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HomeMy WebLinkAboutBP24-069iPERMIT #�/- 7' CO 9 DATES SECTION .13 OCK / LOT____3� TYPE OF WORK JOB LOCATION CONTRACTOR T. COST v/cO #_ 2 TCO # ioCeo ,c4io is ��s J INSPECTION REC 93� 3<oc� o3- 0453 �, /c J FEE ALaD.0 L=%Q DATE FEE DATE DATE INSP q FOOTING `� r2-ZAZ �BSe C FOUNDATION '2 - / ') LoL fp*oz't All. FRAMING g rJ Zaty ms / RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS L� SPRINKLER ELECTRIC 0 LOW -VOLT 0 ALARM AS BUILT FINAL �- 2`i- 2otS ASSt � AQ + reoAA. Xat'IS (gd�p OT31ER APPROVALS BOT Ps ZBA OTHER S=BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION ��---- w VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK Certificate of (Occup ucp This is to certify that 1/ C Ps r of, Rvc 8V on k X ` having duly filed an application on 20 L--;)5 requesting a Certificate of Occupancy for the premises known as, �?�DO bnmJa 0 yej-?ue , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: /O? `- 0 Block: / Lot: 3 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. -r� �, issued L/Jo? 20 g2 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: S�aP�'i a I gYD1J 12—WConstruction: for the following purposes: Y Q. Y I 1 aj( 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 madWor shall the building be moved from one location to another until a permit to accomplish such change hasWobtaine Building Inspector. MAR 1 2 2025 Building Inspector,Village of Rye Brook: Date: R D [ECIEME IDBUILDING DEPARTMENT or o ce se onl • p PERMIT# JAN - 9 2025 VILLAGE OF RYE BROOK ISSUED: 938 KINC STREET,RYE BROOK,MEW YORK 10573 DATE:_ VILLAGE OF RYE BROOK (914)939-0668 FEE: 4f(0 Sp — PAIoJA BUILDING DEPARTMENT 'AW%'.rvebrookny.gov 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 ............................................................................................................................. Address: : 260 Lincoln Avenue, Rye Brook NY 10604/ 1186 King Street, Rye Brook NY 10604 p Occupdii v ,sQup Home/Office Ufarcel ID#: 124.48-1-3 Zone: Qp-� Owner: Cerebral Palsy of Westchester Address: 1186 King Street, Rye Brook NY 10604 P.E./R.A. or Contractor: Crocco Brothers Construction, LLC. Address: 200 Business Park Drive-Suite 200 Person in responsible charge: Linda Kuck Address: 1186 King Street, Rye Brook NY 10604 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: Jospeh R. Crocco being duly sworn,deposes and says that he/she resides at 200 Business Park Drive, Suite 200 i Prim Namc of Applicano (No.and Street) in Armonk in the County of Westchester in the State of NY 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:S -7S4 Q2 for the construction or alteration of.. 260 Lincoln Avenue, Rye Brook NY 10604/ 1186 King Street, Rye Brook NY 10604 d��ICQ,o�� ; Xel"?'o 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 ('17 day of Na E-M(p-e , 20� day of&,'A6(r .2024 Sign. re of Property Owner nature of AllplANt / II Print Nm a of Property Owner Print Name of, ea t I'll Notary Public Notary Public ='<; Sch, BL IC STEPHANIE �w Uco 2 Ro p0ounty\,'tiNo Notary Public, New York 'No.01 RU613651 S S 27284 Qualified in Westchester County, Commission Expires Nov.7,20 ,1 cXP1RE u.w„n Ufa �E BRC�� 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 : Z (-�O DATE: l u PERMIT# )e-�' P 2 ISSUED: SECT: BLOCK: f LOT: LOCATION: F 4t-1 I 02 r 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 [I INSULATION ❑ NATURAL GAS ❑ L.P. GAS ,P ❑ FUEL TANK ❑ FIRE SPRINKLER h ❑ FINAL PLUMBING ❑ CROSS CONNECTION E] FINAL ❑ OTHER QyE BRC�v� �j��. .-1�0� 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 12,/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 : 2 G'�` f �,y� DATE: Z C)1-Z PERMIT# ISSUED: L / ' ~V J'SECT: BLOCK: � LOT: LOCATION: �� t-C� V L `J OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑I- 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 R _/ N C- L " v & ❑ CROSS CONNECTION `/ 1 / l� IC- C ❑ FINAL �C�S T s. ❑ OTHER e, • ip 4-11 ' t •r I �� �^ f ii,aax'•�u: ,.._v�J1iO1n:aS`.-,�i.. > '.�.::. • - �' at' _ r��i"'• l�:r-T'^'ate•'-. _ - � r y�'�:��P•` �;�-/j'a,. � \�. � � ,{ 4 �yE[3 aC BUILDING DEPARTMENT ❑BUILDING INSPECTOR 9 SSISTANT 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 : Z O L ,_3 ( _o L r j ( ✓fs DATE: / " Z 7 " PERMIT# Cato ISSUED: y'L ? %SECT: BLOCK:/LOT: _ LOCATION: 1" R�� , 1 N` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ,ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED Et' 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 `�j ��aRC��• cu � 1982 BUILDING DEPARTMENT ❑j3UILDING INSPECTOR QASSISTANT 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 : �/0 ('� l��\ `� F- DATE: w i C 0 PERMIT# �� �� 0('n ISSUED: Z SECT: /Z t/BLOCK: LOT: LOCATION: VrWI RAM \ U(—, 'S� PS ' OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED 0 FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ,rJ ❑ NATURAL GAS � -) ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER = a = a a s d N o � O � w O W s ru q 1;00 z O �+ = cc) � a v O ~J en A 3 0 p O CA W Q' a c ob A a r� R W O 1 Q O O ° s w ' s o 00 00 c ° ^ . n a M p w w O " w a a � cn Co* f. w I_. 14 w a. 0. F^ U CO w x ^ 0 aC . c v �° E V _ O w UP IS z s a ° (f) _ Q oz U OD U � a rn � '' °` (d ++ to uj ' q z CQ V x O " 1 a a yy H Z zo ab vw W.. C A Q d U U �^ z ,aiHo x = Qd pd d O O U ° c� �o � ICI ~1 M z o ca LL. A LU o .�1"0. t BUILDING DEPARTMENT THMAR VILLAGE OF RYE BROOK938 KING STREET RYE BROOK,NY 10573 2024 DD (914)939-0668 � "x),ebrook.org >n0K FOR OFFICE USE ONLY: Approval Date: APR 3 fern �7'�C{7�J Application# �Y'��J�J .approval Signature.. ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:_r Permit Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated: �4q_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, JobAddress: d Sit k,11J4- c�I2n Z L�rJ�.JLn� +4�'r _ �Z N � ��2(20 k 2. Parcel ID#: j� ~�1 - .3 Zone: 3. Proposed Improvement(Describe in detail): Gig Q,5 )czr l v e\\[ "14,J o I [_d4 f.7rZc kqx �r�(t I o(2-- < c 4. Property Owner: G e L a c Address: add '� A-) I'Ll Al 12R U C Phone# 014) 3_�7 -3,90d Cell#r�] �j q-'L Gj& e-mail JIn/170Q . /CcJ G ,( f' List All Other Properties Owned in Rye Brook: Applicant: VC2 e 2 " Q_ cp_"o ccv I Address: f c K2 0 U 1 S t t1lXog �'f 2.r j a �2 M d Phone 21q/ 2-�?.- 27?(4 Cell# r�'[41) ��q � Qyy� e-mail,,(_r✓/LoCG� oeTo') -I(l'e -Tr�s�- N V/ r- q Architect: ,sT��Z�� �2��c a '9 L4 Address: `4) t)d Phone# Cell# e-mail Engineer: A) _ Address: Phone# Cell# e-mail General Contractor: C�G:Cv 02 eri. Ga 105 1- Address:�7 0 G ''��(S AV a S�, Phone# 2q 3— 271 Cell ')(011 e-mail (I) 6/1/2023 5. Occupancy;(1-Fam.,2-Fam.,Commercial..etc...)Pre-construction:(gZO fil Post-construcdon�pZ_1_06�Gr,� 6. Area of lot: Square feet: 4( . f e)(, Acres: Q 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: A/0 9. Area of proposed building in square feet: Basement: 2°J(l: 3`d fl: IV 10. Total Square Footage of the proposed new construction: k D/J S 1 I. For additions,total square footage added: Basement: 8J 9 111 fl: J!I g 2A fl: 31"fl: IL le 12. Total Square Footage of the proposed renovation to the existing structure: S'.) /�T'1_".)fE„rle)2 13. N.Y. State Construction Classification: 15 N.Y. State Use Classification: 4, ( 14. Number of stories: _ Overall Height: Median Height: l t 15. Basement to be full,or partial: '��Lt;/� ( ram , finished or unfinished: t,VIV 16. What material is the exterior finish: t A.) 17. Roof style;peaked,hip,mansard,shed,etc: 4 f}L 1� Roofing 18. What system of heating: ©✓!z c 47 A-rk 19. 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 f suppression system?(Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...) Yes: No: (if yes, applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets oJ'det 'ed engineered plans) 21. Will the proposed project disturb 400 sq. ft. or more of land,or create 400 sq.ft.or more of impe sous coverage requiring a Stormwater Management Co trol Permit as per§217 of Village Code? Yes: No: Area: 22. Will the proposed proje require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,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: (if yes,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: (if yes, the area of wetland and the wetland buffer cone must be 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 the flood plane must be 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: (if yes, 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 I: TIER IL TIER II1: ((/)yes. a Nome 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: $ / oo-r Note: The estimated cost shall include all site improvements, labor, material,scaffolding,fired equipment,professional fees, including any material and labor which may be donated gratis. If the final cost excee the stimated cost, an additional fee will be requiredprior to issuance oJ'the CIO. 30. Estimated date of completion: f Y (2) 611/2023 ____9 BUILDING DEPARTMENT qP (_�, 7 P Wf�VILLAGE OF RYE OOK f� 938 KING STREET RYE BR o` ,NY 10573 MAR 18 704 Q44 I 0_b68 v� � Ic.ora AFFIDAVIT OF COMPLIANCE `TILLAGE CODE 4216 • 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, 1 -- r C, , residing at, _ (Print n,nncl \ ! Irr.. It,rc putt lip 1fV being duly sworn, deposes and states that (s)he is the applicant above named, and furthe states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; /I/ A✓ , , 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. I Signature of Nrupert\ Olrncr(s)1 Sworn to before me this ' day of Jn6-V'cl — , 20 a (isIUw rI Af,: STEPHANIE RUSS -PASTI,HA Notary Public,State of Nevi York No.01 RU613651:i Qualified in Westchester Coun (6) Commission Expires Nov.7.20 9/1 212 02 1 This form must be properly completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered ail, MAR —1 or Timber Frame Construction. (Title 19 Part 1264& 1265 N CRR i 8 2024 l BkOOK To: The Building Inspector of the Village of Rye Brook. " ,!�T`IENT From: 06 6 Of P_ 64ot�z y 11164_l r /� C.7� Subject PropeM: � 1C` ,� SBL: Z , 7`-L1 f-,Zone: J.3 ?-loci LrNL�Ln� Please take notice that the subject; ❑ One or Two Family; ti Commercial, ❑ New Structure ❑ Addition to an Existing Structure rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction (TT) X_re-Engineered Wood Construction(PW) c Timber Construction (TC) in the following location(s); ❑ Floor Framing, including Girders& Beams(F) Roof Framing(R) /❑ 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 §1265 for One&Two Family Dwellings. Sworn to before me Xh is Sworn to before me is 5� S ay of -� . 20 da r y Signature of Property Owner Si tore of Desig Professional Print Nam of Property ne P nt Name o De ign Profe Tonal Nota Public Notary blic STEPHANIE RUSSO-PASTILHA STEP'HANIE RUSSO-PASPLHA Notary Public,State of New York Notary Pub?gc,State of New York No.0i RU613651 J 17) No.01,tUf313651!_' Qualified in Westchester Count/ Qualified in Westchester County Commission Expires Nov.7,20 Commission'Expires Nov.7,20 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. x�,�xxFxxK*�x���xx,���:x,:x�xxxx�x,�xx*Mxxx**x*���x*Mx��xxx*xxx�**x*�*,�x�xxxxxM�xxx*r�xxx*x*x��:xxM,�*xx�.x*�:*�xxx STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: L-2 P 1 C4Ct? j, 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 4.Gr4 G r for the legal owner and is duly authorized to make and file this application. (indicate chile•, ontractor,agent,attomey.etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of ,�G�� , 20 a day of ���" , 20 C 7 Si atu e of Property Owner ?,at-ureofApplicant 1'rim blame or 1'roperty Owner Print Name of Applicant 1 AV Notary lic Rotary Public STE PHANIE RuSSO-PAST!LHA STEPHANIE r4USS0-PAS7'LHA Notary Public,State of Nevi York Notary PuU.c,State of Nev York No,01 HU613651:� No,O1 HU613651 Qualified in Westchester Coup 2 Qualified in Westchester Count +d ,^.emission Eac Tres Nov.7,20 Commission Expires Nov.7,20,_.G (8) S!1212021 Building Permit Check List&ZoningAnal is _ •Address. ` - SBL• �A Zone: 06- Use: L nst.Type J` Other. Submittal Date: MWL 1 Z Revisions SubmittalDCate n Applicant y y Nature of Work Cs� NO n Reviews:ZBA: PB: n_ ROT: Other. NEED OK -(>P (e •Filing �� BP._ '� _C/O: Flood Plane: Legalization: O ( APP: Dated.--Notarized. Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short Fees: N/A: ( ) ( ) 'SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( SURVEY:Dated: Current Archival•_Sealed Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed; Copies:e-Electronic Other. (vK ( ) License: Workers Comp: ,/ Liabilit): ✓ Comp.Waiver. Other: ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL Plans: Perinit N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL-•Plans: Permit N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Batter):_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. (� ( ) FbW Survey: Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ( ) Other. (,.)'ARB mtg.date: l approval• 4f-17 - Z 4 notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES A PITY 3 2024 Area- Circle: Fron�taea Front: Front Sides: Rear. Main Cov Accs.Cov: Ft H Sb: Sd.H Sb: GFA: Tot.In : Ft.imp PP Heidz/Stories notes: BUILDING DEPARTMENT I_ VILLAGEIE OF RYE BROOK D C. L-A V IF 938 KING STREET RYE BROOD,NY 10573 (914)939-0668 MAR 18 2024 ������.���rt►ok.or� _ _ VILLAGE OF RYE Bp OK 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: 11 A/ GJ ' i�v AlCe LA.) iqv Date of Subm is ion: Parcel ID ti�B —/- ?-L_Zone:Ob Proposed Improvement(Describe in detail): Cn�7s��H C /a�� APPLICANT CHECK LIST: h 1� MUST BE COMPLETED BY THE APPLICANT C�� �� �iX �� U The following items must be submitted to the Building ro Wje 2 < ( o e�- Department by the applicant- no exceptions. G Q �V�GS'(ens L l. (�Completed Application PropertyOwner: lV� 2. Two (2) sets of sealed plans. (one full size ;maximum Address: f6 K ( /J6 5-1— allowable plan size=36"x 42"1 and one I I"x 17") 3. ( )Two (2) copies of the property survey. Phone#��� �3 7 '3 64. ( )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:7,,. y i S��� I`�� Q/2_ 7. ( ) Any supporting documentation. ,/ 8. ( ) HOA approval letter. (i/'applicable) Phone# ���e�T Z��i —-al 1`T' 9. ( ) Photographs. Arch itect/Engineer: �.[ ( 7"�GT 10.( ) Samples of finishes/color chart. (a sample board or Phone# (!Tl ��S model mal�be presented the night of the meeting) cJ- ) =�I�G'Y"" 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 me this l Sworn to before me this day of C,& , 20 j y day oVTL-'k- ,/t�"5� a J'/� e Signature of Propertm Owner S ig of Applicant LR 14- 1<'a pW- t o Print Name of Property Owner Print Name of Appp ca Nota Public Notary Public "ice?HANIE cS0-PAST':'; III PHANIE RI-1- 0-PA'.. Not .,v P!�L',C,State of N ',Y,;ii( r ,_a P+ L,r c+'�n ;t�,,, Clualifl«:d in /estch2ster Coun <l r Cou"T Commission Expires Nov.7,20� i,. ,;�1: ;�r•.c�;-. : . w.7,20_ s)12/2021 • �• y� DR Village of Rye Brook NIL MR LOO O�� yAgenda I'li SE Architectural Review Board Meeting AC AD �eW Wednesday,April 17,2024 at 7:30 PM a Village Hall,938 King Street 1M SF >J 1. ITEMS: 1.1. ARB24-028 (Consent Agenda) Daniel Albano&Felicia Albano 57 Tamarack Road Rooftop solar array. 1.2. ARB24-029 (Consent Agenda) Danielle Freeman 78 Woodland Avenue 6'high wood fence. 1.3. ARB24-030 (Consent Agenda) Alex Szigety&Kaylin Searles 2 Jennifer Lane 5'high welded wire fence and 4'high white vinyl fence and gates. 1.4. ARB24-031 (Consent Agenda) Granit Kurti&Antigona Balidemaj 4 Westview Avenue Rooftop solar array. 1.5. ARB24-032(Consent Agenda) Robert Weisz 22 Elm Hill Drive Replace patio,repair front stairs and foundation. 1.6. ARB24-033 (Consent Agenda) Paul Tyler&Linda Tyler 16 BelleFair Boulevard Install egress window,legalize finished basement. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 4 .. Architectural Review Board April 17,2024 1.7. ARB24-020 556 Westchester Ave LLC C/o Anthony Guastella 556 Westchester Avenue New rear windows. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB24-034 Michael Chiappini&Joanne Chiappini 10 Paddock Road Legalize rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB24-035 Cerebral Palsy of Westchester 260 Lincoln Avenue Exterior handicap ramp. Approvals: Motion_ Second Id Abstention Aye;_� Nay; Adjournment; Notes �1i4n1S /y,42tz h See, iu, 1.10. ARB24-036 Win Ridge Realty LLC 120 South Ridge Street New awning and illuminated sign. "SBG Home&Design" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 Architectural Review Board April 17,2024 1.11. ARB24-037 (Amendment to Prior Approval) Peter Glantz&Lynn Glantz 3 Old Orchard Road Keep railroad tie wall as sitting wall. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB24-038 713 Westchester Ave LLC c/o Avinash Khatri 713 Westchester Avenue Convert garage to living space and interior renovation. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB24-039 Cameron Sager&Jessica Sager 41 Winding Wood Road 2nd story addition over garage,enclose porch and new front entry. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. ARB24-040 Jamie Billington&Kara Billington 6 Bonwit Road 2nd story addition,one story rear addition,new deck,portico,siding and windows. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 , Architectural Review Board April 17,2024 1.15. ARB24-041 Shubin Ma&Wen He 10 Boxwood Place New deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB24-042 Dziugas Reneckis&Cristina Pires 9 Maple Court New deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: May 15,2024 Page 4 of 4 ..� .,fir. r � 1 E -._. �� �,� at 1r t, r,1'r , �� •!� ,r r�i�: i�'1t� r..'��ajf"_�Si. +�.•y+• a 1 .� {t, h J rF�i�r •v ,Jl ;!•r i till�.� �.-jy) y�}'�� J Ilt , ,. !+t h ry { •, aA. ii: ,r.s r * -h yi 7T?. ''y FT ^ '4`• ` �'• '• rir a + 4t ry s I� t I r r,A �j� ti> �,' ' 4 , L !i«r.•. �YY� r. 1i►1� N �.``,r rti r Mlrl y' k�r�J i tbft w ,.� '� Kl �} ,�;AK r f x�� y r;'+ rY'vV. t '.ti • � r �i - l.f� �. .., � ` , Ir. '1 r ? r + r ►'' � � ► f rr ?.SIYj ,�, ',+ !�i 4 , � yp ,J J�'� �: �; 4. 4 i w�.�"\b.} .�� a`�k t !f - ,r! � 'r; J.•ff's/�'1'Y r+��' _.f,)AJ�S r•+y M. �« �•"4+ ��// :a r J`,f :n, t,. ,cy ( .!'�f ,} ,j -� g}, t .0 .J �,��� �v �' 7'" ti fh�''•t `�.,y�r`. ti.r�,�l•; t t, t,F dl• W T�r / M �.4J J�?�S'��'� '-1'j.�,'J.d",YI•� '''x ` .{" �' � hh' rr� ,r* t,�•� r j yF .i• ji-.f 1 •��}r{ r J �`' �r r♦ -F"r. �y� �. 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I. �� �. .lam �.y. �. T'" v'?�+- 1.r � �a.i „�_ �1"�r �• .L�f :r `.. , { v 0 r "y' ,fT�,�, ;,tii, •fir � \ � !rT � inn— tt y� A- r � _ - -I :'.i-- X ..�r�>' ��yy-2,;�•C2e21+��� '�'1.J `5's..v a ��.�+ .•�"_.rrai ,c.� - _. .-- _ —_ i, e t "!mow I R} •+�1 :y,��. •.K'� lam"m;c. /.�' �t L'r elk 17 NA'sigm— 11 worm k9:V NEWS— IW 4 MEW } -- ZF - - = tf, � .:�*%�vt�.Y�iXr.�t K.�7i•-15,..`<ad���..i�. . .1�_.'ic�1..+�1i.::e.�'. � e. �:�� -..i� f � . . �,``:?t`' �K�?�1�: DATE(MMIDDNYYY) AR" CERTIFICATE OF LIABILITY INSURANCE 3i1�2o2a 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: Kristy Ribaudo McCarthyInsurance PHONE FAX 378 Elwood Avenue (A/C.No.Eat) (914)76M417 ,Arc,No) E-MAIL kris illmccarth Insura nce.net ADDRESS. tyiq Y Hawthorne,NY 10532 INSURERIS)AFFORDING COVERAGE NAIC t INSURER MESA Underwriting INSURED INSURER e Crocco Brothers Construction LLC INSURERC 200 Business Park Dr,suite 200 INSURERD Armonk, NY 10504 INSURERE INSURER F COVERAGES CERTIFICATE NUMBER: 00007745.0 REVISION NUMBER: 10 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. INSRR TYPE OF INSURANCE AODI�INSD'SUBII POLICY NUMBER POLICY CY EFF oorryrn M LICY EXP LIMITS A X,COMMERCIAL GENERAL LIABILITY MP0082001005370 11/1712023 11/1712024 EACH OCCURRENCE $ 1,000,000 CLAIMS MADE [XI OCCUR DAMAGF TO NTEO Pit MISES EsEoecurrence) _S 50,000 MF n FX P(Any one Person) S 5,000 PFRSONAL S ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPI IES PER GENERAL AGGREGATE f 2,000,000 x POLICY 1_. FCT I 7 LOC PRODUCTS-COMPIOP_AGG f 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f .IE&it"Wagd) ANY AUTO BODILY INJURY(Psr person) f OWNED SCHEDULED ~ AUTOS ONLY AUTOS BODILY INJURY Per accident) f HIRED NON-OWNEU PROPERTY DAMAGE S AUTOS ONLY -AUTOS ONLY par eccldA3f1 f UMBRELLA LIAR OCCUR EACH OCCURRENCE _ _ $ EXCESS UA9 CLAIMS-MADL AGGREGATE _ $ DED RETENTIONS S WORKERS COMPENSATION PER U I H. AND EMPLOYERS'LIABLITY YIN STATUTE I ER , ANY PROPRIETOPJPARTNFRIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA EL FACIA ACCIDENT f (Mandatory In NH) EL DISEASE-EA EMPLOYEE S I/yes.0ew1be under '-- - ---_ _ CE SCRIPPON OF OPERATIONS below E L DISEASE-POLICY LIMIT S Disability DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IACORD 101.Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is listed as Additional Insured. 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 J Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTHDfrD rcsfNs�f,� KRI m 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by KRI on 03/0112024 at 09:45AM YOR 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 I elephone Number of Insured Crocco Brothers Construction LLC 914-219-5858 200 Business Park or Ste 200 1c.NYS Unemployment Insurance Employer Registration Number of Armonk, NY 10504-1751 Insured N/A Work Location of Insured(Only required it coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 200 Business Park Dr Ste 200,Armonk, NY 10504- 1751 88-4129531 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carver (Entity Being Listed as the Certificate Holder) Village of Rye Brook NorGUARD Insurance Company 938 icing Street 3b.Policy Number of Entity Listed in Box"la" Rye Brook, NY 10573 CRWC422014 3c.Policy effective period 11/24/2023 to 11/24/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partnetsioffcers included) © all excluded or certain partnerslofficers 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 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 agenl of insurance tamer) Approved by: 04/10/2024 (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 ROT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov to 2 v •ti o o o p ' ZCon 00 rq t "I , Q . fn �, h rn >, w � y � � e ao `gym U qa �o o ,o W.o ova�2 O�rC ti ti p o� o� -5 w� z, °.' 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SHEET: CEREBRAL PALSY OF NATHANIEL J. HOLT, P.E. �P��Pf,ENE��0 PROPERTY STUDY 592 ROUTE 22 * �P * of WESTCHESTER {*Y 2 Misc Revisions CIRCULATION IMPROVEMENTS PAWLING, NEWYORK 12564 2s JULY31 2016 (914) 760-1800 FoAR�FES�Original Date: J015 1186 KING STREET RYE BROOK NEWYORK ate: SProject Code:CPW-2 y tj a. e� o o Oqa �.o� �j O p 4e, w 03 y h +„ p) p> 0) N M W W I ts zi 43 S 5 ' b4 C2 ;g- z d o w� c�� a 20� N QL Z) QZ in 0 LLJ I luu! � Ln m� � > C �— Luul Z u- 0 O W Z J a U �oN I CL Q) U c N U N N O CL Z)0 O N 0 � w Q Q a O � W a Q 0 u o � 0 0 � p Its h p N O N NON op^ � V N ,- ,N ,N • lie �•I o.� o� ca v V V V Vj SV