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HomeMy WebLinkAboutBP24-102PERMIT # DATE:sk3 ,Z; 5 a3 , 6 SECTION 36�, a 7 BLOCK LOT TYPE of WORK i' Qe�L u�%iJu� ncP iy4 dkok JOB LOCATIO / OWNER Cl � /J e Zc clvAar "O/ /n/ s ��o) 6�Ol)�6, ilea CONTRACTOR �S 2 S 1I PS/ /q LL� �,��uCL�-7j`s'JCh CTI, 4) 3041� �6cm)4 T. COST / 6 U FE o� r! CO # L FEE DATE.,3/ S� TCO # FEE DATE INSPECTION RECORrD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING I� RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM C� AS BUILT FINAL 3� lo- ZoZS ZBA OTHER 5-BUILT/FINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION 1�1P.Cel V�Oi fUjd04 5 �QyE DR, 4' � w 19 t VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury «-ww.rxebrookny go_v TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE March 12,2025 Zachary Morris&Kathryn Linsky 42 Rock Ridge Drive Rye Brook,New York 10573 Re: 42 Rock Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 135.27-1-25 Building Permit#24-102 issued on 5/23/2024 for a New Fence This certifies that the new four foot high black welded wire fence&four foot high black aluminum fence, installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E.Fews Building&Fire Inspector /to E C IE��� D BUILDING E �ATtTMENT For IT# use onl : rr PERMIT# �V VILLAGE OF RYE BROOK ISSUED: - =OFRYE 938 KING STREET,I2YE BROOK,NEW PORK 10573 DATE: (914)939-0668 FEE: l S U PAID VILLAGE BROOK www.rvebrook.org BUILDING DEPARTMENT APPLICATION OR 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►►ss►►•►r**sassttt+►r+,r*1s►s►rtt*�*sIr`cr+*s►rrr*rr►+►ss►t►+♦****►ttrtr**rr*stt►*r*+rr►s►►►tr,*t/r++sssssr►+*tsssssst►rtsZ**ssssss Address: "IZ �` �� �` e,,UJ� 1 !y y Occupancy/Use: Parcel ID #: Zone: Owner: (Xr� �R IIr ` I Address: LA N a 2t �1�' 6 P.E./R.A. or Contractor: �A /h �c r, kO t C'Sf[,n Address: `7�+� Person in responsible charge: (�'CJ 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: 1, `� A A 1 ' b�-r 3 being duly sworn,deposes and says that he/she resides at Y/t �"� ►�1 (Print Narr�of�icy //'U� v RY (No.and Street) in InV`�( `//�� �(, in the County of W C 1 k in the State ofAA ,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 impro ements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ _lt W J 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 /0 Sworn to before me this /Q day of �� ,-, 20 day of Fe,{,t-J a--T—� 20 2G Signs ure of P operty Owner Signa it bf Applicant k/atNV 1 Print Name o roperty Owner Print Name of Applicant ¢— cy—e-, 2= NdtarTPublic Noiary Public JODY LINSKY Notary Public-State of New York JODY LINSKY No. 4774129 Notary Public-State of New Ydrk_"7_021 Qualified in Nassau County No. 4774129 Commission Expires November 30,2M 2-,p 2 G Qualified in Nassau County Commission Expires November 30,12M;Z,021� �yE BRC�k. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR Q-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 ' 1 -L w 'oL-i DATE: u �� PERMIT# 3L� L+ C) Z ISSUED: SECT: —? 7 7 BLOCK: LOT: LOCATION: G. Y )--P 1 1 Q V✓Lc � 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 N �• rr, o N � m a M ' bi w p, O W : W a & 0-4 s ., 104 APO vy v o 0 °3 u. aS ° rq as eC Q 'a p p W m 7ir` v) (d� u o a C a14 Q1 - 11 w LLlO o vo � V? OD coz 4 1:6 1 0 %) CNN 0 'WA E (>, .. u o � CPLO r �i Z 80 z w v Q, � � r Cjn - c/� rq oCq � w04 N v '" Q °°• o LO 0 v A ^ U o O oZv °' ou B � O �' 2 m 14 A U o "F-I z zo 0,1 0arov � " U U <C p; V U o yr O Z ^ MMa rA� C z O 0 0 a, .o U M � W, � p U p Ng ° po tip ? F+y A O N &n 74 v o � z W � � � 0 � o 50Zz w pVv .. w w -* t �I a a W x � � b o m a BUILDG DEPARTMENT VILJ OF RYE BROOK APR 16 2024 938 KING'1§) ET RYE BRooK,NY 10573 (914 9-066$' VILLAGE OF RYE BROOK wwwx%ioi,org, BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: MAY .2 # \ ; Application It —0q5 kpptoval Signature: ARCHITECTURAL REVIEW BOARD' Disapproved: : Date: 5 2 DOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary ZBA Approval Date: Case# Other: Application Fee 0Q— 6 Permit Fees.-4 FlE�7NCE / WALL / GATE PERMIT APPLICATION Application dated: j1(f GV Z is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,con ruction,repair or replacement of Fence,Walt or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must confonn to the State Code. at 1. Job Address: `T 2_ rocK e�l Ct .e, D r. e e--7 You _ Q A '0t 57 3 (V! 2. Occupancy/Use: R016 (- � S.B.L.#: �3� � /i --�//—c�� Zone: `l 3. Proposed Fence/Wall/Gate(describe in detail): q�gtrcl Ck k3ffi\YA�l V W c.sz., l n h� M,) J k�e;j.,..W ij,.-!�r_"-­ dolt_ Gam C ) urn, 4. Property Owner: KQ+6An (,l f?sKA Address: -_qZ Iq_'DCIL 4+1Ctt'1k I(, Q jl0l� tvl ©�J �j Phone# 51(0 5c)q (0 31 L;Cell#_; ,5o9 (D31(I email: eOfi,t L !kY gtrn Cl,l.ern Applicant: kakhiL1 A - Address: Ll 2 Phone# �� �1 (o s0�/ (c�/ (P Cell# cJ( (�, ,50 5(p3 1 (o email: 1(0' j L 1 hJ l�- ep GINI Q r I �l Architect/Engineer: O) CC I h StiQI l -k- LL G Address: 7 N I e DU� Q W v Q j I c� ��ae��.t t4 �-Ocjjj - Phone# ffy.. 30y 9622 Cell# 2q� 302q ff(. Z L email: 6VUCC @ h401 fevic Z 'O+ry1 Contractor: ffi(JC" kIALg . �(J Kkaffi 4- Df 3 1,14 L L (, Address& Phone: N 'r Kook q W k(C1�(2 L _L0#0 NY (_0 Q Y 9 2L f s- &Qq Z 5. If building is located on a comer lot,which street does it front on: I� R 6. What is the estimated cost of construction # qt Eo©c (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: (o I 12 t4 I fi1112023 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESITER ) as: 10*!wl Los)<w ,being duty sworn,deposes and states that he/she is the applicant above named, (print nank of individual sqwlling 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 make and file this application. (indicate architaa,contractor,agent,attorney,etc.l 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 ter.Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and�regulations. Sworn to before me thij Sworn to before me this day of 1. 20 day of 4, 20 ature of roperty Owner Sign< tre of Applica Print Vatnc f Prt Own Print Name of plical 1 t- Notary Public Notary Publi OHAMMAD RASHID RIAZ Notary Public-State of New York HAMMAD RASHID RIAZ No.01 R16320662 Notary Public-State of New York Qualified in Queens County G / No-01 R16320662 My Comm.E-xpi :s Mar.9,20 R Qualified In Queens County/J My Comm.Ex pi :s Mar.9,20 &1l2023 Buildigg Permit Check List&Zoning Anal sis Address: 4� � •� SBL �- _�_-1 — � - Zone:U e:1 c t Const.Type Other. `b Submittal Date: �� _ —" Revisions Submittal Dates: 4 Applicant: L Nature of Work n S �- �C�i ��o.C�L �2. cb Reviews:ZBA: APR 2 5 20Z9od__.- _,�_S_BL-_ BOT: Other. OK T ( KFEES:Filing. C/O: Flood Plane: Legalization: (,YAPP: Dated: 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 Plan: Other. ( ) ( ) SURVEY:Dated Current: Archival• Sealed: Unacceptable: ( ) ( ) LANS:Date, Tamped: Sealed:- Copil Electronic Other. ( ( ease Workers Comp: Liability Comp.Waiver. Other: ( (J�CaODE 753#: O � `�— Doc --<Q��—C:C� Dated N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other: ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit; H.W.I.C.:_Battery_Other. ( ) ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) 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 GARB mtg.date: /!- Z Y approval:- '� /j LSD notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg_date: approval- notes: REQUIRED EXLSITNG PROPOSED NOTES Area: Circle Fronta¢e: Front: Front: Sides: Rear. Main Cot. Accs.Cot. Ft.H Sb: Sd.H Sb: GFA: Tot imp- Ft.Im : Pg&nW. Height/Stories: notes: R [EC� ►PDVf � BUILDING DEPARTMENTID VILLAGE OF RYE BROOK APR 16 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK wwwxr ebrook.org BUILDING DEPARTMENT ***srtsrtrtrtrts*******srtrtrtrtrtrtrtss**rt**rt*****rtsrtrtss****rt*rtrtrtrtrtrtss**s**s****rtrtrtsssss****rtrtrtrtrtrtsrt*s*rt*rtrtrtssrtrtsrtrtss* 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: 2 2 cU' R teyc or'i V G Date of Submission: Parcel ID#: 3 5 ,2� ' " Z 5 Zone: —/G fp Proposed Improvement(Describe in detail): actga APPLICANT CHECK LIST: '�r� I ,mac Weld MUST BE COMPLETED BY THE APPLICANT (q�bllk �� T 6 The following items must be submitted to the Building tY� ( SJg T e, I� �QUIc . Depamn-nt by the applicant-no exceptions. Property Owner: (,I '1Y Y1 L1t1s 1. (Zmpleted Application ,p 2. ( )Two(2) sets of sealed plans. (one full size (maximum Address: yZ 2We- L•t6 Q K 011. ��f• pYCY�C N 1 10�7 allowable plan sire=36"x 42"1 and one 1 I"x I7") 3. ( wo(2)copies of the property survey. Phone# SV4 50Y (O31(v 4. (,rrwo(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (,-J'6ne electronic/disc copy of the complete KGB (.I�Sk� a placation materials. 6. ( Filing Fee. Address: y Z KOOK fe;d. Lx 7. ( -JA ny supporting documentation. 8. ( )IIOA approval letter. (ifapplirahle) Phone 4 51 b 'SOgf (0 9. ( 'Photographs. Architect/Engineer: eAl Ce 1-hrs l 10.( ) Samples of finishes/color chart. (a sample board or model may he presented the night of the meeting) Phone u yS )q ff(o 2 Z 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- Z— Sworn to before me this day of -. 20 day of ' 20 Signalurc of Propc Owner .ig u -of Appl' ant A0441 In L 1,1 C 1Cq-►�1 ►� 1 �( Print Name of Property Own Print Name of pplican Notary Public Notary Public MpHAMMAD RASHID RIAZ HAfMMAD RASHID RIAZ Lotary Notary Public-State of New York N Public-State of New York No.01 R16320662 No.O1 R16320662 Qualified In Queens Co unty2 "ua1IQ 1n Queens County/ M Comm.Ex l es Mar.9,20 til Comm.Ex I•es Mar.9,20 �12,2021 y Village of Rye Brook ML MR ooe A e�nda FB SE ✓ Architectural Review Board Meeting AC AD W Wednesday, May 15, 2024 at 7:30 PM Village Hall, 938 King Street Jul SF 1. ITEMS: 1.1. ARB24-043 (Consent Agenda) Jordan Webber,Keith Webber,Nancy Webber&Nicole Webber 21 Westview Avenue Rooftop solar array. 1.2. ARB24-044(Consent Agenda) 786 King Street Sanford Pallotta&Kimberly Pallotta 4'high white PVC picket fence. 1.3. ARB24-045 (Consent Agenda) Zachary Morris&Kathryn Linsky 42 Rock Ridge Drive 4'high black aluminum fence&4'high black welded wire fence. 1.4. ARB24-046 (Consent Agenda) Andrew Levinson&Stephanie Lerman 14 Elm Hill Drive 3.5'high white vinyl picket fence. 1.5. ARB24-047 (Consent Agenda) Paul Snisky&Kelly Snisky 41 Meadowlark Road 6'high driftwood style vinyl fence. 1.6. ARB24-048 (Consent Agenda) Dustin Harris&Rachel Boyman 71 Winding Wood Road 6'high white vinyl fence. 1.7. ARB24-049 (Consent Agenda) Fernando Rosales&Leslie Rosales 68 Tamarack Road 6'high white vinyl fence. 1.8. ARB24-050 (Consent Agenda) Matan Dvir&Ilana Dvir 1 Dorchester Drive 6'high white vinyl fence. Page 1 of 4 Architectural Review Board May 15,2024 1.9. ARB24-051 (Consent Agenda) Jeffrey Coombs&Kathryn Rightmyer Coombs 10 Carlton Lane Rear bluestone patio 1.10. ARB24-052(Consent Agenda) Andrew Gitkind&Amanda Gitkind 6 Birch Lane Rear Patio and front walkway. 1.11. ARB24-053 (Consent Agenda) Kamlesh Kothari&Charul Kothari 6 Heritage Court Rooftop solar array. 1.12. ARB24-054(Consent Agenda) RMSC Properties LLC 74 Woodland Avenue Above-ground inflatable swimming pool,4'high white vinyl fence&4'high chain link gate. Consent Agenda QQ Approvals: Motion_ Second NA?- Abstention Aye; / Nay; Adjournment; Notes 1.13. ARB24-020 556 Westchester Ave LLC c/o Anthony Guastella 556 Westchester Avenue New rear windows. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. ARB24-055 Douglas Conrad&Judith Fried Conrad 42 Talcott Road Demolish one story bump out,construct new screen porch,renovate existing deck and remove skylights. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 Architectural Review Board May 15,2024 1.15. ARB24-056 7 Bishop LLC 7 Bishop Drive South Single family dwelling. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB24-057 Henry Parkin&Lauren Geller 3 Old Oak Road Window and door elevation changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.17. ARB24-058 Maria Sotire 9 Jean Lane 2nd floor addition over existing den/garage and a new rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.18. ARB24-059 John Capistrano&Maricar Capistrano 300 South Ridge Street Replace decking and railings. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 • Architectural Review Board May 15,2024 1.19. ARB24-060 Jonathan Steiner&Viktorya Steiner 15 Loch Lane Legalize flagstone garden area,walkway and planter boxes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.20. ARB24-061 William Delynn&Donna Delynn 6 Carlton Lane Replace decking and railings. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: June 18,2024 Page 4of4 4/8/24,9:51 AM image2.jpeg Hirsch Fence Install & Design 747 Route 9W r Valley Cottage, NY 10989 Cus+onw.ION Ntene r.,t N.na C1 !It t Savtra AAaraea Y coy `, ..� cif"� •• � (-- � 5"'" cq c�alern«•.oaysne nt.ra No cunt.a.r•a r.,«ap Pnon.N. c�.m�,.l.r.nao AdA�aea ►ea.at Qnaa Stre.t PERMTlINSPECTION INroRMATt N UNO re+•rs.s. mrr.f o.Ln a wler.a ateeetml ro nblart �,j-�5c!ectlon APPp0ItM1ATE LAYOUT S (� 'Ilk L 1: 1141 Ct1111AN"IN11.rof�(�M�':v nIWIMr,WtT/aAKC g1rflo rLAIuuYU(T.I71K r•Ife W11 M MfJ.T.n W N U ACTUAL rT K f rW.tAnL own As s{!r(AinTN 4,f i?Ya.A^,Cow"yes. 1 ADDITIONAL COST OPTIONS AM 1,41-IC-Cs IN T"s COLuwN To rHr SFLLc,DN 'AKE OOV.N AND tIALI S �, AWAY OLD rL NCE PERHT COST $ � � I t SLR TO'A: 5 SATES TAX S r'WL AMOUNT DUE •s.0-CO = St /.•N -Ills _ Stock Product t , MECult~awn...lM ro an ad Ltmg tabor ara m.tr*Ll <cs'a.,FF:F Special Order Product b On bna bap insWRId an a"hbm prav" De Approve)Clntvr _ - ��q �/) I /�� (/� ENCF INSTALLAnON RELATED TO GRADE:PLEASE INITIAL ONE (X Jq�`I 1 �'I�LI/ OW �I :Y ODU •.•.Cro a WTM,SMW.S70MOL WWOLl MCVEN Gk4m WTM nwe •rlllada n.�nara worYn Ir/� AiG1lA IOTi11M6Ya) rouoWNcnowa o.cwo .awvre.a.wa.lo..•. Apea VAL BE wv[N U lop mrea ealLLtre.,.l�ye vse• Ra u.Tar.•era.rw Product ,r ,IJ; fhodd �� %T+il,l:It Product Style He,3nt i,,-, i v Helght Style. He-gM. Footage: It Gates Footage' If Gales Footage. If Galen pAel I T 1" Cclor./:-,�•s/, Post Cap. color. -,r J Pust Cap Color Rat!Type. Fost Cap Rai Type Post Cap Rap Type Post Cap Ill Type. $ Picket Type: S PIdcN Type S https://mail.google.com/mail/u/O/#inbox/FMfcgzGxRxKLvTxBHgZlbpvrwllCZgKh?projector=l 1/1 jr t ra ..,. ., IKAW Noah,.Ju- lam Wsk Worm- , fit+" AWL_. +I1.� 4 .: -OW - Ell 'Y t WA //1 ra� MM.. is MW .r ' r A a Ir It Y ' A �r fill , L/L L=jopafojdt4)i6ZoIWJ^d41ZbH8xhlNX2jXgz6o1W=i/Xo9u!#/O/nA!ew/woo•ei6006•iiew//:sdla4 l���� >4.,..1��(� .. : ,..iT. t"I�i, '_1 i' 7. ,�, to r �•r 4_e_ - .:ti. . s s,a 40 :4 Ev U C 0 J — �. i �•-_`_,� 1. v Ut rn �. .. U) o ui nt pt0 ad CD CJ J W `v o at L W � r Y fGd e�4 s' .r1 wLL _ moo Cr Cr U) v $ c r J � ' ` r. ' NCO VIC yk '. r, A4m E `e ram,'g Qj Y i OF I yxrySPY ar� ����4 i�i+ '.lit1, . •11' .t�i�} ti �1k 6edf•096ewi M L9:6'hl/s/4 4/8/24,9:51 AM imageO.jpeg /•C DATE IMMOD YY YYI O C CERTIFICATE OF LIABILITY INSURANCE 4/2/2024 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 CONTNAME Courtney Courtney Potter__ McCarthy Insurance PHONE .—. (914)769-0417 FAX " 378 Elwood Avenue AIL /Lt)_pRE56 COMrtnM@mcearthyinsurence.net Hawthorne. NY 10532 INSURERIS)AFFORDING COVERAGE NAIL INSURER A: Preferred Mut of Insurance Company 15Q24 INSURED INSURER Hirsch Fence Install&Design LLC INSURER _ 747 Rt 9w Cottage#4 INSURER Valley Cottage,NY 10989 INSURER E: COVERAGES CERTIFICATE NUMBER: 00002210.0 REVISION NUMBER: 8 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR'_-_ �ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER rMM(pplyyyYl IEWTOIYWYI umn A X COMMERCIAL GENERAL LIABUrY Y BOP0100721375 11/12/2023 11/12/2024 EACH OCCURRENCE S__ 1,0007000 • CLNMS4AADE OCCUR �PREMffiE316 aoCII11M1[e1 +f NED EXP(A^-y.am pemni S 10.000 j_PERSONAL 4 ADV ItIJIM f 1 000,000 GERL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE { 2 0,_OQ000 � ❑LOC PRODUCTS-COAPIDP AM s 2.000.000 POLICY El . OTHER AUTOMOBILE LIABILITY I 51 S AN!AVTC ! BODILY INJURY IPW PW=n) S I I�OWNED SCHEDULED � BODILY INJURY(Pw ao d") S It AUrOS ONLY _,AUTOS HIRED NON-OWNED I PROPERTY DAMAGE f AUTOS ONLY _AUTOS ONLY ,tpr xc--Q S UNDRELLA LIAM OCCUR EACH OCCURRENCE f EXCESS LW CLAIMS-MADE AGGREGATE i DED RETENTION SS WORKERS COMPENSATION PER STATUTE AND EMPLOYERS'LIABILITY YIN - ,ER —_-__----- ANY VROPRIETORPAHTNER.EXECU T IVE E L.EACH ACCIDENT ? OFFICER.MEMBEREXCLUDEDI NIA ItllafwMnry in NN) E.L DISEASE-EA EMPLO E E S If yss(111-be under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS LOCATIONS,VEHICLES ACORD 101 Adddlonal Renerks Uhedube,mey be attached d mpe .quued) Address :-42 Rock Ridge Dr.,Rye Brook,NY 10573 Certificate holder 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 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS Rye Brook NY10573 AU I fK1RILED gIyR66E N T Ai 1VE CPO 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Panted by CPO u-1 04 02'2024 dl dt W)PAI https:Hmail.google.com/mail/u/O/#inbox/FMfcgzGxRxKLvTxBHgZlbpvrvOICZgKh?projector=l 1/1 4/8/24,9:51 AM imagel.jpeg rYNOAK EW Workers' Certificate of Attestation of Exemption STATE Compensation from New York State Workers' Compensation and/or Board Disability and Paid Family Leave Benefits Insurance Coverage **This form cannot be used to waive the►rorkers'conrpensation rights or obligations r►f an►•par(s:** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit Hirsch Feace Install di Design LLC 747 Rams 9w#4 From:%'Wage of Rye Brook Valk)Cartage.NV 109119-2412 PHONE:244-304-11622 FEIN:xXXXx0091 The location of where work N ill he performed is 42 Rock Ridge Dr.Rye Brook.N1'10573. Estimated dates necessary to complete work associated with the building permit are from April 2,2024 to March 30.2025. The e.rtmaled dollar wnount of project is $0-SI0,000 Workers'Compensation Exemption Statement: the aboNc named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a LLC.LLP.PLLP or a RLLP:OR is a partnership under the laws of New York State and is not a corporation. Other than the partners or members.there arc no employees,day labor, leased employees,borrowed employees,part-time employees.unpaid volunteers(including family members)or subcontractors. Partners/Members: Bruce Hirsch Disabilith and Paid Fatl►ih Leak Benefits Exemption Statement: The above named business is certitying that it a NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual: OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation, OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors arc not considered to be employees under the Disability and Paid Family Leave Benefits Law.) 1.Bruce Htrxh.am the Member with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true.that I have not made any[materially false statement and I make this Certificate of Attestation of Exemption under the penalties of perjury. 1 further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other Ncw York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also herebv affirm that if circumstances change so that workers*compensation insurance and or disability and paid family leave benefits coverage is required.the ve-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance andd or disabilit an at family Icavc benefits coverage and also immediately furnish prof of that coverage on forms approved by the Chair of the Workers'C'ompe B to the government entity listed above. HERE Signature: Date: -� �d-� v Exemption Certificate Number Received 2024-024138 April 2. 2024 NYS Workers'Compensation Board CE-200 012018 https://mail.google.com/mail/u/0/#inbox/FMfcgzGxRxKLvTxBHgZlbpvWlCZgKh?projector=l 1,1 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, May 28, 2024 9:55 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 05/28/2024 09:54 To: VIL RYE BROOK PRIMARY Transmitted: 05/28/2024 09:54 00002 Ticket: 05284-000-872-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 42 To: Name: ROCK RIDGE DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: WILL MARK BOTH SIDES AND BACK NearSt: BOBBIE LN Means of Excavation: POST HOLE DIGGER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: FENCE INSTALL Estimated Work Complete Date: 06/14/2024 Depth of excavation: 24 INCHES Site dimensions: Length 300 FEET Width 10 INCHES Start Date and Time: 05/31/2024 07:00 Must Start By: 06/14/2024 ------------------------------------------------------------------------------ Contact Name: BRUCE HIRSCH Company: HIRSCH FENCE INSTALL & DESIGN Addrl: 747 RT 9W Addr2: City: VALLEY COTTAGE State: NY Zip: 10989 Phone: 845-304-8622 Fax: Email: bruce@hirschfence.com Field Contact: BRUCE HIRSCH Alt Phone: 845-304-8622 Email: bruce@hirschfence.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CON-ED SUEZ WTR WESTCHESTER VIL RYE BROOK = WESTCHESTER CTY SWR i U � J L-t .ftm t.ro.r NDKDII ARC SYMBOL L-EGEND MOM-N na WP Na IM35 O�.rac P r rluZ APR 16 2024 a So v•."' >e � u./u n 0 Y+.rr ®� d trm 9[rAOIeS ■MR.W • VR1AM cif, MAN P= i T,w wTr �0 AAC a••rr D Uw= c.wt u.Aun VW"ME WAXW D—w" F nm VIGE OF RYE BROOK UMFw IO WU OM yr.�A=4" B LDING DEPARTMENT .0 W) � t"w W rba ■1A Imo Pa Ix Nt tie cc w n=cumQJ Nc usr ® am w CAL GOWALT 4-U[ ASM on a ue aaW.Mn a"I AS UILTIFINAL SIJR< :.-'k- R1 UIRED PRIOR TO NAL INSPECT!ON FILE (0 PY YAP or svBOIV]sTON YAP or swrioN Y. ATEADOVIARK rY for 33 rAX f-r 80 NB3'J6'00"a N80100*wz 57.46' r c ..•sn Vi ge of Rya BroO',< _._._ _ �,�»..... _ - 04 Archi ctural Review "ard Approval Dat `J wci r ur Chairman: " 1�i. r"7O!w I 1 4I Mi � I O r!I tot'sf u�llf� \\• ` `� \ ' PAr for 1g rAr for A j `. E I k - W 0 . *�06 \ -- —1 Mom. i. w R 400.00' 94.05 --S —�r--- ' a filO.�t y —,0595' �fo v w ROCK RIDGE DRIVE E U 'Ap' 8y—'/0 Ow AIDS) _ BLS o37 — —�J GRAPHIC SCALE AT fjo D 2024 ( DI nar L Inch - 3DR INSPECTOR,Village of 60k, N`! GUARANMeDTO: LAT AREA TITa NO.: KM-26755-w 13,7=12 S.F. KAIIRTN RISKY AND ZACURY MOMS 0.32 Ac. K.T.O.ABSTRACT CORP. FVZST A EACAN IRE 619RANf£COMPANY SCALICE SURVEY OF PROPERTY OF NE{y 42 Road OWL WXX h~i� 3• LOT 38 F land surveying RICH"MANOR PROP* * mjslandsurvey.com P:631-957-2400 s CTION 2 ��F4S�tiL � � 1 South Bay Avenue. lip, NY 11751 f1�DATE o0/otS/TUs�uAP NO, 10135 s�� TAX MAP NO. 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