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HomeMy WebLinkAboutBP24-117PERMIT # &PQgq / / / SECTION 40 1- / TYPE OF WORK % ZC JOB LOCATION A, _ ��o CONTRACTOR EST. COST ✓CO #.L 7 TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS O SPRINKLER ELECTRIC O LOW -VOLT O ALARM C� �IAjAL I NSP P �9���5�=�io8 ` /P Co�23�5�0-/a35 I. n) OTHER APPROVALS ARB /�7Q�r away BOT PB ZBA OTHER t`QyE 4R �. VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrookny.g_ov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 30,2024 Jonathan Steiner&Viktorya Steiner 15 Loch Lane Rye Brook,New York 10573 Re: 15 Loch Lane, Rye Brook,New York 10573 Parcel ID#: 136.21-1-2 Building Permit#24-117 issued on 6/7/2024 to Legalize Flagstone Garden Area, Walkway and Planter Boxes This certifies that the new flagstone garden area,walkway and planter boxes,constructed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to i office For oce use onl : lr1` --AUG BUILDING DEPARTMENT PERMIT# — / 7 I I IC VIL E OF RYE BROOK ISSUED: AUG 2 2 2.024, 938 KING STRE VE BROOK,'NEW YORK 10573 DATE: e-a,)—ay �9 -0668 FEE: .4US0— PAIDJff VILL- wwVV rvj§rookny.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 •rsrrsrssrsrsssrssrrrsssssrst*t**srsssssrrrrrsrrtsrtstrstsrsst*r*st****rrsrsrrsssrssrrrrrrrss*srsssrsrrrssssrsstss****tt**r*s Address: )S L o O, G A*t- R t4e—QX c I&S-7 3 Occupancy/Use: ! JC,4/y Parcel ID#: /36, Q), Zone: _3S- Owner: U0Ak ,tg-- ! y I yt�4 9-6(.JE P Address: 1 S Loci, j-A,,.� O'Ye P.E./R.A.or Contractor:/5 Rck I d1 ccm Address: Person in responsible charge:ty:fr�L I)tItol!"w 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: J6W(44&'X 5'%-l4-e- being duly sworn,deposes and says that he/she resides at i-A^k-- (Print Name of Applicant) (No.and Street) in 8ezdz- ,in the County of in the State of AXU—., Wm 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:$90 d,d- , for the construction or alteration of:_he� C� J?sL r I3oC-5 Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of , 20aE day of . 20 Signature of Prope 0wner Signature of Applicant Jb yt a 5tec✓6/0" Print Name of Property Owner Print Name of Applicant Notary Pu Notary Public GREGORY M.RIVERA Notary Public,State of New York No.01 R16441398 Ouallfied In Westchester County Camrr4ssion Expires September 26, �yE BR(�uk. l7 ��• �9t32 �' 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 : `_1 `✓�'��� DATE' PERMIT# t � ' l J ISSUED: SECT: `'^ !BLOCK: t LOT: t LOCATION: ( -7 C' C < o 6 `L OCCUPANCY: ❑ Violation Noted THE WORK IS... [aPASSED ❑ FAILED 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 z = � N N _ � N N a C = 11 o o^ _ �4 pA k A w a a o W w CA .. o v� `i' w • o. A• O Z X .E z c a T u C o u W L ' c ) !�1 \ �l �° A p o ° � = Q� O L 00 O W O v M�i Z Z w Ln w b H N E v u O Q V W �Q] V u � -o a � C o ►,� I 'y R� ✓✓ W p W W ai O v Oa Cf) s en lul 00 00. enZ 'n W W Ln H O O O 44 � w00 a H W O Q CO N � Uz u :� a 0 0 V CA W O Q 0-4 PLO CIA V `n NOno O CINrh O ^ Z �., z A p ,� aA v E v -° 101.= Z o MCI � f�" W � o _ N a x o z zb v o u Z W p VV u o v ° z C� Z o A N ��, x ° � � y MCI �" Z z a i u a o q G..b u W 0 w a! H o w O v av °� () a ao now N V o v o ° c O V V & � ., - w � O V z � o ,. .. _ z Co HW-J `J ��-I A W �' O d oA " o toMOZ o .. W W ,� � � v ,., a u a u a BUIL R MENT � � VIL E OF RY (LE E OK D C IE � vJ 938 KING ET RYE BR ,NY 10573 MAY - 1 2024 DD o r VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: �l /l �] Approval Date: MAY 2 1 10 Per t Cam' � Application#AR62.q Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: L \2 RL Application Fee: b Permit Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated: May 1,2024 is hereby made to the Building Inspectorof 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: 15 Loch Lane Rye Brook, NY 10573 2. Parcel ID#: 136.21 - 1 - 2 Zone: R-25 3. Proposed Improvement(Describe in detail): Installation of flagstone steps/walks, granite walk, granite border, and planter boxes. 4. Property Owner: Jonathan Steiner Address: 15 Loch Lane Rye Brook, NY 10573 Phone# Cell .. 914-525-3108 a-mail Jws@helpmedical.org List All Other Properties Owned in Rye Brook: none Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: '` Address: //(',/'e b'd iLd r Phone# Cell#r9D 3-5 56- ►a 3 5 e-mail (1) 6/1/2023 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Fam Post-construction: 1-Fam 6. Area of lot: Square feet: 25,523.00 Acres: 0.586 7. Dimensions from proposed building or structure to lot lines: front yard: 49.53' rear yard: 153.88' right side yard: 15' left side yard: 25' other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1"fl: 2"d fl: 3rd fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: I"fl: 2nd fl: 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 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 fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: X (f yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: X Area: 397.6 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (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: X (f 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: X No: (if yes,the area of wetland and the wetland buffer zone 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 : X No: (f ves,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: X (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: X Indicate: TIER 1: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: N/A 29. What is the total estimated cost of construction: $ 20,000.00 Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: November 1, 2024 (2) 6/1/2023 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: 15 Loch Lane Rye Brook,NY 10573 Section: 136.21 Block: 1 Lot: 2 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-881 YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35.000 14% 4% 5% R-25 25,000. 14% 3.5% 1 4% R-20 20 000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7 500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existin : Proposed: 1.AREA OF LOT 25,523.00 Sq. Ft. 25,523.00 Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building 2,073.20 (Including Attached Garage or Accessory Building) 2,073.20 Sq. Ft. Sq. Ft. b. Area of 111 Floor Divided By Area of Lot x 100 8.12 % 8.12 % 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) 0.00 Sq. Ft. 0.00 Sq. Ft. a. Coverage of Accessory Building 0.00 0 Area of Accessory Building Divided By Area of Lot x 100 0 00 % % 4. AREA OF DECK 989.75 Sq. Ft. 989.75 Sq. Ft. a. Coverage of Deck 3.88 % 3.88 Area of Deck Divided By Area of Lot x 100 xa best knowledge and belief,the above information is correct. ' Signature ( ) Engineers 8/112021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address:15 Loch Lane Rye Brook,NY 10573 Section: 136.21 Block: 1 Lot: 2 Zone:R-25 IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards,sports courts,swimming pools,patios,sidewalks,ramps,terraces and driveways. TOTAL MAX MUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONTYAK(%) (sq.ft.) For Base Lot For Lot Area R-35 15 Area(sq.ft.)* Over Base Lot Area % R-25 20 a000 0M51 R-20 30 6 UUU 2.2UUR_1j 35 12 000 2,9UU16 000 4,520 R-15A 35 20 000 5.560 R-12 4U 3U UUU 6.560 R-10 45 4U UUU 8 96040,001 &larger 11,260 R-7 40 R-5 30 R2-F 30 *"Base Lot Area"is the minimum end of the lot size range in the"Lot Area" column Area of lot: 25,523.00 s .ft. Existing Allowed Pro osed Total impervious coverage = 4,319.75 S .ft. 7,885.28 S ft. 4,717.35 S .ft. Front impervious coverage = NSA % N/A % NSA % I attest to the best aPpy knowledge and belief,the above information is correct. AfehiteeVWSignature Engineer's (4) 8/iz,zozl ILLUSTRATION OF HEIGHT / SETBACK RATIO Setback Line for- I / Maximum Height I / REAR I e l Minimum Setback Line Ad 1 d T a I T A HOUSE 2 / I POTENTIAL = C $ — — S -3 L' BUILDING Q / ENVELOPE E a < a a t FRONT I �^J Area in which Average Grade is Measured STREET Average Grade Along Property Line at Property Line ELEVATION PLAN Table R301.2.0) 2020 IRC CLIMATIC 8, GEOGRAPHIC DESIGN CRITERIA FOR RESIDENTIAL DISTRICTS IN RYE BROOK GROUND- WIND SPEED TOPOGRAPHIC SPECIAL WIND- SEISMIC DESIGN SNOW LOAD (mph) WIND EFFECTS WIND BOURNE CATAGORY WEATHERING REGION DEBRIS ZONE 20 psf 115/120 NO NO NO 0 SEVERE FROST LINE TERMITE WINTER DESIGN ICE BARRIER FLOOD AIR FREEZING MEAN ANNUAL DEPTH PROTECTION TEMP. UNDERLAYMENT HAZARDS INDEX TEMP. REDUIRED REGUIRED 42" YES 15 YES FIRM MAP 1000 5Z2 36119CO779F 9/28/07 (5a) 8/12/2021 3D BUILDIN6 V�- -RTMENT VIL ' E OF.RY <. OOK MAY - 1 2024 938 KING . ET RIT BR o ,NY 10573 VILLAGE OF RYE BROOK 9-0 6$ BUILDING DEPARTMENT wwwwwwwwwwwwwxwwwwwwwwwwwwwwwwwwwxxwwxxxwwwwwxwwwxwwwwwwwwwwxwwwwwwwwwwwwwwwwwwwwwwwxxwwwwxxwwwwwwwwwxw AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: fit, Jonathan Steiner ,residing at, 15 Loch Lane, Rye Brook, NY 10573 (i'rint viame) (Acldwss uhara yuu live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit Of Compliance pertains at; 15 Loch Lane, Rye Brook, NY 10573 ,Rye Brook,NY. (Job A(k ivss) 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. 4 (.Siena«urc ofPropen "retie)) VCJi1M1A�- �V<.K 611 Vanm of Property Owner(s)) Sworn to before me this t5r day of JA" ,20_7,_&k P I Duyl�ycu.` suo (Noary-'ubli.;) Erika R.Donovan Estades,Notary Publia State of New York,No.02DO508841 Oualified In New York County (6) Cert.Filed in New York County Commission Exnires March 2.2028 8 12.'2021 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. xxxxxxxxxxxxxxxx.rrxxxxxxxxxwxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Jonathan Steiner , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate arvhilect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this ISf Sworn to before me this (lay of 1 20 Lt day of (AAI ,20 7J' _ Signature o roperty Owner Signs a of Applicant Print Name of Property Owner Print Narne of Applicant S'L � n �, 111�C6YGi.l� L c�c��, ��ul c' K- • Doti--V" 1ACL 1L.L, Notary Public Notary Public 9ZOZ'Z(.131eW 89JluA3 u0l6slww00 Erika R.Donovan Estades,Notary Public f4unoO)VOA MON ul pelf IJEQ State of New York,No.02DO5088221 I(1unoo>110A neeN ul polplvni3 Qualified in New York County tZZ9909OaZO'ON')laot,nneN 10 e181S Cart.Filed In New York County ollgnd tigioN'8ePe493 ueAouoQ.a a>I1J3 Commission Exnlres March 2.202e (8) a/1 v2021 1T11V %7 40�''7 .Building Permit Check List&Zoning Analysis ` Address: ` _nc_ -\ SBi- Zone:. -2S Use: (— _Const.Type: v rj Other. Submittal Date: �\\\7--� Revisions Submittal Dates: Applicant: �'e i N� 'IV— Nature of Work 'LIP— ~Z-e- k CS Reviews:ZBA: MAY PB: B\\OT: Other. p NEED OK 6 S, U/ FEES Filing. ` P: C/O: Flood Plane: Legalization: �q (� � ( ) (�P: Dated:___L__Notarized: `-SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Shore Fees: N/A: ( ) (,K=PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) (�SURVEY:Dated Currents, --' Archival Sealed. Unacceptable: ( ) ( ) PLANS:Date Stamped Sealed Copies: Electronic Other. License: Workers Comp: Liability Comp.Waiver Other. (Y ( ) CODE 753#: Dated N/A: (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.:_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. Final Survey: Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER. C/O DENIAL LETTER. Other. ( ) ( ) Other. ( JARB mtg.date: S-/s' W approvaL• .S'-/t'ZW notes: ( ZBA mtg.date: approvaL• notes: (-,)+B mtg,dam-- approvaL• notes: REQUIRED EXISTING PROPOSED NOTES Area -Z\L- 2 ,523 N L Circle: A PPRO E Em="c Front Front Sides: Rear. Main Cor. Accs.Cov: Ft H Sb: Sd.H Sb: A. TFoL Lm : '� L Ft.Imp: PP H ' ht Stori 0741 notes: tAn "� Residential Building Permit Fee Work Sheet Permit#: Date Issued SBL: Zone: Address: Property Owner&Contact Info: Job Description: For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq.. Ft. (excluding basements) x $300.00 x $I8.00/$I,000.00 Basement Sq. Ft. x $6S.00 x $I8.00/$I,000.00 New Constntction 5%Ft. • New Constriction Cost • Building Permit Fee Basement= sq. ft.x $65.00 = $ x$I8.00/$I,000.00= $ Attached Garage= sq. ft.x $300.00= $ x$I8.00/$I,000.00= $ I,,Fl. = sq. ft.x$300.00= $ x$I8.00/$I,000.00 = $ Z"d Fl. = sq. ft. x$300.00 = $ x$18.00/$I,000.00= $ 3'd Fl. = sq. ft.x $300.00= $ x$I8.00/$I,000.00= $ 41,Fl. = sq. ft.x$300.00= $ x$I8.00/$I,000.00= $ Total Sq.Ft. = sq. ft. Total Cost= $ Total B.P.Fee= $ Total Amount Paid = $ Total Amount Due= $ Date: Signed Zyr " y_ �- 1 DD ECEME BUILD ) bAi-RTMENT VIL�/A"GE OF RYk" ROOK MAY - 1 2024 938 KINGS ET R1rE BROOK,NY 10573 `1 � 4 .939-06b /1 VILLAGE OF RYE BROOK BUILDING DEPARTMENT �L ########################################################################################################### 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: 15 Loch Lane,Rye Brook, NY 10573 Date of Submission: Parcel ID#: 136.21 - 1 - 2 Zone: R-25 May 1, 2024 Proposed Improvement(Describe in detail): Installation of flagstone steps/walks, granite APPLICANT CHECKLIST: walk, granite border, and planter boxes MusT BE CONIPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner: Jonathan Steiner 1. (x)Completed Application 2. (X)Two(2)sets of sealed plans. (one full tine {maximum Address: 15 Loch Lane,Rye Brook, NY 10573 allowable plan size-36"x 42",and one I 1'xIT') 914-525-3108 3. (x)Two(2)copies of the property survey. Phone# 4. (X)Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (X)One electronic/disc copy of the complete Jonathan Steiner application materials. - 6. (X)Filing Fee. Address: 15 Loch Lane, Rye Brook, NY 10573 7• ( )Any supporting documentation. Phone# 914-525-3108 8. ( )HOA approval letter. (if applicable) 9. (X)Photographs. Architect/Engineer: Sound Shore Engineering, P.C. 10.( )Samples of finishes/color chart. (a sample board or Phone# 914-263-6972 model stay he 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. Sworn to before me this �5C Sworn to before me this ;st day of .20 2. day of M , 20 1i Signature Property Owner signature of Apffant Print Name of Property y Owner Print Name of Applicant ( ].L Zk f r �avl-m�1a " P. Notary Public Notary Public Erika R.Donovan Estades,Notary Publio 111 Erika R. Donovan Estades,Notary Publlo State of New York,No.02DO5088221 State of New York, No.02DO5088221 Qualified in New York County Qualified in New York County Cart. Filed In New York County Cart. Filed In New York County Commission Expires March 2.2026 Commission Exnlres March 2.2026 D V� 445 Hamilton Avenue, 14th Floor rCUDDY MAY ' � 2U24 White Plains, New York 10601 T 914 7611300 +F E D E R VILLAGE OF RYE BROOK F 914 7615372 LLP BUILDING DEPARTMENT cuddyfeder.com Jessica Zalin,Esq. jzalin(&euddyfeder.com May 1, 2024 BY HAND DELIVERY Steven E. Fews Building and Fire Inspector Village of Rye Brook Building Department 938 King Street Rye Brook,NY 10573 Re: Architectural Review Board Application Jonathan Steiner Premises: 15 Loch Lane, Rye Brook,New York Parcel # 116.21-1-2 Dear Inspector Fews: This letter and the enclosed materials are respectfully submitted on behalf of our client,Jonathan Steiner (the "Applicant"), owner of the captioned Premises, in support of his application to the Architectural Review Board. The Premises is approximately 25,523 square feet and is located on the north side of Loch Lane approximately 700 feet to the west of King Street. The site is developed with a single-family residence and is classified in the R-25 One-Family Residential District. The Applicant is seeking Architectural Review Board approval for certain outdoor improvements which have been partially installed within his rear yard. In furtherance of this Application,enclosed please find the following documents: 1. Architectural Review Board Check List for Applicants; 2. Exterior Building Permit Application; 3. Two(2)copies of a Survey,prepared by Spinelli Surveying,updated July 31, 2023; 4. Photographs of the existing conditions of the outdoor improvements at the Premises; 5. A USBs drive containing copies of this letter and all above-referenced materials; and 6. A check payable to the Village of Rye Brook in the amount of$1oo.00, representing the initial application fee. This Application will be supplemented with two(2) hard copies and an electronic copy of signed and sealed plans prepared by Sound Shore Engineering, P.C. shortly. Upon review of the enclosed information, we respectfully requested that this Application be placed on the next available agenda of the Architectural Review Board for review and discussion. WESTCHESTER I NEW YORK CITY I HUOSON VALLEY I CONNECTICUT 6044400.v1 -- #'CUDDY +FEDER LLP May 1, 2024 Page 2 Should you have any questions regarding the foregoing or the enclosed materials, please do not hesitate to contact me.Thank you for your time and consideration of this matter. Sincerely, J"s cap ZaLi vv Jessica Zalin, Esq. Enclosures cc: Jonathan Steiner Gino Frabasile,P.E.,Sound Shore Engineering, P.C. Anthony B.Gioffre III,Esq. WESTCHESTER I NEW YORK CITY i HUDSON VALLEY I CONNECTICUT 6044400.0 1 � BR(�uk Village of Rye Brook ML MR 0� end FB we SE Architectural Review Board Meeting AC vo' AD W Wednesday,May 15,2024 at 7:30 PM Q 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 Second 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 h • 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 /ox43 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 J� f l te a }: a t r s. •' w i t �' �,,'�'s f � ��.� t .. *^ter . f ._7. Yk t'e�` v. r ir✓ .' a _ r ' J e � � S s zy •r cif� ��- ••' , - , �_ T .AM, l4'{. ''�it�, _ �•. �. -�.. � �.�+ " +.�-� r {� ° �• -� 4 'M.. ter` . � .h *�T• } �• *e�� .="F•' 60 r�t :fir• .�: t Y i Yl ■ 9 y - 44 c + S - � y 44,t y F •r� ,�..r. � r, d � N. .N �; ALMr ` 3 4 ' + f a e r MINA e. Lo ilr — Pop— Fie ' a Sw 4 Fri ,,.► I IS Poo Ir s• � - �� (y � a�° +�M wi f i rs w Lu Aid -- m ■ y• r - 0. R FTU jr .4 -. a a f. iF 1 'I •'fl .per v yAtlkltl i i +e+I + t4%k�t% M;1tl�t� +r t� r: it • y. dy f! ,mot -` �"F ��.. 1�►ra'��,�{-t: +' ` ;�-,�s'., � . - Amw n wommomm ate:., fO - J Ap t ,'rig 6, J.4= 'r' ;-',! -' .,y,.•b,�..... !• i►,. +1 t ' f �T. y � h k r •i I! �1 _ ••,f r y. . • ,i low IV OPT- 47 NA NA de Or �.• i - CL yy. „ Ll 1 S � � �° � • + � �- �tf' t {jam, ��� it -. TWIT- 7-4 a l .k F� ■ � F, JJ 4' r_ l_ J •I ' � r } •.��f x � -v .� is �- •.r fit- rrp SPIN LLI — �Halstead 10143 A ems Mamaroneck s NY] Slrvey of Lot 9,Block 0,ns shorn Survey.tl September L 2016 4 rMr (914)381-L357 'Mrnded Sube.vlsbn Nap ei Byron Nap Drawn September 3. 2016 SURVEYING I •••sMnflus rveysp.con R'da•,n th. v11mGe of it. Broak Veet[hester County, Ne• York. SCALE 1'-d0' 33/4853'LOCH LANE' Ft.d Nov.PA 19ZS as Nap.No. Ml ♦HMwdd.Road N/F(are FeMeed S81. 134.21-1-14 NOTES: 1. THE SUBJECT PROPERTY LIES WITHIN THE ZONES AE, X SHADED, X UNSHADED, N 4'10'CO- E 100.00' AND FLOODWAY, PER FEMA FLOOD AaR F.a INSURANCE RATE MAP, COMMUNITY •�rr4 r PANEL NO. 36119CO293F. DATED 9/28/07 - -•-•-•"•-'-'-'yw•-'a+ •Fan a.• 2. THIS PLAT WAS PREPARED WITHOUT a BENEFIT OF A TITLE REPORT AND THEREFORE DOES NOT NECESSARILY INDICATE ALL ENCUMBRANCES UPON THE PROPERTY, AND THIS IS SUBJECT TO ALL RESERVATIONS, RESTRICTIONS, EASEMENTS AND AGREEMENTS OF RECORD TO THE EXTENT THAT THEY LAWFULLY APPLY TO THE PROPERTY. 3. THIS PLAT IS BASED ON A CURRENT 15 Lach I— FIELD SURVEY AND RESEARCH SBL 138.21-1-2 PERFORMED ON OR PRIOR TO THE 'ti•d Yap Ut e i DATE SHOWN ON PLAT AND IS BASED ON MONUMENTS AND EVIDENCE FOUND IN THE FIELD AND MAY NOT CONFORM g �•�.(�°�'`p� TO DEEDS, DESCRIPTIONS OR PLATS i 'mow' OF RECORD. 4. CURRENT SOURCE OF TITLE: a CONTROL #541813142 5. PROPERTY CORNER MONUMENTS WERE NOT SET DURING THIS SURVEY N N N � h � N N 17 loon lane 13 La h lane N/F ENI)n Phllbe N/F Portia K.— S8L 136.21-1-1 SOL 136.21-1-3 O ; O w. p 'p C O leff N = O 2S7 Many May 1 A' Z Owl. 2 1/2 Story Frame D•M1bp Crrvfy 7rn Ma is The Kelsey ey rnpanyce Company The than Comr& ,IOfgt110r1 Stes1K 6 Vldll st.InK rsen 10A' L—Depoteom.LLC ISAOA ATb(A Z4.r ALL C COrIFI IIT1S IE11@1 aT T pill DLr TO M FP401 Q rEps IC NM(y ENT MO RS. ApC MDT TRAOF LeGORG T17 ADNTl1)ML e(rS OR a EHUa.UYSU10R O&,T TNi US.ARE IN WDFAfi UR ORTWMAsWIDIV 1Ti a CNO101OeORi,IF•NT I70ST.APE Nor 0W a1 CIF SMD. ALL C V IFiranatS AIS vtID rml T&IF MO COrtCt iNOlEM SOPLYMK U SA1a EA at NEUR KAp M DPRESSO SrJiL 6 TK SI.RVEYOt 111OSC SIONTIRE APPEARS IQ[Dl § � Z 100.00, 7 200.W yam M Ys,•►. `M .�. r F N 84'10'00' E 100.00' ai° Fw •-•�Iw iM OCT 7 D LOCH LANE - VILLAGE OF RYE BROOK BUILDING DEPARTMENT 0 30 60 Rk*mra J. Sp-Ill, L. NYS LIc. 50975 -Unouthorizea additions to or alterations of this plan is o dolation of Section 7209 of the N.Y.S. EdmmUon Law. Laura Petersen From: Laura Petersen Sent: Monday,June 3, 2024 1:08 PM To: jzalin@cuddyfeder.com Cc: jws@helpmedical.org Subject: 15 Loch Lane - Building Permit Application Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name (first and last) & phone number. Copy of general contractor's valid Westchester County Home Improvement License. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) Al . Building permit fee $360.00 (due once permit is issued and ready for pick-up) . Stop Work Order fee $500.00 ✓ 7. Legalization fee $2,400.00 8. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 1PetersenCcDrvebrook.org 1 plog ,... ... I 10 LI 'r _ r _ y ate-- •� :.; - - $ V � '=�-- -•.ems,.,t.�. .�,� ' DATE(MMIDDIYYYY) , ft_ R CERTIFICATE OF LIABILITY INSURANCE `..� c,/6/zoza 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 NAME: Betty Reyes The Willett Insurance Agency AHC ONE Ezt: 914 481-5599 FAX(A/C,No): 888 371-9783 338 Willet Ave ADDRESS: bettyreyes(a)thewillettinsurance.us INSURER(S)AFFORDING COVERAGE NAIC p Port Chester NY 10573 INSURER A: The Itartford Insurance INSURED INSURER B Arch in Bloom LLC INSURER C 201 Pemberwick Road INSURER D INSURER E Grccnwich CT 068314228 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE FKI OCCUR PREMISES(Ea occurrence) S 1.000,000 MED EXP(Any one person) S 10,000 A 84 SBM BG8ADA-001 06/06/2024 006/06/2025 PERSONAL&ADV INJURY S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 x P ❑PRO- POLICY ❑ JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER I S AUTOMOBILE LIABILITY (Ea accident) S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION PER UIH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElE.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St AUTHORIZED REPRESENTATIVE 13eth/ RtAles Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: Ac RO O® COMMERCIAL GENERAL LIABILITY SECTION DATE(MMIDD/YYYY) �n02i AGENCY CARRIER NAIC CODE The Willett Insurance Agency POLICY NUMBER EFFECTIVE DATE APPLICANT/FIRST NAMED INSURED Arch in Bloom I.LU IMPORTANT-If CLAIMS MADE is checked in the COVERAGE/LIMITS section below,this is an application for a claims-made policy. Read all provisions of the policy carefully. COVERAGES LIMITS X COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 PREMIUMS CLAIMS MADE 7 OCCURRENCE LIMIT APPLIES PER: POLICY LOCATION PREMISESIOPERATIONS OWNER'S&CONTRACTOR'S PROTECTIVE HPROJECT OTHER PRODUCTS&COMPLETED OPERATIONS AGGREGATE $ 2,000,000 PRODUCTS DEDUCTIBLES PERSONAL&ADVERTISING INJURY $ L000,000 PROPERTY DAMAGE $ EACH OCCURRENCE $ 1.000,000 OTHER PER BODILY INJURY $ e CLAIM DAMAGE TO RENTED PREMISES(each occurrence) $ 100,000 PER Y one person) $ 5,0 MEDICAL EXPENSE(An 0() TOTAL $ OCCURRENCE P ) EMPLOYEE BENEFITS $ $ OTHER COVERAGES,RESTRICTIONS AND/OR ENDORSEMENTS(For hired/non-owned auto coverages attach the applicable state Business Auto Section,ACORD 137) APPLICABLE ONLY IN WISCONSIN: IF NON-OWNED ONLY AUTO COVERAGE IS TO BE PROVIDED UNDER THE POLICY: 1. UM/UIM COVERAGE 71S IS NOT AVAILABLE. 2. MEDICAL PAYMENTS COVERAGE IS IS NOT AVAILABLE. SCHEDULE OF HAZARDS ACORD 211,Schedule of Hazards,may be attached if mores ace is required) LOC# HAZ# CLASS PREMIUM 7 EXPOSURE TERR RATE PREMIUM CODE BASIS PREM/OPS PRODUCTS PREMIOPS PRODUCTS I Landscape&) P 270000 CLASSIFICATION DESCRIPTION LOC# HAZ# CLASS PREMIUM EXPOSURE TERR RATE PREMIUM CODE BASIS PREM/OPS PRODUCTS PREM/OPS PRODUCTS CLASSIFICATION DESCRIPTION LOC# HAZ# CLASS PREMIUM EXPOSURE TERR RATE PREMIUM CODE BASIS PREM/OPS PRODUCTS PREMIOPS PRODUCTS CLASSIFICATION DESCRIPTION RATING AND PREMIUM BASIS (P)PAYROLL-PER$1,000/PAY (C)TOTAL COST-PER$1,000/COST (U)UNIT-PER UNIT (S)GROSS SALES-PER$1,000/SALES (A)AREA-PER 1,000/SQ FT (M)ADMISSIONS-PER 1,000/ADM (T)OTHER CLAIMS MADE(Explain all"Yes"responses) EXPLAIN ALL"YES"RESPONSES Y/N 1. PROPOSED RETROACTIVE DATE: 2. ENTRY DATE INTO UNINTERRUPTED CLAIMS MADE COVERAGE: 3. HAS ANY PRODUCT,WORK,ACCIDENT,OR LOCATION BEEN EXCLUDED,UNINSURED OR SELF-INSURED FROM ANY PREVIOUS COVERAGE? 4. WAS TAIL COVERAGE PURCHASED UNDER ANY PREVIOUS POLICY? EMPLOYEE BENEFITS LIABILITY 1. DEDUCTIBLE PER CLAIM: $ 3. NUMBER OF EMPLOYEES COVERED BY EMPLOYEE BENEFITS PLANS. 2. NUMBER OF EMPLOYEES: 4 RETROACTIVE DATE: ACORD 126(2016/09) Attach to ACORD 125 ©1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NEW Workers' YTATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name and address of Insured(use street address only) 1b. Business Telephone Number of Insured ARCHINBLOOM LLC 203 550-1235 15 LOCH LN ( ) RYE BROOK NY 10573 1c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is specifically 1d. Federal Employer Identification Number of Insured or limited to certain locations in New York State, i.e. a Wrap-Up Policy) Social Security Number 81-4471006 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 and Indemnity Company Village of Rye Brook 22357 938 KING ST 3b. Policy Number of Entity Listed in Box"I a": PORT CHESTER NY 10573-1226 76 WEG AG4WH0 3c. Policy effective period: 05/28/2024 to 05/28/2025 3d. The Proprietor, Partners or Executive Officers are Included. (Only check box if all partners/officers included) X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "1 a" 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 Worker's 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: Sara Seier (print name of authorized representative or licensed agent of insurance carrier) Approved by: S�� 06/05/2024 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: (866)467-8730 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) Form WC 88 31 21 F Printed in U.S.A. www.wcb.ny.gov Page 1 of 2 THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 June 5, 2024 Village of Rye Brook 938 KING ST PORT CHESTER NY 10573-1226 Account Information: Contact Us Policy Holder Details : Archinbloom LLC Need Help? Chat online or call us at (866)467-8730. We're here Monday- Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. 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Rye Brook SITE t.VVl+.irY WITH64 7HE R-2S ZONE 0 Post o 1Mrs From ZONE AE j C. N ZONE X(SHADED) t RD law' _- ____-- � R-1 0 C ._..s..�..��......_�s__ rt•Ch� I E ,, � 3 23.00r " %R20 Port Chester y b .1 R, MAY 6 2024-,, O \ may► N 2 / /i //lJ7' /l/1lPvc �' PUC Fww / Ih L N `G 0 D PARTfVI T AO 7F ._ B ILDI E N 0 2 1/2 Story From Dwa inq Ma t0 PAL 91: No.2 SUBMITTAL 1 05/03/24 o RESIDENTIAL LOT AREA COVERAGE I o EXISTIN AREA MAX.COVERAGE PE No.1 DRAFT 04/14/24 O PROPOSED LOCAL LAW3-88 CHECK + Ae O (SQUARE FEET) (SQUARE FEET) (gb) (96) REVISIONS 1z T 26,623.00 26,523.00 OUSE 2.073.20 8.12 2,073.20 8.12 14 8.12<14,OK DRAWING TITLE: EXISTING CCESSORY BUILDING 0 0.00 0 0.00 3.5 0<3.5.OK `\ LEGEND ECK 089.75 1 3.88 989.75 3.88 4 3.88<4,OK CONDITIONS PLAN, "F► . ZONE AE ----- ZONING AS PMMITTED ZONING AS-BUILT ZONING/LOCATION PLAN, LOT N SVIO,00» E Om DISTRICT. R 25, ONE-FAMILY RESIDENTIAL ONE-FAMILY RESIDENTIAL AREA COVERAGE & NOTES ZONE X - MIN. LOT SIZE: 25,000 SQUARE FEET LOT SIZE: 25,523 SQUARE FEET MIN. LOT FRONTAGE:90' MIN. LOT FRONTAGE:100' a ��� FRONT YARD: 45' FRONT FLOODWAY � REAR YARD: ' REAR YARD:D� 'We 153.88' D (1) SIDE: 15' (1) SIDE: 15' SOUND SHORE TOTAL OF (2): 40' TOTAL OF(2)= �' ENGINEERING, P.C. XISTING CONDITIONS PLAN S�.E: 1' 20. IMPERVIOUS COVERAOE RATIOS iRESiDENTIALj 130 LAU RA JOY _ AREA OF LOT 25,523.00 CIRCLE MAMAR 0 N EC K OTAL MAXIMUM PERMITTED COVERAGE 7,885.28 , EXISTING PERMITTED PROPOSED NY 10543 IMPERVIOUS COVERAGE (SQUARE FEET) (SQUARE FEET) (SQUARE FEET) CHECK AREA OF HOUSE 2,073.20 2,073.20 GIN 0 FRABAS I LE P.E. AREA OF DRIVEWAY 85e.0e &%.06 >' AREA OF DECK 989.75 989.75 AREA OF WALKS 400.74 798.34 OTAL IMPERVIOUS COVERAGE 4,319 75 7.885 28 4,717.35 4.717 35<7,885.28 OK 1. THIS DRAWING IS BASED OFF A SURVEY PERFORMED BY RICHARD J. SPINELLI DATED SEPTEMBER 3, 20169 UPDATED SEPTEMBER 1, 2017. IT IS A YIOtA110N Of 1iE NE1t 2. THE PROPERTY LIES WITHIN SPECIAL FLOOD HAZARD ZONES AE, ZONE X SHADED. ZONE X UNSHADED, AND THE REGULATORY FLOODWAY � eau saw` of NE o K s mum"tllatss Acrs 1. TOTAL MAXIMUM PERMITTED COVERAGE v ((25,523-20,001) X 0.24 + 6,560 - 7,885.28 SQUARE FEET. a�E L q 9 � At18t AEII AS PER FEMA FLOOD INSURANCE RATE MAP36119CO293F AND DATED 09/28/2007. 2. SINCE NO WORK IS BEING PERFORMED IN THE FRONT YARD, FRONT IMPERVIOUS COVERAGE IS NOT EOil 3. ZONE AE IDENTIFY AREAS THAT PRESENT A 1 X E.ANNUAL CHANCE OF FLOODING (100-YEAR FLOOD), ZONE X SHADED IDENTIFY APPLICABL3. AS SHOWN ON SHEET S-2, A TOTAL OF 397.8 Sgl�4RE FEET OF AoomONAL IMPERVIOUS AREA WILL BE BETWEEN THE LIMITS OF THE BASE FLOOD AND THE 0.2�: rinH niE t+IOIr tiar+lc ANNUAL CHANCE OF FLOODING (500 YEAR FLOOD), AND THE REGULATORY ADDED IN THE FORM OF FLAGSTONE AND GRANITE WALKS LACTATED IN THE REAR YARD GARDEN AREA, � W o FLOODWAY AS DEFINED BY FEMA AS THE CHANNEL OF A RIVER OR OTHER WATERCOURSE AND THE ADJACENT LAND AREAS THAT MUST BE 79s+y saw OF=Ism, RESERVED IN ORDER TO DISCHARGE THE BASE FLOOD WITHOUT CUMULATIVELY INCREASING THE WATER SURFACE ELEVATION MORE THAN A "n Igor mom m Ar SUM DESIGNATED HEIGHT. &XIMON or Im=mrmff 4. THE LOCATIONS OF THE BOUNDARIES DEPICTED HEREIN WERE OBTAINED FROM THE FEMA FLOOD MAP SERVICE CENTER AND TRANSPOSED m Comm S N0. ONTO THE BASE SURVEY AND ARE APPROXIMATE. REFER TO THE FEMA FLOOD INSURANCE RATE MAP FOR ADDITIONAL INFORMATION. 5. BASED ON THE DATA PROVIDED ON FEMA MAP 123P - FLOOD PROFILE OF THE HILLSIDE AVENUE BROOK, THE SUBJECT PROPERTY IS DATE: 05/03/24 LOCATED BETWEEN CROSS SECTION LOCATIONS C-C AND D-D AND HAVING AN APPROXIMATE BASE FLOOD ELEVATION (BFE) OF 136.89, SCALE: AS NOTED DRAWN BY: G.D.F. CKD BY: G.D.F. 4'10'00" E 100.00" REAR YARD Ro�n� Nwn.F�a X IMPROVEMENTS �dt Rd Fwlc; 4 4! 0 FLAGSTONE STEPPING STONES TI 0 0❑L--- (SEE DETAIL THIS SHEET) JONATHAN STEINER ❑0000000❑00000 00 COMBINED AREA = 302.2 SF , 00000000 0000 BELGIAN BLOCK WALK 15 LOCH LANE R U RY 13000 TOTAL AREA = 52.8 SF FLOO 100, 000-1-10 RYE BROOK, NY 00 10573 10 011:11❑0 0 11 FLAGSTONE WALK 1-30 0 000 TOTAL AREA = 42.6 SF 0 ❑BELGIAN BLOCK E-1 E-1 BORDER(TI 1:1 PlInt a AM LANTERS RAISED PLANTERS TOTAL NEW We F�hL R P PLANTING BED IMPERVIOUS AREA =-397.6 SF N2"X 2'FLAWE TO DETAILM TM 311 YJ C4 BMGIAN BLOCK WALK PLANTING 90 SUMMARY OF IMPERVIOUS AREA Zow a SCALE: NOT TO SCALE XRm ZONE X(SKAM) 3 -I WAX "'Oro C4 --mr— C4 z Pvc rVC Fines Fh& 2'ell)5"w Frwr oWnnyg 8 ft NATIVE SOIL No.2 SUBMITTAL 1 05/03/24 FLAGSTONE LAWN AREA No-1 DRAFT 04/14/24 (SEE NOTE 2) CONCRETE BASE (SEE NOTE 1) REVISIONS 6 of GRAVEL BASE DRAWING TITLE: PROPOSED (SEE NOTE 3)LECOD CONDITIONS PLAN, SUMMARY OF IMPERVIOUS AREA, AND ZONE AE FLAGSTONE STEP DETAIL N &V 10'00" E •' row -.__.-_ ZONE X REGULATORY FLOODWAY SOUND SHORE 2 1/2 STOW ntQE ONTLING FLAGSTONE STEP DETAIL ENGINEERING, P.C. PROPOSED CONDITIONS PLAN 130 LAURA JOY SICAM 1* 2' SCALE: NOT TO SCALE CIRCLE MAMARONECK, NY 10543 GIN 0 FRABASILE, P.E. IT w Tw ka N OF NE w m umm 10-1111 1. FLAGSTONE STEPS TO BE SET ATOP A MINIMUM 3" LAYER OF CONCRETE. t mr m of aA mmm 2. MAINTAIN A MINIMUM OF BETWEEN 6" TO 9"' SPACING BETWEEN FLAGSTONE STEPS. KUM 439MI'm m ym sm mumm UK ra 3. PLACE A MINIMUM OF 699 OF 3/4" BLUESTONE OVER THE NATIVE SOIL. Pwrim-lLoom mtr SOL APPE415 NOW ASSMS NO AIMPONUM FM AW SM mmwm w ItE-w wmlotff HIS CONM SHEET NO. DATE: 05/03/24 SCALE: AS NOTED DRAWN BY: G.D.F. CKD BY: G.D.F.