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MP23-114
-- • : • � ' ' • t�.� � • � • i �,. i Iri � s �/ �.� �/ � � I ♦ � � � �' INSPECTION RECORIZ FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C7 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT FINAL DATE hiltil;'�LS ���� INSP �// g�� 3 �On�d �� -1 � rL1 �7 � �% �t3 i/l S� b/N� � .'fie � �Su r16� y 4 S S oo� � ,S 9�y-sue � 97/� � ��'o�c�l2 �i�rcZ/ Como 3 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.aebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE November 3,2023 Frederick Taylor&Carole Taylor 1 Westerleigh Court Rye Brook,New York 10573 Re: 1 Westerleigh Court, Rye Brook,New York 10573 Parcel ID#: 135.41-1-5 Mechanical Permit#23-114 issued 7/21/2023 for a New Generator This certifies that the 48kw LP gas fired generator,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDII r. ' MENT For office use only- PERMIT . D C L� �/M r - VILLA��OF RYE BROOK ISSUED:#� g KING STREFJr��YE BROOK, NV YORK 10573 DATE: -J -02 SEP 12 2023 I`9;1 �_9 -o6c► o FEE: PAIDm VILLAGE OF RYE BROOK BUIL - T 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 ssssssssss►ssssssssssssssssssststssstssssssssssssssssssssss*ssssssssssssssss*sssssssssssssststts►ssssssssss*sssssssssssssrtss Address:� .,��/� �ou,4- Occupancy/Use: �,q/_ Parcel Zone: Owner: �/ �Z Address: / �,l.l�l�fi/ 77 P.E./R.A. or Contractor:�me,D &,!;.T. -I/VLi Address: � )a36 D /D j� Person in responsible charge: 27,frM, 4. C>siuA670 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: ^� Epp Iz�d Tft,04--- being duly sworn,deposes and says that he/she resides at L✓ 7 /� �D1,1 iL/ (Print Name of Appel ccanf) (No.and Street) in ,C n f ,in the County of in the State ofI_L/—,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: $ 4�8,007,OO , for the construction or alteration of:- �g T A /-i IL> 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 Sworn to before me this ef day of G l�(�er� , 20 `.Z� day of , 20 �' ��- T- `; d•ts Signature of Property Owner Signature of Applicant f���e✓', ��c t3 � o.y�v✓' Print ,Name of Property 'Owner Print Name of Applicant vvvl..� �2- Notary Public Notary Public amaw', XrLjW' ; � 8 12 2021 `r2 �yE BRCuk. O� 2� '9a2 BUILDING DEPARTMENT dBUILDING 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 : ` n � DATE: PERMIT / f '\� I • � J I �ISSUED: SECT.�BLOCK: LOT. LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ` ❑ Natural Gas [IL.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL �. .' [�' OTHER �yE BRCJ�. FO (� '9a2 BUILDING DEPARTMENT ISUILDING 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: � '� V `Q , r \ DATE: v\ �Z PERMIT# / ISSUED: S CT: BLOCK: LOT: LOCATION: `��� �� �� - (��OCCUPANCY: ❑ Violation Noted HE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION 3 REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION DERGROUND PLUMBING NOTES ON INSPECTION: '4---"M ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ix N< ❑ Natural Gas Z""L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ■ r1 W d �i N N P v Sy7 ■ N N c _ N N v v � r, ■ D C� 1 O ■ F, �J Wa Y 0 G, O lLn tn a 72 4-4 c0o o Z � w v $ ° O L.� o �--r ff A Ln N ° � t Q o ' s ' p v W N V con rT 4.'no co © oo cn w 4 Q d,00vti° � V W 0 W W A H o o b Id i %ftle Z � Q lu V V A w �o o � � � 0 W u a z z W o A a N o ] � v -35 o10 i--i aa ° i P ed wZ qr oar w W w z o ,3° o ° a� � iv w z z o BUILDING DEPARTMENT p C C [E U VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JUL - 6 2023 (914)939-0668 www.aebrook.orz VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: 1 Approval Date: UL Permit %/ Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: //�� Application Fee:&)W—/6) Permit Fees: % ,360 6 APPLICATION TO INSTALL A PERMANENT STANDBY BACKUP GENERATOR Application dated: 6113 ZOL3 is hereby made to the Building Inspector of the Village of Rye Brook for the issuance of a Permit to install a permanent standby backdp gen rator in accordance with§250-4.1.of the Code of the Village of Rye Brook,as per detailed statement described below. Please note that electrical and plumbing permit applications must be filed separately by those licensed professionals,and that separate permits are required for the installation of any related fuel tanks. Further note that all applications for commercial use will require a site plan approval from the Village Planning Board prior to the issuance of any permit. L 1. Job Address: i (.�,)es• eA-le-i5li ( c�orl- A�nj��a-P.&004 "�:j 10577 2. Parcel ID#: — Zone: - 3. N.Y. State Construction Classification: ; ca/JA c4-L N.Y. State Use Classification: 4. Proposed Generator&Fuel Type(Describe in detail): 6 e,1 le,roc 4-$ Kr'...1 S 1�nd Z 1 , -L"k, kouS f_ G i✓+or 411 2-oo c`.m n --r'ws Per sw,Vco _ - PrUoWe, 5. Property Owner: f re_depec IC ' ay 109— Address: rf �� r X Uyy IOS77 Phone# Cell# 7 7.2-2 3`--`f 9 7.2- email: Applicant: y'Y anoy _J�odri'Gve s --manns/�6►h4 'Elecf-l-t'c C�V p Address: 7 crb� /keeX1Ue , C9 3S n In. N to S 6 Phone# �1+923 -tcls F Cell# e.-(1_ g06- "97 email: (+n?�rn�5f��;GifinR�9widil-wt�Vl Architect or Engineer(if applicable): Address: Phone# Cell# email: General Contractor: Address: Phone# Cell# email: 1 811212021 6. Give exact dimensions from proposed generator to lot lines: front yard: rear yard: 30 right side yard: left side yard: r 7. If building is located on a corner lot,which street does it front on: CJ-, 8. Will the proposed project disturb 400 sq.ft.or more of land,requiring a Stormwater Management Control Permit from the Village Engineer as per Chapter 217 of the Code of the Village of Rye Brook? Yes: No: ✓' 9. Will the proposed project require a Site Plan Review by the Village Planning Board as per Chapter 209 of the Code of the Village of Rye Brook? Yes: No: (provide detailed drawings as per Chapter 209) 10. Will the proposed project require a Steep Slopes Permit as per Chapter 213 of the Code of the Village of Rye Brook? Yes: No: /_ (provide a detailed topographical survey) 11. Is the lot or any portion thereof located in a Wetland as per chapter 245 of the Code of the Village of Rye Brook? Yes: No: V" (provide a detailed survey indicating the Wetland&Buffer Zone) 12. Is the lot or any portion thereof located in a Flood Zone as per the FEMA Flood Insurance Rate Map#36119CO279 dated 9/28/07? Yes: No: 13. Will the proposed project require a Tree Removal Permit as per Chapter 235 of the Code of the Village of Rye Brook? Yes: No: ✓ (a tree replanting schedule may be required) 14. Does the proposed project involve a Home-Occupation as per Chapter 250-38 of the Code of the Village of Rye Brook? Yes: No: If so,indicate: TIER 1: TIER II: TIER III: 15. What is the total estimated cost of construction: $ 6fT'7 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis) 16. Estimated date of completion: .l"30 -Z 3 STATE OF NEW YORK,COYNTY OF WESTCHESTER ) as: -j��r2 `c K TA`1 a/2- ,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 at (s)he is the legal owner of the property to which this application pertains, or that (s)he is the - (YlaA N uP R.i v¢ t for the legal owner and is duly authorized to make and file this application. (indicate are 'text,contras ,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. Sworn to before me this Sworn to before me this r day of "'`�"� , 20 3 day of / tgnature of Property Owner si a of Applicant Nato NO-MU x L J Arcs v- aLv(,� A Print Name of Property Owner Commt?rorneft�•2*-N- GREGORY M.RIVERA Peat Name of Alklicant NMM Public,State of New York No.Of RISM139B Notary Public Qualified In Westchester Cowk Cmwksion Expires September 26,20 'This application m 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. 2 8/12/2021 O a N N y � �, ■ W n n � N m u ► ■ ■ oe Ln ■nen w AM H r., c at-0 Ln as " aG a z Fx � o O r O c� w 00 can z H a C � 3 O o Z a $ H uz a z ' Ono cn � a v w < O M,. ,-' 0-4 A r a o W V U w w 3 c �D � •• 0 8 . o c � V H8 w u o w z x °z CIO ■ ` w V N W W 7 r7 rzi w x � ' a p ECENE DD BUILDINGlkPARTMENT JUL - 6 2023 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914j mO66g BUILDING DEPARTMENT \t or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY rQ23 EP#: � �JUL 2 1 Approval Date: Permit Fee: 16r ,t112 Approval Signature: Other: Application dated, 6 1,23 202.3 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or •emo a electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal, /State,County and Local Codes. 1.Address: ( WeS+er(e_i gh COer{-,/�S/E'N' I( 57'1 SBL: l K/ S Zone:)I� 2.Property Owner: I`�P1 1 CK Tayl Dr' Address: Savrtc, Phone#: Cell#: 7 72- 2 3 5F - C{-$72 email: 3.Master Electrician/Licensed Installer: -7. ► iaroy Tpdart'cluytg Address: ST CI'okrt .Avg g$t'nLj, NY Lic.#: 32(f Phone#: '74 92-3-199f Cell#: email: IV► cum Company Name: Y1124iI1ta`S Gtghfiny.E ddress: S7 CroIGn 41&_, f)53_tr1 1,&�:j 105-0- 4.Proposed Electrical Work/Fixture Count: Instal/ 4 tot(?, 4-3 KW AAe/'��e�dof� �f.Y� c�✓YlT f S Fer Stet fCJA 5.3r'Party Electrical Inspection Agency: SLv r SS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: J 11Hti itw`�l✓e f ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of ind* idual signin s the app ant) state that(s)he is the 4rtl for the legal owner and is duly authorized to make and file this application. (Master Elect cian I icensV Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sw rn to efore me this 1( day of 20 da of 20 Signature of Property Owner S nature of Applicant K to v Print Name of Property Owner #n,nLvame of Ap icant Notary Public Notary Atifilic GREGORY K RIVERA Notary Public,State of New York No.OI R16441398 11,12023 Qualified In Westchester County Commission Expires September 26,20, STATEWIDE • Sill Willi liaegi-iii 1:1 Main Street, Fishkill, NY 12524 1 email:• • SWIS JOBAPPLICATION : Office Use Elect.Permit# �D� �J / �{� Date 3 —/1 y Utility ID# Final Certificate# City/Village K Zip Township County Address iS Cross Street Section Block Lot Owner Name/Address(If different Man above) T n 1 ; Contact Number _ r ❑Basement ❑1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI Al Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cool(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE `Amperage Voltage 1P 3P I-#Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information JUL - 6 2023 DD) VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is Intended to cover the above listed items to be inspected,If at any time of Inspectlon additional items haw been installed,you are authorized to make the Inspection and adjust the fee for the additional Items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and condhions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date Signature Address r City/State Zip Code License# Phone# ED D E C E D v State Wide Inspection Services 1080 Main Street S' EP - 1 2023 Fishkill, NY 12524 � 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES h h Email: office@swisny.com i BUlLDIt�1�'. C�EPART,�"(= 1T -_ - - Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Manny's Lighting and Electric Frederick&Carole Taylor Jose M. Rodrigues 1 Westerleigh Court 57 Croton Avenue Rye Brook, NY 10573 Ossining, NY 10562 Located at: 1 Westerleigh Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-159 135.41 1 5 Certificate Number: 2023-6089 Building Permit Number: MP 23-114 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 1 Westerleigh Court, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 1st day of September 2023. Name Quantity Rating Circuit Type Generator 01 48kW ATS 02 200AM P d t t Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. , N M \ M N � W or, a o #t w z W u j Nr �w cn W . B ► � i a M M o �A w ►—, oz a � el ° co w . V � 00 (> V U Z 1 W z r � 0; CN wQ � i--1 Cx7 z w a O F' x V H U zg . o A o w U r. OETRYEB BUILENTD , VILOK AUG -938KIN0 NY 10573 VILLAGE Or RYE BROOK wwWfi&6ok.org BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY Approval Date: Permit Fee: $ PP AUG 0 3 � ���� Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, $ JI -93 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/ r remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. I.Address: �e,!Ae C \f,lG k L 1 t?,J C C'r-,c,.S.L (U Y SBL: /3J5-i Yl Zone:ie l�- 2.Proposed Work: IJ R -a r-D U n a cx>' ,.c -'1-O :�!dn ,rc-c,_�- cri G F.�airy r 3.Property Owner: Fr-e (✓a v-d1'e Call n r Address: I V,,Sycw- 21c CT Phone#: q 1 -c?3 — 0 9 , Cell#: email: t !y CCArQk--0_Z.x2n!1n.0 •lVt�- 4.Master Plumber._CA r/S A u/7 �3 e Address: '- Lic. #: Phone#: P)Lj— a61-577)'Cell#:_ email:. n Company Name: 1�' vAeSC4 �v�I'Ca ( Address: ��j Le_xinq.Ln k- �., k'1 Sc� INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer P Gas Basement 1 st Floor 2nd Floor 3,d Floor 4`h Floor 5`h Floor Exterior ,r 5.* List Other Equipment/Provide Details: _-2-un a l t1 a Gl('�L') link LnorN o G (Notarized Signatures Required Next 2 Pages) /S/TATE 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 hat(s)he is the legalowner 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. Sworn to before me this Sworn to before me this /7 day of ,20 day of AJvXA ,20 2-3 Signature of Property Owner Si pplicant C,4,.�+7A-�j k- Print Name of Property Owner Print me of plicant GINA L. CLEMENTS Notary Public NOTARY PUBLIC-STATE OF NEW V otary Public No.01CL8448278 Quaiified in Dutchess County My Commission Expires 01-17.2017 This application must be properly completed in its entirety and trust include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 8/I 2/2021 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 me appuca jo and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this J n Swo to before me this day of �l�s) ;20 �c� day o ,20 Signature of Property Owner Signature of is int Name of Property Owner Print N e of A p icanLL Notary Pu8HARI MEL LLO otary Pub Notary Public,State of New York G I NA L. CLE No.OIMIE6160063 NOTARY IC-S O NEW YORK Qualified In Westchester County N C 6278 Commission Expires January 29,20Z ified in Dutchess unty M Commission Expires 01-17- 7 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. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/3/2023 BUILD MENT ' E U W EQ V1L OF RY OOK AUG - 3 2023 938 KING ET RYEXBR" NY 10573 4 VILLAGE OF RYE BROOK 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: % residing at, (Print name) (Address wh re you Ii\e) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; C7\ 1 Rye Brook,NY. (.lob 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)) reder�� l� 10r (Print Name of Property Owner(s)) Sworn to before me this d f , 203_ (Notary Pub ic) SHARI MEULLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20� -3- 8/12/2021 GENERACY' Automatic Service and Non-Service Rated Transfer Switches Automatic Transfer Switches NEW- Models: RTSW300A3 RTSC400A3 RTSW400A3 GENERAC ® c us Description Generac Automatic Transfer Switches are designed for use with single phase generators that utilize an Evolution"" or Nexus'" Controller.The 400 amp open transition switch is available in single phase in both service equipment rated and non-service equipment rated configurations.The 300 amp open transition switch is only available in a service rated equipment configuration. Standard Features Service rated (RTSW) Generac Automatic Transfer Switches are housed in an aluminum NEMA Type 3R enclosure*, with electrostatically applied and baked powder paint.The Heavy Duty Generac Contactor is a ETL recognized device,designed for years of service.The controller at the generator handles all the timing,sensing,exercising functions,and transfer commands.All switches are covered by a 5 year limited warranty. *Non-service rated (RTSC)switches 400 amp and above are housed in a steel enclosure. Load Management Technology Through the use of the integrated Smart A/C Module (SACM), these switches have the capability to manage up to four individual HVAC (24 VAC controlled) loads with no additional hardware.When used in tandem with Smart Management Modules, up to eight more loads can be managed as well, providing the most installation efficient power management options available. GENERAC 1 GENERAC 300 - 400 Amps, Single Phase Automatic Transfer Switches Functions All timing and sensing functions originate in the generator controller. Utility Voltage Drop-out <60% Timer to Generator Start 10 Second Factory Set,Adjustable Between 2-1,500 Seconds by a Qualified Dealer* r Engine Warmup Delay 5 Seconds Standby Voltage Sensor 60%for 5 Seconds Utility Voltage Pickup >80% Re-transfer Time Delay 15 Seconds Engine Cooldown Timer 60 Seconds Exerciser Nexus'":12 Minutes Weekly Evolution":5 to 12 Minutes Adjustable,Weekly/Bi-weekly/Monthly The Transfer Switch can be Operated Manually Without Power Applied *When used in conjunction with units utilizing Evolution-controls Specifications Model RTSW30OA3 RTSC400A3 RTSW40OA3 Amps 300 400 400 Voltage 120/240,1 e 120/240,to 120/240,1 e Load Transition Type Open Transition Open Transition (Automatic) Service Rated Open Transition Service Rated Enclosure Type NEMA 3R NEMA 3R NEMA 313 ETL Rating ETL cETLus ETL Withstand Rating 22.000 22,000 22,000 (Amps) Lug Range 600 MCM-#4 or(2)1/0-250 MCM Dimensions Model RTSW30OA3 RTSC400A3 RTSW40OA3 Height-in(mm) H1 42.9(1,089.9) 31.3(793.8) 42.9(1,089.9) H2 48.0(1,219.2) 36.0(914.4) 48.0(1,219.2) j W1 16.7(423.9) 19.2(487.2) 16.7(423.9) Width-in(mm) W2 21.8(554.2) 24.0(609.6) 21.8(554.2) Depth-in(mm) 10.0(255.5) 10.0(255.5) 10.0(255.5) Weight-lbs(kg) 140.0(63.5) 133.0(60.3) 140.0(63.5) I GENE RAC" Generac Power Systems,Inc. • S45 W29290 HWY.59,Waukesha,WI 53189 • generac.com -- 020211 Generac Power Systems,Inc.All rights reserved.All specifications are subject to change without notice. Part No.OL3205 Rev D 03,116/2021 GENERAC' Protector, PROTECTOR"' SERIES _ Series Standby Generators OEM_ Liquid-Cooled Gaseous Engine INCLUDES: Standby Power Rating • Two-Line LCD Multilingual Digital Evolution"' Controller (English/Spanish/French/Portuguese) Model RG048 (Aluminum - Bisque) -48 kW 60 Hz With External Viewing Window for Easy Model RG060 (Aluminum -Bisque) -60 kW 60 Hz Indication of Generator Status and Breaker Model RG080 (Aluminum - Bisque) -80 kW 60Hz Position • Isochronous Electronic Governor • Sound Attenuated Enclosure • Closed Coolant Recovery System ,ENE • Smart Battery Charger • UV/Ozone Resistant Hoses === • ±1%Voltage Regulation • Field Convertible Fuel Type With No Mechanical Adjustment Required. • 5 Year Limited Warranty • UL 2200 Listed • Listed and labeled by the Southwest Research Institute allowing installation as close as 18 in (457 mm)to a structure* (� 'Must be located away from doors,windows,and fresh air us QUIT " intakes and in accordance with local codes. https:/assetsswri.org/library,DirectoryOfListedProductsl >N- Constructionlndustry/973_DoC_204_13204-01-01_Rev9 pdf Meets EPA Emission Regulations CA/MA Emission Compliant FEATURES O INNOVATIVE DESIGN & PROTOTYPE TESTING are key components of O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE GENERAC'S success in "IMPROVING POWER BY DESIGN. But it doesn't REGULATION.This state-of-the-art power maximizing regulation system is stop there. Total commitment to component testing, reliability testing, standard on all Generac models.It provides optimized FAST RESPONSE to environmental testing, destruction and life testing, plus testing to changing load conditions and MAXIMUM MOTOR STARTING CAPABILITY applicable CSA, NEMA, EGSA,and other standards,allows you to choose by electronically torque-matching the surge loads to the engine. Digital GENERAC POWER SYSTEMS with the confidence that these systems will voltage regulation at ±1%. provide superior performance. O TEST CRITERIA SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer • PROTOTYPE TESTED NEMA MG1-22 EVALUATION network provides parts and service know-how for the entire unit, from the • SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY engine to the smallest electronic component. O MOBILE LINV CONNECTIVITY: Free with select Protector Series C, GENERAC TRANSFER SWITCHES. Long life and reliability are standby generator sets, Mobile Link Wi-Fi allows users to monitor the synonymous with GENERAC POWER SYSTEMS. One reason for this generator set status from anywhere in the world using a smartphone,tablet, confidence is the GENERAC product line is offered with its own transfer or PC. Easily access information such as the current operating status and systems and controls for total system compatibility. maintenance alerts.Users can connect an account to an authorized service dealer for fast,friendly,and proactive service.With Mobile Link, users are taken care of before the next power outage. GENERAC GENERAC` IIIIIIIIIIIN 48 / 60 / 80 kW application & engineering data GENERATOR SPECIFICATIONS ENGINE SPECIFICATIONS 48 kW 60/80 kW 48 kW 60/80 kW Type Synchronous Synchronous Make Generac Generac Rotor Insulation Class F H Model Inline 4 cylinder Inline 4 cylinder Stator Insulation Class H H Cylinders 4 4 Telephone Interference Factor(TIF) <50 <50 Displacement(Liters) 4.5 4.5 Alternator Output Leads 1-Phase 4 wire 4 wire Bore(in/mm) 4.5/114.3 4.5/114.3 Alternator Output Leads 3-Phase 6 wire 6 wire Stroke(in/mm) 4.25/107.95 4.25/107.95 Bearings Sealed Ball Sealed Ball Compression Ratio 9.9:1 8.85:1 Coupling Flexible Disc Flexible Disc Intake Air System Naturally Aspirated Turbocharged and aftercooled Excitation System Direct Brushless Litter Type Hydraulic Hydraulic VOLTAGE REGULATION ENGINE LUBRICATION SYSTEM Type Electronic Oil Pump Type Gear Sensing Single Phase Oil Filter Type Full Flow Spin-On Cartridge Regulation ±1% Crankcase Capacity(qt/I) 12/11 GOVERNOR SPECIFICATIONS ENGINE COOLING SYSTEM Type Electronic Type Ethylene Glycol 50/50 Mix Frequency Regulation Isochronous Water Pump Belt-Driven Steady State Regulation 0.25% Fan Speed(rpm) 2,100 ELECTRICAL SYSTEM Fan Diameter 48 kW(in/cm) 20(50.8) Battery Charge Alternator 12 Volt 35 Amp Fan Diameter 60 kW and 80 kW(in/cm) 22(55.9) Static Battery Charger 2.5 Amp Fan Mode Pusher Recommended Battery(battery not included) Group 27F(48kW),725CCA System Voltage 12Volts FUEL SYSTEM Fuel Type Natural Gas,Propane Vapor GENERATOR FEATURES Fuel Shut Off Solenoid Standard Revolving field heavy duty generator LP Fuel Pressure 7-14 in Water Column Directly connected to the engine NG Fuel Pressure 3.5-14 in Water Column Operating temperature rise 120°C above a 40°C ambient Class H insulation is NEMA rated Class F insulation is NEMA rated All models fully prototyped tested ENCLOSURE FEATURES Aluminum weather protective Ensures protection against mother nature. enclosure Electrostatically applied textured epoxy paint for added durability. Enclosed critical grade muf-Quiet,critical grade muffler is mounted inside the unit to fler prevent injuries. Small,compact,attractive Makes for an easy,eye appealing installation. SAE Sound attenuated enclosure ensures quiet operation. (All ratings in accordance with BS5514.ISO3046,IS08528.SAE J1349 and DIN6271) GENERAC" 48 / 60 / 80 kW operating data o GENERATOR OUTPUT VOLTAGE/kW -60 Hz kW LPG Amp LPG kW Nat.Gas Amp Nat.Gas CB Size(Both) 120/240 V,10,1.0 pf 48 200 48 200 200 RG048 120/208 V,30,0.8 pf 48 167 48 167 175 120/240 V,30,0.8 pf 48 144 48 144 150 277/480 V,30,0.8 pf 48 72 48 72 80 120/240 V,10,1.0 pf 60 250 60 250 300 RG060 120/208 V,30,0.8 pf 60 208 60 208 200 120/240 V,30,0.8 pf 60 180 60 180 200 277/480 V,30.0.8 pf 60 90 60 90 100 120/240 V,10.1.0 pf 75 312 80 333 400 RG080 120/208 V.30,0.8 pf 75 260 80 278 300 120/240 V,30,0.8 pf 75 226 80 241 300 277/480 V,30,0.8 pf 75 113 80 120 150 SURGE CAPACITY IN AMPS ENGINE FUEL CONSUMPTION Voltage Dip @<.4 pf Natural Gas Propane 15% 30% (ft3/hr) (m3/hr) (gal/hr) (ft3/hr) (I/hr) 120/240 V,10 100 300 Exercise cycle 101 1 2.86 0.67 24.5 2.54 RG048 120/208 V,30 118 242 RG048 25%of rated load 201 5.7 2.88 104.7 10.9 120/240 V,30 144 260 50%of rated load 336 9.5 4.16 151.3 15.7 277/480 V,30 64 123 75%of rated load 447 12.7 5.28 192 20 120/240 V,10 150 413 100%of rated load 604 17.1 6.61 240.4 25 RG060 120/208 V,30 135 313 Exercise cycle 103 2.9 0.9 1 33.2 3.5 120/240 V,30 117 289 25%of rated load 257 7.3 2.1 78 8.1 277/480 V,30 54 122 RG060 50%of rated load 432 12.2 4.4 161.2 16.8 120/240 V,10 283 600 75%of rated load 618 17.5 6.8 247.2 25.7 RG080 120/208 V,30 236 500 100%of rated load 808 22.9 8.4 305.6 31.8 120/240 V,30 204 432 Exercise cycle 103 2.9 0.9 33.2 3.5 277/480 V,30 102 192 25%of rated load 292 8.3 2.6 93.6 9.7 RG080 50%of rated load 534 15.1 5.7 208.8 21.7 75%of rated load 799 22.6 8.3 303.2 31.5 100%of rated load 1,063 30.1 10.8 393.2 40.9 Note Fuel pipe must be sized for full load. For Btu content.multiply ft3/hr x 2,520(LP)or 113/hr x 1,000(NG). For megajoule content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG). Refer to "Emissions Data Sheets" for maximum fuel flow for EPA and SCAQMD permitting purposes. STANDBY RATING:Standby ratings apply to installations served by a reliable utility source.The standby rating is applicable to varying loads for the duration of a power outage. There is no overload capability for this rating.Ratings are in accordance with ISO-3046-1.Design and specifications are subject to change without notice. GENERAC` 48 / 60 / 80 kW operating data ENGINE COOLING 48 kW 60/80 kW Air Flow(inlet air including alternator and combustion air in ch/cmm) 2,829/80.1 3,197/90.5 System Coolant Capacity(gal/liters) 2.9/11 4.5/17 Heat Rejection to Coolant(BTU per hr/MJ per hr) 201,600 204,570 Maximum Operation Air Temperature on Radiator(IF/*C) 150/66 150/66 Maximum Ambient Temperature(IF/°C) 140/60 140/60 COMBUSTION REQUIREMENTS Flow at Rated Power(scfm/cmm) 92.7/2.6 170.4/4.8 SOUND EMISSIONS Sound Output in dB(A)at 23 ff(7 m)With Generator* 68 68 *In exercise mode EXHAUST Exhaust Flow at Rated Output(scfm/cmm) 104/2.9 181/5.1 Exhaust Temperature at Muffler Outlet(IF/*C) 945/507 1,213/656 ENGINE PARAMETERS Rated Synchronous rpm 1,800 1,800 POWER ADJUSTMENT FOR AMBIENT CONDITIONS Temperature Deration....................................................................................................................3%for every 10°C above 25°C or 1.65%for every 10 IF above 77 IF Altitude Deration(48 kW).............................................................................................................1%for every 100 m above 183 m or 3%for every 1,000 ft above 600 It Altitude Deration(60 kW and 80 kW)............................................................................................1%for every 100 m above 915 m or 3%for every 1,000 It above 3,000 ft CONTROLLER FEATURES Two-Line Plain Text LCD Display.............................................................................................................................................Simple user interface for ease of operation. Mode Switch: Auto....................................................................................................................................................Automatic Start on Utility failure.7 day exerciser. Off.................................................................................................................................Stops unit.Power is removed.Control and charger still operate. Manual.................................................................................................Start with starter control,unit stays on.If utility fails,transfer to load takes place. Programmable Start Delay Between 10-30 Seconds.........................................................................................................................................................10 sec standard Engine Start Sequence...............................................................................................................................Cyclic cranking:16 sec on,7 rest(90 sec maximum duration) EngineWarm-up..............................................................................................................................................................................................................................5 sec EngineCool-Down..........................................................................................................................................................................................................................1 min Starter Lock-Out.........................................................................................................................................Starter cannot re-engage until 5 sec after engine has stopped. SmartBattery Charger.................................................................................................................................................................................................................Standard Automatic Voltage Regulation With Over and Under Voltage Protection........................................................................................................................................Standard AutomaticLow Oil Pressure Shutdown........................................................................................................................................................................................Standard OverspeedShutdown.......................................................................................................................................................................................................Standard,72 Hz HighTemperature Shutdown......................................................................................................................................................................................................Standard OvercrankProtection...................................................................................................................................................................................................................Standard SafetyFused...............................................................................................................................................................................................................................Standard Failureto Transfer Protection......................................................................................................................................................................................................Standard LowBattery Protection................................................................................................................................................................................................................Standard 50 Event Run Log.......................................................................................................................................................................................................................Standard FutureSet Capable Exerciser......................................................................................................................................................................................................Standard IncorrectWiring Protection........................................................................................................................................................................................................Standard InternalFault Protection..............................................................................................................................................................................................................Standard CommonExternal Fault Capability...............................................................................................................................................................................................Standard GovernorFailure Protection........................................................................................................................................................................................................Standard GENERAC' 48 / 60 / 80 kW available accessories Model # Product Description — Generac's Mobile Link allows you to check the status of your generator from anywhere that Mobile Link®4G LTE you have access to an Internet connection from a PC or with any smart device.You will even G0071690 Cellular Accessory be notified when a change in the generator's status occurs via e-mail or text message.Note: Harness Adapter Kit required. Available in the U.S.only. Kit, Adapter Mobile Link The Harness Adapter Kit is required to make liquid-cooled units compatible with Mobile G006478-0 L/C (Required for QT and Link°. RG Series) If the temperature regularly falls below 32°F(0°C), install a cold weather kit to maintain G007992-0 Cold Weather Kit optimal battery temperature. Kit consists of battery warmer with thermostat built into the wrap. G007990-0 Extreme Cold Weather Kit Recommended where the temperature regularly falls below 32°F(0°C)for extended periods of time. For liquid cooled units only. G005651-0 Base Plug Kit Add base plugs to the base of the generator to keep out debris. If the generator enclosure is scratched or damaged, it is important to touch-up the paint to G005703-0-Bisque Paint Kit protect from future corrosion.The paint kit includes the necessary paint to properly maintain or touch-up a generator enclosure. G007991-0 Scheduled Maintenance The Liquid-Cooled Scheduled Maintenance Kits offer all the hardware necessary to perform Kit complete maintenance on Generac liquid-cooled generators. G006664-0 Local Wireless Monitor Completely wireless and battery powered,Generac's wireless remote monitor provides you with instant status information without ever leaving the house. G006665-0 Wireless Remote Recommended for use with the Wireless Remote on units up to 60 kW, required for use on Extension Harness units 70 kW or greater. G007993-0 E-Stop E-stop allows for immediate fuel shutoff and generator shutdown in the event of an emergen- cy. The Wi-Fi enabled LP fuel level monitor provides constant monitoring of the connected LP G007005-0 Wi-Fi LP Fuel Level fuel tank. Monitoring the LP tank's fuel level is an important step in making sure your Monitor generator is ready to run during an unexpected power failure. Status alerts are available through a free application to notify when your LP tank is in need of a refill. Smart Management Modules (SMM) are used to optimize the performance of a standby G007000-0 (50 amp) Smart Management generator.They manage large electrical loads upon startup and shed them to aid in G007006-0(100 amp) Module recovery when overloaded. In many cases, using SMM's can reduce the overall size and cost of the system. An ultra-concentrated anti-corrosive cleaning solution engineered to reach the smallest A0000018981 Ultrasonic Cleaner cavities to clean the toughest contaminants.This water based formula is non-toxic, Solution biodegradable, safe for both metal and plastic surfaces, and is superior in rinsability. A0000019001 All Surface Protectant All surface protectant for vinyl,rubber,plastics creates a barrier that seals&protects sur- faces from water, UV rays while renewing the look of the surface. 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Wz orbm 652 z<= or, g ac=i0 ' u aov K F m S K v �a =a i� a aU oU ^na QQo 3 j K e G E N E RAC 48 kW installation layout \ Dar «9#mm«m9&Cpy% / $ - cl�[ z\ 0 §3 \} E §�Z _ Gz k§0, § $Z' goo m ( 97 § £ zu /� � cn E)Z �( ƒ )�& G \k\\ \ �� § ) Go § / §LU k�k\ § �k§ § 2k� —§6 /{�¥ § z « _§ ¥ / Q-W �( ~� ) §E� \) z r ) § cli/04 /ƒ GENERAC° 60 / 80 kW installation layout Drawing #A0000293264 (1 of 2) w W Z � su�{=jS¢�Q� ¢Wy Z aZ N2O NZQ > J ¢ i t a c h 1y Who �ga 'W^ �ff¢¢WZ � � ==6a L� pW y��ya�l-V 4IyZaC��IJy I�Qy � ZW�y 22Oo0J W§ N7>� yN� <¢'S�Q O2 J3 •� - OIW-2Q H ` O g w 3LLJpQ ¢� y� �QU2¢3 a `-X jpj O�y�OjF4 O 11�Yyy1>S^�UyLLy��7 pOp�O�_ ¢ �OUyWyf� �= pW a2��ay ���0<J LL�l�u�lao��Z`JW��pH JJ�6�J�ZypN1� ��;¢p23¢N✓j� ;�4LLIy� ¢3Qz4I�# Q� y� 5�'35�8�2�.7f ro��auy�g OQLL OaLL= u+ :y29 ¢ a Zx rn qq {y U !+!O ti r�+I N a yax� Lam.YW,OpNa�z�zLLyyy1���U{{y�F� o_ N ~ as uuW f'� Y }'�W4Q NON<�Nm�Om m1¢1i 2 ZR yW ¢NQ¢r Opp ."goo y-� N th O NOD n07 O+ R c W� % �iWiyWVV2 S m n h 1y _ QUN VLL4QOIY n IN mm O T J J Q I W W J 2� W UI wie y� p oo yy z�1 ¢ 4 4 V) $m u C N OU� O ¢ ¢ W JNWgo � LL W ` 91 m ¢LLd 'z s 3 a Gw a a mw N Ul rya mw `� x y_! I l I � 14 ' 1 ¢a� o ¢aJ R % $b o W U W ¢W ¢a - G E N E RAC 60 / 80 M installation layout Darken■Am0924(o2) § — $ ! { — 27 B7 � ! ` �§� - ■ ! n 2§! @■ ; m% (2)k � \!# 2 i ! R; � | � ! .. � ■ J $� §§ | � \k m■ B GEN ERAC' General;Power Syslm,Inc. . S4 W 290HWY.5,Waukesha,m 53189 - generac.com r201,a_ac Power Systems,Inc. All rightsreserved. All specifications are subject&change without notice.Part Number+000 704 Rev Emmo Steven Fews From: Karen Lyons <lyonskd22@gmail.com> Sent: Sunday, November S, 2023 4:07 PM To: Steven Fews Subject: 1 Westerliegh court Generator screening 1 N ,r t {�I amp '+�-.'• � � , r et �•` } .� ( Ira � . •�• ;1 tt y•f j�� ! •1 It : . " �/ , •.+. 't ��; . � �+ Y Lam' lit • °� r IL th I If •� ,•, 1' i r, �J . 1 t \ �t1' ri tix �• � _t +�' �`• ,y, \_, a� � 1•.M. � Two. •y, ,_-'� 7 Y •, .Building Permit Check List&Zoning Analysis Address: Q T SBL: Zone: n-�`Use: Cont ype: 01 Other. Submittal Date: evision Submittal Dates: Applicant: Nature of Work. N C\--VAS Reviews:ZBA: �' B: BOT: Other. NEED OKki N �. r� ( ) ( FEES:Filing. \,Cp' BP: __O C/O: Flood Plane: Legalization: ( ) ( ,JKPP: 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 Stamped Sealed Copies: Electronic. Other. ( ) ( �.icense: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A: ( ) HIGH-VOLTAGE ELECTRICAL:Plan: Permit N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plan: Permit: N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plan: Permit: H.W.I.C.:_Battery:_Other. ( ( ) PLUMBING:Plan: Permit Nan Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plan: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plan: Permit N/A: Other. ( ) ( ) FUEL TANK:Plan: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A: Other. (� ( ) Final Survey: Final Topo: RA/PE Sign-off Letter. As-Built Plan: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB rntg.date: approvaL• notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REOUIRED EXISTING PROPOSED NOTES Ate: AP A sir FFronW Front: FrQ= Ste: Nbin Co Accs.Cow. Ft HS : Sd,H/Sb QE Tot, EL!w P Hight/Stories: notes: lowWON _ A if OF .. .L MEMOPAM ;! a+ Y OWN f.- 04, 77 .+. mopey ' MoOd Sam 96 pool Ar au ow pay I e . Jr Yam+ �M pow owed ak• b-%d Ix jr 1 Y •t� rt 4 , '•. �• �' y,� ��T"q_ �� fie} t _- eta. •-�r�' _ . }I � t �' i 'e 1` 1 ' • •5 .1T � t• y P Irk yi jw�Alm �� l • I* Z/aq Yi\ Ad, . 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BLINp gRp� WESTERLEiGN R04D PERMITS SOU ? 3 11 DATE APPR V[ o = BUItAM INSPE TOR, iila� Brook NY GENERATOR SITE PLAN - ` THE TAYLOR RESIDENCE �. ............ o•�• ...,anr, -S?Fftewcow REVIS H ID PLAN JUL 20 2023 DATED:VIELAGEe OK BUILDING DEPARTMENT Y ;Y 1 FROPOSED low GAL. EXISTRdG LNDEW4ROUND PROPANE POOL TAW, PROPOSED t s 1 48IC GEWR4TOR WORK r� I io Fc.MF1 PATIO s �§ I.Z.' ' ll?1 Ilex x mewvwa'Blue Glrl'J 1 (thus Girl.�o11yJ,4-50 FL � A BL�1D 9F3001G '00 FT.WATERG411R8E 13' Ti' BJFFER Westchester County Electrical Licensing BoaF" Westchester County Consumer Protection Id .,. Jose M Rodrigues D.O.B: 8/21/1962 x ompdny: Manny's Lighting and Electrical Corp 57 Croton Avenue Ossining.NY 10562 License No. 384 Expires on:12/31/2023 Peter Borducci �� DATE(MM/DD/YYYYI Ac"J?" CERTIFICATE OF LIABILITY INSURANCE 05/12/2023 llk. � 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). CONTACT Ellen Greig PRODUCER NAME: BNC Insurance Agency PHONE (914)937-1230 A/c No: (914)937-1124 No Ext E-MAIL egreig@bncagency.com 90 S Ridge St Ste UL-2 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Rye Brook NY 10573-2836 INSURER A Merchants Mutual Insurance Company 23329 INSURED INSURER B Merchants Preferred Insurance Company 12901 Manny's Lighting&Electrical INSURER C: Corp INSURER D 57 Croton Avenue INSURER E Ossining NY 10562-4981 INSURER F COVERAGES CERTIFICATE NUMBER: CL2351011822 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. POLI LIMITS III SR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DDIYYYY ITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABIL PREMISES Ea occurrence $ 500,000 CLAIMS-MADE �OCCUR 1 S,000 X Contractual Liability MED EXP(Any one person) $ A Y BOP1090362 05/20/2023 05/20/2024 PERSONALgADVINJURY $ Included GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER 2,000,000 POLICY ©EC LOC PRODUCTS-COMP/OP AGG $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident) S 1,000,000 BODILY INJURY(Per person) $ X ANY AUTO B OWNED SCHEDULED CAP1066760 05/20/2023 05/20/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON'WNED Per accident X AUTOS ONLY X AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ $ DED I I RETENTION$ PER OTFI- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A ❑ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS belo v DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) The Certificate Holder is included as an additional insured when required under written Contract or Agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD /vRkN NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 � A A A A A A 133808026 MANNY'S LIGHTING&ELECTRICAL CORP 57 CROTON AVENUE s OSSINING NY 10562 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MANNY'S LIGHTING&ELECTRICAL CORP VILLAGE OF RYE BROOK 57 CROTON AVENUE 938 KING STREET OSSINING NY 10562 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2144 043-3 316793 05/2012023 TO 05/20/2024 5/16/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2144 043-3, 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:/rWWW.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. JOSE M RODRIGUES-PRES MANNY'S LIGHTING&ELECTRICAL CORP 1 OF1 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. 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