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HomeMy WebLinkAboutSP23-009PERMIT # S-4009 Dam; O /4k 3 We I--QIIJICYL SECTION 5 BLOCKLOT 2 S /- TYPE OF WORK / OTHER APPROVALS � // n ARB JOB LOCATION / p S P� j/i /p7 BOT OWNER Q S in a? C�/Z SS / .S y///3 / � (� / P8 ZBA CONTRACTOR 'goi Y� OTHER FE I/Co # FEEDA TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 1:7 RGH PLUMBING GAS SPRINKLER L�LOOW OLT C� ALARM AS BUILT L7� FINAL INSP QyE DR 7. 1q VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www_ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 4,2025 Washington Park Plaza Associates c/o Martha Levy 243 South Ridge Street Rye Brook,New York 10573 Re: 243 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-51 Sign Permit#23-009 issued on 10/12/2023 for New Signs This certifies that the new signs;"Wells Fargo Bank",installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to DBUILD R ENT For office use only: PERMIT JAN 2 9 2025 VIL OF RYE OK ISSUED: /O--/Q—c�3 38 KING STRE YE BROOK, YORK 10573 DATE: -),9<�S 9 -06 OY FEE: —PAID JK VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT 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 #####rt#rt#####2############+#############4###########rt++##+4######rt###rtrt+##+###+######+#######44####rt#rt####4#####rt####rt##rt##+## Address: Occupancy/Use: f:;rn IL Parcel ID#: I ,'b5 1j1 Zone: (fig— S, Owner:LA1G'Sh��1 c�I�1Ca7.0. SOC.i �� e Address: 141 ket,.\rtt' AJQ, 6'My1 1i1kZjVjA tC)20(j� P.E./R.A. or Contractor:fit;p(1a1 G,r, l tCall+�o!� Address: �AjQc,+- �h(ot, of • CXd��'f10GY2, 11�( Person in responsible charge: ,c. ebLmCC,(-,(+r�A. Address: 690 tk� lx on4,0it- 'Iithr. ft"W&WZ1�1ctO� 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: 'VaC jno.I M Y}t\�.4 being duly swom,deposes and says that he/she resides at Cj2(� (t� c7l tM�i �I 11 (Print Name of Applicant (No.and Street) in Kn o�-u 11 ,in the County of4-)i(.)k in the State of li,3 ,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:$ ';LD;(7C70 , for the construction or alteration of: {tom +UlcSn} 'rack 1'Q D1(,',11k,( M±-- , h'xl�cj)(" f k �Wy CLolcAra C-Q. C00, Ciif-QCA-toc,r 3�crj fyio"Cerl itk-Z -(ac �`A( Pa. 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 to2,411W64W re me this / >� Sworn to before me this day of202.,� day of 'G'.i1 arLA 320 216 Si ature of Property Owner Sign. e o Applic t & `• 0-''k1 (Ya c Cl�rrrt�-i (Fn-nt&ame of Property Owner Print Name of Applicant N wl4<i Notary Public Notary PublHARI MELILLO 'CoU"'Notary Public,State of New York 6 1/,o,;tNo.01ME6160063 Qualified in Westchester County Commission Expires JL IL r y 29,207i� o� �E BRC�v�, 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR �]ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: )0-1 G-'' SECT: I�t 3 BLOCK: _ LOT: LOCATION: fy1_C J 13AOV-. OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS r , ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ALL- 0 OTHER `gyp ( C • � � N `� v s G 72 o ¢I Ape O � o � ►� � � ° b �"� ^ • N � N O Qjen 0-4 tn W to U O w z z ti0 O � a � � -0w1-4 CN O ■ h'"I �^ W U ol v Itt = O W P� � A U Z a „d" o c • UO -� N ■ ■ z � Z Cz� W A a ° w !� ° a W N W = �. ON a600 4,� s ° v) zzw � o� z 4 z O � � o ,� , p z z o ] , a H tf3 z a, 0 °,+y U o " Leo 0 H $ •� ao � � @ 4-4 ¢ GlJ cn O V z g °' l � ° M o A z o to GU ti � z p; � W H OIL a z ?�. Q ° AC luwi w Ox V a � � Lit u N �I a1 a ►� W � x � � v � � EDBUILDING DEPARTMENT E C E M VILLI�T40) 939-06 RYE OOK SEP - 5 2023 938 KINGE BRO 9 NY 10573 68 VILLAGE OF RYE BROOK rVA rook.or J BUILDING DEPARTMENT FOR OFFICE USE ONLY:Approval Date: SEP 2 er 3'00 IQ Application#A'E&_213—f Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: AA BOT Approval Date: Case# Chairman: on PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: _ Application Fee: 3 Permit Fees: 'g/J 000 bot SIGN PERMIT APPLICATION Application dated: 99'5_—c�3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction/installation ofppa,,sign in accordance with Village Code§250-35 as per detailed statement described below. 1. Address: i.l 1 Q, SBL:��rt ,�j�j—2 '�J� Zone:�S"S 2. Property Use or Business Name: r 3. Proposed Sign(s)(Describe in detail including number of signs,types,sizes,exact location(s),and illumination method(s)if applicable.) {A separate Electrical Permit will be required for any associated electrical work.) : '�WO +ff) n+- Paul 0Z91C4;j .o J%W J o 5ff5 i1l(.�.m',rnt-ed t81' {a-0 nVl[.�nrl�f t tS fin (x i Irl t()tt y).0,1t(S i f+t M CJ i It to 41 i A� fi 0 1 6 M_ WCA1I 910 r3 AL (LOa M, /X-_J� Aw b amoft Cl ,ray j one -w" Wq" 2 to rXn Ut- :h t a 1AYi f14,), 0(\ [LAM '{�i ORo-0 S ap af F mnc 14 �n 3. rlS to l p I&t(X(—CnNA0ftrA 4WD _Tr c in Urti(k t n r, 10+ t'akLe- 0 L,n-k- + �tl u a 1�2 ,C +s15 U1cq0, _ 4. Height from grade to highest pooiintt of sign: �jt tr ,to lowest point of sign: l 5. Property Owner:,�6bafl[.ty 1 L�.�G Address: Phone# 9)ZL 41 9-,�j1C)4,:2 Cell email: 6. Applicant: 'l`rckQ1 MCLQ41114 Address: Cj(W Lk)Cj,tmMj+ U,I-I by�Knoyt i�i_Ti_j 3-Ift0s Phone# _Cell# email: '(MCLC r_-1 Yt'4P(rY.�4+•',5(ZSISiT W(I( 7. Architect/Engineer: Oita(''P, .+ cj(U f b:C-td Address (IrjNS , UMcA-dj) (} Phone# Rr.8�-b��5)!5() Cell# email:pnt C ll -r-6w S. Sign Contractor: M410n41 Son 6 ( t_ I , —Address: IV5 P1ebo%L!j�w AtAlm 3 UA• &*� 1 Phone# Cell# email;1gc�� i��. , MIS1 i�ns .f 510-t1QS -ebb 1 -I- 8/12/2021 9. Will the proposed sign require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:t (If yes,you must submit a Site Plan Application,&provide detailed drawings) \` 10. Does the proposed sign involve a Home-Occupation as per§250-38 of Village Code? Yes: No: If yes,indicate: TIER 1: TIER 11: TIER III:_ (If yes,a Home Occupation Permit Application is required) 11, If building is located on a corner lot,which street does it front on: 12. Property frontage: A rt A 13. Property size:Sq.Ft.4 A Acres: 019 14. What is the total estimated cost of construction: $ i4otc (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.) 15. Estimated date of completion: 1 This application must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: lQ/bOh01 roccnr-I•Y)t � ,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 QQM i for the legal owner and is duly authorized to make and file this application. (indicate archi et,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 71ations. Sworn to before me this Sworn to before me this day of 20 day of , 20 /224 1 Signature o Propch Owner S' nature o plicant IZ�L141. /' W�) CtCGI rc 1 q ('nrth Ul Print Name of Property Owner Pnnt N e of Applicant Notary Pu tc A blic GREGORY M.RIVERA STATE Neeay Public,Stats of New York OF TENNESSEE No.01R"13" NOTARY Oualflted In Westchester county PUBLIC Commission Ex*irss September 26,20 COVN� -z- 8/12/2021 Q LO 7i F— w i ® 000 z 0 � m za .� o W 0 W Z 30 wa ca C a w e Q Q > R Z w z V z i 0 0 0 = W " o CU O O r W ; o � 00 a � A � m .o z F-�/ > " c i CL w R \ a i O W 03 -a'a .�' a z � m Sm ♦^ ! v♦ Oep E LL cu m � W W = t c 0 co W GQ z V L w 'S 0 Q x LLB a w =_ m � t_n z - W c o x CD Cl) c) ai = Ws Z JLL wLU r--� �" °° 0 0 a U I�1 i-0 C7 W • o Q W 6 ` > � Q L � � 0M0 CN W ` 3 Cl N W O t`1 Z M � � U cd 1 CL; 0 0 ' J w `� L) Z a � ) Q F 0 = M t = J m LU o ' � Eon O _ ? � 0m Z W � o " W o • -� 0 oa r ; Q W \C, D W♦ cuLL p O m,v h��i ��di�ii i�i�i i�i�i� r . �.�� _: . � iihi�r�r� ��.� � ��: 3 � l � . � � � � _ � _.. � � � �� �I I A 11 1 '�! ' BuiWinv Permit Check List&Zonin Anal sis r Address: � SBL: ­2 ci71 Zone: _Use: Const Type: y Other. Submittal Date o, , Revisions Submittal Dates: Applicant: C Vk C C Nature of Work «� Reviews:ZBA: S E P 1 2 BOT: Other. NEED K ( FEES:Filing. 5co4P: ���� O: Flood Plane: Legalization: ( ) ( t�P: Dated: Notarized: SBL: Truss I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( .)-S`ITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other- SURVEY:Dated: Current: Archival• Sealed Unacceptable ( ) ( LANS:Date Stamped. Seale • -' Copies:' Electronic: Other. ( ( License Workers Comp: 14 Liability: mp.Waiver. Other. ( ) � ) CODE 7S3#: 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. , (LB mtg. date: Q\ approval notes: ' ( )ZBA mtg.date: approval notes: ( )PB mtg.date. approval:- notes: APPROVED / D REQUIRED EXISTING PROPOSED NOTES Area: Date:SEP 2 5 iin7'i Circle: Frontage Front: Front: Sides: Rear. Main Cov Accs.Cov Ft.H Sb: Sd.H Sb: QFA: Tot.Im=: FtFt.IMR: Paz Height/Stories: notes: p F �s BUILD MENT DD VIL OF RYA`* OOK SEP — 5 2023 938 KING ET RYE BR ,NY 10573 VILLAGE OF RYE BROOK 4 9 9-0 BUILDING DEPARTMENT sa 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: kl b S. R-imig t. Date of Submission:: Parcel ID#: (l-�j,�FJ, s 6 , Zone:- 9 —�'c►� Proposed Improvement (Describe in detail): APPLICANT CHECK LIST: QQTIr��ntp,n-I^ �s►�U. 'i linSlte MUST BE COMPLETED BY TIIE APPLICANT j., nstIA__� ��QQ�t r �iti D Srvt_ The following items must be submitted to the Building SC&A-Z OWAO n �L,00S Department by the applicant- no exceptions. Pro ert Owner: 1. (Completed Application P Y 11 yAh l�f)rk�('��Asscxi(.te�11, 2 Two(2)sets of sealed plans. (one full size {maximum Address: '41 of 0 4* rj�JQ . allowable plan size=36"x 42"} and one I I"x 17") 3. N Two(2)copies of the property survey. Phone# Q 1 A l.(l� - tl,t(�(� 4. p>,Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( )One electronic/disc copy of the complete (l c Ct�hnC, application materials. �- Jl 6. (/ Filing Fee. Address: ` (11i1 1I 7. �rAny supporting documentation. ��' r� d•�Q�J i�,latPl�E� 8.,-P<HOA approval letter. (if applicable) Phone# 1�jj(o— t'10g-'33(o i -- 9.4j/jPhotographs. Architect/Engineer:M Is hr- 1 sail a l&)f t l I Oje-JSamples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# b% 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. Sworn to before me this A Sworn to before me this day of , 20 day of 04 G U,i 20�iL Signature of Property Owner Signature of App cant Print Name of Property Owner r` p� Print a c of Applicant &67Q /O" r ESSE Notary Pu we 1 E,vN Y otary i,`� GREGORY K RNERA pOUg R Nehry Public,State of New York No.0111164MSI kj�OX C� Qualified In Westchester County Commission Expires September 26,20 8n 2i2021 J Village of Rye Brook Agcnd Architectural Review Board Meeting A, `c`0 � 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 Abstention 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&Eliane 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 ` 1 `� Abstentisi rA C Aye;�— Nay; ) Adjournment; Notes 1.12. ARB23-110 Jing Me&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 Page 1 of 2 11545 W.BERNARDO COURT,SUITE 201 1 S U L LAWAY SAN DIEGO,CA 92127 ■ ENGINEERING PROJECTMANAGER@SULLAWAYENG.COM PHONE:1-858-312-5150 FAX:1-858-777-3534 PROJECT: WELLS FARGO,243 S.RIDGE ST.,RYE BROOK,NY DATE: 08/02/2023 PROJECT#: 41157 ENGINEER: HL CLIENT: PATTISON SIGN GROUP LAST REVISED: IL) Ll 7.1 3 SEP - 5 2023 3-7401 „ VILLAGE OF RYE BROO ILDING DEPARTMEN WE �Cl D 2 2 1'-72" 4 AUG 10 2023 1 ELEVATION-MAX OAH FROM GRADE 15-0" O�- N w F j y0 CO VrP 9� F g * �� 22" 2"STAND-OFF c) 1 Cc FILE [OPI r„ b; _ c� �OA 08614AgOFESS�oNP LETTER/�� LETTER SET (E)MULTI-WYTHE SOLID BRICK WALL BY OTHERS Y4"O DEWALT SCREW BOLT+ANCHOR MIN. EMBED.= lV8" INTO BRICK GENERAL NOTES MIN. EDGE DIST. =3Y4" 1. DESIGN CODE:IBC 2018&2020 NY STATE BUILDING CODE W/SPACER AS REQUIRED 2. DESIGN LOADS:ASCE 7-16 MIN. (3) PER LETTER 3. WIND VELOCITY 120 MPH EXPOSURE C 2 SECTION MIN. (6) PER LETTER SET 4. DEWALT SCREW-BOLT+ANCHOR PER DEWALT SPECIFICATIONS EVENLY SPACED 5. MIN.TWO WYTHE,SOLID BRICK MASONRY WALL CONFORMING TO ASTM C62,GRADE SW MIN,F'M=2000 PSI.MIN 6. MORTAR MUST BE TYPE N,S OR M 7. PROVIDE PROTECTION AGAINST DISSIMILAR METALS 8. ALL DIMENSIONS TO BE VERIFIED PRIOR TO FABRICATION 9. ALL EXISTING ELEMENTS AND DIMENSIONS TO BE VERIFIED IN FIELD Page 2 of 2 1 S U L LAWAY 1 ■ ENGINEERING PROJECT: WELLS FARGO DATE: 8/2/2023 PROJ. NO.: 41157 ENGINEER: HL CLIENT: PATTISON SIGN GROUP vs.s units;pounds,feet unless noted otherwise Applied Wind Loads; from ASCE 7-16 Pnet=k Kzt Pnet30 (ASCE 30.4-1) X= 1.21 (ASCE Fig. 30.4-1) KzS= 1.0 (unless unusual landscape) V= 120 mph Exposure= c Area= 1.8 ft2 max. height= 15.0 ft Pnet30= 25.90 psf Pnet= 31.34 psf Pnet30= -34.70 psf pnet= -41.99 psf Check 1/4" Dia. Dewalt Screw -Bolt+Anchor with Min Embed. = 1.625" into Brick (ASD): Pnet= See Above= 41.99 psf Trib.Area Per bolt for Big Letter"O"= AT,;b=(1'-7.5")*(1'-6")/3 bolts= 0.81 ft2 Trib.Area per bolt for Letter set"WE"= ATrib=(3'-7.75")*(1'-6")/6 bolts= 0.91 ft2 <-Governs • Wind Load= WL=0.6*Pnet*ATr;b= 23 Ibs Dead Load= DL=10psf*ATr;b= 9 Ibs #bolts= = 1 bolt Tension per bolt= Ta=WL/#bolts= 23 Ibs Shear per bolt= Va=DL/#bolts= 9 Ibs Tension capacity= Tc= 550 Ibs (Per Dewalt Specifications) Shear capacity= Vc= 405 Ibs Combined Check: Ta/Tc+Va/Vc= 0.06 <1 ok Laura Petersen From: Paula Ruiz <PRuiz@nslsigns.com> Sent: Wednesday, October 11, 2023 1:19 PM To: Keith White; Laura Petersen Cc: Tiffany Rheel Subject: RE: Sign Permit Application - 243 South Ridge Street - Wells Fargo Attachments: DBL 120 Rye Brook.pdf,Village of Rye Brook, 938 King Street, Rye Brook, NY, 10573.pdf, WC - Rye Brook.pdf Good afternoon Laura, Please see attached the certificates of insurance as per your request, here's the contractor information: National Sign & Lighting Inc. 185 Sweet Hollow Rd., Old Bethpage NY 11804 Jonathan Bragoli 516-249-8960 Let me know if you need anything else from me, thanks. From: Keith White<KWhite@nslsigns.com> Sent:Thursday,September 28, 2023 3:55 PM To: Paula Ruiz<PRuiz@nslsigns.com> Subject: FW:Sign Permit Application-243 South Ridge Street-Wells Fargo From: Laura Petersen <LPetersen@rVebrook.ors> Sent:Thursday,September 28, 2023 3:09 PM To: Keith White<KWhite@nslsigns.com>; rmccarthy@pattisonsign.com Cc:.martha7087@aol.com proiectmanager@sullawaveng.com Subject:Sign Permit Application-243 South Ridge Street-Wells Fargo Good afternoon, The sign permit application has been approved by the Building Inspector. Before I can issue the sign permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 3. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 4. Sign permit fee $1,000.00 (due once permit is issued and ready for pick-up) Thank you Laura Laura(Petersen Office Assistant 1 ,ate"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/1 OIO2/2023 Y) 023 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 Lisa Marrazzo NAME: American Risk Advisors Inc. PHONEo (516)388-5600 FAX Ext: MC,No (516)388-5656 A c N 510 Broadhollow Road,Suite 301 E-MAIL Imarrazzo@useara.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Melville NY 11747 INSURER A: Travelers Property Casualty Company of America 25674 INSURED INSURER B: Berkley Regional Insurance Company 29580 National Sign and Lighting Inc.dba Spectrum Signs INSURER c: The State Insurance Fund 36102 185 Sweet Hollow Road INSURER D: Standard Security Life Insurance Company of New York 69078 INSURER E: Old Bethpage NY 11804 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2363017747 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD LIMBS X COMMERCIAL GENERAL LIABILITY CURRENCE $ 2,000,000 EACH OC CLAIMS-MADE Fx_]OCCUR 300.000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 15,000 A DT-CO-9W22665A-TIL-23 07/02/2023 07/02/2024 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 JECT LOC COMP/OP AGG $POLICY a PRO- 4,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident IX ANYAUTO BODILY INJURY(Per person) $ AOWNED SCHEDULED 810-9W187920 07/02/2023 07/02/2024 BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS HIRED v NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident $ UMBRELLA LIAB IX OCCUR EACH OCCURRENCE $ 4,000,000 B x EXCESS LIAR CLAIMS-MADE BCS70202324 07/02/2023 07/02/2024 AGGREGATE $ 4,000,000 DED RETENTION$ $ WORKERS COMPENSATION X S ATUTE 0-RH AND EMPLOYERS'LIABIL17Y ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? NIA Z 1327 758-7(Ordered from SIF) (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DISABILITY Statutory-Continuous D D93966-000 07/02/2023 Until Cancelled DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook are hereby granted additional insured status where required by written and executed Contract,agreement,or permit. 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 NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE M. .o A A A A A A 843218186 NATIONAL SIGN&LIGHTING INC 185 SWEET HOLLOW ROAD OLD BETHPAGE NY 11804 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NATIONAL SIGN &LIGHTING INC VILLAGE OF RYE BROOK 185 SWEET HOLLOW ROAD 938 KING STREET OLD BETHPAGE NY 11804 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z1327 758-7 800634 11/01/2022 TO 11/01/2023 10/11/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1327 758-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY, NEW YORK STAT SU NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 908267663 U-26.3 z i m is I am y r C�. 1 M } ! 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