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HomeMy WebLinkAboutMP24-047OTHER APPROVALS ARB BOT yae PB ZBA OTHER TCO R FEE DATE INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBINGPlNmde<.Tnc- RGHPLUMBING GAS SPRINKLER ELECTRIC EPa�1-o78�lJes�.•,P-P E/et.�-iC LOW -VOLT O ALARM O RBu I+ E3 7•I •uL KPL11G p - �.,e+l-ems- ���alaoay DR O cc„ l�4 Vu�j w VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 19,2024 John Grieco&Pamela Grieco 6 Sunset Road Rye Brook,New York 10573 Re: 6 Sunset Road,Rye Brook,New York 10573 Parcel ID#: 135.73-1-31 Mechanical Permit#24-047 issued 4/10/2024 for a New Generator This certifies that the 24kw LP gas fired generator,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E.Fews Building&Fire Inspector /to O tG4 GLGa yJ V V L� Ga VV V y�o j�aVLvyWv 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.ryebrooknv.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 19,2024 John Grieco&Pamela Grieco 6 Sunset Road Rye Brook,New York 10573 Re: 6 Sunset Road, Rye Brook,New York 10573 Parcel ID#: 135.73-1-31 This document certifies that the work done under Mechanical Permit #24-048 issued on 5/7/2024 for the installation of two above-ground propane tanks have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to Q E C EM E BUILD NT R For office use-only: PERMIT# "O MAY - 8 2024 vii, of RYEox ISSUED: 938 KING STRE YE BROOK, YORK 10573 DATE: S-- —a VILLAGE OF RYE BROOK FEE:,4 // PAID CK BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION **ss»ssssrssssrsssssss»ss►ssssssssssssssssss*sess*assss*sssrssss*s*ssssssessssssssrasss»sssssssssss♦ssrs»sssssss»s»»ssr»sssss Address: (e? 5 Q K)S eT Road , �� t�tc Y.-r, 1-1 Occupancy/Use: U D-.(- P ( s arcel ID#: 3 S 7 3 - J - 3 1 Zone: R Owner: Tc)h v A ti cA P ff rA G p-1 e,(v Address: S Ux.,se 7 P.E./R.A. or Contractor: A-)/,4 Address: IUIII Person in responsible charge:-,T_c-j i ,i 6(2 t P c(, Address: 6 $tu,c.'Se`t R e mot/ 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: To k U C-, is t e c C' being duly swom,deposes and says tha he resides at—& u,c ;c 7 c moo/ (Print Name of Applicant) (No.and Street) in iz'i e V' (C C C r_ ,in the County of (_,U P sT C ki-ey� in the State of /_ ) y that (City/Torn Village) Qshe has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S /3 i G Qd, 06 for the construction or alteration of. J__ C,5f/a-C/,4 7/c. ,- p F a 6 e Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificatc 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. 1 Sworn to before me this � \ " Sworn to before me this \ day of ^\ , 20 -\ day of n , 20� SitAture of Property Owner Sie#fi=of Applicant I A,( ) rkC'p—cU SHARI MELILLO SID h ls'm'ecQ n e of Property Owner Pri a of Applicant Votary Public,State of New York PP No.OIME6160063 No Public Qualified in Westchester County �Y ;;nrnnission Expires January 29,20�� No ublic �E[3RC�k• Fo 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : b U ' DATE: 2- Is - Z O L 7 PERMIT# j�P z y - O�I ISSUED: y"%o" Z` SECT: 65, i.3 BLOCK: _LOT: LOCATION: L OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... [}' ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�uk o`` tim 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 2ASSISTANT 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 :L �LA nJ Sa 4 1?'Ck., r� DATE: I/ J 1 PERMIT# ` Z r - U_J-� ISSUED: SECT: S 7T BLOCK: LOT: LOCATION: S �� ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ `ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS - ❑ L.P. GAS N ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER k Q�E BRC��. cu � . 19t32 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 ' LQ StA II J S P DATE: r PERMIT# Z O ISSUED: SECT: BLOCK: LOT: LOCATION: i OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED -a'REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION J f — 0 NATURAL GAS ❑ L.P. GAS ' / ❑ FUEL TANK tic 12P G (.iI ,!V 4 GA(Jn! ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER F QyC Bkj�. O� 2� w :rc BUILDING DEPARTMENT ❑BUILDING INSPECTOR .ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : X, SLJ4) .5( -r R oc- c� DATE: Z,-5 - 20G`l PERMIT# —?? Z 7 Q ISSUED: SECT: BLOCK: LOT: LOCATION: )e 4 51 J O 0� )66tOj OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED CJ MAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / ❑ Natural Gas VL.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER � o = N N C14 0-0 ow l) O Waw V� 2 O v ' � j M = O � N o oocwc ' 00 W v .A � o a - r� yfTl �A 0 A Q G, ° •• O W z Ov A o aU Z o c°� z � v a o a W o kri x x a w i 4 7 Q � as _ A C7 � � Q � 04 �.��' cn W L W p..� Oo �y■+ � car c� �� ;.. O a 'al. V z � F p z U w O W 'W. �■■� ■ 1�1 $4 R o UJ � aZ O F w a 0 H u�.' � O. - - uv w 0 ,�+ v v s ■ © � w w t O z PLO ED � � v � ■ ■ Qaa, a O V o aA y `~ ' zpcn v 0 W O zio � x ' L LLI C7 A O ■ CYQ W H o � o � ■ CY Z .. C:l pr Z _s O u v ■ 00 Lai W a v v. ■ ■ BumD � MENT _ R ��T .��... VILLA'WOF RYE' K _ 4 3D 938 KING STET RYE BR©, NY 10573 APR 202 ' 93 -06 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: ,Approval Date: rmit# Ps L /7: Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: n Application Fee: �� ,� Permit Fees: —/� APPLICATION TO INSTALL A PERMANENT STANDBY BACKUP GENERATOR Application dated:- '41 /,2 y is hereby made to the Building Inspector of the Village of Rye Brook for the issuance of a Permit to install a permanent standby backup generator in accordance with§2504.1.of the Code of the Village of Rye Brook,as per detailed statement described below. Please note that electrical and plumbing permit applications must be filed separately by those licensed professionals,and that separate permits are required for the installation of any related fuel tanks.Further note that all applications for commercial use will require a site plan approval from the Village Planning Board prior to the issuance of any permit. 1. Job Address: U V S-e 2. Parcel ID#: I I Zone: l D 3. N.Y. State Construction Classification: N.Y. State Use Classification: 4. Proposed Generator&Fuel Type(Describe in detail): e a R.40 2 Pew e ,aN 5. Property Owner: II A.) ,4 m Q21 e cu Address: CJ (J V e T- Rooj Phone# _tt ' )`?' y a cl Cell#CW `L � 7 q',!�Yd°) email:. l Ct tj q�-r F c'G A /F I t.eym Applicant: TO &v jj-w d P,4 n'*- &g 1 e!p Address: _� 5 (i N ACT G?d R�y -,e 6 9 6 ok g f 9 3 �' Phone# Cell#_ C�J (/ �)�-5/ `'1 email: Architect or Engineer(if applicable): IU fA v Address: Phone# Cell# email: General Contractor: Address: Phone# Cell# email: 1 sirr2023 6. Give exact dimensions from proposed generator to lot lines: I front yard: J r rear yard: 7 o i eight side yard: / � leftside yard: 2-3f 7. If building is located on a corner lot,which street does it front on: /)//1 8. Will the proposed project disturb 400 sq.ft.or more of land,requiring a Stormwater Management Control Permit from the Village Engineer as per Chapter 217 of the Code of the Village of Rye Brook? Yes: No: X 9. Will the proposed project require a Site Plan Review by the Village Planning Board as per Chapter 209 of the Code ofthe Village of Rye Brook? Yes: No: X (provide detailed drawings as per Chapter 209) 10. Will the proposed project require a Steep Slopes Permit as per Chapter 213 of the Code of the Village of Rye Brook? Yes: No: x (provide a detailed topographical survey) 11. Is the lot or any portion thereof located in a Wetland as per chapter 245 of the Code of the Village of Rye Brook? Yes: No:_)(_(provide a detailed survey indicating the Wetland&Buffer Zone) 12. Is the lot or any portion thereof located in a Flood Zone as per the FEMA Flood Insurance Rate Map#36119CO279 dated 9/28/07? Yes: No: X 13. Will the proposed project require a Tree Removal Permit as per Chapter 235 of the Code of the Village of Rye Brook? Yes: No:Y(a tree replanting schedule may be required) 14. Does the proposed project involve a Home-Occupation as per Chapter 250-38 of the Code of the Village of Rye Brook? Yes: No: 11 If so,indicate: TIER]: TIER II: TIER III: 15. What is the total estimated cost of construction: $ B 1006,00 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis) 16. Estimated date of completion: m A s, 'd OM STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: h,,, &' tAex_u ,being duly sworn,deposes and states that e�he is the applicant above named, (pnnt name of individual signing as a applicant) and further states that (ski is the legal owner of the property to which this application pertains, or that ( he is the for the legal owner and is duly authorized to make and file this application. (indicate architec contractor gent,attorney,etc.) That all statements con aced herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of o6A ,20_,�A day of S&hature of-Property Owner Si ure of Applicant / /��, SHARI MELILLO I�c b LA (;IZ4W 4C_ Notary Public,State of New York e of Property Owner No.01ME6160063 n ame of Applicant Qualified In Westchester County -ornmission Expires January 29,2;)� Notary Public Nof6y Public This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property,and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. 2 6/1/2023 CO n bt N N W N N a \ \ KS+ H 1-4 0 W � o v w N N a V' 3 ' x z vw O ~ M W a W N o v � x A� `r' 00 W M LO F� O Z !_I Z O O � H � c~n N w � �-4 o W a 00 o z x O • � � w �' �' V z � V A w �,.+ w p "0" o ' 00 o S w a Octo zu3 � W �i, O w w oo Z o Z `� w W z z � z w " a O U z � • G1 V O IJI 'z Z f�1 (� z o zz W z ,o � H z Q a W x .. O za R� N W v w o z x � ° s H p w o Cn z w '" A o a z w a op a a z � w xH ti BUILDI1vG DEPARTMENT APR - 1 2024 VILLAGE;OF RYE BROOK VILLAGE OF RYE BROOK 938 KING SMI ETPg BROOK,NY 10573 BUILDING DEPARTMENT(914)93:9 ObSZ�-xk.T-}939-5801 ' www'n btdbk.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY /���-7 �D� / ���r: Q��— 0 <? Approval Date: A P 4 Approval Signature: Permit Fee: S Z16 Disapproved: Other: (fees are non-refundable) Application dated, 0/11V is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: --�5 U,L1$e 1 E C. t D SBL:/3 S • 7 3 -- / 3 1 Zone: -/d 2.Property Owner: �� �' .t y r7n ��I e c a Address: 6 S Vk)zr 7 12c a-el 1/P 64'c"k/ A"y/OS-23 Phone#: Cell#:'2( y- 4 5-S / �1' email: (914 t/C • 3.Master Electrician � t�iC Ie ct Address:& 82ac1-/ NZ/U Lic.#:5,53 9 Phone#: Cell#:0)/ email: CA67 P/eC0 e L, p/" Company Name: we ;'rp20/-L 2F/lcC rti/C- Address: 6.SC/vsc eGA_ql A (O t9aak A/q /(,[�3 4.Proposed Electrical Work/Fixture Count: z, T '!.,u /._ A nw c 0 A/BuJ,t ''••STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ��� N� c�t2 I C C L ,being duly sworn,deposes and states thq( She is the applicant above named,and does further (print name of individual signing as the applicant) state 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 architec n ,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belie,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this \ day of 20 ;at f 20 S' ature of Property Owner tue of Applicant SHARI MELILLO In ame of Property O er MPIWY public,State of New York Pri a of Applicant Ne,01ME6160063 Notary Public QI,Ialifled In Westchester County 3�Iotary Public 3clmpl►Sisigrk EXPIres January 29,20' 1/5/16 STATE WIDE INSPECTION SERVICES, INC. 0•0 • • SWIS • : APPLICATION tel 845.202.7224 1 fax 914.219.1062 • Office Use Elect. Permit# ��(� 7� Date U Bldg Permit#— ! a �PQ y- V Scl Ft Plumbing Permit# Final Certificate# City/Village V Zip 1 h 5 q} Building Dept. ,�051, Pr �i County Address _✓ J Cross Street / Section V3 1 3 1 Block f Lot ' Owner Name/Address(If different than above) ,^, -&P-1 e C O Contact Number c _ 7 9 _`y-2 5 ❑Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. !❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside So Residential J❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation W 1 w Fo ti A a UD A. e i4 D [ � ��J F --- DD - APR - 1 2024 VILLAGE OF RYE: BROOK BUILDING DEPARTMENT This application is valid for one(t)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions asset forth for the application. Email Address J A 6 1210co Name License# - 539 Date =-//S f a Signature Address s �- �� J City/State 12 Zip Code 1� .• 7G Company 1P 010 N Z P ( 7� t I. Phone# � [BUILDING EvState Wide Inspection Services 1080 Main Street MAY - 6 2024 E D F202-1, 24 12524 ®s 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICESLAGE OF RYE BROOK Email: office(cbswisny.com Service W/th /ntegr DEPARTMENT Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Westmore Electric John & Pamela Grieco 6 Sunset Road 6 Sunset Road Rye Brook, NY 10573 Rye Brook, NY 10573 Located at: 6 Sunset Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-078 135.73 1 31 Certificate Number:2024-2839 Building Permit Number: MP24-047 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 6 Sunset Road,Rye Brook, NY 10573 The First and Second Floor Utility Closet and Exterior were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 3rd day of May 2024. Name Quantity Rating Circuit Type Generator 01 24kW ATS 01 200AM P Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for Lvork performed on the date of inspection only. ■ . a r ■ . CS N a r G C w O Cn a 0-4 r w ■ � W x . /1 aS W ■ a to') W M c W Ln ►Wr n ■ "' ° .0 a} FLLU 0-4 w a w 0 � d wz b O = A x w �; z z i C7 w � �"' z ° O A " (> = C7 Q z ^ ~ a w 99 V ~ aoen Cl\ a Z Wx a as ' H 0? can d a► c�i� _ 04 U a = v a � x z q A A. W O d Z°" vd, = a r • yE. DRC�v� BUIL E MENT VIL E OF RYE R OK J U N 18 2024 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ov __ ..._. ._..._...._ PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY .BPI �— O% 7 PP#: Approval Date: (o - Z 1 - 120 Z-4 Permit Fee: $Z Approval Signature: L.� ��'� Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PEMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, (D-I 0 IS-c_)7,/ js hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: �j S JFJ SCT 1&)4r) SBU /3s. 73 '-/—3 Zone:2 AD 2.Proposed Work: C R Nl;CT I o M Qx h E-m C-P ATU (L_ 3.Property Owner: JQjjf4 il kt PAmcs-A 6 at E (Aj_Address: Phone#: 1 g j q— gi j" s y a Cell#: email: 4.Master Plumber: Pm" CA L.L [+� Address:(.. s AN-A A ar, S(A�t)nc- S j�9 Lic.#: 5t 91 Phone#: Cell#:q j4-7S S- 01 S C email: PATjjt'G �'LU M 6 �N`(Z CMAIL•CC Company Name: PAS' TW FLlit1&-)1- 111i L Address: INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement I st Floor 2nd Floor 3`d Floor 41 Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 6/1/2024 STATE `OF NEW YORK,COUNTY OF WESTCHESTER ) as: P11� cc 64L1A(0qt:L ,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 Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this 112 day of ,20 day of �L�� ,20 a Signature of Property Owner Signature of Applicant 12MICV- Eau,A680, Print Name of Property Owner Print Name of Applicant � t � \ �A-Ds Notary Public Notar§f11MELILL0 Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Comm ssion Expires January 29,20-1 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 6/1/2024 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: J641 rrxr2s"c) ,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 Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of 20 day of 2k Si re of Pr erty Owner Sigr v ----- i in�Name of Property Owner Pant tvame of Applicant fin _ Notary Publi HARI MELILLO �VVIt] Notary Public,State of New York No.01ME6160063 Qualified in Westchester County Commission Expires January 29,212�2 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 10/30/2023 BUILD MENT VIL E OF RY I MAY - ] 2024 938 KING FT RYB BR ,NY 10573 39-0 VILLAGE OF RYE BROOK webrook.org ! : -BUtLDING DEPARTMENT 7�- 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: 31, C. , residing at, (Print name) (Address where you live) 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; �n -S( pc--c t RcaA-e_l , Rye Brook,NY. (Job Address) 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. (Sgoku Property Owner(s)) ( AC_C_o (Print Name of Property Owner(s)) Sworn to before me this 3 JOHN B.COLANGELO Notary Public,State of New York No.4708504 day of AIJ 20 (tl; Oualified in Westchester County / Commission Expires July 31,20"?, (Notary Public) -3- 8/12/2021 L II V .r N W e � N s CV W s c`�•, o a F � a F O F o w 'o" o o O A Cl)Cl) eq 00 ;. = w 5 M1 W v 00 z 7 Cn O O w " O ev R4 Z z M M W z 00 rr) � Z A W z W � ..� a" d a3 0 a E-+ a En F 09 0 O 4 w A R. w c o z H0-4 zg o C/) �-+ a c Z o z r, cn o V Uou � � � x z w a o � F+ N U. s a i BUILI)'ING DEPARTMENT D31 MAY - 7 2024 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK R - (914)939-0b68 BUILDING DEPARTMENT www.ryebrook.org PLUMBIN MITA�/PPLICATION FOR OFFICE USE ONLY % PP#: Q-11' OCL Approval Date: Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: (' 9-C) SBL: . 73—/—,3 Zone: 2.Proposed Work: C-f1c"I", 3.Property Owner:,�o�.�r� (fie=��fJ Address: (00�-jy�SR� Phone#: �'g -j��,� Cell#: ^^email: �^ 4.Master Plumber: (�"3,� ��q Address: w(,-31(o7A-INS Lic.#: Phone#: �-5��-�a�� Cell#: email: n .tc�� Company Name: WOLAn �.� Address: INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor 3,d Floor 01 Floor 51 Floor Exterior / I 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) of �, ■ C N a E et N o w •� Av N N N n < \ W w ✓ a Ln y O i a L. h •� a� o w ■ yCL. xU `' W m W L z 6 RA a G. rn L� (..� u r C � z c ZLO ce) co 3 0 -0 ov " $ alu ON 0,0 � 00 1-1 ' O w so 00 z enW O Q � � � U W �j fx p H .4 ►LO w W V z a o C) G1 ~ M a t� CW7 u� -o A a :: z ■ AC7 cur O o ■ r—1 z It W w �3 o G � � w ■ CN f H Mef) H'A ay.3ivu3oG � • 1-1 QQ�� a W z p� '� o E a p • N a W G � � � � lyj ` Up {Oy z z .d u V o� g O p� ). o O 4 ,0 W O z x w a ^ 0 .0 °' "" •• � a o :: `" u u w F w a x � ovvvyc� oz F x CA f-� ►� „ u o04 A 4 as 0 .. a W U U = �I as a a 0 � _ � � �� � BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAY - 1 2024 938 KING STREET RYE,BROOK,NY 10573 (9t4)20-0668 VILLAGE OF RYE BROOK I wwNt,.rN rnttl:. ; BUILDING DEPARTMENT ( Application for Permit to Remove or Abandon Fuel Storage Tank (*Storage Tanks to excess of L I00 gallons require registration with the County of Westchester) I It ! i til ()\I 1 I'I It\III /-/pt)q— O //e Approval Date: s Permit Fee:$ 3! 70 Approval Signature: Other: Disapproved: (lets are non-refundable DO NO S I NR"h N ORK or C rNSTRLCfION UNTIL A PERMIT HAS BEEN ISSI,ED Bl I HE BUILDING INSPECTOR.THE .%DNIINISI R%l IN I FEE FOR WORK PROGRESSED OR(ON1PLE.hED NN ITHOt"I.A PERMIT IS 120•Of I I11 IOI V.('c1S'f OrCO%SI'Rl'("LION NNITH N NIININILNI FEE OF$75000 REOUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: J,,kpplication Completed by Bonded,Licensed Contractor. 2)Vour contractor's valid proof of liability insurance.(Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4.Fee per Tank: Removal or Abandonment I I Sim)per lank 5.Dig Safely New York#(dial K 1 1): 6.Inspection by Building Department for removal or abandonment. 7. Submit all Manifests&Reports(after work has been completed). 8.Certificate of Compliance will be provided when all requirements are fulfilled. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove or abandon a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed or abandoned in conformance with all applicable Village,County,State&Federal laws,codes. rules and regulations. *##*+*+***##***#**###+*####*##**###**####***#++#####***###*#****#**+##***###*#*##+*#***##***##**#++*#+ Indicate Permit Type- Removal( )•Abandonment( )/Above Ground( )•Buried in Ground( ) I. Address: 6 S Ut V_W S cc R 0,A SBL:1�5.13- 1 - 31 Zone: 2. Property Owner&Address:�76�U + 94r� R-ke C o Phone#: QI�� S'�lC1- 5`(D -Cell#: _911t- $7q- 5y99 email:_ t�(� tpr0 (C3 �Qt, (?OM 3. Contractor&Address.)p� 6-y Phone#: _ Cell#: L71�T\`� � email:D Ure,m 4. Applicant:_)a4,r, Phone#: ('el�#: email- 5. Indicate Fuel Type:Fuel Oil( )•L.P.Gas pQ•Gasoline( )•Other( ): h. Number and Capacity ofy^,each Tank: (a .� All, `2 `3�\ 7. Gaactl.ucauon(s)ofcachTank: I-oP-f q StO� C)� �Oltae \ t 2;21/2024 y STATE OF NEW YORK.COUNTY OF WESTCHESTER ) as: 3-0h y 6,0L.t e.c-e\ ,being duly sworn,deposes and states thaq she is the applicant above named, sprint name of indmtdual sigma as the applicant) and further states that(se s 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.tindtcate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this 7 Sworn to before me this day of 20 _ day of 20 nature of Property Owner Si lure of Applicant O ame of Property Owner It me of Applicant t F III 10-A-L No Pu c NDla *ttaiblic,State of New York Gary Public,State of New York No.01ME6160063 No.01ME6160063 Qualifies In Westchester Count Qualified In Westchester County Commission Expires January 29,20 JI mmissi Expires Jan ary 29,202t `t9ll� application must he pmperTy completed in its entirety and must include the notarized agnature(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. I I 2 2/2 I/2024 RECEWL� DD MAY - 7 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Z-1w G., � Zo � Fv i ZZyw \L 2 y .�S O ND�9 ATn SCHEDULED MAINTENANCE PROGRAM The program provides maintenance on two levels: LEVEL I IS A EXTENSIVE MAINTENANCE SERVICE AND LEVEL II IS A MAINTENANCE INSPECTION SERVICE LEVEL I This service will be performed on our initial inspection and once every year thereafter. This service will include: IGNITION Change all spark plugs as necessary Change points Change condenser Check distributor cap and rotor and change if necessary Check start solenoid terminals Check all ignition wires and replace if necessary Check and adjust choke when applicable ENGINE Change lube oil Change lube oil filter Tighten valve covers Fill governor sump with lube oil when applicable Lubricate governor linkage Service oil bath air cleaner when applicable Check entire unit for noticeable oil leaks COOLING SYSTEM Test coolant protection Test coolant alkalinity Check water hoses both upper and lower Check bypass hoses Check fan belts Check engine block heater for operation P.O.BOX 391 • WILTON,CT 06897 • Tel :203-762-2608 • Fax:203-762-5925 Page 1 of 4 Check anti-freeze solution EXHAUST SYSTEM Check flexible section for cracks of leaks Drain condensation trap when applicable Check exhaust flange gaskets Check exhaust muffler and drain when applicable SCHEDULED MAINTENANCE PROGRAM FUEL SYSTEM Change primary and secondary fuel filters(diesel only) Check injector fuel lines (diesel only) Check flex fuel pump Check fuel connections and tighten Check fuel solenoid Check day tank float(diesel only) Check regulator BATERY Load test battery Check specific gravity of battery Check battery voltage Clean battery cables replace if necessary Clean battery terminal on cables Clean battery posts and coat same Check fluid level and fill if required Recharge and/or replace if required STARTING SYSTEM Check starter motor solenoid terminal Check starter motor Check charge rate on alternator or internal charge circuit Check alternator belt ELECTRICAL Check exciter Check voltage regulator Check rotation diodes Check rectifiers Check brushes Clean collector rings Clean carbon deposits Check control panel relays Check wiring and terminals P.O.BOX 391 •WILTON,CT 06897 • Tel :203-762-2608 • Fax :203-762-5925 Page 2 of 4 SCHEDULED MAINTENANCE PROGRAM OPERATIONAL CHECKS Start generator and conduct safety shutdown tests for The following: 1. Low oil pressure 2. High water temperature 3. Over speed 4. High air temperature (air cooled sets only) Check voltage output Check frequency(Hz.) Record hour meter reading when applicable Check unit for vibration and any unusual noises AUTOMATIC SWITCH Inspect contactor assembly and connections Check exerciser clock and time setting Check time delays Check battery charger for proper output Check selector switch Check voltage sensors for visual conditions Start and stop generator from transfer switch (Above applies when accessible and applicable) FINAL CHECK Check field breaker is in the ON position Check that selector switch is in the automatic mode Start and stop generator using generator controls GENERAL INSPECTION OF SITE Inspect site for any debris or obstructions,which could A potential problem or may be hazardous to the Operation or surrounding area �;\Ovn'" P.O.BOX 391 • WILTON,CT 06897 • Tel :203-762-2608 • Fax :203-762-5925 Page 3 of 4 SCHEDULED MAINTENANCE PROGRAM LEVEL II Once the initial Level I inspection has been performed Cannondale Generators, Inc. will then perform the Level 11 service. This service will include the following: 1. Check lube oil and add when necessary 2. Check lube filter once a year and top off oil 3. Check battery fluid level and add solution if necessary 4. Check exercise clock and running time meter,record hours on unit 5. Check coolant level and alkalinity of coolant 6. Check belts and hoses 7. Start unit and check: AC Voltage, Frequency(Hz.),battery charge rate, leaks and any unusual noises 8. Reset exercise clock if necessary 9. Adjust governor, carburetor, voltage regulator to generator specifications 10. Inspect site for any debris or obstructions, which could cause a potential problem or be hazardous to the operation or surrounding area. Any parts, lubricants, coolants material used in any of the above service level maintenance programs will be charged to the generator set owner at current prevailing rates. Emergency service, between scheduled inspections,will be provided Monday through Friday during the regular business hours of 8:30 a.m. and 4:30 p.m. will be charged at our current labor rates plus travel time. Emergency service required Monday through Friday other than our regular business hours of 8:30 a.m. and 4:30 p.m. would be charge at our overtime rate. This includes any requests for service on Saturday, Sunday, and holidays. Cannondale Generators, Inc. shall not be responsible for failure to render services due to strikes, fire, flood, and causes beyond its control. This agreement constitutes the entire contract by Cannondale Generators, Inc. and the customer with respect to service of the equipment covered by this agreement and no representation or statement not expressed herein shall be binding on Cannondale Generators, Inc. The customer or equipment owner shall hold Cannondale Generators, Inc. harmless from any or all liability resulting in physical damage,personal injury or any other losses due to equipment or system failure and/or operation. The terms and conditions herein shall prevail not withstanding any variance with the terms and conditions of any order submitted by the customer with respect to the maintenance service. ON't) �• F FRATOWsN P.O.BOX 391 •WILTON,CT 06897 • Tel :203-762-2608 • Fax:203-762-5925 Page 4 of 4 C c"l GENERAC" 20/22/ kW GUARDIAN® SERIES _ Residential Standby Generators Air-Cooled Gas Engine OEM_ Standby Power Rating r INCLUDES: G007038-1,G007039-1,G007038-3,G007039-3(Aluminum-Bisque)-20 kW 60 Hz • True POWef" Electrical Technology G007042-10,G007042-11,G007043-10,G007043-1 1(Aluminum-Bisque)-22 kW 60 Hz G007209-10,G007210-10(Aluminum-Bisque)-24 kW 60 Hz • Two-line multilingual digital LCD Evolution" controller (English/Spanish/French/Portuguese) • 200 amp service rated transfer switch available • Electronic governor f • Standard Wi-Fig connectivity • System status&maintenance interval LED indicators • Sound attenuated enclosure • Flexible fuel line connector — • Natural gas or LP gas operation GENERAC —— • 5 Year limited warranty --— • Listed and labeled for installation as close as 18 in(457 mm)to a structure.' 'Must be located away from doors,windows,and fresh air intakes and in / Product s/ho�wn wim Optional fascia Tkit accordance with local codes. c `1 I us or CLIS,EDUS vC 1 111-T ' L. '- � (f O Note:CETL or CUL certification only applies to unbundled units and units packaged with limited circuit switches.Units packaged with the Smart Switch are ETL or UL certified in the USA only. FEATURES v INNOVATIVE ENGINE DESIGN& RIGOROUS TESTING are at the heart of Gen- O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This erac's success in providing the most reliable generators possible. Generac's G- state-of-the-art power maximizing regulation system is standard on all Generac mod- Force engine lineup offers added peace of mind and reliability for when it's needed els.It provides optimized FAST RESPONSE to changing load conditions and MAXI- the most.The G-Force series engines are purpose built and designed to handle the MUM MOTOR STARTING CAPABILITY by electronically torque-matching the surge rigors of extended run times in high temperatures and extreme operating conditions. loads to the engine.Digital voltage regulation at±1%. O TRUE POWERT'ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network form produce less than 5%Total Harmonic Distortion for utility quality power.This provides parts and service know-how for the entire unit,from the engine to the small- allows confident operation of sensitive electronic equipment and micro-chip based est electronic component. appliances,such as variable speed HVAC systems. C TEST CRITERIA: O GENERAC TRANSFER SWITCHES: Long life and reliability are synonymous with ✓ PROTOTYPE TESTED NEMA MG1-22 EVALUATION GENERAC POWER SYSTEMS.One reason for this confidence is that the GENERAC ✓ SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY product line is offered with its own transfer systems and controls for total system compatibility. O MOBILE LINK CONNECTIVITY:FREE with select Guardian Series Home standby generators, Mobile Link Wi-Fi allows users to monitor generator status from any- where in the world using a smartphone,tablet,or PC.Easily access information such as the current operating status and maintenance alerts. Users can connect an account to an authorized service dealer for fast,friendly,and proactive service.With Mobile Link,users are taken care of before the next power outage. w GE L' 4NERAC Q O �,., PROMISE GENERAC' 20/22/24 kW Features and Benefits 04 _ Engine • Generac G-Force design Maximizes engine"breathing"for increased fuel efficiency.Plateau honed cylinder walls and plasma moly rings help the engine run cooler,reducing oil consumption and resulting in longer engine life. • "Spiny-lok"cast iron cylinder walls Rigid construction and added durability provide long engine life. • Electronic ignition/spark advance These features combine to assure smooth,quick starting every time. • Full pressure lubrication system Pressurized lubrication to all vital bearings means better performance,less maintenance,and longer engine of ' life.Now featuring up to a 2 year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller,light weight unit that operates 25%more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulating output voltage to±1%prevents damaging voltage spikes. • EPA Certified for non-emergency applications Allows unit to be used for demand response applications(excluding 20 kW units). • UL 2200 listed For your safety. Transfer Switch (if applicable) • Fully automatic Transfers vital electrical loads to the energized source of power. • NEMA 3R Can be installed inside or outside for maximum flexibility. • Integrated load management technology Capability to manage additional loads for efficient power management. • Remote mounting Mounts near an existing distribution panel for simple,low-cost installation. Evolution'" Controls • AUTO/MANUAUOFF illuminated buttons Selects the operating mode and provides easy,at-a-glance status indication in any condition. • Two-line multilingual LCD Provides homeowners easily visible logs of history,maintenance,and events up to 50 occurrences. • Sealed,raised buttons Smooth,weather-resistant user interface for programming and operations. • Utility voltage sensing Constantly monitors utility voltage,setpoints 65%dropout,80%pick-up,of standard voltage. • Generator voltage sensing Constantly monitors generator voltage to verify the cleanest power delivered to the home. • Utility interrupt delay Prevents nuisance start-ups of the engine,adjustable 2-1500 seconds from the factory default setting of 5 seconds by a qualified dealer. • Engine warm-up Verifies engine is ready to assume the load,setpoint approximately 5 seconds. • Engine cool-down Allows engine to cool prior to shutdown,setpoint approximately 1 minute. • Programmable exercise Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week.Also offers a selectable setting for weekly or monthly operation providing flexibility and potentially lower fuel costs to the owner. • Smart battery charger Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM-style batteries. • Main line circuit breaker Protects generator from overload. • Electronic governor Maintains constant 60 Hz frequency. Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature,withstanding winds up to 150 mph(241 km/h).Hinged key locking roof panel for security.Lift-out front for easy access to all routine maintenance items.Electrostatically applied textured epoxy paint for added durability. • Enclosed critical grade muffler Quiet,critical grade muffler is mounted inside the unit to prevent injuries. • Small,compact,attractive Makes for an easy,eye appealing installation,as close as 18 in(457 mm)away from a structure. GENERAC' 20/22/24 kW Features and Benefits Installation System • 14 in(35.6 cm)flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for the required connection to the gas supply piping. • Integral sediment trap Meets IFGC and NFPA 54 installation requirements. Connectivity(Wi-Fi equipped models only) • Ability to view generator status Monitor generator with a smartphone,tablet,or computer at any time via the Mobile Link application for complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for the specific model generator when scheduled maintenance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. GENERAC 20/22/24 kW Specifications Generator Model G007038-1 G007042-10 G00703M G007042-11 G00T209-10 G007039-1 G007043-10 G007039-3 G007043-11 G007210-10 (20 kW) (22 kW) (20 kW) (22 kW) (24 kW) Rated maximum continuous power capacity(LP) 20,000 Watts' 22,000 Watts' 20,000 Watts' 22,000 Watts' 24,000 Watts' Rated maximum continuous power capacity ING) 18,000 Walls' 19,500 Watts" 18,000 Watts' 19,500 Walls' 21,000 Watts' Rated voltage 240 Rated maximum continuous load current-240 volts(LP/NG) 83.3/75 0 91.7/81.3 83 3/75.0 91 7/81.3 100/87.5 r ' Total Harmonic Distortion Less than 5% Main line circuit breaker 90 amp 100 amp 90 amp 100 amp 100 amp Phase 1 Number of rotor poles 2 Rated AC frequency 60 Hz Power factor 1.0 Battery requirement(not included) 12 Volts,Group 26R 540 CCA minimum or Group 35AGM 650 CCA minimum Unit weight(Ib/kg) 448/203 466/211 436/198 445/202 455/206 Dimensions(LxWxH)in/cm 48 x 25 x 29/121.9 x 63.5 x 73.7 Sound output In dB(A)at 23 It(7 m)with generator operating at normal load" 67 67 67 67 61 Sound output in dB(A)at 23 It(7 m)with generator in Ouiet-Test'"low-speed exercise mode" 55 57 55 57 57 Exercise duration 5 min Engine Engine type GENERAC G-force 1000 Series Number of cylinders 2 Displacement 999 cc Cylinder block Aluminum w/cast iron sleeve Valve arrangement Overhead valve Ignition system Solid-state w/magneto Governor system Electronic Compression ratio 9.5:1 Starter 12 VDC Oil capacity including filter Approx.1.9 qt/1.8 L Operating rpm 3,600 Fuel consumption Natural gas ft3/hr(nri 112 Load 204(5.78) 228(6.46) 164(4.64) 203(5.75) Full Load 301(8.52) 327(9.26) 287(8.13) 306(8.66) Liquid propane tl3/hr(gaVhr)[L/hr] 112 Load 87(2.37)18.991 92(2.53)[9.571 86(2.36)[8.95] 92(2.53)[9,571 Full Load 130(3.56)113.481 142(3.90)[14.77] 136(3.74)[14.15] 142(3.90)[14.77] Note:Fuel pipe must be sized for full load.Required fuel pressure to generator fuel inlet at all load ranges-3.5-7 in water column(0.87-1.74 kPa)for NG,10-12 in water column(2.49-2.99 kPa)for LP gas.For BTU content,multiply ft3/hr x 2500(LP)or ft3/hr x 1000(NG) For Megajoule content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG). Controls Two-line plain text multilingual LCD Simple user interface for ease of operation Mode buttons:AUTO Automatic start on utility failure.Weekly,Bi-weekly,or Monthly selectable exerciser. MANUAL Stan with starter control,unit stays on.If utility fails.transfer to load takes place OFF Stops unit.Power is removed.Control and charger still operate. Ready to Run/Maintenance messages Standard Engine run hours indication Standard Programmable start delay between 2-1500 seconds Standard(programmable by dealer only) Utility Voltage Loss/Relurn to Utility adjustable(brownout selling) From 140-171 V/190-216 V Future Set Capable Exerciser/Exercise Set Error warning Standard Run/Alarm/Maintenance logs 50 events each Engine start sequence Cyclic cranking 16 sec on,7 rest(90 sec maximum duration). Starter lock-out Starter cannot re-engage until 5 sec after engine has stopped. Smart Battery Charger Standard Charger Fault/Missing AC warning Standard Low Battery/Battery Problem Protection and Battery Condition indication Standard Automatic Voltage Regulation with Over and Under Voltage Protection Standard Under-Frequency/Overload/Step per Overcurrent Protection Standard Safety Fused/Fuse Problem Protection Standard Automatic Low Oil Pressure/High Oil Temperature Shutdown Standard Overcrank/Overspeed(@ 72 Hz)/rpm Sense Loss Shutdown Standard High Engine Temperature Shutdown Standard Internal FaultAncorrect Wiring protection Standard Common external fault capability Standard Field upgradable firmware Standard Rating definitions-Optional Standby:Applicable for supplying backup power for the duration of the utility power outage with correct maintenance pertormed.No overload capability is available for this rating. (All ratings in accordance with BS5514,IS03046,UL2200,and DIN6271) `Maximum kilovolt amps and current are subject to and limited by such factors as fuel BTU/megajoule content,ambient temperature,altitude,engine power and condition,etc.Maximum power decreases approximately 3.5%for each 1,000It(304.8 m)above sea level;and also will decrease approximately 1%for each 10°F(6°C)above 60°F(16°C). "Sound levels are taken from the front of the generator.Sound levels taken from other sides of the generator may be higher depending on installation parameters. GENERAC 20/22/24 kW Switch Options Service Rated Automatic Transfer Switch Features 0007039-1,G007039-3(20 kW) • Intelligently manages up to four air conditioner loads with no additional hardware. Model G007043-10,0007043-11(22 kw) _ G007210-10(24kW) • Up to eight additional large(240 VAC)loads can be managed when used in conjunction No.of poles with Smart Management Modules(SMMs). Current rating(amps) 200 • Electrically operated,mechanically-held contacts for fast,clean connections. Voltage rating(VAQ 120/240.10 • Main breakers are rated for 80%continuous load. Utility voltage monitor(fixed)* -Pick-up 80% r r • 2-pale,250 VAC contactors. -Dropout 65% • Service equipment rated,dual coil design. Return toUhlity Approx.13sec • Rated for both aluminum and copper conductors. ETL or UL listed Standard Enclosure type NEMA/UL 3R • Main contacts are silver plated or silver alloy to resist welding and sticking. Circuit breaker protected 22.000 • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Lug range 250 MCM-#6 "Function of Evolution controller Dimensions Exercise can be set to weekly,bi-weekly,or monthly 200Amps 120240,1a Open Transition Service Rated Hefpht Width DepthH1 H2 W1 W2 in 26.8 30.1 10.5 13.5 1 6.9 cm 67.95 76.43 26.67 T-3-4.1-8--F 17.5 H' Wire Ranges Conductor Lug Neutral Lug Ground Lug 250MCM-#6 350MCM-#6 2/0-#14 -DEPTH_ __.- _W2 ___y GENERAL 20/22/24 kW Available Accessories _ Model# Product Description G007101-0 Battery Pad Warmer Pad warmer rests under the battery.Recommended for use if temperature regularly falls below 0°F(-18°C).(Not nec- essary for use with AGM-style batteries). G007102-0 Oil Warmer Oil warmer slips directly over the oil filter.Recommended for use if temperature regularly falls below 0°F(-18°C). G007103-1 Breather Warmer Breather warmer is for use in extreme cold weather applications.For use with Evolution controllers only in climates where heavy icing occurs. ' r G005621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large electrical load that may not be Contact Kit needed.Not compatible with 50 amp pre-wired switches. G007027-0-Bisque Fascia Base Wrap Kit The fascia base wrap snaps together around the bottom of the new air-cooled generators.This offers a sleek,contoured appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. G005703-0-Bisque Touch-Up Paint Kit If the generator enclosure is scratched or damaged,it is important to touch up the paint to protect from future corrosion. The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator enclosure. G006485-0 Scheduled Maintenance Kit Generac's scheduled maintenance kit provides all the items necessary to perform complete routine maintenance on a General:automatic standby generator(oil not included). G007005-0 Wi-Fi LP Tank Fuel Level The Wi-Fi enabled LP tank fuel level monitor provides constant monitoring of the connected LP fuel tank.Monitoring the Monitor LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Sta- tus alerts are available through a free application to notify users when the LP tank is in need of a refill. G007000-0(50 amp) Smart Management Module Smart Management Modules(SMM)are used to optimize the performance of a standby generator.It manages large elec- G007006-0 trical loads upon startup and sheds them to aid in recovery when overloaded.In many cases,using SMM's can reduce (100 amp) the overall size and cost of the system. G007169-0-4G LTE Mobile Link,"'Cellular The Mobile Link family of Cellular Accessories allow users to monitor generator status from anywhere in the world,using G007170-0-Wi-Fi/ Accessories a smart phone,tablet,or PC.Easily access information such as the current operating status and maintenance alerts.Us- Ethernet ers can connect an account with an authorized service dealer for fast,friendly,and proactive service.With Mobile Link, users are taken care of before the next power outage. G007220-0-Bisque Base Plug Kit Base plugs snap into the lifting holes on the base of air-cooled home standby generators.This offers a sleek,contoured appearance,as well as offers protection from rodents and insects by covering the lifting holes located in the base.Kit contains four plugs,sufficient for use on a single air-cooled home standby generator. Dimensions & PCs Model UPC 1toe 2,8 mm I 0 in) G007038 696411074185 G007039 696471074192 G007042 696471074208 G007043 696471074215 G007209 6964710,71511 G007210 696471084801 0 0 terra sss n LEFT SIDE VIEW FRONT VIEW Tmensions shown are approximate.See installation manual for exact dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. GENERAC Generac Power Systems, Inc. • S45 W29290 HWY.59,Waukesha,WI 53189 • generac.com >2022 Generac Power Systems,Inc.All rights reserved. All specifications are subject to change without notice. Part No.A0000937814 Rev.E 03/15/2022 i .Building Permit Check List&Zoning Analysis 1 1 Address: so_` �L oc,-(D SBL: VS�, Zone:(Z-.1 sa Z-l� Const.Typ Other: Submittal Date: l -L(S'2-`-( Revisions Submittal Dates: Applicant: Nature of Work: 2 LLie Reviews:ZBA: PB: BOT: Other. NEED OK ('(FEES:Filing: — C/O: Flood Plane: Legalization: ( ) (vYAPP: Dated Notarized SBL• Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) (, SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Play Other. ( ) ()—SURVEY:Dated Current: Archival- Sealed Unacceptable: ( ) ( ) PLANS:Date Stamped Sealer] Copies: Electronic Other. License: Workers Comp: �/ Liability Comp.Waiver. Other. (�( ) CODE 753#: Dated N/A: HIGH-VOLTAGE ELECTRICAL.•Plans: Permit: N/A: Other: ( ) ( ) LOW-VOLTAGE ELECTRICAL.•Plans: Permit N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( � ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit; N/A: Other: ( ) ( ) FI.V.A.C.: Plans: Permit: N/A: Other. FUEL TANK Plans: Permit: Fuel Type: Ocher. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( �( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Ocher. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETIT�R: Other. ( ) ( ) Other. ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approval- notes: ( )PB mtg.date: approval- notes: REQUIRED E UMNG PROPOSED NOTES APPROVED Area Circle Vate' Frontage: Front: Front: Sides: Rear. Main Cov: Accs.Coy: Ft.H Sb: Sd.H Sb: GFA: Tot.in- Ft : Height/Stories notes: M p.. R hil r• 141e4�� _�i•" 1 "'j`�. . .. .. °,'tom �i pTIV •: `I'� `'• '\emu .•.2 O O U O n���';'y'1 u fl = Nco 1 \\ \ E o cry a� o w In LL U cd In �\ sy4, i �^ a c p \.. Yi:'dn> t I �.+ c� .� •o °�7 section LIJ CA w cn �. Jae as •;� ( , . it x M 2 Fp••3 � cC eC y � !� I i m pp • � i ._ _ ..... _. : .. `((7ioa»rli //111 s _ ,<p 11 Il 4 t . . . of 111,111AN strllj, ,1;l68e+ �ua i '. �1�1111j 1, -. 11111 !!y f.1/ 4�1 b 1�1`I/ljll! '•�1�11,1/1.1-•��.... 111 I,IIyt�,1 Irw ;t •/ilil• �, 8�ct` w •• wr �ry ♦e ai , ♦• t ew • � �' •t�� .� i -�► F 4 r,^ .^ d U `ffe�t ��.� �t Ct .� A i r � t�IW��f• { �� °I'4�� � ����h � L � I��• � Asf i�`{� I �� S'=%t'�\✓''� �;i;.�r:s" i+� �, N�"rtvy+''(�; "r";�,`x''1��\\4's M'�`:•s: `y�',�q �i,M,� �a\'�� i ' l (MM/DD/YYYY) DATE ,4�OR0® CERTIFICATE OF LIABILITY INSURANCE 5/8/202 (MM/DD4 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: Michelle DILeonardo Arthur J. Gallagher Risk Management Services, LLC PHONE FAx One Enterprise Drive, Suite 310 No.Exth No): Shelton CT 06484 ADDRESS: michelit..dileonardo@ajg.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Company 25615 INSURED HOCOGAS-01 INSURERS:Underwriters at Lloyd's London 15792 Hocon Gas. Inc.. Hocon Gas of Guilford LLC, Liquid Distributors Inc.and other named insureds INSURERC:Sutton Specialty Ins Co 16848 6 Armstrong Road, 3rd Floor INSURERD:Ascot Specialty Insurance Company 45055 Shelton CT 06484 INSURERE: RSUI Indemnity Company 22314 INSURER F: COVERAGES CERTIFICATE NUMBER:1790280666 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 I ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 6607N922066 8/31/2023 8/31/2024 EACH OCCURRENCE $1,000.000 CLAIMS-MADE DAMAGE TO RENT Fx]OCCUR PREMISES Ea occurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL SADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: 1 $ A AUTOMOBILE LIABILITY BA7N9228902214G 8/31/2023 8/31/2024 CEOMaB IEDtSINGLELIMIT $1,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULEDBODILY INJURY Per accident $ AUTOS ONLY AUTOS ( )HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B UMBRELLA LIAB X OCCUR 22'UKPCB2200025-90168'00 8/31/2023 8/31/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION $ A WORKERS COMPENSATION UB1R3384322214G 8/31/2023 8/31/2024 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFF ICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Excess Umbrella-Sutton ISCNBO5000000017-00 8/31/2023 8/31/2024 $5,DD0,0D0 D Excess Umbrella-Ascot ESXS2210001315-01 8/31/2023 8/31/2024 $5•�� E Excess Umbrella-RSUI NHAO99152 8/31/2023 8/31/2024 $5.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Pollution Liability Policy#PPK2598003 I Eff Dates: 8/31/2023-8/31/2024 Carrier:Tokio Marine Specialty Insurance Company-NAIC#23850 Limits:$2,000,000 Per Contamination Incident/$2,000,000 Aggregate CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ,J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb. Business Telephone Number of Insured Hocon Gas, Inc., Hocon Gas of Guilford LLC, 203-925-0600 Liquid Distributors Inc. and other named insureds 6 Armstrong Road, 3rd Floor le. NYS Unemployment Insurance Employer Shelton CT 06484 Registration Number of Insured Work Location of Insured(Only required ifcoverage is specifically Id. Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 06-0767889 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Charter Oak Fire Insurance Company Village of Rye Brook 938 King Street 3b. Policy Number of entity listed in box"la" Rye Brook NY 10573 UB1 R3384322214G 3c. Policy effective period 8/31/2023 to 8/31/2024 3d. The Proprietor,Partners or Executive Officers are U 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 "la" 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 will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums 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 maybe 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. Please Note: Upon the 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: David Bauer 410� (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 5/8/2024 (Signature) (Date) Title: Regional Executive Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 203-367-5328 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(9-07) www.wcb.state.ny.us i� WESTELE-06 DPOWELL1 A�ORO CERTIFICATE OF LIABILITY INSURANCE DAT 3/29/ DYYYY) 2912024 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 C N ACT Diane Powell Hudson Sound Brokerage PHONE 914 669-6000 FAX 8804 4th Avenue . No,E:t):( (A/C,No): 2nd Floor E-MAIL .diane@hsbinsure.com Brooklyn, NY 11209 INSURERS AFFORDING COVERAGE NAIC p INSURER A:Merchants Mutual Insurance Company 23329 INSURED INSURER B:Merchants Preferred Insurance Company 12901 Westmore Electric Co., INSURER C: John A.Grieco D/B/A 6 Sunset Road INSURER D Rye Brook,NY 10573 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 CONTRACTOR 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 CLAIMS-MADE 1 OCCUR X BOP1046877 3/28/2024 3/28/2025 DAMAGE TO R(EaENTED occurrence) $ 500,000 EMISESMED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�ECT LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED(Fa a dent)SINGLE LIMIT $ 1,000,000 ANY AUTO CAP1051250 3/28/2024 3/28/2025 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON JWNED PROPERTY DAMAGE AUTOS ONLY AUTO ONLY Per amdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N ISTATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is added as Additional Insured when required by written contract or permit subject to policy terms,conditions,and exclusions. 'All insurance companies are licensed in the State of NY. 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 A(UTHOREED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 17 N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 134003654 ❑C �Q HUDSON SOUND BROKERAGE CORP C/O NARROWS AGENCY ' 8804 4TH AVE-SUITE 2 7 BROOKLYN NY 11209-5646 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JOHN A GRIECO D/B/A VILLAGE OF RYE BROOK WESTMORE ELECTRIC CO 938 KING STREET 6 SUNSET ROAD RYE BROOK NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 1351 965-7 637830 03/29/2024 TO 03/29/2025 03/29/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1351 965-7. COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK. EXCEPT AS INDICATED BELOW,AND. WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK. TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR. PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS' COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 38938544 Im"r 00 00 00 0707127579 7514 ,11" Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC P.hcy-135i%571 U 26.3 18 (00000000000125975474][0001-0000 1 3 5 1965 7][t s W][16357-09][Cst_NDP{TRT_1][01-00001 1 SUNSET ROAD ZONE: R-10 (50 Ft. R.O.W.) ASPHALT CURB r-1 BB APRON 177.08 N84045'10"E 99.50FILE COPY ASPHALT DRIVE BB CURB T FLAG WALK OVERHANG ` `S W GS c o OVERHANG Q ,- -z o J PIP IP BAY L o METAL AWNING CHIMNEY � FLAG PATIO EXISTING Ln L_ T 12 /':% 2 1 2 1 1 1/2 STORY LOT 10 A/C PADS STORY DWELLING BAY UNITY LICENSED ❑ STORY G 7A.4r %� / ELECTRICIAN 20.41 REQUIRED TO FILE W / ,�, FLAG LANDINGS = �% j _,__ IWO cn // BAY Z 3.77' L_ 01 aC r i DECK01. 1 �/ PERMIT# .22 _ _ ————— BRICK � � ��— ��' � _ �e TAT PATIO N l5 B L# J �.� Z - r, Apt)23,2007 a APR a 4 scale O ATE A�' _�- � ,I =20 Ln .V-� G 00 0 LU TGA NOTES: ° �o o "' Ln -- Ubff o o N° wok,NY 8660/62-b4 1. Thomas G. Ahnernan, the surveyor who made this map, do hereby z r„ certify that the field survey on which this map is based was completed °`'011-1119 on April 08 2007 and that this map was completed on April 23 2007 in -------�°- 1119 584045'10"w 99.50' accordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors. D Ic:= ' I E VJ rF 6 r I 2. Reference is made to the deed Liber Number 8660, Pages 62-64 and LOT T APR v 20240 Map entitled Map of Rye Brook filed in the Westchester County Clerks (*j Office, Division of Land Records as Map No. 7004. O LOT No. 11 VILLAGE OF RYE BROOK Q` Q' 3. Unauthorized alteration or addition to a survey map bearing a , BUILDING r E PA RT �E N : �Ci � ? n f ivi i n OQ licensed land surveyor's sea! is a violation o Section 7209, sub-d s o Lot Area = 10,149 sq.ft.(0.23 Ac.) c; �: �UILTIFINAL �.,. Q'- Q � n,N 2,of the New York Education Law. '�OF AS .. - REQUIRED PRIOP .,,.�.r.. a.. ,�� �. ' ' GRAPHIC SCALE : I N L I�� P =�., To THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS � �o �, F ny SUBSTANTIALLY CORRECT AS NOTED HEREON. ,* _ , � P O 20 0 20 A t i '� E M A N K I R B Y, �.1.� Q Q Q� Q FEET OVIL ENGINEERING LANK SURVEYING 11 Riverdale Avenue Port Chester,NY 10573 Tel 914.939.0224 203.869 7707-Fax: 914.939.3407 V • 7 IF I www ahnemardtirby.com LAND THOMAS G.AHNEMAN, L.S. 050341 DATt Successors to Ahneman Associates and J A Kirby Company Sheet 1 of 1 Z'\)3c`_.project\Gneco Pamela 060-07 Sunset Rd 6 1219\dw9\Gr+eco Update 4 0"7 dwq.4126!2007 3 57*06 PM