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BP23-196
PERMIT # �3- 9� m SECTION TYPE OF I JOB LOCA CONTRALTO EST. V/cO # ✓a TCO # FEE 0 DATE FOOTING FOUNDATION 71 FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT FINAL - jj' 2024 Pb leA5>ejrA 1cao4i /Ja1/ C� 3)$93-3970 �b6f�ooeec&3/)3y8 000/ EP�33/ ,�,y a 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.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE March 12,2024 Ajai Bhagavan Venkatapur&Trud Yeshwanth Patil 5 Heritage Court Rye Brook,New York 10573 Re: 5 Heritage Court,Rye Brook,New York 10573 Parcel ID#: 124.65-1-19 Building Permit#23-196 issued on 11/28/2023 for a Rooftop Solar Array This certifies that the rooftop solar array,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E.Fews Building&Fire Inspector /to D � MENT For office u e noiNLIJ:E (CE VEID BUILD , PERMIT# 9� VIL OF RYE BROOK ISSUED:/al -r�3 FEB 15 2024 38 KING STRE IIRYE BROOK,' W YORK 10573 DATE:p1—/ —,4 14)9 -0 FEE: — PAID W VILLAGE OF RYE BROOK W' 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 ►sssrs+sss•s►ssrt►►srssstttss►sr►s+wsswsssssrwsssssssswrstss►►ssssrwsr•s►♦sss++r+ssws►ss►s■■s►•arrs►►sssssrssssrswtw►srrsrss► Address: 5 Heritage Court, Rye Brook, NY 10573 Occupancy/Use: / G,4Af Parcel ID#: 124.65-1-19 Zone: '4/26 Owner: Ajai Venkatapur Address: 5 Heritage Court, Rye Brook, NY 10573 P.E./R.A. or Contractor: Michael Miele, P.E. Address: 33 Quaker Ave., P.O. Box 350, Comwall, NY 12518 Person in responsible charge: Sue Estabrooke Address: 15 Little Brook Lane, Suite C, Newburgh, NY 12550 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 YOM COUNTY OF WESTCHESTER as: Sue Estabrooke being duly swom,deposes and says that he/she resides at 15 Little Brook Lane,Suite C,Newburgh,NY 12550 (Print Name of Applicant) (No.and Street) in Newburgh ,in the County of Orange in the state of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:s 28,552.00 for the construction or alteration of Roof Top Solar Panels Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this :05�' Sworn to before me this �S day of day of , 20� Signature of Prop or Signature of Applicant Ajai Venkatapur Sue Estabrooke Print Name of Property Owner Print Name of Applicant Ata_,� ALI�l 11) Notary"Pic UN ANGELINA LLOYD ANGELINA LLOYD NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 LL0003053 Registration No.01 LL0003053' 1 '",' Qualified In Westchester County County Qualified in Westchester County County Commission Expires March 20,20 -1 Commission I nlres_Mareh 20,2n �-� QyE BRC�k O� 2� 1982 cu � 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 ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : �� IC 7 A-e. L: O a.-L ! DATE: 2 PERMIT# 2 3 ISSUED: SECT:BLOCK: ( LOT: LOCATION: OCCUPANCY' ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas J ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [.-FINAL OTHER lZ M _ ZN o c `bo M ago 00 CV N tV er Ci. h� u ram•+ e4-4 � u � � rA R O W c!7 pG O. G 14 0 W OG v r� Mv CN °Oen v9 rq c 0 ,0 � F, � z x o o F+I Z �1 0 3° E a.cu V i r Wot 'o �G a 0 q aa, �64 .c� a pp � F�w� w z z enx w w a a ro o ° o v �Zz �� •� � go �I GM1 W V 4-4 cn a o ' 0-4 o .ob ° x z � � � A p4 Uo F. ►�i = o " x RiLT. A W z ° � 5 ° � . u a � ° W W' y .� � � e = BUILDING DEPA TMENT VI jGE OF RYE OOK 938 K>ING�EET RYE BR ,NY 10573 (914)939-0668- OCT 2 3 2023 n s c r VILLAGE OF RYE BROOK FOR OFFICE USE ONLY: Approval Date: NOV 1 (6 e � Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary:. ZBA Approval Date: Case# Other: Application Fee4J00 ' .b Permit Fees:A_ a APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR. ARRAY Application dated: /O rc_)3—cz�_3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation of a Photovoltaic Solar Array as per detailed statement described below. 1. rob Address: 5 Heritage Court, Rye Brook, NY 10573 SBL: 124.65-1-19 Zone: ub 2 Type,kW&Location of Array,(use additional sheets if necessary): Proposed(30)panel roof mounted solar array;(12.150)kW System. Inverters: (30) Enphase IQ-8 Plus Modules: (30) Hanwha Q.Peak Duo 405W Total Sq. Ft. 631.80 3. Property Owner: Ajai Venkatapur Address: 5 Heritage Court, Rye Brook, NY 10573 Phone#203-893-3970 Cell# e-mail ajaivb@gmail.com Applicant: Sue Estabrooke, Agent 15 Little Brook Lane,Suite C 4.A pp g Address: Newburgh.NY 12550 Phone#631-348-0001 Ext. 102 Cell# e-mail Permits@GoPowerSolutions.com Michael Miele PE 33 Quaker Ave., P.O. Box 350 5. Design Engineer: . . Address: Cornwall, NY 12518 Phone# 845-629-9693 Cell# e-mail nypsengineer@gmail.com Long s ancl Power bolUtions-DBA New York Power o u Ions 2060 Ocean Ave, 6. Solar Contractor: and Sue Fstahrooke, Agent Address: Ronkonkoma,NY 11779 Phone# 631-348-0001 Ext. 102 Cell# e-mail Permits@GoPowerSolutions.com 7. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 1-Earn 8. If building is located on a corner lot,which street does it front on: No 9. N.Y. State Construction Classification: N.Y. State Use Classification: 10. Construction Type&Location: O Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;()Floor Framing IF];()Roof Framing[R];O Floor& Roof Framing[FR];Other: 11. Number of stories: Roof Style: (hip,shed,mansard,etc...) 12. Will a New Roof Be Installed: No ❑ Yes ❑ (a separate roofing permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: t 8/12/2021 14. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq. ..,,fttt.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? No: !CI Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: ❑ Yes: ❑ (If yes,applicant must submit a Site Plan Application,&provide detailed drawings) 16. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: V Yes: ❑ (If yes,applicant must submit a Tree Removal Permit Application) 17. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? No: ❑ Yes: ❑ Indicate:TIER I: TIER 11: TIER III; (if yes,a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: $ 28,552.00 (Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO). 19. Start Date: Completion Date: This application must bear the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety andlor 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 YOM COUNTY OF WESTCHESTER ) as: 1, Sue Estabrooke ,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, Agent/Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this S� day of 120 day of ,20X_ Notary Pidic , Notary PJ is Signature of Prop ner ignature of Applicant Ajai Venkatapur Sue Estabrooke Print Name of Property Owner Print Name of Applicant ANGELINA LLOYD ANGELINA LLOYD NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,STATE OF NEW YORK Registration No. 01 LL0003053 2 Registration No. 01 LL0003053 Qualified in Westchester County County quel)riod in Westchester County County Commission Expires March 20, 20 Corfirrli 4i x Ires March 20, 20 8/12I2021 , , M o c � N O s 00 PL4 \ \ M O z a v, �W; o O0-4 GQ U v O R1 Cl)cn w T cry ►--)a M Z cn W oA o O z a w ►n 8 Ae 00 O V � � �= H O x o o N 9 Z Q w 7 = �i Wad a r+ W 00 V z z Q �+ �"'I � w H N d'O V � � Q z 5 O w U co (> 44 U z w WI z CA W rr rr�� V Q C7 *k O W a V c. (� (� Q w H w w a x a � Z u a w H � r cn o D, N x 6 , H Q a o $ U U Ua z c H o � z a a w CA � ° V g s W v O w z x z A C7 A C �y _ Ln a W w a s o � �I 09 a a � w xcn �yE � �VIE BUILAIN �EF�lI[ y' MEN ID VILOK NOV 2 8 2023 938 KINIEU NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Mastery Electricians License Required [� FOR OFFICE USE ONLY BP#: 3-I 1 w EP#: c�) 3 Approval Date: NOV 2 9 209/ Permit Fee: $ Approval Signature: Other: Application dated, �O —�3 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 5 Heritage Court, Rye Brook, NY 10573 SBL: 124.65-1-19 Zone: 'Aa 2.Property owner: Ajai Venkatapur Address: 5 Heritage Court, Rye Brook, NY 10573 Phone#: 203-893-3970 Cell#: email: ajaivb@gmail.eom Michael Catizone Ocean Ave, 3.Master Electrician/Licensed Installer: Address: Ronkonkoma NY 11779 Lic.#: 1628 Phone#: 631-348-0001 Ext.102 Cell#: email: Permits@GoPowerSolutions.com Long Island ower o u Ions- 2060 Ocean Ave, Ronkonkoma, NY 11779 Company Name: DBA New York Power Soluon Aims Address: 4.Proposed Electrical Work/Fixture Count: Proposed (30)panel roof mounted solar array; (12.15)kW System. Inverters: (30) Enphase IQ-8 Plus Modules: (30) Hanwha Q.Peak Duo 405W Total Sq. Ft. 631.80 5.31 Party Electrical Inspection Agency: SWIS Form Attached STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: Michael Catizone ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the Master Electrician&Licensed Installerfor the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. \ r Sworn to befo e m((this Sw rn to befor me is day of br/ ,20_� da of ,201-3 "Nt Signature Vf fir-o—perty Owner Signature o Ajai Venkatapur Michael Catizone Prin Name of Property Owner t LY T Notary b N OTA WW3MM STATE OF N!WYORKANGELINALLOYDNOTARY PUBLIC,STATE OF NEW YORK Registration No.01 ES62Registration No.01LL0003053 Qualified in Dutchess CoQualified in Westchester County County Commission Expires April 43/3/ 023 Conlmission Expires March 20,20 STATEWIDE INSPECTION SERVICES, INC. 1:1 Main Street,Fishkill, NY 12524 1 emod:office@swisny.coni SWIS JOBAPPLICATION tel845.202.7224 • • 1•21 SWISNY.corn I SWISTraining.com Office Use Elect. Permit# / � _ Date - c . �n Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County \ \� � \ � vE c Address Cross Street Section Block \ Lot r` 5 �P r��,"� � C,� ,\,�Q,\- . Q� \Ly,(,s Owner Name/Address(if different than above) .� \ Contact Number ❑Basement ❑ 1 st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside Residential ❑Commercial Receptacles Special Recept GFCI AFGI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information D M� NOV 2 8 2013 VILLAGE OF RYE BROOK BUILDING DtPARTrv1ENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,If at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date Signature Address City/State, License# ,��' Phone# CAD I_ State Wide Inspection Services 1080 Main Street + JAN 17 2024 ILL Fishkill, NY 12524 a I 845 202-7224 Phone —j K 914-219-1062 Fax STATE WIDE INSPECTION SERVICES 9 ��� ,,� -f r.•-•�� -�- Email: office(d)swisny.com _�_..-.___.•-___��__ = Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Catizone Electrical Ajai Bhagavan Venkatapur 2060 Ocean Avenue Truti Yeshwanth Patil Ronkonkoma, NY 11779 5 Heritage Court Rye Brook, NY 10573 Located at: 5 Heritage Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-243 124.65 1 19 Certificate Number:2023-9015 Building Permit Number: BP23-196 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 5 Heritage Court, Rye Brook, NY 10573 The Photovoltaic System was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below, was found to be in compliance on the 121h day of January 2024. Name Quantity Rating Circuit Type PV Modules 30 Micro Inverters 30 Load Center 01 125AMP AC Disconnect 01 60AMP Meter 01 Combiner Box 01 Junction Box 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Michael E. Miele, PE I FEB 15 2024 3D Licensed Professional Engineer Licensed In New York, New Jersey, Connecticut&California VILLAGE OF RYE BROOK NewJerkyiccense#4404ense# BUILDING DEPARTMENT New Jersey License#44042 Connecticut License#23158 California License#31508 February 2, 2024 Village of Rye Brook Building Department The Office of the Building Inspector 938 King Street Rye Brook, NY 10573 Re: Alai Venkatapur-5 Heritage Court, Rye Brook, NY 10573 Single Family Residence, Solar Panel Installation Certification Village of Rye Brook, County of Westchester, State of New York Dear Building Department, I have reviewed the solar energy system installation at the subject address.The system has been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets all building code requirements and is certified as for all code and approved plans for the Village of Rye Brook. I can hereby certify that the installation complies with the 2020 New York Stare Residential Building Code and all applicable codes and design loads as referenced on the approved plans, including ASCE 7-16(Minimum Design Loads and Associated Criteria for Buildings and Other Structures). If you have any questions, please feel free to call me at any time. Thanks, in advance. Sincerely Yours, �pF New EDWg010y 0 * 0 A cal n, xt�/*Iot r 1'� m W n ++ W Michael E. Miele, PE CFO 079676 ��C? A90FESso0N 33 Quaker Ave. PO Box 530, Cornwall, NY 12518 ♦ Phone 845.629.9693 ♦ NYPSengineer@gmail.com Buildinv Permit Check List&Zoning Analysis 1 I Address: SBL. Zone: Use: 7kQ Cont.Type: v Other. Submittal Date: \21 Revisios Submittal Dates: Applicant V n `�c nU CL 1 n Nature of Work:_�� ���u_� (�" l��j \ Reviews:ZBA: 2 20 BOT• Other. NEED OK ��) (��( ES:Filing. 1� P: 572_ C/O: Flood Plane Legalization: ( ) ( ) APP: Dated: Notarized: SBL: Truss I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( ) S VEY:Dated: Current: Archival• Sealed. Unacceptable: ( ) ( PLANS:Date Stamped Sealed: Copies: Electronic Other. License: Workers Comp: Liability. Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A; HIGH-VOLTAGE ELECTRICAL:Plan: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plan: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plan: Permit H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plan: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plan: Permit: N/A: Other. ( ) ( ) I-V.A.C.: Plan: Permit: N/A Other. ( ) ( ) FUEL TANK:Plan: Permit: Fuel Type: Other: O O 2020 NY State ECCC: N/A Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plan: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER Other. ( ;lqU' Other.mtg.date approval \ otes 0 ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval;- notes: REQUIRED EXLSITNG PROPOSED NOTES �1 � 1 Arm Ai �f\�1,�rp./ Circle Fron Froru: Front: 1� Main Cov Accs.Coo Ft H/Sb: Sd.H/Sb Ea�g: Hwk Stories• notes: BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING 1449-0 T RYE BROOK,NY 10573 OCT 2 3 2023 �� I VILLAGE OF RYE BROOK BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address:5 Heritage Court, Rye Brook, NY 10573 Date of Submission: Parcel ID#: 124.65-1-19 Zone: U) /O -^ _a Proposed Improvement(Describe in detail): Proposed (30)panel roof mounted array; (12.150)kW System. APPLICANT CHECK LIST: Inverters: (30) Enphase IQ8 Plus Mus'r BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Modules: (30) Hanwha Q.Peak Duo 405W Department by the applicant-no exceptions. Property Owner:Ajai Venkatapur 1. (--fCompleted Application 2. (,I'wo(2)sets of sealed plans. (one full size (maximum Address: 5 Heritage Court, Rye Brook, NY 10573 allowable plan size=36"x 42") and one 11"x17") Phone#203-893-3970 3. ( )Two(2)copies of the property survey. 4. ( -)'Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( One electronic/disc copy of the complete Long Island Power Solutions/DBA NY Power Solutions application materials. 6. Oiling Fee. Address:2060 Ocean Ave, Ronkonkoma, NY 11779 7. ( )Any supporting documentation. Phone# 631-348-0001 Ext. 102 8. (�HOA approval letter. (rf applicable) 9. (lj Photographs. Architect/Engineer: Michael Miele, P.E. 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# 845-629-9693 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 ���' Swom to before me this e�n -1SJ' day of , 20 �3 day of , 20�_ \ 3--� * Signature re of Pro vrser ANGELINA LLOYD Signature of Applicant NOTARY PUBLIC,STATE OF NEW YORK Ajai Venkatapur Registration No.01LL0003053 Sue Estabrooke Qualified in Westchester County County Print Name of Property Owner Commission Expires March 20, 20 Print Name of Applicant Notary lic Notary blic ANGELINA LLOYD NOTARY PUBLIC,STATF OF NEW YORK Registrit— '003053 Qualified iri veer:. :,, r. 'ounty Commis5::-�i, Expres I,A;ac.! , : 8i12/2021 yE QRC��• Village of Rye Brook ML MR Ot� ZAgend FB SE Architectural Review Board Meeting AC SF W Wednesday,November 15,2023 at 7:30 PM Q Village Hall,938 Ying Street JM 1. ITEMS: 1.1. ARB23-113 (Consent Agenda) Jesus Gonzalez&Beatriz Gonzalez 505 Franklin Street Rooftop solar array. 1.2. ARB23-123 (Consent Agenda) William Fasolino&Patricia Fasolino 252 Irenhyl Avenue Rooftop solar array. 1.3. ARB23-124 (Consent Agenda) Ajai Venkatapur&Truti Patil 5 Heritage Court Rooftop solar array. 1.4. ARB23-125 (Consent Agenda) Or Barak&Meredith Barak 10 Mohegan Lane Black aluminum fence,gates and welded wire fence. 1.5. ARB23-126 (Consent Agenda) Alessio Colacino&Kelly Colacino 37 Tamarack Road Rooftop solar array. 1.6. ARB23-23-059 (Consent Agenda) (Amendment to Prior Approval) Srivatsan Raghavan&Janani Ranganathan 436 North Ridge Street 4'high black aluminum fence. Consent Agenda Approvals: Motion_ Second JX� Abstention Aye; Nay; Adjournment; Notes Page 1of3 Architectural Review Board November 15,2023 1.7. ARB23-127 Anthony Paniccia 496 West William Street Reconstruct fire damaged two-family dwelling. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB23-128(Amendment to Prior Approval) Steven Santiago&Amy Swift 3 Woodland Drive Rear one story addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB23-129 Win Ridge Realty LLC 112 South Ridge Street New non-illuminated letter signage. "DIG.Seasonal Comfort Food" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. ARB23-130 Pawling Holdings LLC 261 North Ridge Street Attached two car garage and rear trellis. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board November 15,2023 1.11. ARB23-131 (Amendment to Prior Approval) 2 Elm Hill LLC 4 Elm Hill Drive Window,door and color changes. Front porch and deck extension. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: December 20,2023 Page 3 of 3 �;�,' . "�e��c��szicrl• OCT 2 3 2023 Aem��a.rY6Lc Bur MDtlrrd�n ' Nl@F—At RJR 6rNk,M.Y.1K77 September 27, 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT BelleFair ARB 24 Bellefair Blvd Rye Brook, New York 10573 Ajai Venkatapur 5 Heritage Court Rye Brook, New York 10573 Re: Installation of Solar Panels in Rear of Residence Et Garage Dear Ajai, We write in response to your request to the ARB for approval of the installation of solar panels in the rear of your residence and garage situated at 5 Heritage Court, Rye Brook, New York. We are pleased to inform you that based on the details of your application, your application has been approved. Once this installation is complete contact our FirstService representatives, Rafael Reyes or Michael Napolitano so that a final inspection may take place. Please be advised that our approval will be expressly conditioned upon your continued compliance with Schedule D of the Declaration. Accordingly, if the aforementioned fails at any time to comply with the Regulations, the ARB reserves the right to direct modification or the removal of the improvements at your sole expense to ensure compliance. Please note that approvals are valid for one year as of the date of this letter. As a reminder, certain alterations will require the approval of the Village of Rye Brook's Building Inspector or Engineer. You shall be responsible for obtaining all required approvals and permits. The Village of Rye Brook will consider applications after BelleFair ARB approval is given. The Village of Rye Brook approval does not preclude the need for ARB approval, nor does ARB approval relieve you from any responsibility of obtaining Village of Rye Brook approval. If you have any questions, please do not hesitate to contact us. Very truly yours, The BelleFair Architectural Review Board LONG ISLAND 2060 Ocean Ave Ronkonkoma, NY 11779 #POWER LUTIONS 631 348-0001 www.longislandpowersolutions.com VILLAGE OF RYE BROOK— Building Division v 3D 938 King Street Rye Brook,NY 10573 OCT 2 3 2023 VILLAGE OF RYE BROOK Dear Building Dept: BUILDING DEPARTMENT As per your Building Department,enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Ajai Venkatapur-(203)893-3970/ajaivb@gmail.com Project/Property Address: 5 Heritage Court, Rye Brook,NY 10573 Section/Block/Lot: 124.65-1-19 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave., Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-11: LI Power Solutions-2060 Ocean Ave., Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Michael E. Miele, PE—705 Orrs Mills Rd,New Windsor,NY 12553—845-629-9693 Contact Informatiion: Sue Estabrooke,Authorized Agent for LUNY Power Solutions 15 Little Brook Lane,Newburgh,NY 12550 Permits@GoPowerSolutions.com/631-348-0001 Ext. 102 Enclosed Please find: • Permit Fee • Permit Application • (2)Engineering Drawings& Specs • Insurance Certs Should you have any questions or require anything further please call the office. Scerely, kSue stabrooke Permit Manager Long Island Power Solutions 15 Little Brook Lane Suite C Newburgh,NY 12550 Ph-631-348-0001 Ext. 102 Fx-631-348-0018 Permits@GoPowerSolutions.com Go Green Save Green y ,00 _ 41 Ir 40 �S y ,t� ,s / � atV r ,,• �,, c n 1 I I .. . 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TOP BRAND PV EUIIOE Warranty z021 0 CELLS v,oduct&Pw1orT.,r,ce Yield Security BREAKING THE 20%EFFICIENCY BARRIER !nnl I Q.ANTUM DUO Z Technology with zero gap cell layout lwuu boosts module efficiency up to 20.9%. THE MOST THOROUGH TESTING PROGRAMME IN THE INDUSTRY Q CELLS is the first solar module manufacturer to pass the most comprehen- sive quality programme in the industry:The new"Quality Controlled PV"of 5� the independent certification institute TOV Rheinland. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent �J low-light and temperature behavior. _ ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID ` Technology',Hot-Spot Protect and Traceable Quality Tra.QTM. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT Inclusive 25-year product warranty and 25-year linear performance warranty2. APT test conditions according to IEC/TS 62804-12015,method A(-1500V,96h) 'See data sheet on rear for further information. THE IDEAL SOLUTION FOR: Rooftop arrays residential buildings Engineered in Germany OCELLS MECHANICAL SPECIFICATION Format 74.0in x 41.1in x 1.26in(including frame) (1879 mm x 1045 mm x 32 mm) 4.0 lu smm) 4ze•uoee mm) >s s•Bass mm) Weight 48.5lbs(22.Okg) Front Cover 0.13in(3.2mm)thermally pre-stressed glass with + wr - anti-reflection technology <.wwvq PP.A.•o.se•las mm) a.P. Back Cover Composite film 39Z(Mmm) Frame Black anodized aluminum Cell 6 x 22 monocrystalline Q.ANTUM solar half cells Junction Box 2.09-3.98in x 1.26-2.36in x 0.59-0.71in (53-101mm x 32-60mm x 15-18mm),IP67,with bypass diodes _E1 .41ZI..-1 Cable 4mm2 Solarcable:(+)z49.2in(1250mm),(-)>-49.2in(1250mm) a.13,..,4R4 oP.. + 4.Mg gtl ft PETAIL A) + Connector Staubli MC4:IP68 »If-z.za•13z mmr oera�A oe3•Ue mml 0.36•(24.6 mml I�I0.13'(9.6 mm) ELECTRICAL CHARACTERISTICS POWER CLASS 385 390 395 400 405 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS.STC'(POWER TOLERANCE+5 W/-0 W) Power at MPP' PMPP [W] 385 390 395 400 405 Short Circuit Current! Isc [A] 11.04 11.07 11.10 11.14 11.17 E D Open Circuit Voltage' Voc IV] 45.19 45.23 45.27 45.30 45.34 E Current at MPP IMPP [A] 10.59 10.65 10.71 10.77 10.83 Voltage at MPP VMPP IV] 36.36 36.62 36.88 37.13 37.39 Efficiency' q [%] 2:19.6 >-19.9 z20.1 >20.4 a20.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT- Power at MPP PMPP [W] 288.8 292.6 296.3 300.1 303.8 E Short Circuit Current I'C [A] 8.90 8.92 8.95 8.97 9.00 E Open Circuit Voltage Voc IV] 42.62 42.65 42.69 42.72 42.76 c Current at MPP IMPP (A] 8.35 8.41 8.46 8.51 8.57 Voltage at MPP VMPP IV] 34.59 34.81 35.03 35.25 35.46 'Measurement tolerances PMPP t3%;IK;V�t5%et STC 1000 W/m2,25t2°C,AM 1.5 according to IEC 60904-3.2800W/m2,NMOT,spectrum AM 1.5 CI CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE '~ =cce..i. ; --T----------l-----1'--- c'r x At least 98%of nominal power during -- i , ; first year.Thereafter max.0.5% - z LL n --------------- degradation per year.At least 93.5% u,g of nominal power up to 10 years.At - least 86%of nominal power up to " I 5pp ------------ 25years. ❑ p --r-----r-----r-----r-----, z or All data within measurement tolerant- w es.Full warranties in accordance with b a zoo 4eo Sao 40o zaao 9 the warranty terms of the a CELLS PRADIANCE:NIm I usales organisation of your respective a u s a country. sswawm,No-.+w.»ww:.n... YEARS Typical module performance under low irradiance conditions in o comparison to STC conditions(25PC,1000 W/m2) �n m TEMPERATURE COEFFICIENTS o Temperature Coefficient of 1_ a [%/K] +0.04 Temperature Coefficient of Voc [%/K] -0.27 Temperature Coefficient of PM:,,, y [%/K] -0.34 Nominal Module Operating Temperature NMOT [PF] 109t5.4(43t3PC) m 0 PROPERTIES FOR SYSTEM DESIGN Maximum System Voltage VS„ IV] 1000(IEC)/1000(UL) PV module classification Class II o Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 W Max.Design Load,Push/Pull' [Ibs/ft2] 75(3600Pa)/55(266013a) Permitted Module Temperature -40°Fupto+185°F p Max.Test Load.Push/Pull [Ibs/ft2] 113(5400Pa)/84(4000Pa) on Continuous Duty (-40PCupto+85PC) 3See Installation Manual U U QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION UL Quality c CE controlled P -T cl�/I I�T/1 r l = g $ Duality Controlled PV-TUV Rheinland. IwJ IUb p-p �+oUNcl N IEC 61215:2016,IEC 617302016. / L m U.S.Patent No.9,893.215(solar ceiisI. sp® [ rwan.,wm Horizontal 76.4in 43.3 in 48.Oin 1656lbs 24 24 32 OCPV certification ongoing. CC41Mi4US ♦ ® packaging 1940mm 1100mm 1220mm 751kg pallets pallets modules _ UL e1730 ,; ;-G-_ N Note:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product. Hanwha Q CELLS America Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618.USA I TEL+1 949 748 59 96 1 EMAIL inquiry@us.q-cells.com I WEB www.q-cells.us -� ENPHASE ENPHASE Von IQ8 and IQ8+ Microinverters Our newest IQ8 Microinverters are the industry's first microgrid-forming,software- defined microinverters with split-phase power conversion capability to convert DC power to AC power efficiently.The brain of the semiconductor-based microinverter Easy to install is our proprietary application-specific integrated circuit(ASIC)which enables the Lightweight and compact with microinverter to operate in grid-tied or off-grid modes.This chip is built in advanced plug-n-play connectors 55nm technology with high speed digital logic and has super-fast response times Power Line Communication to changing loads and grid events,alleviating constraints on battery sizing for home (PLC)between components energy systems. Faster installation with simple two-wire cabling Enphase High productivity and reliability Produce power even when the year li� grid is down More than one million cumulative Part of the Enphase Energy System,IQ8 Series I08 Series Microinverters redefine reliability hours of testing Microinverters integrate with the Enphase IQ standards with more than one million Battery,Enphase IQ Gateway,and the Enphase cumulative hours of power-on testing, Class II double-insulated App monitoring and analysis software. enabling an industry-leading limited warranty enclosure of up to 25 years. Optimized for the latest high- powered PV modules amr- CERTIFIED Microgrid-forming Complies with the latest advanced grid support Connect PV modules quickly and easily to IQ8 Series Microinverters are UL Listed as Remote automatic updates for I08 Series Microinverters using the included PV Rapid Shut Down Equipment and conform the latest grid requirements Q-DCC-2 adapter cable with plug-n-play MC4 with various regulations,when installed connectors. according to manufacturer's instructions. Configurable to support a wide range of grid profiles ©2021 Enphase Energy.All rights reserved.Enphase,the Enphase logo,IQ8 microinverters, Meets CA Rule 21(UL 1741-SA) and other names are trademarks of Enphase Energy,Inc.Data subject to change. requirements IQBS P-DS-0002-01-E N-US-2021-10-19 1,08 and IQ8+ Microinverters INPUT DATA[DCI 108-60-2-US ,:. Commonly used module pairings' w 235-350 235-440 Module compatibility 60-cell/120 half-cell 60-cell/120 half-cell and 72-cell/144 half-cell MPPT voltage range v 27-37 29-45 Operating range V 25-48 25-58 Min/max start voltage V 30/48 30/58 Max input DC voltage V 50 60 Max DC current'[module Isc] A 15 Overvoltage class DC port II DC port backfeed current mA 0 PV array configuration 1x1 Ungrounded array;No additional DC side protection required;AC side protection requires max 20A per branch circuit Peak output power VA 245 300 Max continuous output power VA 240 290 Nominal(L-L)voltage/range' V 240/211-264 Max continuous output current A 1.0 1.21 Nominal frequency Hz 60 Extended frequency range Hz 50-68 Max units per 20 A(L-L)branch circuit' 16 13 Total harmonic distortion <5% Overvoltage class AC port III AC port backfeed current mA 30 Power factor setting 1.0 Grid-tied power factor(adjustable) 0.85 leading-0.85 lagging Peak efficiency % 97.5 97.6 CEC weighted efficiency % 97 97 Night-time power consumption mw 60 MECHANICAL DATA Ambient temperature range -400C to+600C(-40°F to+1400F) Relative humidity range 4%to 100%(condensing) DC Connector type MC4 Dimensions(HxWxD) 212 mm(8.3")x 175 mm(6.9")x 30.2 mm(1.2") Weight 1.08 kg(2.38 Ibs) Cooling Natural convection-no fans Approved for wet locations Yes Acoustic noise at 1 m <60 dBA Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environ.category/UV exposure rating NEMA Type 6/outdoor COMPLIANCE CA Rule 21(UL 1741-SA),UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B,ICES-0003 Class B,CAN/CSA-C22.2 NO.107.1-01 Certifications This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC 2014,NEC 2017,and NEC 2020 section 690.12 and C22.1-2018 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according to manufacturer's instructions. (1)No enforced DC/AC ratio.See the compatibility calculator at https://Iink.enphase.com/ module-compatibility(2)Maximum continuous input DC current is 10.6A(3)Nominal voltage range can be extended beyond nominal if required by the utility.(4)Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. 1O8SP-DS-0002-01-EN-US-2021-10-19 /lam I RON RI DGE Roof Mount System low" -------------- Built for solar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior ® Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty ® UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow, solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability • 8'spanning capability 12'spanning capability Self-tapping screws • Moderate load capability • Heavy load capability Extreme load capability Varying versions for rails • Clear& black anod. finish • Clear& black anod. finish Clear anodized finish Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs Job— Anchor, flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware • High-friction serrated face Works with vent flashing • Attaches directly to rail • IBC & IRC compliant • Heavy-duty profile shape Ships pre-assembled • Ships with all hardware • Certified with XR Rails • Clear& black anod. finish 4"and 7" Lengths • Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps T Bolt Grounding Lugs Accessories L LL& i Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish & black anod. Parallel bonding T-bolt Easy top-slot mounting • Snap-in Wire Clips • Sizes from 1.22"to 2.3" Reusable up to 10 times Eliminates pre-drilling • Perfected End Caps • Optional Under Clamps Mill & black stainless Swivels in any direction • UV-protected polymer Free Resources Design Assistant ♦ NABCEP Certified Training Go from rough layout to fully ► Earn free continuing education credits, engineered system. For free. A X while learning more about our systems. _ — Go to IronRidge.com/rm 10. ♦ 4 Go to IronRidge.com/training Michael E. Miele, PE D Licensed Professional Engineer Licensed In New York, New Jersey, Connecticut& California OCT 2 3 2023 New York License#079676 1 New Jersey License#44042 VILLAGE OF RYE BROOK Connecticut License#23158 BIUILDiNG DEPARTMENT California License#31508 Village of Rye Brook October 12, 2023 Architectur Rwe ew Boars! Approval Date: Village of Rye Brook Building Department Chairman:---. Office of The Building Inspector 938 King Street - Rye Brook, NY 10573 '--' Re: A'ai Venkata ur—5 Heritage Court Rye Brook NY 1057 Single Family Residence,Solar Panel Loading Certification Village of Rye Brook, County of Westchester, State of New York Dear Building Department I am the engineer of record for the above referenced project. I have prepared the attached plans dated August 29, 2023 that consists of the installation of(30) Q.PEAK DUO BLK ML-G10+405 solar panels at the above referenced location. I can hereby certify that the existing roof structure combined with the additional weight of the solar panels meets the requirements of The 2020 Residential Code of New York State, Publication Date, November 2019. The design loads were as follows, Roof Design Load: 50psf live load Wind Design Load: 130mph No additional structural members were required. The roof is currently framed with 2x4 wood truss framing and 2x8 wood framing @ 24" O.C. The roof structural members are in compliance with ASCE 7-16 for deflection and acceptable bending stress. If you have any questions, please feel free to call me at any time.Thanks in advance. Sincerely Yours, OF NEW DW'J 09� r I m Cr W m 2 Michael E. Miele, PE Z`PFp 079676 < FILE COPY A90FESSIONP� 705 Orrs Mills Rd., New Windsor NY 12553 ♦ Phone: 845.629.9693 ♦ mmielepe@yahoo.com https://consumer.westchestergov.com/trades/find-a-licensed-contractor Q ® Layout Font O O T Search Results Consumer Protection Home Contractors and Trades Find a Licensed Contractor CHOOSING A HOME Review the search results below for a contractor You may search again or make another selection by returning to Search CONTRACTOR Search found 1 records Company Name License Choosing a Contractor Contractor Name Expiration Phone Trade Name Dery Find a Licensed Contractor LONG ISLAND POWER SOLUTIONS. 10+6l2025 631-348- INC 0001 CATIZONE MICHAEL J. Home Improvement Contractors NEW YORK POWER SOLUTIONS Renegade Renovators File a Complaint Freedom of Information Request Home Contractor Tips Prevent Home Heating Oil Spills Waqe Underpayment and Theft d'11/11� �It 111 � 1 9 K /111 { r l 111/111 i R � (11111 R /♦ R •, 11111 111111 1 all 1�1111/1/11 11111 .111 Ill 1j11/11 1 _. 111/11/11 .. r O • „S� T • r u \ M y L (V I • L > O G N F Irk: p L W � CC t y C `+. O •ea E cc O d C //�� � V R w r i o) I�+•1 ..� H W ti U y up ? 7f:' 1�. G� i•, O W } ro '� otiection cA W Q Q 2 E WW Q fX v�i V rry' w s W U p :fie afl p44 .. O W o a �a a• v t . ry. y U In 00 C%4 q to U V r r. s 4 'lllllil�l iy s: A4Sil ,/1/ }#J�A'7t" ,� •/ A .,i •/ .y.jl* A v •♦ ,` A i+'.r ♦♦ .t' fA� f' 11 ,�i uj�:. � �u •�( � �A�f r1;+lRhU:1: A 'h'�:`° { A .iii��l/ '► �7pt���k� A tSk� Q1► Q , \ :.-. - firs .'ram •13'v .t. l�y� 9 00 !�v Client#: 83393 LONGISL15 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/28/2023 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 any rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 �M,N E,): 2,No: 631-390-9790 40 Marcus Drive E 3rd Floor ADDRESS, NECertificatesQepicbrokers.com Melville, NY 11747-2647 INSURER(S)AFFORDING COVERAGE NAICIf INSURER A:Southwest Marine&General Ins Co 12294 INSURED Long Island Power Solutions, Inc dba New INSURER B: York Power Solutions; Michael Catizone INSURER C: 2060 Ocean Avenue INSURERD: Ronkonkoma, NY 11779 INSURERE: 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. 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N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ H yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks SCMdula,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Port Chester, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 oil The ACORD name and logo are registered marks of ACORD #S5317036/M5282808 JGRAS NY S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 271175107 ❑� F Q LOVELL SAFETY MGMT CO.,LLC J 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 ❑ti v SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC VILLAGE OF RYE BROOK 2060 OCEAN AVENUE 938 KING STREET RONKONKOMA NY 11779 RYE BROOK NY 10573 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 870373 04/01/2023 TO 04/01/2024 03/06/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WIWW.NYSIF.COM/CERT/ CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC _ 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. 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