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BP23-103
PERMIT # &J SECTION Za TYPE OF WORK JOB LOCATION. •lam LVA• r M -/O DATE: goNfPt a BLOCK ,r�»- ��� LOT TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT 0 ALARM AS BUILT FINAL lNSP li2r 40, a70 ,8W,14 Cco3�3i� 77a7 /y) 497-3074 OTHER APPROVALS ARB BOT PB ZBA OTHER �fFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION ecc��v 9 a�i VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-163 \''1 n2 I'? Certificate of Occup ucp This is to certify that #VC&n/ 0 DYUY 0121w f al efiK.l vo_-Lsa� of, /�(.�� IJY�/��i ruy having duly filed an application on r 20 requesting a Certificate of Occupancy for the premises known as, 6u3h Abjk v orlejee/77 , Rye Brook,NY, located in a pG� Zoning District and shown on the most current Tax Map as Section: / Block: I Lot: Oq and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.� d , issued &2 20,,1, 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: - /0 Construction: for the following purposes: 121oce 7f DafiO dborS 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 madeaeks ll the building be moved from one location to another until a permit to accomplish such change ha en ob fro th uilding Inspector. OCT 1 7 2023 Building Inspector,Village of Rye Brook: Date: E n 7 il� BUILD ENT For office use only: �j u�1 � PERMIT# _�A3 VIL OF RYE OK ISSUED: SEP - 12023 03 8 KING STRE YE BROOK, YORK 10573 DATE: 14)939-06680> FEE: PAID VILLAGS OF RYE BROOK ���wy►_,r4brook:� 2 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 titiiiiiti♦4t►#######iii#i►►►#t####t##t##t►F►►it##tttit►iif►►►►##t►tiitti►t►itii##ii►i####################################### Address: le0.J S" W C V'C S C,1; %0 �D 513 Occupancy/Use: .1 0:"�t4fq Parcel ID#: /r_�s 9, 76 —1—9 9 Zone: Owner: Address: \kok %"Sa \4 0\\oW Cf,ES CC tJT P.E./R.A.or Contractor: f71DP,,M\-.P,Q ASCaQ.N,r\ 1--\-L Address: \ti 1 C.N ES"N CR Person in responsible charge:-MT4 n11 S N Q,Rd 0 Q E Address: \y V��\���►S A E \p0.T Ca GSTC R Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: M�Ctiv.C\ "(P,5QrW V b being duly swom,deposes and says that he/she resides at 1!S Z S"TV C (Print Name of Applicant) (No.and Street) in 0 R 1A N fit. ,in the County of E vJ QN E in the State of LT that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 1 5 0 for the construction or alteration of Q 4"A-1c a W C v IL R 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. S s S� Sworn to before me this 75 Sworn to before me this 3 day of �J�J 5 , 20 Z 3 day of A J TVs 20 Z 3 ature Sf Property Oi'ner Signatur Applicant Jaclg n Print a e of Property 6wn9r Print Name of Applicant Notary Pubolk Notary Pub GREGORY M.RIVERA GREGORY M.RIVERA N"Public,State of New York N60ry Public,State of New York No.01R16411398 No.MR%"1398 OuaNfied in Westchester County Ou&Nfted In we$mhester County Commission Expires September 26,2tl—I Cuff"ssion Expires September 26,20, �E 4R(b, cu � c 1982 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: ` , \ �L 1 1 J"64 - a c DATE: fi PERMIT# +�G ISSUED: LOCATION: BLOCK: LOT: LOCATION: 1 11 =( (�l Qr f \ (�(�. ;> `=`� 4c u CCUPANCY: C L> ❑ Violation Noted THE WORK IS... 20' 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 [f FINAL ❑ OTHER s + s x W lu o W s a 1i n 7 ;L.; 4 114 4-4 ' V ' O V14 4j 1__I s a ~ W � ♦I�j-1 � +N !� PG C� �CuL' V " N � ►--I O to �.,�I = O Z Lr) ` aAoo01° s C/) � L �'' v A O W 4w Cn H � w � a � o1 � b ' O O ` eq 00, co s As W H r-1 M p �v p c' 0s � v � U o . ON _ LfLv F� FBI `" U sR V z � o :: v r•-i µMS Z O > Z `f' w z o F" o ° awe v W � � ° '—r N H o 3 z z � v � � 25 `n z () w O 20 0 .5 o V ga'A _z O atn > ao Z W W 07� .4 ° xCl z o -a °Q BUILDING DEPARTMENT IE C E d IE VILLAGE OF RYE BROOK JUN - 1 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rvebrook.ore BUILDING DEPARTMENT 1962 ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: 01 APPROVAL DATE: ` RMIT U:" .;�,)-3-/©,3 APPLICATION FEE: / APPROVAL SIGNATURE: PERMIT FEES: / 1 I— 606- H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: T"ey. , Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,sfructures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: 1(o 1 �5 P-N) S>- 0 C iz_C S t � �✓"1 2. Parcel ID#: 1 , ✓Ui ' - Zone: 3. Proposed Improvement(Describe in detail): t r M L N : 01 r "f W V S N L a VL a G lL;L 4'.% c r0 i PA 't E rJ > a'qL r�� 41% c Q ca,r C '-L. ( 2. U * %b 4. Property Owner: :�1�.c`hat\ r(a�., s✓n v (S.cv'�v a +e c� a fc�5 a;aria �- �c\C�Yy �ttt(�ev'C Address: \(a\ g Ry s)r\ " V%\o W C V_r, c c "L R`(G"8��.�o f Phone# Cell# 1 V 3 - 3 N A - '\1`L-1 e-mail -4 9\ _S E C e A 0 - (# %A List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: (2 Q W Q /-? I-L( /74/-S Q - t. Address: &jjS^� �// QoI L��c' O! Chi P.S ripe IVY /0- — 3 Phone# 91 -y9 7- 3O 7T Cell it e-mail (1) 8/12/2021 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: 1 �9 G 6' S M ;;;- '% Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1"fl: 2nd fl: 31 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: I'fl: 2nd fl: 3'd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; O Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: 15. Number of stories: Z" Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: W G 18. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: V� ei 3 -, -;!5, 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No: (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:_No: X Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:V[ (if yes, applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project 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) 25. 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) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:k (f yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER I: TIER H: TIER III: (if yes,a Home Occupation Permit Application is required) r r. 29. What is the total estimated cost of construction: $ q -, 0 1D Note:estimated cost shall include all site improvements,labor,material,scaffolding,fired equipment,professional fees, including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: 7:1'./ -2— U 7-9 'L 3 (2) 8/12/2021 AWE BUILDING D19PARTMENT VILLAGE OF RYE]BROOK]BROOKD )UN - 1 2023 938 KnvG$T.WET RYE BitooK,NY 10573 1, VILLAGE OF RYE BROOK 6 BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • 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, e 5-- 1A ,0 C . :y r 0 �E C "� (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)) Mti c,�V% a ti '1 \i aS 49* -1c Tit, v (Print Name of Property Owner(s)) Sworn to before me this U da of , 20_2- (Notary Public) SHARI MELILLO �lotary Public,state of New York No.01ME6160063 Qualified In Westchester County �] (3) commission Expires January 29.202 r 8/12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,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 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 fiuther 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 - L) Sworn to before me this day of �n , 20 ` day of Cat , 2022 Signature of Property Owner Signature of Applicant -, C L,p r " VP`5 l+.-C J 9 i M C C %r-1 O < � VA S (a T J N.1 Print Name of Property Owner Print Name of Applicant r - A&!=, ryaa (-- Notary Public Notary Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York tJotary Public,State of New York No.O1ME6160063 No.O1ME6160063 Qualified In Westchesterj county Qualified In Westchester County commission Exp Wommission Expires January 29,202-7 (a) 8/12/2021 The Arbors Homeowners' Association 173 '/2 Ivy Hill Crescent Rye Brook, NY 10573 May 12, 2023 Fn JUN - 1 202. VILLAGE OF RYE BROOK Michael Vasaturo BUILDING DEPARTMENT Antonietta Vasaturo Jaclyn Bryant 161 Brush Hollow Crescent Rye Brook, NY 10573 Re: 2 Sliding Glass Patio Doors Dear Michael, Antonietta and Jaclyn, This letter serves as confirmation that the Architecture & Grounds (A&G) Committee has reviewed and accepted your application for the above-named work. This approval is valid for six (6) months from today's date. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. A permit from the Village of Rye Brook must be presented to the property manager before work begins. You are also required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, contact me at: Property Manager. Nicholas Salzarulo Property Manager The Arbors Homeowners' Association 173 1/2 Ivy Hill Crescent Rye Brook, NY 10573 p [ECIEME DD May 12, 2023 JUN - 1 2023 VILLAGE OF RYE BROOK Michael Vasaturo BUILDING DEPARTMENT Antonietta Vasaturo Jaclyn Bryant 161 Brush Hollow Crescent Rye Brook, NY 10573 Re: Paver Patio Dear Michael, Antonietta and Jaclyn, This letter serves as confirmation that the Architecture & Grounds (A&G) Committee has reviewed and accepted your application for the above-named work. This approval is valid for six (6) months from today's date. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. A permit from the Village of Rye Brook must be presented to the property manager before work begins. You are also required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, contact me at: Property Manager. Nicholas Salzarulo Property Manager The Home Depot Special Order Quote Customer Agreement#: H6202-223019 Printed Date:4/20/2023 Customer: MICHAEL VASATURO Store: 6202 Pre-Savings Total: $4,218.23 Address: 152 SUNRISE HILL CIRCLE Associate: RONALD Total Savings: ($632.82) ORANGE,CT 06477 Address: 440 Boston Post Rd Pre-Tax Price: $3,585.41 Phone 1: 203-314-7727 Orange,CT 06477 Price Valid Through: Phone 2: Phone: (203)799-1900 4/30/2023 Email: VPUSEC@AOL.COM All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products. i I E,ANDERSEN_j RO Size= 60" x 80" Unit Size=59 1/4" x 79 1/2" .11 Catalog Version 224 NumberLine • Quantity TotalTotal 100-1 100 Series Patio Doors Gliding Patio Door,Assembled Left- $1,762.28 $1,497.90 1 ($264.38) $1,497.90 Stationary,59.25 x 79.5,Dark Bronze w/Dark Bronze Sash/White White,Tulsa Hardware,White Auxiliary Foot Lock Unit 100 Begin Line 100 Description ----Line 100-1---- 100 Series Patio Doors Gliding Patio Door Interior Sash/Panel Finish Color=White Insect Screen Type=Full Screen Overall Rough Opening=60"x 80" Patio Door Assembly=Factory Assembled Insect Screen Material=Fiberglass Overall Unit=59 1/4"x 79 1/2" Glass Construction Type=Dual Pane Insect Screen Frame Type=Gliding Installation Zip Code=06477 Glass Option=Low-E Insect Screen Color=Dark Bronze U.S.ENERGY STAR®Climate Zone=Northern High Altitude Breather Tubes=No Installation Material Options=No Search by Unit Code=No Glass Strength=Tempered Re-Order Item=No Standard Width=100GD2P50XX-RO:60" 1 UNIT: Glass Tint=No Tint Room Location= 59 1/4" Specialty Glass=None Unit U-Factor=0.3 Standard Height=XX68-RO:80" 1 UNIT:79 1/2" Gas Fill=Argon Unit Solar Heat Gain Coefficient(SHGC)=0.32 Frame Width=59 1/4 Glass/Grille Spacer Color=Stainless Unit CPD Number=AND-N-100-01450-00001 Frame Height=79 1/2 None U.S.ENERGY STAR Certified=Yes Unit Code=100GD2P5068 Hardware Style=Tulsa SKU=1000012807 Frame Option=13/8"Setback Exterior Hardware Color/Finish=Dark Bronze Vendor Name=S/O ANDERSEN LOGISTICS Venting/Handing=Left-Stationary Interior Hardware Color/Finish=White Vendor Number=60509030 Exterior Frame Color=Dark Bronze Auxiliary Foot Lock=White Customer Service=(888)888-7020 Exterior Sash/Panel Color=Dark Bronze Exterior Keyed Lock=None Catalog Version Date=01/18/2023 Interior Frame Finish Color=White End Line 100 Description Page 1 of 2 Date Printed:4/20/2023 ■"JANDERSEW RO Size=96" x 80" " "°°"' • °°°" Unit Size=95 1/4"x 79 1/2" T T Catalog Version 224 NumberLine • Price Quantity TotalTotal 200-1 100 Series Patio Doors Gliding Patio Door,Assembled $2,4SS.95 $2,087.51 1 (5368.44) $2,087.51 Stationary-Right,95.25 x 79.5,Dark Bronze w/Dark Bronze Sash/White White,Tulsa Hardware,White Auxiliary Foot Lock Unit 200 •: $2,087.51 Begin Line 200 Description ----Line 200-1---- 100 Series Patio Doors Gliding Patio Door Interior Sash/Panel Finish Color=White Insect Screen Type=Full Screen Overall Rough Opening=96"x 80" Patio Door Assembly=Factory Assembled Insect Screen Material=Fiberglass Overall Unit=95 1/4"x 79 1/2" Glass Construction Type=Dual Pane Insect Screen Frame Type=Gliding Installation Zip Code=06477 Glass Option=Low-E Insect Screen Color=Dark Bronze U.S.ENERGY STAR®Climate Zone=Northern High Altitude Breather Tubes=No Installation Material Options=No Search by Unit Code=No Glass Strength=Tempered Re-Order Item=No Standard Width=100GD2P80XX-RO:96" ) UNIT: Glass Tint=No Tint Room Location= 95 1/4" Specialty Glass=None Unit U-Factor=0.3 Standard Height=XX68-RO:80" 1 UNIT:79 1/2" Gas Fill=Argon Unit Solar Heat Gain Coefficient(SHGC)=0.32 Frame Width=95 1/4 Glass/Grille Spacer Color=Stainless Unit CPD Number=AND-N-100-01478-00011 Frame Height=79 1/2 None U.S.ENERGY STAR Certified=Yes Unit Code=10OGD2P8068 Hardware Style=Tulsa SKU=1000012807 Frame Option=13/8"Setback Exterior Hardware Color/Finish=Dark Bronze Vendor Name=S/O ANDERSEN LOGISTICS Venting/Handing=Stationary-Right Interior Hardware Color/Finish=White Vendor Number=60509030 Exterior Frame Color=Dark Bronze Auxiliary Foot Lock=White Customer Service=(888)888-7020 Exterior Sash/Panel Color=Dark Bronze Exterior Keyed Lock=None Catalog Version Date=01/18/2023 Interior Frame Finish Color=White End Line 200 Description Page 2 of 2 Date Printed:4/20/2023 r t r r t 4 Ana ills —— - ra y - � �� 1 . •fir � !� `+ � PE 4 Selo ic! s WV oAft T, �� ! ,r r/ � tip•` � � •i. .Jr� J � S. r' r��-Y'i : ^' � �- s T. '♦ ! fir,. •~ �,'4 ��., ' . •��''�i '11 .�'�� ���-J�nram:`. • •1 *: ju: P, p N N t � •' ' Q T IFV V . N 3 x 6� C __T L v 0 Landscaper - Arbors AMW _8CIEWED It UN - 1 2023 E OF RYE BROOK ING DEPARTMENT ENOS /N NONE F ECENED BROOKJUN�- 1 2023 N VIL�A-GE OF BUILDING . .. r...,�� .,� ,mow:' ,�.,.�� � `� _ �. __ � •i, � y .yam ♦+' �,��,� ♦ �y��y,� =�..� ra. .�!� 1S-� a'�t.„7'� "� F„ ..�'..�?'1ieT �,+..n*,���! i�f'�YCf[1^� k•- � �"� �� P � i Laura Petersen From: Laura Petersen Sent: Friday,June 16, 2023 2:45 PM To: vpusec@aol.com Subject: RE: Building Permit Application - 161 Brush Hollow Crescent Good afternoon, Per the Building Inspector, please also mark on the survey the measurements of the new proposed patio as well as pictures of the new pavers. Please also let me know if you have received your contractor information yet. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 IpetersenCcDryebrook.orp From:vpusec@aol.com <vpusec@aol.com> Sent:Tuesday,June 13, 2023 2:34 PM To: Laura Petersen<LPetersen@ryebrook.org> Subject: Re: Building Permit Application - 161 Brush Hollow Crescent Laura, Attached is a highlighted version. The pavers will not go over the concrete patio, the concrete should be broken up and the pavers will go over the ground. I hope that helps. -----Original Message----- From: Laura Petersen <L Petersen(Wryebrook.org> To: vpusec(cDaol.com <vpusec(6-aol.com> Sent: Tue, Jun 13, 2023 1:37 pm Subject: Building Permit Application - 161 Brush Hollow Crescent Good afternoon, Please mark (highlight) on the attached survey where the new pavers will be placed. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Ipetersen(a)ryebrook.org 1 o •, { +r o 61 Z. C� �•+ Z � r EZ hom C : .n o z w k DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 04/05/2023 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 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 CO NTACT Progressive Buisness Advantage Program N Progressive Advantage Business Program PHONE a : 914-939$895 FAX No PO Box 5316 E-MAIL Bingimton, NY 13902 ADDRESS: commercialservice@homesite.com INSURERS AFFORDING COVERAGE NAIL S INSURER A: Midvale lndemityCompany 27138 INSURED INSURER B Adam Landscaping LLC INSURERC: 141 Wilkins Ave Port Chester, NY 10573 INSURERD: 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. 1�TR TYPE OF INSURANCE Im ADDILium SUB POLICY NUMBER MM/DDPOLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE s 2,000,000 DAMAGCOMMERCIAL GENERAL LIABILITY REMIS T RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE 1:1 OCCUR Y N GLP 1016442 1/24/23 1/24/24 MED EXP'Any one person s 5,000 PERSONAL 6 ADV INJURY $ 2 000 000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 4,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acc dent ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED BODILY INJURY(Per aockkwvt) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLALWB OCCUR EACH OCCURRENCE $ EXCESS LLAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION $ WORKERS COMPENSATION WCRY STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N TO LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT C 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 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH REGARD TO GENERAL LIABILITY COVERAGE AS PER WRITTEN AGREEMENT. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK 938 KING STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RYE BROOK, NY 10573 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD /7--k-N NYSIF k:nd PO Box 66699,Aluany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE "i;.u n n n n'' 611729762 HALLAHAN MCGUINNESS& LORYSPO BOX 570 SEPURCHASE NY 10577 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ADAM LANDSCAPING LLC VILLAGE OF RYE BROOK 141 WILKINS AVE 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2585 490-2 166390 02/23/2023 TO 01/28,'2024 4r5/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED .ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2585 490-2, 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.COMICERTICERTVAL.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 ANWOR 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 SUR NCE FUND 4 �/ DIRECTOR.INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 253622582 U-26.3 f h � . 1 v c� # O c N la mZ) D o� 12 30r • m0 W; � O C �,ViO Ln io�" Lot 16Q. 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