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HomeMy WebLinkAboutBP23-124&c1A�.� �/ i)?DATE:'PERMIT#_ _ , , SECTION TYPE OF JOB LOC) r� DnS -6 E#)goo 2WIS Duque (914q)318 301- a. l ■, , ,. .z �. vcO _.TCO FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING M RGH PLUMBING GAS 13 SPRINKLER ELECTRIC Q LOW -VOLT CO f8 RM Q( 5 FINAL OTHER APPROVALS ARB BOT PB ZBA OTHER DR Q �iJ+��p.W V � 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.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J.Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE November 28,2023 Thomas Commons&Nicole Pelosi 391 North Ridge Street Rye Brook,New York 10573 Re: 391 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 129.75-1-23 Building Permit#23-124 issued on 8/4/2023 for New Slab in Garage This certifies that the new reinforced concrete garage slab,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D i BUILD ENT For office us� o,l'*: ID PERMIT # —�� VIL OF RYE K ISSUED —�—a NOV — 7 202 )38 KING STRE YE BROOK, YoRK 10573 DATE /—To1 _ 9 -06 FEE,_//D— PAID)< VILLAGE OF RYE BROOK BUILDING DEPARTMENT T 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 #►►lss#!!!!!!rilr#i##srsssss#sf►s#s►►rtrtirrrlsrssr#r#r##*#s#****s#*it##sRsii►s►lssi#rtirrrsrrrr!**riliir►i■#######R#rrsssR##### Address 391 N. Ridge St Rye Brook,NY 10573 Occupancy/Use: 210 / R-3 Parcel ID#: 129.75-1-23 Zone R-15 Owner: Thomas Commons and Nicole Pelosi Address:_391 N. Ridge St Rye Brook,NY 10573 P.E./R.A. or Contractor: Andrew Collingham Address: 74 Westmoreland Ave White Plains,New York 10606 Person in responsible charge: 17t: v z Address:31V �3 e1j t d,C," ►-,V L C�SS; 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: Thomas Commons&Nicole Pelosi being duly sworn,deposes and says that he/she resides at 391 N. Ridge St (Print Name of Applicant) i No and Street) in Rye Brook, in the County of Westchester in the State of NY ,that (City Toren 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 for the construction or alteration of: garage concrete floor 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 J Sworn to before me this 3 day of Nwtrb! , 20 2-,3 i0mas f �(Z&in bc.� , 207.3 =6� Kenny C,STATE ee Nam NOTARY PUBLIC,STATE OF NEW Y O • Signature of Property Owner Regislratioallo.01NA6442960tureofApplicant QuaGGed in Westchester County C®tttttussioo Expires 10/24/2026 Thomas Commons&Nicole Pelosi Commons&Nicole Pelosi Print Name of Property Owner Print Name of Applicant Notary Pub! Notary P-Orc BRC�v� BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑VILLAGE IENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAX(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - -- ------ --- - ADDRESS: DATE: � 1 4 -, , PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: � OCCUPANCY: ❑ VIOLATION NOTED TIME WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION .4010REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING 0 INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ FINAL ❑ OTHER �E 4R(bk ' Zm cu � Q •��0 • 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 : � DATE' PERMIT VI # � ISSUED: 'SE T: BLOCK: LOT: LOCATION: C S4 OCCUPANCY: l ❑ Violation Noted THE WORK IS. PASSED ❑ FAILED REINSPECTION o© 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 = a ' a M a \ 0 �. N O �Wh z ' M w o ? G W > 1 s hi•� � E� �Q � � � V Q! o ° � HI o •C A ' o w O w 00 p Lo z � � •� � a 1:6 CC C� woO z A Q � � � v v p p z cv _ Z o 0 U � V o o p� Z Uz � � = W Mi low* p oo �. '� M w a s N C t • vr Mai w V w a a,c o cu 0 H � c) cn-y ]]ii;����!' VS V LT 6! N Cyr�jj z A Fs o O y CO .� 0 U, o a ~ O O O U p W -� N '� � 0 � M-•1 CN a o w w � aA _, �� BUI3ET - MLNT VIL OF RYE t OOK ,J U L 2 8 2023 938 KING RYE BROOK,NY 10573 VILLAGE OF RYE BROOK 4 -0 .-� t BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: ,-y,•�, /} Approval Date: I'crmrt &C)L_3—).;)yAppIicafion Fee:$ Appruv al Signature Permit Fees:$_ MY- bVE Disapprov ed: Other: Application dated: is 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. 1, Job Address: 391 N Ridge Street Rye Brook,NY 10573 SBL:129.75-1-23 (old. 1-6-1 A3A7)zone: R-1 5 2. Proposed Improvement. (DesCrihe in detaiIi: o Demolish existing concrete slab in garage. Current slab is in disrepair with multiple cracks and settling o Install new 5"reinforced concrete slab in garage according to Architectural plans 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X Yes: If yes,indicate: TIER I: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler, ,k\S1. S%,tcm. F\I-200 Sv,tem. fcpe I flood.etc...I :No: X Yes: I I1 ve,. please submit a separate Autotnalic I ire Sttpprc„ion Sr,tcm Permit application & 3 ,ct, nl'Llcutiled engineered plans) 5. Occupancy; (1 fam.,2 fain.,comm.,etc...)Prior to Construction: 1-fam After Construction: 1-fam 6. N.Y State Construction Classification: 5B N.Y. State Use Classification: R-3 7. Property Owner: Thomas Commons&Nicole Pelosi Address: 391 N. Ridge St Rye Brook,NY 10573 Phone# (516)426-1692 (Tom's Cell) Cell# (914)844-6035 (Nicole's Cell) email: nicolepelosil(Dgmail.com 8. Applicant: Nicole Pelosi Address: 391 N Ridge St Rye Brook,NY 10573 Phone# (cell only) Cell# (914) 844-6035 email: nicole.pelosil@gmaii.com 9. Architect: Andrew Collingham Address: 74 Westmoreland Ave White Plains,New York 10606 Phone# (888)422-1422 (office) Cell# (914) 527-4708 email: acollingham@drewarch.com 10. Engineer: not applicable Address:. Phone# Cell# email: 11. General Contractor: Duque Paving-Luis Duque Address: 34 Bellevlew Ave Ossining,NY 10562 Phone# (914) 659-7318 Cell# (914) 318-3012 email: luistn,duqueconstruction corn 12. Estimated cost of construction $ 7,800 \f 1 f I I he cwm:Iled iI"I ,hall rncludc all lahur.matcrial.scat li,ldmU.litrd Ayugmicm.hrnfe,swriA lee,,and marenai and lahur �hi,h ir3:n I'L.III 11.1t':d 13. Job Timetable: Start: 8-7-23 Finish: end of August (1) 611/2023 D I ECEN BUILD TMLNT VIL E OF R ROOK J U L 2 8 2023 938 KING ET RYE BRQ ` ,NY 10573 4)939-0 VILLAGE OF RYE BROOK rr.r.ebro0 �' o 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 YORK, COUNTY OF WESTCHESTER ) as: 1, I 4colp opi t ,residing at, 391 N Ridge St Rye Brook,NY 10573 i I'nnu n.u1i: 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; 391 N Ridge St Rye Brook,NY 10573 , Rye Brook,NY. 4•I� \,:Ir. 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. Jx Nicole Pelosi&Thomas Commons 11'+1n1 A,1m,1-r Pn,hsi� ('cAIIL Sworn to before me this J day of _ O�z� _ 20 � Keany Kyunghee Nam NOTAR;e PUBLIC,STATE Of NEW YORK (2) kegistratios No.0INA6442960 Qualified in Westchester County Commission Expires M214 2026 8/12/2021 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. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Nicole Pelosi/Thomas Commons ,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—U Sworn to before me this U day of o� 20� day of �� �� , 20 �2 Signature of Property Owner Signature of Applicant Nicole Pelosi/Thomas Commons Nicole Pelosi /Thomas Commons Print Name of Property Owner Print Name of Applicant Notary Public — Notary Publi Kenny Kyunghee Nam NOTARY PUBLIC,STATE OF NEW YORK Kenny Kyunghee Nam NOTARY PUBLIC,STATE Of NrEW YORK ' Rogistratioi+No.O1NA6442460 RI( ' " Qualified in Westchester County Registration No.01NA.F42460' ` Commission Expires 10/202026 Qualified in Westchester Courto Commission Expires IUi'at2026 (4) 8/12/2021 .Buildin Pertnit[Ch�eck List&Zonin Anal sis Address Zone: Use: �� Const.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant k VD S Nature of Work: Q c� C1v c Reviews:ZBA: 3 Z' PB: BOT: Other. OK ( � (�FEES:Filing. BP: r C/O: Flood Plane: Legalization: ( ) ( �/ PP: 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 val• Sealed: Unacceptable: ( ) ( PLANS:Date Stamped.�Sealed•�j Copies: Electronic. Other. ( ) License: V�oFt Cs �L=a�i Comp.Waiver Other.CODE 753#: a O a /�—O U Dated: 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 H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plans: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK Plans: Permit Fuel Type: Other. ( ) ( ) 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: REOUIRED EXLMN PROPOSED NOTES Dates G O Arc Circle: FFFrgr g� F� Main Cov Acts,Cov Ft H/Sb: Sd.H/Sb: SEA: ToLImp F&-Imp: Hki t/Stories: notes: r c r � 4 lio y, e fir L N �R c ' — y 04 GO �• f Y "" J tom, R ti• c c ! O . CN L .J { O a cj Q f Z W Z c .. �• [�yc • O a" iu 0D O — _ Le ao �e rL O y i ._ •J � = V y J 6 s Z C) V J C V rl c V C r CJ 1 _� 0 ACoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) 07/20/2023 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 Michael J.Donnelly NAME: Donnelly Insurance Center Agency Inc PHONE (914)347-6500 F'� (914)347-6303 A/C No Ext: A/C,No 6 North Lawn Ave. E-MAIL INFO DONNELLYAGENCY.COM ADDRESS: P.O.BOX 880 INSURER(S)AFFORDING COVERAGE NAIC# Elmsford NY 10523-0880 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B: PROGRESSIVE CASUALTY INS CO 24260 Duques Construction,Inc. INSURER c: NGM Insurance 14788 34 Belleview Ave INSURER D: INSURER E: Ossining NY 10562-4325 INSURER F: COVERAGES CERTIFICATE NUMBER: CL233133078 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 MAYBE 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 AUUL15U5R1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ 100'000 MED EXP(Any one person) $ 10,000 A Y 3AA631841 02/11/2023 02/11/2024 -PERSONAL BADVINJURY $ 1,000.000 GEN'LAGGREGATE LIMITAPPLIES X PER. GENERAL AGGREGATE $ 2,000,000 JECT LOC UCTS-COMP/OPAGG $POLICY ❑ PRO 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 07864468-4 07/10/2022 07/10/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Accidental Death Benefits $ 2,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ g WORKERS COMPENSATION X PER IN ISTATUTE �RH AND EMPLOYERS'LIABILITYC ANY PROPRIETOR/PARTNER/EXECUTIVE Y—v� NIA WCV1747D 02/11/2023 02/11/2024 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) MASONRY,DRIVEWAY PARKING AREA OR SIDEWALK PAVING,LANDSCAPING THIS POLICY CONTAINS A BLANKET ADDITIONAL INSURED ENDORSEMENT ON FORM CG2012. MR.THOMAS COMMONS AND VILLAGE OF RYE BROOKARE INCLUDED AS ADDITIONAL INSURED. JOB LOCATION:391 N RIDGE ST RYE BROOK,NY 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured DUQUES CONSTRUCTION,INC 914-318-3012 34 BELLEVIEW AVENUE 1c.NYS Unemployment Insurance Employer Registration Number of OSSINING,NY 10562 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 274820367 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Old Dominion Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street Rye Brook,NY 10573 WCV1747D 3c.Policy effective period 02/11/2023 to 02/11/2024 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) X❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"I a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: MICHAELJ.DONNELLY ,� (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 1 0 �b�_ 07120�Z0�3 (slg re) (Date; Title: AGENT/BROKER Telephone Number of authorized representative or licensed agent of insurance carrier: 914-347-6500 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday,August 11, 2023 8:00 AM To: Steven Fews Subject: Message from UDig NY ****LATE**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 08/11/2023 08:00 To: VIL RYE BROOK PRIMARY Transmitted: 08/11/2023 08:00 00003 Ticket: 08083-002-712-01 Type Late Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 391 To: Name: N RIDGE ST Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: MARK THE DRIVEWAY AND GARAGE NearSt: Means of Excavation: MINI EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: NEW DRIVEWAY, NEW GARAGE FLOOR Estimated Work Complete Date: 08/31/2023 Depth of excavation: 12 INCHES Site dimensions: Length 50 FEET Width 25 FEET Start Date and Time: 08/11/2023 08:00 Must Start By: 08/25/2023 ------------------------------------------------------------------------------ Contact Name: LUIS DUQUE Company: DUQUES CONSTRUCTION Addrl: 34 BELLVIEW AVE Addr2: City: OSSINING State: NY Zip: 10562 Phone: 914-941-0129 Fax: Email: duquesconstruction@gmail.com Field Contact: LUIS DUQUE Alt Phone: 914-318-3012 Email: duquesconstruction@gmail.com Working for: TOM COMMOUS ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, August 8, 2023 6:32 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 08/08/2023 18:31 To: VIL RYE BROOK PRIMARY Transmitted: 08/08/2023 18:31 00004 Ticket: 08083-002-712-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 391 To: Name: N RIDGE ST Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: MARK THE DRIVEWAY AND GARAGE NearSt: Means of Excavation: MINI EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: NEW DRIVEWAY, NEW GARAGE FLOOR Estimated Work Complete Date: 08/31/2023 Depth of excavation: 12 INCHES Site dimensions: Length 50 FEET Width 25 FEET Start Date and Time: 08/11/2023 08:00 Must Start By: 08/25/2023 ------------------------------------------------------------------------------ Contact Name: LUIS DUQUE Company: DUQUES CONSTRUCTION Addrl: 34 BELLVIEW AVE Addr2: City: OSSINING State: NY Zip: 10562 Phone: 914-941-0129 Fax: Email: duquesconstruction@gmail.com Field Contact: LUIS DUQUE Alt Phone: 914-318-3012 Email: duquesconstruction@gmail.com Working for: TOM COMMOUS ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i r 0 PROPOSED LEVEL 1 ALTERATION AT: GENERAL NOTES: 1. CONTRACTOR SHALL VISIT SITE AND SHALL BE RESPONSIBLE z 4?^; r e 3 FOR VERIFICATION OF ALL DIMENSIONS,CONDITIONS,WHICH ECE W F= „t,:{;>��:::<.z�>::�' PERTAIN TO THE FABRICATION PROCESSES,OR TO TECHNIQUES FOR CONSTRUCTION AND COORDINATION OF r I- 391 NORTH RIDGE STREET THE WORK OF ALL TRADES,PRIOR TO START OF . CONSTRUCTION. �. ,� (a),� OF ARCHITECTPROCEEDING.THE ELEVATIONSJUL 2 8 2023 `° RYE BROOK, NY 10573 2. ALL DISCREPANCIES SHALL BE BROUGHT Tb THE ATTENTION ?\, ..�.',z U O TAX ID: 129.75-1-23 AVAILABILITY OF UTIOLITITIES,SEWER,WATER AND E ECTR CD z LINES SHALL BE VERIFIED BY OR DETERMINED ZONING DISTRICT:R-1 5 CONTRACTORS PRIOR TO SUBMISSION OF BID.BY INTERESTED — 3. CONTRACTORS SHALL ADJUST PITCH OF NEW LINES TO �� N INSURE PROPER AND LEGAL INTERSECTIONS.CONTRACTOR to V I L LAG E OF RYE BROOK L< H ` N PROPOSED SCOPE OF WORK: SHALL COORDINATE LOCATIONS FOR STRUCTURAL, 1. DEMO EXISTING CONCRETE GARAGE SLAB WHICH MECHANICAL AND ELECTRICAL WORK FOR ALL PITS,SLAB BUILDING DEPARTMENT N DEPRESSIONS,SLEEVES IN FOUNDATION WALLS,SLABS,AND IS IN A STATE OF DISREPAIR ROOF OPENINGS ETC. °O co 2. INSTALL NEW CONCRETE GARAGE SLAB IN SAME 4. CONTRACTOR SHALL VERIFY CONDITIONS OF ADJOINING WOOD DECK STRUCTURES WHICH MAY BE AFFECTED,PROVIDE ADEQUATE W FILE COPY LOCATION, ACCORDING TO DETAILS PROTECTION AND RESTORE TO ORIGINAL CONDITIONS, DOCUMENT COPYRIGHT WHENCE DAMAGE SHOULD RESULT FROM SUCH WORK.THE Drawings and specifications are CONTRACTOR SHALL PROVIDE ALL NECESSARY SHORING AND protected by copyright laws and BRACING FOR ALL BUILDING COMPONENTS IN ORDER TO shall remain the property of ADEQUATELY PROTECT AGAINST ANY FAILURES. DREW ARCHITECTURE.Any 5. CONTRACTOR SHALL SECURE AND PAY FOR ANY AND ALL use or reproduction,in whole or PERMITS,LICENSES,CERTIFICATES,FEES,ETC.,REQUIRED BY in part,of these documents APPLICABLE CODES,RULES,S REGULATIONS THE VILLAGE OF RYE BROOK DEPARTMENT OF BUILDINGS OR without written authorization by ANY AND ALL JURISDICTION AUTHORITIES. CONTRACTOR contract Is strictly prohibited. NEW YORK STATE BUILDING CODES SHALL OBTAIN A FINAL CERTIFICATE OF OCCUPANCY UPON COMPLETION. WARNING:It Is a violation of 2020 RESIDENTIAL CODE OF NYS, 6. ALL WORK MUST CONFORM TO THE VILLAGE OF RYE BROOK the law for any person,unless VILLAGE OF RYE BROOK ZONING CODE DEPARTMENT OF BUILDINGS,FIRE DEPARTMENT LAWS,RULES acting under the direction of a AND TO ALL REGULATIONS OF ALL AUTHORITIES HAVING licensed architect,to alter an JURISDICTION WHETHER SPECIFICALLY SHOWN OR NOT. item in any way. (O.S.H.A.REGULATIONS MUST ALSO BE ADHERED TO).ALL ELECTRIC WORK MUST CONFORM TO 2020 NATIONAL ELECTRIC CODE 7. ANY ITEM SHOWN ON•ONE SHEET SHALL BE AS IF CALLED FOR i BY ALL SHEETS.FINAL COORDINATION IS THE RESPONSIBILITY xi0£6 `te': Y OF THE CONTRACTOR.CONTRACTOR SHALL NOT SCALE DRAWINGS AND SHALL USE FIGURED DIMENSIONS ONLY.THE GENERAL CONDITIONS OF THE CONTRACT FOR CONSTRUCTION OF BUILDINGS,(STANDARD FORM OF A.IA LATEST EDITION A2011,ARE PART OF THE CONTRACT �fi DOCUMENTS. 8. WORK INCLUDED IN THESE CONTRACT DOCUMENTS TO BE ALL LABOR,MATERIALS,AND EQUIPMENT,REQUIRED TO COMPLETE THE PROPOSED CONSTRUCTION AS SHOWN. 01 ,a iy.7f3Y? 'tom �� WORK INCLUDED IN THIS CONTRACT SHALL BE ACCORDING ;d � TO THE TRUE INTENT OF THE DRAWINGS AND SHALL BE FIRST 391 N Ridge e St, CLASS IN ALL RESPECTS. Bro9. SUBCONTRACTORS SHALL GUARANTEE,IN WRITING TO THE AREA OF WORK OWNER AT CONCLUSION OF JOB,ALL MATERIALS AND WORKMANSHIP FOR A MINIMUM OF ONE YEAR AFTER SUBSTANTIAL COMPLETION. 10.THE ARCHITECT HAS NOT BEEN RETAINED FOR SUPERVISION DN OR PERIODIC FIELD OBSERVATIONS AND ASSUMES NOON SITE.THE EXIST.FOR SAFETY 19'-3 1: i gA AND CON RESPONSIBILITY TRA OR SHALL O DEHARM THODS ESS THE ARCH EGES,LOSSES AND T OWNER EXIST.CONCRETE 110 AS EXPENSES INCLUDING ATTORNEY'S FFROM AND AGAINST ALL CLAIMS, EES ARISING OUT OF OR STAIRS UP TO REMAIN I ��AE D A Ac RESULTING FROM THE PERFORMANCE OF THE WORK BY THE CONTRACTOR. r — ¢c Z� SITE LOCATION MAPoe 0 --4 SCALE:N.T.S. CONCRETE WORK: Q L —J�ATTIC HATCH * 1. PRIOR TO COMMENCEMENT OF WORK,THE ADJACENT I N PROPERTY OWNER SHALL BE GIVEN 5 DAYS WRITTEN NOTICE I �-�j, oses�ypQ BY CERTIFIED MAIL,WHERE ADJACENT PROPERTY IS EXISTING 1 112 STORY F QF NEB AFFECTED BY FOUNDATIONS,GRADING EARTHWORK OR DEMOLITION. FRAMED HOUSE 2. UNLESS OTHERWISE SPECIFIED,DESIGN,MATERIAL AND INO WORK OUTSI \—DEMO EXISTING CONCRETE.DE OF E _J GARAGE SLAB N ITS ENTIRETY J METHOD OF CONCRETE CONSTRUCTION SHALL COMPLY EXIST.CHIMEY WITH THE REQUIREMENTS OF THE 2020 RESIDENTIAL,FIRE Q Q AND ENERGY BUILDING CODES. . x 10'-6" 3. 3 TEST CYLINDERS SHALL BE MOLDED FOR EACH 50 YDS OF C.H. I UJ 0 acZ„^ EACH CLASS OF CONCRETE IN ANY ONE DAY,SAMPLES SHALL GARAGE BE TAKEN FROM THE MIXER AS PER A.S.T.M.C172-54.CURED ,-�� of QCn s , A° AS PER A S.T.M.C39.66, 4. &TESTED CYLINDERS SHALL BE STORED IN AN INSULATED -g CURING BOX,AND LOCATED IN A SAFE PLACE TO MINIMIZE INSTALL NEW S�THtCK 4000 EXIST.CONCRETE Z(5 Q HAZARD OF DISTURBANCE DURING CURING,FREE FROM PSI CONCRETE SLAB x SHELF O LJ.I VIBRATIONS,REMOTE FROM TRAFFIC. W/6X6X)#W.W.M.OVER 6 5. NO FOOTINGS SHALL BE INSTALLED UNTIL THE BEARING \ MIL.POLY PLASTIC VAPOR ~Q SURFACE HAS BEEN INSPECTED AND APPROVED BY A SOIL ENGINEER OR AN ARCHITECT RETAINED BY THE OWNER �ARRIEF�tN/MIN.Of 6' COMPACTED GRAVEL EXIST.ELECTRICAL R< Z Z AND/OR CONTRACTOR. BENEATH,W/EXPANSION PANEL TO REMAIN Ur O O H to 6. SIDES OF EXCAVATIONS TO BE PROTECTED,INCLUDING JC31NT3/1ROUND 0 ~ W O RELATED OR RESULTING EMBANKMENTS,5 FEET OR PERIMETER Z ca � GREATER IN DEPTH. W Y 7. ALL FOOTINGS TO PEAR ON CLEAN,FIRM VIRGIN SOIL.CLASS —Z O U) 0 8-65 5M OR PINNED TO LEDGE ROCK AS APPROVED ON SITE I F I Z-J Q UJ O} BY STRUCTURAL ENGINEER OR ARCHITECT RETAINED BY THE I I IZ O 0 ZONING MAP OWNER AND TO HAVE A MIN.COVER OF 4 FEET.DIFFERENCES Z of F- O W EXIST.GARAGE O IN FOOTING LEVELS SHALL BE STEPPED AT A 300 ANGLE OF U. Z DOOR TO REMAIN N REPOSE. 19'-3 12" O O 8. EXTERIOR FOUNDATION WALLS BELOW GRADE SHALL BE O U Z Y SCALE:N.T.S. W WATERPROOFED WITH 2 COATS OF AN APPROVED TYPE ASPHALTICi ELASTOMERIC MASTIC TROWELED ON. co 1--F— 0 W ? W V5UJ � M } Uj J U Z SYMBOL LEGEND FIRST FLOOR PLAN-EXISTING/PROPOSED J w 2020 RCNYS SECTION MARK 1 SCALE:114"=V-0" .-� l2 w BUILDING CONSTRUCTION OCCUPANCY CLASSIFICATION DESIGN DESIGN STORIES FIRE SUPP. MEANS OF '"`�.+""�':n DETAIL MARK J TYPE TYPE CLASSIFICATION OF WORK LIVE LOAD DEAD LOAD ABOVE GRADE REQUIRED EGRESS WINDOW TAG PERMff 0-"I ONE-FAML r 58 ONE/TWO FAMILY ALT.LEVEL 1 40 PSF 20 PSF 1.5 STORIES NO 2 1� DOOR TAG 75� W m C C.O.DETECTOR C� 02 THE PLANS AND SPECIFICATIONS FOR THE PROPOSED SCOPE OF WORK HAVE BEEN DESIGNED AND SHALL BE EXECUTED BY ALL PARTIES O �� O CONCERNED IN COMPLIANCE WITH THE 2020 RCNYS 2017 NEC CODE OF NYS,THE VILLAGE OF RYE BROOK MUNICIPAL CODE,AND ALL APPLICABLE SMOKE DETECTOR U U) RULES AND REGULATIONS ©HEAT DETECTOR CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA REF.ELEVATION No. Date Description GROUND WINO DESIGN SEISMIC SUBJECT TO DAMAGE FROM WINTER ICE BARRIER FLOOD AIR MEAN SNOW LOAD SPEED TOPO SPECIAL WIND DESIGN WEATHER FROST TERMITE DESIGN U ICE BARRIER ENT HAZARDS FREEZING ANNUAL 5'THICK 4000 PSI CONCRETE SLAB EFFECT REG/DEBRIS CAT TEMP INDEX TEMP MATERIAL INDICATORS Brooks 30 PSF 115 NO NO,NO C SEVERE 42' MOD TO 13 DEG YES SEE 513 52 2 �WOOD FRAMING ����, CT'OR, ii! MPH HEAVY BELOW •... . . J. �.,. �, �` ..�•y 0..� . ,. ©L.V.L.SECTION , j ,;r. 6X6X}O W.W.M I,ANDREW COLLINGHAM,R.A.(NYS LICENSE NO.038892)CERTIFY,TO THE BEST OF MY KNOWLEDGE,THAT THESE PROPOSED PLANS AND p UNEXCAVATED EARTH 1 '�'� ^► SPECIFICATIONS HAVE BEEN DESIGNED IN COMPLIANCE WITH THE 2020 ENERGY CONSERVATION CODE OF NYS '� v ',f ,. j, C 6 MIL POLY PLASTIC VAPOR BARRIER ©DISTURBED EARTHx =-�^s ,� MIN.6"COMPACTED GRAVEL BASE INSULATION AND FENESTRATION REQUIREMENTS BY COMPONENT VENEER STONE ®BATT INSULATION orwwn sr ci+.&w By CLIMATE FENESTRATION SKYLIGHT GLAZED CEILING WOOD WALL MASS WALL FLOOR BASEMENT/CRAWL SLAB R-VALUE p CONCRETE AG AC ZONE U-FACTOR U-FACTOR FENESTR.SHGC RWALUE R-VALUE R-VALUE R-VALUE SPACE WALL R-VALUE 8 DEPTH p COMPACTED STONE Sens Daft AS INDICATED 721.23 4A .32 .55 .40 49 20 OR 13+5 8,13 19 10/13 10/2 FT ®WOOD FRAMING Pmla!No. - EE�DEMO INDICATION CODE DESIGN METHOD:CHAPTER 4.PERSCRIPTIVE BUILDING ENVELOPE,2020 NYS ENERGY CONSERVATION CODE GARAGE SLAB SECTION D ETAI L 2 SED.'PamlUApp.No. _ SCALE: Al PERMIT J