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BP23-065
PERMIT # SECTION Zj TYPE OF WORK JOB LOCATION OWNERK.TE? CONTRACTOR T. COST �d` Cco # C. c BLOCK LOT A10 AP/t Y TCO # FEE DATE INSPECTION RECORD I DATE I NSP FOOTING - FOUNDATION FRAMING - RGH FRAMING - INSULATION - PLUMBING O RGH PLUMBING GAS O - SPRINKLER ELECTRIC CJ - LOW -VOLT O - ALARM - AS BUILT FINAL OTHER APPROVALS ARB BOT P8 ZBA OTHER � t VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 25,2023 Stephen Mintz&Dale Mintz 35 Longledge Drive Rye Brook,New York 10573 Re: 35 Longledge Drive, Rye Brook,New York 10573 Parcel ID#: 135.67-1-12 Building Permit#23-065 issued on 5/18/2023 for 23 Replacement Windows This certifies that the twenty three new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to P � � BUILD NT For office use only:_�6S PERMIT# VIL OF RYE K ISSUED: S -/!R 1 C2 AUG 16 2123 38 KING STRE YE BROOK, YORK 10573 DATE: - 3 9 -0 Y FEE: UZ1226PAID VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION OR 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 ffifiiiifftfff##R###t#fff;f;if##tfffifiik#if#;;##Q#Rttftif####t#Riiifff#;#iififtitiiittR##R#ffffffiff#it#Rik##iifitt#tiffi4tt -kddress: 3 5 L ohq lent fe- FwK Af Occupancy/Use:Om f. 4, ACS. Parcel ID#: 13 5.b] I -12 Zone: Owner: S-ltAllon A%Y1+y t-pe.je AA,tnty Address: 3S L-or)j�q.Q W. 19W- 13110;71 N%10573 P.E./R.A.or Contractorffid�%Y-Cl'"LA44- CuOvtn i.Av�,66U-C, Address: 2041 X%*t M&td S*. SbQqlf!�!A CT 016702 Person in responsible charge:Krt►/'1ezAsyuAe2 Address:Wi) Mom+'Amo 0-. 510wWAA, CT 000" 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: Sty py,a,� J%A"AA7-' being duly sworn,deposes and says that he/she resides at 3 S L-*r)9 1,e;j 4_ Dr l^I (PrintNanic kpplicant) INo and Street in R y.9 V !Ve ,in the County of ���T►� - in the State of ley ,that (C aN Frown/V it lage) ne/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:$'].1%0.00'for the construction or alteration of. '13 R 1. � � w;n A OW S 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 � Sworn to before me this day of A-11 E7 U d 7 , 20 28 day of 20 Signatffre of Pro erty Owner Signature of Applicant Sk " A ��— Print Name of P operty wne Print Name of Applicant Notary Public Notary Public VENESSA VMELLO NOTARY PUBLIC-STATE OF NEW YORK No.01VI6412798 Qualified in Westchester County My Commission Expires 01-11.2025 �yE BRC�k. BUILDING DEPARTMENT �UILDING 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: 0�3 PERMIT# �UED: SECT: BLOCK: LOT: LOCATION: �K C '� 'OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION n 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 ID ° S Ln S 14 eq oo w 1�1 � � CL4 � ~GGG+Jii 4 H ° a U 0-0 Q : Aj � �/ a 3 et011, en N 1h�11 ^ - ■ zz .� : �i ✓ d' O ~' fSi � � cad .0 `" .,, ►�"� : u� W r�•7 � � � C � W O � c � � •.. CC) Q N 6H I:+�I o . C o oa z N �z A G �, � v Q O a � A u p Ua V °o © U a z N � F1 G� 44 44 M p W ;14 o m o � °' a V) _ .Cc, C a4. 00 CZ o W U g U a v �. o 'C v �i 0 u 1 U u In LC) z w w o � x LA � q � w W � � � � •� o .n .. I� W ICI � I ••+ y�j y C••� 4'nl : BUILD EWPARTMENT VILJ OF RYE BROOK MAY 12 2023 938 KINGET RVE BRoak,NY 10573 14)939-0668 VILLAGE OF RYE BROOK � BUILDING DEPARTMENT 962 . ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT RE DIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE O MV 1 6 2"" APPROVAL DATE: PER 19611" APPLICATIOTI FEE: APPROVAL SIGNATURE: 71 PERMfT FEES: �. V ! �` 6 H.O.A. APPROVAL: DATE: �\ DISAPPROVED: OTHER: 00 ***ssas*********************s***a*****aa**a***a*********a*s****sa***a*aa*!*k#*ass**#ssf*s***ss*ssss**s**s*s Application dated: 05/1 1/2023 is hereby made to the Building Inspector of the Village of Rye Brook,IVY,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. 1obAddress:35 Longledge Drive, NY 14573 2. Parcel IDS#. 135.67-1-12 Zone: 3. Proposed Improvement(Describe in detail): Installation of( 23 ) Replacemeni 601Af boltiS into Existing Openings with No Structural Alterations 4. Property Owner: Stephen & Dale Mintz Address: 35 Longledge Drive, y'e NY 10573 Phone 0(914)261-5872 Cell#917-+664-5291 e-mail dale.mintz@verizon.net verizon.net List All Other Properties Owned in Rye Brook: x Applicant: Franklin Barahona Address: 2041 West Main Street Stamford CT 06902 Phone#203-406-0545 Cell#203-249-1986 e-mail Permits@RBAWestchester.corn Architect: n/a Address: Phone# Cell# e-mail Engineer. n/a Address: Phone# Cell# e-mail General Contractor: FairChester Custom Windows dba Renewal by Andersen Address: 2041 West Main Street Stamford CT 06902 Phone#203-406-0545 Cell#203-4249-1986 e-mail 'Permits@RBAWestchester.com (l) 8/1212021 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Fam Past-construction:1-Fam 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other- S. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 14 fl: 2nd fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement 1,fl: 2„d fl: 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y. State Use Classification: 14. Construction Type&Location: ()Typical Western Lumber Frame;( )Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;(}Floor Framing[F];()Roof Framing[R];()Floor&Roof Framing[FR];Other: n/a 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of 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:E] (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq. ft.or more of land,or create 400 sq,ft,or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:_NoCDArea: 23. Will the proposed ro ect require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: ('dyes,applicant must submit a Site Plan Application,&provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:Q (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: El (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: ✓ (if yes,the area and elevations of the f load plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No:El (if ves,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:n Indicate:TIER I: TIER❑: TIER III: ('dyes,a Nome Occupation Permit Application is required) 29. What is the total estimated cast of construction: $ 72,960 Note:estimated cost shall include all site improvements, labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis. If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: July 2023 (2) X112rrze21 BUILD -DEY . MENT VIL OF RY OOK 938 KING ET RYE BR ,NY 10573 4 -0 AFFIDAVIT OF GOMPLIANGE VILLAGE CODE §21 6 • STORM SEWERS AND SANTTARY SEWER'S 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: 1' Iti1 z ,9 �J�C.tJe✓, residing at, 35 1.an6 Leo 6e `6r , �d- r (Print natne) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; ✓S L-od E7 j�FD(b b2 , b fI-�r`Cf i 'ES l6 R NY. (.lob 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. r. (Signature ofPruptrty Owner(s))' OnLZ Wrint Name(if ProperLv Owner(s)) Sworn to before me this day of a , 20 3 KATYA AUGUSTE ALLEN Notar, pubk State of Connecticut p �� cmmission Expires December 31,2427 (Notary Pub (3) 8112%202 l I This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: *-Cankn bailaWnGk ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further state, that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 1 Sworn to before me this t day of , 20_Z-5 day of )l, D�.\_1 . 20 2 Signature of Property Owner Signature of scant .4 L - V44 Ylh Print Name of Property Ow Print Name of Applicant Notary Pu7%4Lary KATYA AUGUSTE ALLEN�ubiic,State of ConnecticutKATYA AUGUSTE ALLEN immission Expires December 31,2027 Plc;ary Public,State of Connecticu' My Commission Expires December 31,_ (a) anvzort KATONAH MANAGEMENT SERVICES , INC . [EcMWIE May 2,2023 R I MAY 12 2023 1 DI-) VILLAGE OF RYE BROOK Stephen and Dale Mintz " BUILDING DEPARTMENT 35 Longledge Drive Rye Brook,New York 10573 Dear Stephen Mintz: The Hidden Falls Board of Directors (`Board") has reviewed your request to replace and install new windows to your home at 35 Longledge Drive ("Application"). Your request is approved subject to the following conditions: 1. You must comply with the application submitted dated May 11 ,2023, a copy of which is attached. The color of the windows must match the style of those that exist elsewhere in the community. This approval will expire after one year, after which you will need to reapply if you have not completed your modification. 2. You are responsible for any damage to any adjacent or common property. 3. Contractors are to remove all debris upon completion of work. Should you wish to change your request, you must submit your requested change to the Board before any work is done. The Association's approval is an architectural review and does not permit or authorize any change which would violate municipal or building ordinances. You alone are responsible for ensuring that you comply with any building department or other municipal requirements. Please review this letter to ensure that all aspects of your request have been addressed. If anything has been overlooked or omitted, please contact KMS immediately. No other approvals are implied in this letter. Should you have any questions, please call me at 914-639-4096 or email to KDeVitoAKatonahMgnt.com. Thank you. Sincerely yours, ok/ye.8eux, Kyle DeVito Property Manager cc: File 334 UNDERHILL AVE SUITE 5D - YORKTOWN HEIGHTS, NY - 10598 PHONE: 914-893-4096 - FAX: 914-276-6562 E-MAIL: KDEVITOQKATONAHMGMT.COM 0 A\ �� Agreement Document and Payment Terms �� DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale R Steve Mintz Legal Name:Fairchester Custom Windows LLC 35 Longledge Dr RENEWAL CT HIC#.0667292,WC-35743-1-122,Putnam#51220 Rye Brook,NY 10573 by A N D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)261-5872 Phone:203-406-0545 Fax:203-406-0828 salesOrbawestchester.com C:917-664-5291 Dale&Steve Mintz 04/19/23 BUYER(S)NAME CONTRACT DATE 35 Longledge Dr, Rye Brook, NY 10573 (914)261-5872 917-664-5291 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER dale.mintz@verizon.net steve.mintz@verizon.net PRIMARY EMAIL SECONDARY EMAIL — —---- -- NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $72,960 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $14,592 BALANCE DUE: $58,368 We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at AMOUNT FINANCED: $58,368 this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. METHOD OF PAYMENT: Credit Card Financing NOTES: 20 Year Warranty Installation Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 04/22/2023 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Brian Greenberg Dale Mintz Steve Mintz PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 04/19/23 Page 2/ 37 V Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale&Steve Minh RENEWAL Legal Name:Fairchester Custom Windows LLC 35 Longledge Dr CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 MANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)261-5872 Phone:203-406-0545 i Fax:203-406-0828 1 salesOrbawestchester.com C:917-664-5291 - ROOM: SIZE: DETAILS: PRICE: ow Misc Misc, Miscellaneous Job Items, Quantity 1, EPA requires 0 H contractors that disturb painted surfaces in homes, built before 1978 to be certified and follow specific work practices ow Misc Misc, Permit Fees, Quantity 1, Renewal by Andersen will OH faciliate the application of the building permit to the Town of Rye Brook. Homeowner is responsible for any outstanding permit applications or code violations that may prevent Renewal by Andersen from procuring permit. Renewal by Andersen is not responsible for any historical or architectural review applications and approvals that may be required as pre-requisite for a building permit 001 Office 58 W Window Gliding Double 1:1 Active / Passive, Base Frame, 36 H Exterior White, Interior White, Performance Calculator PG Rating: 30 1 DP Rating: + 30 / - 30 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 002 Basement 106 W Window Gliding Triple 1:2:1 Base Frame, Exterior White, 62 H Interior White, Performance Calculator PG Rating: 25 1 DP Rating: + 25 / - 25 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 101 Entrance Room 34 W Window Casement Single Left, Base Frame, Exterior White, 75 H Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille. Misc, None 04/19/23 Page 3/ 37 #WA Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale&Steve Minf:Legal Name: Fairchester Custom Windows LLC 35 Longledge Dr R 4EN E L CT HIC#.0667292.WC-35743-1-122,Putnam#51220 Rye Brook,NY 10573 bYANDERSEN 2041 West Main Street i Stamford,CT 06902 H:(914)261-5872 xai vna..00n a ooa a ruarn Phone:203-406-0545 I Fax:203-406-0828 1 sales@rbawestchester.com C:917-664-5291 ROOM: SIZE: DETAILS: PRICE: 102 Entrance Room 70 W Window Gliding Double 1:1 Active / Passive, Base Frame, 75 H Exterior White, Interior White, Performance Calculator PG Rating: 30 1 DP Rating: + 30 / - 30 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Standard Color Extra Lock, Screen, Dual TruScene, Grille Style, No Grille, Misc, None 103 Entrance Room 23 W Window Casement Single Right, Base Frame, Exterior White, 75 H Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 104 Entrance Room 23 W Window Picture Full Frame, Exterior White, Interior White, 75 H Performance Calculator PG Rating: 35 1 DP Rating: + 35 / 35 Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 105 Entrance Room 23 W Window Picture Insert Frame, Exterior White, Interior White, 75 H Performance Calculator PG Rating: 35 1 DP Rating: + 35 / 35 Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 106 Dining Area 23 W Window Casement Single Left, Base Frame, Exterior White, 58 H Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 107 Dining Area 70 W Window 58 H 04/19/23 Page 4/ 37 GC Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale&Steve Mintz Legal Name:Fairchester Custom Windows LLC 35 Longledge Dr RENEWAL CT HIC#.0667292,WC-35743-1422,Putnam#51220 Rye Brook,NY 10573 byANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)261-5872 �vrn¢woa,rsor enmrn Phone:203-406-0545 1 Fax:203-406-0828 1 salesCarbawestchester.com C:917-664-5291 ROOM: SIZE: DETAILS: PRICE: Picture Insert Frame, Exterior White, Interior White, Performance Calculator PG Rating: 35 1 DP Rating: + 35 / 35 Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 108 Dining Area 23 W Window Casement Single Right, Base Frame, Exterior White, 58 H Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 109 Kitchen 38 W Window Gliding Double 1:1 Active / Passive, Base Frame, 38 H Exterior White, Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 111 Living Room 58 W Window Picture Base Frame, Exterior White, Interior White, 62 H Performance Calculator PG Rating: 50 1 DP Rating: + 50 / 50 Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 112 Living Room 23 W Window Picture Insert Frame, Exterior White, Interior White, 58 H Performance Calculator PG Rating: 35 1 DP Rating: + 35 / 35 Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 113 Family Room 23 W Window 58 H 04/19/23 Page 5/ 37 �F Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale&Steve Mintz Legal Name:Fairchester Custom Windows LLC 35 Longledge Dr RENEWAL CT HIC#.0667292.WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 b EN RENEWAL ynn..m+ew SEN 2041 West Main Street I Stamford,CT 06902 H:(914)261-5872 Phone:203-406-0545 I Fax:203-406-0828 1 sales@rbawestchester.com C:917-664-5291 ROOM: Casement Single Left, Base Frame, Exterior White, Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 114 Family Room 23 W Window Casement Single Right, Base Frame, Exterior White, 58 H Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 115 Bathroom 34 W Window Gliding Double 1:1 Active / Passive, Base Frame, 22 H Exterior White, Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 201 Front Room 70 W Window Gliding Double 1:1 Active / Passive, Base Frame, 46 H Exterior White, Interior White, Performance Calculator PG Rating: 30 1 DP Rating: + 30 / - 30 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, Elevated Installation , Applicable to ANY unit insert or full-frame that is more than 12' from the ground to the bottom of the sill AND over 60" wide. 202 Corner Room 23 W Window 38 H 04/19/23 Page 6/ 37 �r Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale 8 Steve Mint: Legal Name:Fairchester Custom Windows LLC 35 Longledge Dr RENEWAL CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 byANDERSEN 2041 West Main Street 1 Stamford,CT 06902 H:(914)261-5872 Phone:203-406-0545 1 Fax:203-406-0828 1 salesOrbawestchester.com C:917-664-5291 ROOM: SIZE: DETAILS: PRICE: Picture Insert Frame, Exterior White, Interior White, Performance Calculator PG Rating: 50 1 DP Rating: + 50 / 50 Glass, All Sash: High Performance, No Pattern, Grille Style, No Grille, Misc, None 203 Corner Room 58 W Window Gliding Double 1:1 Active / Passive, Base Frame, 38 H Exterior White, Interior White, Performance Calculator PG Rating: 30 1 DP Rating: + 30 / - 30 Glass, All Sash: High Performance, No Pattern, Hardware, Stone, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 204 Main Bedroom 88 W Window Gliding Triple 1:2:1 Base Frame, Exterior White, 58 H Interior White, Performance Calculator PG Rating: 25 1 DP Rating: + 25 / - 25 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Stone, Standard Color Extra Lock, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 20S Main Bedroom 46 W Window Gliding Double 1:1 Active / Passive, Base Frame, 46 H Exterior White, Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None 206 Main Bathroom 46 W Window Picture Insert Frame, Exterior White, Interior White, 58 H Performance Calculator 04/19/23 Page 7/ 37 A' E NE A7 L Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Dale&Steve Mintz RW Legal Name:Fairchester Custom Windows LLC 35 Longledge Dr N A LSEN CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 byA..unv wwo oaa en.¢Frn 2041 West Main Street I Stamford,CT 06902 H:(914)261-5872 Phone:203-406-0545 i Fax:203-406-0828(sales@rbawestchester.com C:917-664-5291 ROOM: SIZE: DETAILS: PRICE: PG Rating: 35 1 DP Rating: + 35 / 35 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style, No Grille, Misc, None 207 Main Bathroom 23 W Window Casement Single Left, Base Frame, Exterior White, 46 H Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware, Stone, Screen, TruScene, Full Screen, Grille Style, No Grille. Misc, None WINDOWS: 23 PATIO DOORS: 0 ENTRY DOORS: O SPECIALTY:0 MISC: 2 TOTAL $72,960 Renewal by Andersen is committed to our ctutomers'safery by �.' complying with the rules and lead-safe work practices specified by the EPA. 04/19/23 Page 8/ 37 Fairchester is not using an Engineer / Architect due to installation of replacement windows and doors into EXISTING openings with NO structural alterations . Contact RENEWAL Franklin Barahona Jr by A N D E R S E N Building Permits EERtSEEWIQ tEtrl[>�i D001 IBl1(EEfKf ./ 2041 West Main Street Stamford,CT 06902 ;IED .- Office&Showroom C:203.249.1986 MASTER Permit*rbawe9ctwster.oDm INSTALLER www•rbawestchester.com ii RENEWAL Technical Data byANDERSEN FULL-SERVICE WINDOW&DOOR REPLACEMENT SPECIFICATION AND TECHNICAL MAN UAL qr .41v Ir y zp iro Fig _i- RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION . . , . . TEST DATA _ ,.,:... due Andersen'Pr• t Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 WithoutGrilles 0.31 0.28 0.28 0.27 .72 Low-E4° Full Divided Light Grilles 0.32 0.29 0.25 0.25 WithoutGrilles 0.32 0.29 0.17 0.17 .40 Low-E4®Sun Casement Full Divided Light Grilles 0.33 0.30 0.16 0.15 WithoutGrilles 0.31 0.28 0.19 0.18 .65 Fixed Low-E4®SmartSunt"" Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4°SmartSun WithoutGrilles 0.26 0.24 0.18 0.18 .63 with HeatLock® Full Divided Light Grilles 0.26 0.24 0.17 0.16 Enhanced Triple Pane WithoutGrilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with WithoutGrilles n/a 0.19 n/a 0.17 .37 SmartSunTM WithoutGrilles 0.43 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4® Full Divided Light Grilles 0.32 0.29 0.25 0.25 WithoutGrilles 0.32 0.29 0.17 0.17 .40 Low-E4®Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 WithoutGrilles 0.31 0.28 0.19 0.18 .65 Low-E4®SmartSunTM Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E41SmartSun WithoutGrilles 0.27 0.25 0.18 0.18 .63 with HeatLock' Full Divided Light Grilles 0.27 0.25 0.17 0.16 Enhanced Triple Pane WithoutGrilles n/a 0.20 n/a 0.25 .42 Enhanced Triple panewith WithoutGrilles n/a 0.20 n/a 0.17 .37 SmartSun'"I Clear Without Grilles 0.46 - 0.58 .82 Full Divided Light Grilles 0.46 - 0.52 - WithoutGrilles 0.33 0.30 0.31 .72 Low-E411 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Low-E40Sun Without Grilles 0.33 0.30 0.20 0.19 .40 Full Divided Light Grilles 0.35 0.31 0.18 0.17 DG Double-Hung WithoutGrilles 0.32 0.29 0.21 0.21 .65 (All Frames) Low-E41SmartSun1 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E41DSmartSun WithoutGrilles 0.27 0.25 0.20 0.20 .63 with HeatLock° Full Divided Light Grilles 0.30 0.27 0.18 0.18 Enhanced Triple Pane WithoutGrilles n/a 0.20 n/a 0.29 .47 Enhanced Triple pane WithoutGrilles n/a 0.20 n/a 0.19 .43 with SmartSunTM Low art n°,'Low- ,'Low- So.-and HeatLock®are Andersen trade marks for-Low{-glass. 1)U-Factor defines the amount of heat loss through the total unit in BT1J/hr/ft2.°F.The lower the value,the less heat is lost through the entire product.Window values represent non-tempered glass.Use of tempered glass can increase U-Factui ratings.see and ersenwindows.com/nrrc for specific performance values. 2)Solar Heat Gain coefficient(SHGC)defines the fraction of solar radiation admitted through the glass botn a nectlytransmitted and absorbed and subsequently released inward.The lower the value.the less heat is transmitted through the product. 3)Visible Transmittance(VT)measures how much light comes through a product(glass and frame)The higher the value,from 0 to 1,the more daylight the product lets in over the product s total unit area Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum •NFRC ratings are based on modeling by a third party agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of April 2 02 1.Due to ongoing product changes,updated test results,or new industry stand atds or requirements,this aare may change over time.Ratings are for sizes sped fied by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different grille options.glass wilt,capillary breather tubes for high altitudes.etc.`Low4400.-Low-E46D SmartSunn"and'Low-E4rg Sun' 09-9 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS ► TEST DATA NFRC Total Unit Performance (continued) Renewal by Andersen" 11 GlassType Product I Air ArGasEllend Air Ar Gas Blend Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Low-E40 Without Grilles 0.33 0.30 0.31 0.31 .72 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.19 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 r• Double-Hung (Full Frame) Low-E40SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4®SmartSun Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLock° Full Divided Light Grilles 0.28 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with SmartSun' Without Grilles n/a n/a n/a n/a n/a Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.35 0.31 0.28 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.31 0.18 0.18 f•Double-Hung (insert Frame) 7 Low-E40SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock® Full Divided Light Grilles 0.27 0.25 0.18 0.18 Enhanced Triple Pane WlthoutGdlles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM Without Grilles 0.47 0.45 0.59 0.59 .82 Clear Full Divided Light Grilles 0.47 0.45 0.53 0.53 Without Grilles 0.34 0.30 0.31 0.31 .72 low-E4° Full Divided Light Grilles 0.35 0.32 0.29 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E41 Sun Full Divided Light Grilles 0.35 0.32 0.18 0.18 Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E41 SmartSunTM ' Full Divided Light Grilles 0.34 0.31 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock"' Full Divided Light Grilles 0.27 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.28 .47 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSunTM 'Low E4®SmarlSui'Low-MD."Low.E4®Sun'and HeatLock®are Andersen trademarks for'Low E'glass. 1)U-Factor defines the amount of heat loss through the total unit in BTU/hr/It2."F.The lower the value,the less heat is lost through the entire product.Wmtlow values represent non-tempered glass.Use of tempered glass can increase U-Factor ratings.See anaersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defires the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released imward.The lowerihe value.the less heat is transmitted through the product. 3)Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Light Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum •NFRC ratings are based on modeling by a thud parry agency as validated by an independent test lab in compliance with NFRC program and procedural requirements. •This data is accurate as of April 2021.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data maychange over ume.Ratings are for sizes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different grille options,glass with capillary breather tubes for high altitudes,etc."Low-E41),"Low-E414 SmartSunTM-and-Low-EO)Sun" 09-10 COMPANY CONFIDENTIAL-REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) U-Factor (BTU/ Q ' Product High Performance Glass Type Air AT Gas Blend Air Without Grilles 0.44 0.42 0.61 0.61 .82 Clear Full Divided Light Grilles 0.45 0.43 0.55 0.55 Without Grilles 0.31 C 0.27 0.33 0.32 .72 Low-E4" Full Divided Light Grilles 0.32 0.28 0.29 0.29 Low-E4m Sun Without Grilles 0.31 0.27 0.20 0.20 .40 Full Divided Light Grilles 0.33 0.29 0.18 0.18 Without Grilles 0.30 0.26 0.22 0.22 .65 Low-E411 SmartSurfm Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4®SmartSun Without Grilles 0.25 0.22 0.22 0.21 .63 with HeatLock® Full Divided Light Grilles 0.25 0.22 0.20 0.19 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a I n/a n/a SmartSun' Without Grilles 0.45 0.43 0.64 0.64 .82 Clear Full Divided Light Grilles 0.46 0.44 0.57 0.57 Without Grilles 0.31 0.27 0.34 0.34 .72 =Low-E41 Full Divided Light Grilles 0.33 0.29 0.31 0.31 Without Grilles 0.31 0.28 0.21 0.2 .40 Low-E4®Sun Full Divided Light Grilles 0.33 0.29 0.19 0.19 Without Grilles 0.30 0.27 0.23 0.23 .65 Low-E411 SmartSun'' Full Divided Light Grilles 0.32 0.28 0.21 0.21 Low-E411 SmartSun Without Grilles 0.25 0.22 0.22 0.22 .63 with HeatLock® Full Divided Light Grilles 0.25 0.22 0.20 0.20 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSun' / / / / / Without Grilles 0.44 0.42 0.61 0.61 0.82 _ Clear Full Divided Light Grilles 0.45 0.43 0.55 0.55 Without Grilles 0.31 0.27 0.33 0.32 0.72 Low-E4m Full Divided Light Grilles 0.32 0.28 0.29 0.29 WithoutGrflles 0.31 0.27 0.20 0.20 0.40 Low-E4"'Sun Full Divided Light Grilles 0.33 0.29 0.18 0.18 Picture (Universal Frame) Without Grilles 0.30 0.26 0.22 0.22 0.65 Low-E41 SmartSun' Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4"SmartSun Without Grilles 0.25 0.22 0.22 0.21 0.63 with HeatLock"I Full Divided Light Grilles 0.25 0.22 0.20 0.19 Enhanced Triple Pane Without Grilles n/a 0.16 n/a 0.30 .50 Enhanced Triple pane with Without Grilles n/a 0.16 n/a 0.20 .45 SmartSunnM -Low-E4@ San artSun'°,-Low E4®,"Low F4t Sun-and HeatLock®are Andersen trademarks for'LowE'glass. 1)U-Factor defines the amount of heal loss through the total unit in BTU/hr/f12.°F.The lower the value.the less heat is lost through the entire product.Window values represent non-tempered glass.Use of tempered glass can increase U-Factor ratings. See an dersenwindows.com/nrrc for specific performance values. 2)solar Heal Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lowe,the value.the]eSS heat is transmitted through the product. 3)Visible Transmittance(VT)measures how much fight comes through a product(glass and frame)The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Light Transmittance ism casutecl over the 380 to 760 nanometet portion of the solar spectrum. •NFRC ratings are based on modeling by a third patty agency as validated by an independent test lab in compliance with NFRC program and procedural requirements •This data is accurate as of April 2021,Due to ongoing product changes,updated test results,or new industry standards or requirements,this aata may changeover Lure.Ratings are for saes specified by NFRC for testing and certification.Ratings may vary dependmgon use oftempered glass,different grille options,glass with capillary breather tubes for high altitudes.etc."Low-EW","Low-E41 Sin artSunn"and'Low E4w Sun" 09-11 COMPANY CONFIDENTIAL- REVISION AA-01 . ...... ...... iiiiiiiiijl now �a PF, 1 x :r .�� �,�♦ r � ._mar. `` 1 '-R ?t7'�'-r i?a���:�_�ly.. - f�`� ✓ r♦ }ti1.' -! ti_fit •wi •.� A,..� -k.��•!�•, `�w tX�' ,t -'t <. i•�}� -•` 'Jam• �•.r• i r v �•~ yy .,.,� �t �• ;.fir �� 1�. ', R Y PC Z. r r t i 1 CIF. k F: v -- 4 1• � �1 I i 4 ` .t l _ I A � f � x a. �- r r i ? �� .. k � .� � ;�, .,d"� t� v��, h�I a yJ�� �:.s � s .f�'- � ,� M ""'�"i�' I I -� � �= �'�,�r�� ,- �--. � � . ��• w /, �', i�.r. .- r. t low PM iiiiiiiiiiijillll Will i r' 4..' `fir► ...• :.. .fir,, „ e , R Ar r .I. . . �y;,;ss.• ,Ise . ra i '^`� , 'r ^$''�h- ,,:��• <�r,, w A, •� ..h°` .n. :w! lr.: w •.RE+""'' v.; `w a:• ''�+•:`w ,ri: a44t jr.. .[•.,y. A "'y -t�` r • r \�J r... r,�`rr.. ;,�i ',�♦� n:9'JrR, - �• +"Q\ �• :>: � u7.. �•• '�1�'ry � r7r•'� u. Q •1•A O # !f�(r �`• .� '�' �t�>�"/�' i4'c,.c,,� � ►•j � � t-1 r 5�a,••, t4i►�� ►r' `'�� tiii�'��1t �i��i•�h ,,.!�• , `fir •• t"I�. ,,.yy � �l�r �� �i6 dlrr 4 ,�� �1 ,t �.t,� ,� �l �!�"c , `�iN !Yr ,��,'�51� . .;;;�►.. . �' Y � } •� �•.�'�.•,�.. CXj. ,_L*.se F:.titi�"..Lf>sv_...+:a�\ � �...�i�.r.. ,. �.�.��fa..�'�'1.^�l .•...Wt�ta)., <t!cs)>�: C U C ' 0 0 •. '. CN 04 `O r N �. 1r'.. ,• ..•. E o CT) cl P U J •'f.r ' H O :J �� tA i•, _ :i 4-0 J U 0 '!7 f G , a �..� 0 w o w U —ammo 0 C— < T i ✓ � � � O C N .•� ),,,eiS��. �) O O `l Gr^ 1OL FF-- c j o LL.CO = x G z y R ,�Q k: o ri ° w u ow ,-4 AR �y .Le. •a (<(as)s Iwofli �,�ytoo,, .F;;�i�y ;: �it�iy •rat (" .;73;;' i" �ati�°J . <a''» .O�,nt ���•� (Il> }�� �'�:•cdN,r i f ����c45. j Rt r•'rc� d1 r r �Si°w .`y� f�,�A.tSI ,� �jP^�i�r xw�• ���{'w4�i' ��•i. ' 't���w�t� u �yY�l� .����l��j a. ,• aFy _! • a .. :i.F dphw ` r�' 1�i -Ile FAIRCUS-01 TBRAND ACORN CERTIFICATE OF LIABILITY INSURANCE D ATE(MMIDDMlYY) `—� 9126/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Theresa Brandon NAME: MBI Company Group LLC. PHONE FAX 280 State Street (A/C,No,EXt):(203)288-3401 (A/C,No): North Haven,CT 06473 ADDRE E-MAIL .theresa.brandon@mbi-ins.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: Fairchester Custom Windows LLC dba:Renewal by Andersen INSURER C: Fairchester 2041 West Main Street INSURER D: Stamford,CT 06902 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR NSD WV MMIDD MM DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR S 2516791 8/12/2022 8/12/2023 DAMAGE TO RENTED 500,000 X PREM E E occurrence) $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY ]JECT a LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO S 2516791 8/12/2022 8/12/2023 BODILY INJURY Perperson) $ OWNED �( SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE X S 2516791 8/12/2022 8/12/2023 AGGREGATE $ 4,000,000 DED I X IRETENTION$ 0 $ A WORKERS COMPENSATION X PTAT T X OTRH- AND EMPLOYERS'LIABILITY YIN C 9099063 8/12/2022 8/12/2023 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook is Additional Insured as required by written contract per the endorsements included with this certificate. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ISTNEWR Workers' CERTIFICATE OF ATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Fairchester Custom Windows LLC. 203.406-0545 Renewal by Andersen Fairchester 2041 West Mainin Street 1c.NYS Unemployment Insurance Employer Registration Number of 204 Stamford,CT 06902 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"1 a" Rye Brook,NY 10573 WC9099063 3c.Policy effective period 08/12/2022 to 08/12/2023 3d.The Proprietor,Partners or Executive Officers are RX 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"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation Insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy Indicated on this form,if the business continues to be named on a permit,license or contract Issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Theresa Brandon (Print name of authorized representative or licensed agent of insurance carrier) Approved a 0 (Signature) ate) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 203-288-3401 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