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HomeMy WebLinkAboutBP23-171PERMIT#,oA �0-/7/ DA 9 a9 a3 We 9 dAmf > SECTION . 7 BLOCK LOT 9. TYPE OF WORK L end JOB LOCA N VO /lc OWNER S A e V1170 H CONTRACTO O V c"��P EST. COST _ FEE vCO # FEE�/JQ— DATEjj TCO M FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS O SPRINKLER ELECTRIC O LOW -VOLT C] ALARM 0 AS BUILT FINAL 9_- 4' 20LN �i /) 356- sa�� 3v� j o9 /&- �V6 �S OTHER APPROVALS ARB BOT PB ZBA IOTHER Qy�4R 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 9,2024 Richard Vinopoll&Kristie Vinopoll 48A Avon Circle Rye Brook,New York 10573 Re: 48A Avon Circle,Rye Brook,New York 10573 Parcel ID#: 135.75-2-69.1 Building Permit#23-171 issued on 9/29/2023 for a Replacement Window This certifies that the one new window,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to — R•*,)- ' For office use oniv: B U I LDIM!�t .MENT 7 PERMIT n - / OF RYE OK FEB - 7 2024 v'L �, ISSUED: - V 938 KING STRE YE-BROOK,) W YORK 10573 DATE: Q-7—a VILLAGE �" ..-AYE BRO&" 9r obysc�" FEE: .$ //p�PAID� Bulls_ . _ , _ _ _. , 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 •rr Nrr Hrra wrrwrrtrHgalra ara Na wNwrrwrrw Hu N•rar•a1a•rrwtrraaaq♦rrgrwaal•arw•a••awrrar rrr arwrrr Hrrrrrwr•araraNpq• Address: �8 �•��r G,v`c.l� l,Ltn.+ W Occupancv'Use: P reel lD#: 3S .�S '�-�g • Zone•.�4� 1, Owner: Rr�t-1.1 11 9C V1i"VrJ Address: q$ CoLclL ( krl-P f>0e_IOS7 P.E.iR.A.or Contractor: 40r%'t'bVC4 L t-A Address:a?Y SSID&a.s'F'M's 4d �f'�'�Oi'f'�G�`►dv3 Person in responsible charge:SCoNA Qb°K ' -N Address: tO S ��- •'�-��-�Le�. � O� 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/constrtction/alteration herein mentioned in accordance with law: STATF.OF NT:W YORK.COU f O WFSTCHESTFR as: t' 8� t \1 tl��po17f -lu �i rn° poO lg du y sworn.deposes and says that hc;she rt sides at t'int Name of Applicant) t Nn and Streeta in _Mrd%I-- --_ --,iu the County of—W t �C.kl r" - ----in the State of --J--•that City"rmcn 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.grid including the monetary value of any materials and labor which may have been donated gratis was:S for the construction or alteration of ln1't�-6.c tti f�e�e t v►��-�t. ---------- 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 structurerwork has been crected/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 pan thereof herealler created,erected•changed.convened 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§350-10.A.of the Code of the Village of Rye Brook. Sworn to before me this — Sworn to before me this da 6r,� day of --20---- t -- Signature of Propci_ Owner Signature of Applicant- —------- &4AQ �:L" Print Name of Property Owner Print Name of Applicant Notary Public \etary Public — c J • I JORGE PAGAN Notary Public,State of New York No.01 PA6405160 Qualified in Kings County Commission Expires 1Vlgrc:h 02,2024 QyE BR(�k. O� Z� cu � • �9a2 BUILDING DEPARTMENT ❑BBUILDING INSPECTOR b 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 : 9,4 4Val j DATE: 7 " �0�7 PERMIT# 3P 23 _ I ISSUED: "479'1 SECT: H3 - 7.5_ BLOCK: Z LOT:6 9,/ LOCATION: `tee Zoe • OCCUPANCY: ❑ Violation Noted THE WORK IS... Q PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas 1 e LC�Ce r� N/A.)b ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER ■ 3 a , a , w a N Ccq a 44 z a , M a, ■ a a a' ■ � h1 Z q > � o � y w � W o 0 W ao v ui 7W 0 o 0 N Op0 7'9pyr QAI' ■ W o Q w L, o _ 1-4 U "tr q114 v 00 ^ z o Fh■,,1 s o Q 5CC3 CO �D M O 12 y W0 ffr r�G-1 s P4 0 {TQ U \ V z Vz � � o f , w � O v u (n a L ^ � U o Q a ■ � � A a Q o W �Z °c � � � � o * V . 00 r., w o w P� � � �; W� ■ a4 �cn Awl � � a 121, 2 O A Z Q W I w >" a ^ ^... O Cf A W Z �� a� a BUILDING DEPARTMENT D V11.1-t6f,OF RN E BROOK 938 KING S,T-kEE'1' RN,v BRQ(oq,NY 10573 (914)939-066R SEP 2 2023 Nv,y +srvbrook.cr'� VILLAGE OF RYE BROOK BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR Exj LA1011 WORK WHicii DOES NOT RE tills 1'IL.I.:�GI ;1R(:'IiITEC'I'I..R.1I.REVIi.-i% BOARD APPROVAL FOR OFFICE USE ONLY: APPROVAL DATE: SEP 2 9 I l #: a� — .7 I :1PPLtcA'Cl()ty FL?EOV-00n APPROVAL SIGNATURE: PERM"- FEHs: 4/00-776VE _ H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: -r FOzi t'-Z. is hereby made to the Building Inspector of the Village of Rye Brook,NY.for the issuance ofa Permit for the constriction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. Job Address:_ A V an C,Y" tk*'L . _}. 2. Parcel ID#: t3s• - Zone: ftrz 3. Proposed Improvement(Describe in detail): S rtt WIC_ S "C.� t t r`�..L �-.—k clk ftn * . 4. Property Owner- C U ( t`1uT� + Address: `1 g AV� C 'r- LA_V-_-4 1� l.�r�rrOlC. NY ( OS-7 3 Phone# I'T s 3S�P' Sdgl Cell# _ e-mail l�IP�S•�IYi�l� _ List All Other Properties Owned in Rye Brook: Applicant: 30",X', Address: 0 S �"d'-ate1 U.. t v.- / 0(e G:s 3 Phone#_.�G�R'�,/- g� Cell#_-- ----- e-mail �Gr't'V� .wi Architect: Address: Phone# Cell# e-mail Engineer: Addre>.: Phone# Cell# e-mail General Contractor: _ kAfM'�e- LL'P.A, ww�A _ Address: �.�� o�tcS Gtr/` R. _ Phone# e'13-°► O- Cell# e-mail y �LrVVl"► l,y-rv- +S. "' d (1) 5. Occupancy;1I-Faro..2-Fam.,Commercial..etc...)Pre-construction: NROW Post-construction: _ & Area of tot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I"fl: 2nd fl: 3"fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: _1" fl: `' fl: 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: _ 13. N.Y.State Construction Classification: N.Y. State Use Classification: 14. Construction Type& Location: ( )Typical Western Lumber Frame:( )Timber Frame[TC}:( )Wood Truss[TT]: {)Pre-engineered wood[PW]: Located:O Floor Framing[F];O Roof Framing[R];O Floor& Roof Framing[FR[;Other: 15, Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style:peaked,hip,mansard,shed,etc: Rooting material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system`?(Fire Sprinkler,ANSI.,System.FM-200 System,Type 1 Hood,etc...)Yes: No: (if:yes,applicant must submit a.separate Automatic Fire Suppression Stistem Permit application&2 sets of detailed engmeere d plaits) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:—No:—Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code'' Yes: No: til.res,applicant must.submit a Site Plan.-application, &provide detailed drmvings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if'yes.you must submit a Site Plan Application.&provide a detailed topographical surrey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code'? Yes: No: (iJ:yes,the area ofwedland and the wetland hufJ&zone must he properly depicted on the su rvev&.site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9129107? Yes :—No: (i ices,lire area and elevations of the.flood plane must be properiv depicted on the.curve 1,&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: _ (ifyes.applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER 1: TIER 11: TIER Ill: _. ill vcs.a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: S k k-1 01 Note:estimated cost shall include all.site improvements,labor, material.scaffolding,fixed equipment.professional fees, including ar.v material and labor which ma.v he donated gratis.If the.final cost exceeds the estimated cost,an additional fee will be required prior to issuance of7he C'AO. 30. Estimated date of completion: (2) 6i!-2023 BUILDING DEPARTMENT VILLAGE OF RYE BROOK SEP 2 1 2023 938 KING iTREET RYE BRnm,NY 110573 (914)939-0668 VILLAGE OF RYE BROOK �����r.rydbr�►ok.��r�4 BUILDING DEPARTMENT 5.x:t�xx,tx,�x�irxr.•x*�xxxx*irt,-ir#**i#ir***#+rir#wv.xi:,k:�xxx;.k#�x,rt+.a:;i;:t:x*xx�:tirxxxxxxrr�x•k#ir#t,t####xx•;#xstxxxt�:is axe::: 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: V i►no -, residing at, L� &Y\ Cor 1J./�V+- 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; L4 8 IA vcr+r, C► r- L&-c-► + 11. , Rye Brook, NY. Jtlil 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. Q Sworn to before me this day of V Ul ERIC WEXI.ER PORK NOTARY P t4©I CIWE6 999g EW 7 UA1.1F1ED IN NASSAUVE$ER 4��fl�'" ; Q COMMISSION EXPIRES N 611i20?3 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. �*w*,t*www�.•***t,t,t,t*w*w•ww*,rw**x*,t***w*,�***�:,�*+:exx*;:*ww�:,r*xx*w*,t*t**:c�,wkw*�,•*ww*t.w�.****w**w,•.w****xw***�:;�*,r*www STATFA OF NEW YORK,COUNTY OF WESTCHESTER ) as: P*%.LA-G"`a ,being duly sworn, deposes and states that he/she is the applicant above named, tprtnt 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 (l gttA-k- for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor,agent,atturney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief; and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications. as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this ro P Sworn to betare me this / h j day of , 20 _ day a l Lc31 , 20-13 41�_ 11 M ... - C��_ L 5 oast c u Prnpeny C)wner ?,� �r, App scant r� int Narne of Property Owner Print Name ApP Itca utary Public a tc Src G��¢�eGNOo 5'op�M JOCELYNE M BOSCHEN N P�r4\� Notary Public N Connecticut My commission Expires Nov 30, 2025 G� RYE RIDGE CONDOMINIUM Avon Circle Rye Brook, New York 10573 ...................................................................................... September 12, 2023 To whom it may concern, As per your request in the attached letter Home Depot has permission to replace one like window in unit 48 A Avon Circle bedroom. Regards R[ECRME SEP 2 1 2023 -DD Charles Rosabella VILLAGE OF RYE BROOK Manager BUILDING DEPARTMENT Home Improvement Agreement: Page I Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers Rocco Deleo Salesperson Name Registration# (Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name (914) 347-6 Icustomercancellationnortheast@hom Phone# 99R&Wvider Email Address Service Provider License #(s) 2. Customer Information Vinopoll Kristie I Westchester F35877957 Customer Last Name Customer First Name Store #/Branch Name Customer Lead/PO# 48 Avon Circle Unit A Port Chester 1 INY 1 10573 Customer Address City State Zip (914) 356-5281 kris.vinopoll@gmail.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 6 Skyline Drive Hawthorne NY 10532 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES TH T THE HOME DEPOT GIVE YOU YAOTICE EXPL qBE G YOUR RIGHT TO CANCEL. PLEASE GN BELOW TO ACKNOWLEDGE AT YOU HAVEN GIVEN ORAL AND WRITTEN NO E OF Y UR RIGH.TTY CA CEL. Acknowledged by: 5/2023 Cust mer's Sign re4-Mate 460 Standard Form H1A(21 Jul 21)(E) Generated Date 071/15.12L123 Lead/PO# F35877c)R7 , 1, 11' Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 01/11/2024 Approximate Finish Date: 02/10/2024 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. 7. Contract Price and Payment Schedule Payment of the Contract PriZui. du upon signing unless a different payment schedule is required by law, specified below or in a payment ad Contract Price: 1179.00 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ (If applicable, total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD, MA, ME(33%), NJ, W1(99%) Deposit% 1100.0 Deposit Amount$ 11179.0 Remaining Balance $ o.o 8. Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 9. Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.) By signing,you acknowledge that: (i) You have read,understand, and accept this Agreement in its entirety, including the General Conditions and pplement, if any; (ii) You are receiving a complete copy of this Agreement; (ni) k1 rights and inte iseer this reement are solely vested in the pers n listed as "Customer" above; and (iv) El ctronic signatur s iteeme originals for all purposes. 07/15/2023 Cust er's SignattKe Date X I/s/The Home Depot 07/15/2023 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (914) For any other concerns, contact The Home Depot at 1-800-466-3337 460 Standard ForntHIA(21 Jul 2I)(E) Generated Date 1)7115/2029 Lead/PO# F35877957 ' " WINDOW SPECIFICATION SHEET - Spec.Sheet M:F35877957 Sheet:I of I CuStome,Kristie Vinapoll ,Job A`;F35877957 Consultant: Rocco DeleO Date: 0711517023 New Window ExISIKg W.W. Hinge Localluns Measurements Grits Product Options Labor Options From aNsKfe, Left to Right B.P.Bows Locat- Cob, Rough Opemng M of bars N of tors Csmnls,i PA, use R a S Glass Misa Items Hardware - Cade —s For doors use Mull 'S"=stationary or w Style Wraps '� w ` 'g �' g y 2 "X'=operating Y ap _ % Room Floor Code (YIN) Style Cane Sends Cane 3 x � STD,White, Glass Pack WRAP,LSP BED "I DH- I DH 6100 WH WH 37 49 at Standard ALDER SPECIAL CONSIDERATIONS: t wn�te Wrap Color nano,Casing Type Bay or Bow window. arboard malonal(myl only Birch or Oak) ay Proles Angle(30 or 45) ay Flanker Type fDH.SH.or Csmntl op of—,dow to soffit ranches) f lied to soffit,wIor of sonil malenal I have reviewed and agree with all the job specifications above and the �onslrmt Roof(Yes a Non• Special Terms and Conditions on the following page Garden wndow: eatt card Material(v yt only-While Prone,&rch or Oak) 0 ` � '!� '�' I'I�I�II''lllllf With Grlds �ityle Glass r'a ckage Glaziny Spacer /G 5MEN ,r+ (:JI with Arpon) -- f -- -- ` SHGC--_ Q I M F 3C a: hill, , 11111,111 6500.. s..° ",�...�,..,... ProSolar - Po P^ 0.26� 1( T 0 su rce t 7/a" 0.23 , I ° ,1 0 0.26 0.2'I o o a Casement `" "�."""'�""""'_�..� -.."- ,.---.. .,- ...�. 6500Bse ProSolar Supercept 0.26� _ Transom �l8" 0.24 ���° 0 0.2�6 U.2-1 �+ o �o� �, 6500 Base ProSola .e. Supercept 1' 0.27 0.32 0 o 0.27 0.29 0 r Double-Hung _ 6500 Base � .._..,.._�.. "•u.,.�•�m ProSolar _ Supercept 7/6^ "0.29 0.26 I o 0,29 0.24 Picture Casement (NH.) 6500 Base ProSolar '- - _-- Supercept 7/8" 0.26 0.28 ..•.J�.Y.1,- 0.2 .25u Picture 6500 Base _ _ ProSolar Supercept 7B" 0.27_ 0.29 o I e r 0.27 ! 0,26 u o I"-- 2 Panel Slider -- 6500 Base _ ProSolar Supercept 7/8' 0.29 0.26 ��I"� 0.29 0.23 3 Panel Sliders _s w 6500 Base(s zt Sgllnhl Pro Solar Supercept 7la" 0.29- 0.26 0.25 0.23o Ilo I o 1Rall 'I � Ilu nimrl i tr uimu Garden_D_oor(CH_; 65C0 Energy Star_ ProSolar SUN Super Spacer 1" 0.30 0.24 101• • 0 0.30 0 21 a • o 0 Patio Door INOVO- - _"-6500 Base Pro Solar _ Super Spacer 1" 1 •0r28� 0.28 e • 0.3'I 0.23 0 0o v o I �� - -airrlrrW�wa Homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,NowUexl�Oregoru Utah,and e, Ills u I� Washtngton. Awning(Inc Hopper) 6100 Base -� Pro Solar Intercept 7/8" 0'; ? 0.24 • - � 0 0.28 71 u o Casement 6100 Base Pro Solar Intercept 7/8" -~ e o o u 0.2% 0.22���u�+csracr3smzrnxssrecazvsmnrxacvae� o,ra �vanrscrrsar�cara�.nc p r:�c qO7 0�. 0.24v �� u o -a• Wo HEEJoubI(LHu-nmcL 6100 Energy Star _�� Pro Solar - Su rce t 3/4" o E013"() ®ma at , m,e,minVV i��^ Pe P 0.30 0.27Picture Casement(No Hinge) 6100 Base Pro Solar Intercept 7/8" 0.28 • u 27 0.25 0 0� • o Picture 6100 Base -^ Pro Solar Intercept 3/a" � 7 0.31 - 0.27 0.28 0 0 2 Panel Slider 6100 Base " - _ Pro Solar Intercept 3/aY 0.30_ 0.28 u 0..30 I 0.27 _ • 3 Panel Slider �-� ._ 6100 Base Pro Solar Intercept 3/4" 0.30 0.29 v 0,30 0.27- • 1 - to III WE • 1 1 , • Mr NMI Homes located everywhere EXCEPT:Arizona,Califon/a,'ltfaho,Nevada,New Mexico,Oregon,Utah,and HZ-1t, gron. _Patio Door INOVO 6100 EnergZStar - ^Pro Solar_^ - Super Spacer 1" 0.26 0.26 0 1 0.28-10.23 a E Patio Door NARROW FRAME 6100(PD05)B 0.30. •ase Pro Solar Intercept 3/4" 0.28 16 1 Homes:located only in following markets:Dallas,Denver,Detrol(.Phlla,Northern NJ,Long4sland,N �Y Y Y.__ Awning .. ".�., 6200 Base r..�....__ Pro SotarrSSHADE Supercept 3/4" 0.27 ` 0.25 o v 0 91 0.16 1 0.23 0 0 • o Casement � - 6200Baso Pro Solar SHADE Supercept 3/4" 0.2_6 0.18 o e o o O;Zg 0,17 ado �o Picture Casement-NH 6200 Base Pro Solar•SHADE Supercept 3/4" .0.25 ' 0.21 0 0 • e p;28 p,�g a"! .�..._......�.. .��u-�. .."-_... _ Picture Window_ _ 6200 Base _ Pro Solar-SHADE -Supercept 3/4 0.28 0.24 - o 026 0.22• 0 0 _• �e Si File Hung 6200 Base Pro Solar SHADE Supercept 3J4" 0.28 0.23 0 o u- 0 0.28 0.21 o o "o Single Slider 6200 Base Pro Solar SHADE: Supercept 3/4" 0.28 _0.23 -° �. 0 0.28 -0 21 o • •o 3 Panel Slider 6200 Base Pro Solar SHADE Supercept 3/4" 0.28� 0.23 M© nJ<.• 0.28�, .21 ' is n•mnr�rrrr r�.�lr, ■.rqu • , � • I� 112 Homos located In coastal areas. Awning SB.�±300VL Energy Star PS SUN/Lami Supercept 1" 0.26 0.23 0 ? 0 0 0.26 0.21 o o a Casement _SB+300VL Base PS/Lami Super Spacer 1" 0.26y 0..23 0 0 0 0 0:25 t 0.0 "o h_1 :' w Double Hung w.�.. SB+300VL Base_ PS/Lami Super Spacer 1" 0.2910.25 • o 0 0 0,29 0:23 o u I o •o Slider .. _ SB+300VL Base_-�_PS/Lami_ - _ Intercept V 0.29 0.25 ® u 0 0 0.29 1 0.23 0 0 o n Patio Door y SB+300VL ETC 366 PS Sheide/Lami Super Spacer 1" 0.30 0.19 0 _ -o r • •'� �!� Garden Door(CH) SB+300VL Base PS/Lami Super 1" 0.30 Spacer 0.28 e 0 a0_30 0,25 0 o 0 0 Dots indicate Energy Star certified for that zone Z3�M= : .. -• ]D7I III It. - •° I®IMI®111111M Q�1W j:G 1;Og "A"N."S ,4ANE-f-i".-mr-Wo YM NEA 01ig, "UTZ!, ......................... .............................. ♦ 0 V CI cl-i M > Ln nz; qj cy" All C V) 0 LLJ u 00 CY) rl— LO 0 ke'dion U) LU Lo cy.) u *X., 0 < L.LJ Lij JW 41 LLJ T_ Li . ..... ....... C_ E ff Z,Ax L 'w 73 a 00 00 u Ok V) CL Va, lz ---------- 7Tr I'll Off ill 'no AW 'o �.Wf w P A��0 DATE(MMIDD/YYYY) C" CERTIFICATE OF LIABILITY INSURANCE 02128/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA,INC. NAME` PHONE FAX TWO ALLIANCE CENTER IA/C.No.Ext); 'VC,No): 3560 LENOX ROAD,SUITE 2400 EMAIL ATLANTA,GA 30326 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN101642069-HomeD-GAW.-22-25 INSURER A: Old Republic Insurance Co24147 INSURED INSURERS: Ind mnl In fNOrthAmerica 43575 THE HOME DEPOT,INC. HOME DEPOT U.S.A.,INC. INSURERC: ACE AmeriCan InSuranCe CoMpany 22667 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004348037 18 REVISION NUMBER: 1 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 TYPE OF INSURANCE ADD VD POLICY NUMBER POLICY tDDY EFF YYMIDDPOLICY EXY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY MWZY 316648 03/01/2022 03/01/2025 EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X❑ OCCUR PREMISES Ea occurrence $ 1,000,000 X SIR:$1.000,000 MED EXP(Any one person) s EXCLUDED PERSONAL 6 ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO ❑ LOC PRODUCTS-COMPIOP AGG $ 2,000.000 POLICY❑ JECT OTHER: $ A AUTOMOBILE LIABILITY MWTB316649 03/01/2022 03101/2025 (E a accident) BI EDtSINGLE LIMIT $ 1 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S A UMBRELLA LIAB X OCCUR MWZX 316647 03/01/2022 03/0112025 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000.000 DEI) RETENTIONS $ B WORKERS COMPENSATION SCFC50668198(WI) 03/01/2023 03/010024 X I SPER TATUTE 1 71 ERH AND EMPLOYERS'LIABILITY C ANYPROPRIETOR/PARTNER/EXECUTIVE YIN NIA WLRC50668150(MT) 0310112023 03101/2024 E.L.EACH ACCIDENT $ 5,000,000 OFFICERIMEMBEREXCLUDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 5,000,000 It yes,describe under Continued on Additional Page 5,000,000 DESCRIPTION OF OPERATIONS below 9 E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Workers' YORK CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured 770-433-8211 Home Depot USA,Inc. 2455 Paces Ferry Rd.,C-20 1c. NYS Unemployment Insurance Employer Registration Number of Atlanta,GA 30339 Insured 76011130 Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e., a Wrap-Up Policy) Number 58-1853319 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Company of North America Village of Rye Brook 3b. Policy Number of Entity Listed in Box 1 a" 938 King St WLR C50668058 Rye Brook. NY 10573 3c. Policy effective period 03/01/2023 to 03/01/2024 3d.The Proprietor,Partners or Executive Officers are ❑ included. (Only check box if all partners/officers included) ❑x all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York(NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Eric D.Tonn (Print name of authorized representative or licensed agent of insurance carrier) Approved by 21o81-7-0Z3 ISigni lu,e) (Date) Title: Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 678-795-4338 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov