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Home My WebLink AboutBP24-051WERMIT# / DATE; 3 �) EXp; 3 �S SECTION /35t3Y -�• BLOC LOT TYPE OF WORK /7 � JO / /ems //P� )Q)� PC� JOB LOCATION '! Yl�to74 _O Q._ vCST. COSTS O# c FEE �N�gJ PD DATE'7 TCO # FEE DATE INSPECTION RECORD DATE IINS�P� FOOTING FOUNDATION FRAMING RGH FRAMING LY INSULATION O PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT M IONS ALARM AS BUILT Efr� FINAL i'3. 2o2Y 8y-7/lP5 P/4/) 72vo-775a OTHER APPROVALS ARB �e6. u�� ai aoa BOT P8 zBA OTHER V •S-BUILTIFINAL BI) Y REQUIRED PRIOR *0 FINAL INSPEC7:i_i'. /lece e av VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 4-085 Certif ico.te of Occupancy This is to certify that V +k] `SC-h n e i e r T J41 of, Ru having duly filed an application on Acane, QLQ r20 L4 requesting a Certificate of Occupancy for the premises known as, l ):J C..1 , Rye Brook,NY, located in a p-1 Zoning District and shown on the most current Tax Map as Section: Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.<:QL+-0t3 ) , issued 4 ] 20�, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: � - m%/ Construction: , for the following purposes: 771Z4j0 Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be made,ff shall the building be moved from one location to another until a permit to accomplish such chang n obta' r e Building Inspector. Building Inspector,Village of Rye Brook: Date: JUL - 9 2024 C� For office use onl : BUILDII' E `I'MENT PERMIT# i�o7 VILLAGE OF RYE BROOK ISSUED: /—3— JUN 2 6 2024 38 KING STREET,RYE BROOK,NEW PORK 10573 DATE: 6— 4& VILLAGE OF RYE BROOK (914)939-0668 FEE' / — 2AIDA BUILDING DEPARTMENT www,ry&ook,orP- 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 it►iiti►lifttt#F►iit}►lttt#fti#!f}}F#ikti♦i►/►►i►fttitttif##i####♦if####fi#}i#i#}}}}Vti}#i}}#tii}}tiiiiifii#ii►iitili#itfifii Address: 67 Windingwood Rd S Rye Brook, NY 10573 Occupancy/Use: 1-Family Parcel iD#: 135.34-1-39 Zone: R-15 Owner: Seth J. Schneider Address:67 Windingwood Rd S Rye Brook, NY 1057 P.E./R.A. or Contractor: LUa's Contracting Address: 119 Pitt St. Port Chester, NY 10573 Person in responsible charge: Israel LUa Address: 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: �e'f'"�eing duly swom,deposes and says that he/she resides at 6 7 '"- )�? y° 'Oe.0 (Print Name of Applicant) (No.4d Street) in �'K /�i'L O /� ,in the County of �✓�e�/ Gla� - in the State of ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 0� for the construction or alteration of: 'Ve—h/ Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this 2; Sworn to before me this day of , 20 day of , 20 GCQ Signature of o ty Owner Signature of Applicant Print N e of Property Owner Print Name of Applicant Notary PuKlic Notary Public GREGORY M.Pi:.EkA No"Public,State c.:New York No.01 R15441�98 QuaNfled In Westchester C Commission Expires Se; O�`'yC BRCi' Zm cu � F o '9a2 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 : 4 Il� 1 1 ,�J ky DATE: J PERMIT# ISSUED: '' Z SECT: / y BLOCK: LOT: LOCATION: A 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 �E 4RC�jit cu � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR t-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 : �7 S N 1 1 Vi., aJ(� '�C,L DATE: PERMIT# ISSUED: SECT: -2 S 3`1 BLOCK: LOT: �'C LOCATION: �L(�(.!/`i !�C L1— 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 f V F S ❑ L.P. GAS f' P ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION } FINAL ❑ OTHER QyE BRC��. • �9a2 BUILDING DEPARTMENT ❑BYILDING INSPECTOR gAASSISTANT 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: 62 Y Y l N d 1 1/V O b i P lQ C V DATE: PERMIT# ISSUED: T'3 � SECT: BLOCK: LOT: LOCATION: Pr. Gti OCCUPANCY: ❑ Violation Noted Vv WORK IS... PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING TROUGH FRAMING ❑ INSULATION ❑ Natural Gas j L�? o W U �C/C ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRQ I •��OT • 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 : / .J DATE: PERMIT# - OS/ ISSUED: SECT: ISY. (1 BLOCK: LOT: LOCATION: yoc- U t- h 0 U "o OCCUPANCY: ❑ Violation Noted THE WORK IS... ASUED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED a 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 a = E M Lncq N \ M w G a v O s M 0 _ 4 U � s M W © 'G C v4-1 O t O cn Cal H w 3 w e� ?3 � _ 8 9 b A a er H o S. o a w Ln Boa air- 101 et O ~' W © v o g c a 'v IrT� Tr CN Hoo w w p moo ° -Egw U E W z w Q Q v � ' P Z o '""' p p W 01) b t aV � Q1va• o � Oi O z V Ln Uz I -E Q :r z e o U '7 W N = MA w N F+1 a Wx p O ] v O b a 4-4 (rn� z z b v u V w O 3 v ai U p � :I ep'�; � � ► p o 4c ILa M V p V z 0 0) h+.l V z w I 2 c 7 z p z o ate ' av o Satz .. a w w � � P4 6-4 �j = a s �,:' Y BUIL R MENT VIL E of RYA OK ' 938 KING ET RVE BR ,NY 105 :K VILE" T o BUILL FOR OFFICE USE ONLY: Approval Date: Permit# / "��r Application# AP j5LX—(/n 15 Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: 2i Z SOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: O by EXTERIOR BUILDING PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,sttrctI ructuures,additions,alterations or for a change in use,as per detailed statement described below. 1p 1. JobAddress: W i ruo m q'Woa q 9409 5""-N4 2. Parcel ID#: 135, 3 4 - 1 -3 1 Zone: -rS 3. Proposed Improvement(Describe in detail): 4. Property Owner: S e.6-n,o,A a-e r a n D k q r&n :jtl_ L Address: (n 7 ( A3 1 r)n}n q WOW F-0&-U S" Phone# Cell# e-mail 5�.�41 Sc.4.n e.�&,WZooPj P-Lj List All Other Properties Owned in Rye Brook: 1•LamnJSy-tV4-r-GY-4, Applicant: Asa't' 4� Address: Phone# Cell# e-mail Architect: --56)n , c rLn-A, :�- -14 cam' Address: 3 3 -b A ret rr► W I l 1143/ j4A-M ig 1Cy A4 y / a 3 6 4' � 7�-7Sa Cell ��i /4J 7J�— 01 SZ e-mailGS �C.a��o, {� C?rMg Phone# V d4 � Engineer: Address: Phone# Cell## e-mail General Contractor: Q �7yC1C r ` i— -.��/�Q� Q ,Address:./ / Phone# / 4— 760-77S�4,cell# e-mail (l) G/l/2023 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction:�� _0 •l , J 6. Area of lot: Square feet: / ,1 Coo Acres: r 7. Dimensions from proposed building or structure to lot lines: front yard: 35. o rear yard: 2 right side yard: M. ( left side yard: Z7.I other: 8. If building is located on a corner lot,which street does it front on: 9, Area of proposed building in square feet: Basement: I`fl: 2nd fl: 311 fl: l0. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: O is,fl: 0 2nd fl: a 3'fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y. State Use Classification: R-Z 14. Number of stories: Z Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: I9. if private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...) Yes: No:�G (ifyes.applicant must submit a separate Automatic Fire Suppression Svstem Permit application&2 sets of detailed engineered plans) 21. 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:Jv-�' Area: Z Qd 22, Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: V (ifyes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: ✓ (ifyes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (ifyes,the area of wetland and the wetland buffer zone must he properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (ifyes, the area and elevations of theJlood plane must he properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: ✓ (ifyes,applicant must submit a Tree Removal Permit Application) 27, Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: ✓ Indicate: TIER[: TIER II: TIER III: (ifyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $ Note: The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional ees,including an'v material and labor which may be donated gratis,if 1he final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: (2) 6/1/2023 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE 4� Address:�o Lu 1n1'Jin ,(tXLb lAV Section: 155. .� �{ Block: Lot: 3`1 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT boon Sq. Ft. 15J pcc Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) Sq. Ft. 1 44-L Sq. Ft. b. Area of 15'Floor Divided By Area of Lot x 100 /a• + % 16-4 % 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) O Sq. Ft. 0 Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 O 4. AREA OF DECK 1 Sq. Ft. Sou Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 ►. Z` % 3,3S I attest to the best of my knowledge and belief,the above infbrrnation is correct. rchitect's Signature (3) 811 212 02 1 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS 03 Address: G l.0 1 nYJin� O Section: 13j(-' 3 4 Block: Lot: 3 y_ "Zone: 2')3— IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts, swimming pools,patios,sidewalks, ramps,terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD Area(sq.ft.)* Over Base R-35 15 Lot Area % R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 &larger 11,260 22 R-7 40 R-5 30 *"Base Lot Area"is the minimum end of the lot size R2-F 30— - range in the"Lot Area"column Area of lot: )5J000 s .ft. Existing Allowed Proposed Total impervious coverage = 3 G 19 S .ft. S3o-o S . ft. 3 9/y S .ft. Front impervious coverage = 'moo % 37 % Zo % I attest to the best of my knowledge and belief, the above information is correct. rchitect's Signature (4) 8/1 212 02 1 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: Section: 134. 3 f Block: 1 Lot: 3 `i MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = 3 3 Z, l Sq. Feet b. Existing = I [ Z Sq. Feet c. Proposed = 3 1 2 Sq. Feet HEIGHTISETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10%of the entire roof area, shall be permitted to extend.Height and Setback shall be calculated using the formula; Height 1 Setback=X,where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article Vlll of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXIS77NO PROPOSED RECIU/RED FRONT: FRONT: FRONT: 44 Rz35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 0-25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 R-20 SIDE: SIDE: SIDE: 1.60 FRONT: 5-3- FRONT: .-7 S FRONT: .60 R-15 SIDE:I,oq �� SIDE: J.od SIDE: 1.60 FRONT: FRONT: FRONT: .80 0--15A SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 R-12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R f0 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 JF-7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 /R-? SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 R-2F SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. ect's Signatu (5) $J 12J2021 $U1L1L? E17ENT ---� VIL OOK 938 KING d ET R,y�Bn ,NY 10573 � FE; A VILL:,._ JK BUILDING LIB t•yr „viENT :,+�*r:a,�,r+*xt,r,t�*,�te�,•*•r.��•*;.*�,t**�,�*��*��x•�:;�}�:+*e:�•a*ra•*��,r,t,;�:,r�*,e,t*,ti:�*,�,r.*x,t,rt*�;,�-kt,t,k**�-t�a•,t•,tr. .AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED A1610 NOTARIZED E'ORM WILL BE RETURNED TO THE APPLICANT . STATE�OF NEW YOR-K, COUNTY OF WESTCHES'rER ) as: residing at, -] W Lh b1VuG3 * Y(-o Sojr-)4 (Print name) (Address%a ere you live) being duly sworn, deposes and States that (s)he is the applicant above named, and further states that(s)he 15 the legal owner of the property to which this .Affidavit of Compliance pertains at; t� �.0► n 01 K)7 0j Cc , r-4b0A 5$�t, H- Rye Brook,NY. (Joh 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. ( ignaturc of>'� t .rty Ownea(s)) aC'h�n�i (Prim Name of Property Onvner(s)) Sworn to bet-ore me th is day Of.— 420 2 (Notary Public) CHRISTOPHER J.BRADBURY Notary Public,State of New York (6) No.01 6R6159,?95 Qualified in Westchester County Commission Expires January 29,20 W1212021 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed fe aMWith your permit application will delay the permitting process. u FEB VII OK Notice of Utilization of Truss Type, Pre-Engineered W Wh6IL IN D I��riRT DEPARTMENT `�.1[LL7fNG DEPARTMI=NT or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: SZ aMK. G -5LcXXi cJ�v V� A�Sr'4-6- -t-T Subject Property: 61 WiniolniLAOdo Vto SBL: Please take notice that the subject;❑One or Two Family; o Commercial, a New Structure Raar.10�c- ❑Addition to an Existing Structure o Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑Truss Type Construction(TT) ❑Pre-Engineered Wood Construction(PW) ❑Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders&Beams(F) o Roof Framing(R) o Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§a265 for One&Two Family Dwellings. Swom to befar me this > Sworn t c re me this day of ,20 day of r ,20 Signaur of Property Owner ignaturo Des' essional Print Na o Prop Owner Prin atria or Des Pr ' ssional Notary Public otary u lie GREGORY R RNERA Notary Public,State of New York CHRISTOPHER J.BRADBURY No.OIR16441398 Notary Public,State of New York Qualified in Westchester County No.01 BR6159935 1�1 Commission Expires September 26,2 Quali`ied in Westchester County Commission Expires January 29,20 -,--7 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 signatures) 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. ******Yr*�F**:4 t�k*�'�'+4•k'k*,4*ti:*i*�;*****;4�k*'.Y***�1•**k**'k ilr*':d:+'4'k3+++�;i,•*+sF***h�rk*�r**41r****�4*V;****,t�41�*f,***�rx�4***h•h.it,4�k STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Su,fl"4, 011-- , e,ing duly sworn,deposes and states that he/she is the applicant above named, (prim name of individual signing as tlic applicant) and further states that (s)he is the legal owner of the properly to which this application pertains, or that (s)he is the for the legal Owner and is duly authorized to malce and file this application. (indicate architect,conliuccor,agcnL attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any wort: 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,surnp pumps or other prohibited stotnnwatcr at groundwater cOrulectionS Or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this J Sworn to before me this day of ^`�`� 202 clay of� _ , 20� Signature nrProperty Q%vnt:r ignaturc of Applicant A Sc�e'.v L'Ah 6 SC,-/fir � Print Now of Property Owacr Print Name of Applicant O Notary Public Notary blic CHRISTOPHER J.BRADBURY Notary Public,State of New York RIVERA No.01 BR615-0985 GREGORY M. Qualified in Westchester County Netaty Public,State of New fork Commission Expires January 29,20-.'T No.QfR1644i3911 / tY ❑uallfled in Westchester 2tf Commission Expires September snz�z®zt BUILD MENT c`; r u V VIL OF RY OOK _ 1 938 KING FT RYE$R ,NY 10573 MAY - 8 7024 ' 4 _ _ VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date Per � Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# _ _ Secretary: ZBA Approval Date: Case 4- -Other: Amendment Fee: Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: �p�) w 10 Y)l)A y (,(J O0 b e as Sv � Existing Permit#: 2. Parcel ID#: 3.5. 3 4— — 3 1 Zone: —lS Original Approval Date: 3. Proposed Amendment(Describe in detail): 9Q-(20C.e d S t Ze_ •of 594Vf I h L u I o'er 1j0 n ar 13 eJ +4 �.C,IAc �. �Pnm r v R-4r 0.t7b }�zp— I>4� 11a _C hC.V1 y'eL /n L_MIc. 4. Property Owner: .5 e✓ c,k We,k,\er Ono Kar-er-. / 4 PQ— Address: ►►'1»I»y W aao $tZx 1--. /\I y 1 OT 73 Phone# Cell# e-mail S c�r% t -e.^ZOoo� Applicant: ca / ,M r yam,L Cep _ t Address: Phone# Cell# e-mail Architect/Engineer: O'dip+ Address: �j b�jY'Qr" �F/) � , y �01 Phone# 14/ C7 3=73Sb Cell# 9/4 7/4—Q/s-Z e-mail JG5wr)c..-),a 5. Occupancy;(I-Fam.,2-Fam.,Comm.,etc...)Prior to construction:/ After construction:_f ..r.T 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:�(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No:Z Area: /80 I 8/12/2021 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:_Z(if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No:✓ (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: ✓ofyes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FiRM Map dated 9/28/07? Yes: No: ✓ (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No:'✓(ifyes,you must submit a Tree'Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-39 of Village Code? Yes: No:, ' If yes,indicate: TIER I: TiER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so, provide such additional footage here. (�Q_00CA o,n d-e- ZC) 7 a 4:7v- (Please submit additional Bulk Regulation Application Pages for review) 15, What is the total added cost of the work associated with the amendment: $ 170 C Wt 4, (The estimated cast shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) lb. N.Y.State Construction Classification: N.Y. State Use Classification: Z- 17. Estimated date of completion: 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 WESTC14ESTER ) as: _ah,h 6 _'XXuv-► vk OYL- ;`being duly sworn,deposes and states that he/she is the applicant above named, (print name or 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 IK for the legal owner and is duly authorized to make and file this application. (indicute urchitect,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 inf ltration into the sanitary sewer system on or from the subject property. 2 Sworn to before me this J Sworn to before me this day of , 20 all, day of , 20071- Signatur of Property Owner nature of Applicant P ' t am m e of Property Owner Name of Applicant PN Notary Public Notary Public SHARI MELILLO 2 SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No. No.01ME6160063 Qualified In Westchester Count Qualified In Westchester County Commission Expires January 29,20 Commission Expires January 29,202� 8/12ao21 G Building Permit Qeck List&Zoning Anal sis Address `\v- SBL• Zone: A-\S Use: 2\U t.Type _Jk Other: Submittal Date: -Z 2- Revisions Submittal Dates: Applicants Nature of Work 1 TWA 1 a �D FEB a Reviews:ZBA--- _P4. BOT• Other NEED OK �) �y� FEES:Filing P: � C�C/O: Flood Plane: Legalization: ( ) APP: Dated: Notarized ---,SBL• Truss I.D. Cross Connection: H.O.A.: ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree PLw: Other. ( ) ( ) VEY.Dated: Current: Archival• Sealed: Unacceptable ( ) (a LANS:Date Ped- Sealed: Copies:��Electronic Other. ( ease: ✓ WorkersComp: Liability: �/ Comp.Waiver Other: (�C (J�CODE 753#: 0�'y-Q')l S� (�O Dated: - 4 VN/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. ( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK Plans: Permit: Fuel Type Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. (� ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER Other. ( ) ( ) Other. (k)ARB mtg.date k Z approval• notes• ( )ZBA mtg.date approvaL• notes: ( )PB mtg.date: approval• notes REQUIRED EXLTfTNG PROPOSED NOTES Airmsimm Ana: 115 — — CjV__ Dati:EB 2 3 2024 Circle: t o�D n k FFe Fro= Front � tl C Sides: �l Rear. S13 5 f 0 Main Cov. _ Accc.Cov f� i z6 b O Ft.H Sb: Sd.H Sb: GFA: 7 - — ram Tot Imy: ---j?'�-'--a- Ft Imp: 3S 1J( y k pad�w. Hei¢ht/Stores notes: BUILD,. MENT VIL //�� IS O'� ,"�l OOK 938 KING, STr3R ,N1' 10573 wwwwwwwwxw*wxwa:wxwwwwwwwwx:::xww:vww+www+*wwwwa:wwax a:way:rx+a:n::rawx.a<+*ww***+wx:►*rt*r:rwwwwx*w:r***�:s*+.**w*w*w,�ww4*www ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: &_7 I h Q t>1 yWOtikJ _Rm3O SD ate of Submission: Parcel iD#: 1 35�3�4 - -'J�j _Zone: R-15- _ Proposed improvement(Describe in detail): Rew F.P� ,per„ APPLICANT CI-IECK LIST: T" ��- MUST BE COMPLETED BY THE APPLICANT •�CtS�lry an e,w �IetJ �c-!c 1 S t-ar ytrc The following items must be submitted to the Building ✓ Department by the applicant- no exceptions. (�CompletedApplication Property Owner: F4:� ?, ( Two (2)sets of sealed plans. (one full size (maximum Address: 67 W t n pi n �woo q 9,0 Sl J allowable plan size=36"x 42"1 and one I("x 17") 3, Two (2)copies of the property survey. Phone# _- 4. ( ) Two (2)copies of the proposed site plan. Applicant appearing before the Board: 5, ( )One electronic/disc copy of the complete application materials.6, ( �Filing Fee. Address: J3 }art 1! 4W ,bQmL,,tC,J.rj 7. ( )Any supporting documentation. /bsZd 8. ( )HOA approval letter. (;fapplicable) Phone# �9 14/ 9. Pilo tograplts. Architecl/E-igi leer: -`q(he- &.3 10.( )Samples of finishes/color chart. (a sample board or 1110del may be presented the right of the meeting) Phone# /i 7 . 7 By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit instructions& Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before ine this Sworn to before me this day of rt"b 202� day of I t' Ub t 20_�'t � � n rcofA�lica Signawre of l r rty Owner 8 l P Print Name n't'roper Owner Print Name of Applicant lk Notary Public Notary P c tl1 GREGORY M.RIVERA IFRlemmr spndx3 uoisslwtuo3 No"Pubiic,State of New York OZ'6Z No.01 RI6441398 /4unoo jalsataolsa/N ul paililenp Qualified in Westchester County 99e6S t9'de I.0'oN Commission Expires September 26,2 -, Man!to ale1S'olignd AirinN - 021 Aunacivug T a3HdOiSIHHO J- -2vt,/r1- Ap_endaBR Village Village of Rye Brook ML MR FB SE Architectural Review Board Meeting AC AD Wednesday,February 21,2024 at 7:30 PM Village Hall,938 Ring Street JM SF 1. ITEMS: 1.1. ARB24-008 (Consent Agenda) David Ybarra&Carleen Ybarra 45 Mohegan Lane Rooftop solar array. 1.2. ARB24-009 (Consent Agenda) Jeff Wang&Yenwen Chen 55 Talcott Road Rooftop solar array. 1.3. ARB24-010 (Consent Agenda) Scott Stern&Bonnie Stern 79 Greenway Close Paver patio. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.4. ARB24-011 Win Ridge Realty LLC 124 South Ridge Street New illuminated sign. "Mixology Clothing Company" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.5. ARB24-012 Brett Roer&Rosa Ortiz 12 BelleFair Boulevard Rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 2 I Architectural Review Board February 21,2024 1.6. ARB24-013 Michael Bonnici&Wendy Catherine Lopez Valbuena 4 James Way Legalize exterior entry and stairs. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB24-014 Eduardo Mateus&Heather Winnicki 4 Maywood Avenue Garage addition with bedroom above. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB24-015 Seth Schneider&Karen Jaffe 67 Winding Wood Road Two tier rear deck. O Approvals: Motion S Second m Gr Abstention Aye; -bi Nay; Adjournment; Notes 1.9. ARB24-016 (Amendment to Prior Approval) Stuart Gelbard&Adrian Gelbard 51 Winding Wood Road Exterior changes and skylight installation. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: March 20,2024 Page 2of2 JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@GMAIL.COM 2/21/24 Building Department Village of Rye Brook 938 King Street Rye Brook,NY 10573 RE: 67 Winding Wood Road Colors and finishes Siding Existing Beige Clapboard Roof shingle Existing timberline 40 year Pewter color Stone Pennsylvania Ashlar Stucco Existing white Decking Pressure Treated Stained Railing Cable Rails with Pressure Treated "drink cap" Stained Olympic Elite 1 Gal. Mahogany Woodland Oil Transparent Exterior Stain and Sealant in One Low VOC **** -'89% v Questions&Answers(114) asr� TRANSPARENT OLYMP C Hover Image to Zoom Lighting string: Hampton Bay style Amber / apart COMMERCIAL • 20 Fr LED ;' - STRING LIGHTS �?` �� ' to s►urnR►Roor Duos h•r O�w Oaf�.wn.N OwIOM .� LIu•b/r IA.t•.rr1 A�.t►w•/Irll•t w • 1 • cm LA Laura Petersen From: Laura Petersen Sent: Thursday, February 29, 2024 1:36 PM To: Seth Schneider; karenjjaffe@gmail.com Cc: John G. Scarlato,Jr. Subject: 67 Winding Wood Road - Building Permit Application Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office 1. General contractor's contact name (first and last) & phone number. V"?'. Copy of general contractor's valid Westchester County Home Improvement License. ✓3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) ,,,14/. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $540.00 (due once permit is issued and ready for pick-up) �6. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 loetersen(a)rvebrook.org 1 V v �,a;, v 6y�, V �► r v (��,2. T �INl1il1. l�•��FF•Y�IIIfI��•� .�1�/t1/1�. -ri'f1 '1/111111 _'��k'�,IIIIt/111/ �1/1�111i11 _ '1�/11•1111t 'R'O)> �a.:�v+� ..:._,....*s� �-/1�__i_�:::.s r...11��s�_�:s:._.�... ::,111111:�r.::�;�.:1!�.�ul,.�a._?�:.•3a�,.�11111: � 'r 3"1/__�_ .,. l<o>� VOW n ato» u - y ,"lair > C > C kLIJ •"i a`, o UI)CS I ^' <(0)s w C t En LU o >, o r-.1 w } o ° ? gL C7 7 It: Ji0 0 ✓ ' 0 CA er pow 14. OF ? .. cc aep , -o - ✓ r Q <t0)> 10 V <( J y o �. <(0)> 1 /1 II 1 1 11--�:st 1 1 .tea' • 1 n{ . . , <(O» 1�1./ / f►�' r//f,l •11, 14, Iljl /1,. �,11 yl -p..y,Ip • • •f• ••• •M• • • • • • 1 1 1 ia� 3 DATE(MWDD/YYYY)AC� � CERTIFICATE OF LIABILITY INSURANCE 04,01 2024 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 GUNIACI NAME: Jose Carrasco Durango Insurance and Financial Services Inc PHONE,N 203 517 4545 (203)487-9626 A/C No Er<t: ( ) (A/C,No): 84 West Ave ADDRESS: JoseCa),durangoagency.com apt Al INSURERS)AFFORDING COVERAGE NAIC F Norwalk CT 06854 INSURER A: EVANSTON INSURANCE COMPANY INSURED INSURER B: LUA'S CONTRACTING CORP INSURER C: 2 SACHEM STREET INSURER D: INSURER E: NORWALK CT 06850 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/OD/YYYr) (MMIDD/YYY1O LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) S 1,000 A X 3FH1673 03/07/2024 03/07/2025 PERSONAL BADVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x POLICY ❑JECTPRO ❑LOG PRODUCTS-COMP/OP AGG S 1,000,000 OTHER. S AUTOMOBILE LIABILITY (Ea accident) S ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PRUPUAMAUL S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ,//N SLH I ER NV PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT S FFICER/MEMBER EXCLUDED? Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Additional Insured:Village of Rye Brook,938 King Street,Rye Brook NY 10573 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE TIRSO M. GARRASCO Rye Brook NY 1073 Oc 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Workers' Yo K CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Lua's Contracting Corp 914-690-9015 119 Pitt St 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Port Chester, NY 10573-5206 N/A 1d. Federal Employer Identification Number of Insured or Social Security Number 74-3041486 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Nor-GUARD Insurance Company Village of Rye Brook 3b. Policy Number of Entity Listed in Box"1a" 938 King Street Rye Brook, NY 10573 LUWC526911 3c.Policy effective period 02/23/2024 to 02/23/2025 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: Adam Edelstein (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 04/01/2024 (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: 800-673-2465 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov Laura Petersen From: UDig NY Exactix <tickets@exactix.0 dig ny.org> Sent: Monday, April 1, 2024 1:46 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/01/2024 13:46 To: VIL RYE BROOK PRIMARY Transmitted: 04/01/2024 13:46 00007 Ticket: 04014-001-548-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 67 To: Name: WINDINGWOOD RD S Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK OF THE HOUSE. NearSt: LATONIA RD Means of Excavation: HAND TOOLS Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: INSTALL DECK Estimated Work Complete Date: 06/25/2024 Depth of excavation: 3.6 FEET Site dimensions: Length 20 FEET Width 18 FEET Start Date and Time: 04/15/2024 08:00 Must Start By: 04/29/2024 ------------------------------------------------------------------------------ Contact Name: CLAUDIA SHIA Company: LUAS CONTRACTING Addrl: PO BOX 786 Addr2 City: PORT CHESTER State: NY Zip: 10573 Phone: 914-708-9065 Fax: Email: luascontracting930@yahoo.com Field Contact: ISREAL LUA Alt Phone: 914-760-7752 Working for: H/O ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CON-ED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i r . 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M O O mmp-lGG� C�Dmn� cl-n D D o : M tn-4 n o M-+ �Dm D .- 9c a O A T M m� _• e a om M�Z�zm O�(nC m n a np F 3M _ 0 Ln� 0m D O 0_ m z a 0 3 z� '' c� O {-:11 m Oy C r. -.{ O O CA A ni a X 11 D c F. m 0 ('ZIT 2 M "�'� 00-Dn O=zr-Dia zx -0 m D� v= a - 3 a o n z "_i IV Q m D nmr- ri D>00rO 0m Z7 T. m(n 2 D N N o n •'oA cn r Z�2.{ p-rjr� )o 00 O Z ;:a (i7 = . T. •� a m r G) _ -i z z = cl O �� Oc i00o am m G) z M G) qz - ' > �m� Z�mn�y . a� i-n ci m � N . (n OO�n s <rT.0 zg O -(O � Y ' �I�p DZOmi_nm Cl m� ., g 9 .Y' "Cb�ii'� tz===�._ I I I� ' 4 . . �0, DCDi�Zmm � D o m N = 1 -I Z n .0 ti1: �� N \ C , CmO��Z D2 m . o ct a (N A .rt.` > � -�� D L � �z� mT.�=lnmo r� N n � O = x�'li 1- n m Z N Z N GN CC'm �.��N�� - N o a �t ' d `� X en m rn Cn (nm� m�Am' o s 3 ev-i o SJ ``l^am -1 Z 0 y 7 - Qy �� rn VJ �. n �' ZD ODD ..N: - O H H = n. �`OI' �r / (n Z m D 0 N) � am> mlOnF . .. � 0 � '.:� -� m m w Q o 0 oO r+� r� W n mz (n= U n o Q Z T C -i CO O -. v� m i.i a . I 0m D n z 0 z Z G)" Z_ �' c7 0 -- -- z C)oy� 71 -< 0 c) m Ew = --. a . t o ," -� p � 0 M 0 F-W oo C(D -I � ,;�5 T . . . �n m 0=37 M o m o 0- 0�� -VTV% - o �0 � p 3 . . wD G) 0 L . �1 II �m00�M ��n / 'n / A"P / ., Yi A' 7 Winding Wood Road South Survey of Property prepored for Seth Karen Jaffe In the Village of My4mh ar co k� JUN 2 6 2024 ° L��j� QQQUMr;NT Town of Rye Westchester County, N.Y.! ��,��r� �A�r- �M°O� Scale 1":=20' Mar. 6, 2023 `- Survey brought to dote ✓une 1J, 2024 The premises being known as Lot No. 25 as shown on Moo of Section D, Rye Acres, The Property of Rye Acres Company " doted Oct. 2,5 1952 anal f%o' on Mar. 5, 1953 as Coun y Clerk Mop No. 7951. Area = 15, 000 sq. R. or 0. J444 ac. Subsurface structures and their encroachments, if any exist ore not shown hereon. "unauthorized o/terctions or additions to o survey mop is a vialotion of section 7209, sub --division 2, of the New York State Education L ow. 'Only copies of the original survey mcrked with the /and surveyor's inked or embossed sea/ shall be considered a true and vo/io' copy . AP 'Cerfif cC ors indicated hereon signify that this survey was prepared in accordance with the existing code of practice for Land Surveys adopted by the New York State Association of Profess1017al Land Surveyors: Sa/d certifications shot/ run to the person for whom the survey is prepared only, and on his behalf to the 71-Me Company, go vernmento/ agency and lending institution listed hereon, and to the assignees of the /ending institution . CERTIFICATIONS ARE NOT TRANSFERABLE TO ADD/T/ONAL INSPTUTIONS OR SUBSEQUENT OWNERS . A' Copyright (c) 202J-2024 ward Carpenter Engineers, Inc All Rights Reserved. 76 / Mcrmaroneek Avenue ll/hite r,'o'liu, N. y 70601 Job #56918-57780 5691 8\dwg\5691 8survey.dwg