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HomeMy WebLinkAboutBP23-205PERMIT # d� - �`� DATE � S 3�p
SECTION c� to BLOC LOT
TYPE OF WORK Cam/ e / a
109 LOC TION � e / c.� � �
OWNER PG/(r�'' // P/7 �^� �/� /r /z/�Q/ /�� �
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N FEES ��D��� DA
TCO � FEE DATE
DATE
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
� NSULATION
�'IUMBING
RGH PLUMBING
GAS
SPRINKLER
ELECTRIC
LOW -VOLT O
ALARM 0
AS BUILT 0 � _ ZC �
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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 7,2024
Drew Rosenfeld& Elizabeth Rosenfeld
234 Tree Top Crescent
Rye Brook,New York 10573
Re: 234 Tree Top Crescent, Rye Brook,New York 10573
Parcel ID#: 129.76-1-47
Building Permit#23-205 issued on 12/15/2023 for Replacement Windows
This certifies that the eight new windows,installed under the above captioned permit have been satisfactorily
completed.
Sincerely,
Steven E. Fews
Building& Fire Inspector
/to
DP For office use only.
3D BUILDIEPARTMENT PERMIT#
MAR - 1 2024 VIL OF RYE BROOK ISSUED:
938 KING STRE YE BROOK, 1 V YORK 10573 DATE:
VILLAGE OF RYE BROOK )939-066s FEE: u(�— PAID
BUILDING DEPARTMENT j ww�rebrook.219
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
srssrrsststsssasssutssssrrr+rrssssesttssssspttsss+•rrrrrsrrrrarsssttssttttttasttatssrrt+•tt+rstsrrsrssrrrsssrrrrrrsrsssssst
Address: d 701 � 5
Occupancy/Use: r4-44 Parcel ID#:/,-'�}, 76 —/—7 7 Zone:Al'(6
Owner: T)rf4,� F)05ev�-e.l Address: o23�1 // (M5
P.E./R.A.or Contractor: - 1 tom- P� G /26Address: QJ C/-A kqk/ U y
Person in responsible charge: o �U Address:
!l /!
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,CQUNTY OF WESTCHESTER as:
A)a,�&) PRE y6\Q_Ilf11� being duly swom,deposes and says that he/she resides at J� T CAS
(Print Name of pplicant) (No.and treet)
in ,in the County of VVe�7 +� in the State of ,that
(Cityrrown/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:$ Sa)
for the construction or alteration of ¢,fp
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 Sworn to before me this
day of I , 20 c?q- day of , 20
ignaturw of P`rope Owner�y �p Signature of Applicant
Print Name of Property Owner Print Name of Applicant
Fqotlfiy Public Notary Public
SHARI MELILLO
Notary Public,State of New York
No.O1ME6160063 N,'!2/1"2 1
Qualified in Westchester Count
Commission Expires January 29,2o"Z7
�yE DR(��
110
1932 BUILDING DEPARTMENT
❑BBUILDING 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 :- 2 1 , JtQ�` l aI�3.� .r��- DATE: ?" = Z c7 Z y
PERMIT# -'eI 2z- [,c/ ISSUED: 1 'Z ECT: = . BLOCK: r� LOT: 7
LOCATION: - 6, 11 c Q 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 W I'Z)0�--A
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
EV4INAL
❑ OTHER
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BUILD TMENT D rfl
VIL OF Ry OOK NOV 15 2023
938 KING tfll�ET RYE B11i NY 10573 1
939-0 E BROOK
VILL-AGE OF RYE
BLJHL.Dii'�G DEPARTMENT
ADMINISTRATIVE EXTERIOR UILDING PERMIT APPLICATION
ot� E FXE W TRIOR ORK WHICH DOES NOT RE01.T*1vILli ARCIII I LC-11.11AL RED IEm" Bo..%RD APPROVAL
FOR OFFIC—E USE 0
- NUV 2023
APPROVAL DATE: A_25� MIT#: APPLICATION FEE4, I DO
APPROVAL SIGNATURE: PERMIT FEES:
H.O.A. APPROVAL: \K� DATE:
DISAPPROVED: OTHER:
Application dated: 11/1/23 is hereby made to the Building Inspector ofthe Village of Rye Brook,NY,for the issuance of a Permit forthe
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: 234 Treetop Crescent
2. Parcel ID#: /,-49, 76 — /- 417 Zone: _0P
3. Proposed Improvement(Describe in detail): Replace old windows on home.There will be 8 new windows installed that
match the style and size of the existing windows,as per the Arbors HOA rules
4. Property Owner: Drew Rosenfeld
Address: 234 Treetop Crescent
Phone# (914)715-9885 Cell# e-mail drew.rosenfeldOgmaii.com
List All Other Properties Owned in Rye Brook:
Applicant: Drew Rosenfeld
Address: 234 Treetop Crescent
Phone# (914)715-9885 Cell# e-mail drew.rosenfeld@gmaii.com
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor; '61101ile- keX(0044-74 -V60&,0 �C
jA 04.
Address: Aeejeselll jy /Os/
# q1,1_.,w.3-9.d-7
Phone# -Cell 1%13. -7 z--.> —e-mail
POICc)5 beeQ,---VajA0
9/1212021
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction:
6. Area of lot: Square feet: Acres:
7. Dimensions from proposed building or structure to lot lines: front yard: rear yard:
right side yard: left side yard: other:
8. If building is located on a corner lot,which street does it front on:
9. Area of proposed building in square feet: Basement: IS,fl; 2'fl: 31 fl:
10. Total Square Footage of the proposed new construction:
11. For additions,total square footage added: Basement: 11 fl: 2"d fl: 3`d fl:
12. Total Square Footage of the proposed renovation to the existing structure:
13. N.Y. State Construction Classification: N.Y. State Use Classification:
14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame [TC];()Wood Truss[TT];
()Pre-engineered wood[PW];Located;()Floor Framing[F];(}Roof Framing[R];O Floor&Roof Framing[FR];Other:
15. Number of stories: Overall Height: Median Height:
16. Basement to be full,or partial: finished or unfinished:
17, What material is the exterior finish:
18. Roof style;peaked,hip,mansard, shed,etc: Roofing material:
19. What system of heating:
20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application.
21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire
suppression system?(Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...)Yes:_No;_
(if yes, applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans)
22. Will the proposed project disturb 400 sq. ft. or more of land,or create 400 sq.ft. or more of impervious coverage requiring a
Stormwater Management Control Permit as per§217 of Village Code? Yes:_No:—Area:
23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: No: (if yes, applicant must submit a Site Plan Application, &provide detailed drawings)
24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:
(if yes,you must submit a Site Plan Application, &provide a detailed topographical survey)
25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No:
(f yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan)
26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28f07? Yes : No:
(if yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan)
27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No;
(if yes,applicant must submit a Tree Removal Permit Application)
28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:
Indicate:TIER 1: TIER 11: TIER III: (if yes,a Home Occupation Permit Application is required)
29. What is the total estimated cost of construction: S $7.500 Note: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.
30. Estimated date of completion: 1/31/24
(2)
8/12/2021
[F
BUILD MENT iD
938 KING E BR ,NY 10573
VIL EOF Y OOK
.ET R NOV 15 M121
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS
THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AM 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:
3 Drew Rosenfeld residing at, 234 Treetop Crescent
011-im name) (Address where N ou I ivc)
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;
234 Treetop Crescent Rye Brook, NY,
(J(1h.Add1e'i';)
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.
(Sis'll'Iture of,Pr—OPITt.,. Ors nerll;))
Drew Rosenfeld
(11rhil Name oi'llroperly 0%.Nner(s))
Sworn to before me this
4y Of N oj -e 20
A7-al- 1��NI'Jko
SHARI MELILLO
Notary Public,state of New York
No.01ME6160063
Qualified In Westchester County
,ommission Expires January 29,20 (3)
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:
Drew Rosenfeld , 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
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.
Sworn to before me this Sworn to before me this
day of Jv f� ,20 day of 20
gnature f roperty O er Signature of Applicant
Print Name of Property Owner Print Name of Applicant
Notary Public Notary Public
SHARI MELILLO
Notary Public,State of New York
No.o1ME6160063
Qualified in Westchester County
commission Expires January 29,20
(4)
8/12/2021
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Unified Farm Family
Insurance Company
A
ional compa"y MLHICAN An NAt
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At IONA L
344 ROUTE 9W I GLENMONT* NY 120774910
LO YERS LIAB
WORKERS COMPENSATION AND EhAft—
NCC1 COMPANY NO. 36838
POLICY NO. 3104W7173
EFFECTIVE 03/10/2023
TRANSAC71ON TYPE New
FEIN #
INSURED AND MAILING ADDRESS.
MARCOS R DECARVALHO
4 WAINWRIGHT ST
RYE, NY 10580-3712
THE INSURED IS INDIVIDUAL
workplaces covered by this poficV:
ST VVP NO, ADDRESS OF WORKPLACE
NY 1 4 WAINWRIGHT ST
RYE NY 10580-3712
..... ........I.......... ."I',""!
77 .
y
-10-2024
-t,dft7& to 03 L
ORDER: 1207033
ORDER DATE: 4/14/2023
ORDER CONTACT:
QUOTE
INVOICE INFORMATION SHIPPING INFORMATION
ABC Stamford ABC Stamford
SHIP VIA:
ORDER ORDER DATE • s NUMBER CUSTOMER
1207033 4/14/2023 stamfordess/marcos
Mr • • * � ©i • �Mvi
1 7700 DOUBLE SLIDER 2 46 112 W X 46 H $350.92 $701.84
WHITE $0.00 $0.00
BRONZE $215.22 $430.44
REPLACEMENT $0.00 $0.00
HEAD EXPANDER $5.86 $1-1.72
TIP TO TIP $0.00 $0.00
LOWE/ARGON/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00
FULL SCREEN FIBERGLASS $17.60 $35.20
BLACK SCREEN $0.00 $0,00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,] $0.00 $0.00
SOLAR HEAT GAIN=[0.2] $0.00 $0.00
U-FACTOR=[0.29] $0.00 $0.00
VISIBLE TRANSMISSION=[0.45] $0,00 $0.00
CLEAR OPENING HEIGHT=[40.803] $0.00 $0.00
CLEAR OPENING SQUARE FEET=[4.89] $0.00 $0.00
CLEAR OPENING WIDTH=[17.256] $0.00 $0.00
ITEM SUBTOTAL: $589.60 $1,179,20
2 7700 DOUBLE SLIDER 1 59 W X 47 1/4 H $478.12 $478.12
WHITE $0.00 $0.00
BRONZE $215.22 $215.22
REPLACEMENT $0.00 $0.00
HEAD EXPANDER $5.86 $5.86
TIP TO TIP $0.00 $0,00
LOWE/ARGON/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00
FULL SCREEN FIBERGLASS $17.60 $17.60
BLACK SCREEN $0.00 $0.00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,] $0.00 $0.00
SOLAR HEAT GAIN=[0.2] $0.00 $0.00
U-FACTOR=[0.29] $0.00 $0.00
VISIBLE TRANSMISSION=[0.45] $0.00 $0.00
CLEAR OPENING HEIGHT=[42.053] $0.00 $0.00
CLEAR OPENING SQUARE FEET=[6.865] $0.00 $0.00
CLEAR OPENING WIDTH=[23.506] $0.00 $0.00
ITEM SUBTOTAL: $716.80 $716.80
4il4/2023 1:55:31 PM 1 of 4
'ORDER
' ! ! • iCUSTOMER
1207033 ' 4i14/2023 stamfordess/marcos
----- -- •
DESCRIPTION
i
3 7700 DOUBLE SLIDER 1 58 1/2 W X 34 H $350.92 $350.92
WHITE $0.00 $0.00
BRONZE $215.22 $215.22
REPLACEMENT $0.00 $0.00
HEAD EXPANDER $5.86 $5.86
TIP TO TIP $0.00 $0.00
LOWElARG0N/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00
FULL SCREEN FIBERGLASS $17.60 $17.60
BLACK SCREEN $0.00 $0.00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,] $0.00 $0.00
SOLAR HEAT GAIN=[0.2] $0.00 $0.00
U-FACTOR=[0.29] $0.00 $0.00
VISIBLE TRANSMISSION=[0.45] $0.00 $0.00
CLEAR OPENING HEIGHT=[28.803] $0.00 $0.00
CLEAR OPENING SQUARE FEET=[4.652] $0.00 $0.00
CLEAR OPENING WIDTH=[23.256] $0.00 $0.00
ITEM SUBTOTAL: $589.60 $589.60
4 7700 DOUBLE SLIDER 1 58 1/2 W X 46 57/64 H $478.12 $478.12
WHITE $0.00 $0.00
BRONZE $215.22 $215,22
REPLACEMENT $0.00
HEAD EXPANDER $5.86 $5.86
TIP TO TIP $0.00 $0.00
LOWE/ARGON/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00
FULL SCREEN FIBERGLASS $17.60 $17.60
BLACK SCREEN $0.00 $0.00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,] $0.00 $0.00
SOLAR HEAT GAIN=[0.2] $0.00 $0.00
U-FACT $0.00 $0.00
VISIBLE TRANSMISSION=[0.45] $0.00 $0.00
CLEAR OPENING HEIGHT=[41.694] $0.00 $0.00
CLEAR OPENING SQUARE FEET=[6.734] $0.00 $0.00
CLEAR OPENING WIDTH=[23.256] $0.00 $0.00
ITEM SUBTOTAL: $716.80 $716.80
I 5 7700 DOUBLE SLIDER 1 46 1/2 W X 58 H $478.12 $478.12
WHITE $0.00 $0.00
BRONZE $215.22 $215,22
REPLACEMENT $0.00 $0.00
HEAD EXPANDER $5.86 $5.86
TIP TO TIP $0.00 $0.00 j
LOWE/ARGON/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00
FULL SCREEN FIBERGLASS $17.60 $17,60
BLACK SCREEN $0.00 $0.00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,] $0.00 $0.00
SOLAR HEAT GAIN=[0.2] $0.00 $0.00 I
U-FACTOR=[G.29] $0.00 $0.00
VISIBLE TRANSMISSION=[0.45] $0.00 $0.00
CLEAR OPENING..HEIGHT=152.8031 $0.00 S0.00
CLEAR OPENING SQUARE FEET=[6.328] $0.00 $0.00
CLEAR OPENING WIDTH=[17.256] $0.00 $0.00
i ITEM SUBTOTAL: $716.80 $716.80
4/14/20231:55:31 PM 2of4
t • t • _ • t •
1207033 4/14/2023 stamfordess/marcos
TERMS
r • .
6 7700 DOUBLE SLIDER 1 46 3/4 W X 58 H $478.12 $478.12
WHITE $0.00 $0.00
BRONZE $215.22 $215.22 tM
REPLACEMENT $0.00 $0.00
j HEAD EXPANDER $5.86 $5.86
{j TIP TO TIP $0,00 $0.00
I LOWE/ARGON/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00
FULL SCREEN FIBERGLASS $17.60 $17.60 I
BLACK SCREEN $0.00 $0.00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,j $0.00 $0.00
SOLAR HEAT GAIN=[0.2] $0.00 $0.00
U-FACTOR=[Q 291 $0.00 $0.00
VISIBLE TRANSMISSION=[0.45] $0.00 $0.00
CLEAR OPENING HEIGHT=[52.803] $0.00 $0.00
CLEAR OPENING SQUARE FEET=[6.373] $0,00 $0.00
{ CLEAR OPENING WIDTH=[17.381] $0.00 $0.00
ITEM SUBTOTAL: $716.80 $716.80
7 7700 DOUBLE SLIDER 1 58 1/2 W X 46 1/4 H $478.12 $478.12
WHITE $0.00 $0.00
BRONZE $215.22 $215.22
REPLACEMENT $0.00 $0.00
HEAD EXPANDER $5.86 $5.86
TIP TO TIP $0.00 $0.00
LOWE/ARGON/CLEAR $0.00 $0.00
GLASS BREAKAGE WARRANTY LIFETIME $0.00 $0.00 i
FULL SCREEN FIBERGLASS $17.60 $17.60
BLACK SCREEN $0.00 $0.00
1 VENT LATCH $0.00 $0.00
ESTAR CLIMATE ZONES=[NC, SC, S,] $0.00 $0.00
SOLAR HEAT GAIN=[0.21 $0.00 $0.00
U-FACTOR=[0.29] $0.00 $0,00
VISIBLE TRANSMISSION=[0.45] $0.00 $0.00
CLEAR OPENING HF_IGHT=[41.053] $0.00 $0.00 1
CLEAR OPENING SQUARE FEET=(6.63] $0.00 $0.00
CLEAR OPENING WIDTH=[23.256] $0.00 $0.00
ITEM SUBTOTAL: $716.80 $716.80
TOTALS: 8 SUBTOTAL: $5,352.80
TOTAL: $5,352.80
COMMENT:
4/14/2023 1:55:31 PM 3 of 4
Drawings • • 1207033
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4;1412023 1:55:31 PM 4 of 4
The Arbors Homeowners' Association
173 '/2 Ivy Hill Crescent
Rye Brook, NY 10573
E cc Vu\ E I ID
4
October 2011, 2023 NOV 15 2023
VILLAGE OF RYE BROOK
Drew Rosenfeld BUILDING DEPARTMENT
Elizabeth Rosenfeld
234 Treetop Crescent
Rye Brook, NY 10573
Re: Window Replacement
Dear Drew and Elizabeth,
The Architecture and Grounds Committee (A&G) has reviewed your
application for the above-named work. This project requires a permit from
The Village of Rye Brook. You are approved to get a permit from the
Village of Rye Brook. You are directed to submit this letter to the Village
along with your permit application. Once the permit is obtained, a copy
must be provided to A&G.
Work on the project may not begin until you receive written notice of
receipt of your permit from A&G.
If any changes are made to the original plans submitted to A&G, due to
input from the Village or arising during construction, the Committee must be
notified in writing. Work cannot proceed until you receive written approval
for those changes.
Failure to comply with these procedures will result in fines and/or work
stoppage.
If you have any questions, please contact me.
Sincerely,
Nicholas Salzarulo
RA & G APPLICATION FORM
Page 2 ®f 2 NOV 15 2023
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
Homeowner Name (print/type): Drew Rosenfeld
Address: 234 Treetop Cres Phone: (914)715-9885
Email: drew.rosenfeld@gmail.com Date: 8/14/23
Print or type a detailed explanation of your proposed project:
We are planning to upgrade all the sliding windows (8 in total) on our house. The current
windows were the original on the home when it was built in the late 70's - the glass and
seals are no longer efficient and allow moisture, drafts and insects into our unit.
Some tracks are broken and the screens are warped with holes.
This will be an upgrade to modern, energy efficient windows.
All specs match the current windows, including measurement and color, as per the A&G
Rules
8/14/23
Homeowner Signature Date
A & G APPLICATION FORM
Page 1 of 2
lid Review A&G Guidelines, AHOA Declarations and By-Laws pertaining to your project.
Consult with the Property Manager for any clarification of pertinent A&G Guidelines.
Include in Request Section:
a) Exact measurements of affected area & materials to be used
b) Detailed description of project
c) For fences and patios: exact location to be marked with stones, stakes, and/or paint,
preferably done by installer
Submit with Application:
a) A "Before" picture
b) Contractor's license & insurance (if applicable)
c) Permit from VRB (if applicable)
d) Plot plan (if applicable)
e) Architectural drawings (if applicable)
f) Oil Tanks, Fencing and Painting: requires an additional form to be filled out and
submitted with this application (consult with Property Manager)
W If any information is missing, the Property Manager can NOT accept the application.
W AHOA and A&G are not liable for the cost of any plans, regardless of approval or denial.
W Once A&G receives the complete application, the area will be inspected and A&G will respond
to the request in a timely manner.
W If approved, Homeowner is then responsible to notify the Property Manager when work Begins
and Finishes.
W Once the project is complete, an "After" picture must be submitted to the Property Manager to
be kept on file. A&G and/or the Property Manager will then inspect the work done for adherence
to the approved application.
W if work is not in compliance with the approved application, Homeowner is subject to fines and/or
assessments and/or restoration of the property according to A&G Guidelines and the original
approved application.
Lid Note: Any work done without proper Prior authorization is also subject to fines &/or
assessments, as well as possible removal and/or restoration.
Please check each box as read, and then sign and date this page.
234 8/14/23
omeowner Signature Unit# Date
Laura Petersen
From: Laura Petersen
Sent: Friday, November 17, 2023 11:06 AM
To: drew.rosenfeld@gmail.com
Subject: 234 Tree Top Crescent - Permit Application for New Windows
Good morning,
The building permit application has been approved by the Building Inspector. Before I can issue
the building permit the following items must be submitted to our office,
/1. General contractor's contact name & phone number.
v/2. Copy of general contractor's valid Westchester County Home Improvement License.
3. General contractor's valid liability insurance (the Village Of Rye Brook must be the
certificate holder)
Z4. General contractor's valid workers compensation on a NY State Board form (C105-2 or
U26.3)
5. Building permit fee $135.00 (due once permit is issued and ready for pick-up)
Thank you
Laura
Laura (Petersen
Office Assistant
Village of Rye Brook
938 King Street
Rye Brook, New York 10573 /
Phone(914)939-0668 1 loetersen(a)ryebrook.org
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[--DATE(MMIDD YYYY)
ACOO CERTIFICATE OF LIABILITY INSURANCE
`�" 12/12/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
MATTHEW BROGAN&ASSOCIATES INC PHONE 845-562-0701 FAX
FARM FAMILY CASUALTY INS.CO. ADDRESS:"E
DDRESS:
81A WEST MAIN STREET INSURE s AFFORDING COVERAGE NAILS
WALDEN, NY 12586 INSURERA:UNITED FARM FAMILY INSURANCE CO 29963
INSURED
INSURER B
EVOLVE REMODELING GROUP LLC INSURER C:
4 WAINWRIGHT ST INSURER D:
RYE, NY 10580 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 ADDLTYPE OF INSURANCE INsn SUER Y EFF POLICY P LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYY LIMITS
�( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000
A 3101 X8511 04/26/23 04/26/24
CLAIMS-MADE X�OCCUR PRREMISES EaENTED E 100,000
X SELECT BUSINESS PKG MED EXP(Any one person) E 5,000
PERSONAL&ADV INJURY E 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,000
X POLICY ❑E C D LOC PRODUCTS-COMP/OP AGG E 2,000,000
OTHER: E
AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT E
Ea accident
ANY AUTO BODILY INJURY(Per person) E
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTYDAMAGE E
AUTOS ONLY AUTOS ONLY Per atxklenl
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE E
EXCESS LIAR HCLAIMS-MADE AGGREGATE E
DELI I I RETENTION$ $
COMPSATIONPER
A A KERS DR EMPLOYERSFLIABILTrY YIN 3102W9421 11/20/23 11/20/24 X STATUTE ERH
ANY PROPRIETOR/PARTNER/E ECUTIVE NIA E.L.EACH ACCIDENT $ 100000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 1w,000
If s,describe under
DESCRIPTION OF OPERATIONS belay E.L.DISEASE-POLICY LIMIT J E 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached R more space is required)
CARPENTRY, KITCHEN AND BATHS, MASONRY, PAINTING, TILE WINDOWS, GENERAL CONSTRUCTION, SIDING
EXCLUDE ROOFING, POOLS, LANDSCAPING , PAVING; NO EXCLUSIONS IN CLASSIFICATION
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
938 KINGS STREET
RYEBROOK, NY 10573 AUTHORIZED REPRESENTATIVE
IJ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
YOR Workers' CERTIFICATE OF
STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Board
1 a.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured
EVOLVE REMODELING GROUP LLC 914-760-1491
4 WAINWRIGHT ST 1c.NYS Unemployment Insurance Employer Registration Number of
RYE, NY 10580 Insured
Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e., a Wrap-Up Policy) Number
452680421
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) UNITED FARM FAMILY INS CO
VILLAGE OF RYE BROOK
938 KING STREET 3b.Policy Number of Entity Listed in Box 1a"
RYE BROOK, NY 10573 3102W9421
3c.Policy effective period
11-20-2023 to 11-20-2024
3d.The Proprietor,Partners or Executive Officers are
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"T'insures the business referenced above in box 1a"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: MATTHEW BROGAN
(Print name of authorized representative or licensed agent of insurance carrier)
4,1 Approved by: -v- 4�, 12/12/2023
(Signature) (Date)
Title: AGENT
Telephone Number of authorized representative or licensed agent of insurance carrier: 845-562-0701
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