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HomeMy WebLinkAboutBP24-095PERMIT # "/ d "% 'L�/ 7J SECTION -3 47 TYPE OF WORK JOB LOCATION >>-97-609-y O ClDD3),Tcb-oYa 70 EST. COST / U / CJ F`�EE, V/CO # f FEE,& /JO�Y TCO # FEE IN ECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS ED SPRINKLER ELECTRIC 0 LOW -VOLT O ALARM AS BUILT LJ! -LLS A$S FINAL OTHER A OVALS ARB a 5 a� BOT PB ZBA _ OTHER t G DR L4'u4 yv`�Ji•r ` VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.Eyebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 1,2024 Sanford Pallotta&Kimberly Pallotta 786 King Street Rye Brook,New York 10573 Re: 786 King Street, Rye Brook,New York 10573 Parcel ID#: 136.21-1-11 Building Permit#24-095 issued on 5/21/2024 for a New Fence This certifies that the new four foot high white PVC picket fence,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to ��33R� F t BUILDINIG llETMENT or ofl ce use on JUN 10 2024 VILLAGE OF RYE BROOK ISSUED:PERMIT# — og� LL.._,_ '938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: o— VILLAGE OF RYE BROOK (04)939-0668 FEE:_&/!5j') PAID) BUILDING PFPARTk11FNT www,ryebrook.or>_ 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 itiiftiiiiifi;;######i#####itt#t####tt#iittti ni###tiiift##;f;;##}#ti;;t#i#i#if##ii#ti#itit#######i#f#f#####i####;#iiififfi;fi Address: '%g 0 K l N� �M f" WE ago 0 fL , "'I to S -7 -j Occupancy/Use: I'FS Parcel ID#: L 7T 1 I , R,LGLIc- ( � SECrI oN 1 310'hof e: ,Q/S -'4� Owner: ,sA %N f /L/.*'Y► /3x L 1 6 ;-1 Address: `7 841 e//V B W /() P.E./R.A. or Contractor: 1 eki Lc 05 cq (Pew S Address: 0 / ri Svc #,r [. Person in responsible charge: Co 6- J A',-)o Address: ,SA{yid i9x 4 rs'/ r-r O(Dy 7 r 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: � 14144 p4l-G 0?1-M being duly sworn,deposes and says that he/she resides at 7 /8 V r/N�, 0- (Print Name of Applicant) (No.and Street) in r 6A O O le—, ,in the County of /,V s r H-FST�� in the State of ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 1 D 1 / '7 0 • O O 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 't-L' Sworn to before me this d y of (J Vim( , 20-4 day of , 20 I 11A, o wn Signature of Applicant P e of Property Owrtr Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 S I-'2"-1 Qualified in Westchester County Commission Expires January 29,202:�7 �yE BRC�k. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 81ASSISTANT 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 :� (p I N (D7 _ DATE: PERMIT# ? ' V ISSUED: SECT: _ BLOCK: LOT:�� LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS F-e -J co ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER z z a a Ln • -tr N ■ �i N N pS � � -y <n a a e1 N N N cr a rT cn c~c p N 0 O A O v u ZU i: W cn yC cn - Rr 0—.4 m a� A N F © 4 Ts ao _ w , 9 y M -c 4 y _ Fi 0 OW Gd O c p o W o p ` � O c O� z w3 a - w z W �1A T-4 O P �.T, w -oa � _ � H c O � zC � Cd � L ,.� � o 06 0.'5 Z 00 m Wp � � = w �" � V o � a FBI Gti W W c7 cn b a �r c a ) W � � I--+ ©U ,�/ cn �-' W �l I--� Z 1--1 rp G1 �T1 C� r.a �Q V1 �� ✓" p 0 O k �- w Q) = map O O ZO V w0 o 0 .5 .5 a rn °~ a� o W W ►•+ O y" !� o" o a •• A a W � a � f� � u v -r : BUILDING DEPARTMENT VIL E OF R ROOK APR 16 2024 938 KJNv EET RYE B ,NY 10573 1�_ 914)939 VILLAGE OF RYE. BROOK www.ryebrook orE BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: MAY 2 � z4 Permit# � Application# .�'-I " 04q Approval Signature: Q ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: - //t� Application Fee:-%/C -/-•,6 Permit Fees: FENCE / WALL / GATE PERMIT APPLICATION Application dated: 4- 1(40 - 2 q is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall 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 conform to the State Code. 1. ,lob Address: 7,?!o V in S e 9,0V k , N 2. Occupancy/Use: L S.B.L.#: Zone: -fs c) 3. Propose Fence Wall/date(describe in detail): -nil,' #e.,f 4. Property Owner: Sol f- K/IV1 P/I L Le Address: -7 0(/ Sf- C grv. (! N y !C'513 Phone 2- Cell# qt- 'SG/`J' (OOk- (() email: VKP/+ tug., Applicant: _5%me -4 f GLLi/L`-� Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: mo" —S' CdA ,�L �a'!'l�in o r4115 Address&Phone: 3/3' C&?k--Q oc L Cr e C rt Sv rT � CT E° 7 5. If building is located on a cornpot,wifich street does it front on: 6. What is the estimated cost of construction 11,0 , / -1 CJ . n (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.) �� L / / 7. Estimated date of completion: � r ✓ 1-e � �rl`I-f� Ged/1? 7 +�]`'/L h 4e. �'OM 4- /Z G� 14 a All WXP-_�4 ` � 61112023 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 WESTCHESTER ) as: V I►YI&I"L'C—LI i'24Z. L v TT/4 ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual ligning 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 architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this b Sworn to before me this day of (� , 20 a-A day of M , 20 S of Properi er ig f Applicant Wl (,a- E� t Name of Property ter Pri a of Appl' t 1Z ��no L �L Notary Public No i"-�MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,state of New York No.01ME6160063 No.OIME6160063 Q:alified In Westchester County Qualified In Westchester County Crr mission Expires January 29,20 Z� Commission Expires January 29,20_1�� 2 611/2023 PICKET FENCE PVC Victorian Picket Fence V700 V701 V707 Straight Top Framed Scalloped Top *1 112" X 1 112" Pickets* A A A Contemporary Picket Fence _ IIIIIIIIIII11111 I111111111111111 ' - V350 V401 V351 V352 Straight Top With Straight Top With C;osed Picket Scalloped Top With Dog Ear Cap Pointed Cap Dog Ear Cap *718" X 3" Pickets' IT oil i Fence at top of driveway, right of house Fence, left of house, facing King St TT Fence, left of house, facing neighbors 1 driveway Laura Petersen From: Kimberly Pallotta <kkpallotta@yahoo.com> Sent: Friday, April 12, 2024 3:16 PM To: Laura Petersen Subject: 786 King St -fence permit question Hi Laura- I stopped in earlier today for a fence permit and I wanted to thank you for all of your help(esp for the survey copy!). In starting the paperwork, I wanted to ask if there was any possible chance, if I brought in everything needed to submit on Monday morning, could I possibly make the board meeting for April? Below is the worst part of the fence that keeps falling over with any gust at this point(I am using posts,the soccer net and the trash cans to prop it up). It's such an eyesore and the thought of doing this until the end of May is pretty torturous. I thought I would ask and see if there is any flexibility on this situation. Many thanks again, Kim Pallotta 1 r illlilll� iLi� Alfredo DiVitto From: Kaylee Buono <kaylee@fencebuildersusa.com> Sent: Thursday, April 11, 2024 1:00 PM To: Alfredo DiVitto Subject: Re: 786 king street fence Good Afternoon, No problem, will do. KAYLEE BUONO I l l l l t l l l l OFFICE MANAGER i 203-997-6978 KAYLEEpFENCEBUII.DERSUSA.COM FENCEBUILDERSUSA.COM From:Alfredo DiVitto<adivitto@ryebrook.org> Sent:Thursday,April 11, 2024 11:57 AM To: Kaylee Buono<kaylee@fencebuildersusa.com> Subject:786 king street fence Good morning, Ms. Buono we have received the dig request from UDig NY FOR 786 King Street so I did a site visit and noticed the fence has not been replaced yet. please make a note we will require a fence permit for the 200 feet of fence to be installed.Any questions feel free to contact the Building Department. Thank you, Alfredo (Freddy) DiVitto Assistant Building Inspector Village of Rye Brook 938 King St. Rye Brook,N.Y. 10573 Office:914-939-0668 1 t 1 rTMTTTTMTIIIMT Photo March 2017 Photo 1 of 12 Photo for 136.21-1-11 in Village of Rye Brook Street Offset 2009 Photo 3 of 12 Photo for 136.21-1-11 in Village of Rye Brook =,-\ rmit Check List&Zonin Anal is 7 Address: SBL: Zone:�' 1 _Use: JD Const.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant: PG ` C�, Nature of Work V �t�� �-Q C6 Reviews:ZBA: '� �' PB: BOT:: Other. jQ,-0K �C \� \ `/ (� FEES:Filing: BP: ��..,T Flood Plane: Legalization: ( ) (,J� P: Dated Notarized: SBL• .D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Wager 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 Seale Copies: Electronic Other. ( cense: ✓ Workers Comp: Liability: Co .Waiver. Other. (1 (v) CODE 753#: ��'��3 L/— OCC) ,b;3.�—CC Dated: —J 3-- 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: Pemmin N/A: Other. ( ) ( ) H.V-kC-- 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-Buih Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETITR: Other. ( ARB mtg.date: S approvaL• notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: jokPPROVED REQUIRED EXISTING PROPOSED NOTES Date. MAY 2 1 2024 Area: Circle: Froze Front: Front: Sides: Rear. Main Cov. Accs.Cov: Ft H Sb: Sd.H Sb: GFA. Tot imp: Ft Im : Parka' . Height/Stories notes: w � w t BUILDING DEPARTMENT DID VILLAGE OF RYE BROOK APR 16 2024 938 KING STREET RYE BROOK,NY 10573 _ (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT 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: -7S(c /L/n -rT, Date of Submission: Parcel ID#: Zone: 4 - J(D -�2 Proposed Improvement(Describe in detail): �S e P Lot '( t°>< f h'/L!!!7 r�r✓� ��� APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT �1v1�e O��P (.-1'nd fby�M G�Gts�-ter P The following items must be submitted to the Building w j n ew ( 7!,e ¢- sylvr fe Department by the applicant-no exceptions. Property Owner: YeY,7'1 1- lZi✓h �,1 // t� I. (�)Completed Application . 2. ( )Two(2)sets of sealed plans. (one full size(maximum Address: 7,06 /Girt ff e grvo /C allowable plan size=36"x 42")and one I 1"x17") x 3. ( Two(2)copies of the property survey. Phone# / 7 U d !' �iM� 4. ( )Two(2)copies of the proposed site plan Applicant appearing before the Board: 5. (jone electronic/disc copy of the complete SR tYl t /Z 1,411 rill //1 f�1 application materials. 6. ( ) fling Fee. i Address: ?,P(P ��� �f -e 6",,IC 7. (X ny supporting documentation. Phone# 9/ �'3 1 7° ��yh � 8. ( )HOA approval letter. (ijapplicable) 9. (NA Photographs. 0 Arch itect/Engineer: 10.( )Samples of finishes/color chart (a sample board or Phone# model may be presented the night of the meeting) 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. 1 Sworn to before me this Sworn to before me this \ b day of ��p��� , 20a� day of '�tp�� , 20 i f Property O e pp scant c e TT Iname of Property Owne Pr ame o Applicant Notary Public Notary ublic SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County Qualified commission ion Expires January 29,estchester County Commission Expires January 29,20 L� R/I 2/2021 c y Village of Rye Brook ML MR 64 OttAgenda FB SE Architectural Review Board Meeting AC ./ AD W Wednesday,May 15,2024 at 7:30 PM Village Hall,938 King Street JM 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 Approvals: Motion r13 Second Mr- 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 n 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 4 of 4 ,�„ r �.�;•�, .. o� `._ � �� '�`� ter, � � �4�'� �;�� Jt '��>�H��#fly� (�rry 1 i4►'/ii� - (•��� �#(11' •(�;�,. ;<(r:�1►1�,-", �� h�I..s�..a:�=��':h:.�'=".i�...a:7?`: �i ei'�Es_..r:'r-._�:h:��'a� - ..�.�..�/1.( s_�f''..�.�.�iiY. t t O iy 1 E T vr` N C) o L •� Mg. n. v ;cr C� V1 v o <(<ots) O = � � . ti a V J ° 3 [z' 1 cCK v > 3 1 (i w v G LUJ m 3 :c �G `4m ,mac. )►; u' Z X a des g w U ° = O L o � y {{ > x �� C14 ._ OD tn 40 ACC> CERTIFICATE OF LIABILITY INSURANCE °AT> `MMI°°IrYYY' `/ 05/13/2024 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 CONTACT Alexis Gerzabek NAME: Abbate Insurance Associates,Inc. PHONE (203)777-7229 203 865-7593 NC No No: ( ) 671 State Street F aerzabek@abbateins.com INSURER(S)AFFORDING COVERAGE NAIL New Haven CT 06511 INSURER A: Hartford Underwriters Ins Co 30104 INSURED INSURER B Fence Builders USA LLC INSURER c 90 State Street Suite 700 INSURER o Office 40 INSURER E: Albany NY 12207 INSURER F: COVERAGES CERTIFICATE NUMBER: 24-25 Cert Liab REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR EF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER M/Dp LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 1,000,000 CLAIMS-MADE OCCUR PREMISES Eaacamence f 1,000,000 MED EXP(Any ore person) S 10,000 A 31SBAAXOXLW O 152 224 05/152025 PERSONAL SADVINJURY f 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 2,000,000 X POLICY ❑PRO- I _JECT ❑.LOC PRODUCTS-COMP/OPAGG f 2,000,000 OTHER BASEP f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f ANY AUTO BODILY INJURY(Per person) f OWNED SCHEDULED BODILY INJURY(Per accident) f AUTOS ONLYAUTOS HIRED NON-OwNEID PROPERTY DAMAGE f IOS_ONLY_ AUTOS ONLY accident f X UMBRELLA LIAB X OCCUR EACH OCCURRENCE f 2,000,000 A EXCESS LIA9 CLAIMS-MADE 31SBAAXOXLW 05I152024 05N52025 AGGREGATE f 2.WO,WO DED I X1 RETENTION f 1 101000 f WORKERS COMPENSATION PER OTti- ANDEMPLOYERS'LJABILIiY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT f OFFICER/MEMBER EXCLUDED? ❑ MIA (Mandatory in NH) EL.DISEASE-EA EMPLOYEE f ff yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space is required) Evidence of Current Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEIJVERED IN Village of Rye Brook i ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 n 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia. Legal Name&Address of Insured (Use street address only) lb. Business Telephone Number of Insured Pence Builders USA LLC 203-997-6978 90 State Street, Suite 700 Office 40 le.NYS Unemployment Insurance Employer Albany, NY 12207 Registration Number of Insured Id. Federal Employer Identification Number of Insured Work Location of Insured(Only required ifcoveragelsspecfcally or Social Security Number lindted to certain locations inn New York Slate, i.e., it Wralr-Up 862663900 Polley) 2, Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Hartford Accident& Indemnity 3b. Policy Number of entity listed in box"Ia" 31 WEC BF4X7A Village of Rye Brook 938 King Street 3c. Policy effective period 03/19124 to 03/19/25 Rye Brook, NY 10573 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 "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law,(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2", The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured front the coverage indicated on this Cenlftcale. (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 fine policy expiration(late listed in box"3c", whichever is earlier. Please Note:Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,tine 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: _ _Mary B.Pursell 4q - (Print name of ilhori r presend agent of insurance carrier) Approved by: _ f (Signature) (Date) Title: Licensed Agent Telephone Number of authorized representative or licensed agent of insurance carrier: _203-777-7229 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105,2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb,state,ny.us Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Thursday, May 23, 2024 9:42 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 05/23/2024 09:41 To: VIL RYE BROOK PRIMARY Transmitted: 05/23/2024 09:41 00036 Ticket: 05234-000-632-00 Type: Regular Previous Ticket: 04024-001-909-00 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 786 To: Name: KING ST Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: MAGNOLIA DR & LOCH LN Means of Excavation: POST HOLE DIGGER, HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: FENCE INSTALL Estimated Work Complete Date: 05/29/2024 Depth of excavation: 3 FEET Site dimensions: Start Date and Time: 05/29/2024 07:00 Must Start By: 06/12/2024 ------------------------------------------------------------------------------ Contact Name: JILL GARRETT Company: FENCE BUILDERS USA, OXFORD Addr1: 315 CENTER ROCK GREEN, SUITE 5 Addr2: City: OXFORD State: CT Zip: 06478 Phone: 203-997-6978 Fax: Email: brittany@fencebuildersusa.com Field Contact: KAYLEE BUONO Alt Phone: 203-997-6978 Email: kaylee@fencebuildersusa.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: INSTALLATION OF A APPROXIMATELY 200FT OF T VINYL = CONTEMPORARY CLOSED PICKET. (V351) Lookup Type: PARCEL i ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA /WSCHSTR CONED MCI = SUEZ WTR WESTCHESTER VIL RYE BROOK = WESTCHESTER CTY SWR 2 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, April 2, 2024 3:52 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/02/2024 15:51 To: VIL RYE BROOK PRIMARY Transmitted: 04/02/2024 15:52 00002 Ticket: 04024-001-909-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 786 To: Name: KING ST Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: MAGNOLIA DR & LOCH LN Means of Excavation: POST HOLE DIGGER, HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: FENCE INSTALL Estimated Work Complete Date: 04/05/2024 Depth of excavation: 3 FEET Site dimensions: Start Date and Time: 04/05/2024 07:00 Must Start By: 04/19/2024 ------------------------------------------------------------------------------ Contact Name: JILL GARRETT Company: FENCE BUILDERS USA, OXFORD Addrl: 315 CENTER ROCK GREEN, SUITE 5 Addr2: City: OXFORD State: CT Zip: 06478 Phone: 203-997-6978 Fax: Email: kaylee@fencebuildersusa.com Field Contact: KAYLEE BUONO Alt Phone: 203-997-6978 Email: kaylee@fencebuildersusa.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: INSTALLATION OF A APPROXIMATELY 200FT OF 4' VINYL CONTEMPORARY CLOSED PICKET. 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