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HomeMy WebLinkAboutBP23-076PERMIT #)QL SECTION /3 TYPE OF WORK JOB LOCATION _ co - O 41 76 DATE:& & a 3 8(P• a I`/ f BLOCK LOT EST. COST O r v �FEEE, VC 0 #TIC �- FEE �1%$S.:L� �- /zb 937 609•� -c ,js �5,,��(J/4/) �77y olio L.l �i� . DN TCO # FEE DATE 5.$tl�LT�INAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION a3 �cPiv� 9 a/ INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC M LOW -VOLT 0 ALARM AS BUILT FINAL VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 23-159 Certificate of 0 ccupaucp This is to certify that _ F e%+ of, �� /V �Y having duly filed an application on /, 20 requesting a Certificate of Occupancy for the premises known as, 0 0SAe, yi L W l [ i y 1 , Rye Brook,NY, located in a �- IJxr Zoning District and shown on the most current Tax Map as Section: Cv•O� Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.p� —Q��, issued CQ 20 , 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: /`'%Q Q" — / Construction: for the following purposes: 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 heigOyhall be made,no 11 the building be moved from one location to another until a permit to accomplish such change has a obt ' from a ilding Inspector. OCT 1 7 1013 Building Inspector,Village of Rye Brook: Date: D E c Ew E R For office use only: BUILD DD ) �'MENT PERMIT# —C77�p SEP 21 2023 ViL OF RYE OK ISSUED: — - 938 KING STRE YE BROOK, UV YORK 10573 DATE: - VILLAGE OF RYf BROOK ] 9 -06 0`' FEE: PAID BUILDING DEPARTMENT NN , 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 ##t#iitii#kk44####ik#44k#4#i#####tii#rt###rt#k#rtrt##k#k4rtrtrtrt#t##k#rt#rt#4rt#rt#rtrttt rtrt4trttrttrttrt#t#tut###tittiii 4ii##i4 k44ik#4#iii##k4 Address: 3 CcLS;�1e Occupancy/Use: �?-e$�d Parcel ID#: 1 3(o .2 Zone: Owner: -e; �j �1 a w Address: 3 C4S \C\) yC P.E./R.A. or Contractor: ,Ori-If4(14 �lt I) ;,4k 0Address: yay OPT Person in responsible charge r%Se�tp Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: \ I SAe.� � �SI�' being duly sworn,deposes and says that he/she resides at.3 CQ'4V' V (Print Name of Applica t) -\ (No.and Street) in �y p `�)cmx ,in the County of `j e�1 C�-QS in the State ofo� hat �~ WIN Town Villa_e) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 2510 DO L for the construction or alteration of: C t �CC ram- �CSC- 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 I& Sworn to before me this S day of KUM 20 Z day of fjau 20-Q Signature of Property Owner Signature of Applicant S-V-Euil-�* C,--", N 6 Pr Name of Property Owner int Name of Applicant AQ aFy 116blic ota jItc D Bryan NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC, OF NEW Y(3RX202 i Regisuanon No.OIBR6353937 Regi a'ation No.OIBR6355937 Qualdied in Quo=Cyr Quialr6ed in C filed in County Caufkaw filed m New York County ty My Commission Expires I t SM025 My Cacm--s& n Expires I I.WO25 �E BR��. t7 �'• �9F32 �' BUILDING DEPARTMENT d 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 : cia , • - DATE: 1 �� PERMIT#4 ISSUED: ` 6'2!aT: BLOCK: LOT: .mac ~ LOCATION: ` la �Y 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 s _ x FBI rT Fy t� py a44 [�]�7 l O a 4 ,0 v � � � ! i N w a a W 0 V N z o F-1 Q � � O EA•, � � u C � m c- o `o V � do � � � � wo " g � �' : C1,14, CIoo a = (ZI N w w R", �o � � V p o v cys u f rTO�T,� U z �y 'a api" t C F� h� M V Ca a u W > p -0 Q u C� A z ^ I� a w AOC � rr) 9 J w (,n c O-D wad Zz -d z a W W JFQ � U a � oO ` � x .� � p O gw V C, O A Z z 5 W Z a Pw. z ��, O Pd 52 v r H o W � av a BUILCET MENT D raj VILE OK 938 KINGR � ,NY 10573 MAY - 3 S23 o r VILLAGI_ OF T�', : BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: '"]/ l Approval Date: erm � - �/ /1p Application# APa' Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: / 3 BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: �7 Application Fe — b Permit Fees: 4 � /'s U� EXTERIOR BUILDING PERMIT APPLICATION Application dated: 5 3- 3 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: 3 ems TLC ,0 u.1 C y G --YIZ�b� 2. Parcel fD#: 136. *L% -1 —Z g —` , Zone: 3. Proposed Improvement(Describe in detail): e��iC� 7�S�Jt{ dt°c�C L'� 2 �(��S a 4. Property Owner:SAc C^ t. -De brg W Address: C4S�s`L V� ' ► ry'e a o� (jvy �5 23 Phone# ON i 4� `i 3�-��9"S Cell# q1%�) (,_13-5 2z e-mail List All Other Properties Owned in Rye Brook: 1'J 2 Applicant: '.L" _Q T Address:. QSSr V\ev C_' -yr I 'x- V%ay 1 C)S 23 Phone# Cq l y)q?J1- (cpq 3 Cell# 14) G] -J'Z07 e-mail rqc bl'erd 0) Architect: Z� MA"'Usent Address:_ 5 Goo Ct rt k e tjyLWt_t Ny I a 5 l-7 Phone# Cell# (o it(0 e-mail SAW 54 AI A CO)alai.Com Engineer: Address: Phone# Cell# `` e-mail General Contractor: v rn � �ldl �f01 Address: Aiq t>e h M4" cr b C. b 3 Phone# Cell# Z-] `Df! e-mail 5ce1-�& ��✓• Go1M1� I]) gn 2na2 t 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 'PA Wx Post-construction: I r6k 1M 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: ¢V 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: I S'fl: 2°d fl: 314 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: 1 S`fl: 24d fl: 3'1 fl: 12. Total Square Footage of the proposed renovation to the existing structure: W/tAr 13. N.Y. State Construction Classification: 11__� 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: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: ) Area: 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 (if 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: , (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: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: (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:41 Indicate: TIER I: TIER Il: TIER III: (ifyes, a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $Z 5,eo'b-o'0 Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including an},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 00 30. Estimated date of completion: MMW ZJ3 2,5 (2) 8/1 212 02 1 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KrNG STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: V If;W Section: M-11i Block: I Lot: 7,8 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-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT Sq. Ft. Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) Sq. Ft. Sq. Ft. b. Area of 15'Floor Divided By Area of Lot x 100 % % 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) Sq. Ft. Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 % % 4. AREA OF DECK Sq. Ft. 7roo Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 (�% - �� % I 7atteto the best of knowledge and belief, the above information is correct. Ar itec s ure (3) 8/12/2021 BUILD MENT D VIL OF RY OOK I MAY _ 3 2023 DD 938 KING ET RYE BR NY 10573 40 ---__� 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: `! koE K , — c'S��'\J " ✓ �/_ residing at, yG r�ak N,T 1 (Print name} (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; 3 �' ra ok ,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. - Z& -0,e 4�n Z_� (Sig ature of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this day of u,(- , 20 23 I' - ry ublic) Sophia D Bryan NOTARY PUBLIC,MIE Of NEW YORK (6) Reomwaon No.01BR6355937 Quali&d►n Queens Camry Catlfx_att filed in Ne- 5'ori Caunty Nly Cxnrnisi0a Exptrt'_ 11,3G1/2M 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. STATE OF NEW YORK COUNTYQF WESTCHESTER ) as: 5-� y E"J 6iE(2eE- ,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 -fir—L11C lege 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 c,--+ Sworn to before me this day of , 20 Z3 day of , 20 re of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant N to blic Notary Public D Bryan NOTARY STATE Of NEW YORK No.01 BR6355937 in Quo=Canty Cercd>IcW ftW in Nm Yak Cotmty My Commission Expm 11302025 (8} 8/12/2021 Building Permit Check List&Zoning Analysis Address: ?)_C_aSW__ V l e—LK ) C 1 SBL: } Zone: L \1 Use: Z1 Const.Type: A Other. c Submittal Date 1 Revisions Submittal Dates: Applicant: V- �- Nature of Work: 1 ' l U Q__e- (_M C3 S e. cN,k Reviews:ZBA: M A 0 8 B• BOT• Other. hMF.D OK ( FEES:Filing: BP: 1O Flood Plane Legalization O (,�APP: Dated. :/Notarized. / SBL:✓ Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. SURVEY:Dated: Current:�^Archival• ' Sealed: Unacceptable: S.Dat Stamped: /Sealed: Copies: — Electronic. Other. ( ( License: Workers Comp: Liability: Comp.Waiver._Other. ( (�CODE 753#: f71 y� --y C�---.5 '�s -��V Dated 7- D,3 N/A (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: L.,- 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. O O 2020 NY State ECCC: N/A: Other. Final Survey. Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Ocher. (ORB mcg.date 11 12 a roval 12kv notes: ( )ZBA mtg. date: approval;- notes: ( )PB mtg.date: approval: notes: REQUIRED SEXL IlVT PROPOSED NQ= Am& `" M0 D.M, mp 2 2023 Front: �ids� i 2 N C- D Main C Accs.CoP Ft.H/Sb: H&j /Srodes notes: N C cu cc L) +_ a • o �n Ir � e allCL E O . - t, 1.4 W o ` '0 J U .E eaC �it�s�. rr GJ j W N 0 7 m a w aw U ° o � s ova x oz ' E u . 20 a r r �� �o E V z Ln �(6r IL `- �� Ord► _�'�/� /'� _ � A� -® FD�OATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5 30 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 endorsements . PRODUCER CONTACTNAME: TONY CIRINO Anthony Cirino PHONE 860 329-0103 FAX No, (860)620-0504 426 North Main Street ADDRIESS: Insguy@aol.com Southington,CT 06489 INSURER 3 AFFORDING COVERAGE NAIC A INSURER A: UNITED FARM FAMILY INS COMPANY 29963 INSURED INSURERS: FARM FAMILY CASUALTY INSURANCE 040e-13e03 OPTIMUM BUILDING CORP INSURER C: 70 PROSPECT STREET INSURER D: PORT CHESTER,NY 10573 INSURER E: NY 10573 1 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 MM/DDY EFF MOM/LDI DY EXP LIMITS PC LTRfYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000,000 CLAIMS-MADE DAMAGE O EN OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ S,000 B Y Y 3101L6417 02/01/2023 02/01/Zo24 PERSONAL 3ADV INJURY $ 1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT EILOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: _ AUTOMOBILE LIABILITY BINEDEaMacoMdentSINGLE LIMB $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED AUTOS ONLY X AUTOS 3101C7984 02/01/2023 02/01/2024 BODILY INJURY(Per accident) $ XHIRED NON-OWNED PROPERTY DAMAGE f AUTOS ONLY X AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE t EXCESS LIAB CLAIMS-MADE AGGREGATE t DED I ,RETENTION $ WORKERS COMPENSATION PER OR AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 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 INCLUDED AS ADDITIONAL INSURED ON GENERAL LIABILITY 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 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK NY 10573 AUTHORIZED REPRESENTATIVE - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^^^^^^ 133887956 i OPTIMUM BUILDING CORP 429 DEN RD STAMFORD CT 069033811 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER 128 SOUNDVIEW OPTIMUM BUILDING CORP VILLAGE OF RYE BROOK 429 DEN RD 938 KING ST STAMFORD CT 069033811 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1478 260-1 814511 04/09/2023 TO 04/09/2024 6/2/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1478 260-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/NVWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. CHRISTOPHER SCELFO-PRESIDENT OPTIMUM BUILDING CORP ONE PERSON CORPORATION THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND T 4/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 398236357 U-26.3 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday,June 7, 2023 9:05 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/07/2023 09:05 To: VIL RYE BROOK PRIMARY Transmitted: 06/07/2023 09:05 00001 Ticket: 06073-000-588-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 3 To: Name: CASTLE VIEW CT Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: MARKED WITH RED FLAGS; BACK YARD AT EXISTING DECK NearSt: COMLY AVE Means of Excavation: SHOVEL, HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: REPLACING DECK Estimated Work Complete Date: 07/15/2023 Depth of excavation: 6 INCHES Site dimensions: Length 6 FEET Width 4 FEET Start Date and Time: 06/14/2023 07:00 Must Start By: 06/29/2023 ------------------------------------------------------------------------------ Contact Name: CHRIS SCELFO Company: OPTIMUM BUILDING CORP Addrl: 429 DEN RD Addr2: City: STANFORD State: CT Zip: 06903 Phone: 914-774-0117 Fax: Email: scelf@icloud.com Field Contact: CHRIS SCELFO Alt Phone: 914-774-0117 Email: scelf@icloud.com Working for: H/O ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 TI H it � 711 DI j :7 It T,1 1. IA I., 1z i.. L I 11110 :,J;: I. 1: -4 ; .. :, !Ti I I.. . ji! p 1- 1 !j f "i Ae. d. Ill IUt:! -AIM: A H 1;, !T P I - it jji N1 1.4 7h 6;i HO J;: V i.; it 4 HH r: r 'i i: 7; il;J till ji: it: it it 41.1 ld N :1 1;: Iw -A J; It se. IF- 1 4 r 41. it it I j: 1: 1: jI1 :1,! 1 1 1. n. 1 i I I 1. .,.,i W I h; I H 6: :1 3 j! 7­ r An -NA49: !14 1-:1.1-1:;!j- -Ii ji: ;I P Ell Ali! 11 " i 11 ! . : I �:I. - 7. H H:: 1. X j: P I ji;: it . ...... 75 v A-T 117 1. ;;1 !77' A:iit J.: F .1ii'VE .1.1. ILA W i iilL J.-3 Jj aw lk Al fij.. :s ttit---rp iliz.. tur It -too !p Y Jim d -ran, IF 44 Ft1Pax: 14 t....... .. .. I r .. ........ tIZ?7 I ;r i .3*.!; ..... . ........ . 7i: I. .... .... . 7i .7.. ...... . ....... .... ji I '..;i ...... :17' * 04 ... ......... IF! I . ...... 17: . ........ tPL.......... .... ... ....... ... ... ;:'.E; .7 j 11; .......... ........ 1 7 .......... ....... 1; i* :i :L ........... 7 !1 r) ;i I IN iji ........ ... t........ . i.., r; 17 t..... ..... I ojt IP: lit ji, 9 lj! I 14 1:1 jj .......... ............ j7 ................ oj t1 :Ili;:3 ll;-' it d tIt........... .... 1 4 Ijil tpip T No. ILI 2r, 31 i1. T" 17 .1 M; T t:50 P77W R I! -7� 1 m 11 ! 11 Scanned with Ca at"I-poi Scanner D MAY 3 262`3 VILLAGE OF KOYEB"'ROOK BUILDING DEDPAW rR T M EHN' T_ O r K a"ta.tRahab ��`�, General Notes r 20111 1)All work to be done according to 2020 Residential Code of �j New York State and local codes "� 2)All plumbing work to be done by a licensed plumber ep D G 7 N ' 3)All electric work to be done by a licensed electrlcian a .�j R L ~ ,t C �s r•rint3turH c.�y "-► E�s'i'JFJ� 9 A 4 A boo b1 I 5l-O COO 0 U0mlve Ice INAL SURREY AS_gUILTlF � .�O � >��—�c7 �►� (�tlIREI PRJO vt�C CIOLOP a `7 �aNM RE SPECTION FINAL IN e o Rye Brook A Oil voii��ArchitecVa Rev ew Board .. .Y,.__ .._r...._.. Approval Date'. E C IE V/ IF= Chairman' MAY - 3 2023 �.... . ... VILLAGE OF RYE BROOK BUILDING DEPARTMENT O®UN LOCH ROC aY • L Project Draw' g Number �Z`E 1!!>2 C>to f `1 Y SMM Architect PILC Drawing Date �n �z3 5 Scott Circle i`f S PL-IS*q Scale 14 I-CO 6 0 Purchase,New York 10577 ELL V-4-7 7C)q-9 Drawn By S)'"w7 -RAM E DEC441 NC.-.x m LA -- ATF�:O ALLM)N1LM.IZAILttale �7 56.&M PLATE A-7"MCPSP w.L4- -- I p9CvlpM.�. I>5z6r. I � I � Draw'ng Mumber f SMM Architect PLLC Drawing Date -� / 1 4 00% 5 Scott Circle =G`T14t�1 Scale YA= 0 Purchase,New York 10577 E-T�li�S Drawn Byf VILLAGE OF RYE BROOK —TOWN OF RYE SURVEY OF LOT 413-4 AS SHOWN ON A MAP ENTITLED "SUBDIVISION MAP PREPARED FOR THE ANGLICAN CHURCH OF THE ADVENT ," FILED SEPT. 25, 1987 AS COUNTY CLERK MAP No. 22935 CERTIFIED TO • STEVEN AND DEBRA BERGER >6.21 1 is Dr. _j ROOK DENT S � (� view �-L1v=YVI I�.Jt..�(jCal��na- Court SURVEYED AS IN POSSESSION September /J,, 2023 THE MUNSON COMPANY 9 NORTH GOODWIN AVENUE Unauthorized alterations or additions to a survey map is a violation ELMSFORD, N.Y. of section 7209, sub —division 2, of the New York State.Education Law." 10523 "Only copies of the original survey marked with the land surveyor's " Scale 1 93 - 20 3 inked or embossed seal shall be considered a true and valid copy. N, Y. S. 50054-2 UNDERGROUND PIPES, WIRES, STRUCTURES, ETC., IF ANY ARE NOT SHOWN J-156 21