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BP23-119
DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT 0 ALARM AS BUILT O FINAL INSP q�3_�g/A/ 3 APPROVALS VILLAGE OF RYE BROOK WESTCHEST Coumpy, Nrw YORK NO. 23-184 (fertif irate of ®ccupaucp Ehis is to certify that [.LrC�Y 1// yam Bi, r of, Rue onk /y�,...��,, Q i having duly filed an application on (/c ab r C!.?,,20 . requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY,located in a �Zoning District and shown on the most current Tax Map as Section: 5.4/3 Block: Lot: 5, , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit NoJ,-3-// q , issued 20 o1.3, 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: '� ��� �/G Construction: , for the following purposes: Pe P)a e W T 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,norahall the building be moved from one location to another until a permit to accomplish such change h e obtained fro a wilding Inspector. L Building Inspector,Village of Rye Brook: Date: NOV 2 8 2023 Dv 11' For office use only: BUILD ' T,MENT PERMIT OCT 2 3 2023 VILE OF RYE,BbOK ISSUED:'?-c�g-� 38 KING STRE , I YE BROOK, YORK 10573 DATE:/p-z�3-a VILLAGE OF RYE BROOK 9 -06 O�c FEE: ,A PAID,. 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 if►tttfi►►tttttiitiittittitttift►ttift►f►tft►f►ttttt►flftttt►►ff ttf tttiiittitfftiiitititttiiftfitfitti►ftti►fifttt►t►fit►tti► Address: f�2tL�e �`-�- Occupancy/Use:1 )C;4"—Parcel ID#: ���j i y3 - -.�� 9 Zone: Owner: [Z LC,4A , A,� K4-7/J &P-P 9 ( Address: P.E./R.A.or Contractor: fifra?c_.S &,f-zi� e •r— Address: p O. SOX, g1ylz4 /",?9 Aj y Person in responsible charge: ��jr o �'S Address: / Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: 1 being duly swom,deposes and says that he/she resides at ( � &C i(/ (Printm Nae of,1ppl ant) (No.and Street) in 't: 812mt> V ,in the County of in the State of A ,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:$ O. O o for the construction or alteration of: Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10./A.of the Code of the Village of Rye Brook. Sworn to before me this y(- TV n�- Sworn to before me this day of , 20 day of , 20 Sigiiature of Property Own r Signature of Applicant ,,.-QJD c Pr a of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York 8/12/2021 No.01ME6160063 Qualified in Westchester County Commission Expires January 29,209---� DRC�k O �m w � 1982 .� BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 0 ASSISTANT BUILDING INSPECTOR (914)939-0668 FAX(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -- ADDRESS: �—� �`� '�-" DATE: I 2-71-10-2 PERMIT#; CZ ISSUED: L SECT: r� BLOCK: LOT: r LOCATION: Lx � t` r t�-�..� 1 Y� �(1 t �1 ci'� OCCUPANCY: Z I y ❑ VIOLATION NOTED THE WORK IS... ACCEPTF,D ❑ 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 0 FIRE SPRINKLER ❑ FINAL PLumi3jNG ❑ FINAL ❑ OTHER s , _ e c� v c a ■ o w vi = a Cl) Lei cry 0-4 a v v v C W bb _ UVA LtiV � 1 O O � OON It o Q oCD Aco�1 V N L, H 5w 1-4-a O l � a V z N bR OO O 0 a O W00 O ~ sa u z F U Z 0.� a z Q u 00 'Ell lu o � A� ■ v ,, v O O v�i v I Q y c y� o x C a b °� 4"7 ^W O H w o 'v v „ �V 26009 a a w Z .- w Vrh VA z o 7 Vr z w W �, O °� 0 r+ A W z ca oA � . . BUILI ��� TMENT �7 VIL%ET OF RY6OOK 938 KING *RYEROOD,NY 10573 ��[� 2 7 2073 VILLAGE OF RYE BROOK I BUILDING DEPARTMENT FOR OFFICE LiSE ONLY: 1 roval Date: -rl9 Application# AW 93-UD7 App �UL2 4 2023 Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: pp Application Fee-9 00 Permit Fees:4VOO" EXTERIOR BUILDING PERMIT APPLICATION 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,structures,additions,alterations or for a change in use,as per detailed statement described below. I. ]obAddress: tQ P-- q`'�A*- ' p 2. Parcel ID#: �� 3 j— �� / Zone: I� — 3. Proposed Improvement(Describe in detail): D, � s�e�� 4. Property Owner: �} yb-� ` �4 Address:JQ �c/2 Phone#_ T t 7 " 7 Z V- 9'b Y Cell# e-mail _1%4{fib ,P..� ` L List All Other Properties Owned in Rye Brook: /`/./A Applicant: Address: Phone# Cell# e-mail Architect: AL"4741cS Address: '� '2 Phone# 4Q11 4 ^ 3 3 ZZ!J Cell# e-mail J rLAj DM-p`U Engineer: Address: Phone# Cell# e-mail General CZo actor: a"s Address: Oj 9 U z__ © ) y fo"! 6 Phone# Cell# 2<->'� 8 L1 ` �'5 Z— e-mail Qa� 611/2023 5. Occupant • I-Fam., -Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: 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 corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I"fl: 2"fl: 3Ta fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 11 fl: 2ne fl: 3'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. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automae suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of im ous coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) , �_ 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: `x (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) / 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (rf yes, the area and elevations of the Mood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER I: TIER II: TIER III• (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $ /00 00 V •V Note.The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donated gratis. 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{_5 y3j (2) 6/1/2023 BUILD MENT VIL OF RYE OOK 938 KING ET RYE BRO ,NY 10573 11 - i4), .066�c 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: I [ o Y 1 residing at, � Le (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; � V r__ , Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. l 4—a'Prop, f rty Owner(s)) Aid Name of Property O\a ns n Sworn to before me this ofPublic)�W�-[' , 20 3 (Notary SHARE MELILLO Notary Public,State of New York No.O1ME6160063 Qualified In Westchester County ioMrnlSSion Expires January 29,20�i� (6) 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 further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 2-1 Sworn to before me this day of :?`l , 20 day of , 20 tgnatu4ofopeOwner Signature of Applicant P '�of Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission'Expires January 29,20 Z7 (g) 8/12/2021 Building Permit Check List&Zoning Analysis t Address ' tJ ` \N c_)_ SBL: Zone:�Use: 2� Const.Type:• V Other. Submittal Date: Revisions Submittal Dates: Applicant: Nature of Work: Reviews.ZBA: ,A 0 6 2t2J P& BOT Other. NEED 9� \ (�( ) FEES:Filing P: C/O: Flood Plane: Legalization: ( ) ( ) APP: Dated Notarized. SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review Street Opening. ( ) ( ) ENVIRO:Long Short: Fees: N/A; ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( �SURVEY:Dated: Current: Archival: Sealed Unacceptable: ( ) ( ) ,PLANS:Date Stajnped. Sealeds Copies: Electronic Other. ( L ease: orkers Comp: ✓ Liability Comp.Waiver. Other. (BODE 753#: f� / .3 OCx�+t� <,S —UC3 Dated: 1—_3/-3 3 N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL-Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit I-W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey. Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. (U" mtg.date approval t. notes: ( )ZBA mtg.date: approvaL• notes: ( )PB mtg.date: approval• notes: REOLW EXISITNG PROPOSED NOTES APPRC Ate: Circle: Fr n Front: Fron Sim: RCAV Main Cov Accs.Cov F S : S .HS : Tot,!my: Fc Imp: Pazlung Hdght/Stories: notes: p BUILDT &kRTMENT DD VIL OF RYi�RgOOK JUN 2 7 2023 938 KING Q ET RYE BR (#K,NY 10573 4 9 9-0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: I(,e Q-" k,.P --OR, y, Date of Submission: Parcel ID#: /3s, 1\ 4-JS-i 9 Zone�'S to127 2-3 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. I Property Owner: 1. (�mpleted Application l'( �•�.� �LVI MCP 2. (-)'Two(2)sets of sealed plans. (one full size(maximum Address: 16 oj-p 4of= (7,(l allowable plan size=36"x 42")and one I 1"xl7") /L 3. ( Two(2)copies of the property survey. Phone# ! - aj L3 -7 4. ( )Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (-'�—One electronic/disc copy of the complete CAW N�� application materials. 6. (1 Filing Fee. Address: 7. ( )Any supporting documentation. 8. ( ) HOA approval letter. (efapplicable) Phone# 9. ( 'Photographs. Architect/Engineer: 10.( )Samples of finishes/color chart. (a sample board or Phone# model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this d of , 201)- _ day of , 20 ignature of Property Owner signature of Applicant LY Pri a of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York III No.O1ME6160063 Qualified In Westchester county. commission Expires January 29,20 z 8/12/2021 13R�u� Village of Rye Brook X , Agcnd `�� �_ ti Architectural Review Board Meeting �Q V L."� Wednesday,July 19,2023 at 7:30 PM Village Hall,938 King Street 1. ITEMS: 1.1. ARB23-064(Consent Agenda) DRJ West LLC 32 Lincoln Avenue 4'high white vinyl fence with driveway gate. 1.2. ARB23-065 (Consent Agenda) Brian Zelesky&Alexandra Zelesky 26 Hawthorne Avenue 4'high PVC picket fence,4'high black chain link fence,4'high white PVC driveway gate and 6'high black chain link fence. 1.3. ARB23-066 (Consent Agenda) Alexander Sherman&Samantha Sherman 26 Lawridge Drive 4'high white vinyl fence and gates. 1.4. ARB23-067 (Consent Agenda) Richard Bill*&Kathleen Billig 16 Red Roof Drive Replace walkway and front steps. 1.5. ARB23-068 (Consent Agenda) Sherree Amar 45 Lincoln Avenue Rooftop solar array. 1.6. ARB23-069 (Consent Agenda) Sujan Vasavada&Sujasha Vasavada 2 Heritage Court Rooftop solar array. 1.7. ARB23-070 (Consent Agenda) Michael Rackenberg&Stefanie Rackenberg 144 Country Ridge Drive Rear patio. 1.8. ARB23-071 (Consent Agenda) Karen Kuznetzow 267 North Ridge Street 6'stockade fence,post and rail fence along retaining wall and gate. Architectural Review Board July 19,2023 1.9. ARB23-072(Consent Agenda) Eric Gioseffi&Jacqueline Gioseffi 30 Lawridge Drive 4'-1/2"high black aluminum fence and gates. 1.10. ARB23-073 (Consent Agenda) Thais Cunha&Marcela Melgarejo 17 Lincoln Avenue Replace patio and walkway. (� Consent Aanda Approvals: Motion `1 '� Second Abstention Aye; �2 Nay; Adjournment; Notes 1.11. ARB23-074 Jose Sagastizado&Noemi Sagastizado 28 Division Street Rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB23-075 Sheryl Brauman 12 Magnolia Drive Rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB23-076 Joshua Kirsch&Kristen Kirsch 2 Lee Lane One-car attached garage and driveway parking court. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 • Architectural Review Board July 19,2023 1.14. ARB23-077 Win Ridge Realty LLC 13 Rye Ridge Plaza New awning. "Stretch Lab" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.15. ARB23-078 Win Ridge Realty LLC 112 South Ridge Street New facade sign and awning. "DIG." Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB23-079 (Amendment to Prior Approval) 760-800 Owner LLC 760 Westchester Avenue Change from Betafence Guardian Dutyguard fence to black chain link with privacy green hedge inserts. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.17. ARB23-080 Jacob Gebrael&Marleine Ishak 1 Hunter Drive In-ground swimming pool. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 • Architectural Review Board July 19,2023 1.18. ARB23-081 Gregory Varone 47 Hawthorne Avenue New single-family dwelling with attached garage,in-ground swimming pool,spa,cabana, deck,patio and fencing. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.19. ARB23-082 Richard Gasparino&Bridget Gasparino 6 Jacqueline Lane Legalize 12x24 storage shed. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.20. ARB23-083 Srivatsan Raghavan&Janani Ranganathan 436 North Ridge Street Window and door changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.21. ARB23-084 Christopher Bandon&Tamzin Manning 72 Valley Terrace Legalize 10x23 rear paver patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: August 16,2023 Pagc 4 of 4 . - + -�±, fir, _ 7 ` •i.�ti t t1- � - ♦ ..1 ', t > i , t •p f r� S wl Y\a7. y� 4 i K A 11 �ti y �T' 4� •`1 t'i M T'� >1. , iv It -�\ �..��.. 1,f d,. '4 � /., (. ` _, , - • \'.���`. ,4Y ,\•-Y�:.�. fir`: •.Y _ - ) ) 3' L George Latimer }• Westchester County Executive James Maisano AX 111 Director,Consumer Protectio Department of Consumer Protection Home Improvement License PLORES GENERAL REPAIR INC. PO BOX 1902 OSSINING,NY-10562 his license is issued in accordance with Article XVI of the Westchester County Consumer Protection Code and is valid only upon presence of the official department seal. Proof of citizenship or immigration status is not required for issuance of this license. NOT FOR FEDERAL PURPOSES `ot c,onsul,,e ,.A Date of Expiration License Number a 11/25/2024 WC-21297-1-108 o r, �sf�hester CO 1�.1 11 i, �* _ �.tr+'111�j11 1111�1111 gg `s, „J,II�II�Si Asa � YY r�11111111il� '� s��ti �lJ1114S � y4♦ w 1�i t' 1111/111111 do 8' r�`s2: y III/Ilyn ,.��P �k� 1`,�IIIii �a8 •,��C �v�� .}�1�4Ak�'e:�',�,.1��:U��i����A1i�}(�t�y. i, ,rA � a ♦1� '��1'�A�'ES Fj,r�t�Ll ;' a '• --! y 1 ^ -�,r1 y�{(�` �l�p t �, y�. �► SfI S�';r f r�t�Ix., �y-frr n ft lif. "tyµ 5�r,/�t�i1 Q `iSSlstiti�5ti4ti�k'p 0, - �v� �� -�:; =�--`. xi � ;. , '-' �.,.,,.i N v tt'+ �f o� ;,:., ,_.'..� �t v' ....... ...,..���.u.,;y�t�'t+. .x.-r. .,_v,,.� �,� _ _,• � DATE(MM/OD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 06/16/2023 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 Heydi Ortega Lazaro FITZPATRICK INSURANCE CENTER NAMEPHONE 9147396117 FAX 9147391553 lac.No.E>t►: (ac,Nor. 54 WELCHER AVENUE A�'ESS: heydi@fitzpatrickinsurance.com PEEKSKILL,NY 10566 INSURE S AFFORDING COVERAGE NAlCB INSURER A: ATLANTIC CASUALTY INS CO 42846 INSURED Flores General Repair Inc INSURER B: P.O.BOX 1902 INSURER C: Ossining,NY 10562 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - - �.ADDL SUER POLICY EFF POLICY EXP LTR __ TYPE OF INSURANCE POLICY NUMBER MM/DD MM(DDIYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY Y 3AA557436 05/06/2023 05/06/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS-MADE f/ OCCUR PREMISES EaEoccurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- JECT _ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea..dent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident _ $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDEDI ❑ N/A - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) List the Village of Rye Brook as additional insured. Homeowner and location:Richard Billig&Kathleen Billig, 16 Red Roof Drive,Rye Brook, NY 10573. 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 Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE � a ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE %L-19;w ^A^A A 262545639 FITZPATRICK INSURANCE CENTER 54 WELCHER AVE PEEKSKILL NY 10566 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FLORES GENERAL REPAIR INC VILLAGE OF RYE BROOK PO BOX 1902 BUILDING DEPARTMENT OSSINING NY 10562 983 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2296 223-7 371346 08/24/2022 TO 08/24/2023 6/16/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2296 223-7, 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, 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 CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRES SERGIO FLORES FLORES GENERAL REPAIR INC 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 T4 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 372772550 U-26.3 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday,July 31, 2023 10:29 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 07/31/2023 10:29 To: VIL RYE BROOK PRIMARY Transmitted: 07/31/2023 10:29 00004 Ticket: 07313-000-957-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 16 To: Name: RED ROOF DR Cross: From: To: Name: OLD OAK RD Offset: ------------------------------------------------------------------------------ Locate: THE FRONT OF THE HOUSE, THE SIDEWALK NearSt: Means of Excavation: HAND TOOLS Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: REPLACE EXISTING SIDEWALK Estimated Work Complete Date: 08/28/2023 Depth of excavation: 6 INCHES Site dimensions: Length 40 FEET Width 4 FEET Start Date and Time: 08/07/2023 07:00 Must Start By: 08/21/2023 ------------------------------------------------------------------------------ Contact Name: SERGIO FLORES Company: FLORES GENERAL REPAIR Addrl: PO BOX 1902 Addr2: City: OSSINING State: NY Zip: 10562 Phone: 203-814-6632 Fax: Email: floresgeneral76@yahoo.com Field Contact: SERGIO FLORES Alt Phone: 203-814-6632 Email: floresgeneral76@yahoo.com Working for: RICHARD BILLINGS ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i 0 z ow 5-a< z Lli 0 C14 u- fill 04 0 Oki 0 �M 0 W Z Imp 0 C I-VE ul cc Z6 I. Ll < Ir L'I lYr Aomp doll 00H w 3 (IVOIJ (ap!m 'oq) NVO 0-10 > 06*06 00,19.Z ON dob w A 00 0 z CN 0 i C'. > 6 U . 0 c t:w W ' -C 0 A 0 -0 2- LLJ 0=:! 64) z oc < u L),4,u v.0 z LAJ OL .-.5 z r o -'w Q) Cv. UjapooloV4 .> .-�L Q). —15 0 0 IUD BALM ` ua wy ,D 00,30, Do— , --- a.04 60 j V>! , NIHON! �Wl 3 Slai VIC L"DP030YV !e cu va i 84 ou it Z' Ojl 111fil, = g b f gd jiffy's C'. Z Kill ii'll Ail I 7W N 7: M • N E I. ALL WORK SHALL COMPLY MATH THE STR=ST REQUIREMENTS OF "��� >� Z� 0 RESIDENTIAL CODE OF NEW YORK STATE (2020 AND ALL THOSE Shed 5 ® i5E) ® H `� MM W X V APPLICABLE CODES WHETHER SPECIFICALLY STATED OR NOT. 0) � -�--�2. THE CONTRACTOR IS RESPONSIBLE Ln I— � FOR COMPLIANCE WITH ALL a 0 APPLICABLE BUILDING MODES ®ULATIONS AND FOR OBTAINING a U o 0 0 ALL NECESSARY AND REQUIRED INSPECTIONS, APPROVALS AND Grass I T- 1:PERMITS, NECESSARY TD PERFORM ALL WORK AND SERVICES HEREIN e- NOTED OR INDICATED ON THE DRAWINGS. 4-J NC) 3. THE CONTRACTOR SHALL EXAMINE AND BECOME FAMILIAR WITH ALL - ..-►'t � z (� CONTRACT DOCUMENTS IN THEIR ENTIRETY. SURVEY THE PROJECT AND BECOME FAMILIAR WITH THE EXISTING CONDITIONS AND SCOPE OF 1 `' WOW. ALL COSTS SUBMITTED SHALL BE BASED ON THOROUGH a in ones Flog Patio: ,.� KNOWLEDGE OF ALL WORK AND MATERIALS REQUIRED. ANY DISCREPANCY ® �1 AND UNCERTAINTY AS TO WHAT MATERIAL OR PRODUCT IS TO � 0 Q O U SHOULD BE VERIFIED WITH THE OWNER OR ARCHITECT. - I - 13Qv J U 2 4 -0 4. THE CONTRACTOR SHLL BE RESPONSIBLE FOR ALL DAMAGE TO � �� I N � I I C: EXISTING PROPERTY AS RESULT OF HIS WORK. THE CONTRACTOR ,ram SHALL PROVIDE ADEQUATE PROTECTION FOR HIS WORK. THE ' LL N 0 CONTRACTOR SHALL RESTORE TO ORIGINAL CONDITION AND EXISTING ELEMENT DAMAGED AS A RESULT OF HIS WORK. 0 2—Story PECTp ,�� Rye Brook N S. WORK INCLUDED IN THIS CONTACT SHALL BE ALL LABOR, MATERIAL I Frame •_ AND EQUIPMENT REQUIRED TO COMPLETE THE PROPOSED CONSTRUCTION Dwelling AS SHOWN OR iNPLIM IN ACCORDING TO THE INTECT OF THESE DRAWINGS AND SHALL BE FIRST CLASS IN ALL RESPECTS. o • • THE CONTRACTOR SHALL.BE SOLELY RESPONSIBLE FOR CONSTRUCTION MEANS, METHODS, TECHNIQUES, SEQUENCES AND PROCEDURES REQUIRED C a ae 80 • • FOR SAFE EXECUTION AND COMPLETION OF WORK, AND FOR INITIATING, I Plot • • MAINTAINING AND SUPERVISING ALL SAFETY PRECAUTIONS AND Planter W a I • • PROGRAMS IN CONNECTION WITH THE WORK - 6. THE GENERAL CONTRACTOR SHALL EXERCISE STRICT CONTROL OVER JOB CLEANING TO PREVENT ANY DEBRIS, DUST OR DIRT FROM LEAVING THE JOB SITE AND ADJACENT FINISHED AREAS. REMOVE RUBBISH FROM PREMISES AS OFTEN AS NECESSARY OR DIRECTED. F43KK EXISM WN MIRY 7. THE CONTRACTOR, UPON ACCEPTANCE OF THESE DRAWINGS, ASSUMES PROPOSED WALKWAY FULL RESPONSIBILITY FOR THE CONSTRUCTION, MATERIALS AND Grass COVERAGE NOTE: HV WORKMANS OF THE WORK DESCRIBOD IN THESE NOTES AND DRAWINGS, AND HE WILL BE EXPECTED TO COMPLY WITH THE SPIRIT, o ° SITE / COMOtAGE AS WELL THE LETTER IN WHICH THEY WERE WRITTEN AND DRAWN. -4--1 V) f Aye Wook 8. ARCHITECT IS NOT ENGAGED IN THE SUPERVISION OF CONSTRUCTION V' Tillage g OF THIS PROJENCT. IF MUNICIPALITY REQUIRES ARCHITECT TO HQa�'CI wi WITH TIFIY ANY PART - - _ _ _ _ _ ArCI'1lt@CtU� � , ESS/CER OF CON , THE MUNICIPALITY � � SHALL PROVIDE IN WRITING WHICH PARTS REQUIRES THE ARCHITECT TO MRTNESS/CERTtFlY ANY PART OF CONSTRUCTION. '� approval Date: 0 9. THESE DRAWINGS DO NOT CONTAIN COMPLETE SPECIFICATIONS, DETAILS , AND INFORMATION REQUIRED FOR THE INTERIOR FINISHES OF THE one -- - �;hairman' ur PROJECT. ADDITIONAL INFORMATION SHALL BE OBTAINED FROM THE OWNER. RED ROOF DRIVE 10. ALL MANUFACTURED MATERIALS, COMPONENTS, FASTENERS,, ASSEMB= ETC. SHALL BE HANDLED AND INSTALLED IN ACCORDANCE WITH MANUFACTURER'S INSTRUSPECIFIC MANUFACTUREDCTIONS AND RECOMMENDATIONS. WHERE ARE CALLED UST NOTIFY THE ARCHITECT OFCTS SUBSTITUTIONS ANY FOR' THE CONTRACTOR � O BEFORE THEY ARE O MADE. OR FILE COPY 11. Y ET T INCONSISTENCIES SEN� -� ANV � AMBIESE THESE DRAWINGS A K'1'*NNPLOT PLAN A N ACTUAL SITE AND CONSTRUCTION CONDITIONS AND/OR REQUIREMENTSz SHALL BE BROUGHT TO THE ATTENTION OF THE OWNER IN WRITINGANI) S_1 SCALE 1/16" a 1'.0 W M RESOLVED AND DOCUMENTED IN WITTING BEFORE CONTINUING WITH THE L. WORK IN QUESTION. • 12. IF THERE ARE ANY DISCERPANCIES ON THE DRAWINGS. O G.S. THE ARCHITECT IS TO BE N07WIM IMMEDIATELY PRIOR TO WORK COMMENCING. IF THE CONTRACTOR D [EC [E WE Co MAKES CHANGES WITHOUT NOTIFYING THE ARCHITECT, THEY TAKE SOLE PAW? - O o IF T FOR REQUIRCHANGES @�THE SHALL M PPRROOV�AS-BULT DRAM DRAWINGS.COSTS 6'pP�IIEL STi ASE o Z 13. ALL WORK AND EQUIPMENT SHALL BE CLEANED TO THE SATISFACTION OF f THE OWNER BEFORE TURNING SAME OVER TO OWNER. JUN 2 7 2023 14. THERE SHALL BE NO DEVIATION FROM SPECIFICATIONS WITHOUT THE WRITTEN APPROVAL OF THE ARCHITECT AND ENGINEER. -- C VILLAGE OF RYE BROOK NOTE: �, � �---i � EN I T 1. CONTRACTOR SHALL NOT SCALE DRAWINGS, BUT SHALL USE DIMSION BUILDING DEPARTMEN S O INDICATED. DRAWINGS MAY BE OUT OF SCALE IN SOME INSTANCES -r CAUSED BY SHRINKAGE, PRINTING, CHANGES, ETC. � � CONCRETE: 1. ALL CONCRETE SHALL TEST 3,000 PSI AT 28 DAYS. THE SLUMP fA �ED a RG'y JUST PRIOR TO PLACING SHALL 4 INCHES WITHIN•A ��5 11 d,,� TOLERANCE OF PLUS OR MINUS 1 INCH (MAX). NOTE. GARAGE �(� LA O �� TEST PSI�AT 28 DAYS ND SHDALL CONCRETE ENTRAINE WALKS D -� Orl Inal Dote: 2. ALL CONCRETE SHALL BE PLACED IN THE DRY. NO CONCRETE `� � G C � PLACED LATER THAN 90 MINK HAS 2SHALL,. OEP09T CONCRETE IN ITS FINAL,MINUTES PAVER DETAIL '� ' ,r`. '�' 5/14/2 3 SEGREGATION AND REHANDLING. " 0 " S-1 SCALE 3/4 1-0 '� Project No: 34 32-23 of S 1 1 of 1 Sheets