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HomeMy WebLinkAboutBP23-096PERMIT# IUIdJ-U / 09 t`i/L 4 Y Ed ILm� ��,}/ �CO # Df CO FEEA OI0 P TCO # FEE �PEGTID�O/Nj��RECORD FOOTING I � , FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING-- RGH PLUMBING GAS 0j SPRINKLER JY ELECTRIC LOW -VOLT ALARM AS BUILT FINAL OTHER APPROVALS iC pCWs $ S�ce ARB BOT PB o/wiC'roCCo(9/y)403-0 /53 ZBA OTHER —//3 ose /, 1 Su aougs I ' a%u14��rei on CJ" oC �C� �J'/ 3�I �0 3- a3�f � E/edri'c z. u� Laty pi w..l SPL W%i+�. ihSWtl FLN � VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 24-096 Certif irate of ®ccupaurp This is to certify that V 1 of, having duly filed an application on FEhY(AnYLA 20 requesting a Certificate of Occupancy for the premises known as, C 11t J L..1 I7(?d't) Q Vj�.O&)(f , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: )94.142sBlock: / Lot: 3 , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. _ , issued 20j2!�,n, 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: &nderrhQ/ grQU) Pzkonstruction: , for the following purposes:&V y du k-a- ���� � �` y���a/✓ 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 height shall be made,nor sh the b ' ing be moved from one location to another until a permit to accomplish such change ha ine the Bu ' g Inspector. Building Inspector,Village of Rye Brook: Date: JUL 3 1 2024 DRY V L��V Vuy Q Vji�VUWV O� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.tyebroohM.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 31,2024 Cerebral Palsy of Westchester 260 Lincoln Avenue Rye Brook,New York 10573 Re: 260 Lincoln Avenue,Rye Brook,New York 10573 Parcel ID#: 124.48-1-3 Mechanical Permit#23-160 issued on 11/7/2023 for Fire Sprinkler System Modifications This certifies that the fire sprinkler heads,installed under the above captioned permit,have been satisfactorily completed. Sincerely, Steven E.Fews Building&Fire Inspector /to QyE BR M p Et. ti b 4+U��J ta4 . 19 1�y4 y y� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury www.iyebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 31,2024 Cerebral Palsy of Westchester 260 Lincoln Avenue Rye Brook,New York 10573 Re: 260 Lincoln Avenue,Rye Brook,New York 10573 Parcel ID#: 124.48-1-3 This document certifies that the work done under Mechanical Permit #24-025 issued on 3/6/2024 for the modifications to the existing ductwork has been satisfactorily completed. Sincerely, 0"— 4 Steven E. Fews Building&Fire Inspector /to D E C IE N IE BUILDING DEPARTMENT For office use only: PERMIT # 3-096 ID VILLAGE OF RYE BROOK ISSUED: _�_ FEB 2 3 2024 8 KING STREET,RN E BROOK,NEW YORK 10573 DATE: -a3—cW (914)9 -0668 FEE: V e�D/O- PAID, VILLAGE OF RYE BROOK r�Hvt, E►ok.�►r�► BUILDING DEPARTMENT 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 Address: IA/ 1 spjf /v Occupancy / Use: / Parcel ID#: Zone: C)ap_3 Owner: Address: /�� roo P.E./R.A. or Contractor: _� OS �4-f 6av Address: '7_00 'j-'30 tS s"�JJ6 fA rz l- (Z Person in responsible charge: AOS e pt-/ 12 , C4c)CC&4�A tress: <,j , [5 Zoo .42 Ale)A) 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 YOORK, COUNTY OF WESTCHESTER as: ,�� b P 64 /Z- ! ei g duly swom,deposes and says that he/she resides at 200 &rC;�;J� 695 F-4re K Pt i Pant Name of Applicanu iNo and Streets in AL4. Ik n^)<� ,in the County of \qti S y S 12 in the State of that iCm 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:S / 9,Qy0 for the construction or alteration of: 10$n) 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 they oche of the Village of Rye Brook. r� Sworn to before me this 3 Sworn to before me this o 13 day of �0 day of ?� Si nature of Property Owner i ature o Applicant ,So 9& to t+ 12, a L� Print Name of Property Owne Print Na a of Applicant Nolan Public STEP NI USSO- AS i ILHA S HANIE R FROBT:LHA Notary ublic,Sta New York Notary PubiiC,State of New York o.01 BU6136515 No.01,9U613651 i; / Qualified in Westchester Coun Qualified in Westchester CounS Commissior Expires Nov.7,20tyr,( Commission Expires Nov.7,20_ �yE BRcbl cu � 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.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# - " ISSUED: 7� ' ` SECT: BLOCK: LOT: LOCATION: i�� J (\ ^ n C-Q C� OCCUPANCY: �- \ �r ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ 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 BRC�� w � 1932 BUILDING DEPARTMENT 0 BUILDING INSPECTOR VILLAGE OF RYE BROOK 0 VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 0 ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801 - - - - - - - - -- - - - - - - - - -- - INSPECTION REPORT - - - - - - - - - --- - - - ---- - - ADDRESS: L " ^ Q�I�� ��` DATE: PERMIT# �4 J l ISSUED: SECT: BLOCK: LOT: LOCATION: 1!]Q n C0 C� OCCUPANCY: tA 0 VIOLATION NOTED THE WORK IS... � ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE 0 FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 0 ROUGH FRAMING r c ❑ INSULATION ❑ NATURAL.GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER f ❑ FINAL PLUMBING t 0 FINAL 0 OTHER QyE BRC��, • �9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street- Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# 1 ISSUED: I > I E&: I Z C! LOCK: LOT: LOCATION: 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 ❑ �-ROSS CONNECTION Q FINAL f'❑ OTHER :-J 1 u rn BUILDING DEPARTMENT TOR ANT 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 : �00 i 1 C I7 L►J PN\)Q- DATE: - Z �o - Z Oz'l PERMIT# $- 1 Z :J to J ISSUED: 11- 7- 1 SECT: 12,J1, ` J BLOCK: I LOT: Z LOCATION: OCCUPANCY: THE WORK IS... �, /PASSED ❑ FAILED REINSPECTION [I Violation Noted IaY ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I ❑ Natural Gas1- ❑ L.P. Gas /� �(p ❑ FUEL TANK Cam, v��c-+( L f /2C 1 FIRE SPRINKLER ❑ FINAL PLUMBING El CROSS CONNECTION �'� ( �r� L �) S c��/ ' r ❑ FINAL ❑ OTHER - �+ �.�? A) P /1 A fF- J yr 4 � 2 �QyE BR(�k• O Zm 1982 BUILDING DEPARTMENT ❑,/BUILDING INSPECTOR [Q 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 : 2 (0 o4/►j C O L p A ✓6 DATE: Z - Z Z -20 z y PERMIT# �!Z P 2-A-160 ISSUED: //'7 SECT: leY, 5146' BLOCK: LOT: -J LOCATION: (•eD TEST OCCUPANCY: ❑ Violation Noted THE WORK IS... Lys rASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION _❑ Natural Gas T f.S 7- 1_ole ❑ L.P. Gas ~/Z ❑ FUEL TANK G T'�S FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �k 0 1 O 0081 0091 7 fee Co o `J o �� N 14+1 0 _ N ~ ~' C3,a 0 � ; j N . ' O x?;. _,Ill _• g � Jam' y •. i= ri 9 007 46^� V d d Q�E BRC�k. • 1932 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 ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - } ADDRESS: DATE:\� PERMIT# � -'� ) ' ISSUED: %SECT: BLOCK: LOT: LOCATION: V�p 1 q n r G �1 OCCUPANCY: it ❑ Violation Noted THE WORK IS... —PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING .13,;-SOUGH FRAMING ❑ INSULATION a ` ❑ Natural Gas V ! YZ b VS 1 ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRCv� 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 ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : � 1 1�-l�f Y 0 DATE: PERMIT# ► ISSUED: LZYCT: BLOCK: LOT: LOCATION: 1 s:` �\• "'fit 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 a s ■ M y ■ Q� 1'r7 w q� O a N4-4 N N ■ 0-4 a cl a Q r ICI 0 QQ x �yj O � w y� o b a ��/ � y �� a�i av�i ~ A V VJ O Q W 0 A p O "o O 02. o v) C w a w 00 Cos w acoA A4 o /z� " ass, Q V aj w O a oo v v� cn A u a14 ON �" � z � V z � v M.y V F 1.40 U o ;1 rn gz OOu CA �. cv V z 101, �0 � � G C:� O v O A z � luI BUILDING DEPARTMENT D E C E � V E VILLAGE OF RYE BROOK J U N 15 2023 938 KING STREET RYE BROOK,NY 10573 3 (914)939-0668 VILLAGE OF RYE BROOK Nva.r,*ebrook.on,; BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: JUL o HO�23 3 IC � Approval Date: Pe Application Fee:$ n Approval Signature: Permit Fees:$Sf 0 0d- Disapproved: Other: Application datei"_ ;�D41bis hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. /p 1. Job Address;t�6 Lir _ck2i ��rxae SBL:1 �i'7r0 '��-� zone: �-3 2. Proposed Improvement.(Describe in detail): 44 r 3. Does the oposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER 1: TIER I1: TIER III: 4. Will the proposed project require the installation of a new,or an extensiordmodification to an extstin utomatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No:VYes: (If yes, please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Constru t C assi cation: N.Y.State Use Classification: 7. Property Ownetl Address:I Me Phone# Cell# em 8. Applican . ddress: y�O Phone '7 Cell# email: C' 9. Architect yz5 Address(::2?/1a8e_a*6J)5_ Phone Cell# email: g9 10. Engineer: Address: Phone# 11. General f nntrarrr.r• l��©��:� �Tv'7'"/7(C/J �:')57�u�C?�� �e- ��t7�')7�� !� �l IJ,�, n , ✓e Sri Phone 7��� ��(J�TJJMw..# /C ,lei S' � Gi�/a-�,C /►?v,��� A) 12. Estimated cost of construction $ (NO fl. The estimated cost shall include all lahur,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated grati:.) C 13. Job Timetable: Start Finish: -'—T (1) 6/l/2023 BUI ;'V1VD' 1ffz MENT D3D vlLOOK JUN 15 2023 938 KING NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT xxxrxYxxxrxrrrxrrxrrxxxxxxxxFxx�xxxxxxxxnxxx�xxxxxxx�x�xxxrxxxx��xxxxxxx���xxxxxxx��xxxxxxx�xxxxxxxxxx� 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: residing at, Y Q ll(q )-h cdl- wn �i xffq ' (Print name) (Address v%hcrc you li%e) 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. I.loh Ad(Iress) 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. /6� 1461� (Signature of Property Ox%ner(s)) .Z-a�n�'a I(�UcIL (Print Namc of PropertN ()xv ner(,0 Sworn to before me this_/ �/_�e — STEPFiANIE RUSSO-PAST;LHA day of 20 Notary Public,State of New York No.01 RU613651 Qualified in Westchester Count,, Atu10A� Al L'� Commis3ion Expires Nov.7,20 (Notar Puhhi:) 43a_�' (2) 8/12/2021 r 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. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: m ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and forth states that (s)he isceda 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,attome ,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. Z/� Sworn to before me this Sworn to beforg me this day of , 20 - day of Signature of Property Owner Si a of Applicant Print Name of Property Owner Print Name of Applicant �N. Pu c 4t�Public STEPHANIE RUSSO-PASTILHA STEPHANIE RUSSO-PASTILHA Notary Public,State of New York Notary Public,State of New York No.01 RU613651 0 No.01RU6136510 Qualified in Westchester County? S Qualified in Westchester Coun Commission Expires Nov.7,20L Commission Expires Nov.7,20 (4) 8/12/2021 • ������������������ii�`i�'ii�`r��'i�i '�a ���`i� "����`il�`i��i�ir�`ii�r�` �''I�` �`I 0r M N N � N .a i ^ o _ W (F+� � N rj..yl H N I� o o x O W o J tic �W+ N z eQc � � �•+� � cr a C H = A to � 00 en 00 co o @ < A � H � � Wou z � u O W E `-' W W W si z x x _U (n z U Z ' Z w O A z � a V i w M� po� V C ^ r z 60M9 �I aG a ►40-41? =1 C j yE 4 C�_ D BUILD ' DkRF '' MENT VIL E OF RYE y OK OCT 2 5 2023 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK A .or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: _ C�) 0 /(4� EP#: ( ")S—D 30 Approval Date: Permit Fee: $ \-< �' f Approval Signature: Other: ********************************* * ************************************************************** 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. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. n 1.Address: �GQ L I N GU LM �N U c SBL: /��/,y 8 - r -3 nn Zone:0�C5"13 2.Property Owner: C9ae6igAi, Address: A'960 1_WcoLjAj 6 -n1VE I'CYE,13a,oKK Phone#: (q)LI, Qg 7- `?�$OD Cell#: email: 3.Master Electrician/Licensed Installer: AwpREg CQ0N7-ALeZ Address:_�0 (CVrt.rQ(,Jm S� t41- (f 5to Lic.#: 17 o 3 Phone W)Z92- 011 0 Cell#: email: _l/tb"gl j i2iG NY•1,o M Company Name: A G ELEc-nz�r Doc. Address: J40 =Liq&n +. Kt 5W N Y 10 61f q 4.Proposed Electrical Work/Fixture Count: RC-wiari,nq for 6&ik,aorns dLdd n w 1,:q {in9 04*24/ de vice s . AaIV t'i 2 A la rm+ sfrvb e S A7 h4#ra oi►'1• E)rAa 4e s-1 ;ea 5.3`d Party Electrical Inspection Agency: n STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: 1i✓► re3 GOn Z a A z ,being duly swom,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 11AS7E/2 6ZEa712reIftN for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) 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 before e this cZ y day of ,20 day of ,20 Signature of Property Owner Si e 4f Applicant S 600 Z a le 2 Print Name of Property Owner Print Name of Appli ant Notary Public Nft buk*ldma NOTARY PUBLIC,STATE OF NEW YORK Registration No.01006415940 Qualified in Westchester County Commission Expires 03/29/20ZS— 3/3/2023 STATE WIDE INSPECTION SERVICES, INC. 0•0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# 3_ 13 0 Date Bldg Permit# IV# 2 3 ' M6 Sq Ft Plumbing Permit# Final Certificate# City/Village,] P D r Zip ) Building Dept. ?�,;P R r County Address 260 / O Z 1 - (J/r i E, Cross Street Section�`4 Block / Lot Owner Name/Address(If different than above) / ` / rG/S d{ `1/rS���� r Contact Number (9 gI� ��O ❑Basement 16 A. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps 1 - Range(s) Cooktop(s) Oven (s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels ip 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑`Legalization L ❑ Safety Inspection /T/ ❑Consultation UGJ ✓I+ro oolQl' /f ,L✓ /+�/�J / fia GIHp� C/Pv/ CPS. A�� j/.P /a n S�.r,��P S / „ �Q�,! oo,t-� S. �xf►o u 5 {G DD OCT 2 5 2023 VILLAGE OF RYE BROOK BUILDING i1ERARTMLNT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been 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 any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address Zi !o fl G e le,c /,,c n 4, Com Name A � 7on Q/,-z License# /76 Date f017 Z 3 Signature Address 40 �U /� City/ ;State ,AT t� </ Zip Code Company A 6 e C /r f C Z-1 6 - , / •C Phone# / � 9?_G 0 I��U J �=T , State Wide Inspection Services C � LJU 1080 Main Street I Fishkill, NY 12524 S�W A 2 9_�02.4 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office(d)swisny.com BUILDING DEPARTMENT website: www.swisnv.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: AG Electric Inc Cerebral Palsy of Westchester Andres Gonzalez 260 Lincoln Avenue 40 Rutland Street Rye Brook, NY 10573 Mount Kisco, NY 10549 Located at: 260 Lincoln Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-230 124.48 1 3 Certificate Number: 2024-1500 Building Permit Number: BP 23-096 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: 260 Lincoln Avenue, 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 12th Day of March 2024. Name Quantity Rating Circuit Type Occupancy Wall Sensors 02 Luminaires 31 Hot Water Furnace 02 Furnace 01 GFCI 02 Strobes 02 Smoke Detectors 02 Visual Inspection Only; Not Tested by SWIS. Officer: Frank J. Farina Ito 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%vork performed on the date of inspection only. P`1 N N O O I�►N � � � W z ` a. Ltd L Lin a L W � � oZf r�1 _ ~ � z e' ~ ~ L ■ ' H= M elli ^ ►•� a. i o z W ■ `� y O M 00 00 CN4 ram• E-� 04 y Z i �J W o O F VW! 3 �'00 F" 00 a K; M1.-.4 ►-o W ►� �s Cws' ~ z < z ? o J = O U ¢ oLn 00 U < g "64 L = N a z A Q ° 9< e w wu a W �I C� � w = v 0- i tit r ��E BUIL� E I;TMENTOCT 3 O 2�23 V[L�Pr E OF RYE ROOK 938 KINdl�( ET RYE B K,NY 10573 VILLAGE OF�, Q 0 !LGC-. ING p RYE BROOK 9j �. ARTV www,rebrook.ore PLUMBING PERMIT APPLICATION FOR OFFICE l'SF ONL1 BP #: (:�)3 -09( PP#; Approval Date: OCT 3 Permit Fee: S Approval Signature: Other: Disapproved: (fees arc non-refundable Application dated, 0 Q is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of it Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner, by signing this document agree that said p umbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: (7 Q SI3L: �o �, y .—)•—) Zone: 2.Prop Work: 136A ----- 3.Property Owner: U C P Address: 2 156 Phone#: Cell 4: email: 4.Master Plumber: Address: Lic.#; �9 Ph nc#: Cell#: email: F <CG Company Namc: Address: INDICATE FIXT ES& LINES TO BE LNSTALLED AS PER THE FOLLOWING SCHEDULE: Locatioa Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other' Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement I st Floor 4 2nd Floor 3'Floor 4"Floor 51 Floor 1 Exterior 5.* List Other Equipment/Provide Dctail �i- (Notarized Signatures Required Next 2 Pages) -t- 3 3 20_11 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as �S�; � being duly sworn,deposes and states that he/she is the applicant above named, (print n rocmc of indiJidlail 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. Thal 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 Cade,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations Sworn to before me this 49?� Sworn to before me this day of !iY'- ,204�_3_ day of .20 Signature of Property Owner Si ature o Appi c IMA-1 /�ucfL C Print Name of Property Owner Print Nam b of pplican ✓ Notad. PublkEPH�AN E(i SO-PASTIL A Notary Public Notary Public, fate of New York SHARI MELILLO No,Ot RU6136519 Notar Qualified in Westchester CountYl y Public,State of New York Commission Expires Nov.7,20Q�; No.01ME6160063 Qualified in Westchester o 'I his application must be properly completed in its entirety and n><tPmatis�tadt> the legal owner(s)of the subject property, and the applicant of'record to the spaces provided Applications not properly completed to its entirety and'Or not properly signed shall be deemed null and void and will b returned to the applicant. 1:3r2U1J BUILDINd-blYAR�TMENT D E � v E VIL�kI E OF RYkROOK OCT 3 0 2023 938 KI�r.S`>�' rr RYE BROft,NV 10573 VILLAGE OF RYE BROOK '= I 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 YORKK,, COUNTY OF WESTCHESTER(�) as: //� �l�/ residing at, / / � zeyh�� xv /" tPnnt twnh 1,L�.c Nikrn vuti Irtr 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; c�4 ltoex6j14)u- , Rye Brook, NY. ,. J.. .;E,i—_ 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. 11�Ilii L' H l�ruill'fl)'C)N ltli1111 s�e��Y�cJ Nrun'Nalm Ott i't+pxn+ 0N11cn't Sworn to before me this t� day ofOC'�v , 20 STEPHANIE fiUSSO-PASTILHA Notary Public,State of New York No.01 RU6136519 Quafrfled in Westchester Coun Commission Expires Nov.7,20 A/12/2021 r � W E \ \ tt "o ww .. r-� = F ff_ 1` O H M 00 r.i pp a M = o 000 co o w C44 00 ~ w O `j'z u o g ug W 'Q E V y z �_ Aa 2 c� U w w WV 0 w w w � � E ° � � " s00 W t v' � t c 5 -a p � � v Q W a a a p oz � � ° 2 low Q a ¢ w O V 0 a av v Ln a te ' 0 < .; '.r-fi �O n o -moo �g����__ M [= [EC IE W - BUILMN-0.l%41 k 'MENT VILIACAE OF RYP ROOK OCT 3 0 1023 938 KING SET RYE BROi'liiC,NY 10573 r�lt4) 0668 VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: 2 / 1 /� 50 �pprovai Date NOV O i APt1 �J'09�P MPq:O/�/60 Application Fee:$ !"h Approval Signature. Permit Fees:$ v 7 t Disapproved: _ _ Other._ Application dated: /0_3o--a3 is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to install or modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. it S(0 1. Job Address: 260 Lincoln Ave. akaU8 King Street _ 2. Parcel I.D.: /p y, 7• , I` 3;__ __ Zone: 6MM err d 3. Proposed Work(Describe system in detail including suppression agent): Remove and replace damage wet_fire sprinkler system 4. Number&Types of Fire Sprinkler Heads. 4 Vikinasidewall sprinkler heads 5. N.Y State Construction Classification: N.Y. State Use Classification: 6. Estimated Value of Job: $ $5,000.00 (Value shall include ail labor_materials. fixed equipment.profcsstonalfeees.and nia(cnal,and labor%which may be donated gratis.) ������((�� `� .. Luc k 7. Property Owner:��.ITiOP��te���I�� Address:�w Phone#7� 1 Cell# a4,4_a email: /1n .. KlCIk QL���GQ1(JIL��•d 8. Architect/Engineer: Joseph P. Paiva Architect, PC Address: 211 A Heritage Hills Somers, NY 10589 Phone# 845.590.8654 Cell# email: joearchitectl@gmail.com 9. Sprinkler Contractor: Calculated Fire Protection Co., Inc. Address: 2410 Rt 44 Suite 2 Salt Point, NY 12578 Phone# 845-677-5201 ext. 7 Cell# email: amie@calculatedfire.com t1 2021 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. Dutchess STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Amie_Gerundo _ ,being duly sworn,deposes and states that he/she is the applicant above named, (pnnt name of tndtvtdt.al signing as the appIicanu and further states that (s)he is the Sprinkler Contractor 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 r Sworn to before me this (Q day of t/+t7 , 20. 023 day of Q( r , 20 Signa ure of Property Owner�i Signature of Applicant �Ll�t dc` l GCG Arnie Gerundo Prtnt Name of Property Owner i Print Name of Applicants Notary ubltc Notary Public Nancy V.Simou STEPHANIE fiUSSO-PASTILHA NOTARY PUBLIC,STATE OF NEW YORK Notary Public,State of New York Registration No.01S16192087 No.01 RU6136519 "I fled in Dutchess County COM Qualified in Westchester C,,ount�' ntlOn Expires August 20,2024 Commission Expires Nov.7,20— M2 r N '° E v Y N N W C O , i N �.y z �. M z w aa.j o , w o qu c GQ a W � s Or O A o o , ° •� O 'CCD w r ! 1 0 O �1, 00 it W °�O enn C < U o o a' Z �_ � M uwaz � � � � J i 0 h1 (F 00 OVC� FW'� C7 W O w V v p �i w Q E V v) GUZ W z E-' a. U Q w i Q O � [ voj Ca m , �..� O0 v ~•,� a O Z WIZ = $ '5 0 p r x O a a V O zZ ; � f 41 0 0 17, o 0 , �v , O p o U O CV7 Q z v wEn -� ° e a V) N z w � 0 z o � " x .• A Q. W Q' 0 9 a u r r , BUILDING DEPARTMENT D F-CM YE D VILLAGE OF RYE BROOK MAR - 6 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK � ww.n,ebrook.ori! BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY- 2 PERMIT#: Approval Date. Permit Fee: $ 3�0 Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Ryc Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form (Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL =$100.00/unit• COMMERCIAL =$350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, Z is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or re ova of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. I. Address: �;L(6 Ltl)C d r) V SBL: /a4i J19--1- 3 Zone: —3 2. Property Owner: 2 rG Address: 119(. /41-1;"V4 Sir-ce_1- Phone#: Ce #: email:_ Dg,"^tA, 6rol1u„. Q (PWeS' 3. Contractor: 4M)C0aG ( i�4- kQ��-iA9 Address: '_0(_QsL�IQ" cl^ S f Ches �er•or9 Phone#: 1 i g 1 w - U(J Cell#: email: pl 1,001)h C,e A e"Y r to u 1,�J (i[ 4. Scope of Work:New Installation( )•Replacement( )•Removal( )•Other(v)"" Q� t tvU f�C 5. List Equipment: 6. Location of Equipment: (% r C,w I o Gt C-91- 7. Method Of Installation/Removal(list all equipment needed to perform job): t 10/30/2023 STATE OF NEW YO COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print name of Cndividual signing as the applicant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor 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 before me this dJ.oAkM114 ,20 :4' day of 204 X/k — Z� 6-1, Signature o Pr pe Owner Signature of Applicant N <:�i a" ��I )C4�n (�11/./—N P ' e of Property Owner Pr' t N Applicant Notary Public Notary Public BRIAN R. MORROW BRIAN R. MORROW Notary Public, State of New York No. 01MO4706902 Nary Public, State of New York Qualified in We0chester ounty No. 01 M04706902 Expkft 1�2/31/ ZD2r Qualified in Westchester County Expires 12/31/ ?M 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. 2 10/30/2023 Building ,Permit Check List List & Zonm* Analysis OBl1& lC`O�(NLY `Address: �ISJO 1- 1 n ,)l Q SBL: 'Z l' `1 U Zone: Use: Const.Type: Other. Submittal Date: (1 n r2 � Revisions ubtrnttal Dates: Applicant `v c `+n�1 j k(\, Nature of Work: ' \p . 0— Reviews:ZBA: J U L 0 5 2 0 2 3 PB: Bp: Other. NEED _K <p P FEES:Filing. BP: C/O: Legalization: ( ) ( ) APP.: Date Stamped Properly Signed: SBL Verified: Cross Connection: F.O.G.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO.:Long Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed. Unacceptable: ( ) (r,)�LANS:Date tamped Sealed — Copies: Electronic: Other. ( ( License: Workers Comp: �bility: Comp.Waiver. Other. ( ( ) C�am'— Dated: N/A: ( ) HIGH-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: Grease Trap: 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 NQ= Date: JUL 0 5 2023 F _ l� Sido l : &W. l stories: notes: Laura Petersen From: Randy Rifelli <RandyR@unitedironinc.com> Sent: Wednesday, October 25, 2023 7:32 PM To: Laura Petersen Cc: Chris Crocco;Joe Crocco Jr.;Jrcrocco Subject: CPW-260 Lincoln Ave Attachments: Crocco-WC.pdf; Crocco-COI.pdf; Crocco-DBL.pdf Hello Laura Reference: Permit # BP 23-096 CPW-260 Lincoln Ave Please change Contractor to: Company Crocco Brothers Construction LLC Address 4 MacDonald Ave. Suite 5 Armonk, NY 10504 Contact Christopher Crocco Cell (C) 914-403-0453 Email ccrocco@croccobros.com Attached are the required Certificates of Insurance Thank You CPW Randy Rifelli Cell 914-403-5446 Email RandvR@UnitedIronlnc.com i AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) 10/23/2023 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 endorsement(s). PRODUCER CONTACT NAME: Courtney Potter McCarthy Insurance PHON o.Extl: (914)769-0417 FAx 378 Elwood Avenue E-MAIL E ADDRESS: courtney mccarth Insurance.net Hawthorne, NY 10532 INSURERS)AFFORDING COVERAGE NAIC a INSURER A: Excess Lines Carrier _ INSURED _INSURER B: Crocco Brothers Construction LLC INSURERC: 4 Macdonald Avenue INSURERD: Armonk, NY 10504 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00007745-131093 REVISION NUMBER: 4 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 ADDL'SUBR - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD VVVD POLICY NUMBER MWDD MWDD LIMIT'S A X COMMERCIAL GENERAL LIABILITY Y MP0082001005370 11/17/2022 11/17/2023 EACH OCCURRENCE $ 1 J 000,000 DAMAGCLAIMS-MADE � REMIS OCCUR REMIS T RENTED PES Ea occurrence $ SD 000 MED EXP(Any one person) $ 5,000 PERSONAL 3 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jEIT Loc PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LWILI Y COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident) i AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accdent 9 $ UMBRELLALIAB E]OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE f DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUM I I EIR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? N/A - (MandatorylnNH) E.L.DISEASE-EA EMPLOYEE $ If yyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Disability DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder listed as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN g Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTHORLIZEID RFVRESEUX.04WE�-_ (CPO) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by CPO on 10/23/2023 at 02:29PM NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE RE ^^^^^^ 884129531 MCCARTHY INSURANCE ' 378 ELWOOD AVE HAWTHORNE NY 10532 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CROCCO BROTHERS CONSTRUCTION LLC VILLAGE OF RYE BROOK 4 MACDONALD AVE 938 KING STREET ARMONK NY 10504 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2581 339-5 828111 11/24/2022 TO 11/24/2023 10/23/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2581339-5, 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 STAT SU NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 656296884 U-26.3 / 1 DATE(MM/DD/YYYY) ACORN° CERTIFICATE OF LIABILITY INSURANCE 10/18/2023 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 endorsement(s). PRODUCER CONTACT Stephanie Payne NAME: Marshall&Sterling, Inc. A ONrE o.Ext, (845)454-0800 ,C,No: (845)454-0880 110 Main Street E-MAIL sne marshallsterlin com ADDRESS: pa y g' INSURER(S)AFFORDING COVERAGE NAIC# Poughkeepsie NY 12601 INSURERA: Nautilus Insurance Company 17370 INSURED INSURER B: Selective Ins Co of South Carolina 19259 Calculated Fire Protection Co.,Inc INSURER C: 2510 Rte 44 INSURER D: INSURER E: Salt Point NY 12578 INSURER F: COVERAGES CERTIFICATE NUMBER: CL23101749346 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER M POLICY EXP MIDD YEYYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISESAMA T Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 A Y ECP201301819 10/19/2023 10/19/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO 2,000,000 JECT LOC PRODUCTS $ OTHER: Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED S2041181 10/19/2023 10/19/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A �DED EXCESS LIAB CLAIMS-MADE FFX201301919 10/19/2023 10/19/2024 AGGREGATE $ 10,000,000 X1 RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER 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 $ Contractors Pollution Each Pollution Condition 1,000,000 A =. ECP201301819 10/19/2023 10/19/2024 Deductible Per Claim 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Village of Rye Brook is provided Additional Insured status if required by written contract. See page 2 of certificate of insurance for applicable forms based on coverage reflected above. 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 AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 J.- A`&- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00036700 LOC#: ACORO ADDITIONAL REMARKS SCHEDULE Page of 1111. � AGENCY NAMED INSURED Marshall&Sterling, Inc. Calculated Fire Protection Co.. Inc POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance: Notes Following forms applicable when described on Page 1 of the Certificate of Insurance. General Liability: ECP1246-Additional Insured-Owners, Lessees or Contractors-Automatic Status-Ongoing Operations(Including Primary&Non-Contributory) ECP1248-Additional Insured-Owners. Lessees or Contractors-Automatic Status-Completed Operations(Including Primary&Non-Contributory) ECP1260-Waiver of Subrogation-Automatic Status ECP1289-Per Project Aggregate Business Auto: CA7809NY-ElitePac Commercial Automobile Extension Blanket Additional Insureds-as required by contract(Including Primary&Non-Contributory) Waiver of Subrogation Excess Liability: FFX8000-Follow Form Excess Liability Coverage Form -Blanket Additional Insured when included in underlying and required by written contract FFX8055-Order of Coverage and Contribution-Other Insurance Condition ENV2013-Waiver of Subrogation ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured Calculated Fire Protection Co. Inc. (845) 677-5201 2510 Route 44 1 c. NYS Unemployment Insurance Employer Registration Number of Salt Point, NY 12578 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 14-1785600 2. Name and address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New Jersey Manufactures Insurance Company Village of Rye Brook 3b. Policy Number of Entity Listed in Box 1 a" 938 King Street W40188-5-23 Rye Brook, NY 10573 3c.Policy effective period 1/1/2023 to 1/1/2024 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) All excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"T'insures the business referenced above in box 1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under 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". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policv effective period? ❑YES X❑NO 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: Evan B. Bower (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �—'�� � • 12/15/2022 (Signature) (Date) Title: HUB International NE, President Telephone Number of authorized representative or licensed agent of insurance carrier: (516) 576-0400 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(9-15) www.wcb.ny.gov REC MVIE [- -_ D OCT 3 0 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT CALCULATED FIRE PROTECTION CO., INC. CFP SYCAMORE SQUARE, PHONE(845)677-5201 SUITE 2510 ROUTE 44 www.calculatedfire.com SALT POINT,NY 12578 To: Village of Rye Brook Building Department 938 King Street, Rye Brook,NY Steven Fews Building and Fire Inspector 914-939-0668 From: WE ARE SENDING YOU THE FOLLOWING: Calculated Fire Protection Co.,Inc. Project: 2510 Route 44 Sycamore Square Permit# BP# 23-096 Salt Point, NY 12578 Cerebral Palsy of Westchester Amie Gerundo 260 Lincoln Ave(aka 1186 King St) amie@calculatedfire.com 845-677-5201 ext. 7 October 30,2023 COPIES DATE NO. 1 10/30/23 #16777 Check$200.00 1 Application Fire Sprinkler 2 PE Stamped Drawing 2406, 11x17 1 each Insurance Certs THESE ARE TRANSMITTED: For your review and comment. Thank you, Amie Gerundo ).A '•y =9}�!';;:.�t�1�g�_.y `��i`�.Fl�,yy. vAl. '` .j�A�'p` ,�• '��\�A Myy `. •� •,`� L �` .1'-{�A h�' a \ ,\i { -',Sta4A \� a.4�(A��, '�)Afjg N�yy� i".`�A� � � i'�A� '1hyf�+' �A 'tiy�,5;y S �A ♦ � i�A"r�p t�►�c�'3� si+�+cc'�� Jt{ �.$$i t'i+cicc'�73 j1�10 i]w �Itxr. �i+(/��t,� + rap 'r`rt+1+�,t • ♦1, _ s o-y E-111SIa 1111++`11/— $ S11I/11+{I 111111�� 91+IF11{+ `ads 11 111{I ; ,�1,i1 !(ss)> � �$;c�11,��:; i -1�A�r�l�.l f.- -� s.9 �\1 �.1 �-a ,0 1��1 �� r.i �l1 as .:11`I) C"%'i:' ' = LO al 04=00 , 04 04 O 00cc va c Ly F LO ✓i t cn Q :n O LLI LL.I > U s.. W = "�. L :r row` • :: ... O Z f- Z N uo CO <Y I� XLT- ,tro 4Ui O . �.�ai". • �i � y� o z -tom` �' a+ :n F�i =-:< zo C) a 1 ° d y U L, '�,::,�- •:.ate: ' A♦_ a{ n 1 •\ ��<(0)>��.:. ,.,!1 ►II{�.v,'' �.�:�ft�+� II�-`r^�"�c�:J'{�1�1�ti F--'k�a _�`-.�y{I ,11's i =`r;{f► It t �`�7{�,�iti..�set:.y'._\,`��+ .. ��"Y'�ys(��>�� � +b�1e � (�s7;f!',/1+,+�,1 i��g_.��11,g,�q�y �L;,(+1►fx;, >. t7�ttil�+,++h'; g . 1 ►I�h1i �i•+� y d x Ai ��1• t?x `Aa�F k?�vt��n �iAi•• a N�• ,� A� IT i�1� AY� �v •�t',�, A� `�<♦ All 3 n L. t3 �.. t A :L•1 3 n 7., n d3 n 1 Ji' Nk Client#: 470699 AMXCOOLI ACORD 03/ 6I20 CERTIFICATE OF LIABILITY INSURANCE DATE06/20IY4 24 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAAM :NETiffany Milia USI Insurance Services LLC HCN Ett:914459-6200 610 537-4220 AIC No 333 Westchester Ave, Suite 102 n oRless: tiffany.milia@usi.com White Plains, NY 10604 914 459-6200 INSURER(S)AFFORDING COVERAGE NAIC A INSURER A:Selective Insurance Company of New York 13730 INSURED AMX Cooling& Heating LLC, INSURERS:Philadelphia Indemnity Insurance Co. 18058 AMX Mechanical Corp&AMM Realty, LLC INSURERC: 101 Castleton Street INSURER D: Pleasantville, NY 10570 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 CONTRACTOR 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. INSTRR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP R POLICY NUMBER (MM/DD M VD LIMBS A X COMMERCIAL GENERAL LIABILITY S167424023 7/28/2023 07/28/2024 EACH�OECCCURRENCE $2 OOO 000 CLAIMS-MADE �X D OCCUR PREMISES EaEo"ccur enim $500 000 MED EXP(Any one ) $15 000 PERSONAL 3 ADV INJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s4,000,000 POLICY ECTT LOC PRODUCTS-COMP/OP AGG $4 000,000 OTHER: S A AUTOMOBILE LIABILITY S167424023 7/28/2023 07/28/202 COMBINED SINGLE LIMIT Ea accident ,1 r000r000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Par accident $ $ A X UMBRELLA LIAB X OCCUR S167424023 7/28/2023 07/28/2024 EACH OCCURRENCE s5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5 000 000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/NTUTE ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Excess Liability PHUB875759 7/28/2023 07/28/202 5,000,000 OCC DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder Village Of Rye Brook if required by written contract, and only with regard to work performed on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION Village Of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE U ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S42558241/M42557782 TYMCM NYSIF New York State insurance Func: PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 01 i*- : 0 ^AAAAA 134147930 ;-j KEEVILY,SPERO-WHITE LAW INC. '� , . 500 MAMARONECK AVENUE ❑�` g HARRISON NY 10528 �' SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER AMX COOLING & HEATING. LLC VILLAGE OF RYE BROOK 101 CASTLETON STREET 938 KING STREET PLEASANTVILLE NY 10570 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G1289 087-7 40170 05/01/2023 TO 05/01/2024 3/6/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1289 087-7, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/M/WW.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. MICHAEL DIGUGLIEMLO-PRESIDENT ANTHONY M. DIGUGLIELMO-VICE PRES 2-2 OF AMX MECHANICAL CORP THIS CERTIFICATE DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 STATE SUR NCE FUND T �V DIRECTOR.INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 526331241 U-26.3 FE 3 / F •-•------IXOKAMzormum l .�` OCT 3 0 2 2 now AGE OF RY 0 NFPA-1311 2016 Position of Residential Sprinklers 6.4.6.2 3idgwafl Sprirdders. ,: A r, D E P E �t 6.4.62.1 Sidewatt Wrilders that have not been fisted with specific Positior*g criteria W.'!! =t �� 1� ;i _'! I .��Lt_� �— ,,,,,o�ow�,,,. pawed so that the deflectors are within 41n.to 6 in.(102 mm to 152 mm)of the ceiling. . s r,,,,.-� ,`,�,�„ 1 6.4.6.22 Sk%wall sprinklers that have been listed w6h specific posWw*ig criteria snit be o Remov rid replace existing ! �.�. In accoNance with the�. z 1 .. 1 6.4.62.3 Residential horhwital sidewall sprinkler def�ors shall be located no more than 6 in. pipe and heads i n bath 144 - saw1 ! 1�, (,�mm)iron aye way«,wh>ch tr,�y arts rnatnrtad. 152 and 1 head a piping in "°"" °` Mechanics 40 r.►�..a,.n r.��w-•,, �, 'Y � �Mw�r�I .� arw wr.ww ns. •�tr.:w..hf:�•- I CA.'1G 11 V+ '..a i-- ...cn.n cam...�.c�, } f �Or� 1 i fd'�C4 It i W hollowR.. •1:R_ 1r It.,-- z off C G���� BUILDING CROSS SECTION L—————————————— O"VKXoruc•r- r Work Area R ftFILE ; 4 -A At.v U Ta •L jw ,_._ N.Y.S.Education Law Note: N FPA-13R 2016 Obstruction To Residential Sprinklers AV It is a YMation of article 145 of the Now York State .4.6.3.5 Sidewall Sprinklers. r VOW" 16 COPY 74 Education Law for any person,unless he or she is acting .4.6.3.5.1 Sidewag sprinklers strip be located at least 5 ft(1.52 m)from obstructions such as ceffin fans and light fixtures � f...r.......� �......... under the direction of a licensed professional engineer or the requirements of 6.4.6.3.7 are met. $YS land surveyor,to alter an item In any way. If an Item 6.4.6.3.5.2 The distance shall be measured from the center of the sprinkler to the center of the obstruction. z beating the seat of an engineer or land motor is 6.4.6.3.5.3 Where ilia sprbdder cannot be located 5 ft(1.52 rn)from the lion(as measured to the o~of the i itered,the altering engineer or land surveyor shall affix ),an additiional sprinkler shall be Installed on the other side of the obs bvctton. -+ the item Iris or her meal and the notation'altered W .4.6.3.5.4 Where the area of the fan blades encompasses more than 50 percent of ttre area of the peen view,the sprinkler V r� -— .�_� L [� O� allowed by his or her sigrehfre arid the date of such sta II be inped in accordance with 6.4.6.3.6. t+ 4>4 w iteration,and a specific description on the alteration in 0 d wph section 7209.2a .' Partial First Floor PERMIT# Plan View Scale 114"m 1'.0" - �� R s8L# DATE �- U BAH: ...,�.� �A`rw�i.. SEAQ� October zs,2023 C BUILDING INSPEC G ,village of Rye Brook,NY li4"=1%0" DESIGN NOTES DRAM�, Remove and replace existing pipe in a aaIc 1.Them plus and specifications have been prepared in con"anee vft 2016 N.F PAA3R,=0 work area in order for the GC to Ins Bulling Cade,2020 l R Code,20�213 Inlamalioi Fire Code,and the 2020 ..�fig. Uniform Code supple bent,effective May 12,2020,all as adopted by NeivYb*State. Sprinkler Legend replace damaged floor framing. Once r FP-01 1 of 1 the fires sprinkler k let piping n is removed 2.��'�l building construction le c'O1Tt��' Symbol Manufacturer SIN Model K-Factor Size Finish Temperature Note Quwvft P P P 9 virdng VK488 Fraedwe 4 side I K Fast whin Polyester 165-F 6 the system will remain out of service r R 4-vr 3.The NFRA 13 occupancy hazard 1�t. Total 6 until the mire framing and walls are 4.Mwd sprrnMer eWbV is in acoordarwe with rnamdaicbirees bsbng and hydraulic lc �'a°al« installed. � 5.Scope of work Is to remove and replace existing pipe In work area in order for the GC to replace damaged — "' k tea � •..•• flow framl� ��'°°��piping is removed the system will remain out of s until the hsmir� M - ._. a �� - I � � � � � /,.�,.. j L] 6.The fire sprirdder plan shawl carforrn to 2016 NFPa-13R,state and local codes. '--� L J L7.AM spitdder piping Is to be hydrostatica ft basted at 200 pea for a period of 2 hom. a" S.All sprinker piping to tw%*a ffmm►um uiteml pope diameter or 1". . TO it. j LARM "-w- s.AII sprinkler heads shall be of an approved type and teniperacure rating. 10.AD firo protection equipment and materials ehan be U.L.listed. 11.All piping shall be installed m such a manner that the entire systern will drain. POF WM ROP06®LOGT t7td 12.Temperature must ntalntain a minimum of 40 degrees to prevent system from ft ng. a n Arm of Vft a W a 30 � I I ttf L crawl Spao� �u ¢ Plan view z;r ,. ` w scale Ira"0 1•.0 VjLI,AGE OF RYE BROOK GIS MAP A'1 GRAWIN65 e YA2ITTEN NAtt.APPEARING UNSTIII;'E ORIGINAL€NFIBLISHfR of rHf ARL Il&I 1 MAY IbT 6E PROPOSED REPAIR/ ALTERATION o �NA� rIP _na-1—FA w r F 51MI d MAr rvor BE m.R.LAIED HE OFSMILAR.g95. FOR: -FI E RFGTD NLY,If IL7 SH LAI uFAIFT CORRECT 61MEi51IXJ5 GllIR THE Aft H1EL. rW:LiOR SHALL xL+ rs I'G-'Kd 4BtIFY ALL AT J A6l CON�IPONS Y /I 1!t SITL:PLEASE€biIFY IFY ARLNITEGT 6 ANr N _�p� PIS.'iifPANLIfS r /dJ I CEREBRAL PALSY OF WESTCHESTER FERMIT� SBLp —/z7 r� LNANHORIhDA1OLRNOR ALIETIM OF "Y DATEgP RO TxlS RAV IS A V OUro R SELTIoN l209(a) COPPOLA RESIDENCE oRKSTA Ew roN euruuMwve � ARcR vwvEs ArrclO Au --. PauEoranal�melLlro rau iw M T FILE COPY R ARRF-55W INTENT £LNh 1: OR F Fw00lEM5 WNLN AWE FROM(t112 5 nRcn-E�To o ol'xrvA—wiRry rz rTMa Avr of�slORwNcT�slrwlcH laee 260 LINCOLN AVE _/ _!-LVIGINItt MAP I I�r cLR Ifr nwi io rHE eEir of r'I x .1 OGE M'D RIFF THE INFORMATION HARRISON NY SH1.NV ON THI50RANING LOWWS TO ALL AIPLI E� r ox�ATlr,: .�rR�LrION LOGE. GENERAL NO'r5 GLIMATIG AND 6E06RAPHIG DF516N G2ITERIA n 4 '.. trwmu rzurremmsmm,s:enslw raked...c°a,maa n,rewm,a,a°mpaw :q ..pamro Qa.ranpamegw, svnw ce zxlm ws snc A, mury Nuearemr. a°rruue r�erem:na.mnra Taw rraar ra u�m�r Iwn .xy or el ark.tx mbgYreeetm�ae a�+1,�4.mron�ws�mroyskrna rol. a�,.,re,v m°rmaome eo-ugu or.�zv dr�rnany c ni_ ra reyr 4 n�^sm+ryJ�`Go;as ire� ea"ue�a mw��:I�y,.o-aMh 3,e.d um¢ em a rreclm me,w »rs smi ra: u""r,°yvn ,°mrerqu",�wx aa .m °' CODE INFORMATION Al rea m mrel,d.wn.rel�moreq nimm u` Nc�rm wmnry°ea.m, a* olrm�rrezo-,,,q<�w°m. - eAroLoa _ — reta"ul re rim rre m, ulamwo+k, I>k+�l.a9em un,ereredn a€Inlrewr,>= — - LI P xa, pnreaey n dwg m mmp rn � _ _ __ �� rer,.mmreoy�lamanuy,mn mp<rela"��nee wa m arre fv .mares roµ=,= nr�ure.�r�`ww�R rv�.u ^� pm,creeaw mw�::m yw�o ar,sm mrumbds w ao9. VTR som a�rcmL E n a�wa nreIn,wad„wnre,,,vre remlm„�.a.swn al„�I� Nl m�,r.....are:mnmr.Re w..ri lmre ow wax�mr..wm. Rniowimm drerew�` �5 rex�moe,m.�mmre,e �"" � Al warr.lw _ m ewu i _ re >u II eaq'�Ym lomret-s sew°rggma em°la rcp am m=<Pr romn pJ w ,°'rypmmq Mdmat °°wr�m _ NKIE4ED(vsR NFP4l3). _—. _— wG*9W N @/ rrmy aim uy mmmdeyare rmrt rmgy ume mms e :d Ycr bw /y�� yC v r°m.mo rya�r<ro�u�`ror�l�w�r�q ayw�r.q�w.r m,m�«. �� om.w rre,re DESIGN FLO�PF�LOADS �— - — pe�lw,®re�mery ems.a`�°x�a�,orrealaw,�R, rorelgrol.wlre as°ddy w,�ry,m ��.rmlmno-a.€ SYMBOLS LEE=ND as r ate, mre:m,n uam�ax rre mum,°e.r,�rmae�,mrm+x-rnu nm.re '.. IZYremx..• mireA'r+!' rou gawe ism, rre«nanp oa y,mml°m wmS"u ex,wmm.awm w co Tre allaryiu+..wwoe r°nn N t u wrrere rP�mm mans psA @ s fil lw euaakq mM,we.. enwg, ,w be rlst.ms na me.s�m ��r nH I"oc.ul s/®'6m.6o.FA. m.Y 'y � � � � yam � Ingwswsw. y H q rmer xw nwrwc 0 ,^n❑ °r mm m�omµoy�°v .ak�r me maw ry sn rrolrel. nw axw�wws �iaew, rrrR O A �'rg,! nm<" NrILL`fL4rED ar wxscsr. O y» - ❑ ❑ u pramrgmwryyua9n,mmN vme Wl�-a Pwarg cons. u�a^Z bgwpaB'ppmed�ry�H�m�ruiw �. m^9 __—YWLro�RfttmlFn � � � - &1 r I �'-1 {� }I €€���yy� u �� m n49unn gownrytae-ow mf rrce eatrraccaes - LNFJIowR.W>'bz y p .y I� y �'gr O mm�;"imwim ae 'D gysm�+r n9 n m I HF.vlrt �r 4 www �NWf ran,. C O a .. � O "E"AMw�oR VArr. �s6 ama,alr�. x�`a L m All INS N nnrwkaryxwcm PIN5�� �,ad�m w "mmuey�zln.mpa..m wougew rle ��n /� ww(a as raiowws �G� e R.wq mazy ea mew ua bam mn awu ma rennrea nrm ream e< O N Iuao a�olx eAn. 1 DOORS IN SERIES [< VMANEUVERING CLEARANCES 0 DOORS ,CLEAR DOORWAY WIDTH&DEPTH crew.,,.b�,ma�,.,,,yswmm°rre ne�mo nnn,.ne,",.m+m w�. '°"'"" :nliKK m.,' T-I rm sn.s T-I roscus rm wuE wa"Pa"i�ewx,lwa.M m.u,°ng� m q�nemmma, .eama IeAr H re rHw,a.x rain!n ab�l o-nr�w"ml a _ - m,�aa��y„a ,simy�mla�.v�zl.wu.,,mlax n.rc cm auc r„ul�=,nw.,o,momusl. O zr�EcroRw n:w mlvh�e we eaaq w�i,l�w ma ee pr,,.a, rg "m�.bmm�:r mw. wem>^np "uy` o 'r` °"wl°m aw.z°va ^�e m'reu,�,`",Iml mn nu^ a }- =Y lea lurz cELl F d>rmA��nA�,m�°�rn,��„��mmre�y 4 � REPAIR/ALT. N. ry �ry �mre� m maw remr � �r< FOR: pmd,pq SNM RAtefE w . 1-< CPW a aOAR w COPPOLA RES. ,! rer ra rN`maveuxrg ae rmm�rw wisesmue�Irsrczwnwm msrc d mwwunr ae alum n"`a• €px4 .N(M PFm'IOE N0.DERA 260 LINCOtfI AVE r`m03r !,� IwmmmmlragPy Wamm^ ¢ new4 osEwR[ " ��g R r Rue�u sum ] HAKKI50N,NY 06831 m,ommgyx"" eA0.5 Tm. fv���ro����nAmt�rgr�elm bm°mmmu�asb to ou rnerea, i IY — �In31,�"��,�I�N.,m,�r°nrxnm�"n�m°"�e,.� Q 4 LAVATORY DRINKING FOUNTAIN CLEARANCES 5 ENERAL WHEELCHAIR CLEARANCES m 6 TYPICAL BATHROOM ELEVATION T-I *a scut T-1 xm ro sr",. T-I scut:r/.•_�'-o• 77- ucesasurr rmloalerz � ti�' ' owwixzsn M1 1-1 mw o 1 'w r�aK F ms Aacx�r E nAr eo m. �` t; '� b� olR1LAFrD 629 oa o 5GLOSFD ware WtrN iu nwxrTl-D-OOK roI xL � ewrees,u�nv not DWLIGA� bE of 51MILanes. `4 P S G.�,/'O) !4 ^rfif,..- `Y $ DO NOiLAIf�rYY.�Sf EVHI OIMENSIONi v1:ncwx.veaiFr crmcea omewslaxs Aec n:cr lHE coKlreAcrarz 5HALL viceirr-omF—s Icalcmorls or �V �. '"e ILIA.No irr n=cx,E;r nrrc I � '� kk♦. .. ``n tNW HO�IID AoO ilON 1—11 :OF ml snvosArory cF srxr ory�sw��l 'v, 111-11nhr nwlAu 1— a ie FFOH ITY VHO —RE roarveaoi.ens ea ES k's u , AN�iE IEM nEY LONVCY _ .r + ereo won m ws t �/ rAiwree ro a6rAII Arvoiae raLo` he `sAM w ,r 2 sz' 'wu EaeoihcrsAis"inioessics,TO urr n�ca aorAucN,wxcxA Ai r m. rzssrceanw nwr TOTFersrorrtt 4 ON AND eE;i.F 1HE IIIFaRMTO I wN a+Nls oanwr�covFaTIE ra as wlc«e�—u�xrs of rxervsa w'k� $ v"�✓A�� � svF�- ^� ,J, ,[ �.`�e ., s„� 3',.�� ��"s A,_. e s *yz �gf- t,��g ❑ REPAIR/ALT. oJ@ w a,Lf2vniNgl FOR: sia2oa•,.: CPW COPPOLA RES. [ Y 260 LIINCOLN AVE �\ k a HAKRISON,NY 0683I l � I AW- AVV All)✓S-A-t.+i_L�. .,.� Shec�vumns. Au oRAwirvrfi e we1--7 777 zr �` �' u"'£,,s.:, � • a^, � t ;' .- ,.x -.._ r.:�i.` �Y^. �.` -* x€ '3 IWRKOFTIRE AR BET BE ou ro F' OR—LOEE r owed iscdOs WWu_irrx GRE ows.—IN ARE FOR THE EvfRE.1OF- •c'�'y1 "r"r 6 ; Y ., ,u ^9 z yxj rs �r,�. x.+ �;,'�.�. doe cameo wr xrxe nne stuck e nnr wr q^t+^ ,' .: �,.. an 'x a BE ouaucnro FOR-LE use OF zinc Aa.nes. Y kr' "i "' �- «r ^'sr,•5'.^"",- _' r '' Y. s� t »' g ? z`'°i�{ wT 0.,-1 rcw�1 11— q Fl. e v-w w.ix�e iaM i coxo�c TVEsrex B,nr T- ABOAr c1 urc oixre RO.. ��` !�'� ���` & .,ti'. xt���.,A : •,,� k`l�. � � ', + � "�Y `� *,2`x'�s-� ^, � w.. xx�e r r. � urw 1111—iroxca nrr OF Frzn�icx OF xi• `'' t"C r "4 -, !. TM SHE r�EH s��'s nrtF rcm+�wary of r i THE n rEcr.uvEs nnr um ALL i¢ " ^• rw d g s:.,? "� +^wrnErjr n Fn3rt f ,� 4.: �,f..,:4._., ^ 3s —H nNE� sFO�i iO H-LEV, 5 N—F nOrxERS OR WtOeLEnSk{,.r —BErOa ummR wu wrxe aR�nEcrs—nucEAiTM RE<a'cr ro nnr HE—1 OR co rf is s wxcx ARE 11cr l r ,' I sR®cEaewF A.ear w'nn .�me ccx ;cH k: scanxar rws 1 w1OFTHE rO nu Avx cAELE vewie.EMEvrs oF�Hill . F i J ,� 3' £ •a M VA ON o0x5'Wlrir ON 000E d � rrx�¢ n^hmw r r trz1{t uosEax occ MIN aN 7 tr � ��• �x M 8 � S " ' ". .v-.- _ '�'y' �"'�fi,c^° L �. 1 neVrsion 'Ti ,'k'r� �, .� ?� $��izt�:^.. `• ,s•�' �� z -__ I 1t � f� _ iY 1� ��z W'i. ON 044�rV'♦FYaJ�R-1+4Ri;i� :tx F „M,,: ! -oa 111r688""IIhILi• � t WEx �� 1'YF F UFId� #r•A ., gA,§.us ,NR ' * -, _� .. F �•"�t /`,ffl,.t//�f� r � �. 3 a...z``z x., r�:r � � ��ii El i � '�:� ,.�-.'��"-`��'r r'"�,�v� "'"!�. V•l���IQ�_ Y�f1l�/�.. .,,,, �.. .,� :•�.x��..� �S, ,,..,...E.`,.....�....,. � o � O � 3 P c r o� - �: I�- - �� rlaruaex mrr�n.„ -= v��earLbi-4 �mwr REPAIR/ALT. F i - -fit YP _____ --- FOR: � askR crw - -_ __ /' t ��eTC(} COPPOLA US. 260 LINCOLN AVE � -�-r✓nil-��=�ai.�2 ,�� 'S'-'t,�.nJ �_�_B"X�a-�a�n4���7$� m7aRRI50N:uYa6831 `" a e � 5�rc.�$sRri= N ,ils�y ._ � 4 O o a �-� r-�-- ���1TG4� ��• �r�s}�_�u 1 �._\/A'� __ �101 1',10?3 5 ALL GRAWIN%6 WRITTEN MAIL AFFFARIN6 HEREIN LOIKTME ORI6INAL$11NPJBLISHED WORK a THE ARCHITECT e MAY NOi EE DIALICAI I, OR DIx1.0'ib WOUTWmiRN CONSENT Gi THE ARG'ITa'T.—RE,ALL DW HEREIN ARE FOR THE ENPRE5515E OF THE ' LA'_LED OLT IN THE TITLE BLOCK 1 M4Y NOi ', �DIRIGAT®PokIFf 1,�651MILAR J085. DO NOT`GALE DYG5.115E EI0 DIMEN1, ONLY,Ii NOi SNOrpy VflE LCRRE'.-DiN�159N5 ' WTNiHE ARC11PdT THE COMRALiOR SHALL Di J51L LONOITI0N5 li AT lik 51'r-„'LEASE NO IA ARCHITECT OF AhT '. DIkREPANClES. -....._e.e....- ---- IAJiWTMORIZED PDDITION OR ALTERATION CF tHl 5 PLAN li A VIOLATON OF SL:,IIPi 12L9(�) '. OF THE NEW YORK STATE mWATIOHLAW. �.- � _ I li&ARCHITECT WAIVES ANY AND AI RESF0115IBILIl ANG LIABILIl FOR PROBLEMS WHICH AR15E FROM FA!LIIRE TO F H T 5E PR THE DE516N 1H AR1 THEY LLNVCY. OR FOR PROffl.EMS NIGH ARISE FROM oiHER'5 JRE TO AIN AND/ LLGW-.HE ARCH Li W NL WIHRfsPECT iO ANY ERRORS OMI5510 Ei OR CLI O k'il 1 VLIES -_-- AMBIWITI ICLI VWILH ARE 'Qtr L/>'+ T`rHV✓ '(a/A 0"(/-tr x 1 ALL.EEo. c__ IxERE 1FY THA mBa7oE Mr rvwR5 TO I _ 6, i s1awN oN x DRAW Lwls.To rLL —--- A ABLf IRET4N Fi NS i �� \ CONSERVA I N N51PoA.TON LDS. w,14 L � � �6 No1dSaK A -- �y4AG VA T- moo.�a �-____ /nE�F Qoc✓rc � j a T G 3 ll }� �❑ �r�a+ �lr�t� qua .�c�-rG+� e�sL �� / o � �� "❑ Nagy — I o I ��11-h Q. REPAIR/ALT. eLAtJ yv. 1�o y CPS; — R COPPOLA RES. 260 INCOLN AVE YAKK150N,NY 0683: � 4-11T')44w, It,( FLej� �m D,bWM,a: I 0 kw 194� N; III - A- 1