs onl / I BUILDII� 7 MENT PERMIT# J1!o—O NOV 5 3 VILLAGE OF RYE BROOK ISSUED: S--3--Q3 _ 938 KING STREtT,RYE BROOK,NEw YORK 10573 DATE: VILLAGE OF RYE BRO011, (914)939-0669 FEE: S� Q 3S PAID BUILDING DEPARTMENT' wwyv,ry r* oo&Org 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►r►rrr■•r■rrrr»»r»»»»»►•rprr►r►r►►►►►►rr►►►►►►►►►r►r►•r►►►••r••►►►►•r»rr♦r►rrrrr»•►r»rrrrr►»»r»rrrrr»»»r•»»s»»»»» Address: I �Aj k l e p ODrw J1 hd . P,yc 5 toA , N y 10 57 3 Occupancy/Use: Parcel ID#: Zone: —/ Owner: C k r;S D(~v I S Address: i W�-pgcc f t- P.E./R.A.orContractor: LP4 Address: 16 STivi.�S� 9I6LvveI1 , N1 16313 Person in responsible charge: 5 , , S Address: �O rvcj St. � G l as�N N`/ 1 D 1 13 Application is hereby made and submittel 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: JJ (�In r,y 'D a y"5 being duly sworn,deposes and says that he/she resides at h'r�►o o/w P\0 t) (Print Name of Applicant) ' (No.and Street) in y (i roc k- in the County of W C S (,lit i kI in the State of u _,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:$j 18 2 5 , for the construction or alteration of: F/o l� w(o k , F ro n{ S k p S 1 (e G/ �a F i o , re p 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. Sworn to before me this 1, Sworn to before me this da of Nv ,20_D- day of , 20 Signa Prop Owner Signature of Applicant f-S v/ PI t e of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 8/12/2021 Qualified In Westchester County Commission Expires January 29,2;� BRC>v� BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAX(914) 939-5801 - - - - - - - - - - - - - - - - - - -- - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -- ADDRESS: I _\ �� `. ?�J � � DATE: PERMIT# ISSUED: /�' ? SECT: BLOCK: LOT: LOCATION: Leh n tC) gy:AQ) f x OCCUPANCY: Z. ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION 0 SITE INSPECTION REQUIRED ❑ FOOTING �-+� ,c, `- ❑ FOOTING DRAINAGE 0 FoUNDATIoN 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: 0 ROUGH PLUMBING 0 ROUGH FRAMING 0 INSULATION Cl NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ FINAL ❑ OTHER �yE BRC��. • �9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street - Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - --- ADDRESS : � � �--� � � \ ' DATE: PERMIT# 2 ISSUED: SECT: BLOCK: LOT: LOCATION: /J,)( OCCUPANCY: ❑ 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 Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BR(�jk, O�` tip, > ;, •� /'• 1982, $UILDING DEPARTMENT /❑BUILDING INSPECTOR / ❑ASSISTANT BUILDING INSPECTOR; VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 , d (914) 939-0668 FAx (914) 939-5801 www.ryebrook.or¢ ; - - - - - - - - - - - - = - - - - - - - INSPECTIONREPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— Y I � ( t ` DATE: 057) 51 PERMIT# % tt ISSUED: ,per SECT: BLOCK: LOT: f LOCATION:: OCCUPANCY: Z- t y ❑ Violation Noted THE WORK IS... �❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION ` REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION Q UNDERGROUND PLUMBING NOTES ON INSPECTION: '0 ROUGH PLUMBING r ❑ ROUGH FRAMING ❑ INSULATION , � p Natural Gas ❑ L.P. Gas y`<'Z- —6--, c ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER - ;,y f+ .y N V _ tn N 0 M N \ W v N \ as 4 Ch CA o V] CA c w a oAI W W 00 Ho © Lr) h�S '� a �c A o ° a p y N V LL Ln Fil 0 jo U W N Q ° a s �I 'n p O z b •�i i W � � U �� 3 •° � o U6 o ° c ° U rI� V � �'' z z V C A [� A V © C V Ca ' Q a � Uz b c . M M •� O w c7 M Q 00 Q CIA CIA 00 U OU w v W w A C7 0 wAa � b to. �° : p x a �. mo s zz � � w " U o k Fj y~ F W ; , uo a0 � o H y u u J �j ti taa fsi �i UQr U ��j" o � °' -a s x F A Z Oaz R•' fn �' L3. y ° ?. H W m C-1 a W >1 .0 -1 o i BUILDING DEPARTMENT � IE C-pE ��F VIL�,�fi6 OF Ryltt` OOK L� 938 KING� RE' ET RvlE BRoox,NY 1057 (914)939-0668 MAR 2 3 2�23 www.rye6rook.org VILLAGE Or- RYE 13ROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: APR 2 4 P rm' Application# ` Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secretary: C ZBA Approval Date: Case# Other: Application Fees j Permit Fees: - EXTERIOR BUILDING PERMIT APPLICATION I+d�� 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: ( kk 1�Q l,t)1 u_op ti e-q&' &jc)oy-- , ('� I os-? 2. Parcel ID#: I�-�- L_C �_�) (;(DC)(-- k Zone: k9- k S 3. Proposed Improvement(Describe in detail): oCLc-'r— c O nasr'e. 4. Property Owner: Ct Yy_k S bpAj l� Address: ( WitA(j)Cy_-__2W(LL 0�,_ 12ye (&2-OOV-� (g5�37-:� Phone# it" Cell# e-mailC}L9_IS t>&\/(S172 ID List All Other Properties Owned in Rye Brook: &fl(t"•C c V) Applicant: ST�EFI(E 6*__kC2G& Address:l(y SP uce Phone# Cell# q I — 1 '3 cl - S(nD2 e-mail S'Te�V-9-0' �C-6eA Cass Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell # e-mail General Contractor: Lanak I S i I Address: 101-1 Phone# Cell # 'S� e-mail s ° -�T�E 6:11e-I66 tl) 8/12/2021 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: -� Post-construction: 6. Area of lot: Square feet: I Acres: o 3 air T 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: rA l k 9. Area of proposed building in square feet: Basement: /+ 18'fl: 21 fl: 3Td fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: lg`fl: 2nd 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: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (ifyes,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:-)(-Area: 3-76n'c;P 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (ifyes,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: x (ifyes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within 100 ft. of a Wetland as per§245 of Village Code? Yes: No: (ifyes, 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: (ifyes, the area and elevations ofthe 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: (ifyes,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: Indicate: TIER I: TIER H: TIER III: (ifyes, a Home Occupation Permit Application is required) 28. List all z oning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S ,Coo Note:The estimated cost shall include all site improvements, labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: 60�� l 2AD2-: (2) 8/1 212 0 2 1 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: WI'PP MILL(24.) Section: C2-R..(00 Block: I Lot: PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (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 1 30% 1 5% 3.5% Existing: Proposed: 1. AREA OF LOT Sq. Ft. L _Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building -7 (Including Attached Garage or Accessory Building) �Sq. Ft. ��D� ! Sq. Ft. b. Area of 1 st Floor Divided By Area of Lot x 100 3 % �-� % 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) QQ Sq. Ft. I 1-D17 Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 .. (C(, 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 knowledge and belief,the above information is correct. Architect' e (3) srt 2/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE.BROOK,NY 10573 (914)939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: Section: 1 Z9,GO Block: 1 Lot: Zone:k—LS 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 % R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 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 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 R2-F 30 *"Base Lot Area"is the minimum end of the lot size range in the"Lot Area"column Area of lot: s .& Existing wed Proposed Total impervious coverage = L�b I© S .ft. S .ft. Front impervious coverage = % % % I attest to the best of my knowledge and belief,the above information is correct. ( Z���" ,, Z�', - 1311"I' " y bZ Architect's Signaturt (4) BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: ( Section: 29 D Block: ti Lot: MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = Sq. Feet b. Existing = Sq. Feet c. Proposed = Sq. Feet HEIGHTISETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10%of the entire roof area, shall be permitted to extend. Height and Setback shall be calculated using the formula; Height I Setback = X, where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article Vill of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXlSma PROPOSED REQU/RED FRONT: FRONT: FRONT: .44 R-3S SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 "S SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 R-20 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .60 IP-f SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R-1SA SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 R-12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R--10 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 AIL7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 RLS SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 R,2F SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. Architect's Signat (5) 8/12/2021 -D BUILDING DEPARTMENT ED VILLAGE OF RYE BROOK MAR 2 3 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK wwwxyebrooLorst BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216•STORM SEWERS AND SANITARY SEWERS THYs ArriDA= MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED ND NOTARIZED FORM WILL BE RETURNED TO TEE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:3, y�3 PAS S ,residing at, W ; �G� �.,�� 1�( 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; 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'-ceaa.u. Christopher Stuart Davis State of Texas,County of Collin Sworn to before me this sth day of March 2023 �On`4` Itlp4��/���� John David McLin (6) IDNUMBER 133055041 to hl�� \ COMMISSION EXPIRES &'1212021 JWV 1Z 2M Notarized online using audio-video communication 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 f Ip app!=runt. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �fl4�iFeFa-y Q(�La� ,being duly sworn,deposes and states that he/she is the applicant above named, (print Am 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 Sf wg"y S- i.►t 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. State of Texas,County of Collin Sworn to before me this tith Sworn to before me this day of March 2023 day o ,20 Signature of Property Owner Si Ap cant Christopher Stuart Davis ���/^, ��/,5 Print Name of Propertv Owner Print ISTatne A Applicant L9 64 Notary6lllic Notary Pub '0*arp10 u/ John David McLin a�i f ti n ID NUMBER A r 13385W41 �ry%i tF Of t�}�\`� COMMISSION£XPiRES HyLI k�O ng 1.2L lnnntu�` July t2 2026 State of New Jersey (� Notary Public Notarized online using audio-video communication _°i Commission xpi 50169466 My Caminissinn Expires 8123,2026 u'z3 (R) 8/12/2021 0 N a64H 11 ►n a ( H N'+ 0 . O Z c H � W W 1- 4 Ln ON A a Q z z17 o z w � H z z a O Ay ( � � z � < V It � ZA 5 uCf a qq In zz 14 � a a r. O Fm P a v Uk u $ O w z o H oo W z o zo � A 0 Z ca w ma GCl R+ r� Cq W 2 vi i BUILDING DEPARTMENT R1 VILLAGE OF RYE BROOK MAY 15 2023 DD 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK ����w. ebrook�,rL BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY #: 3-OS 3-OS& PP#: 0 3—d-5 3 Approval Date: Permit Fee: S Approval Signature: JA_JAYOther: Disapproved: (fees are non-refundable) Application dated, May 7, 2023 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 will be in conformance with all applicable Federal, State, County and Local Codes. 1.Address:1 Whippoorwill Road, Rye Brook, New York 10573 SBL: Zone:0C—/5 2.Proposed Work: install new gas line to fire pit and BBQ 3.Property Owner: Chris Davis Address: 1 Whippoorwill Road, Rye Brook, New York 10573 Phone#: Cell#: (929)276-3253 email: 4.Master Plumber: Peter Adams Address: 128 Montgomery Avenue Scarsdale, New York 10583 Lic. #: 534 phone#:(914) 723-3191 Cell#: (914) 274-0579 email: HillandAdams@aol.eom Company Name: Hill &Adams Inc. Addres1s28 Montgomery Avenue, Scarsdale, New York 10583 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other's Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 3"r Floor 4'Floor 51 Floor Exterior 2 2 5.*List Other Equipment/Provide Details: N—� I C:1� cl 4 (Notarized Signatures Required Next 2 Pages) 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Christopher Stuart Davis ,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 Master Plumber for the legal owner and is duly authorized to make and file this application. 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. State of Texas County of Harris Sworn to before me this 15t h Sworn to before me this 41t_� day of May 2023 day of M Q,, ,20 by Christopher Stuart Davis Signature of Property Owner Signature of Applicant Christopher Stuart Davis ec C'::;6 r Print Name of Property Owner Print Name of Applicant `fit, Notary Public �'ta PrrbhC ACQUELINE DONOGHUE 133330242 01�-___ sha� � Notary Public-State of New York 09/14/2025N0.01D06385516 OWAMR Qualified in Bronx County O.T. 1=1 212 My Commission Expires Jan 7,S044 mwwssla/"Affs u,are This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Notarized online using audio-video communication -2- 3/3/2023 BUILDING DEPARTMENT D VILLAGE OF RYE BROOK 3D 938 KING STREET RYE BROOK,NY 10573 MAY 15 2023 (914)939-066C VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: Christopher Stuart Davis residing at, 1 Whippoorwill Road, Rye Brook, New York 10573 (Print iimnc) Vidl,:,,v%here voil Ilk C1 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; 1 Whippoorwill Road, Rye Brook, New York 10573 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. C)C Mas (Signature ofPropertm 0"ner(s)) Christopher Stuart Davis State of Texas County of Harris �yup9lkm% �5th `j4,a+ ho Sha.Gamble Sworn to before me this ,. . °;, `� l ID NUMBER MaydaMay p��y23 133330242 y of , r COMMMSION EMUS by Christopher Stuart Davis �?�eyi�M,��� Sept mb.,,..2025 -!e3ng Notarized online using audio-video communication f otan Public) -3- 8/12/2021 Building Permit Check List&Zoning Analysis Address: i l SBL — — Zone —l'� Use: Const Type Other. Submittal Date: 2�J Re ' ions Submittal Dates: Applicant: Nature of Work I CC, S Reviews:ZBA: NIAR 2 g 1013 pB: BOT: Other NEEDn (� ( FEES:Filing. BP: C/O Flood PlaneLegalization: ( ) (yAPP: Dated Notarized:—4,--SBL•— Truss I.D. Cross Connection ,O A ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening ( ) ( ) ENVIRO:Long. Shorn Fees: N/A ( ) ( ) TE PLAN.Topo: Site rotection: S/W Mgmt: Tree Plan: Other. ( ) ( SURVEY:Dated 2 o Z Current: Archival• Sealed Unacceptable: ( ) (.,PLANS:Date tamped—Sealed.-- Copies: Electronic Other. ( ( Work Con t� �Liabili r. mp.Waiver. Other. CODE 753#: `S—no,— Dated N ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. /~ ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: permit N/A: Other; ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. PLUMBING Plans: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION.Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A Other ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other; ( ) ( ) 2020 NY State ECCC: N/A Other. (� ( ) Final Survey Final Topo: RA/PE Sign-off Letter As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. mtg.date �approval:- notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: RFOMED EXISIIN PROPOSED NOTES APPROVED Circle: Fro *eve Front Front Sides: F&W Main Cov Acts.Cov: F S S .HS Tot Im.R H�ight/Stories• notes: 1/E l( N, & C 7 �.. I t�sl 1 t U n c C ��cszca�a; 701� i BUILDING DEPARTMENT ___V___� VILLAGE OF RYE BROOK I MAR 2 3 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org 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;► WhIpput"'o\ \ rok ' Date of Submission: Parcel ID#: 11���y'�'1 , !:!NI zone: Proposed Improvement(Describe in detail)- APPLICANT CHECK LIST: :'? L of BL COMPLETED Bi,,THE APPLICANT The following items must be submitted to the Building gh p(,u I%�.µ S�ipS • _ Department by the applicant-no exceptions. Property Owner:Ck-%dI 1. (11.)Completed Application ( ,yTwo(2)sets of sealed plans. Address: 3. ( XTwo(2)copies of the property survey. Phone# I�l—2S 0 — (�{ 4. ( ,.Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( .. One electronic/disc copy of the complete application materials. 6. (_�Filing Fee. Address-2(� JK�e r' '6�,kl�XvV, 1� log (3 7. (,)Any supporting documentation. Phone# Iq'$19'fQ+ Z SfoUL g• ( )HOA approval letter.(ifapplicable) 9. (,/)Photographs. Architect/Engineer:;� A 6u,evrt.- I0.(J Samples of finishes/color chart.(a sample board or model ma),be piwented the night of the meeting) Phone# 5jryt`.• 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. State of Texas,County of Collin Swom to before me this 8th Swont to before me this day of March )2023 day of 03//2 ,20 2 1 Signature of Property Owner Sig tore App avant Christopher Stuart Davis ,— Print Name of Property Owner Print N e of Applicant Notary&ic Notary Public ����Aatldtly4p0 III ��J,' aY•p �.� John David MMUn �S'0 In NUMBER taaesswt Hyukjong Lee COMMISSION EXPIRES State of New Jersey mninir July1Z202! Notary Public 8111J2 1 Commission No.o0169466 Notarized online using audio-video communication _ ' _t•t r G mn >s;n ;,res 8.23026 BRCU� Village of Rye Brook ML MR Agenda FB V SE Architectural Review Board Meeting AC SF < <<� .•, Wednesday,April 19,2023 at 7:30 PM Village Hall,938 Sing Street JM 1. ITEMS: 1.1. ARB23-025 (Consent Agenda) James Luciano&Helen Luciano 14 Lyon Street Rooftop solar array. 1.2. ARB23-026 (Consent Agenda) Karin Yapur 30 Tamarack Road Rooftop solar array. 1.3. ARB23-027 (Consent Agenda) Han-Hsuan Liu&Haoyun Feng 27 Mohegan Lane Rooftop solar array. 1.4. ARB23-028(Consent Agenda) Victor Paterno&Annemarie Paterno 15 Old Orchard Road Replace front walk,entry steps,driveway retaining wall and re-pave driveway. 1.5. ARB23-029 (Consent Agenda) Christopher Davis&Lauren Davis 1 Whippoorwill Road Replace front walk, front steps,re-do concrete patio with pavers and install gas firepit. 1.6. ARB23-030 (Consent Agenda) Jonathan Fog&Alison Fox 1 Country Ridge Circle 6'&4'high white vinyl fence and gates. 1.7. ARB23-031 (Consent Agenda) Cape Eland LLC 12 Rock Ridge Drive 4'high welded wire fence and gates. 1.8. ARB23-032(Consent Agenda) Scott Stern&Bonnie Stern 79 Greenway Close 3'high split rail fence and gate. 1.9. ARB23-033 (Consent Agenda) Fabricio Denadae&Luciana Chieus do Amaral 110 Brush Hollow Close Replace decking on existing rear deck. ► Architectural Review Board April 19,2023 M Consent Agenda Approvals: Motion ` , Second Abstention Aye;_ LA— Nay; _ Adjournment; Notes 1.10. ARB23-034(Amendment to Prior Approval) Matan Dvir&Ilana Dvir 1 Dorchester Drive Dormer modifications. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB23-035 Eric Goldstein&Rebecca Kleban 5 Berkley Drive Rear covered porch,stone walkway and drainage. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB23-036 Scott Hirsch&Christine Staeger-Hirsch 1 Beacon Lane Remove rear door,install window.Remove side bay window,install sliding doors. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB23-037 (Amendment to Prior Approval) Win Ridge Realty LLC 166 South Ridge Street New store front"Amazing Lash Studio" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: May 17,2023 ! F� :i r' �J L., . 1 -��� ` � fit, ��'� ! - .-� i� - �,�_ _ _ �_ - �_ `'__ JJJ�J'r".JJJIJ�1 �. �i '�. �.} 4�'. -\� i �, �� � y _ :� IIII ��� `��. .a�,��.���` fir. ,gip; �� ��,;. -� �� { .I _; � - ��S �M�t: 1 Z V yy ..i} 5 V ,p �_ . '� �` INS\�� I ! , i. �� 1111. �� �:_ i t i f, Iq -. �1 ��(, �� - -_ '' .T . i1 ��'. .:\ �� _ �� �.��. + t '.cl. � � �� — � _ f � � i �� .�1 � �,;_�If � }� ' i _ ,,� �.. �l 1 l:� �� ��.'e7:M' •.� fry r����. II '�A4 !, _ � - _ �� S -LL-...at yam. � � IS�y ¢ TY � bt - i ^[ ./4,. �. �; �. s '- -�.? �!-_ _ - �- t_� ,. - .. ���_ Ali.'. 2.�� 1 7 I� 1 .,`- �.i '.� �� �;�. es_ r E"__r. �.,.. -, �� 1. lY .a i \o�"_� �� �: `l► P Alk r r • J F `11G /A' gLI �Z !I% A ��• �^�w .tom , J� ---------- Ivan 5' y4�• _ .,CAP.. 1_ '`fit .��►� .; #' • � 4 ti E Laura Petersen From: Laura Petersen Sent: Monday, May 1, 2023 9:22 AM To: Chris Davis Cc: steve@stevegriggsdesign.com Subject: Building Permit Application - 1 Whippoorwill Road Good morning, The building permit application has been approved by the Acting Building Inspector. Before I can issue the building permit the following items must be submitted to our office; ✓/�. Copy of general contractor's valid Westchester County Home Improvement License. 1/ 2. General contractor's valid liability insurance (the Village Of Rye Brook must be the r✓ certificate holder) 3. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 4. Building permit fee $960.00 (due once permit is issued and ready for pick-up) ✓5. 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 Ipetersen(c�rvebrook.org 1 Page 1 of 1 (;v,rgv Lxlinu.r ����r James Mukuno N%nubetter C"nunh Iivcuti�r .X MI Uirrctur.(lmwtmer Prutertiun { Department of Consumer Protection t I Ionic I mprovement License LAND DESIGN STUDIO.INC. 76 SPRUCE STREET BLAUVELT,NY•10913 '��� I hi.licrn.c i.I.aued in acaxdann ,uth \nicle XVI nl'thr N'r,lcheatrr lbunly('nnaumer PnMr.n,m l lwk and a valid,wily uptwt Ixesence of dtc o0ictul dcptuuu+-m ar;d.I'ruuf of eiliecmhip ur immigrotitwt shuts iv not rcyuued lix issunnre ol'this li¢rnse WYF FOR ITI)FRAL PURPOSES 4aM�N` Cnll>fy�P 1 i"n%L NunibLr r c �d Date of %pira ion r Cr r o 41 WC-32004-H19 07/09/2023 40 o tC� AYIIX%Z%Y% % \X:t%XY A%Y-i2ilia1l �." YYX%x�X%Y./-WI 40y'.. file:///C:/Users/lpetersen/AppData/Local/Microsoft/Windows/lNetCache/Content.Outlook/O... 5/2/2023 A�® CERTIFICATE OF LIABILITY INSURANCE DATE(M1/2023 Y) OS/01/2023 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 Kristin Godino NAME: Broadfield Insurance,a member of pcf ins services HO No Ext; (845)986-2211 FAX No (845)986-0949 (AIC68 Main Street E-MAIL k odino broadfeldinsurance.com ADDRESS: g INSURER(S)AFFORDING COVERAGE NAIC# Warwick NY 10990 INSURER A: Selective Insurance Co.of the Southeast 39926 INSURED INSURER B: LAND DESIGN STUDIO DBA STEVE GRIGGS DESIGN LLC INSURER C: 76 SPRUCE ST INSURER D: 76 Spruce Street INSURER E: BLAUVELT NY 10913-1920 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2331022923 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR INSD WVD POLICY NUMBER MM/DDY EFF M°�DY EXP LIMITS LTR TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 15,000 A S 2573731 02/15/2023 02/15/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 3,000,000 X POLICY1-1 JECTPRO LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED S 2573731 02/15/2023 02/15/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY Per accident $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LU\BILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addhional Remarks Schedule,may be attached If more space is required) This certificate of insurance is issued subject to all policy terms,conditions,limitations,exclusions and language. 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 Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a. Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Land Design Studio, Inc. (914)879-5602 Steve Griggs Designs LLC 76 Spruce Street 1c. NYS Unemployment Insurance Employer Registration Number of Blauvelt, NY 10913 Insured 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 13-4155860 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Hartford Insurance Group Village Of Rye Brook 938 King Street 3b. Policy Number of Entity Listed in Box 1 a" Rye Brook, NY 10573 16WECAJ8NUK 3c. Policy effective period n911Q/?n9� to n9/1Q/9md 3d.The Proprietor, Partners or Executive Officers are �X included.(Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"T'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: Richard A Savino (Print name of authorized representative or licensed agent of insurance carrier) r Approved by: Q4� �-- ) (Signature) (Date) Title: Managing Partner Telephone Number of authorized representative or licensed agent of insurance carrier: 845-986-2211 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 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, May 2, 2023 12:05 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 05/02/2023 11:34 To: VIL RYE BROOK PRIMARY Transmitted: 05/02/2023 12:04 00005 Ticket: 05023-001-401-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 1 To: Name: WHIPPOORWILL RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT YARD AT STEPS AND REAR YARD AT PATIO NearSt: FAIRLAWN PKWY Means of Excavation: MINI EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: REPLACE PATIO AND FRONT STEPS Estimated Work Complete Date: 06/09/2023 Depth of excavation: 12 INCHES Site dimensions: Length 27 FEET Width 27 FEET Start Date and Time: 05/10/2023 07:00 Must Start By: 05/24/2023 ------------------------------------------------------------------------------ Contact Name: MAUREEN NICOLICH Company: LAND DESIGN STUDIO Addrl: 76 SPRUCE ST Addr2: City: BLAUVELT State: NY Zip: 10903 Phone: 845-893-9364 Fax: Email: maureen@stevegriggsdesign.com Field Contact: STEVE GRIGGS Alt Phone: 914-879-5602 Email: stevegriggsdesign@gmail.com Working for: CHRIS DAVIS ------------------------------------------------------------------------------ Comments: FRONT STEPS AND REAR PATIO ARE BOTH BEING REPLACED Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i a hd 0 z o O 0 oo r— _\ - - < fTl F9 z 0� 0 D C Z 0 C� O 50 D C 0 z = < z r= _ z D -7 O O - - < 0 z �;U r7 rT -9 ,-,-, z rrl cn r— r� � z : rn N 46°34'30" E 100,00' CURB CURB WHIPPOORWILL ROAD This is to certify that this msp and the survey on which it is based wea+e made in aoca�dance with the "Mininmim Standard" Detail Requirements for the New York State Association of Land Surveyors. Rakesh R Behal, L.S. New York State License Number 050666. M 3 F--' C 1 LD MAR 2 3 2023 VILLAGE OF RYE- BROOK BUILDING DEPARTMENT Summit Land Surveying P.C. 21 Drake Lane White Plains NY 10607 (914) 629-7758 Info@slspc.us y y 'y _, �� 2 too Ail 1 11 - I�-1 S 46'34'30' W 100.00' 9 V 1i IRRETA:[G LINE 0F' MFE MACAIiNI FAT:J 5 FEET HIGHENC __W w y , r y I= W I nro ,�..p r Z 1 » s I CC14CRETE ONE sly PA nc' FRAME -I •GATE e� '.; - � �i� p ; TWO STORY FRAME Eli o o 0 No.1 i.AFAC_ � � o Y. N 46'34'30' E 100.00, WHIPPOORWILL ROAD m 0��� j zr" ng l^� RE > o 8 ro no^' E o gym. i, ---y tha"Wrap and ma tarvay m which tt is bradwan •, Summit Land Surveying P.C. rn Z =We in ac=*=9 with tM -Wmi— Sn OwC DOW ROV&=wY i 21 Drake Lane n g i o O for tha New Yoh Sur Amociatim of Lod 3lavnym ;White Plains NY 10607 zi $ i 914 629-7758 Rain► L Bahal, I..3. Maw Yoh 31Ye lioeve IW>mber OSOfi64 ( ) � t . InfoQa slspc.ln NOTES: • Remove existing patio, rear retaining wall, stepping stones & front steps New rear patio & entry walk to be Cambridge Bluestone • New Cambridge rear retaining wall to be 24" tall & 18" wide with lights embedded • Gas firepit on patio to be Cambridge Kit 4' D. Gas line to be installed by licensed plumber • Existing front steps dangerous, not to code. (Shown at right) • New front entry steps to be Cambridge Stone equipped with proper handrail; will connect to existing entry walk • New landscaping as shown s EXISTING FRONT ENTRY STEPS Coverage Square Feet Existing Proposed • House 2077 • House 2077 • Driveway 930 . Driveway 930 • Front Walk & Steps 161 0 Front Walk & Steps 161 • Existing Back Patio 368 0 New Back Patio & Walk 758 • Existing Back Wall 18 0 New Back Wall 25 • Macadam Patio 290 Macadam Patio 290 • Shed 100 0 Shed 100 • RR Ties 12 . RR Ties 12 • Ramp 25 • Ramp 25 • AC 8 AC 8 • Stepping Stones 21 Stepping Stones 0 TOTAL 4010 TOTAL 4386 Coverage Increase allowed: 400 sf Coverage Increase actual: 376 sf EXISTING CONDITIONS PERMIT # cN "�� rBUILTlFiNAL SURVEY SBL#�c�r/'��-/-� APR_2 4.2023 QUIRED PRIOR TO DATE NAL INSPECTION Property Line BtllL�ING IIiSPE R, Village of Rye Brook, NY Existing Fence MACADAM SHED PATIO I Specimen ' Hydrangea I Patio & Paver Sidewalk Grasses Lilac I Firepit Seat Wall with Lights Enbedded on Patio side Evergreen Hedge C O0 p O� 2 7' ® 27' ONE 18.8' STORY FRAME -- Rose Specimen 3.5' Viburnum I Evergreen ILI SCALE 1"=10'-0" TWO STORY FRAME ' Village of R � GARAGE architectur ! R v ' — Existing Sidewa10 '/'1 pproval Data: � DRIVEWAY � Chairman: iI i 1 1 32.9' I Handrail New Cambridge Steps WHIPPOORWILL ROA Ri ni mKin nFPA TMF: T NEW HANDRAIL Handrail height shall not be less than 34 inches and not more than 38 inches Rails must be able to support a load of at least 200 pounds and must extend at minimum 12 inches horizontally past the riser nosing at the top of the stairs and at least equal to one tread depth horizontally at the bottom of the stairs. IBC Code Requirement 2: Handrail Diameter — 1.25" - 2" Posts will be anchored to steps using concrete wedges and epoxy. STEP DETAIL & SAMPLE Stone leveling shim (typ.) - as required - Stone steps (3e- - +a- wide ►tep landing 1 - (min.) .3vcrlap Toe of sl >I c Compacted subbase quarry dust, sand or gravel Fic�d Siteci Quarry Stone StcPs (mortar�css) N7y Notes I . Step tread (T) varies - 11- (min.) - t 8- (max.) 2. step riser (K) varies - 5' (min.) - 8' (max.) FIREPIT SAMPLE CONCRETE CURB SE1 1/4• (/ MM) BELOW TOP Of PAVERS AND CON] ROT. IOINIS 0 15' (5 M) OC CAMBRIDGE PAVER 2 3/8' (60 MM) MIN. TFIICKNESS l' TO 1 112" (25-40 MM) BEDDING SAND COMPACTED AGGREGATE BASE. 4- (100 MM) MIN. IHICKNLSS I-IIQII.II�T — = COMPACTED SOIL SUBGRADL NOR 1. THICK NLSS OF BASE WILL VARY WITH SWGRAUE CONDI T IONS AND CLIMATE. COLDER CLIMATES MAY REOUIRE THICKER BASES. PATIO / SIDEWALK / PLAZA ,z ON COMPACTED AGGREGATE BASE 12 in (300 mm) Retained soil Well -graded granular wall rock 0.25 in to 1.5 in (5 mm to 38 mm) less than 10% tines PATIO/SIDEWALK DETAIL & SAMPLE _Aj LANDSCAPE PLAN DAVIS RESIDENCE STEVE GRIGGS DESIGN Page 1 of 1 76 Spruce Street, Blauvelt, NY 10913 1 Whippoorwill Road Steve Griggs-ASLA Member #77467 3/31/23 Rev 2 R ebrook NY 914-879-5602 steve@stevegriggsdesign.com y ,' Kathleen Sakal-Designer--- kathy@stevegriggsdesign. F:11t backup 3-231SURVEYIWESTCHESTERIFAB-VVCRO12709-2-FENCE AS6-1 WHIPPOORWILL RD- RB.dwg, 8/18/2023 10:51:51 AM C � Z, 0 FTI O �� n O z o z 0 C= U) �U �7 rO�d �� � D C O 7� * 0 D c� > FT1 � O 0z = < CD z n -, ►-� tTJ = D D C4 Fri Q 0 M M � O ff' � � G z M 0 ►-C Z O ;� � - r- -a c� F- M r� t�i ,.,.� N a ►.� Z a O / N / CDS 46 34 30 W 100,00 0 J, -� M d z� 0 0 d z o z FO z HEDGE CA IRREG LINE OF a MACADAM METAL FENCE SHED f-- PATIO 5 FEET HIGH � ;< Y X ►-3 to IN �L 7 (A)= m z PAVERS STANDING -►-� O n WALL ?.8 FEET HIGH r N =mO {rq O o (D ��Cil :c- o � o � ° ' D W o1 A?y Fri • a+ ►�; { �, + PAVERS cn ' o CDPATIO ONE STY z �. �� FRAME N A/C -00 O 16,1' GAT _----- F7' CD *. ' a � N ao -o O O cis < O M TWO STORY o FRAME o 0� > 8 r- N 0.1 0 C GARAGE z CD 16.3 z PAVERS BAY CD PLAT r+ � D 7C) D D D > o > "�' � o O o W o� G v~ < D N n II 'a m N w o D R N FTJ z _ i N 46°34/30* E 100,00, z CURB 1 CURB d a WHIPPOORWILL ROAD y r � r 'I c >tQ C:) tQ rTJ • Ly+awruaavn..a:w.Lvti.. �.1 — DOCUMENT � �d O ►� � z Summit Land SurveyingP.C. M This is to certify that this map and the survey on which it is based were � � G � Z made in accordance with the Minimum Standard Detail Requirements 21 Drake Lane for the New York State Association of Land Surveyors. White Plains NY 10607 v � •`° (914)629-7758 Rakesh R. Behal, L. S. New York State License Number 050666. '� o InfoAslspc.us