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HomeMy WebLinkAboutBP24-039PERMITOA. i SECTION TYPE OF WORK JOB LOCAT19N FEE DATE TION RECORD I DATE INSF FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC 0 LOW -VOLT O ALARM O AS BUILT O FINAL 7' a02 77 ) ,/,p0/ (9/4/):3-3C -3o4S OTHER APPROVALS ARB BOT PB 28A OTHER QyE QR0 'K tLb i i G 19 O VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.tyebrooloy.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 10,2024 Mark Trezza&Vanessa Asencio-Trezza 101 North Ridge Street Rye Brook,New York 10573 Re: 101 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.67-2-8 Building Permit#24-039 issued on 3/12/2024 for Replacement Window& Door This certifies that the new bay window and one patio door,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to --I t U BUILDING DEPARTMENT For office use only: p t JUN 10 2024 t—"� PERMIT# — / VILLAGE OF RYE BROOK ISSUED: VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: BUILDING DEPARTMENT � (914)939-0668 FEE: ,�' / — PAIo@K www,ryebrook.or� 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 ..............................................................................................0.............................. Address: 101 N Ridge St , Port Chester New York 10573 Occupancy/Use: Residential Parcel 1D#: 135.67-2-8 Zone: Owner: Vanessa & Mark Treua Address: 101 N Ridge St, Port Chester New York 10573 P.E./R.A.or Contractor: Renewal by Andersen WestchcsterAddress: 421 West Avenue, Stamford CT 06902 Person in responsible charge: Franklin Baralona 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 ill the County of Fairfield in the State of C T ,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: for the construction or alteration of: 1 Installation of replacement Windows and/or Doors. / 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 foran owner to use or permit the use of any building orpremises 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-W.A.of the Code of the Village of Rye Brook. Sworn to before me this i�f-h Sworn to before me this Iq 111h day of Opilf , 202-111) day of /-/�I`,' , 20" BRIAN MACDONALD NOTARY PUBLIC state of Connecticut Sign lure of Property lily COMMISSION EXPIRES Oct 31 2= Signature of Ap tca Vanessa & Mark Treua Franklin Barahona Print Name of Property Owner Print Name of Applicant Notary Public Notary Public E BRI, o tim �O 198`2 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 : I O i No e �-� 1 .]-� 1.ii DATE: 7` PERMIT# V� L �-1 O.� ISSUED: 3"� SECT: 1j 5. (2 BLOCK: LOT:_ LOCATION: \' Z,yJ -Y r-�A ►'1 e OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS i� W i /h� + L ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER f ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER a = NN w c �o.a o N w w �+ a t� CA W z o o W cn Ci ° a P� w-r H3 vn. 00 1H 2i tin Lo. � cvp � p - e L 'x � w �^ ^ �`. of"� O � A'`•~ � �I c O\ � '� r (7 G1 (�\] Mom' �"' y R o a N a � o� w � � •= zow �° E V ° A `!� c 0 = z CO w z � u (> wH G1 h�l M W c7 n °a V Z W �w V W C't-' -o W z N g ° iL z o o a.ti qv e� V! AU U U U -* o 5�` fO 'ew = � w O [.� w ° v U , � V Fit ©Z u § z U 0 U z O r Ey W W �-q O .� LI z � H W.o - W z 'A a H aH a� R ECED JE BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAR — 6 2024 1 DD 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK www.rvebrooLore (914}939-o BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY. r/�� �}'\ APPROVAL DATE: IT#: V APPLICATION FEE:,& `/ 6 APPROVAL SIGNATURE: PERMIT FEES: '0 6 H.O.A.APPROVAL: DATE: DISAPPROVED• OTHER: rrsssrssr****+**•assrrsssararssassasarsssssss******srrrs+sssrrsss+ssssr**++++aa*ssssr+ssaassrssrrs++*+ss+*r Application dated:February 21, 2024 is hereby made to the Building Inspector of the Village of Rve Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed stalement described below. I. Job Address:101 N Ridge St,k'},16MCC)(�New York 10573 2. Parcel ID#l: 135.67-2-8 Zone: k— 7 3. Proposed Improvement(Describe in detail): Removal and Installation of( 1 ) Replacement Patio Door & ( 1 ) replacement Bay window into existing opening with no structural alterations. 4. Property Owner: Vanessa&Mark Trezza Address:101 N Ridge St A\16,6"New York 10573 Phone# (914) 330-3045 cell# 914 330-3045 e-mail vtrezza88@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# 203.249.1986 c-mail Permits@RBAWesteliester.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 I11 6/l2023 5. Occupancy;(1-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 comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1'fl: 2"d fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 11 fl: 2Rd 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];()FIoor&Roof Framing[FR];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,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No: X (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets ofdetailed 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: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 (fyes,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 (rfyes,you must submit aSite Plan Application,&provide a detailed topographical surve}9 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 9/28I07? Yes:-No: X (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: X (f 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 If: TIER III (ifyes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 20,500 Note:estimated cost shall include all site improvements,labor,material,scaffolding,fired equipment,professional fees,including any material and labor which may be donaled gratis.lfthe final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CO. 30, Estimated date of completion: TBD (2) 6/12023 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 wwwxyebrook.ore AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I, Vanessa & Mark Trezza ,residing at, 101 N Ridge St ,, /� '�/'tr� New York 10573 IPrini n.�m,o I ' li+, 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; 101 N Ridge St , kyC,,dRbck New York 10573 Rye Brook,NY. 1.1,01 \ddi c" 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. Vanessa & Mark Trezza V III \star 0I l'n,p,AIy ,k%I1,n Sworn to before me this 34 !" day of PtIbrU0,d , 20� aRIAN MACDONAL3, NOTAKY PUBiJI5 State of Co--scut Ily C0M1w1SSION EXPIRES Oct 31 707 (3) G1112023 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 l as: Franklin B rahon , 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,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. th 2 Sworn to before me this 7 Sworn to before me this ,i, day of 4�J �r X 20 day of llsl' 20 ZY Signature of Property 01 Signature ofApplicant Vanessa & Mark Trezza Franklin Barahona Print Natne of Property Owner Print Name of Applicant Notary Public Notary Public E3RL4, i MACDONALD NOTARYPUIBIX state of Connecticut BRIAN MACDoNALU My COMMISSION EXPIRES Oct.31 737' NOTARYPUBLIC State ofConnecdcut My COMMISSION EXPIRES Oct 312026 (a) 611/2023 Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Vanessa &Mark Trezza RENEWAL Legal Name:Fairchester Custom Windows LLC 101 N Rldgo Street byANDERSEN' CT HIC#.0667292,WG35743-H22,Putnam 051220 Port Chester,NY 10573 wvrm.�,au cream 2041 West Main Street I Stamford,CT 06902 H:(914)330.3045 Phone:203-406.0545 1 Fax:203.406-0828(sales@rbawestchester.com Vanessa & Mark Trezza 02/17/24 BUYER(S)NAME CONTRACT DATE 101 N Ridge Street,Port Chester,NY 10573 (914)3303045 BUYERS)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER vtrezza88@gmail.com PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),In accordance with the terms and conditions described In this Agreement Document and Payment Terms, any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and Incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $20,904 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: $4,180 BALANCE DUE: $16,724 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: $16,724 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 Financing 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 02/21/2024 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 Keith Betts Vanessa Trezza Mark Trezza PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/17/24 Page 2/ 34 VEWA Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Vonesso &Mork Trezzo RENL Legal Name:Fairchester Custom windows LLC 101 N Ridge Street CT HICK.0667292.WC-35743-H22,Putnam 051220 Port Chester,NY 10573 bYANDERSEN 2041 West Main Street Stamford,CT 06902 •,nu.u,wea„urn I H:(914)330.3045 Phone:203.406.0545 1 Fax:203-406.0828 1 sales®rbawestchester.com s • • DETAILS: 0 W Misc Misc. Miscellaneous Job Items, Lead Safe Work 0 H Practices, Quantity 1, EPA requires contractors that disturb painted surfaces in homes, built before 1978 to be certified and follow specific work practices. 0 W Misc Misc. Miscellaneous Job [terns, Miscellaneous. Quantity 0 H 1. WINDOW WARRANTY: Twenty year warranty on insulated glass seals. Twenty year warranty on frames and sashes. Ten year warranty on all non-glass parts. Twenty year warranty on all labor & workmanship provided by Renewal by Andersen of Westchester & Fairrcld County. Factory warranty is non- ororatcd and fully transferable. Removal of all waste & cebris also included.PAT10 DOOR WARRANTY: Twenty year warranty on insulated glass seals. Ten year warranty on all non-glass door parts. Twenty year warranty on all labor & workmanship provided by Renewal by Andersen of Westchester & Fairfield County. Factory warranty is non-prorated and fully transferable. Removal of all waste & debris also included. 0 W Misc Misc, Permit Fees. Village of Port Chester- Estimated 0 H Permit Fees. Quantity 1. Renewal by Andersen will facilitate the application of the building permit to the Village of Port Chester. Homeowner is responsible for any outstanding permit applications or node violations that may prevent Renewal by Andersen front 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. ow Misc Misc. Bay & Cow Installation, TruSCenL Screens for 0111 Bay/Gov; Window (Per Unit). Quantity 2. 02/17/24 - _ _--- - _-- Page 3/34 Itemized Order Receipt ( DIIIA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Vanessa A Mark Tre=:a RENEWAL Legal Name:Fairchester Custom windows LLC 101 N Ridge Street CT HIC#.0667292.WC-35743-1-122,Putnam#51220 Port Chester,NY 10573 bvANDERSEN 2041 West Main Street I Stamford,CT 06902 H:(914)330.3045 N!Y•U�fw Ilm nRY!�.• Phone:203-406.0545 I Fax:203.406-0828 1 sales@rbawestclresler.com ID- • • DETAILS: 0 W Misc Misc. Bay& Bow Installation, Grilles GBG for Bay/Bow 0 H Window (Per Unit), Quantity 4. (Grille choice and color to be entered on Bay/Bow Form) 0 W Misc Misc, Bay & Bnw Installation. Pre-Finished White Interior 0 H Bay/Bow Frame. Quantity 1, Comes pre-finished in selected Interior, Standing Interior Casing included. 101 Living 0 W Misc Misc, Bay & Bow Installation, Bay Window Installation, 0 H Quantity 1, Details of bay window specifications to be provided on Bay/Bow form 102 Den 70 1/2 W Patio Door Gliding 200 Series Perma•Shleld 2 Panel Active/ 79 1/2 H Stationary, Clear Andodize Sill. Exterior White, Interior White, Performance Calculator PG Rating: 25 1 DP Rating: + 25/ - 25 Glass,All Sash: Tempered High Perf.. Hardware, Tribeca" White,Screen, Glidinf?, Full Screen, Grille Style, No Grille, Misc, None WINDOWS: 0 PATIO DOORS: 1 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 7 TOTAL $20,904 Reueledl liy Andersen is committed to our cnttomeri'safety by coutplying with the rents and lr tel-safe work practices ipecifted by the EPA. 02/17/24 Page 4/ 34 RENEWAL Technical nical Data FUII SERVICE WINDOW&DOOR RMA(EMENT SPECIFICATION AND TECHNICAL MAN UAL , jj 2� F : yy 1• RENEWAL BY ANDERSEN SPECIFICATION& TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE • a RATINGS AND TEST DATA NFRC Total Unit Performance Andersen'Product NEW TI[fr7j:11`7717. Clear Without Grilles 0.42 0.41 0.51 0.51 .82 Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4" Full Divided Light Grilles 0.32 0.29 0.25 0.25 Low-ES'Sun Without Grilles 0.32 0.29 0.17 0.17 A0 Casement Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Fixed Low•E4"SmartSun'" 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'" Without Grilles 0.43 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4' Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 Low-E4`'Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 Low-E4x SnlartSun" Without Gnlles 0.31 0.28 0.19 0.18 .65 Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E41SmartSun 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 SmartSunTM Without Grilles n/a 0.20 n/a 0.17 .37 Without Grilles 0.46 - 0.58 .82 Clear Full Divided Light Grilles 0.46 - 0.52 - WithoutGrllles 0.33 0.30 0.31 .72 low-E4' Full Divided Light Grilles 0.34 0.31 0.28 0.28 Law-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 L Tr , (All Frames) Low-E4'SmartSun"' Without Grilles 0.32 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4"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 with SmartSun'" Without Grilles n/a 0.20 n/a 0.19 .43 Low en un ow ow W Sup-and HealLotkN are Andersen tiadnnerks for'Low["glass 11 U•Fattor defines the amount of heat loss through the total unit in BfU/M/1•,2.°F.The lower the value,the less neat is lost through the enure product,w.ndow values represent non-tempe•ec®ass,use or tee ii glass can increase IF-Faclor stints.See aneerwnwmdows.tom/rued to,Sari performance vales. 2)solar heat Gan Coen Cenl(Si defi-es the traction of solar iad,ation acmrtxd through the Vass bothd recdr:ra•smitted and absorbed and suoseouenu,released inward The to.&Me value,true less heat is transmitted through true Product- 3)visible Transmittance(VT)measures how much htht comes mmugh a product(glass and harre)The higher the raiue.from 0 to 1.the mac darbth:the product le*,,in-the product"s total um;area Vtsble Light Tranwrtance is measured der the 380 to 7G0 nanomcta porWr of the wear spectrum •hFRe sang,are based on modelmg by a third party agency as slated by an independent test lab in compliance with HFRC program and procedural requnememi •Ths data is aaysto as of Apr)2021.Due to ongoing product changes.updated test results,or new mdusvy standards or redmrements,this data may change over time.Ratings are for Sites spooled by lil for testing and or ilicaoon.Ratings may vary depending of,use of tempered glass.ddtnent grille options,glass win capillary breathet tubes for high attitudes,etc.'Low-E4o),-Low-EOD smartsun-and'Low-E4r9 Sun' 9-9 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) Renewal by Anderson' High Performance I Moo" Anf Ar Gas Bland Clear Without Grilles 0.44 0.42 0.61 0.61 .82 Full Divided Light Grilles 0.45 0.43 0.55 0.55 Low-E4' Without Grilles 0.31 0.27 0.33 0.32 .72 Full Divided Light Grilles 0.32 0.28 0.29 0.29 Low•E41 Sun Without Grilles 0.31 0.27 0.20 0.20 .40 Picture Full Divided Light Grilles 0.33 0.29 0.18 0.18 (Full Frame) Low-E4`SmartSun' Without Grilles 0.30 0.26 0.22 0.22 .65 Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4`SmartSun Without Grilles 0.25 0.22 0.22 0.21 .63 with HeatLock' Full Divided light Grilles 0.25 0.22 0.20 0.19 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with SmartSun"' Without Grilles n/a n/a n/a n/a n/a Clear Without Grilles 0.45 0.43 0.64 0.64 .82 Full Divided Light Grilles 0.46 0.44 0.57 0.57 Low-E41 Without Grilles 0.31 0.27 0.34 0.34 .72 � Full Divided Light Grilles 0.33 0.29 0.31 0.31 Low-E4"`Sun Without Grilles 0.31 0.28 0.21 0.2 .40 Full Divided Light Grilles 0.33 0.29 0.19 0.19 Low-E4'SmartSuni° Without Grilles 0.30 0.27 0.23 0.23 .65 Full Divided Light Grilles 0.32 0.28 0.21 0.21 Lovi'SmartSun Without Grilles 0.25 0.22 0.22 0.22 .63 with HeatLock` Full Divided Light Grilles 0.25 0.22 0.20 0.20 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with SmartSun' Without Grilles n/a n/a n/a n/a n/a Clear YlilhoutGrilles 0.44 0.42 0.61 0.61 0.82 Full Divided Light Grilles 0.45 0.43 0.55 0.55 Low-E4' vrithoutGrilles 0.31 0.27 0.33 0.32 0.72 Full Divided Light Grilles 0.32 0.28 0.29 0.29 low-E4°'Sun Without Grilles 0.31 0.27 0.20 0.20 0.40 Picture Full Divided Light Grilles 0.33 0.29 0.18 0.18 (Universal Frame) Low•E4'SmartSun" without Grilles 0.30 0.26 0.22 0.22 0.65 Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4'SmartSun Without Grilles 0.25 0.22 0.22 0.21 0.63 with HeatLock' Full Divided Light Grilles 0.25 0.22 0.20 0.19 Enhanced Triple Pane Without Grilles n/a 0.16 n/a 0.30 .50 Enhanced Triple pane with SmartSuna Without Grilles n/a 0.16 n/a 0.20 .45 'Low E4M SmartSun^',•low E4X.•low E4T,Sun-and Heatioek%are Andersen trademarks lor't ow E-glass 1)a-Facts defines the amaml of neat loss lnrougn the total and in 811,11/hr/r12.-F.The saner the aloc.the less rest is last tnroi the ee,re product.VFndow vale-es represad noo-tempe•eu fyass.use of temperer glass can.maease Lw actor ratings. See andersenwmdows.com/nird for specdlc pe•formance values. 2)Solar Heat Gan coeffpent(STIGC)defines fair fraction of sc4snadwtion admitted through the glass Doan d reedy transmitted and absorbed and suoseduendy released inward.The lower the value.the less heat Is transmuted trwougn the product. 3T V,u V Ic Iransmntance(VI)measures haw much light comes through a piatuct(glass and Name)The higher the value,from 0 tot.the more daylight the product lets mover the product's total unit area.Vlsrble t ighl Transmittance Is measured-,the 380 to 760 nanOmeter portion of the sitar spectrum •NFRC ratings are based on modeling by a child party agency as vanda'ed br an Independent lest lab In compliance with NFRC program and procedural lepuuemf nts •Th s data a accurate as of April 2021.U,Ie to ongo,11 product changes updated test results.or new Industry standards or redu revnents.this data may change oRr pine.Ratings are to,sres weuf eo^.y NFRC to,tesbrg"ce uhcaton,Rat rigs may vary depereng on use of tempered 0JSS i ihereri gr lie opuons.gtus w.ih U0,11ary meatier c Des for Kiln&MUdes,etc,'low-E41p','Low"E/rD Sma,sunwi•and-low E4•+Sun* 09-11 COMPANY CONFIDENTIAL- REVISION AA-01 RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION RATINGSPERFORMANCE DATA NFRC Total Unit Performance (continued) Renewal byguidersan' GlassType ti-Factair(BTU/(hr ft2 OF))' Solar Heat Gain Coefficient(SHGC)l Product Air ArGas8lend itkir Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4m Full Divided Light Grilles 0.34 0.31 0.28 0.28 Without Grilles 0.33 0.30 0.19 0.19 .40 Low-E4'Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 F•Double-Hung (Full Frame) Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4'SmartSunTA1 Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4'SmartSuri Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.28 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with SmartSurl Without Grilles n/a n/a n/a n/a n/a Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low Full Divided Light Grilles 0.35 0.31 0.28 0.28 Low-E4`'Sun Without Grilles 0.34 0.30 0.20 0.19 .40 Full Divided Light Grilles 0.35 0.31 0.18 0.18 y: Double-Hung (insert Frame) Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4'SmartSun Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E41SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock` Full Divided Light Grilles 0.27 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with SmartSun`"' Without Grilles n/a n/a n/a n/a n/a Clear Without Grilles 0.47 0.45 0.59 0.59 .82 Full Divided Light Grilles 0.47 0.45 0.53 0.53 Low-EQ' Without Grilles 0.34 0.30 0.31 0.31 .72 Full Divided Light Grilles 0.35 0.32 0.29 0.28 Low-E4•°Sun Without Grilles 0.34 0.30 0.20 0.19 .40 Full Divided Light Grilles 0.35 0.32 0.18 0.18 Low•E4"SmartSunTM Without Grilles 0.33 0.29 0.21 0.21 .65 Full Divided Light Grilles 0.34 0.31 0.19 0.19 Low-E4`SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLock' Full Divided Light Grilles 0.27 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 0.28 .47 Enhanced SmartSurl pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSun"" 'Low M SmartSunnf,'Low{40.'to*E•P.4 Sun-and HeaItoekl9 arc Andersen Itadema,ks tort uw L'glass. 1)U.Factor dehnes the amount of heat loss through the lot at unit to aFU/hwo.•F.The lower the value.the IeSs heal is lost Ihrougn the enure product.Window values'epresem min.temoered glass.Use or lempe,ed glass can increase U.Fac Ior ratings.see ancersenwindows.com/nf•clor speenc per to•mancevalues 2)Solar Heat Gain Coe"bent(SHGC)de4-eS th•haction Of s01ar rati,a Jon a din.t'ed mrough the glass b0:r C reedy Varsmnted and a0Xrbed and suasequenuy released inward.The lower the value,the less heat is transmitted Wougn the product. 3)visible Iran-tance(VT)measures haw much light Comes through a product t glass and hamel The higher the value.from 0to 1.the more da)tight the product k:5 in over the product s total one,,area visible Light lransmntance is measured met the 360 to 760 nanometer portion of the solar spectrum •NFRC ratings ate based on moth•Imy,by a third party agency as vanda:ed by an independent test lab in Compliance with NI RC program and inocedural requirements •This data is accurate as Of Aptil 2021.Due to ongoing product changes,updated test results.or new industry standards or requirements this data may change over time.Ratings are for Sues speohed by NFRC for testing and ce•bhcaboo.Ratings may vary depend niter-se or removed glass,dirierent grille options,gtass wnn Capillary breather tubes 101 Ngh.dild..des,etc,'Low{4CC.'l ew•E4'U smartsun^'and'Lo'w{4%Sun' 09-1 0 COMPANY CONFIDENTIAL- REVISION AA-01 11:07AM SatFeb17 ■• Annotate • • MA •• 8 Q French Door Hardware Form-1Updated Bay&Bow Order Bay/Bow Window Order Form 25•Angle Bay - - ❑ I:'_ I Malin Renewal by Andersen of Westchester ❑ 1:1:1 K qir 0 Ift)t.11:O�t•NER NAME: Vanessa & Mark Tre2za 35'Anyle Bay w=o ❑ I:' I Ratio SAI I"I:l 1, Keith Betts V ElI:t:I Kati„ in li•An>vle Bay tn.til, 96 11,.; :1,1 44- ' C 1 2 1 10611 � ❑ I 1 I Itatin Bay Windot FDoub1(.',H,,un Your-I ite Bay G-13•G Coloroat 3 acrosv2 downn- NA w N;A '•r ❑ ;i'Stt•Ic Klg;ll l7 r„k;, Double Hung -w G-B-G W Colonial IV 3 across+2 down E hit e•Lite Bay 4 ,� ?i:+h•lc w Bow Window ,rnl,hrcc•ttga• grill't::rr �rlfi lan!<vu — Window Typo w Bow Grill .V Bow Pattern w ❑ ??'Sh Ir Opera,,ng tl ❑ 45-Style ;rllllY,rhlc': ( ❑ Four-Cite Bow zo F- Fiberglass ❑ TrusceneFv Aluminum ❑ Full Screcn IL•If Screen ❑ � _ __ ' ❑l:ivc-Lilo Bow �• Slandard Low I-•t(aass � Low L•4 sun Glass ❑ - { 1 ❑ Six-Lite Bow ' Low F•t Smartsun Glass ❑ SmartSun with Ilcatlock❑ u Two-Lite V Bay Wmdow Color: Interior-. While b'Jh,tc I�,f ❑ .0-L tt•le •� Exterior. 1 '_ ❑ htt'Sale u" ti.•,,I Frame.0 1 Ir.nll•nar.l � ❑ 'lil•tilt'Ir V Maple ❑ Oak D Roof Color: Shingle ❑ lhl• lk)\ Rat St.md.ird Color Choice: YJhrta -- .a ° ❑lilt' liun,l li.1t• lr UJOK1ade ❑ Upgrade 01%tion: Sl,cilal\olesc tJligmdr•.d to the while finish Hide Toolbar U.S. Canada c ENERGY ENERGY Andersen- Andersen NFRC Certified `d o l7 W C v 6A.0 v 4�1 Product Line a Glass Grille Type Products u a L 13 $ '- Product type Type Direelory Nurn 4 H s C n n a @ S 2 Z V U N N 2 N N al 3.1 Tampered Glass-sv/No Grilles and Grilles Less Than 1" o Galles AND-N-11-013S240001 rO.23 1.11 0.12 0.11 23 <0.2 -1 11 Z 41 pnulated Divided Lna or Installed Intanor Removable AND.N.13-013S2.0002 0.22 1.59 0.2e 0.4a 21 <0.2 NC Y1 3 u11 Divided La. AND-N•13-01356.00001 0.30 1.70 0.28 0.48 19 <D.2 NC Fmebght'"l9nllesbet-4thoo-ia-l AND-M-13.013704MOI 0.21 I.S9 0.26 0.4e 21 <0.2 NC No Grilles AND.N•13-01353-MOO 0.21 1.65 o20 0.31 16 <0.2 NC ui 3enulmed Divided L,te or Installed Imene,Removable AND•11-13-01353-00002 0.29 1.66 O.ie 0.27 14 <0.2 NC Full Divided Lite AND-N•13-01759-00001 0.31 1.7. 0.16 0.27 11 <0.2 Firelight-fan11-boa Ahe-glassl AND-N-13-0137/-00001 0.29 1.4S 0.16 0.27 14 <0.2 NC No Dollies AND•M•13-0136440001 0.25 1.69 0.21 0.60 17 <0.2 NC t y25i Simulated Divided Lite or Installed Initiator Removable AND-01•13-01364.00002 0.29 1.69 0.19 0.44 ti <0.2 NC J Full Divided Life --- - -- AND-N•13-01300-00001 0.30 1.70 0.19 O.N 13 <0.2 NC N Firelight-f9r,11--batwse"thegtassl AND•N.13-0137240001 0.21 1.69 0.19 0.a4 16 <0.2 NC No Dallas AND-N•13-013SI.00001 0.29 1.65 0'63 0.41 U <0.2 Z3 a Smulalod Divided Lite or Installed Interior Removable AND-11•11-01351-00002 0.29 1.6S 0A7 0.63 31 <0.2 e -r Full Divided Lite AND-N•13.01367.CMI 0A1 1.74 0.47 0.53 26 Frnehght'19nllestMvwentheglassl AND•N•13-013i940001 0.29 1.66 0.47 0.63 31 <0.2 No Onlles AND-N•13.016:2-00001 0.11 1.16 0.32 0.- 29 <0.2 NC j iu Saindated Divided Lite or Installed Intvwr Removable - - AND-N•13-01622-0g002 0.24 1.36 0.29 0A7 21 <0.2 NC 21 = Fun Dvded Lne AND-N•13-015164MI 0.23 1.69 0.2e 0.47 21 <0.2 NC ji 3 Fmel,ght'"19nllasbelvmntheglassl AND•N•13-015314)0001 0.24 1.76 0.2. 0.47 26 <0.2 NC t No Gnlln AND-N-11-01523.00001 0.24 1.36 0.21 0.41 22 <0.2 LL JNC w an Senulated Divided Lite w Installed Interior Removable ANDt4.13-01523-OM2 0.24 1.36 0.19 0.43 21 <0.2 200 Serial = Full Divided Lde ANDA-13-01526.OMI 0.26 1.69 0.19 0.43 16 <0.2 Parma•ShiettlJ ; Gliding Patio Door Fusehght'"(gnllesbet-bet AND-N-13-01532.00001 0.24 1.36 0.19 0.43 21 <0.2 No Grilles AND-N•13-0152140001 O.IS 1.4I 0.4e 0.60 36 <0.2 23 cr m,jai Sunulaled Divided Lite of Installed bnenor Removable AND-N•13-01521.OM2 0.25 1A2 D./7 0.62 37 <0.2 .„= Full Divided Lite AND-N•11-01S24-0p0pt 0.:1 t.i6 O.a] O.f2 Se <0.2 i Fuielght'"Ignlles-bile-4heglessl AND-N-U-01S70.00001 0.25 1.42 0.47 0.62 7] <0.2 3.1 Tempered Glass-svl Grilles 1""Greater anulated Divided Lite w Installed Intenar Removable AND-N•13-01362410003 0.22 1.69 D.26 0.42 11 <0.2 NC c Full Divided Lna AND-N-13-01394.00001 0.30 1.70 0.25 0.42 NC J Fmel,ght'"(9n11astMweentheglastl _ AND-N-13.01376.00001 0.29 1.69 0.2. 0." 21 <0.2 NC Sanulated Divided Lite or Installed trawler Removable AND-N.13.01353-00003 0.29 1.66 O.1G 0.23 IS <0.2 NC Full Divided Lot. AND-N-13-013i5-00001 0.30 1.70 0.14 0.23 12 <0.2 NC J Fmehght'"(9nilesbetvveentheglassl AND-N-13-01377-0ODOI 0.21 1.i6 0.16 0.27 14 <0.1 NC Simulated Divided Lite or Installed Interior Removable AND-N•13-0t351.00003 0.26 1.65 0.17 0.3e 16 <0.2 NC - p Full Divided Lite AND-N•13.0136i-00001 0.29 1.66 0.17 0.39 13 <0.2 NC - ir� Fmelight'"19n1Ies4tal--theglassl AND.N.13-01371-00001 0.21 1.69 0.19 OM 19 <0.2 NC Z� Seeulated Divided Lne or Installed Interior Removable AND-N•13-013f1-00003 0.29 1.66 0.41 0" :7 .0. it - o Full Divided Lite AND-N•13.01363-00001 0.31 1.76 0.41 046 29 <0.2 , as a Finel,ght'"f9nlles4xtwaen4heglassl AND•N•13-01376-00001 0.29 1.66 0.47 0.63 31 <0.2 emulated Divided Lite or Installed Interior Removable AND•N•13.01522-00003 0.24 1.36 0.25 0.41 24 40.2 NC n Full Divided Lne AND•N•13-0ISIe40001 0.26 1.69 0.25 0.41 11 <0.2 NC 3 Fmel,ght'"l9nlles-IM-roAheglassl ANO•N•17-0/574.00001 0.24 1.36 10.26 0.47 26 <0.2 NC t t Senulated Divided Lite or Installed Inlenot Removable AND-N•13.0162340003 0.24 1.36 olf, 0.37 11 <0.3 NC Mimi 11 aS i n Full Divided Lne AND-N•13-016294)0001 02e 1.69 O.ti 0.77 14 <0.2 NC - N i Fmehght-"I9rdlas-batrvanthegbssl AND•N•17-01635400001 024 1.36 1 Oil 0.43 21 <0.2 NC This Information Is for reference only Performance varies b unit size and o Bons selected Page of 56 - """'1"`""� `1114 en""" "d'e sns ge Y P >0 ,. tea t.Clatow For specific unit performance Information.please contact your dealer or Andersen Sales Representative pp Order Summary dba:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD Vanessa &Mark Trezza COUNTY RENEWAL 101 N Ridge Street brANDERSEN legal Name.Fairchester Custom Windows LLC I License B CT HICIt.0667292. Port Chester,NY 10573 WC-35743-H22,Putnam 051220 2041 West Main Street I Stamford,CT 06902 H:(914)330-3045 Phone:203-406-0545 1 Fax:203-406-0828 1 tech®rbawestchester.com •••• ••• UNIT NOTES EPA requires contractors that disturb painted surfaces in homes,built before 1978 to be certified and follow specific work practices. WINDOW WARRANTY:Twenty year warranty on insulated glass seals.Twenty year warranty on frames and sashes.Ten year Renewal by Andersen will facilitate the iuz application of the building permit to the Village of Port Chester. Homeowner is (Grille choice and color to be entered on Bay/Bow Form) 101 Comes pre-finished in selected interior. Standing Interior Casing included. Fkunr 1 0 1 Details of bay window specifications to be Provided on Bay/Bow form JOB PHOTOS Original: 02/21/24 1 Updated 02/71/24 12.37 PM Page 4 / 22 102 Den Patio Door-70.501Y x 79.50H CHANGE ORDER- • 1 0 Q6� _ 1W Den Patio Door-70.50W x 79.50H c. CHANGE ORDER ir EXTERIOR �360' INRERIOp h f f 1 ;. �t f , FM ' µ., Ilyl A. j y•. 4 k f� f t v . �yl �.. �� '. ___ e 1 �' I �. -'� � �. 51 .� ` / ! V 5 '� •� �1 ..r __ �" ;v .,_ �i �-..41tti � .'. _ i . 4 1 .. :•�� i��i ' "�, _ - _ - wit � � 1 _ �� ,� ,� ; S � i f v � _ t } � ' -- i ,. �a„ _ _ - - ------------- v_. � ` . Fairchester is not using an Engineer / Architect due to installation of replacement windows and doors into EXISTING openings with NO structural alterations . JAV 3m_!e». \ Cl) ; / E 7 If E 2 \ { 2 2 203 aaaav \ ��k}J $ �% ■ ■ � / |k)) CD z \ )\ _s+m> � CD z � O � 0 � � ¢ : � ) . co t E N })){ k\ /� f%Z 0\ (/ � - - \{k j } 0 , I __� !m CD ± c j} k\ � ; (/� ) : k {z k T- 0k\) O _ � &5- � c R)\c@ \ - - g ) \ {\ E r7§#k Ewa ! ! \\�/L \�\\ cq &\}k } z " }m ; \ \6S k �k)--S J /$«i# ACORO FAIRCUS-01 ND CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 9/29/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER C N CT Theresa Brandon MBI Company Group LLC. PHONE 280 State Street ac,No,Ext: 203)288-3401 AX,Nc:(203)281-0414 North Haven,CT 06473 ' .theresa.brandon mbi-ins.com INSURERS AFFORDING COVERAGE NAIC 0 INSURED "sURERA•Selective Insurance Company of America 12572 Fairchester Custom Windows LLC dba:Renewal by Anderson INSURER 8, FBirchester INSURER C• 2041 West Main Street INSURER D: Stamford,CT 06902 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB POLICY EFF POLICY UP POLICY NUMBER LLMR3 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE Q OCCUR X 2516791 8112/2023 8/12/2024 DAMAGE TO RENTED 500,000 M P one rson 15,OOt) PERSONAL&ADV INJURY 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000,000 POLICY❑X a LOC PRODUCTS-COMP/OP AGG 3,000,000 OTHER: A AUTOMOBILEUABIUTY E COMBINED SINGLE LIMIT 1,000,000 ANY AUTO E 2516791 8/12/2023 8/12/2024 BODILY INJURY Per E AAUTOSDONLY X SCHEDULED AUTOS X HIU�T�0.p$ A{� E BOODILY INJURY Per acddent XACanP DeOS sionDNL� 541"aardent AMAGE E AXUMBRELCCUREXCESS LAIMS-MADE X 2516791 E. E ACHOCCURRENCE E 4,000,000 DED X RETENTIONS 8/12/2023 8/12/2024 AGGREGATE 4,000,000 0 A WORKERS COMPENSATION X PERLITE X OTH• AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN WC 9099063 8/12/2023 8/12/2024 STAT pFFICERIMEMgr)EXCLUDED? FN NIA E.L.EACH ACCIDENT 500,000 (Mandatory In NH) II os,descnbe under E.L.DISEASE-EA EMPLOYE 500,000 DESCRIPTION OF OPERATIONS below 50U,000 E.L.DISEASE-POLICY LIMIT E PTION Village of RyeFBro k IsoAddittiionall Insured dVEHICLES a required d by written contract per the endorsements included withthis 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 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 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 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Fairchester Custom Windows LLC. 203-406-0545 dba:Renewal by Andersen Fairchester 2041 West Main Street 1c.NYS Unemployment Insurance Employer Registration Number of Stamford,CT 06902 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Secu certain locations In New York State,f e.,a Wrap-Up Policy) illy Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"1a" 938 King Street �' tY Rye Brook,NY 10573 WC9099063 3c.Policy effective period 0811212023 to 08/12/2024 3d.The Proprietor,Partners or Executive Officers are ❑X included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box'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: Theresa Brandon (Print name of authorized representative or licensed agent of Insurance carrier) Approved by: � itc�rr, 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 N_QT authorized to issue It. C-105.2(9-17) www.wcb.ny.gov