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HomeMy WebLinkAboutBP23-086PERMIT #X_ (�/ SECTION 13 TYPE OF WORK JOB LOCATION CONTRALTO EST. COST 000, Vto#�L O iIJ DATE: Mr BLOCK LOT„y�, ,-� . FEE 4 Il0=6 TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM O AS BUILT O FINAL DATE �lkTA�J� INSP OTHER APPROVALS yE D tC 4.�j jJy t w G 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 17,2023 John Morano&Donna Morano 8 Hawthorne Avenue Rye Brook,New York 10573 Re: 8 Hawthorne Avenue, Rye Brook,New York 10573 Parcel ID#: 135.83-1-33.2 Building Permit#23-086 issued on 6/19/2023 for 8 Replacement Windows This certifies that the eight new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to pC� � D�IC � For office use onl DD B UILDW dE�A�tTMENT PERMIT# AUG - 9 2023 VILLAGE OF RYE BROOK ISSUED: /9- 38 KING STREvT,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: ,& //0 PAIDAL BUILDING DEPARTMENT �,r4fto, erg APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL NORK, AND PRIOR TO THE FINAL INSPECTION ►ttt►►►■►►ftt►►►`f_fiit►ttifttft►►►►f►►►f►►►►►flitiiiti►►f►ftiflfRtf►i►fff►i�ffffiif►ft►tttt►►tt►►f►ftittfttttfttf►►f►►t►ftf►►i Address: Vn� Occupancy/Use: / Parcel ID#: 136 e 3 — — 3 01 Zone: Owner:—�pt�'JV\Ckb -� —J Address: P.E./R.A.or Contractor: X—kw—a� Q hu����� Address,30;E 1 e t�C(\\1cme.CUC����J c� IcwZeso.�c i Person in responsible charge: � (��,UC�(�R ykOCGr)%Address: '�R 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: kA J cc�\y being duly swom,deposes and says that he/she resides at TPrint Name of Applicant) (No.and Street) in in the County of k3j Cb in the State of�,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ A 1;1�, C{Q Z.C�0 , for the construction or alteration of.- Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of , 20 day of ,20 tgnature of Property er Signature of Applicant Prm't I me of Property Owner Print Name of Applicant Notary Nfilic Notary Public GNOM AL RNM Notary Public,State of New York a/12/zozl No.0111"13H Qualified In Westchester County CawmwsNoa Expires September 26,2d �E BRC�k BUILDING DEPARTMENT iUILDING 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� - - - - - - - - -`- - - - - - - - - - - <-� ig \��G - 1 ADDRESS :— ATE' PERMIT# � b ISSUED:a ZSECT. +� BLOCK: LOT: LOCATION: OCCUPANCY' 2 J ❑ Violation Noted FAILED THE WORK IS... PASSED ❑ 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 ❑ C96SS CONNECTION n FINAL ❑ OTHER 1� s 00 cn N w � O c M Z" � owl " ! i .fir ed 0 (Tl z � L I A Lz] 0 � v .� r � �••� : a A w Q N v a vci : U s GO ~ O r^' Len O a v 1 t.t. u Lr) `0 A p > O w Q= ° v y � M e F A c � ob W W � g I�1 Q O CA cj u p o �p ,. OQ cecoo o o "AOvow o �, O v r 0 �, o zvva � 0)**Q ,.., . z �C w (T] 0 ;00 t� 00 Z w U 0 A x a � o ,voa V .41 O A E w 2 -'-') � 'q �, � 0 a^ ° v oo w a O H o ° yv mu vo Lutz w z z p3d O Q U O ° oo Wo � °� a n w FBI I� w cn y a 00 A W z o I al 'C-i �1 W ►7 �C cn � -� : BUILDING DEPARTMENT VILLAC,f of Rx'E,.RROOK JUN 15 938 KING STREET RN BROOK. NY 10573 r 2023 (914)939-0668 H4 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PER Mn' AppuCATION Doi FM ERI 14 %N fmk W1 k ti i �(;k, Aw,m I F( I t Rki RIN VOR C APPROVAL DATE: jUm 61 JTT SZk PF.R.MiT�1't't.IC;A.110N j1FEF: ..__.,A Ai',T,Rov�A L SIGNATURF: H.O.A.APPROVAL:_ DATE- ...... D1_SAPPR0%_FF7:__ OTHER: ......... .......... Apr: rpectt,wy of R\o Wook.NY-for the issuame A a Permit for th' -icscribed belom. e"I Use.aS per detailed swemcnt ii L011structi i of buildings. ,,r,cturL additions,aircrations or filt a chailL 1. Job Address: fA AV,— Parcel ID.'"-: J_ S i. Propwed impTovtment(Describe in detaill: --—---------- OL 4. Property owner: Cell e-mail OM G-CA,-- Plione List All Other Properties OwtWd in Rye Applicant:_ Ct o' '4­5 Address: YK e-nlait Phoneir Cell Address:__., Phone Engineev—_ Address:— . Phone C-1-nail General Contractor- Yz_—`gyp OcA C, s. Address: n CC!ll e-mail ryrt 023, 5. Occupancy: :I etc.. )Pre-con-sil-ocrion: 6. Area of lot: Square f;et-­­--­-­------ —Acres: 7. Dimensions from proposed building or structure to lot lines: front yard:-- Ward: right side yard:--.­.-­.-,—lcfi side yard:-------other: , If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Bascinciw­.—I" fl: 2" fl:- 31 fl: 10. Total Square Footage of the proposed new constnietion: 11. For additions.total square footage added: Basement: f1:­-----2;id n:­­­­3''' 12. Total Square Footage of the proposed Teno-.aiion to The existingstrUCtUrC: 13, N.Y.State Construction Classification:-- N.Y.State Lise Classification: 14. Construction Type& I.ocation:( )Typical Wt:sTern Lurnber Frame.()Timber Frame [TC]:( )Wood'Frus%[TT]: Prc-enLzineered wood[I"WI; Located; Floor Framinp,!Fj: hoof Framing{RI: Floor& Roof Framing[FRJ:Other: 15. Number of slorics:— 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, Roofing material: - ----- 19. VY'llat S..Stern of 20, If primate:sewage disposal is necessary.approval by the \1 esichesteT County Health Departincrit mtj:st be.:ubrnittcd with this application, 21. Will the proposed proiect require the installation of a new,or art extension'modi ficati0r)to all existing automatic fire suppression system'(Fire Sprinkler.ANSL System.FM-200 System.Type I Hood, rilyei.agpiicunt ommrs"hmit is separaieAutomisfir FijvSuppres.vion Sy'vien?pe-p-n0appilcarimi&2 YOX()j,defuded engisiecredplans) 22. Will the proposed larqject disturb 400 sq. ft.or more of land.or create 400 sq,ft. or more of impel-vions coverage requiring a Slormwater Management Control Permit as per§2 17 of Village Code? Yes:—No:.—Area i y 23. Will the proposed project require a Site Plan Review by the Village Planning,Board as per§2(19 of Village Code" Yes:- iii.-res,applicam lsiu�,s•jihjnii ji Site rian.ipplication.&provich deiailcddrwvingi) 24. Will the proposed project require a Steep Slopes Pcrrnit as per§2 13 of Village Code Yes: N o: tit ve%, I ou must S1 111n]i;a Sire Plan Aps.,livation. &prvs ide a den 1 ih-11!upfj�g i=Phlca I slin el 25. Is the lot located within 100 11.ofa Weiland as per§245 of Village Culde? Yes: No: ijf res. the area of P.-eflandand the rvr dan d bulfri --one muvi he properly depiciedn"the.s-urre),&cite plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9.2-8-07.' 1'L7,, :............_No: /ifye,r, the area and elciations s; The flood j,)1anv mwi the vurvri-&2vitel,law 27. Will the proposed project require a Tree Removal Peniiii is per �235 of Village Code'?Yes­-\o. (4'.VeN,aplrrlCcrNf 771L7Jr sidiniii a Tree Removal Prrnw.,Ipplicari,,ni 28. DOU,the[)WPOSed pritiCCt involve a I lome-Occupotion as per 52-50-38 of Village Code'? Yes: .No- Indicate.I IFR 1: TIER 11: TIER1Il:-...,.- tit ivi, ii required) S . 29. What;s the total estimatedo f con ue cost ostrTiol1: all site impreweatemk. whor,material.sc atloloing. jjied cquiPtnew. incInding ant nutierialand labor svhich ina.iThe 10. Estimated&-.te ofcompletiow BUILDING DEPARTMENT V11.1-AGE OF R)"E ftOOK 938 Kvs'(; Sfitfxr RYE BR06k.N ' 10573 M4)939-0668' �ti wvc.r4 ebct�c?1:.cia AFFIDAVIT OF COMPLIANCE VILLAGE CODE ti21 b • STORM SEWERS AND SANITARY SE�'�'ERS HIS AFFIDAVIT bl"ST GEAR THE NOTARIZED SIGNATUFr— OF THE LEGAL PROPERTY OWNER AND BL SUBMITTPID ALONG W*Ti: ANY BUILDING OR PLUN3ING T'}i'iMI3' APPLICATION, ANY BUILDING OR ELT_1 5=VG PE IT APPLICATION 17PR14TTTED WITHOUT TR25 COMPLETED ANCd S3C TARTZED yoRM WILL. BE F.EI'iJFe EAT) TO THE APPLICA.'': . STATE OF NE1k YO Z-K., COUNTY OF WESTCHESTf R as: i( n-� QY�np 4Cry' k42�, residing at, � �� °`w !�Jtom, I, -- being duly swoni. 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-, kv c Rvz Brook., N4'. l=urther 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 sturmwater or groundwater connections or sources of Inflow or infiltration of any kind into the san.itan, sewer from the subject property in accordance with all State. County and Village Codes. Sworn to before nee thi> 7 day o' jukL 2t?_,,2 m VARFN A.81-10CHCR! hlM7ry f•i!bii ,Mare=of haemYork CJTTattl;�<{ in Westchester County Term Expires MA J � VV� .t�1 Y t?t 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-reftindable. STATE OF NDV1'ORK-COUNTY OF WESTCHESTER .,.��-v,S� C L,,,a -, being duly sworn,deposes and states that he/she is the applicant above named. trT'1111 vIUMC(Ifind-WILU.11,ignmg zu,the applicant) and further states that (0he 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 all p 3 licvion. iIidjcwc al-chilecl.conit"IcLot_agent.anon,.,cv.etc. That all statements contained herein are true to the best of his:her knowledge and belief, and that any mark 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 azcompanying approved plans and specification,,., as well as in accordance with the New Work State Uniform Fire Prevention.& Building Code, the Code of the Village of Rye Brook and all other applicable laws.ordinances and regulations. By sl,-nint-y this application. the property owner further declares that heishe has inspected the subje ct property, and that to the best of his her knowledge there are no root'drains, sump pumps or other prohibited stormwater 0I' groundwater connections or sources of infiltration into the sanitary seN�er system on or from the suhiect property. Sworn to before rric this, 1 S»orn to befun:me this------ ---- (13Y of- day o Q, ___, 20 (!��ww L oI ro P V r t "A' Print tiarne oi'Appficant ,� Ai :.try Public PLJ1fC I/ KAqEM A.BtloctIT-31 Notnry�PLINir-,St xttl C4 1,is-N York !0. GREGORY M.RIVERA OuPlifipd inVic--stchustur County Term Expires Notary Public,State of New York No.01 R16441 398 QuaUfkd In VVestcheste?County Commission Expires September 26,21--,Ir- 6 1'2023 Home Improvement Agreement: Page I Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers Rocco Deleo Salesperson Name Registration #(Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot I The Home Depot Service Provider Contact Name Service Provider Company Name (914) 347-6900 customercancellationnortheast@hom Phone# 99FMOMvider Email Address Service Provider License #(s) 2. Customer Information Worano Donna Westchester F34901698 Customer Last Name Customer First Name Store #/Branch Name Customer Lead/PO# 8 Hawthorne Ave Rye Brook NY 10573 Customer Address City State Zip (914) 804-9278 gvlimo@yahoo.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT- icustomercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 6 Skyline Drive Hawthorne TI NY 10532 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGNA BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE O O RIGHT TO CANCEL. Acknowledged by: 06/05/2023 -('1S&er's Si ature Date 460 Standard Form HIA(21 Jul.21)(E) Generated Date n r,In F,.?O 2-4 Lead/PO# v 0 1 12 e Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 12/02/2023 Approximate Finish Date: 01/01/2024 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above,you confirm that you have access to a computer that can receive and open emails and PDF documents. 7. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 8942.40 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 0.00 (If applicable,total amount of taxes included in Contract Price) 'Waximum deposit ONLY applicable in MD, MA,ME(33%),.NJ, WI(99%) Deposit% 1100.0 Deposit Amount $ 8942.4 J Remaining Balance $ 10.0 8. Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 9. Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii) all rights and interests under this Agreement are solely vested in the person listed as "Customer" above; and (iv) Electronic signatures will be deemed originals for all purposes. 06/05/2023_ oThemHome s Signature'-' Date X Depot 06/05/2023 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (914) For any other concerns, contact The Home Depot at 1-800-466-3337 460 Standard Form HIA(21 Jul 21)(E) Generated Date D$/05/202�- Lead/PO# Fga901 gqg_ i' WINDOW SPECIFICATION SHEET - Spec.Sheet M: F34901698 Sheet: I of 1 Customer,Donna Morano Job p;F34901698 Consultant: Rocco Defeo Date: 06105/2023 New Window Existing Window Hinge Locations Measurements Gres Product Options Labor Options From outside. Left to Right Bays.Bows Location Caer Rough Opening F of bars a of bars Csmnls.1 Brit. use E.R or Misc Items Hardware Cade Saeena For doors use _ Mull "S.a stationary or Style Wr s g "X"=oparaling Roan Floor Code (YIN) Style Cole Series Code in a x i STD,White,TMP" WRAP BED 2nd DH- Y DH 6500 WH WH 34 64 98 F, WH,W C ALL 2 1 ALL 2 1 Bottom,GlassPack: ALDER GBG H Standard STD,White.TMP: WRAP 2 BED 2nd on- Y DH 6500 WH WH 34 64 98 F, WHW C ALL 2 1 ALL 2 1 Bottom,GlassPack: ALDER GBG H Standard STD,White,TMP: WRAP 3 BED 2nd DH- DH 6500 Wit WH 34 fi4 98 F, WH,W C ALL 2 1 ALL 2 1 Bottom, GlassPack: ALDER GBG H Standard STD,White,TMP: WRAP 4 BED 2nd DH- DH 6500 WH WH 34 64 98 F, WHW C ALL 2 1 ALL 2 1 Bottom,GlassPack: ALDER GBG H Standard STD,White,TMP: WRAP 5 BED �-d DH- Y pH 6500 WH WH 32 64 96 F, WHW C ALL 2 1 ALL 2 1 Bottom,GlassPack: ALDER GBG H standard STD,White,GlassPack:WRAP 6 k1TC1 1st DH- Y DH M. WH WH 34 40 24 F WH,W C ALL 2 1 ALL 2 1 Standard ALDER GBG It STD,White,TMP WRAP 2 DINE 1st OH- DH 6500 WH WH 34 64 96 F WHW C ALL 2 1 ALL 2 1 Bottom,GlassPack: ALDER GBG H 9landard STD,White,TMP: WRAP B DINE 1st DH- DH 6500 WH WH 34 64 98 F WHW C ALL 2 1 ALL 2 1 Bottom,GlassPack: ALDER GBG H Standard SPECIAL CONSIDERATIONS: 1 While,2.White.3'.White.4:While,5.White,6:White,2 While,8:While Wrap Caa menor Casing Type Bay or sow window. eatboard material(vinyl only-Birch a Oak) Bay Protect Angle f30 or 45) ay Flanker Type(DH.SH,or Csmn) Op of window to seff l(inches) I lied to soffit,(me,of sodil material I have reviewed and agree with all the job sped(Batt above and the tslrucl Roof(Yes or No)- Special Tams and Conditions on the following page Garden Window: atleiud Material(vinyl only-While Plena.Birch or Oak) ba®IS012018 - . • L� �I• I �IIL'llll , ®11� Wdh Gilds .Style Glass Package Glazing lJj (/ J Spacer /G SHGC 8 Fart SR s. (ell with Argon) Facf . 11 Awning 6500 Base ProSolar Su 0.26 j 0.21 • • o percept 7/a" 0.26 0.23 • • o Casement 6500 Base _ ProSolar Supercept 7/8" 0.26 ; 0.24 e e • • 0.26 0.22 • • • e Transom 6500 Base �.. -ProSolar Supercept 1' 0.27 0.32 0 0 0,27 0,29 0 0 ouble-Hung 6500 Base " 0.27! 0.29 • �o ua ..� ProSolar Supercept 7I ' 0.29 0.26 ictur�e Casement (NH) 6500 Base _ ProS-olar Supercept 7/e" 0,28 0 W� 0.26 I 0.25 o Picture 6500 Base _ ProSolar Supercept 7/8" 0.27 0.29 • _l 0,27 0.26 �> . 2'Panel Slider s 6500 Base ProSolar Supercept 7/8" 0.29 0.26 0 0.29 ' 0.23 • • o 3 Panel Sliders 6500 Base(s 21 Sglt) Pro Solar: Supercept 7/8" 0.,.■ 0.26 • 0,28 j 0,23 .II o 0 MIA Garden Door(( 6500 Energy Star_ ProSolar SUN Super Spacer 1" 0.30 0.2-T- it-)- • • • 0.30 •, 0.21 • • • o Patio Door INOVO 6500 Base r Pro Solar Super Spacer 1" 1�0.8 0.26 0 0.31 i 0.2�3 m • o 0 Homes located everywhere EXCEPT:Arizona,California,Who,Nevada,Now Mexico,Oregon,Utah,and Washington. Awning g(Inc Hopper) 6100 Base _ Pro Solar Intercept 7/8" 0.27 He2E3 0Casement 6100 Base Pro Solar Intercept 7l8" 0.27 0 o I o 0.27 0.22 0 o e • Double-Hun �a c �:c�mna ■_ ■ �9 6100 Energy Star _ Pro Solar Supercept 3/4" 0.30 0.30 •�m 0.30 0.27 o a o Picture Casement(No Hinge) 6100 Base _ Pro Solar Intercept 7/8" 0.27 0.28 • • 0.27 0.25 • • _• •_ _ Picture 6100 Base Pro Solar Intercept 3/4" 0.27 0.31 e o 0.27 0.28 0 • 2 Panel Slider 6100 Base Pro Solar Intercept 314" 0.30 0.28 0 0.30 0.27 3 Panel Slider 6100 Base Pro Solar Intercept 3/4" 0.30 0.29 0 0 -F .30 0.27 • �•O .1 fa • 1 1 / e • Homes located everywhere EXCEPT;Arizona,Callfbmia,Idaho,Nevada,NowM&deo,Oregon,Utah,and Washington. Patio Door INOVO 6100 Energy Star Pro Solar Super Spacer 1" 0.28 0.26 • • 0.28 0.23 • • r_ Patio Door NARROW FRAME 6100(PD05)Base Pro Solar Intercept 3/4" 0.28 0.30MEN • o o �� all sss,,, �1 1 Homes located only/n following markets:Dallas,Denver,Detrol4 Phila,Northern NJ,Long Island,NY. r Awning 6200 Base Pro Solar SHADE Supercept 3/4" 0.27_ 0.25 • • o • 0.26 0.23 • • _7J.`- Casement 6200 Base Pro Solar SHADE Supercept 3/4" 0.26 0.18 0 • e o 0.29 0.17 A. • o 0 Picture Casement-NH 6200 Base �. Pro Solar.SHADE_Supercept 3/4" 0.25 0.21 • • • • 0.25 0.19 0 0 0 • Picture Window _ 6200 Base _. Pro Solar SHADE Supercept 3/4" 0.26 0.24 • • • • 0.26 0.22 o • • • Sfn le Hung 6200 Base Pro Solar SHADE Supercept 3/4" 0.28_0.23 0 • 0 0 0.28 0.21 II o 0 0 Single Slider _ 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 0 00 0.28 0.21 0 0 0 ;Panel Slider 6200 Bas® Pro Solar SHADE Supercept 3/4" 0.28 0.23 0�0 ll a 0.28 0.21 0 • - 11111,TA1111 Home;:located in coastal areas. .14. Awning SB+300VL Energy Star PS SUN/Lami Supercept 1" 0.26 0.23 • e • e 0.26 0.21 0 0 •� • Casement SB+300VL Base_ PS/Lami Super Spacer 1" 0.25 0.23 • o • • 0.25 0.21 o • o 0�•Q""-- _ Double Hung SB+300VL Base PS/Lami Super Spacer 1" 0.29 0.25 • o • 0 0.29 0.23 o • e o Slider _ _ SB+300VL Bass:_ _ PS/Lami___ Intercept 1" 0.2_9 _0.25 0 0 • • 0.29 , 0.'?3 0 • 0 0 Patio Door SB+300VL ETC 366 PS Shade/Lami Super Spacer V 0.30 0.19 • o . • e - Garden Door(CH) SB+300VL Base PS/Lami Super Spacer 1" 0.3U�0.28 • 0 0.30 0.25 0 • 0 • ------ -L-------. •Dots indicate Energy Star certified for that zone _.._ . MUM .. E �L3 1 Z 111�1®II�111101 iz ����i�ytl ?tr• •f t. t o u A , t A t: � �i�n?IF!l�, Y �SGS „'. 't-r{:.:�{ '�n�j'3ti :. rt f n j) :-._ i `n.{ : t�.-n,¢ _• .�* '.�.r; n,r*, ` -�'. '•l �rh,'S'' i :15 r i�yti�r}� p*v� '� �u'y�,'{y, �f „fly �� ??}s., ��� alttr�,W°'S5 � P;`4� 5 � ��4�i�'�!};nr•., � �?!! tt?k "•'y,+t ' �UF,' :: "1 Y •i. �,44 .,R� •... itb '4 45. . ' a�y .,5,�5;. 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C.) f ��'• t.F � '' �� e ¢ R{ Lam,"�o sr7g �t.•'"' X ca RS N O 't i4 a9)�1 ' ' C Oco 1 ({ xti4g a V r_^ N CO �s 47 N 1 i7'j'R'j•' C a'• ?��3t�r�. t 11;;i x •�j g�+_p .l j TT",.; ... %.•..; ��, b•:-r{{+4 yt�..,,,,.: 54 tt ....:; -•.:,_.:, f+.i{O, 3 u;..,•.: t.}}�y 71��` .. �Z.+f4i1 a F-r-•. ttf+tl �4 i:7'r .ti Ott t+ -'�a - 1 +y444�lira :.��. t?r.V tt 'tl ^ .. ?;� � .^ .:}4riy'i4S1' r ,7'zt.lt' n ';�'vh,''+.7'ti n tf1„7i ,,f., : ;1(}551-t.;r i ^ ii t��t i ... t sk �, •,,, ,+. i.SYibv y,15�,, �i-.•.� < ,�' !`�.-' �.;- < .., r rr.�y. � y' r s �,y�tf >� .:-r.,, !� s .: ..fr 1 ., t%. ryl. r 'S�f+�rf,.t�,•jity s4�� .,'�` ,/ ���4�.�k�sF7�` ..... ,� �f 'rYr,r � - .,,�� .; Vy.- '"r,� �.,., '"�i\' '.,✓`� DATE(MMIDD/YYYY) �coRo® CERTIFICATE OF LIABILITY INSURANCE 02128l2023 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 MARSH USA,INC. NAME: TWO ALLIANCE CENTER (A/CC,NNo,Ext): FAC No): 3560 LENOX ROAD,SUITE 2400 E.MAIL ATLANTA,GA 30326 ADDRESS:_ INSURER(S)AFFORDING COVERAGE NAIC# CN101642069-HomeD-GAW.-22-25 _ INSURER A: QId Republic Insuran o 24147 INSURED THE HOME DEPOT,INC. INSURER B: Indemnity Ins Co Of North America 43575 HOME DEPOT U.S.A.,INC. INSURERC: ACE AMeriCan InSUranCe CoMpany 22667 2455 PACES FERRY ROAD INSURERD: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL 004348037-18 REVISION NUMBER: 1 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 POLICY TYPE OF INSURANCE ADOL UBR POLICY NUMBER M DD E YY MM LTR DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 316648 03/01/2022 03/01/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X❑ OCCUR PREMISES Ea occurrence $ 1,000,000 X SIR:$1,000.000 MED EXP(Any one person) S EXCLUDED PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT ❑ LOC PRODUCTS.COMP/OP AGG $ 2.000,000 OTHER: $ A AUTOMOBILE LIABILITY MWTB316649 03/01/2022 03/01/2025 COMBINED INGL LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S A UMBRELLA LIAB X OCCUR MWZX 316647 03/01/2022 03101I2025 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTIONS $ B WORKERS COMPENSATION SCFC50668198(WI) 03/01/2023 03/0112024 X I SPER TATUTE EORH AND EMPLOYERS'LIABILITY C ANYPROPRIETOR/PARTNER/EXECUTIVE YIN NIA WLRC50668150(MT) 0310112023 03101R024 E.L.EACH ACCIDENT $ 5.000.000 OFFICER/MEMBEREXCLUDED7 ❑N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 5.000.000 If yes,describe under Continued on Additional Page DESCRIPTION OF OPERATIONS below 9 E.L.DISEASE-POLICY LIMIT $ 5.000,000 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 IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YON'RK W Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured 770-433-8211 Home Depot USA, Inc. 2455 Paces Ferry Rd.,C 20 Atlanta,GA 30339 1c. NYS Unemployment Insurance Employer Registration Number of Insured 76011130 Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e., a Wrap-Up Policy) Number 58-1853319 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Company of North America Village of Rye Brook 3b. Policy Number of Entity Listed in Box 1 a" 938 King St WLR C50668058 Rye Brook, NY 10573 3c. Policy effective period 03/01/2023 to 03/012024 3d.The Proprietor, Partners or Executive Officers are ❑ Included. (Only check box if all partners/officers included) QX 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: Eric D.Tonn (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Z/o8/2013 (SignOi ure) (Date) Title: Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 678-795-4338 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