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HomeMy WebLinkAboutBP23-164PERMIT # �oi3- �lp'7 DATE: q a 3 q(P, SECTION 3 , a BLOCK LOT. TYPE OF WORK p Aip,oOr} Q� JOB LOCAmoN c�n _ /I :1 In ; nO OWNER CONTRACTO EST. COST �CO TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS o INSP SPRINKLER rwfe**o! /O ELECTRIC LOW -VOLT CI ALARM CJ AS BUILT O FINAL ✓ i OTHER APPROVALS ARB C BOT 3 7 a90Z ! Ps ZBA � 7 7& OTHER HER 3 =X) / ll ✓/i- DRn t� ic duo t V cc,c VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.iyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE December 4,2023 Volkert Braren&Maureen Braren 262 North Ridge Street Rye Brook,New York 10573 Re: 262 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.27-1-5 Building Permit#23-164 issued on 9/26/2023 for a Rooftop Solar Array This certifies that the rooftop solar array,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to BUILDING DEPARTMENT For office use only: y 3 NOV —2 ZU23 PERMIT#VILLAGE OF RYE BROOK ISSUED: 938 1111��i STREET,RYE BROOK,NEW YORK 10573 DATE: — VILLAGE OF RYE BROOK � (914)9 -0668 FEE: — PAID,11L BUILDING DEPARTMENT WW r "r 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 kkkktRtktttkRRRtRRt■krtrtttttkkkrtkkktttkRRkRR4RrtRtRtttkttttrtttktkkkkttkktkktRRtkkkR4tRtrtRt4tttRkktktkRkRRRttR4Rrttrtrttttktktkktkt Address: 262 N Ridae, Rye Brook, NY 10573 Occupancy/Use: C�i4✓L Parcel ID#: /3—S , -) 7 /— `� Zone: Owner: Volkert Braren Address: 262 N Ridge, Rye Brook, NY 10573 P.E./R.A.or contractor: Venture Home Solar Address: 100 Charlotte Ave, Hicksville, NY 11801 Person in responsible charge: 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: Thomas CattersonNenture Home Solarbeing duly sworn,deposes and says that be/she resides at 100 Charlotte Ave (Print Name of Applicant) (No.and Street) in Hicksville ,in the County of Nassau in the State of NY ,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:$ 27,710.10 f for the construction or alteration of: Installation of Roof-Mounted Solar Panels. 22 Panels, System size: 8.91 kW 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 TEPHEN JOHN LUISE JR Swom to before me this 30th day of zO 0 2—J110TARY PUBLIC,STATE OF NEW YORa day of O cto b e r , 20 23 Registration No.02LU6407287 L Qualified in Suffolk County Signature of Property Owner =APPCemwAssiOn Ezpites �• 2-y Signature of Applicant VOLL<t ga R2-el-� Thomas Catterson Print Name of Property Owner Print Name of Applicant 41Z11 STEPHEN JOHN URSE JnX Motir§Public )NOTARY PUBLIC,STATE OF NEW YORK otarf Publi Re&trati0n NQ 02W6007W QU aiw in Suffolk ce" MyCommbsion Expim S'/P•2(1 8/12/2021 �E BRQ:k FO • 1982• BUILDING DEPARTMENT 1.9*ILDING 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# Ca3 ISSUED: SECT! BLOCK: LOT: LOCATION: V-" OCCUPANCY: \� ❑ Violation Noted THE WORK IS... r PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION y REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ROSS CONNECTION / FINAL ` ❑ OTHER m m , m M � p � O O � � • a vvO W A O 7214 - o Am a A. r--i U a _ rA En m fl CL x* z Q o 4 0 3 y 0 N O rs •a a cq 2 O O �" � � av 00 a o � ON 1-4 Z x 04 Q ' Ln o ILI.,O co OV W C)rV a O W ^ q ISC) O o n m z ^p a N �a W h+ l rr � " g a c� C7 � I.•.� � � � z w pG > q � o � o�•� 4 � _ �30 � U W i—+ 00 �--r Z r�i Ott MM GN W p c� �.., a v' a w g m �-1 w W c.� 5 .a 0 a cn A O ad ;7 0ro A 0 � � �a, � � © � m F1 M+1 O !• � '' a � a U �,y )V•1 a 0 w � a �y > ► O ti p U Cl Ii c~n Z O O O vs UUC) U � H § Z Ae; I � x = I o z O CA � v' o t'y Vr z Ei W W O >" ." ' o W Z o 9 ob m .° om BUIL TMENT IE E � V Vr E OF RY OOK JUL 19 2023 938 KING EET RYE BR ,NY 10573 j 9-.0 VILLAGE OF RYE BROOK e rg BUILDING DEPARTMENT FOR OFFICE USE ONLY; ?Approval Da ermit# 3' Application# 4 3 0cc O Approval Signature: : ARCHITECTURAL REVIEW BOARD: Disapproved: Date: _ D BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee; Imcd Permit Fees- APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation of a Photovoltaic S I Array as per detailed statement described below. 1. Job Address: 262 N Ridge St. SBL: 13 ,,27—/-- one: 2 Type,kW&Location of Array,(use additional sheets if necessary), Installation of 22 roof mounted solar modules and inverters. No structural. 8.91 kW 3.Property Owner: Volkert Braren Address: 262 N Ridge St., Rye Brook NY 10573 Phone#(914) 937-2908 Cell# e-mail vebraren@aol.com 4.Applicant: Venture Solar Address: 327 Captain Lewis Drive Southington,CT 06489 Phone#203-577-7651 Cell# e-mail gina.napomoceno@venturesolar.com 5. Design Engineer: Patrick Bussett Address: 327 Captain Lewis Drive Southington,CT 06489 Phone# 860-919-3093 Cell# e-mail gina.napomoceno@venturesolar.com 6.Solar contractor: Venture Solar Address: 327 Captain Lewis Drive Southington.CT 06489 Phone# 203-577-7651 Cell# e-mail gina.napomoceno®venturesolar.com 7. Occupancy;(1-Fam.,2-Fam.,Conunercial.,etc...)Pre-construction: 1-Fam Post-construction: 1-Fam 8. If building is located on a comer lot,which street does it front on: 9. N.Y.State Construction Classification: N.Y.State Use Classification: 10. Construction Type&Location:()Typical Western Lumber Frame;O Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;()Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: IL Number of stories: Roof Style:(hip,shed,mansard,etc...) 12. Will a New Roof Be Installed: No X Yes ❑ (a separate roofing permit is required to re-root an existing building) 13. Roofing Material&Number of Layers: 1 8/12l2021 14. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? No: &� Yes_ ❑ Area: 15, Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: V Yes: ❑ (Ifyes,applicant must submit a Site Plan Application,&provide detailed drawings) 16. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: d Yes: ❑ (►f yes,applicant must submit a Tree Removal Permit Application) 17. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? No: V Yes: ❑ Indicate: TIER I:_TIER II:_TIER III: (if yes.a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: $28,000 (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), 19. Start Date: Completion Date: This application must bear 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: I, Gina Napomoceno ,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, contractor 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 rms-r Sworn to before me this day of AVCIP$1- 120 Z day of 120 Notary Public Notary Public &4_�_J_zi 9-- S nature of Property Owner Signature of Applicant dal Kelr+ "r Yell Print Name of Property Owner Print Name of Applicant DONALO A, CASSONE Notary Pubic, State of New York No. 01CA6061097 Qualified in Westchester County 2 Commission Expires July 9. 20V 8/12/2021 14. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq,ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? No: V Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: V Yes: ❑ (Ifyes,applicant must submit a Site Plan.Application,&provide detailed drawings) lb. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: V Yes: ❑ (If yes,applicant must submit a Tree Removal Permit Application) 17. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? No: V Yes: Indicate: TIER 1:_TIER IL_TIER III:_ (if yes.a Home Occupation Permit Application is required) 18, What is the total estimated cost of construction: $28,000 (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[lee estimated cost.an additional fee will be required prior to issuance of the CIO). I9. Start Date: Completion Date: This application must bear 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: 1, Gina Napomoceno ,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 die property to which this application pertains,or that(s)he is the, contractor 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 aq +h day of 120 day of JIAY\� 20 0�3 Notary Public Nota blic /Ul PX4-vi Signature of Property Owner JreYfApplicant &1r10t. N0L90nNXfn0 Print Name of Property Owner Print Name of Applicant i Nicole Dow Nutary Public.State of Gonnedcut My Commission Expires D8131/2027 811 21202 I . r \ w w \ \ c o� Q. M I. a u .•� A W 06 ,. U CI" w Ln 00 w WG w x ' U QH � 9z : A al O o N H � � o � � o � W zcol ►.a :4 OIN \ � It z W 8 z ltftftft cn 04 rcn� z M a H 04 cn 08 U U Ua Z o w z a - � ° x 4-4 x � i �Utg4444Afiv4644$ #4$444 4 U U U 414;4 41a U 4 44.4-444041414414 41410GitC.4;9 t;(_4; CEFYIE BUIL y� NE!pk MENT `� VIL E OF RYE OK JUL 19 2023 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County MasterElectricians License Required FOR OFFICE USE ONLY BP#: Q3— /6 2� EP#: J— C--)-!l 0 Approval Date: SEP 2 5 2023 Permit Fee: $ 1� Approval Signature: Other: Application dated, L37is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 262 N Ridge St. SBL: 135,37—/-5- Zone:/ /5 2.Property owner: Volkert Braren Address: 262 N Ridge St., Rye Brook NY 10573 Phone#: (914) 937-2908 Cell#: email: vebraren@aol.com 3.Master Electrician: Jason Sampogna Address: 327 Captain Lewis Drive Southington, CT 06489 Lic.#: 0200835 Phone#: 845-518-3239 Cell#: email: gina.napomoceno@venturesolar.com Company Name: Venture Solar Address: 327 Captain Lewis Drive Southington, CT 06489 4.Proposed Electrical Work/Fixture count: Installation of 22 roof mounted solar modules and inverters. No structural. 8.91 kW 5.31 Party Electrical Inspection Agency: SWIS x**x�xxxxx�x�x*�xxxx�*x*x��x*xxxxxYx,�xxrx�-»:x�x�-xxxxtx�xxxxf�Y;•xx>,rx�r�YxxxYxY::�xx*xxx**xx<xxx+x*xx�x STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Jason Sampogna being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn to b fore me this '9q�h day of ,20 gNoMryPublic e 20� Signature of Property Owner ant n O Viol Print Name of Property Owner Notary Public Nicole Down Ole rJo'.•6/23/202 Notary Public,State of Connectiq�t 5':•.,,r{;,;n � my Commission E ores oef3i=7 i • STATE WIDE INSPECTION Service With Integrity 1'1 • • I SWIS JOB APPLICATION12.7224 1 fax 914.219.10621 SWISNYcoml • Office Use Elect. Permit# i Date 7 Bldg Permit# -` Sq Ft Plumbing Permit# Final Certificate# City/Village L Zip 7Building Dept. K County . r Address t Cross Street Section Block,' Lot Owner Name/Address(It different than above) p{ !Sri{F'(• Contact Number i_; - r_, ❑Basement ❑ 1st Fl. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside 0 Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels I 1PI 3P #Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation Gut cttic� c ZZ r()C, fv�C-t, iii f+e t ,�la� tti,vct+vll�S c(� c +f'/ S !G 5+ytI['-�UYAi'- k . C! K tJ D IE(CE V JUL 19 2023 i 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 lobe inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address ?�G i iG Div 4 J C t ;, �lei'h t'v i t ,v t C-1 0 0", Name JG SO r", %C--#V' , YI G License# Date aC1'a Signature Address i� ^ }{G.n LP t, c ,i City/State ftl�Ins Z�dCode L c G il : t. Company . 1(L SU i C'i Phone# L; j - ��)? 7 R � � � �V%F j C) State Wide Inspection Services CAC) ! 1080 Main Street �CT ' 6 2023 Fishkill, NY 12524 a 845 Phone VILLAGE OF RYE BROOK 914-219-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com _-..�._Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Venture Home Solar Volkert Braren 327 Captain Lewis Drive Maureen Braren Southington,CT 10804 262 North Ridge Street Rye Brook, NY 10573 Located at: 262 North Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-210 135.27 1 5 Certificate Number: 2023-7514 Building Permit Number: BP23-164 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: 262 North Ridge Street, Rye Brook, NY 10573 The Photovoltaic System 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 16`h Day of October 2023. Name Quantity Rating Circuit Type PV Modules 22 Inverters 22 AC Disconnect 01 Junction Box 03 Combiner Box 01 Js 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. vent re sot r 01) D" i !-QV — 3 20231 11/1/2023 ff Village of Rye Brook Building Department L—w 938 King Street VILLAGE OF RYF BROOK Rye Brook, NY 10573 q BUILDING DEPARTMENT Re: Solar Panel Post Installation Certification Letter To whom it may concern, I, Patrick Bussett, certify the installation of the solar panels for the building located at 262 N Ridge Street, Rye Brook, NY 10573, have been reviewed, are true and accurate, and are in conformance to the village of Rye Brook approved plans,the 2020 Residential Building Code of New York State, and the provisions of ASCE 7-16. Permit#: BP 23-164 SBL#: 135.27-1-5 OF NEWYO Best, \GK BUSS •per 2 105278 Patrick Bussett, PE F�A'��FEssIo Email: patrick.bussett@venturesolar.com (Building Permit Check List&Zoning Analysis) Address: SBL: / 5 0-7— Zone: Use: ZC Const. ype: \> Other: Submittal Date: Revisions Submittal Dates: Applicant: nncj� !,- Nature of Work Q) CW no A CT Reviews:ZBA: A U G 0 3 2023 pB; BOT: Other. NEED OK � �10 _ P ( ) K FEES:Filing. `O��BP: C/O: Flood Plane: Legalization: ( ("P: Dated: .Notarized: -'BL: 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: ( ) ( t)/PLANS:Date Stamped: Sealed: Copies: Electronic Other. ( ) ( ) License: Workers Comp: Liability Comp.Waiver: Other. ( ) CODE 753#: Dated: N/A: ( ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plans: Permit: Nat. Gas: LP Gas: 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. (4 AR nitg.date 1 bba approval• notes• ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES AP SE c C?3 Ate: natA� Fr= Sidw Main coy Arcs.Cow Ft H Sd.H/Sb: spa: FL imp TotImp HAS' /Stoaes: notes: 2'Z, �1_ BUILD MENT R �C IE � V E VIL OFL ?Y. OOK JUL 19 2023 938 KING Q 1KT RV%, R ,NY 10573 4 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:262 N Ridge St. Date of Su issio . Parcel ID#: Zone: Proposed Improvement(Describe in detail): Installation of 22 roof mounted solar modules and APPLICANT CHECKLIST: inverters. No structural. MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Depart ent by the applicant-no exceptions. Volkert Braren I. Completed Application Property Owner: 2. (�wo(2)sets of sealed plans. (one full size(maximum Address: 262 N Ridge St., Rye Brook NY 10573 allowable plan size=36"x 42") and one I PNIT') Phone#(914) 937-2908 3. ( )Two(2)copies of the property survey. 4. ( )�;wo(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( One electronic/disc copy of the complete Venture Solar /(pplication materials. 6. ( Filing Fee. Address:327 Captain Lewis Drive Southington, CT 06489 7. ( )Any supporting documentation. Phone# 203-577-7651 8. ( )YOA approval letter. (ifapplicable) 9. ( NfPhotographs. Arch itect/Engineer: Patrick Bussett 10.( )Samples of finishes/color chart. (a sample board or Phone# 860-919-3093 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. tt. Sworn to before me this 2, Sworn to before me this o9q 4h day of ) v one- ,20 13 da )urt° 2003 'UAIII-f 3� Signature of Property Owner Si nature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public DONALD A. CASSONE Notary Pubic, State of New Yoh No. 01CA6061097 Nicole Dow Qualified in mistchester CouMY 1 r Notary Public,State of connet CficLj ommission Expires July 9, 20_ My Commission Expires Oti131t2027 S 13'2u?I r BR�u� Village of Rye Brook Agend %* 'y Architectural Review Board Meeting f��w�v t` Wednesday, September 20,2023 at 7:30 PM Village Hall,938 King Street 1. ITEMS: 1.1. ARB23-090 (Consent Agenda) Volkert Braren&Maureen Braren 262 North Ridge Street Rooftop solar array. 1.2. ARB23-101 (Consent Agenda) Thomas Mariam&Alyce Mariam 89 Country Ridge Drive 4'high&6'high white vinyl fence. 1.3. ARB23-102(Consent Agenda) Jonathan Starr&Shanen Starr 20 Paddock Road 4'high black aluminum fence and gates. 1.4. ARB23-103 (Consent Agenda) Samuel Marcus&Audrey Marcus 12 Bobbie Lane Rooftop solar array. Consent Agenda Approvals: Motion Second \ Y Abstentfa- Aye; Nay; Adjournment; Notes 1.5. ARB23-023 (Amendment to Prior Approval) Ervin Gomez&Maria Gomez 59 South Ridge Street Rear 2nd story addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Architectural Review Board September 20,2023 1.6. ARB23-104 Vanderlei Carvalho&Ehane Carvalho 770 King Street Roof over existing terrace. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB23-105 Suresh Shanmugam&Anisha Mathur 259 North Ridge Street Enclose existing rear patio w/ steps to grade. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB23-106 Lorenzo De Roni&Christine De Roni 16 Jennifer Lane New walkways and retaining walls,install SWM system. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB23-107 Win Ridge Realty LLC 104 South Ridge Street New sign. "Mama Mia Dessert Bar" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 Architectural Review Board September 20,2023 1.10. ARB23-108 Frank Nunziato&Kristina Nunziato 30 Argyle Road 2nd floor addition and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB23-109 Washington Park Plaza Associates LLC 243 South Ridge Street New sign. "Wells Fargo' Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB23-110 Jing Xie&Margaret Chung 141 North Ridge Street Renovate existing deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB23-111 Sooah Park 47 Bonwit Road New rear patio,retaining wall and fencing. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 Architectural Review Board September 20,2023 1.14. ARB23-112 Lake Development Co LLC 11 Old Orchard Road Legalize and renovate existing deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: October 18, 2023 Page 4 of 4 vent re sot r @) 06/14/2023 Volkert Braren 262 North Ridge Street Rye Brook, New York 10573 Re:Solar Panel Installation Dear Mr./Ms. Braren, At your request, Patrick Bussett of Venture Solar LLC(NY license#105278), has carefully reviewed the existing roof framing and the proposed connection of the panels to the roof for the building referenced above. The following building codes were used in conjunction with the 2020 Residential Code of New York State to generate pertinent design criteria: ASCE 7-16—Minimum Design Loads for Buildings and Other Structures International Residential Code 2018 Edition (IRC) National Design Specification for Wood Construction 2018 Edition (NDS) Design Criteria: Design Gravity Load: Snow/Live Load =30 Ibs/ftz, Dead Load=12 psf Design Wind Load: V,it= 116 mph; Exposure B, Risk Category II *Wind loads exceed seismic loads and therefore govern the design Field observations identified the following conditions: The new solar panels will impose an additional dead load of approximately 3 psf.The roof consists of asphalt shingles over plywood sheathing supported by 2x6 rafters at 16"o.c.The rafters are sloped at a 25' pitch and have a maximum projected horizontal span of 12'-6"±.The framing is assumed to be Douglas Fir#2 graded or better. The calculations determined that the existing framing has adequate capacity to support the PV panels as shown in our PV panel layout plan with no structural upgrades required. I therefore certify that this installation complies with the applicable codes and is acceptable for approval. Please feel free to contact me if you have any questions or concerns. Best, ,`�pf NEW),, K BUSSEl�P,� A Patrick Bussett, PE Email: patrick.bussett@venturesolar.com 10508 �'°ROFESc" Venture Solar June 20, 2023 To whom it may concern, This letter is to inform you that Gina Napomoceno, Permit Coordinator at Venture Solar, LLC, may use my HIC License #WC-35078-H22 for the permit needed at: 262 N RIDGE ST, Rye Brook, New York 10573 Printed Name: Alex Yackery, 203-577-7651 DocuSign Envelope ID:22F33AF4-C18C-4FBF-B92B-65B6C7B8FF7D venture sot r Letter of Authorization / Property Owner Authorization Form I, Volkert Braren, am the owner of the property located at address: 262 N RIDGE ST, PORT CHESTER, New York 10573 1 hereby authorize Venture Home Solar, LLC dba Venture Solar Power of Attorney to handle dealings associated with the successful interconnection and application for obtaining local building and other permits from the Authority Having Jurisdiction as required for a Solar Photovoltaic System located on my Property. I further authorize you to release my account information for the prior twelve (12) months, including electrical usage and demand history. Venture Solar agrees to keep this information confidential and use it only for the purposes of designing, installing, and interconnecting my photovoltaic system, obtaining incentives on my behalf, and establishing interconnection agreements, proper metering, and approvals. Print Name: Volkert Braren DocuSigned by: Owner Signature: E�7AMADDBF05645De(�c,v� fv'a� .. Date: 5/25/2023 Print Name: Volkert Braren DocuSigned by: E�7AMADOBF05645D e(�c,v�- branA& Utility Bill Owner Signature: ... Date: 5/25/2023 powered by - ouo p . --- Quality . • : , ^ Controlled PV TOVVRRho=,inland • a -tuv.com 10 1111232615 . �YR . • �Q TOP BRAND PY •ssE- n111ort ' USA Warranty Z021 0 CELLS P, :­6PRrr«^iar,ce Y,?Id Security T- BREAKING THE 20%EFFICIENCY BARRIER nnn/III Illlllnlllllll IIII Q.ANTUM DUO Z Technology with zero gap cell layout boosts module efficiency up to 20.9%. THE MOST THOROUGH TESTING PROGRAMME IN THE INDUSTRY _ Q CELLS is the first solar module manufacturer to pass the most comprehen- sive quality programme in the industry:The new"Quality Controlled PV"of vV the independent certification institute TOV Rheinland. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light and temperature behavior. _ ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID ` Technology',Hot-Spot Protect and Traceable Quality Tra.QTM1. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT YE•RS Inclusive 25-year product warranty and 25-year linear performance warranty2. 6 BUSBAR 12 BUSBAR r APT test conditions according to IEC/TS 62804-1.2015.melnod A(-15CO V,96h) CELL TECHNOLOGY CELL TECHNOLOGY 'See data sheet on rear for fu•ther information. THE IDEAL SOLUTION FOR: (10 Rooftop arrays resicenlial buildings Engineered in Germany CKELLS MECHANICAL SPECIFICATION Format 74.0in x 41.1in x 1.26in(including frame) (1879 mm x 1045 mm x 32 mm) Jt0•t1B]9"""� ua•pas6 mml 42.9'(109a mml Weight 48.5lbs(22.Okg) Front Cover 0.13in(3.2mm)thermally pre-stressed glass with + =4`r`=' - + anti-reflection technology 4.raa pain•au•Psmml =� Back Cover Composite film u.rNa•mml Frame Black anodized aluminum Cell 6 x 22 monocrystalline O.ANTUM solar half cells C3 4ir•a045mm1 Junction Box 2.09-3.98in x 1.26-2,36in x 0.59-0.71in (53-101 mm x 32-60 mm x 15-18mm),IP67,with bypass diodes Cable 4mm2 Solar cable;(+)>49.2 in(1250 mm),H- 49.2 in(1250mm) e.or=n.w_ 4.r4vlww+U PETNL A) + Connector Staubli MC4;IP68 I I I I 0.9a-;NSmm1 I�-10.33'(9.5 mmt ELECTRICAL CHARACTERISTICS POWER CLASS 385 390 395 400 405 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS.STC'(POWER TOLERANCE+5 W/-OW) Power at MPP' PN„ [W] 385 390 395 400 405 Short Circuit Current' Isc [A] 11.04 11.07 11.10 11.14 11.17 E E Open Circuit Voltage' Vim; NJ 45.19 45.23 45.27 45.30 45.34 c Current at MPP I.m [A] 10.59 10.65 10.71 10.77 10.83 f Voltage at MPP V_ IV) 36.36 36.62 36.88 37.13 37.39 Efficiency' n [%] >_19.6 >_19.9 >_20.1 >20.4 2o20.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT' Power at MPP PN„ [W] 288.8 292.6 296.3 300.1 303.8 E Short Circuit Current Isc [Al 8.90 8.92 8.95 8.97 9.00 c Open Circuit Voltage Voc- IV] 42.62 42.65 42.69 42.72 42.76 Current at MPP IN,,, [A] 8.35 8.41 8.46 8.51 8.57 Voltage at MPP V.K IV] 34.59 34.81 35.03 35.25 35.46 'Measurement tolerances P,v ±3%;IS<;V,c±5%at STC:1000 W/m2,25±2'C,AM 1.5 according to IEC 60904-3.2800 W/m2,NMOT,spectrum AM 1.5 Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE --T-----r-----I-----i---- u d. - At least 98%of nominal power during , , W f5 44 first year.Thereafter max.0.5% y z S r ----------------------------- degradation per year.At least 93.5% W ro __�_____i_____ ' J of nominal power up to 10 years.At I W ti i least 86%of nominal power up to ' ' z,, 3 r 25 years. n a2 r 4 c All data within measurement tolerant- r r as.Full warranties in accordance with a• I ' n s the warranty terms of the O CELLS Sao •w aea aee 2ee� o r sales organisation o'you,respective IRNApANCE(W/m'I R u • . r r r r country. sn.4,�,,,•...,,..,.�.,.,,;waro.... VEAPS Typical module performance under low Irradiance conditions in o comparison to STC conditions(25°C,1000W/m2) p TEMPERATURE COEFFICIENTS o Temperature Coefficient of Isc a [%/K] +0.04 Temperature Coefficient of Voc [%/K] -0.27 Temperature Coefficient of PN„ y [%/K] -0.34 Nominal Module Operating Temperature NMOT ['F] 109±54(43±3°C) m 0 PROPERTIES FOR SYSTEM DESIGN Maximum System Voltage V,s IV] 1000(IEC)/1000(UL) PV module classification Class II ao r Maximum Series Fuse Rating (A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 m Max.Design Load,Push/Pull' jibs/ft2] 75(3600 Pa)/55(2660 Pa) Permitted Module Temperature -40'Fupto+185°F c Max.Test Load,Push/Pull' jibs/ft2] 113(5400Pa)/84(4000Pa) on Continuous Duty (-40'C up to+85°C) 'See Installation Manual QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION UL61730.CEent. Ouellty Conndletl IWPV PV-TUV Rherdantl, IEC 61215:2016,IEC 617302016, U.S.Patert No.9.993,215(sdar celisl, S� Horizontal 76.4in 43.3in 48.0ln 1656lbs 24 24 32 9 C c, uS C E packaging 1940mm 1100mm 1220mm 751kg pallets pallets modules _1. ut au.m lu n ::am N Note:Installation instructions must be followed.See the installaton and operating manual or contact our technical service department for further information on approved installation and use of this product. Hanwha O CELLS America Inc. 400 Spectrum Center Drive,Suite 1400.Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL inquiryQus.c-cells.com I WEB www.q-cells.us =, ENPHASE emcm IQ8 and IQ8+ Microinverters Our newest IQ8 Microinverters are the industry's first microgrid-forming,software- defined microinverters with split-phase power conversion capability to convert DC power to AC power efficiently.The brain of the semiconductor-based microinverter Easy to install is our proprietary application-specific integrated circuit(ASIC)which enables the Lightweight and compact with microinverter to operate in grid-tied or off-grid modes.This chip is built in advanced plug-n-play connectors 55nm technology with high speed digital logic and has super-fast response times Power Line Communication to changing loads and grid events,alleviating constraints on battery sizing for home (PLC)between components energy systems. • Faster installation with simple two-wire cabling Enphase •�` High productivity and reliability 25 Produce power even when the year limited grid is down wafranty More than one million cumulative Part of the Enphase Energy System,I08 Series I08 Series Microinverters redefine reliability hours of testing Microinverters integrate with the Enphase IQ standards with more than one million Battery,Enphase IQ Gateway,and the Enphase cumulative hours of power-on testing. Class I)double-Insulated App monitoring and analysis software. enabling an industry-leading limited warranty enclosure of up to 25 years. Optimized for the latest high- powered PV modules Microgrid-forming CERTIFIEDNEW "Oftwo. Complies with the latest SAFETY advanced grid support Connect PV modules quickly and easily to I08 Series Microinverters are UL Listed as Remote automatic updates for I08 Series Microinverters using the included PV Rapid Shut Down Equipment and conform the latest grid requirements Q-DCC-2 adapter cable with plug-n-play MC4 with various regulations,when installed connectors. according to manufacturer's instructions. Configurable to support a wide range of grid profiles C 2021 Enphase Energy.All rights reserved.Enphase,the Enphase logo,IQ8 microinverters, Meets CA Rule 21(UL 1741-SA) and other names are trademarks of Enphase Energy,Inc.Data subject to change. requirements 1 Q 8 S P-DS-0002-01-E N-U S-2 021-10-19 IQ8 and I08+ Microinverters INPUT DATA(OCI .: ,, Commonly used module pairings' W 235-350 235-440 Module compatibility 60-cell/120 half-cell 60-cell/120 half-cell and 72-cell/144 half-cell MPPT voltage range V 27-37 29-45 Operating range V 25-48 25-58 Min/max start voltage V 30/48 30/58 Max input DC voltage V 50 60 Max DC currenN[module Isc] A 15 Overvoltage class DC port II DC port backfeed current mA 0 PV array configuration 1x1 Ungrounded array;No additional DC side protection required;AC side protection requires max 20A per branch circuit OUTPUT DATA is ,r 0:• Peak output power VA 245 300 Max continuous output power VA 240 290 Nominal(L-L)voltage/range' V 240/211-264 Max continuous output current A 1.0 1.21 Nominal frequency Hz 60 Extended frequency range Hz 50-68 Max units per 20 A(L-L)branch circuit' 16 13 Total harmonic distortion <5% Overvoltage class AC port III AC port backfeed current mA 30 Power factor setting 1.0 Grid-tied power factor(adjustable) 0.85leading-0.85lagging Peak efficiency % 97.5 97.6 CEC weighted efficiency % 97 97 Night-time power consumption mw 60 MECHANICAL DATA Ambient temperature range -400C to-600C(-40°F to+140°F) Relative humidity range 4%to 100%(condensing) DC Connector type MC4 Dimensions(HxWxD) 212 mm(8.3")x 175 mm(6.9")x 30.2 mm(1.2") Weight 1.08 kg(2.38lbs) Cooling Natural convection-no fans Approved for wet locations Yes Acoustic noise at 1 m <60 dBA Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environ.category/UV exposure rating NEMA Type 6/outdoor COMPLIANCE CA Rule 21(UL 1741-SA).UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B,ICES-0003 Class B,CAN/CSA-C22.2 NO.107.1-01 Certifications This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC 2014,NEC 2017,and NEC 2020 section 690.12 and C22.1-2018 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according to manufacturer's instructions. (1)No enforced DC/AC ratio.See the compatibility calculator at https://Iink.enphase.com/ module-compatibility(2)Maximum continuous input DC current is 10.6A(3)Nominal voltage range can be extended beyond nominal if required by the utility.(4)Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. 1O8SP-DS-0002-01-EN-US-2021-10-19 C�ervice Report Prepared for: Prepared By: Work Order 00056738 Name Venture Horne Solar Number Company Address United States 'G Y ReportService Prepared .r: Prepared B Work Order 00056738 Name Venture Home Solar AddressNumber Company ����� ��� .�•�• : �,. ,fir � .�eF '� _ Effi } ,y �4r� Service Report Prepared for: Prepared By: Work Order 00056738 Name Venture Home Solar Number Company Address United States t .a ,a ReportService Prepared . Prepared Work Order 00056738 Name Venture Home Solar AddressNumber Company b-. is u t ReportService Prepared . Work Order 00056738 Name Venture Home Solar AddressNumber Company E f 4 ter. •\ � y. ,; �r • ti S''7rr4 � �•i t .1 r� _ ,fit� - `i yr��'``5., � � �'�►1,''�� � , J f • ReportService Prepared . Prepared Work Order 00056738 Name Venture Home Solar AddressNumber Company PR IfIkL r Tom- x t .-� �• ,, . -.r �, �'1�, , � �- r a4{�" •.Y, - ' ' ...,wry' ReportService Prepared . Prepared Work Order 00056738 Name Venture Harne Solar CompanyNumber Address •J w +bk-. r� � P ii • fit r . . ,. t t� + `�., y�r.. \�� �"� .:e4 _ - rr^ _� 3_ I . ,. i ReportService PreparedPrepared Work Order 00056738 Name Venture Home Solar AddressNumber Company �.+ io§w:I- f w p r -_ Service Report Prepared . Prepared Work Order 00056738 Name Venture Home Solar CompanyNumber Address United States I----� •� . 1) �t'JAI Nor— r r + .. i t •sue- _ .f ..'?� fi _ � ,1:•-,,h-. '�ck�r �"� Vetttt�ryz solar -:�- -_ . Service Report Prepared for: Prepared By: Work Order 00056738 Name Venture Home Solar Number Company Address United States - ..t{� '�. , ♦� ,,+IA4°"' j��`•+ •M��b w �a3av-� �.�r�+i` �e?�=E� �+t\-'!��a�•� -! `�F�,�;._ �^"�••e'� ti v /`yt` ,�vraw � Aq �• fi'VI t ){�{� ���` k r i; �4 •)r• ���. I 3 ti 1��ye 4 ••,Y�y+�• r w(ie !� : _. .. i rjI f a -ui►!{Il�� z'F }-C 7 j� -. �i {{ b i2�`f_'"!F yYt, st7 �l� �a!!t ► �' ilRCw 4 }� { 4� If,l Y1 �'� ` a 'lry4�' ''if{/�f,!'! 'J Y`- f :x � � �_ i..,�:zG`•• _����- y��- �-..:._.����__.. .�� Ito)►} - 7. O Xf CN LO ���`.' Ti ,� cam., � ��• y E ^ CO —Y v ccx,:: Vr CD ...f ' — . . �•7°• '. CO LU o ,action 1 W5 111 J C o t1yr '1 O Y Zak .J lt�sa,,rr 11 !' U .. . O M O z x All •�?" � :ice• ��: - - Ad k 71 ,c ter.--• t^ c-•,.- a; ...-r (►. b�I t: i}11}lh' yqE ..�y��ly"< _ !r �l�c # AIH� �"' "f�► ! s 7 o�N}f! ' •; g. " y.. s �'{i� ;..��►syr [�l�►�s ' 2.11�{){1 �����„44R�f /flf�� `-T6 � ' �i��' !►�{►'1ryCif!►{If!! 1�'�•f f1►Iff'\ ��. -%ir�'d �`�, •�� 1'.w R ff 5�ti4't �Y-t,.i csi � �. �.. EKd�.� .. � �., ' "F}' ti�w R -,� ,5�" 6 e■ .1,11V,�r •. + Karp• � y`�:.. }y � � _ qs .� ��, M1ty. h'" Yv�).. `� �`�. ''I.Y� f +l' • _ s� _ •fu 4 - � 1)'�••'h4.ry"�_.�\k }._-.ryiys ..'o'�.o-a. �n•.-t,�y .� ��E'n+�53u`�^� �'�- �i�'+�Y� ��-v..�Q,'9�•c�Ff'f. ACCDATE 1 v28/CERTIFICATE OF LIABILITY INSURANCE DATE( /2022 Y) o22 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 Heather Ryan NAME: Protection Plus Associates Inc PHONE (973)579-6776 FAx (973)579-0111 AIC No Ext: AIC,No PO Box 4 E-MAIL h an SBOnelnsurance.com ADDRESS: ry 96 US Hwy 206 North INSURER(S)AFFORDING COVERAGE NAIC# Augusta NJ 07822 INSURER A: Southwest Marine&General Ins Co 12294 INSURED INSURER B: Endurance American Insurance Company 10641 Venture Home Solar LLC,Venture Solar Electric, INSURER C: AMGuard Insurance Company Venture Solar Capital LLC INSURER D: Selective Insurance Company 327 Captain Lewis Drive INSURERE: NJ Manufacturing Southington CT 06489-1170 INSURER F: COVERAGES CERTIFICATE NUMBER: 22/23 Master#4 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 AUDLISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDNYYY MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Fs:A T 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 A Y Y GL202200012768 11/15/2022 11/15/2023 PERSONAL&ADV INJURY $ 2,000,000 MGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY ❑X JERa ❑LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: Per Proj capped agg limit $ 5,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ C OWNED X SCHEDULED Y Y VEAU371260 08/22/2022 08/22/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY (Per. Per accident Un/Underinsured $ 1,000,000 UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 B X EXCESS LIAB CLAIMS-MADE Y Y EXC30000854804 11/15/2022 11/15/2023 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE E ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Commercial Auto Combined Single Limit $1,000,000 D Scheduled Auto(7) S2467549 08/22/2022 08/22/2023 Un/Uninsured Motorist $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Description of Operations:Solar Panel Installation Certificate holder is included as an Additional Insured to the above captioned General Liability Policy for on-going&completed operations on a primary&non-contributory basis;Additional Insured to the Automobile Policy for work the insured is performing provided a written contract exists requiring such a status. Per the terms of the policy,coverage for an additional insured is contingent upon an underlying written contract with the named insured requiring such coverage. There is a Waiver of Subrogation included in the General Liability,Business Auto,& Umbrella if required by written contract. Umbrella is follow form. 30day notice of cancellation except 10 for non payment of premium. 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 NTW Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name Address of Insured(use street address only) 1b.Business Telephone Number of Insured Progressive Employer Management Company III,LLC Labor Contractor,for (718) 398-2259 leased workers to: Venture Home Solar,LLC.,dba:venture Solar Electric 1c.NYS Unemployment Insurance Employer Registration Number of insured 100 Charlotte Ave Hicksville,NY 11801 1d.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to certain Number locations in New York State,i.e.,a Wrap-Up Policy) 47-4266827 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being 3a.Name of Insurance Carrier Listed as the Certificate Holder) American Zurich Insurance Company Village of Rye Brook 31d.Policy Number of Entity Listed in Box"1a" 938 King Street WC 10-18-880-04 3c.Policy effective period Rye Brook. NY 10573 4/1/2023 to 4/1/2024 3d.The Proprietor,Partners,or Executive Officers are included.(Only check box if all partners/officers inclued) 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"la"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,licese 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 periury,I certify that I am an authorized representative or licensed agent of the insurance carrier refernced above and that the named insured has the coverage as depicted on this form. Approved by: Douglas Jones (Print name of authorized representative or licensed agent of insurance carrier) Approved bv: ,'r1���' ►� 4/3/2023 (Signature) (Date) Title: Vice President Telephone number of authorized representative or licensed agent of insurance carrier: (480)951-4177 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) ww.wcb.ny.gov p o O O O OO O m " �. � r) 5 rrq o �J . no O O O O O P 5 Ro 'd a Cooa ,- z z z z z 74 C� o to-r a b W o r C + N N o S z S CO) S o a 0 0 g S o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D7Nmn%mm"bolb, gga O / / � r C ca:o„isP4 wn 9 Z Paddock Rd N AN �1 -0 .gip P r T W � < o CD N C*N • 0 N C o_ o �, �, Q '7r V d C RQ• C7 � 00 CJl rr�� ✓� 'b O< N c7N rD a a �.a A_ ry• 00 Coo ey�• CD(D — o 0 `o N + N x + o W O > C CAD N-Pd o. 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