Loading...
HomeMy WebLinkAboutBP23-066PERMIT # - DATE: / 9 3 �9cPa �9 a SECTION 3J� BLOCK LOT 1 / TYPE OF WORK O f~ /.7dOLrJs .� AR JOB LOCATION /17P E C1 �aa_737/ OWNER /G' 4 0 / P 4 0 // TrP l/ P/'(7P AleooYq eocy /r s /y� r� .,.,.Ir„w..r.,n %✓/� oc-7r7o��/�C rYl G(�%/llin!/J_i LL� �'�D�i/C /i/1 //�J0/QAO✓J4 o �'yo`OrV�`%Jr / EST. COST ,,ICO #� TCO # FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALARM 0 AS BUILT L7 FINAL INSP r OTHER APPROVALS B BOT PS ZBA OTHER 4 L�vV uv� j Cx"IJ+W y . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.Uebrook.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE November 3,2023 Rakoff Legacy Trust Eric Rakoff&Carole Rakoff,Trustees 5 Pine Ridge Road Rye Brook,New York 10573 Re: 5 Pine Ridge Road, Rye Brook,New York 10573 Parcel ID#: 135.41-1-55 Building Permit#23-066 issued on 5/19/2023 for Replacement Windows This certifies that the five new windows and one new bow window,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D R ` For office u e only: DD BUILD) ZT,MENT PI:RNII F# —Ow� OCT 19 2023 VIL OF RYE�IOOK ISSUED: 38 KING STRE YE BROOK,N� V YORK 10573 DATE: VILLAGE OF RYE BROOK 9 -06 Fii-:,A le, PAID BUILDING DEPARTMENT v.r(�V'�r 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 ###1##i#i#tii#tfiii ti#t#tits#f###R#ti#f#tt{######{#;f##i##i##R#f###t{###t###tit#ti#i#Rini#RRi#Ri#iR#f itittit#tff###t#Rii ttf iR Address: 5 Pine Ridge Rd., Rye Brook, NY 10573 Occupancy/Use: Residential Parcel ID#: 135.41-1-55 Zone: R-3 Owner: Eric Rakoff&Carole Rakoff Trustees under the Rakoff Legacy Trust Address: 5 Pine Ridge Rd., Rye Brook, NY 10573 Fairchester Custom Windows dba 2041 West Main Street, Stamford CT 06902 P.E./R.A. or Contractor: Renewal by Andersen Westchester Address: Person in responsible charge: FRANKLIN BARAHONA Address: 2041 West Main Street, Stamford CT 06902 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: FRAN KLI N BARAHONA being duly sworn,deposes and says that he/she resides at 2041 west Main street. Stamford CT 06902 (Print Name ol'Applicant) (No and Street) in Stamford in the County of Fairfield in the State of CT that with'rown•villaeei lie/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:$ 21,799 for the construction or alteration of: 5 Replacement Windows & 1 Replacement Bow Window 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. /r�� Sworn to before me this 6C4 16 , 90� Sworn to before me this }2> day of A day of rg-kU1—C 20/A� MU--4 � Signature o-fVr—operk Owner Signature 'cant 4 Franklin Barahona rint Name o Proper'} %c Print Name of A� 'cant _ UGUST�r 0,,n N ,. Notary Public 0t PANIFLA C:JTRONE4 ci Expires December 31,2027 Nokiry Public - Stott, W Now"Clrk PSO t11 C06 i 66-!)A i Cuar'ne.: !n WesiChP,Nti�� tnn env r�:mnr#t!urt Exp,re� �E BR(�v� %• �9a2 �' 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- 11 N U V ATE: PERMIT# 'v v ISSUED: NE C T: w'35' 11LOCK: LOT: LOCATION: t. '" -` UIJ, OCCUPANCY: ZI ❑ 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 ❑ ROSS CONNECTION FINAL ❑ OTHER a o � v ILn > w en n cn a 14 o - v cn s ►`7 py .� V ,r 0 CIO CA v y a v v LH j✓fLn t LO O a w ° a o m W canPLO z C4 h� A z Z '-C LL � � C7 00 py,+ Z N co C V ° c wv a c ONV M ■ C/� O N z U Z w H\rf O CL�r c 00 0 = �,, ICI � � ^^W. � � � ►�+ Z p ] Q►< � � '� a �-1 s V` 41 N A A a 3 qp W o V o Fg o .sQ L+ Zv3 �� - BuILqET DEp x ENT IS C I � �/ E V1L OF RYE BOOK t 938 KING RYE BROOK,NY 10573 MAY 12 2023 70668 . uk.or VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Dater 7 Pet i Application# Approval Signature: x ARCHITECTURAL RE BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: 1 Permit Fees:-a 3o— **************w***********w**s*s*****ww*w**w**w*ww**ws**r**r**sgr**r*****************s*********wr****w***** EXTERIOR BUILDING PERMIT APPLICATION Application dated: 04/07/2023 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. t. JobAddress:5 Pine Ridge Rd 2. Parcel ID#-135.41-1-55 Zone: 3. Proposed Improvement(Describe in detail): Installation of( 1 ) Replacement Bow Windows ( 5 Casement Windows ) into Existing Opening. No Structural Alterations 4. Property Owner: Eric & Carole Rakoff Address: 5 Pine Ridge Road Rye Brook NY 10573 Phone# 914-522-7371 Cell# 914-522-7371 e-mail EJR311@lCloud.com List All Other Properties Owned in Rye Brook: Applicant: Franklin Barahona / FairChester Custom Windows, LLC Address: 2041 West Main Street Stamford CT 06902 Phone# 203-406-0545 Cell# 203-249-1986 e-mail Permits@RBAWestchester.com Architect: n Ia Address: Phone# Cell# e-mail Engineer: 1n A Address: Phone# Cell# e-mail General Contractor: FairChester Custom Windows, LLC Address: 2041 West Main Street Stamford CT 06902 Phone# 203-406-0545 Cell# 203-249-1986 e-mail Permits@RBAWestchester.com (L) 8/12/2021 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: I/2 Family Post-construction:same 6. Area of lot: Square feet:50 Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: l a 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: tad fl: V 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: t 5. 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 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: X (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: X Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (tf yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: X (f yes,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: X (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25, Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: X (ifyes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26, Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: X (if yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X Indicate: TIER 1: TIER II: TIER III: (fyes,a Nome Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S 21,799 Note:The estimated cost shall include all site improvements, labor,material,scaffolding,fired equipment,professional fees, including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be requiredprior to issuance of the C/O. 30. Estimated date of completion: T B D I (2) 8/12/2021 �d BUILD - MENT Vu. t ©OK 938 KING ET RYE BR, ,NY 10573 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: EIZ r e � C4a.0c.e �F}kQ fir= g 5 Pnle Q 1 d e Da�, y c.a� ti1y residin at, (Print 11aII1c) (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; Jr pwe 0�Q 6( , 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 Code . t (Si-natarre of Property Owner(,)) &Qic aq4koF- (Print Name of Property Owner(s)) Sworn to before me this 1 KATYA AUGUSTE ALLEN day of �-'L "� , 20 Notary Public,State of Corlflefticut My Commission Expires December 31,2027 �4v ( otary IIc) (3) 8/12/2021 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. i i STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: f'An'14 m, 'pjc a,nar,G. ,being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the Ct7nt�o,crbC' 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`tillage 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 0 Sworn to before me this 0 day of , 20�_ day of , 20D Signature of property Owner Signatur Print Name of Property Owner Print Name of Applicant No blic Notary Public KATYA AUGUSTE ALL EN [ KATYA AUCUSTE ALLEN Notary Public,State of Connecticut Notary Public,State of Connecticut My Commission Expires December 31,2027 My Commission Expires December 31,2027 (4) an 2no2 1 Fairchester is not using an Engineer / Architect due to installation of replacement windows and doors into EXISTING openings with NO structural alterations . Tax Parcel Maps Address: 5 Pine Ridge Rd Print Key: 135.41-1-55 SBL: 13504100010550000000 t - .17 - I�t o Disclaimer: This tax parcel map is provided as a public service to Westchester County residents for general information and planning purposes only,and should not be relied upon as a sole informational source.The County of Westchester hereby disclaims any liability from the use of this GIS mapping system by any person or entity.Tax parcel boundaries represent approximate property line location and should NOT be interpreted as or used in lieu of a survey or property boundary description.Property descriptions must be obtained from surveys or deeds.For more information please contact the assessor's office of the municipality. Agreement Document and Payment Terms ®� DBA.RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Carole &Eric Rakoff Legal Name:Fairchester Custom Windows LLC 5 Pine Ridge Rd. RENEWAL CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 br AN D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)522-7371 Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com Carole & Eric Rakoff 03/23/23 BUYER(S)NAME CONTRACT DATE 5 Pine Ridge Rd., Rye Brook , NY 10573 (914)522-7371 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER ejr311@icloud.com 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: $21,799 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: $4,359 BALANCE DUE: $17,440 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: $0 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 NOTES: 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 03/27/2023 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. 0-4 A" SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Richard Vaccaro Carole Rakoff Eric Rakoff PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 03/23/23 Page 2 / 31 6," ' Itemized Order Receipt RAF DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Carole &Eric Rakoff Legal Name:Fairchester Custom Windows LLC 5 Pine Ridge Rd. RENEWAL EN RENEWAL CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 byAN wERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)522-7371 Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com rROOM: SIZE: DETAILS: PRICE: ow Misc Misc, Bay & Bow, Quantity 5, 0H ow Misc Misc, Miscellaneous Job Items, Quantity 1, 0H ow Misc Misc, Permit Fees, Quantity 1, Renewal by Andersen will 0 H 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 101 living ow Misc Misc, Bay & Bow, Quantity 1, Details of bow window 0 H specifications to be provided on supplemental agreement WINDOWS: 0 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 4 TOTAL $21,799 Renewal by Andersen is committed to our c•ustomers'safety by BEf ► complying with the rules and lead-safe work practices specified by the EPA. 03/23/23 Page 3/ 31 popRENEWAL Technical Data byANDERSEN EULL•SERYKE WINDOW&DOOR REPLACEMENT SPECIFICATION AND TECHNICAL MANUAL oil RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE . . . AND TEST DATA NFRC Total Unit Performance ProductRenewal by Ll-Factor (BTU/(hr ft2 oF))' Solar Heat Gain Coefficient(SHGC)1 Andersen Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Low-E4® Without Grilles 0.31 0.28 0.28 0.27 .72 Full Divided Light Grilles 0.32 0.29 0.25 0.25 Low-E41Sun Without Grilles 0.32 0.29 0.17 0.17 .40 Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Fixed Low-E411 SmartSun' Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4®SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with HeatLock® Full Divided Light Grilles 0.26 0.24 0.17 0.16 1 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.17 .37 SmartSun" Without Grilles 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 Without Grilles 0.32 0.29 0.17 0.17 .40 Low-E4®Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Low-E4®SmartSun' Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E411SmartSun Without Grilles 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 Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with Without Grilles n/a 0.20 n/a 0.17 .37 SmartSun' Without Grilles 0.46 - 0.58 - .82 Clear Full Divided Light Grilles 0.46 - 0.52 - Without Grilles 0.33 0.30 0.31 .72 Low-E411 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.20 0.19 .40 Low-E4®Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 DG Double-Hung Without Grilles 0.32 0.29 0.21 0.21 .65 (All Frames) Low-E4®SmartSun' Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E411 SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock(l Full Divided Light Grilles 0.30 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.29 .47 Enhanced Triple pane with SmartSun'" Without Grilles n/a 0.20 n/a 0.19 .43 low- mart n ow- ow ®Sun'and HeatLock®are Andersen trademarks for'Low{'glass. 1)U-Factor defines the amount of heat loss through the total unit in BTU/hr/tt2.•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 anaersenwindows.com/nfrc for specific performance values. 2)Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the®ass both directly transmitted 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 2021.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data may changeover time.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-E40,'Low-E4QrJ SmartSui and-Low-Edra Sun' 09-9 COMPANY CONFIDENTIAL- REVISION AA-01 • Bay/Bow Window Order Form 25°Angle Bay 1:2:1 Ratio Renewal by Andersen of Westchester El 1:1:1 Ratio 0 HOMEOWNER NAME: Eric Rakoff � 35°Angle Bay ° Richard Vaccaro 1:2:1 Ratio SALES REP: U ❑ 1:1:1 Ratio v jo � 45°Angle Bay Width 137 , Height 70 g 1:2:1 Ratio 1:1:1 Ratio Bay Window window type grill style grill pattern grill profile Four-Lite Bay f Left Flanker: Left Flanker N/A N/A - "f- 25°Style i o _ _�. 35°Style o Center: Center N/A N/A 45°Style 3 .� Right Flanker: Right Flanker N/A NlA Five-Cite Bay 3 ° 25°Style Bow Window window type grill style grill pattern =__ Casement N/A N/A 35°Style L how many operating: 5 45°Style Window Operation Notes: grill profile: No grilles v ❑ Four-Lite Bo Fiberglass ❑ Truscene Aluminum ❑ v Full Screen ❑ Half Screen ❑ J F0_1 Five-Cite Boy g Standard Low E4 Glass ❑ Low E4 Sun Glass ❑ Six-Lite Bo" ^� Low E4 SmartSun Glass ❑ 'r - Two-Lite V Bay Window Color: White White - - 45°Style � Exterior: Interior: tY ❑ 60°Style u" Seat Frame&Headboard: 0 ❑ 90°Style c U Maple ElOak ElRoof Color: 90°Box Bay d �. • Standard Color Choice: White M 'o U 90° Bump Bay Upgrade El Upgrade Option: Special Notes: BUILD KNEEWALL UP TO ACCOMMODATE BOW SET HEAD BOARD AS BIRCH ADD TWO RECESSED LIGHTS IN HEADBOARD a ` 44, Id ol 1p AA AW 10t f F Q 1 • r _ ,I Aa A b 3 fAP + ti tM for J l # _. lcE, M 1r _ .� ♦n 1' , , `7�,� t fir• .i s ♦ IVY �r ) ��._,N �oplk w� • . ol : „ . .wkm 1 r �.,•, ` • „y fi ;� � �'��, �1 , '��'�; , 1. +� a !.�}. _ � _` }. VA AVE— f sw � IP 1 it 4.. l ; rs z { F' f e �;u f' k. Sri. r. t y0ir MON wm 4,- �[ A�hG,rw�y.�0 �+ ,y��4os ,�xa�ypfr •f '��� ,:���•• �0 � , fk •• i� �•�ti + �1,•,�'�[)js+�cti� % �QvP�q',�ii �?' i4? ff.F".,t�r3F / e : ` v v �fN[s)> 7.�t a _ls..�tJ �._ilii/_._►'4t�ii_.��:_'!e-a--•a21't�.''!_f`���1:' r�i�. i�k �l ft�s)>� It / r � cN CD Y iL � ` U ° = o IS •v r'- u 3 w CM o ' o W O o a.s �o�ection , s Z U u F 9 V > > � O o t > O U 3s �- o r •. - � w Q % p u. IT o . W C o Z " x �• " E ECL M., . i � 0 LQL ca ca N a G- na .. y ........... . 1. . •F•L i �tto)A ems,, ����4 s:-•----•-.�.; ,i i, f-. � •_- �1, ; r- ,��, -�- ,---:;_r^� :;"�"'�" ..—�..,. ;-"'' •f IA ., • ito»� 1 1 1! �. fir.�11 ,�, �Nrt1t� ,�• •��_az "�,AIR..�_��.,i��ar.- I ^.r�.. ;� y ;�,tv � try „80�+% -��:a,.•yv:�F21�., .. �. F••�$C.ik . FAIRCUS-01 TBRAND ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD VYYY) 9/26/2022 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 CRNTACT Theresa Brandon N ME: MBI Company Group LLC. PHONE FAX 280 State Street (A/C,No,Ezt):(203)288-3401 (A/C,No): North Haven,CT 06473 ADDRE s:theresa.brandon@mbi-ins.com INSURERS AFFORDING COVERAGE NAIC# 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR S 2516791 8112/2022 8/12/2023 DAMAGE TO RENTED 500 000 X R MI a occurrence) $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 3,000,000 T a LOC PRODUCTS-COMP/OP AGG $ POLICY�X jEC 3,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 a accident $ ANY AUTO S 2516791 8/12/2022 8/12/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-pWNED 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 X RETENTION$ 0 $ A WORKERS COMPENSATION X PTAT T X ORH- AND EMPLOYERS'LIABILITY Y/N WC 9099063 8/12/2022 8/12/2023 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED) N/A 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I 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 9 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 INEWK Workers' CERTIFICATE OF ATE Compe Boardnsation 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 dba:Renewal by Andersen Fairchester 1 c.NYS Unemployment Insurance Employer Registration Number of 2041 West Main Street 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 3b.Policy Number of Entity Listed in Box"1 a" 938 King Street Rye Brook,NY 10573 WC9099063 3c.Policy effective period 08/12/2022 to 08/12/2023 3d.The Proprietor,Partners or Executive Officers are 7 included.(Only check box if all partnerstofficers included) ail excluded or certain partners/officers excluded. This certifies that the insurance carder indicated above in box"3"insures the business referenced above in box"1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Ltem 3A on the INFORMATION PAGE of the workers'compensation Insurance policy). The Insurance Carder 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 carder) ApprovedA�W� d 0 (Signature) ate) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carder: 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