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HomeMy WebLinkAboutBP23-18811 PERMIT # 3 a �'_.- DATE 13 �3 OT: / ` 5ECT10N _ BLOCK _ � =W4 %! 1;,0)4;TcA TYPE OF WORK JOB LOCATION _ ST. C V*41CO r>e_ TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 13 SPRINKLER O ELECTRIC LOW -VOLT 0 ALARM Q AS BUILT FINAL Q /S o��f ein /93?-79�y& �yq_ /996 FEE DATE INSP OTHER APPROVALS C BR, 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.orr TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE March 7,2024 Jim Fishbein&Jenelle Fishbein 4 Stone Falls Court Rye Brook,New York 10573 Re: 4 Stone Falls Court, Rye Brook,New York 10573 Parcel ID#: 135.67-1-37 Building Permit#23-188 issued on 11/13/2023 for Replacement Windows This certifies that the two new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to RCC ERIE 3 FEB — 6 2024 BUILDING DEP-4RTMENT VILLAGI OF RYE BROOK ISSt I:u:� VILLAGE OF RYE BROOK 938 KING S'rRu-,r,.RYF BROOK,`Nl:w YORK 10573 u:\ BUILDING DEPARTMENT (914)939-0668 r11 : , //O -- PAnt;K e1 ww.rvCIn•tuok.trr--, APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCI?, AND CERTIFICATION OF FINAL COSTS T CJ:'11 1.1 ;i' -.i Fail- i .1Or 'O I1: 7-I-t,L INS'PrCTION ............................................................................................................................. Address: 4 Stone Falls Ct Occupancy/Use: Residential parcel ID i,: 135.67-1-37 -_Zone: Owner: Jim Fishbein :address: 4 Stone Falls Ct P.C./R.A.or Contractor: Renewal by Andersen Address: 2041 W Main St., Stamford CT 06902 Person in responsible charge: Franklin Barahona Address: 2041 W Main St., Stamford CT 06902 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certitcate of Occupancy/Certificate ofCompliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK.COUNTY OF WEs-rCHESTER as: Jim Fishbein being duly sworn.deposes and says that he/she resides at 4 Stone Falls Ct t 11nm N,rrn.•of Appl).ant l )No .md 141rc11 in Rvc Brook in the County of Westchester in the State of New Yuri that :, I n„r. Villa!") 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:', 11,092 for the construction or alteration of: Installation of( 2 ) Replacement Windows into Exisiting Openings with no Structural Alterations. (914)703-0157 11 (914)939-7886 Deponent further states that he/she has examined the approved plans of the structurciwork herein referred to for which a Certificate of Occupancy i Compliance is sought.and that to the best ofhis:her knowledge and belief,the structure/work has been crceted/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 funher understands that it shall be unlawful for an owner to use or permit the use o f any building or premises or pan thereof hereaf ter 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§250-I O.A.of the Code of the Village of Rye Brook. Sworn to belore me this / <— Sworn to before me this day or ?off day of rv0,I-Y uZ`L 13RU4,N MACUoNALD NOTARY PUUl.IC ti)vmatt)re of Propertc 0%%mer State of Connecticut �,;tnalure), ant MyCOMMISSION EXPIRES Oct 312020 Jim Fishbein Franklin Barahona III n:'—VIC of 1'operh Oancr I',nr.\;rtie of.\pphe::nt -- N tan'P hlic Nolan Public -- -- I M ILL Nu,ary Public,State of New York No.01ME6160063 u,;iiticd in Westchester County-, k.-an)nission Expires January 29,2 �yE BRC�� 1982 BUILDING DEPARTMENT VILDING INSPECTOR SISTANT 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 : S t7 EVE ( 4 L LS C. -r DATE: -3 - 7 Z U L / PERMIT# Z3 J(� ISSUED: SECT: 1-3,' 7 BLOCK: LOT: 2 LOCATION: V` �� �0 n 60A OCCUPANCY: ❑ Violation Noted THE WORK IS... CI PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING [I INSULATION / / / ❑ Natural Gas /�4 u C ) �/d OG�JS /%j � ❑ L.P. Gas (Ai)L 4u, Ke oo, j ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING _ ❑ CROSS CONNECTION -L]--FINAL ❑ OTHER ■ eq a a� 4-4 F vWWi O ca o [� M 04 V o v O V] C O p j4 R o p [ u C p O 4, ° 00 W w w 3 n cqffIL ■O d v a all b FE 't x 14 co W W o w ao N , r-+ 00 z W z N A w v 0 o V O011% /,��j p W I-1 h�l A W p: W � � �° V PIZ c 4 : 00en E+ - SIN WaQoSba. H ° U w V y Q b Q y 0 O C7 A O z w W � d ." 0-0 s 0 H d- A a z o y � � GpG V � � oE" •aa,aa .� BUIPfli+.F.T _R MENT ® [E C E Q V VILOF RYF'; OK 938 KING RYE BR61 ,NY 10573 OCT :3:1:2.0:23] (914,)_W-U668) vvvv-A rykilrookora VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Nov 0 \ � Approval Date: e # /�v+J Application# Approval Signature: ARCHITECTURAL REV BOARD: Disapproved: : Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Chase Other: �►�1 �� Application Fee:41CO" A Permit Fees: 1 600—t o z EXTERIOR BUILDING PERMIT APPLICATION Application dated: 09/15/2023 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. I. JobAddress:4 Stone Falls CT 2. Parcel[D#: 135.67-1-37 Zone: —/0 3. Proposed Improvement(Describe in detail): Installation of(2 ) Replacement Windows into Existing Opening. No Structural Alterations 4. Property Owner: Jim Fishbein Address: 4 Stone Falls CT Phone# (914) 703-0157 Cell# (914)939-7886 e-mail Jim.fishbeinl@verizon.net List All Other Properties Owned in Rye Brook: Applicant: Franklin Barahona / FairChester Custom Windows, LLC Address: 2041 West Main Street Stamford CT 06902 Phone# 203-406-0545 Cell# 203-249-1986 e-mail Permits:u RBAWestchester.cont Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: FairChester Custom Windows, LLC Address: 2041 West Main Street Stamford CT 06902 Phone# 203-406-0545 Cell# 203-249-1986 e-mail Permits�l),RBAWestcltester.COttt (1) 8/1 21202 1 5., Occupancy:(1-Fam..2-Fam.,Commercial.,etc...)Pre-construction: I %2 Family Post-construction:Same 6. Area of lot: Square feet:50 Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. .Area of proposed building in square feet: Basement: 1"fl: 2"d fl: 3'fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: 11,fl: 2"a 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. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20, Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: X (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stonnwater Management Control Permit as per§217 of Village Code? Yes: No: X Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: r (if yes.applicant must submit it Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: X (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: X (if yes, the area of wetland and the wetland buffer zone must he properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: X (f yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: X (fyes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: y Indicate: TIER 1: TIER[l: TIER III: (ifyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S 11,092 ( permit not included } Note.The estimated cost shall include all site improvements,labor,material,scaffolding,fired 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 CO. 30. Estimated date of completion: November 2023 (2) sr12r2021 D C F_ QwIE BUILDfNG DEPARTMENTID VIL E OF RYEROOK OCT 3 1 2023 938 KING 94 ET RYE BROOK,NY 10573 (914) -066$3/ VILLAGE OF RYE BROOK www.i k. Er& BUILDING DEPARTMENT ********************kxk***Akkk****k*k*kkkk**k**k*kkkki*kir* ** 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: 31, l Nl ' residing at, 5T_0A E 154� ' C7— i Prim n,uncl (.1JJre. ��la�re�nu 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; Rye Brook,NY. 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. (Si atur-ofProperty ner(s)) Wrint Name of Properh ( w nert,i) Sworn to before me this _ TYA AUGUSTEAttEl� Na'nr!Pub%,Sta'e Of C_ �ec'icut day of C 0 S 20 Pr,; 'per3i,2027 p!,,�Cal rnlssicn Ez�ires D J '" (N1 ar1 ("111(iC) (6) 8/12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: C,,n k-0 r} ,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 G'l1•-rc, for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Swom to before me this I I Sworn to before me this y day of 20_,2� day of 5'` , 20 r• c 9 Sign turelff Property Owner Signature icant �f t /� (A L&', Print Name of Property Owner Print Name of Appli ant N) ary Kblic Notary Public _ I (8) 8112/2021 Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Jim Fishbein RENEWAL Legal Name:Fairchester Custom Windows LLC 4 Stone Falls Court READ CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 byN D aER AL EN 2041 West Main Street I Stamford,CT 06902 H:(914)939-7886 Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com Jim Fishbein 07/21/23 BUYER(S)NAME CONTRACT DATE 4 Stone Falls Court, Rye Brook, NY 10573 (914)939-7886 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER jim.fishbeinl@verizon.net PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $11,500 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $2,518 BALANCE DUE: $8 982 We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at AMOUNT FINANCED: $0 this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. METHOD OF PAYMENT: Credit Card NOTES: Deposit by VISA, No Financing Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/25/2023 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. -—/*�, X-- ---- ,--- —P-41— ---- SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Alan Steen Jim Fishbein PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 07/21/23 Page 2 / 18 Itemized Order Receipt N. DBA: RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Jim Fishbein Legal Name: Fairchester Custom Windows LLC 4 Stone Falls Court R E N E WA L CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 6r AN D E R S E N 2041 West Main Street I Stamford,CT 06902 H:(914)939-7886 Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com ROOM: SIZE: DETAILS: PRICE: i 0 W Misc Misc. Miscellaneous Job Items, Small Job Fee, Quantity 0 H 1, Applicable to any job less than or equal to 3 units. 0 W Misc Misc, Permit Fees. Town of Rye Brook- Estimated Permit 0 H Fees, Quantity 1, Renewal by Andersen will faciliate the application of the building permit to the Town of Rye Brook. Homeowner is responsible for any outstanding permit applications or code violations that may prevent Renewal by Andersen from procuring permit. Renewal by Andersen is not responsible for any historical or architectural review applications and approvals that may be required as pre- requisite for a building permit. 101 Bedroom 2 58 W Window Casement Double Vented Base Frame, Exterior 62 H White, Interior White, Performance Calculator PG Rating: 35 DP Rating: + 35 / 35 Glass, All Sash: High Performance, No Pattern. Hardware, White, Screen, TruScene. Full Screen, Grille Style, No Grille, Misc, None , 102 Guest Room 58 W Window Casement Double Vented, Base Frame. Exterior 62 H White, Interior White, Performance Calculator PG Rating: 35 DP Rating: + 35 / - 35 Glass, All Sash: High Performance, No Pattern, Hardware, White, Screen, TruScene, Full Screen, Grille Style, No Grille, Misc, None . WINDOWS: 2 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 2 TOTAL $11,500 Renewal by Andersen is committed to our customers'saftty by complying with the rules and Icad-safe work practices specified by the F.l'A. 07/21/23 Page 3/ 18 Addendum to Existing Contract dba:RENEWAL.BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY JIM FISHBEIN Legal Name:Fairchester Custom Windows LLC I License#CT HIC#.0667292,WC-35743-1-122,Putnam#514,pne Falls Court RENEWAL 2041 West Main Street I Stamford,CT 06902 Rye Brook,NY 10573 byANDERSEN H:(914)939-78861 C: wwa,�az+-w Phone:203-406-0545 1 Fax:203-406-0828 1 techOrbawestchester.com Buyer(s) Name: Jim Fishbein Addendum Date: 07/25/23 Buyer(s) Street Address: 4 Stone Falls Court Primary Telephone Number: (914)939-7886 Secondary Telephone Number: Primary Email: lim.fishbein 1 Cyverizon.net Secondary Email: This document is in reference to a contract agreement dated 07/21/23,between the patties that are named above in this document. May it be known that the undersigned parties,for good consideration,do hereby agree to make the following changes and/or additions that arc outlined below.'These additions shall be made valid as if they are included in the original stated contract. No other terms or conditions of the above mentioned contract shall be negated or changed as a result of this here stated addendum. ADDENDUM DETAILS .• ROOM 101 Bedroom 57-5/8" 61-3/4" Window: Casement, Double, Vented, Base Frame, Exterior White, $0 z Interior White, Performance Calculator: PG Rating: 35 1 DP Rating: + 35 / - 35, Glass: All Sash: High Performance, No Pattern, Hardware: , White, , Stone. Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: None - ITEM MODIFIED - 102 Guest 57-5/8" 61-3/4" Window: Casement, Double, Vented, Base Frame, Exterior White, SO Room Interior White, Performance Calculator: PG Rating: 35 1 DP Rating: + 35 / - 35, Glass: All Sash: High Performance, No Pattern, Hardware: White, , Stone. Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: None ITEM MODIFIED SALES TAX SO PRICE $0 WHEREOF,IN WITNESS legal Name:Fairchester Custom Windows LLC Buyer(s) dba:Renrtcal rn of Westchester and Fairfield County Signature of Contractor Representative Signature Signature Duane Marranca Jim Fishbein Print Name Print Name Print Name 7/19/23 Page I / 1 *�- Order Summary dba:RENEWAL BYANDERSEN OF WESTCHESTER AND FAIRFIELD Jim Fishbein COUNTY 4 Stone Falls Court R E NE WA L Legal Name:Fairchester Custom Windows LLC I License#CT HIC#.0667292, Rye Brook,NY 10573 by A N D E R S E N WC-35743-H22,Putnam#51220 2041 West Main Street I Stamford,CT 06902 H:(914)939-7886 Phone:203-406-0545 1 Fax:203-406-0828 1 tech@rbawestchester.com ROOM SIZE DETAILS Off-White (9167849) (2). Fibrex Stop White (9138973) (2) PRODUCTS: 4 WINDOWS: 2 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 2 Updated7125123 •: NOTES Parking in driveway or Visitors Spot 2nd Floor Install Two casement Base Frame windows L Trim Fibrex Stops Estimated Duration: 1 days •• FLOOR ._.._ — UNIT NOTES Applicable to any job less than or equal to 3 units. Renewal by Andersen will faciliate the application of the building permit to the Town of Rye Brook. Homeowner is FRONT 07/25/23 Page 3 / 13 do�p-- Order Summary /•- �� dba:RENEWAL BYANDERSEN OF WESTCHESTER AND FAIRFIELD Jim Fishbein COUNTY 4 Stone Falls Court RENEWAL Legal Name:Fairchester Custom Windows LLC I License#CT HIC#.0667292, Rye Brook,NY 10573 brANDERSEN WC-35743-1-122,Putnam#51220 �,p.•.,,•..r 2041 West Main Street I Stamford,CT 06902 H:(914)939-7886 Phone:203-406-0545 1 Fax:203-406-0828 1 tech@rbawestchester.com •• •• UNIT NOTES 102 101 FRONT JOBPHOTOS 07/25/23 Page 4 / 13 ,n < S� Z o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o e o 0 0 0 0 o O G C C G G C o y _6 - Q H z — o F i° •9 i _ y Slo j's� dEE i�fc � gs gY � He gd3 e o 0 0 0 0 0 0 0 < < o 0 0 o e o 0 0 0 0 < < o O C O C O O C 0 Z g C Yt g F, C C C _9 �' C C u 13 C i w i w �? d cy i m a g d g J, m no y m P tl c A c p 55s ' ct y° Ya tp� Jkis• O `'' � � a �F � u d � � c S 2 d E U � � e w; 8' ��i�sY�s�6e y W u d s sN E 3.NS 'JI)M Z d tt 3 v H $6 is cz ya4 Z E a d• ;O i M (73 Us CA W C' Z J Z Z, W aid Q V V Z Z z �' Q = Q ,1 V w 11 w0— a a e e e e e a€ o z e e o . e e o 0 0 o o e e e o 0 0 0 0 o e e o e o e e e o e e B a = e Z z „ooeee eases = eeeeeeeee sasses ee _ s E a ':0 a oeeeoeeee = � o000000eee < < eeee000eeee e � �� �� �seeeeoeeee eeeeeeeeee oeeeevoe ° e z E a Q 3 $ � & � 5 rEx age p 3 -p 3 0 3 3 3 _ 3 _ 3of 3 - 3 - 3 3 ➢g 5z z r ga $(g� w W IS a z g a" sW a ? a � s2 ssd sp Gig z a � s o ©m a a s z eeeeeeeee = eeeeeeeeee eeeeeeee ee e � �a � Z �3 eeeeeeeeee eeeeeeeeee eeeeeeeeee = _ $ ; < S T R S s R R9 91 R A A n eeeeeeeee = eeeeeeeeee < < eeeeeeeeeee e � � �� � 000000eoe = = e000000000 � eee000000e < t z (�f�' CCCCS5 D _ v m m v v 5 m u` s 0. 18 fit z O e$ € be3 99 z Z IN 0 Tax Parcel Maps Address: 4 Stonefalls Ct Print Key: 135.67-1-37 SBL: 13506700010370000000 h L I: I 1 i 1 1 ' {S�-T _. 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'li�}'`��91. t•/j//1P11 f'�i 5�� W���I r�, flS ltil,+ bt�� ' A R A n nyyl ^ fr•'f rli,kmi S^\ �.. ,�r�t ^'f..•�'�} wv'N.v�' .rv� ,:+,r� 1� v^�h �, a. n _v Nj. /(O��i,?ti ''l��} �r. � .l yti •4 .a `'�' �� - �W:r•,�•'� ��.- ,r--�•\ +,�3�' -- y `fkt. ,� ,a,�?�`� •tom •�{t ;:'����,-P�`_ ' a;4Ya'� FAIRCUS-01 TBRAND ACORO CERTIFICATE OF LIABILITY INSURANCE E(MMIDD/YYYY) 29/2023 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 NON TACT Theresa Brandon MBI Company Group LLC. PH E FAX 280 State Street (A/C,No,Ext):(203)288-3401 (A/C,No):(203)281-0414 North Haven,CT 06473 ADpRIL .theresa.brandon@mbi-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: Fairchester Custom Windows LLC dba: Renewal by Andersen INSURER C Fairchester 2041 West Main Street INSURER D Stamford,CT 06902 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR I MM/DDIYYYY1 (MMIDD/YYYYi LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR X S 2516791 8/12/2023 8/12/2024 PRMAGE TO a REoccNTED c $ 500,000 EMISESMED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 3,000,000 POLICY�X PRO- X❑LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER $ MBINED SINGLE LIMIT $ 1,000,000 A AUTOMOBILE LIABILITY CO ANY AUTO S 2516791 8/12/2023 8/12/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON AWNED PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ X Comp Ded$500 X Collision Ded$500 A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE X S 2516791 8/12/2023 8/12/2024 AGGREGATE $ 4,000,000 DED X RETENTION$ 0 $ A WORKERS COMPENSATION X PER I X OTH- AND EMPLOYERS'LIABILITY YIN STATUTE R ANY PROPRIETOR/PARTNER/EXECUTIVE NIA C 9099063 8/12/2023 8/12/2024 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,descnbe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mores ace is required) Village of Rye Brook is Additional Insured as required by written contract per the endorsements included with this certificate. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE 4— ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Fairchester Custom Windows LLC. 203-406-0545 dba:Renewal by Andersen Fairchester 1c.NYS Unemployment Insurance Employer Registration Number of 2041 West Main Street Stamford,CT 06902 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State.i.e.,a Wrap-Up Policy) Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"1 a" 938 King Street Rye Brook,NY 10573 WC9099063 3c.Policy effective period 08/12/2023 to 08/12/2024 3d.The Proprietor,Partners or Executive Officers are �X included.(Only check box if all partners/officers included) ❑ 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: Theresa Brandon (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �� � 09/29/2023 (Signature) (Date) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 203-288-3401 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 Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-17) REVERSE