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HomeMy WebLinkAboutBP24-064KkMIT 4�/�(���71—] SECTION TYPE OF WORK c-/%�^_ ic•. JOB LOCATION 0 IOTJ _%(p���oniayue � /o��7y-Sono BEST. �I COA TCO FEE DATE INSPECTION RECO D I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALARM 0 AS BUILT FINAL OTHER APPROVALS ARB BOT Pa ZBA OTHER QyC BR(� 198 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.r3:ebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 13,2024 John Capistrano& Maricar Capistrano 300 South Ridge Street Rye Brook,New York 10573 Re: 300 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.43-1-1 Building Permit#24-064 issued on 4/22/2024 for Replacement Windows& Doors This certifies that the six new windows and three new entry doors,installed under the above captioned permit have been satisfactorily completed. Sincerely, X99; Steven E. Fews Building& Fire Inspector /to D C IE �� R For officeJ u nl DBUILD ENT PERMIT# -GYoL/ APR 2 9 2024ED VIL OF RYE OK ISSUED: 938 KING STRE YE BROOKS YORK 10573 DATE: -a - VILLAGE OF RYE BROOK 9 -06 Oc FEE: — PAMS BUILDING DEPARTMENT r 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 s►►*•s►s+►►asarrtrw+sw*sr\*•w**sw**sw**►s►*s11--+i�ts++tsrssrss+nntsw**s***ww*w*****stst+rrssrrrswtr***ssss►►s►►rrt*rs*►►ss►►s++s►rsrr Address: n O o S O U t N R l V G E Occupancy/Use:: %t9 4-4 Parcel ID#: / 7/i 7 — Zone: Owner: N 4 U I, CAP 1 ST k N© Address:�00 wTti O P G E 7 P.E./R.A. or Contractor: ftU t- jftM6 ""V, a0U'jl�� Address: 60 C04%~,-C2 // CT" Person in responsible charge: Mb T Vh 07AG Ut Address: I/ 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: p ' VkA MQA k CA P Q T"l\J 0 being duly swom,deposes and says that he/she resides at 700 IWTu (Print Name of Applicant) (No.and Street) in b � "d V— ,in the County of WOT M ET 1n- in the State of uC,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:$ H rI'�3 q." `►-�- 1 I for the construction or alteration of Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this (� Sworn to before me this day of ( � , 20 2 day of , 20 ,lu,C,(l a1�C�lacti�/ Signat of PropelOwner Signature of Applicant O1A (U A(L N f ,�T"IU Q Print Name of Property Owner Print Name of Applicant Notary Pu c Notary Public GREGORY K RIVERA Notary Public,State of New York No.01 R16441398 Qualified In Westchester County Commission Expires September 16,10 �E BR(��. cu � • �9°2 BUILDING DEPARTMENT ❑BYILDING 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�J �70c� + �^. C���. T DATE: PERMIT# ! O b 7 ISSUED:'?"Z Z "Z` SECT: BLOCK: l LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... V PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas — uJ I Q C�00S 3 ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION v // FINAL C L o2 M (� Tj 7, �SSu� POTHER Ni a AXJ4- I /1 bans + I } C a � = a m - �j N n] CZ• Qy � a N o" CL I•+•1 � � ��T v� c~a O � s k �,; z x a o ff = w O Q - 1fLl v A. : L M Z A �"� O 'Ls r°�Jp•� p hil F-�--I `n © 1 00 L g a ^ v z r. a0 F 00 no 04 wo P. a vo- A z � � Q a �1 H M co �/� p°3 4 v `a o ��- -,-) Q 4 W � U Oo q Avb v V W p Q 6 W C 7 U z �O a U W ula H s p v 'lt W y. o ►� u ro as v V ao 1-0 z V z a ," v w � w 0 � 7 A u. z +�, • 0 � „ o b o v v v m OQa c 1 �a ZO � �0-4 � _ BUILDING DEPARTMENT FEB 2 7 2024 VILLAGE OF RYE BROOK 938 KING STRFET RYE BROoj,�,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT �j���.r-�ebrookolr� ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR Ex,rF.Rt()R NN'(wx Wincil Dot's Ni)I Rt^oi mi,Vwi-ma..ARC'IIIII.CITRAL REVIEW BOARD APPROVAL. I'(W c)I I ]( L_USE, ONLY: APPROVAL DATE R #: / / APPLICATIO FEE: 0 F -r— APPROVAL SIGNATURE: PERMIT FEES: H.O.A.APPROVAL: DA E: DISAPPROVED: ' PA 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,structures,additions,alterations or for a change in use.as per detailed statement described below. 1. Job Address: 300 South Ride Port Chester NY 10573 2. ParcellD#: 14104300010010000000 14143-1-1 Zone: _ 3. Proposed Improvement(Describe in detail): Remove and replace 6 windows with.27 u-value replacements.all windows Meet egress where renWred No structural changes Remove and replace'1 entry doors No structural Changes 4. Property Owner Address: 300 South Ridge Port Chester. NY 10573 :vo— /7 l C(J®�`�c3 z o Phone#-(g14)314-6g34 �:VA2'0'k Cell# (914)314-6937 —e-mail capistranoir n-mi.h lI -(Mgmail com List All Other Properties Owned in Rye Brook: Applicant: Robert Montague Address: 60 Commerce Drive,Trumbull CT 06611 Phone# 610-874-5000 ext.6662 Cell# e-mail ctinstalls( op werhr9_com Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Power Home Remodelina Address: 6n CoMr,crrc Drhvc Tnimhull(T 06611 Phone# 610-874-5000 ext.6662 Cell# e-mail ctinstallsO.powerhm.com fl) 611/2023 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Fam Post-construction:__1-Fam 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 11,fl: 2R"fl: 31 fl: 10. Total Square Footage of the proposed new construction: 11, For additions,total square footage added:Basement: 1"fl: 2nd fl: 31d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 6 13. N.Y.State Construction Classification: VB N.Y.State Use Classification: R3 14. Construction Type&Location:()Typical Western Lumber Frame;( )Timber Frame[TC];O Wood Truss[TT]; ()Pre-engineered wood[PW];Located;(}Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: Windows/Doors 15. Number of stories: Overall Height: Median Height: 16, Basement to be full,or partial: finished or unfinished: 17, What material is the exterior finish: 18, Roof style:peaked,hip,mansard,shed,etc: Roofing material: 19, What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application,. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:x (if yes,applicant must submit a separate.4uromatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code'? Yes: No:j_Area: 23, Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code'? Yes: No: X Of yes,applicant must.submit a Site Plan Application,c&provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:_ X (ifves,you must submit a Site Plan Application,Rr provide a derailed topographical sun ey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: X (if yes,the area of'ivelland and the werland biller zone must he properly depicted on the survci,&sire plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: X (iif yes,the area and elevations of the flood plane must be properly depicted art the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: X_ (ifyes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:—_ Indicate:TIER 1: TIER II: TIER III: Rfyes,a Home Occupation PerinitApplication is required) 29, What Lis the total estimated cost of construction: S. 44,439 Note:estimated cost shall include all site improvements,labor,material,scaffolding,freed equipment,professional fees,including any material and labor which may be donated gratis.lf7he final cost exceeds the estimated cost,an addirional fee Hill be required prior to issuance of the C/0. 30. Estimated date of completion:?l2Bt2024 (2) 6/1/2023 p ECENE _5) BUILDING DEPARTMENT FEB 2 7 2024 VILLAGE OF RYJAROOK 938 KING STREET Rl'E BRQnK,NY 10573 VILLAGE OF RYE. BROOK (914)939-0648 I BUILDING DEPARTMENT xxxwxwxxwwxxwzwwwzxwwwwwwwwwwwwwwwwwwwwxxxxxwwwwxxxwxxxxwwwwwxwwwwwxwwxxwwwwwwwwwxwwwxwwwxwwwwwwwwwwwxw AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I, Irene Capistrano ,residing at, 300 South Ridge 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, 3oa South Ridge , Rye Brook,NY. 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. i sluilJtule Cat I'lopeft4( km,:r{_s)) Irene.Maricar Capistrano (f'ruil Baulk u1 Plq,crts U�rnarts�l Sworn to before me this ,23 - SCOTT MCKINNEY dayi February Notary Public.State of Connecticut My Commission Expires 03/31/2028 rNoi.ii� lit 6 ,2023 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, e+.a....!!!►1!♦Hr+tn.+.!!l+++►ll+M....+.+....►.►f........'*, *l............+..................e.......... STATE OF NEW YORK.COUNTY OF WESTCIIESTER i s%. Robert Montague ,beitig duly sworn,deposes and states dial he/she is the applicant above jiumcd, (print name of inii i4w signing,o the"vlicano and further states that (s)he Is the legal owner of the property to which this application rwrtalns, or that (s)hc is the agent/contractor for the legal owner and is duly authorized to ,Hake and file this application. Itrrttcrtsuclutel,vnirrttx,agent,etfotney.ek t That al I statements contained herein ate true to the hest of hivber 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 plane and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of dw Village of Rye Brook and all other applicable laws.ordinunces and regulations. By signing this application, the property owner funhct declares that hetshe has inspected the subject property,and that to the best of his/her knowledge there arc no roof drains.slump pumps or other prohibited stormwater t>r groundwater connection;or sources of infiltration into the sanitary sewer system on or from the subject property, %worn to before urn this 29M Sworn to befurtc inc this 29tfi clay of—I-ebmary —,20_&L_ day of Februry 20 24 Swumre ut'Pcupetty Uuner Sigt ire u APp cant Irene Capistrano Robert Montague Print!come of Property Owner Prmt Name of Appliraat trpry Pa oission MC EY MCKINNEY to of Connecticut --Notary Public,State of Connecticut Expires 03/31/2028 My Commission Expires 03/31/2028 wa 6-1•2023 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. wxwwwwwxxww»ww»»www»»»»wwww»»w»w»ww»www»wwww»wx»wwwwwwxwx»w»xww»»»wxxw»wxw»x»wwxw»wxwx»»xwww»xw»x»xxx»wwx» STATE OF NEW YORK,COUNTY OF WESTC'HESTER ) as; ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to snake and file this application. findicate,architect,contractor,agent attorney.etc.) That all statements contained herein are true to the best of hisiber 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 sto)znwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 1, 5 Swom to before me this day of 1 , 20 day of 20 ovr Signal a of Pro rty Owner Signature of Applicant "NSA( , CAP111Wa Print Name of Property Owner Print Name of Applicant kA �ft rotary Pu a Notary Public GREGORY M.RIVERA Notary Public,State of New York No.01 RIBU1398 Quallfied hi Westchester County Commission Expires September 26,2t l4) s:Tz023 37-19916 for Irene and Maricar Capistrano https://nitro.powerhrg.com/projects/project_photos/print'?project photo... Home Tour (Front Entry Way) FILE copy t l I S �1 r� r f S 1 ul 0 4/17/24, 11:22 AM 37-19916 for Irene and Maricar Capistrano https://nitro.powerhrg.com/projects/project_photos/print?project photo... Home Tour (Front Entry Way) t I ' r v0 J• ' 2 ol'6 4/17/24, 11:22 AM 37-19916 for Irene and Maricar Capistrano https://nitro.powerhrg.com/projects/project_photos/print?project_photo... Home ' Tour (Front room) AL t � �4 3 of 6 4/17/24, 11:22 AM 37-19916 for Irene and Maricar Capistrano https://nitro.powerhrg.com/projects/project_photos/print?project photo... Home Tour (Entryway) I ! i -1 of 0 4/17/24, 11:22 AM 37-19916 for Irene and Maricar Capistrano https://nitro.powerhrg.com/projects/project_photos/print?projecLphoto... Home Tou r (Bedroom 1 , Rest of house) - i i 5 of 6 4/17/24, 11:22 AM 37-19916 for Irene and Maricar Capistrano https://nitro.powerhrg.com/projects/project_photos/print?project photo.. Home Tour (Bedroom 1 , Rest of house) u, i 6 of 6 4/17/24, 11:22 AM National Headquarters Irene and Maricar Capistrano 2501 Seaport Drive,Chester, PA 19013 37-19916 888-736-6335 toll-free February 01, 2024 / WWW.POWERHRG.COM 1440776-DCA - - Project Specifications WC-25267•H12 Windows: Bedroom 1 1 58.5"x53.5" WINDOWS: Model Power Symphony Style Casement Type Double Config Manual Lock OPTIONS: Color White/White I Removal Aluminum/Vinyl I Opening Control Device None I Glass Strength Non-Tempered I Hardware Finish Color Match Interior I Grid Pattern None I Glass Options Low-E Additional Details Special Options(ie. Full Screen,Obscure Glass,etc)Different Color Capping No Trim Options Yes New Inside Casing Pine I New Outside Brickmold Pine I New Sill Pine I New Stool Pine New Apron Pine I Frame Options No I Remove and Reinstall No Windows Bedroom 3 1 52.0"x53 0" WINDOWS: Model Power Symphony Style Casement Type Double Config Manual Lock OPTIONS: Color White/White I Removal Aluminum/Vinyl I Opening Control Device None I Glass Strength Non-Tempered Hardware Finish Color Match Interior I Grid Pattern None I Glass Options Low-E Additional Details Special Options(ie. Full Screen,Obscure Glass,etc)Different Color Capping No I Trim Options Yes New Inside Casing Pine I New Outside Brickmold Pine I New Sill Pine I New Stool Pine I New Apron Pine I Frame Options No I Remove and Reinstall No Windows: Entryway 1 49.5"x53.5" WINDOWS: Model Power Symphony Style Casement Type Double Config Manual Lock OPTIONS: Color White/White I Removal Aluminum/Vinyl I Opening Control Device None I Glass Strength Non-Tempered Hardware Finish Color Match Interior I Grid Pattern None I Glass Options Low-E Additional Details Special Options(ie. Full Screen,Obscure Glass,etc)Different Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill No I New Stool Pine I New Apron No I Frame Options Yes Frame In for Vent or A/C unit No I Build Up No I Build Down No I Pack-In No Buck Frame/Stops/Casing No I Remove and Reinstall No Windows: Entryway 1 49.5"x53.5" WINDOWS: Model Power Symphony Style Casement Type Double Config Manual Lock OPTIONS: Color White/White I Removal Wood I Opening Control Device None I Glass Strength Non- Tempered I Hardware Finish Color Match Interior I Grid Pattern None I Glass Options Low-E I Additional Details Special Options(ie. Full Screen,Obscure Glass,etc)Different Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine I New Stool No I New Apron No Frame Options Yes Frame In for Vent or A/C unit No I Build Up No I Build Down No I Pack-In No I Buck Frame/Stops/Casing No I Remove and Reinstall No Windows: Office 1 55.5k52.5" WINDOWS: Model Power Symphony Style Casement Type Double Config Manual Lock OPTIONS: Color White/White I Removal Wood Opening Control Device None I Glass Strength Non- Tempered I Hardware Finish Color Match Interior Grid Pattern None I Glass Options Low-E I Additional Details Special Options(ie. Full Screen,Obscure Glass,etc)Different Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine I New Stool No I New Apron No Frame Options Yes Frame In for Vent or A/C unit No I Build Up No I Build Down No I Pack-In No I Buck Frame/Stops/Casing No I Remove and Reinstall No Windows: Front room 1 78.0"x59.0" WINDOWS: Model Power Symphony Style Picture Type None Config None OPTIONS: Color White/White I Removal Egg Crate I Glass Strength Double Tempered I Grid Pattern None I Glass Options Low-E I Additional Details Special Options(ie. Full Screen,Obscure Glass,etc) Different Color Capping No I Trim Options Yes New Inside Casing Pine I New Outside Brickmold Pine I New Sill Pine I New Stool Pine I New Apron Pine I Frame Options Yes Frame In for Vent or A/C unit No I Build Up No I Build Down No I Pack-In No I Buck Frame/Stops/Casing No I Remove and Reinstall No Bay to flat conversion, r.�cp ng overhead . nrlr_. d! i dk ;_;,inl February0l, 202414:34 National Headquarters Irene and Maricar Capistrano 2501 Seaport Drive,Chester, PA 19013 37-19916 888-736-6335 toll-free February 01, 2024 ! WWW.POWERHRG.COM 1440776-DCA Project Specifications wc-25267-H12 Doors Side Door 1 32.0"x81.0" DOORS: Model Freedom Legacy Series Style Single Entry Door Type None Config Half View(430) OPTIONS: Color 2 Color Exterior Color Enzian Blue I Interior Color Snow White Mist I Accessories No Finish Patina Handles&Deadbolt Interior Georgian Knob: Exterior Handle: Georgian Knob: Touch Keypad Electronic Deadbolt I Glass Decorative Glass: Eclipse I Size(Width)32&quot;I Size(Height) Custom Doors: Front Entry Way 1 64.0"x81 0" DOORS: Model Freedom Legacy Series Style Single Entry Door with 2 Sidelites TYPES: DOOR: Config Half View(430) OPTIONS: Color 2 Color Exterior Color Moss I Interior Color Snow White Mist I Accessories No I Finish Patina Handles& Deadbolt Interior Georgian Knob: Exterior Handle: Addison: Touch Keypad Electronic Deadbolt I Glass Decorative Glass: Eclipse I Size(Width)36&quota I Size(Height)Custom SIDELITES: Config Half View Option Size(Width): 12&quot; Match patina glass with hardware. please brin' sample for H(; February 01, 2024 14:34 I IIIII IIIIIIIII IIIII IIIII IIIII IIII II I I I I I IIII IIII National Headquarters Irene and Maricar Capistrano 2501 Seaport Drive,Chester, PA 19013 37-19916 888-736-6335 toll-free February 01, 2024 WWW.POWERHRG.COM 1440776-DCA - Project Specifications WC-25267-H12 Sidinglfrim Front window 1 1.0 x1.0' SIDING/TRIM: Model Trim&Accessories Style Capping Type Windows Config Bay/Bow OPTIONS: Color Cocoa I Installation Details Special Options(ie. Firring Strips, Dormers,Twin Houses, etc)Dormer No i Twin House No I Three-Story House No I Close-in Exposed Rafters No I Close-in Open Porch No I Move Louver from Peak to Gable No i Additional Removal No February 01, 2024 14:34 IIIIII IIIII IIII IIIIII IIIII IIIII IIIII IIIII IIII IIII National Headquarters Irene and Maricar Capistrano 2501 Seaport Drive,Chester, PA 19013 37-19916 888-736-6335 toll-free February 01, 2024 WWW.POWERHRG.COM 1440776-DCA - CUSTOM REMODELING AND IMPROVEMENT AGREEMENT WC-25267-H12 Buyer(s)'Information and Description of the Property: Project Number: 37-19916 February 01,2024 Irene Capistrano DateofAgreement (914)314-6934(Irene's Cell) Maricar Capistrano (914)314-6937(Maricar's Cell) capistranoirenemichelle@gmail.com 300 South Ridge E-Mail Address t Port Chester,NY, 10573 Mac-192001@yahoo.com County:Westchester E-Mail Address 2 Township: Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services of Power Home Remodeling Group and its vendors ("Contractor") in accordance with the prices and terms described in this 6 page document and the Product Specifications, which are incorporated as part of the Agreement(collectively, this"Agreement"). This Agreement represents a cash sale of goods and services. Buyer(s)agrees to pay the cost of the goods and services purchased as described herein, regardless of timing or approval of any financing Buyer(s) may seek for their purchase. Purchase Price: $38,415.41 Pre Installation Inspection Dates: Down Payment: $0.00 Fri 2/2 between 3:30p and 4:30p Balance Due on $38,415.41 Estimated Project Start: 2 to 5 weeks Substantial Completion: Estimated Project Completion: 4 to 9 days Method of Payment: Other Buyer(s)acknowledge that a definite start and completion dates are NOT of the essence. Delays beyon Contractor's control not included in calculating time frames. See Delay/Unknown Conditions. Buyer(s) hereby acknowledges receipt of a copy of the pamphlet, "The Lead-Safe Certified Guide to Renovate Right", informing Buyer(s)of the potential risk of lead hazard exposure from renovation activity to be performed in or at Buyer(s)' Property, at the address written above. Buyer(s) received this pamphlet on the date of this Agreement, before commencement of work. r" Buyer(s)' Initials. This Agreement constitutes the entire agreement and understanding between the parties, and this Agreement replaces any and all prior negotiations, representations, or agreements, either written or oral. No amendment, modification or waiver of this Agreement shall be valid or effective unless in writing and signed by both parties. Buyer(s) hereby acknowledges that Buyer(s) 1) has read the entire Agreement and has received a completed, signed, and dated copy of this Agreement, including the two accompanying Notice of Cancellation forms, on the date first written above, 2)was orally informed of his/her right to cancel this transaction, 3) has received a copy of New York's Consumer Bill of Rights on Contracting for Home Improvement, and 4) has received a Certificate of Workers' Compensation Insurance before work has begun on the Property. Buyer(s) also agrees and understands that if Buyer(s)finances the work with a third-party, the terms of that financing will be contained on separate documents, including any finance charge. Future promotions not applicable. I have read and received each page of this 6 page agreement. Power Home Remodeling Group Buyer(s) Buyer(s) /02/01/24 /02/01/24 �' /02/01/24 Signature o -Remodeling Consultant Signature Signature Mark Noonan Irene Capistrano Maricar Capistrano YOU,THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. February 01, 2024 14:40 I IIIIII IIIII III)IIIIIIIIIII IIIII IIIIIIIIII IIII IIII Page 1 of 6 National Headquarters Irene and Maricar Capistrano 2501 Seaport Drive,Chester, PA 19013 37-19916 888-736-6335 toll-free February 01, 2024 i WWW.POWERHRG.COM 1440776-DCA - - PRODUCT SPECIFICATIONS WC-25267-1-112 Buyer(s)'Information and Description of the Property: Project Number: 37-19916 February 01,2024 Irene Capistrano Date of Agreement (914)314-6934(lrene's Cell) Maricar Capistrano (914)314-6937(Mancar's Cell) capistranoirenemichelle@gmail.com 300 South Ridge E-Mail Address t Port Chester, NY, 10573 Mac-192001@yahoo.com County:Westchester E-Mail Address 2 Township: Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively, this"Agreement"). Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for TBD. Windows-Power Symphony Inclusions: Includes welded corners, steel reinforced meeting rails, nighttime safety locks on double hung windows only, foam enhanced frames, Heatshield, Zen Glass, Leak Guard Technology, Lift Assist, Exterior custom capping, installation, clean up and haul away of all job related debris. Doors-Freedom Legacy Series Inclusions: Includes the 20 gauge steel door with fiberglass reinforcements,foam filled core, and composite lock block.The Frame Saver frame with threshold,weatherstripping, and sweep. Glass packages include Heat Shield and Comfort Spacer system.All hardware, hinges, installation, clean up and haul away of all job related debris. It is agreed and understood by and between the parties that the Product Specifications, along with the Custom Remodeling and Improvement Agreement,constitutes the entire understanding between the parties, and replace any and all prior negotiations, representations,or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless such changes are in writing and signed by both Buyer(s) and Contractor. Buyer(s)hereby acknowledge that Buyer(s) has read the Product Specifications. I have read and received each page of this 4 page agreement. Power Home //Remodeling Group Buyer(s) Buyer(s) C /02/01/24 /02/01/24 /02/01/24 Signature of Remodeling Consultant Signature Signature Mark Noonan Irene Capistrano Maricar Capistrano YOU,THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. February 01, 2024 14:34 I IIIIII IIIIIIIII IIIIII IIIII IIIII IIIIIIIIII(III IIII �' � .nA � M1•^� �_ �`A j � •.` ;" 'QN " f'''A� A'T'^�"�' Anr^p' Al �Y•. � .d ., ' 5t fit•?�yyr, v, v` ` �� w t �' l '� w b ar' •,,,�¢�ir ;j Y <t�css s4ro i � ,. ►� O k N OR i G C) ,o r' CL D {[co)s' ,x ►~-. 4� 1.� Z 0 ° = Q'Apiction00 CL Ai 8 O wLLJ rR 4 t T ow i V 4r .:.7 s'r• /�I �� �/ 0 Z LLI a c t C y !! N tin r��, { , U r. E �3Ey f yHr �y l z c; s _ ►. w � a LO �1(S tn>1f ' 1 pfi��i�`�dt.. 1 r .�7"•" iEr-r�rn��; ss4'-�-►� t rr j is 4 `T�: I 1 is�at�'��.� ..�...,,,�..r.fi. `�,1-3_ ,"�441R1)Sj� y, fits +t(fjtrer 1rr1r►�jer+�� ,ei . ,';i�tt�jrrt f�tr tt ._. rrplNMO %ap "a �t �'it� 6[«� ••I V ''vi Y ��rG i,�r W W M. "M' h ". �I�: �y. :r�r;. ,,,,M"�,f,N• v.. +•}�, CERTIFICATE OF LIABILITY INSURANCE FDATE(MWDD/YYYY) 12/21/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lacher&Associates Insurance Agency NAME: FAx PHONE Lacher Insurance Group 215-723-4378 A/c No):215-723-5757 632 East Broad Street ADDRE : certificate lacherinsurance.com Souderton PA 18964 INSURERS AFFORDING COVERAGE NAIC< INSURER A:Harleysville Insurance Co of New York 10674 INSURED POWERCL-01 INSURER B:Markel American Ins CO 28932 Power Home Remodeling Group, LLC 2501 Seaport Drive,4th Floor INSURER C:Arch Insurance Company 11150 Chester PA 19013 INSURER D:Arch Indemnity Insurance Company 30830 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:922832782 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. INTR ADDLSUBR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICIYYYYI XP LIMITS C X COMMERCIAL GENERAL LIABILITY 11GPP1081300 1/1/2024 1/1/2025 EACH OCCURRENCE $2,000,000 CLAIMS-MADE a OCCUR PREM DAMA ISE E T E RENTED rr n $2,000,000 MED EXP(Any oneperson) $10,000 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $4,000,000 RO POLICY[K]JECT LOC PRODUCTS-COMP/OP AGG $4,000,000 F1 OTHER Policy Gen Aggregate $10,000,000 C AUTOMOBILE LIABILITY 11 CAB 1081300 1/1/2024 1/1/2025 COMBINED SINGLE LIMIT $2,000,000 C 11CAB1081400 MA ONLY 1/1/2024 1/1/2025 E. nt X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per i nt r - $ A X UMBRELLA LIAB OCCUR CRA0000027 1/1/2024 1/1/2025 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000 DIED I X I RETENTION$ GLBProducts Aqqreqate $3,000,000 C WORKERS COMPENSATION 11WC11081300 FLONLY 1/1/2024 1/1/2025 X SEAT T OTH- D AND EMPLOYERS'LIABILITY Y/N 14WC11081400 1/1/2024 1/1/2025 ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? Y 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 B EXCESS LIABILITY MKLM7EUE101009 4/1/2023 4/1/2024 EACH OCCURRENCE 5,000,000 AGGREGATE 5,000,000 Excess of 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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 St Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE USA e�f4A�eo ©1988-201�5-AAC/COORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured Power Home Remodeling Group LLC 610-874-5000 2501 Seaport Drive,4th Floor Chester,PA 19013 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 23-3030708 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Arch Indemnity Insurance Company Village of Rye Brook 938 King St 3b. Policy Number of Entity Listed in Box 1a" Rye Brook, NY 10573 14WC11081400 3c. Policy effective period l/l/2024 to 1/1/2025 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) ❑X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"T'insures the business referenced above in box 1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Chad Lacher (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 4�" elo0 12/26/2023 (Signature) (Date) Title: Partner Telephone Number of authorized representative or licensed agent of insurance carrier: 215-723-4378 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