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HomeMy WebLinkAboutBP24-037PERMIT# 140Q#-Q Z.DATE:3 /J a`/ 1EXP43//pas SECTION BLOCK / L7OT TYPE OF WORK I e,0 4e,:& 70 4 e " A); 'O JOB LOCATION 7 Zou�f q EST. COSTA _ FEEJ��Ci ✓CO # C FEE+ / O - +DATE TCO # FEE DATE FrTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT E3 ALARM 0 AS BUILT O /- FINAL �aC)9-Says iu%ionq /d03)Q-qq-/9S,6 OTHER APPROVALS ARB BOT Ps ZBA OTHER ��yE BR(�v� Lv 190 OCC j ,i�J y b 4 la 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 June 7, 2024 Dziugas Reneckis& Cristina Pires 9 Maple Court Rye Brook,New York 10573 Re: 9 Maple Court, Rye Brook,New York 10573 Parcel ID#: 135.66-1-78 Building Permit#24-037 issued on 3/11/2024 for Replacement Window This certifies that the one new window,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to R D E C Ez �W[E BUILDING DEPARTMENT For office use only: MAY — 9 2024 PERMIT# VILLAGE OF RYE BROOK —037 ISSUED: //—aq VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: 5-9—aZ1 BUILDING DEPARTMENT (914)939-0668 FEE: ( / lep— 2AID I5K www.rvebrook.org 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 ............t.............................................................................__................................. Address: 9 Maple Ct., Rye Brook, NY 10573 Occupancy/Use: Residential Parcel ID#: 135.66-1-78 Zone: ' !O Owner: Cristina Pires & Dziugas Reneckis Address: 9 Maple Ct., Rye Brook, NY 10573 P.E./R.A. or Contractor: Renewal by Andersen Westchester Address: 421 West Avenue, Stamford CT 06902 Person in responsible charge: Franklin Barahona Address: 421 West Avenue, Stamford CT 06902 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: Franklin Barahona being duly swom,deposes and says that he/she resides at 421 West Avenue (Print Name of Applicant) (No and Street) in Stamford in the County of Fairfield in the State of C T ,that (Cnvrrown/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: $ 0_7�_` 7/ for the construction or alteration of. Installation of replacement Window: 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-I O.A.of the Code of the Village of Rye Brook. Sworn to before me this f-h Sworn to before me this /S T h day of ►4�t�1 , 20 ZL� day of 4?ri 20 signature of Property Owner Signature of p',can Cristina Pires & Dziugas Reneckis BRIAN MACDONALD Franklin Barahona Print Name of Property Owner NOTARYPUBUC Print Name of Applicant State of Connecticut MY COMMISSION EXPIRES Oct 312026 Notary Public Notary Public QyE BRC�uk 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR El 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 : (� /� Lo �,F Lv L„ DATE: I J zc)z/ PERMIT# &( 2 7 ? ISSUED: SECT: BLOCK: LOT: LOCATION: ?1 J OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... El ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION p ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION (�}`FINAL ❑ OTHER � N � p�,' 'y m ■ IN W = a �j � aCQ F-i _ Pr = W O 1000 04 u V W 00 W F r` z q c ° _ V �-r o .d v W en F c" xn in r_,O o 4-4 a eq en coW 0 c� N ' W A z v, zo " off cn Qu o � � ^,_ � F o o r z cn ON " � w u � u a, w z f1 z t/� cy n & x �D wA u = w � me.04 � 0 cm 106 EO x P4 V, y G.•a o r A R" W P4 u p v - BUILDING DEPARTMENT FEB 2 9 2024 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT wivwxyebrook.ore ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: APPROVAL DATE: R O PERMIT# S/ QS7,tQ,PPLICATION FEE: J!t V/0 /AA APPROVAL SIGNATURE: PERMIT FEES:�C�<J`"jQU H.O.A.APPROVAL: DATE. DISAPPROVED: OTHER: s+******t+rs+ssrtrrtrt*»rtrtsts+**s*srr*tss*s*ssssst*tsrtrsr»»rrt+rts»+rtr*t**»*»sr*+»tits++***rrt+s*srs**++*s*srt* Application dated,February 21, 2024 is hereby made to the Building Inspector of the Village of Rye Brook.NY,for the issuance of Permit for the construction of buildings.structures,additions,alterations or for a change in use,as per detailed statement described below. 1. Job Address: 9 Maple Ct., Rye Brook, NY 10573 2. Parcel ID#: 135.66-1-78 Zone: —10 3. Proposed Improvement(Describe in detail): Removal and Installation of( 1 )replacement window into existing opening with no structural alterations. 4. Property Owner: Cristina Pires&Dziugas Reneckis Address: 9 Maple Ct., Rye Brook, NY 10573 Phone# (929) 245-5769 Cell# (203) 209-8245 e-mail pires.eristina.m@gmail.com List All Other Properties Owned in Rye Brook: Applicant: Franklin Barahona Address: 421 West Avenue, Stamford CT 06902 Phone# 203.406.0545 Cell# 203.249.1996 e-mail Permits@RBAWesichester.com Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Fairchester Custom Windows dba Renewal by Andersen Westchester Address: 421 West Avenue, Stamford CT 06902 Phone# 203.406.0545 Cell# 203,249,1986 e-mail Permits@RBAWestchester.com (I) 6/I/2023 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-2 Fam Post-construction: 1-2 Fam 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: 1 v fl: 2nd fl: 31d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 1°fl: 2"d fl: Yd 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]; O Pre-engineered wood[PW];Located;()Floor Framing[F];O Roof Framing[R];()Floor&Roof Framing[FRI;Other: 15. Number of stories: 3 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,ANSI,System,FM-200 System,Type I Hood,etc...)Yes: No: X (fyes,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 Stormwatcr Management Control Permit as per§217 of Village Code? Yes: No: X Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:_x (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: X (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: X (if 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 9/28/07? Yes: No: X (i(yes,the area and elevations of the flood plane must be properly depicted on the survey i&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: X (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: X Indicate:TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 2,971 Note.estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donatedgratis.lfthe final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: TBD (2) 61 t/2023 BUILDING DEPARTMENT FEB 2 0 2024 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www.ryebrook.orl! AFFIDAVIT OF COMPLIANCE VILLAGE CODE U 16 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I,Cristina Pires & Dziugas Reneckis ,residing at, 9 Maple Ct., Rye Brook, NY 10573 Wfilu ItaillL.) I 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; 9 Maple Ct., Rye Brook, NY 10573 ,Rye Brook,NY. {Juh � 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. Cristina Pires & Dziugas Reneckis Sworn to before me this 7 day of T 20 Zy (\wjn g1uhrri BRIAN MAC1)01IAL1: NOTARY PUBIJC State:Of Connecticut MCWHIMONFAPWSCct.1120t (3) 611 t2023 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: Franklin Baraliona ,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 Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,ettomev,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 2 ,�h Sworn to before me this --h day of 11" rt•YtEy , 20 day of 6;bM" r. . 20 2,V Signature of Property Owner Signature of pplicant Cristina Pires & Dziugas Reneckis Franklin Barahona Print Name of Property Owner Print Name of Applicant Notary Public Notary Public BR m��J u Stare of Connecticut DIY COMMISSION EXPIRES OCL 31702f Mukm IdACDO�c NOTARY PUEMC state ojconnecttcut AIYCoMMLc 1tNi EXPIRES Oct.31,Cr (4) 6/1/2023 VNE`WAL Agreement Document and Payment Terms DBA3 RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Crisfino Pires&Dziugas Reneckis Legal Name:Fairchester Custom Windows LLC 9 Maple Ct R CT HIC».0667292.WC-35743-1-122,Putnam#51220 Rye Brook,NY 10573 a'ANDERSEN 421 west Ave,Building 1 i Stamford,CT 06902 H:(929)245-5769 uivm.ow>n nnn.m Phone:203.406.0545 i Fax:203-40"828 i sales@rbawestchesler.com C:(203)209-8245 Cristina Plres& Dziugas Reneckis 02/20/24 BUYER(S)NAME CONTRACT DATE 9 Maple Ct,Rye Brook,NY 10573 (929)245-5769 (203)209-8245 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER pires.cristina.m@gmail.com dreneckis@gmail.com PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyers)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed In the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and Incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $2,971 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $594 BALANCE DUE: $2,377 We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at AMOUNT FINANCED: $0 this time is only an estimate.We Will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. METHOD OF PAYMENT: Credit Card NOTES: Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyers)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 02/23/2024 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Richard Creiner Cristina Fires Dziugas Reneckis PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/20/24 Page 2/ 30 Itemized Order Receipt `!�✓ DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Crisfina Pires 8 Dxiugas Reneckis EE W�A L Legal Name:Fauchester Custom Windows LLC 9 Maple Ct RENEWAL NWA L EN E CT HICtr.0667292,WC-35743-H22,Putnam 051220 Rye Brook,NY 10573 ., 421 West Ave.Building 11 Stamford,CT 06902 H:(929)245.5769 Phone:203-406.0545 1 Fax:203-406.0828 1 sale s@tbawestchester.com C:(203)209-8245 sROOM: ow Misc Misc. Permit Fees,Town of Rye Brook- Estimated Permit 0 H Fees. Quantity 1. Renewal by Andersen will facilitate the application of the building permit to the Town of Rye Brook. Homeowner is responsible for any outstanding permit applications or code violations that may prevent Renewal by Andersen from procuring permit. Renewal by Andersen is not responsible for any historical or architectural review applications and approvals that may be required as pre- requisite for a building permit. 101 Bathroom 53 W Window Acclaiin"� Awning Base Frame. Exterior White, 26 H Interior While. Performance Calculator PG Rating: 40 1 DP Rating: + 40/ - 40 Glass,All Sash: High Performance SmartSun Glass. No Pattern, Tempered Glass, Hardware, White, Screen, Fiherplass. Full Screen. Grille Style, No Grille, Misc, None , WINDOWS: 1 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1 TOTAL $2,971 Reneimil by Andersen is committed to otcr rustwneri'snfety by complying teith the rules and lead-safe teork practices specified by the EI'A. 02/20/24 Page 3/30 RENEWAL Technical Data byANDERSEN �. FULLSERVIEE Vi IDOW x DOOR REPLACIMFUT SPECIFICATION AND TECHNICAL MANUAL V Vill • 71 ` �'� ram.. 16 BIN IT R �tif..C.�.�` w'�..i �+1Pr,, ,.errd' •ar"� _ �t_•_,p�twx�b*.� .•<trri::". dY'.r'`"�'�..� �-'� "ca`ibu ' J�e ., y If / �r,�C•kc '• �z��+:?• :�.�-:ice ,sue:. ... • RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND . a Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Low-E4' Without Grilles 0.31 0.28 0.28 0.27 .72 Full Divided Light Grilles 0.32 0.29 0.25 0.25 Low-E4'Sun Without Grilles 0.32 0.29 0.17 0.17 .40 Full Divided Light Grilles 0.33 0.30 0.16 0.15 Low-E4'SmartSun"' Without Grilles 0.31 0.28 0.19 0.18 .65 Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4'SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with HeatLock' Full Divided Light Grilles 0.26 0.24 0.17 0.16 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.17 .37 SmartSun" Clear Without Grilles 0.43 0.41 0.51 0.51 .82 Full Divided Light Grilles 0.43 0.41 0.46 0.46 Low-EQ' WidtoutGrilles 0.31 0.28 0.28 0.27 .72 Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 ELLow-E41SunFull D' s 0.33 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 artSun1° Full Divided Light Grilles 0.32 0.17 0.17 martSun Without Grilles 0.27 0.25 0.18 0.18 .63 with HeatLock' Full Divided Light Grilles 0.27 0.25 0.17 0.16 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.25 .42 Enhanced Triple pane with Without Grilles n/a 0.20 n/a 0.17 .37 SmartSun'" Clear Without Grilles 0.46 - 0.58 - .82 Full Divided Light Grilles 0.46 - 0.52 Low-E4° Without Grilles 0.33 0.30 0.31 .72 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Low-E4°Sun Without Grilles 0.33 0.30 0.20 0.19 .40 Full Divided Light Grilles 0.35 0.31 0.18 0.17 Low-E43 SmartSun1q Without Grilles 0.32 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E411 SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.30 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.29 .47 Enhanced Triple pane Without Grilles n/a 0.20 n/a 0.19 .43 with SmartSunl" Im"1144b SmarlSun"','low•C419,'Iow E4,V Sun'and Ileatlock4D are Andersen trademarks fm'Luw.E'glass. I I U-FaClor d6nes Die amount of heat loss through the total unit in BIWIti/112.'r.Moreover the value,the less heat is lost through ire entire product.W.ndow values represent non-tempored glass.Use of tempered pass can increase U4am ratings.See ancerse-naows.com/nhc for spec tic perho'manee values. 21 solar Heat GanCoe"centfSHGQdecres the tractionof solar radiation attmittedthroughtiropassbot"directly orsmdled and absorbed and subsequentlyreleasedin•ard.The lower ire value.thelessneatIsbansmltted through the product 3)Visible hansmdtance fVlf measures how much licht comes through a product tgLass and ham).the hfgherthe value.from 0 to 1.the more daybed the product lets in over the product's fecal unit area.Visible light transnruttmrce is measured over the 360 to 760 naoometer portion of the solar spectrum. •NFRC ratings are based on modeling by a Ihrd party agency as validated by an independent test tab in compliance with NFRC program and procedural niqurremen9. •this data n accurate as of Apnd 2021.Due to bngong product changes.updated test results,or new industry standards or requ rements.this Bata may change over time.Ratings are for yes specified by NFRC for testingane Certification.Ratings may vary oewnding on use of tempered pass.different finite billions,pass with wpAlarybrealheen tubes for hip altitudes.etc.'lox-Ift.'Lew-L4c0 Smar•Surv-and'Low-E44o Sun' 09-9 COMPANY CONFIDENTIAL- REVISION AA-01 Fairchester is not using an Engineer / Architect due to installation of replacement windows and doors into EXISTING openings with NO structural alterations . Tax Parcel Maps Address: 9 Maple Ct Print Key: 135.66-1-78 SBL: 13506600010780000000 • 4 Disclaimer: This tax parcel map is provided as a public service to Westchester County residents for general information and planning purposes only,and should not be relied upon as a sole informational source.The County of Westchester hereby disclaims any liability from the use of this GIS mapping system by any person or entity.Tax parcel boundaries represent approximate property line location and should NOT be interpreted as or used in lieu of a survey or property boundary description.Property descriptions must be obtained from surveys or deeds.For more information please contact the assessor's office of the municipality. I � .""7� • 1� ty s ! : 'ti:, .ii:��":�i,i•+c,�i f��ti• 1'3,tG•S!" j'"..;7:.:KY.: 4' \I a .ry.y` �y .ti�_� I_•�.� ����... � ,.. $�' ... •.•i'�1i7[:.i* 4 .� .=;:.(t i. �I �..lA+v�.�;.!• H -Y A- }.. .�¢• A A A C 4.�' '�/' .i A •t\ 4 .A 7;>r �,1l :frY ttiy�/S.is �/3 .. 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A4 ••_ i+ 1, „`L�t f� ri•� S� a v � 'i .{ :� ':�5'�t ..0 v �Hiitl�.tiv� -•� {� �^. p�arru vb�gt t.'pe- .. ,'•`CCaY4ir' :rf•'�F� i.,70b'w`^W,�v ;, - s: .t !'L•�".�v aytr�.�('�,yy�+n .ry � .r r'�..., Y '+,,q�. �+ \ �� �Yl •L�;,.;t�r�'.li' 1 .�"WhwrN.r .,ryvJv� ' '� � .. ,.�Mp-s. -. ..`;:`�o,.N�" ��r:j+ v�c.,.�.. ;% `�'k'Y.:..�...�;n+•ff:� nsiea��lf & FAIRCUS-01 TBRAN ACORO' CERTIFICATE OF LIABILITY INSURANCE DAT 9 29120231 Y) 29/2 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. II SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the cortificato holder In lieu of such endorsements. PRODUCER C ACT Theresa Brandon MBI Company Group LLC. PHONE FAX 280 State Strout A/C No,Ent: 203)288-3401 FAX,No: 203 281-0414 North Haven,CT 06473 XMSS,theresa.brandon mbi-Ins.com __ INSU __S AFFORDING COVERAGE NAIC 0 INSURER A:Selecilive Insurance Company of America 12572 INSURED INSURER 8: Felrchosler Custom Windows LLC dba:Renewal by Anderson INSURER c_ Fairchostor -- 2041 West Main Street INSURER 0: Stamford,CT 06902 INSURER E INSURER F: OVERAGES 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 LTRTYPE OF INSURANCE A S POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL UABILM EACH OCCURRENCE $ 1,000,000 CWMS-MADE OCCUR X 2516791 8/12/2023 8112/2024 "AMA aESO(ERE�ren 500,000 MFD EXP one non 15,000 PERWNAL&ADV INJURY 11 1,000,0 G_EML AGGREGATE LIMIT APPLIES PER. N RAL AGGREGATE 3,000,000 U LOC PRODUCTS•COMPIOPA 3,000,000 POLICY D jp&- OTHER S A AUTOMOBILE LIABILITY COMBINEDSINGL LIMIT $ 1.000,000 ANY AUTO S 2616791 8/12/2023 8M2/2024 BODILY INJURY(Ps, AAU�TOS ONLY X NpN�pyyU�LE�D -BODILY INJURY Per atUOenl X AUTOS ONLY X AUTOS ONIe Pa R $ X cam OW$500 X CdbWn Dod 55M A X UMBALIABXOCCUR EACH RRENCE $ 4,000,000 EXC CLAIMS•MADE X S 2516791 8/12/2023 8/12/2024 AGQREGATF $ 4,000,000 DED X RETENTION$ 0 S A WORKERS COMPENSATION X PER rTATUTF—FX 0TH- AND EMPLOYERS'LIABILITY ANY PROPREIETgOER/PARTNER/EXECUTNE N C 9099063 8l12/20T3 8/12/2024 ID W 500,000 FICE ory 4,MNN�EXCLUDE07 N I A E. — EMPLOYE 500,000 II ye0 detafDe under DESCRIPTION OF OPERATIONS below .L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD t01,AddIII—1 Romrk•Schedule,n Y b—tLcMd If more•w m 1s requlmd) Village of Rye Brook Is Additional Insured as required by written contract per the endorsements Included with this certificate. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name 8 Address of Insured(use street address only) 1b.Business Telephone Number of Insured Fairchester Custom Windows LLC. 203406-0545 204 West Main Street Renewal by Andersen Fairchesler 2041 1c.NYS Unemployment Insurance Employer Registration Number of Stamford,CT 06902 Insured Work Location of Insured(Only required if coverage is specifically limited to Id.Federal Employer Identification Number of Insured or Social Security certain locations In New York State,i.e,a Wrap-Up Policy) Number 88-2855660 2.Name and Address o1 Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company Village38King Street of Rye Brook 3b.Policy Number of Entity Listed in Box"1 a" 938 King Rye Brook,NY 10573 WC9099063 3c.Policy effective period 08/12/2023 to 08/12/2024 3d.The Proprietor,Partners or Executive Officers are QX Included.(Only check box if uJ partners/of;cers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box'3"insures the business referenced above in box"1a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,Now York(NY)must be listed under Item 3 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 tamer must nobty 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,1 certify that I am an authorized representative or licensed agent of the Insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Theresa Brandon (Print name of authorized representative or licensed agent of insurance carrier) Approved by: � �� � � 09/29/2023 (Signature) (Date) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier. 203-288-3401 Please Note:Only insurance carriers and their licensed agents are authorized to Issue Form C-105.2.Insurance brokers are.NOT authorized to Issue it. C-105.2(9-17) www.wcb.ny.gov