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HomeMy WebLinkAboutBP23-089i � � � � �� �, x i� ,. • r . � r •-L ,� .v •�� � • • • • r� INSPECTION RECORD D TE SP FOOTING 2ti�23 FOUNDATION � FRAMING RGH FRAMIN� INSULATION .. PLUMBING RGH PLUMBING GAS 0 SPRINKLER _/ ,D ���� ELECTRIC [j�J � _ I _ LOW -VOLT C� -. � ALARM 0 AS BUILT C] _ FINAL 3 � / ~7�� % /�c�© �/Fc�4'i � A OTHER APPROVALS ARB BOT PB zBa OTHER -"'"'"" VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK -� NO. 23-197 Certificate of Occupaucp This is to certify thatr-oxglea ( le *heccoc! � "?Y- i of, Y(�t� having duly filed an application on 7 20 .23 requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: / f Block: 3 Lot: 54 , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No _C , issued jo� 20'r?115 , 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: / Construction: , for the following purposes: rY►a sr-- rmoyo 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 heig2- t nor shall the building be moved from one location to another until a permit to accomplish such change has bthe Building Inspector. Building Inspector,Village of Rye Brook: Date: DEC 1 1 2023 —��� For office use onl DBUILDINGE�ARTMENT PERMIT# —Gc1 NOV 17 2023B VILLAGE OF RYE BROOK ISSUED: &—a/-a3 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: - 7--\3 VILLAGE OF RYE= BROOK (914)939-0668 FEE: 4 PAMU BUILDING DEPARTMENT www, ydprook.on 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 »wwwwrwwrs►►s►►►►►►►s»■w»»•w»wr»rrr►►►►rr►►ss►►►s►►se►rsrrw»rwrwrr■rr►ss►►ss►►►s»wr»usrrrrrr►►►s►►►s►»»we»»w»►►►►►►►►►►►►s►► Address: ' -f0L Q Va J" - Q()a A e lJ S� 7 Occupancy/Use: P L�e. Parcel ^� D_�#: �3�• � _ � _ Zone: Owner: (.pj,daA `l 4U�t (�Ml:t- ('Address: S1 aWto✓�ar�- RJe ,( P.E./R.A. or Contractor: yo, n CanSept '�l Address: G-10-4©0-s r Person in responsible charge: _A0 SaYc-it.-O -2, Address: 1 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 YO1RK,COUNTY OF WESTCHESTER as: �Q l fie'v` CO 44 L'Q'� being duly sworn,deposes and says that he/she resides at g 1 �' v�`�"' (Print Name of Applicant) (No.and Street) in r%o V" ,in the County of W ����°S} in the State of_ V ,that (City/Gown/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:$ 1/ Si Q'Q� for the construction or alteration of: t e i V,-�ro-' S a t o vJ S Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this (7> ► ✓1 Sworn to before me this day of Nov �� ,20 23 day of , 20 � 1 Signature of Property Owner Signature of Applicant ('be-e rid ar\ Co l e v, Print Name of Property Owner Print Name of Applicant Notary Public Notary Public ADRIANA STEVENS Notary Public.State of New York 8/12/2021 NO.01ST642628? Qualified in Kings County My Commission Expires Dec 6. 2025 �yE BRC�k / 1982 BUILDING DEPARTMENT ZQ 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:— 'J \ �a nn \\ Qr�ATE: PERMIT \1 3 vU�, I t ��. >i . �c.( SSUE1: ECT: jL�CK: LOT. LOCATION: (0( v`�U 0 �\-(z'L(`a�CCUPANCY: ❑ 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 �yE BRC�k O� Zm 193,2. BUILDING DEPARTMENT BUILDING INSPECTOR r,. �''❑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 : 1 DATE: PERMIT# Iq ISSUED: � SECT: BLOCK: LOT: LOCATION: OCCUPANCY: I -� ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION /JQ REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING INSULATION ElNatural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BR(�j�. cu � 1982 BUILDING DEPARTMENT UILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - -- INSPECTION REPORT - - - - - - -- - - - - - - - - - - - - ADDRESS. \ "� `u /iJATE: PERMIT# ISSUED: `^ SECT: VLOCK: LOT: LOCATION: ' `_ - 'c� (LQnc)4 ,�`I " OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: .❑ ROUGH PLUMBING J2 ROUGH FRAMING � ❑ INSULATION �Q Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER I QyE BRCS k, 0 cu � • �9�2 BUILDING DEPARTMENT BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.aebrook.org - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - -- - - - - 7 - - - - - - - ADDRESS:— 1 DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: �' U� (X- ate OCCUPANCY: c ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 43' ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER x : • O� a 0 0 x W N w O a ° a tin V Ln w � ui by qq x LC7 © A O 00 pQ O O40 En 0 hhrll 4 a' • 00 W U V O ^ o+ a a o v w 9 r� m _ W Vr W LV O E O Q A G3 v � U ■ V M Z U Z Omni en w Ln 60 00 --+ a o O W O 0 y O Q z �.., L N A U E O w o a � O - v . , u W 1—I n w H z Z z � 0,`� �= D Q V 0 o o � � 00 z W O y V. a LA x � � � ub BUILD MENT E C E ll VIL F OF K +. OOK 938 KING ;F"1 R),r RR ,NY 10573 JUN — 5 2023 ID ¢ 1-0 � VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: ff��jj ]]�� Approval Date: JUN Permit#: D3--0Y Application Fee:$ /y0 4t? Approval Signature: Permit Fees:$ le 900 P)�UE Disapproved: Other: k*k*:Ptak l4lY`1f-k:F*X]4/h,,i�C l4'k k kSlfk*ifs'C'e]Y'X is iix xitx if�:�r]4k'ie ifx9C tk xX is*dtk:F i4 k'if'iC'k�e i'e�xx�e of x:FX*:<'*'is'I['IC iF�C'ita'�[e F kif'h4C]F.k%a'i ki(ieXX XXXXrt df iC TeX FiekiC aeY Application dated: W is hereby made to the Building Inspector of the Village,vf Rye Brook,NY,for the issuance of a Permit forthe interior alteration of an existing building,or for a change in use,as per detailed statement dWribed below. 8 1. Job Address: ` _TaYy\ 0. 0,Y_ CAC. (tta-_P"O SBL: 13�.SZ - S4 Zone:�1 2. Proposed Improvement,(Describe in detail): 'ex k t)�n d r 0 d pen I n s -}o frA wN I V] tZA ar►-* 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:_X Yes: If yes, indicate: TIER L TIER II: TIER Ill: 4. 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...) :No:XYes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I faro.,2 fam.,comm.,etc...)Prior to Construction: I f4 r-i t y After Construction: eAr'n4 t y 6. MY State Construction Classification: 0 _N.Y.State Use Classification: 7. Property Owner:I r e r\c�o r\ '6 e cc a- ��Cran Address: 81 TA t" -l�- Y� \ CL r a-� Phone# Cell# /7_yam-SQ)07 email• b con I eq 0 8 e G tn41L.corY. 8. Applicant: 'Aeo�t' Address: Phone# Cell# email: L 9. Architect: 3Okin G. SC-�►�'�ct' ' - Address: 35 D- r-'ar''` 14' 1( 1� Akuwa"lc, Al-I Phone#��/4) 6?3"735'r� Cell 9/4) 7/4-©I S 2 emaiL•J7()5C'arkak-% 10. Engineer: Address: , Phone# Cell# email: 'L 11. General ContractorYl/x 4WO:)C Cam/ d'gess; _ IQ - Cell#.P03—6,36- 394)l/ email: `S 7- 00902w- 12. Estimated cost of construction $ 00, ono -- (NOTE:The estimated cost shall include all labor,matey(al,scaffolding,fixed equipment,professional fees.and material and labor which may be donated gratis_) 13. Job Timetable: Start: Finish: (I) 6/I/2023 BUILD ,.. .�. MENT V><L .o _ OOx SUN - 5 2023 938 KING '> NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT r 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 PLUI-MING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCIIESTER ) as: ' r Con fi v �T Iq-r' o rCAL rw ct— I, 4 ,residing at, (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; 8`11 —T0' ^ar a L)'r' , 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. l (Sicnaturc:of Property Owner(s)) (Print Marne of Property Owner(s)) Sworn to before Die this r day of �Vs� 20-11— (Notary Public) SHARI MELILLO �lotary Public,State of New York No.OIME6160063 (2) Qualified In Westchester County ,xrnmission Expires January 29, 20 8/12/2021 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed foj= permit application will delay the permitting process. ** ********** ** * * *** * ** * * * I JUN - 5 2023 i p Notice of Utilization of Truss Type, Pre-Engineered M1000tLAGE OF RYE BROOK or Timber Frame Construction. (Title 19 Part 1264 I261 NY 1t�UILDING DEPARTMENT To:The Building Inspector of the Village of Rye Brook. From: —')& � P SubiectProperty: �o�rrcie�r— I'LO SBL: 135%YZ _ 3-TA Zone: Please take notice that the subject; ❑One or Two Family; ❑ Commercial, ❑New Structure ❑ Addition to an Existing Structure ,'Rehabilitation to an Existing Structure to he constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) ❑ Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following iocation(s); o Floor Framing, including Girders& Beams(F) o Roof Framing(R) ❑ Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before m�•e this Sworn t fore rare this r) day of2f < ,20 day of 20 t c Sig o erty Owner 1 ignature of esig rofessional 1j�V �vA rin Name of Prope wner P ' ame of Design Pr essi nal Notary Public 1 Notary Public SHARI MELILLO SHARI MELILLO ,lotary Public,State of New York Notary Public,state of New York No.o:LME6160063 No.OIME6160063 Qualified In Wfestchester County Qualified In Westchester County-7 commission Expires January 29,20_� (3) u�rr,m,sslon Expires January 29,2CK This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. 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. ST TE OF NEW YORK,COUNTY OF WESTCHESTER ) as: — VN SCa�lq -n. - , being duly sworn, deposes and states that lie/she is the applicant above named, (print nantc arindividual signing as the appiicani) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for tite legal owner and is dttly 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. e Sworn to before me this Swom to before me this 4) day of �P ,204 day of �w\� , 2Q'�� Signaiurc of Property Owner nature of Applicant scat-/ fo Nmne of property O«tirer n mne of Applica<t � t_L. Public Notary Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary'Public,state of New York No.O1ME6160063 No.01ME6160063 Qualified in Westchester County Qualified In Westchester County ^ommisston Expires January 29,20= commission Expires January 29,20Z_] 8/12/2021 BUIt MENT p IE C IE Q VILF RY I OK ID 938 KINGRvE Bu ,NY 10573 JUL 2 4 20239 �0 tr, VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: 1�z Approval Date: J U L 3 1 Permit tCJ� 0 11�V: Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Amendment Fee:.4 P46 Permit Fee: / APPL\I'�CATION TO AMEND APPROVED PLANS Application dated: -d3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: O 1 TArn A'� I w c op Existing Permit#:�3-0d D7 2. Parcel ID#: / 3 S•Y'z — 3 .54 Zone: A', Original Approval Date: 3. Proposed Amendment(Describe in detail): AQ0 P_Qy- -)car- GP /fi gjke *L. ,ham OP70 SQ(,.no A�6,// [�/j-CinM (ill lviY.lvwa /» r"4ak*- 4. Property Owner: Dun $ ,cam �opn I�p Address: 6a ( af7a.AC, YW � �.. F)r'bekk, /LLy /06-73 Phone# Cell#�9/y) .40a SZ e-mail 09 -@ G&'141C,•(0,1 Applicant: Address: Phone# Cell# e-mail Architect/Engineer:��dhtn G .SGc r-lodu "Im Address: 33 3 jylaw+ M)) fl-AP b/ Z01ay%V, L41 /OV4 Phone# 014) Z'13' 73P Cell# (7 14) 7 J9 —dJSZ e-mail,:S'(�SCCi�Iw'1U �, i►'�c./�Ga,+� 5. Occupancy;(I-Fam.,2-Fam.,Comm.,etc...)Prior to construction: I k/yv17 After construction: 4�r4rnt/.7 6. Will the proposed amendment 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:✓_(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No: t/'Area: 0 t 8/12/2021 • 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: V (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: ✓ (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. 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) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: ✓ (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: ✓ Ifyes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. 0 (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y.State Construction Classification: N.Y. State Use Classification: - —Z 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: )&n (a J-el q4-,� ,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 for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of , 20 day of ��kX , 20� Signature of Property Owner i nature of Applicant Print Name of Property Owner P ' ame of Applicant (N�- i;�A" Notary Public Nota'yA"1!&MELILLO Notary Public,State of New York No.olME6160063 Qualified In Westchester Counry Commission Expires January 29,20Z1 8/12/2021 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: kr (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: ✓ (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be property depicted on the survey&site plan) 11. 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) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: ,/ (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: ✓ Ifyes,indicate: TIER I: TIER IL TiER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so, provide such additional footage here. 0 (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ (The estimated costshall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y.State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y.State Registered Architect or N.Y.State Licensed Professional Engineer&signed by those professionals where indicated.It must also include the notarized signature(s) of the legal owner(s)of the subject property,and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print na ne 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 tic 6i:5�4—A t- for the legal owner and is duly authorized to make and file this application. (indicate architect,contructor,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 slormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of "�`s , 20 day of J` ✓ ,20 2� Signature of Property Owner Signature of pplicant c.(\ Can( D "'Z`W\t I.n C '�l P ' t Name of Property Owner Print Name of Applicant Notary Public N ry Public SHARI MELILLO 2 SHARI MELILLO Notary Public,State of New York rotary Public,State of New York No.01ME6160063 60063 Qualified In Westchester County No.n WestcOIME6hester Qualified In Westchester County2-� Commission Expires January 29,20� Col emission Expires January 29.20_ 8/12/2021 N Q� w n u M U z .° Z H a o wCIO g N a °% e A v W w cai� �+ w o z x W w z N H .. O � Z O D U z �x U d > 0 � 8 u wU Z Cn 00 cn M1 ON 0.4 a U � W o " a Z o O ° d to V F 8 U A W 0.a w x w ~ z A o a w < °Oes w z �I a w u z 5 w = � BUILDING D �C� � �M� U LDING DEPARTMENT VILLAGE OF RYE BROOK J U L 12 2023 1 DD 938 KING STREET RYE BROOK,NY 10573 (914)939-0668FAx(914)939-5801 VILLAGE OF RYE BROOK www.rytbrook.org _ BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: ^_0 EP#: Ir Approval Date: J U L 3 0 ; Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) ************************** *********************************************************************** Application dated, ��' is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 0 1.Address:J/ T-M.4/1.C(/;e_ .0 SBL: � :3 �� —3_5 7 7 Zone: 2.Property Owner: F"A,1ZVX1 CO/1JZ&Y Address: �j°Z Phone#: 9/q— 090:5207 Cell#: email: 3.Master Electrician:4,�- J 7'6.-67� Address:y9g?112 WQ 11�«-� Lic.#:,��Phone#:-ZQ3-rX?3- ,( ell#: email;��E ,X, $2W �G3y Company Name: z lc 62VIC L Z(f Address:4r3 4.Proposed Electrical Work/Fixture Counts/T«��/ .UO�/.OT.�I.NJ,�jo� 1,446z r**#,tw+,t,r,t,tyrs,t*****,t,►ww**,tt,t,►*,.w,a�,t,irw**ir**w,t,r,r.t,t,t,t,t*ww***w*,tmr*tr,F,t,t*,Rwx*,r,t*,t*,t+rxxat**ax**x,crr**a*xrr*ex*,rxrrxx STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: .being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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. Sworn to before me this Sworn to b fore m this day of 20 20 Signature of Property Owner Si o Applicant Print Name of Property Owner Pr' t ame of Applicant Notary Public 14otary blic GREGORY M.RIVERA Navy Public,State of New York No.01 R16441398 QuaMW In Westchester County 7i7i t 7 Commission Expires September 26, STATEWIDE • Service Willi Inlegril.v 1:1 Main Street,Fishkill, NY 12524 1 emoil:• • SWIS JOB APPLICATION845.202.7224914.219.1062 SWISNY.com • • Office Use Elect.Permit#�� � \ Date C}- i Bldg Permit# Utility ID# �'' ? eo Final Certificate# city/Village i, � Zip Township County Address/ %����U �� �C Cross Street Section Block Lot Owner Name/Address(If different than above) f�/J� � i,Li/�J Contact Number _- ❑Basement ❑1st FI. ❑2nd FI. ❑3rd Fl. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information - �N A,CI /--Il/01®0L/ ✓ l L D JUL 12 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by Ms.This application is intended to cover the above listed items to be inspected,If at any time of inspection additional items have Wen installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with arty other Inspection company,The appikant,owner or authorized agent agrees to all the above temp and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date Signature Address , . City/State Zip Code , License# Phone# I D State Wide Inspection Services 1080 Main Street NOV - 2 2023 Fishkill, NY 12524 swus 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BI_ ILIDINr DEPARTMENT Email: office(cc0swisny.com _ Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: J.C.Toledo Electric Brendan Conley&Rebecca Conley John Toledo 81 Tamarack Road 42 Richmond Hill Road, Rye Brook, NY 10573 Norwalk,CT 06854 Located at: 81 Tamarack Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-172 135.52 3 54 Certificate Number: 2023-7718 Building Permit Number: BP 23-089 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 81 Tamarack Road, Rye Brook, NY 10573 The First Floor was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 301h day of October 2023. Name Quantity Rating Circuit Type Kitchen Luminaires 07 Pendant Lights 03 GFCI 08 Stove 01 Hood 01 Microwave 01 Dishwasher 01 Refrigerator 01 Under Cabinet Lights 01 Hall Bathroom Luminaires 03 Exhaust Fan 01 GFCI 01 Name Quantity Rating Circuit Type Sconce 01 GFCI Breaker 01 15AMP GFCI Breaker 01 20AMP Master Bathroom Luminaires 03 Exhaust Fans 01 GFCI O1 Sconce 01 GFCI Breaker 01 15AMP GFCI Breaker 01 20AMP r (1 76i—I, /J r � Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Page 2 • �I��i������`i�i��l��il������il�il�il��'i�i�i��l�`i��i �il�i ��` �il��i �i��l�i�`ii�r = O N Z 00 N = a 0 0-4 = w H a s � r O °' � .• w a, 0.4 Ln ■, /" � N c� � L o� �wMI x � w g _ Z x x a in Q G w �i z i cn 1' a I N a .�:)a o 9� e CA wo x ^ ' w z � f T ~ oo W w 0 O `o` V o ff z 9 o � z " z � Z M w o W u z 0-0 M � Z O A �, a w � � +� f w • 0-4 z 11i a 00 o z z A V N u n n z C a0.4 o 0 w W w O H oo ,_, a enU Fo V a �. � x � o � A H ° a a p EC ENE BUILDING DEPA ] DD R MENT JUL - 6 2023 VILLAGE OF RYE 94 OK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT 9 � ='.org ° 1 PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: zD 3-O �?9 PP#: Q 3-O FO JUL 3 Approval Date: 1 3 Permit Fee: $ SSO-1 Approval Signature: Other: Disapproved: (fees are non-refundable) ******************l******************************************************************************** Application dated, 7 I s 2 3 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: g l a yr14 Luc is 1 ej E W " 0 5 SBL: I3Si J d —3—2` Zone/C 7 2.Proposed Work: �cN C Uti I . �1f7 P� n A Z b .r-f 4 ti 3.Property Owner: Address: S I -Tawck YCuc�a 1 "1Q t "ftll Phone#: �v� - Cell#: C`�L �> o`6 - `j?� email: �C..I&e LA O g Q •a V) 4.Master Plumber: G1 fC. GZ Q}I)n Address: I S'I Q Q OGc4 A l/ �1_IITi��AI Lic.#: 1y0q Phone#: Cell#:(20I 37?. �Olj email: Company Name: Gl f hn ie( u A h :r✓ h Address: I t 9 BCD rid Y R Q 066i y INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor l ` Yd Floor 1 41 Floor 5"'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 3/3/2023 i r STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to b ore me this day of -,• ,20 '2 day of ,20 Signature of"PropertyOwner Signature of Applicant t�fQnaen Con (p 1 gall f et l-��4 01 Print Name of Property Owner Print Name of Applicant Notary No Pubik . SEMaR J vERO GRRf� Nl.RIVERA Not Public State of New York NdM PuW,State of Now York No.01 5023476 No.01R1601398 QUO*in estthester County / My commi Expires Feb 7. 2026 Qualified In Westchester County /tL//, Expires September 26,20 This applica i must a properly completed in its entirety and must inc u e e notarized signature s of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/3/2023 BUILDING DEPARTMENT DD VILLAGE OF RYE BROOK JUL - 6 2023 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT M v T 8 la. AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216 a 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 PLUMING PZRMIT 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: 31, , residing at, 8 lama(oc,L �`� (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; 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. (Signature of Property Owner(s)) �Y V'- (Print Name of Property Owner(s)) Sworn to before me this 3 day 4`J T C,\— , 20 (Notary Public) 'tEROSEAMRIE J MOGAVERO -State of New York 1M0CheSt*6 Westchester County n Expiq%s Feb 7, 2026 8/12/2021 Building Permit Check List&Zoninp Anal sis Address. \ C \ SBL: Zone: A,- 2 Use: Z\ Const.Type: U Other. Submittal Date: Revisions Submittal Dates: Applicant: \ Nature of Work: . Reviews:ZBA.. JUN 14 2023PB: BOT: Other. OK -6 FEES:Filin . BP:�' �� C/O: Flood Plane: Legalization: c� g ( ) ("�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: ( ) PLANS:Dar Stamped. Sealed: Copies:�—Electronic Other. ( (� License: Workers Comp: Liability ✓ C;omp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: T-'EGH-VOLTAGE ELECTRICAL.•Plans: Permit: N/A: Other. /( LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. (�( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery._Other. ( ( ) PLUMBING:Plans: Permit: Nat. Gas: LP Gas: N/A/: Other. FIRE SUPPRESSION:Plans: Permit: N/A: Other. H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. 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. ( ) ( ) Other. ( )ARB mtg.date: approval: notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES A Date-,JUN,1 4 Cir : Fr n Front: Front: Sides: &R-r. Main Cov Accs.Cov F H Sb: S .HS : Tot.Img: F Im : Pruig Hight/Stories: notes: JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road D Armonk, N.Y. 10504 JUL 2 4 2023 Phone: (914) 273-7350 VILLAGE OF RYE BROOK BUILDING DEPARTMENT , Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 7/23/23 Steven Fews Building Inspector Village of Rye Brook 938 King Street Rye Brook,NY 10573 FILE COPY Dear Steven: RE: 81 Tamarack Road Amendment Enclosed are one 24 x 36 and 11 x 17 copies and disc of the revised drawings for the amendment adding the renovation work of the master bathroom hall bath room and powder room and the changing the master bedroom front window back the two double hung window that were the and relacing the single side wall window with the egress casement window that was to be put there in the last renovation. Hopeful this will not need to go to architectural review since we are putting the house back the way It was. If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. Laura Petersen From: Laura Petersen Sent: Friday,June 16, 2023 2:52 PM To: bconley08@gmail.com Cc: John G. Scarlato,Jr. Subject: Building Permit Application - 81 Tamarack Road Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office - SQ is E, ,70 . General contractor's contact name & phone number. .�O —�rj 21 — 3go 7 �. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) ✓4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) ✓ 5. Estimated cost of construction to determine the building permit fee ($18.00 per $1,000.00) (due once permit is issued and ready for pick-up) Cj p00 Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Igetersen(&rvebrook.org 1 r by 4- •32;4 .•I 1 { _ _ n b � h cv 4 x W O u V Z z .l ' U d UJ 8 C.� O F- O' y - U C/) O im v a, LL . 0 s v �4� e�tV O ao 4-1 Z C" 1 V 00 LA _ 4 to = 1 _ r CN U a► O v i• •� 44L L Q Cl) r_ f CERTIFICATE OF LIABILITY INSURANCE DATE(M / 06/12/2023 Y) 023 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 Luz Divina Martinez _ William F MalloyAgency.Inc NAME. _ 9 Y• FAX HONE (203)351-9898 A/C No: (�)351-9880 87 Glenbrook Road thl Stamford,CT 06902 EADDD"RESS: certificates@malloyins.com INSURER(S)AFFORDING COVERAGE NAIL• SURER A: EVANSTON INSURANCE COMPANY 35378 INSURED Northwood Construction LLC INSURERB: 1038 Westover Road INSURERC: Stamford,CT 06902 INSURER D: 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. rISR TYPE OF INSURANCE ADDLE POLICY NUMBER MMIDPOLID/YEFF rPOLICY E1(P LIMITS LTRIN DWMT A 6eI-COMMERCIAL GENERAL LIABILITY Y 3AA647368 02/24/2023 02/24/2024 EACHOCCURRENCE $ 1,000,000 DAMAGE TO CMS-MADE OCCUR PREMISES(ES aE NTED CLAIMS-MADE occurnxm S 100•000 MED EXP(Any one person) S 51000 PERSONAL&ADVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER., GENERAL AGGREGATE $ 2,000,000 POLICY JET LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB = (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per acddent) _ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY (Per accident) _ f UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DE D RETENTION b 3 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ___ ER ANYPROPRIETOR/PARTNER/EXECUTIVE F-7 E.L.EACH ACCIDENT S OFFICERWEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space is required) Village of Rye Brook is named as additional insured per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Port Chester,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 a: . ,a ^^A^^^ 464609040 MALLOY INSURANCE AGENCY INC1 87 GLENBROOK RD � ,it •i STAMFORD CT 06902 k• _ SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NORTHWOOD CONSTRUCTION LLC VILLAGE OF RYE BROOK 1038 WESTOVER ROAD 938 KING ST STAMFORD CT 06902 PORT CHESTER NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2343 825-2 1 410887 09/12/2022 TO 09/12/2023 6/12/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2343 825-2. 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://WWW.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 THE SOLE PROPRIETOR. PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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 STATYNS7NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 831042416 U-26 3 WARNING; ; LEGEND THESE DOCUMENTS ARE NOT General notes: VALID UNLESS SEALED AND 1.ALL WORK SHALL CONFORM TO THE 2020NEW YORK STALE OURO NG CODE.flES GENTIAN CODE, CONiDIr.EXCAVALONMUST DE FREE OF WATER WHILE FOUNDATION WORK a IN PROGRESS, ' Nr WCON5IRI7G1101J FIRE CODE.ENERGY CONSERVATION ICONSTRUCIIOTI CODE.EKUIIHG OURD/4G CODE, TRUCKS,BULLDOZERS OR OINER HEAVY EQUIPMENT SNAIL BE OPERATED MiN CAUTION AND I SIGNED IN INK,NO SCANS, MECHANICAL CODE,MELGASCODE,AND PROPERTY MAINTENANCE COOP. N SUCH A MANNER ASTO CAUSE NO DAMAGE TOFOUNDAU014SYSTEMS. I REPRODUCTIONS OR COPIES ARE 2.CONTRACTOR SHALL PROTECT a BRACE ALLWO9K FROM DAMAGE DURING CONSTRUCTION. 9.ALL STRUCTURAL STEEL SHAIIBE HEW,CLEAN AND STRAIGHT AND SHALL CONFORM 10THE LATEST EDILON FOR A.S.T.µ DESIGNA110N M,76 OR A-500 FOR ALL 9B•s=014S ALL I + AUTHORIZED BY WITHOUT 3•All WORK iD BE PLUMBt.TRUE All PLUMBING WORK 10 BE IN COMPLIANCE WON F1YS STRUCILTRAlS1I Q WORX SHALL COMPLY BURN SPECIFICATIONS FOR THE DESa7h4 ElOSfWG LONSfk11C110IJ f0 SfAY i WRITTEN AUTHORIZATION OFJOHN PIUMONGCODE,ALLELECTRtCAIWORKTOBEMCOMPIIANCEWIMNF.C..AIIHVAG FABRICATION AND CONSTRUCTION OFSIRUCiURALSiEELFORBUILDINGOFiKEAMERICAN I I + WORK TO BE IN COMPLIANCE WON ASHRAE STANDARDS.LATEST EDITION.ALL CONTRACTORS AND INSTISUTE OF STEEL CONSTRUCiION LATEST EDITION.PROVLDE STIFFENER ANGLES OR PLATES G.SCARLATO JR.,ARCHITECT. SUB•CONIRACTORS SHALL BE UCEN� INSURED,AND ALL PLUMgIRS AND ELECIRICIMIS ARE U 4DER ALL POSTS.COLUMNS OR STRUTS THAT ARE CARRIED SY STEEL BEAMS AND IN THE I i RESPONSIBLE FOR ANY ADDITIONAL PCRMUS.APPROVALS AND it SPECHONS THM PAR7ICULAR WEB OF BEAMS CAMILEVERED OVER COLUMNS OR BEAMS SUPPORTING HANGERS.UNLESS 0 v0fNa fO 9 mmm I FURTHERMORE; TRADE MAY REQUIRE OTHERWISE SHOWN OR SPECIFIED PROVIDE Wxh BEARING ON CONCRETE MASONRY IF ANY, IT IS A VIOLATION OF NEW YORK 4.LUMBER MATERIALS USED IN THE OU L LNG SHAH Of GOOD.SOUND.ORY FREE FROM ROT. la HEADERSTO DE 1312'X l0•IN 2A6 WALLS OR 1212'X TD'N 2X4 YIALLS UNLESS 01HERWUE NOTEO. ' O NUMBER LARGE A14D L05E KNOTS,SHAKES AND OTHER NPERFTECTIONS WHEREON THE STRENGTH ; STATE LAW FOR ANY PERSON, MAY BE IMPAIRED.All NEW LUMBER SHALL CONFORM 10 2020 NEW YORK STATE BUILONG CODE 11.INSULA7 ON 84 FLOORS."WALL5 AND CEILINGS 10 BE A COMBINATION OF FIBERGLASS OAT. UNLESS ACTING UNDER THE a+APLEsz,.rASTETuhIGSHALLCaIFORMro2omNY5BCiADLE2�DN.1Ql CONTINUOUS RIGID.OR SPRAY FOAM ORCLRULOUS INSULATION TYPES TOCONFORMTO ALL LUMBER SHALL CONFORM 701NE REQUIREMENTS OF THE AMER CAN WOOD COUNCILS 2020 NYS ENERGY CONSERVATION CONSTRUCTION CODE CHAPTER 4. DIRECTION OFALICENSED NATIONAL DESIGN SPECV=IIONS FOR BENDING STRESS AND D7RlECIION AND 2020NYSBC2306• WESTCHESTER COUvIY IS CLIMATE ZONE 4A. ALL WORKMANSHIP INCLUDING BLOCKING.MILLING,BRIDGING.ECi.SHAD CONFORM TO THE 2DW ARCHITECT,TO ALTER iN ANY WAY NYSOC AND OR 202D NYSRBC.FROVIDE LEDGER,BLOCKING.NABERS AND ROUGH FRAMING 12.ALL FOOTINGS TO BE A MINIMUM OF 3!4'BELOW GRADE„OR LOCAL FROST OEPiHAS SPECIFIEDBY O W COW LCf1E1; ! I HARDWARE AS REQUIRED.ALL IEAMS.JOISTS AND RAFTERS TO BE SET WON NATURAL CROWN UP, THEARCHITECT.UNDERPIN WHEN NECESSARY. THESE SEALED AND SIGNED PROVIDE DOUBLE RAFTERS ANDHEADERS AROUND ALL ROOF SKYLIGHTS UNLESS OiHERIVISENOTED, DOCUMENTS WITHOUT THE ALL LUMBER SHALL DEAR VMEGRADESTAf.ALL STRUCTURAL LUMBER INCLUOINGBUrNOT 13,14OUSEi0 CONFORM TO ANY LOCAL SUPPLEMENTAL CODE. j x R0A1l01VIACAAON tDAIIED TO TA.101,6 LVL BEAMS OR EOUNALE.tNwj`SNALL BE INSTALLED PER DRAWINGS MID 1 EXPRESS AND CONDITIONED SUPPLIED OYTHEM NUFICAT R'SICAL SNALLBE FOLLOWED.INSTALLATION ANDLVL�MMUST BE S SHALL 14'AND VD FBLOCK'BNG AS 10 REQUIRED Tb GBEAR NG POSTS ONTO GIRDER OR BEAM CONOUIONs X PERMISSION OF THE ARCHITECT. 1-107 BE ALLOWED 10 GET ET AT ANY TIME. F t IS i01�LB BEST 0PMYKNOWLCDGE.OEUEF AND PROFESSIONAL NOGf:AlEM THESE PLANS AND S.WHIT USE OF ANT TRUSS iVE.PEE,ENGINEERED OR TMBER CONSiRUCHON A SIGN LVILL Of 1 SPECOICAiIDNS ARE:N COMPLIANCE WRH 2O20 N.YS,ENERGY CcmERVATION CC[MIRVCiiON CODI ! PLACED AT OR ADJACENi iO THE ELECTRIC MEiER WiTH SPECIFICATIONS PROVIDED BY THE Il ARCHITECT 16,ALL DECK RAILS AND S1AIb HANDRAILS SHALL CONFORM 10 THE 20M N.Y.S.BWLOING CODE + SECTIOMS1014HANDRANLS AND 1014GUARDS. i ELECTRICAL LEGEND V. 6.All CONCRETE WORK,DETAILS h140 CONSTRUCTION METHODS SHAH BE IN ACCORONNCE I 1„15 WITH DIE PROVISIONS OF ACT 31B AND ACI3320R FICA 104 AND THE 2020 NEW YORK STATE 17.ALL(OOP FRAi��11I4G SYSTEMS SHALL BE INSTALLED WITH HIGH WIND COtJNEC10AS(HURRICANE I _ de GC RESIDENIIAL CODE CHAPTER B.ALL CONCRETE SHALL BE iYPE•1.300OPSI COMPRESSIVE TIESI.N COMPLIANCE VNIiH 2020 N.Y.S.BUROLNG CODE 1 AND SECURELY TiED IN PLACE SO AS TO PREVENT DISPLACEMENT DURING CONCRETING. I �• ��Lr ~X� t SIRENGiH Ai 2B DAYS,REINFORCNG BARS 10 CONFORM 101020 NYS BU0.DNG 1B.ALL 10STS 70FOUNDATION FOR THE PURPOSE OF SUPPORTING THE ROOF OR OTHER STRUCTURAL , / ELEMENTS SHALL BLOCKING AS SPECIFi8D BY THE ARCH iECT 00 A NOMINAL DIMENSION OF 4X4 �' 'NEW MCORA 51WCH �kV C,A4;l �y CODE SECTION 1905MoalFIGRONs IDACI3IB. (h�j;POl E fO h1U tl•WAYAS nU+CdtAA►�V) REINFORCING SHALL BE ACCURMELY WMALLED TO REQUIRED ELEVATION FROM STRUCTURAL ELEMENT 8E SUPPORTED CONTINUOUSLY TO A SOLID MASONRY E I 1 7.CONTRACTORS 70 VERIFY ALI CONDITIONS AND DIMENSIONS PRIOR 10 STARiINO WORK, lY%�L�ONNSHRAUCTI> DS BELOW RFQUWEO I{TOST DEPTH AND RESTS Ohl A FOOiQJG OF NSW IIRCOPA nIMA p s4NfLN ANY DISCREPANCIES ARE TO BEREPORTED TO ARCHITECT.ALL WRITTEN DIMENSIONS ONTHE DRAWINGS SHALL TAKE PRECEDENCE OVER ANY SCALED OiMENS ONS. 19,ALL S MPSON STRONG ilE CONNECTORS AND ANCHORS ARE DESIGNED WRH SPECIFIC LOADS ANDB ALL FOOUNGS SFIALL BEAR ON UNOISiU90ED VIRGN SOIL HAVING A FANIMUM SAFE REARING CAPAC TIES.SUBSTIIUi OM OP THESE HANGERS FOR DIFFERENT MODEL NUMBERS THAN CAPACITY OP 2 TONS PER SO.FT.BRACE RETAINING WALLS OR FOUNDATION WALLS AS SPECIFIEDRYE EMCHiEOFORENGINEERnFORBIDDENBURNOUTVERGYIiGTHEREPIACEMENi b 7a ( \ AV REQUIRED.9ACKFiL WRH APPROVED MATERIAL.BACKFRUNG UNDER SLABS,AROUND PARS WTIH THE DESIGN PROFESSIONAL 1 PIERS AND ON EACH SIDE OF FOUNDATION WALLS SHALL BE DONE IN LAYERS NOT TO EXCEED 1 I 10 INCHES.COMPACTION SHALL BE 95%OF MAXIALUA DENSITY AT OPTIMUM MOISTURE ! daG�Gl NEW DBCCP.A GROlIN7 FIIIl.f GR'CUIr INiEFJ m igCEPfACLE NRwwoul'.G�/acmaww11:k�tQ'fwarrm CLIMATIC&GEOGRAPHIC DESIGN CRITERIA F T I N� (511OMffiftVeROFCOMEO1VENENn ' o f 1�U ' cLIAlIE 201 =91 O •zv vt P �� NEW nECOpJ10WV7 i�GEPrAr1 E k,` !REV I Et z r 0 NEW PHONE OUILEf i t \ ` 1�11N(� •c�+�u sore ISiIzf7 Tro No No tie 1 co3 2r gs El w-WNCAEU:Ol1iLEf (Lol r rL v-f Pb - - ® NEWCAr 6 EiFER 9f FORrOUIMEf. 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