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BP24-168
PERMIT # SECTION 13 TYPE OF WORK JOB LOCATION CONTRACTOR Tc COST4 Tot TCO # �2we L DATE: kq ,. Ve e/ k 6.s u /ale a - 5 706 �2Pcyiele/ Aosemc>.7/-Syc-d FEE DATE _ INSrFCTION RECORD I DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING ❑ RGH PLUMBING GAS C7 SPRINKLER ELECTRIC Cl LOW -VOLT ❑ ALARM ❑ nc 01111T n OTHER APPROVALS ARB BOT PS ZBA OTHER QyE DR . 19 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.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 30,2025 Daniel Taub&Julie Taub 12 Red Roof Drive Rye Brook,New York 10573 Re: 12 Red Roof Drive,Rye Brook,New York 10573 Parcel ID#: 135.43-1-5.11 Building Permit#24-168 issued on 7/29/2024 for Basement Waterproofing System This certifies that the basement waterproofing system,under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D [E C E � V E BUILD R ENT For office use onl : PERMIT# — ? JAN 2 4 2025 VIL OF RYE OK ISSUED: 38 KING STRE YE BROOK, YORK 10573 DATE: VILLAGE OF RYE BROOK -0 O�c FEE: IEPAID BUILDING DEPARTMENT W ov APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Address: Z Rc� Rt Pl kyL o.S 73 Occupancy/Use: Parcel ID#: l56 43— i—5, 1 1 Zone: 9- /5 Owner: or41� Address: i 2 Q t d Ors a y= �� n /d7 2l P.E./R.A.or Contractor: L T go-r«-' Sj Address: Person in responsible charge: 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: uN l being duly swom,deposes and says that he/she resides at 12, 04 A�.e pro,.. (Print Name of Applicant) (No.and Street) in c ��°`( ,in the County of �l f��" in the State of M ,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:$ 3 6 1 7 y4 for the construction or alteration of: Q C�s L—4 C,j Ott r-L' 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 e Code of the Village of Rye Brook. Sworn to before me this c7` I Sworn to before me this day of �f1Ly�u� , 202@_S day of ,20 Signature of Property Owner Signature of Applicant t e of Property Owner Print Name of Applicant Notary Public Notary Public SHAM MEULLO Notary Public,State Of N"Yak No.01M E6160063 6/t/2024 Qualified In Westchester County _ Commission Expires ltew*ry 29,20 z �yE BR(�� cu � 1932 BUILDING DEPARTMENT �❑BBUILDING INSPECTOR VASSISTANT 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 : '� �e `�C J� 1�'L DATE: �- �7 2•_� PERMIT# L?2�L -I S ISSUED:7-Z` -j / SECT: BLOCK: l LOT: S LOCATION: -.P�J 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 f1 ' ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�� cu � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0 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 : DATE: c_ ! PERMIT# ISSUED: SECT: BLOCK: LOT:,j 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER V - w. ► fJ Q vJ .I/ Tu►` ,_ /•.� L Q Poo) �E DRcbl cu � 1982 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: DATE: L PERMIT# ISSUED: SECT: BLOCK: LOT: C _�` LOCATION: "���- OCCUPANCY.-..-... ❑ Violation Noted T WORK IS... ❑ PASSED / FAILED /REINSPECTION ❑ SITE INSPECTION �� ¢ /�) / % REQUIRED ❑ FOOTING LqI2� �� 0-7 v ❑ FOOTING DRAINAGE i ❑ FOUNDATION 1�` • ' ,J J ( �' ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: II ❑ ROUGH PLUMBING 1 ❑ ROUGH FRAMING ❑ INSULATION } AA❑ Natural Gas l -)c 2Qf — ,J zr ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER N ❑ FINAL PLUMBING L4 i n ❑ CROSS CONNECTION � � ❑ FINAL ❑ OTHER p� 00 : � N Al O -p Cs ca a� : N '� • I. r cn di U s W � '✓� A~ � a Z Cn a ,isr v. ,v M 0 � fn G. w W M W a LO OHO O A 0 [ M � �A x [F�]� u a IV" F+1 >1 o v ■ Z Z C7 w w � � O .a � N •tij � v i : Cqc wo Ki y = W 00 z .� Ea 00 A A v ❑ z 00 = rT� F}—+ ICI ✓ M d W M W W �0 Q u _ 0-4 _ do � / 43 U z w a cn a © C a W A � O z z 'd �w .� V 1�1 F+ 'XI - �-+ A z w V °' o cv W O o 'y .r w H A Q U A V O U o 0 co a C� L w w o .p v v x p4 N A z U H Q 'o U U U o © Q .. W W � C) � O A E- � � � � � Ts ■ _ 41W BUILD ARTMENTFfl VILK( 4) OF RYF OOK FJUL2 5 2024 93$KING RYE Blto�,NY 10573 — VILLAGE OF RYE BROOK 8UlLDMC3 DEPARTMENT w . ov INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: j� Approval Date: JUL 2 5 Permit �� Application Fee:S �CJ Approval Signature: Permit Fees: $ P Disapproved: Other: Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for ,ra�change in use,as per detailed statement described below. 1. Job Address: Z Rd fiou� O�Ive. N -t&k. IN �d.� 3 SBL: /13,5 r �')one: 2. Proposed Improvement.(Describe in detail): 001, i /1 f� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: /_ Yes: If yes,indicate: TIER L• TIER I1: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existi�lg automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: r✓ Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy; 1 f .,2 fam.,comm.,etc...)Prior to Construction: I F-en_ After Construction: ) 910". 6. NX State �y Construction Classification: � die.Jedha/ N.Y.State Use Classification: J2+D�Is,'de., ti 7. Property Owner: /c.n e d! Tctc Address: j2 J � 1�C_ / ErmK ]Y )QS '� 3 Phone#ql)7_' y-'�206 Cell# 5,fq-52o(, email: 3✓��au-��aw�u,�[t [©ems Y��WI? T 8. Applicant: r,1J �•�t�i'/ri Address: 33R,ygef Phone# 340A - Cell# .Z.O to—)-"146 email: �✓rr��� 9. Architect: /Y �4 Address: N/A Phone# •^ -/ Cell# email: — 10. Engineer: /Y/A Address: /✓J .'f/ Phone# Cell# email: 11, General Contractor.& w, „/ .w,=/5 stAddress: t // Or OBI,' Phone# 203 Cell# G 0-s7 12. Estimated cost of construction $ 3C q6 t 0 d (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) !� T n j } 13. Job Timetable: Start: //.ZZ Finish:1 V p� 6011 (1) 6/1/2024 D �:GD �[1l�IL BUIL➢ING DEPAR INTENT VIL ' E OF RYF. OOK 2 5 2024 938 KINGI: ETRYFBRO lu ,NY 10573VILLAG RYE BROOK� ^0 ��ov BUILDIEPARTMENT 41 AFFIDAVIT OF COMPLIANCE VILLAGE CODE r 216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I, -54 l residing at, 1 Z. Re �u!� Vli`i\J`f? e �� N 1 (Print name) (address you live) 1 5�� 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; �_Z 2 A �\ E_Wcu t tiJ l OS 73 Rye Brook,NY. (Job.Addres.,) 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. rvCi� 01/11ure of Nropert wnerls)) (Print Name ul'Pruperly Owner(s)) Sworn to before me this / �h da of I),,,la . 20214 Jackson Francis Henry Notary Public-Connecticut My Commission Expires ,ke February 28, 2029 (Notary Public) (-') o ] 2u?t This application must be properly completed in its entirety and must 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. STATE T NEW YORK,COUNTY OF WESTCHESTER ) as: S oR �ing r _ being duly sworn,deposes and states that he/she is the applicant above named, (printnameofind du.dualseapplicantl and further sta es t at (s)he is the legal owner of the property to which this application pertains, or that (s)he is the ew for the legal owner and is duly authorized to make and file this application. te a rt(indicaect,contractor agen,attorney,etc.) That all statements containe erein 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 -3 lti Swom to before me this day of �� ,20 L _ day ofTrphi 20 Si of Property QAkder Si tore of plic 41..1iZ'r �(_1CrL� Prin N e of Property Owner Print Name of Applicant t Not Pu tic Notary Pu i ----------- GREGORY M.RIVERA Jackson Francis Henry Nabny Public,State of Now Yort Notary Public-Connecticut No.01 R1640 398 My Commission Expires Qualified In Westchester County February 26, 2029 Gomriftston Expires September 26,70 (4) G,1 1-024 LS IMES Legacy Report 98-63 Reissued May 2020 This report is subject to renewal May 2021. www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Councils Legacy report on the BOCA°National Building Codell999 and the 1997 International Plumbing Code° DIVISION: 33 00 00—UTILITIES supplementary to a foundation drain. In applications where Section: 33 46 OO—Subdrainage water permeates through the rubble stone, brick or cast-in- place concrete foundation wall, the drainage system is REPORT HOLDER: intended to discharge the water as described above for concrete masonry unit foundation walls. BASEMENT SYSTEMS, INC. WaterGuard®Subfloor Drainage System Components EVALUATION SUBJECT: ■ Drain channel: A 0.1-inch-thick (2.54 mm), one-piece construction of extruded, solid polyvinyl chloride (PVC). WATERGUARD°SUBFLOOR DRAINAGE SYSTEM Drainage holes, 0.75-inch-diameter (19.1 mm) and 3 inch (76 mm) on center, are located at the base of the EVALUATION SCOPE: channel on the side facing the foundation wall. Compliance with the following codes: The component cross section is a 3.13-by-1.85 inch BOCA'National Building Code/1999 (80x47 mm) rectangle with a 2.43 inch (62 mm) flange Section 1710.1 General on top. Two 0.35-inch-long (8.89 mm) spacers are attached to the flange on the side facing the foundation SUBSOIL DRAINAGE SYSTEM wall. The spacers are intended to provide a means of 1997 International Plumbing Code® directing the flow of moisture which may penetrate the foundation wall. See Figure 3 at the end of this report for ■ Section 105.2 Alternative materials, methods and an illustration of the drain channel component. equipment ■ Drain outlet: A 0.1-inch-thick (2.54 mm), one-piece ■ Section 1111.1 Subsoil drains construction of extruded, solid polyvinyl chloride (PVC) ■ Section 1111.2 Building subdrains that is friction-fit to the drain channel component. The component cross section is a 3.13-by-1.85 inch (80x47 BOCA®National Building Code/1999 mm) rectangle with a 2.43 inch (62 mm) flange on top. ■ Section 106.4 Alternative materials and equipment The component extends at the base to accommodate a ■ Section 1813.5 Subsoil drainage system 4-inch-diameter (102 mm) drain opening. The drain opening is intended to be located at the point where the DESCRIPTION WaterGuard®Subfloor Drainage System is attached to a WaterGuard® Subfloor Drainage System is a subsurface drain or sump. See Figure 4 at the end of this report for drainage system, consisting of a polyvinyl chloride (PVC) an illustration of the drain outlet component. drain pipe, a PVC drain outlet, and crushed stone. The ■ Crushed stone: Minimum 0.5-inch-diameter (12.7 mm) system is located below the interior concrete slab of a below crushed stone shall be placed on one side of the drain grade story or basement floor and on top of the foundation channel with the side facing the footing left free of stone wall footing. The WaterGuard® Subfloor Drainage System is to allow an air space to exist between the footing and intended for use with foundation walls of concrete masonry channel. units, rubble stone, brick or cast-in-place concrete construction. See Figures 1 and 2 of this report for CONDITIONS OF USE illustrations of the Water-Guard® Subfloor Drainage System This report is limited to the applications and products as when used with a concrete masonry unit foundation wall and stated in this report. The ICC-ES Subcommittee on National a cast-in-place concrete foundation wall, respectively. Codes intends that the report be used by the code official to When used with a concrete masonry unit foundation wall,the determine that the report subject complies with the code system functions by collecting water or moisture permeating requirements specifically addressed, provided that this through the wall assembly or through weep holes placed on product is installed in accordance with the following the inside face of concrete masonry units. The water is then conditions: discharged from the system by gravity or mechanical means. ■ The WaterGuard® Subfloor Drainage System shall be When used with rubble stone, brick or cast-in-place concrete installed in accordance with the manufacturer's foundation walls, the drainage system is to be installation instructions and the limitations of this report. lC'C-ES Fvaluation Reporis are not to he construed as representing aesthetics or anv other aurihuie.s not speci ically addressed,nor are Mel to he consirued as an endorsement q/the suhject of the report or a recommendation for its use.There is no x urran(y hr l('('Fvaluanon Service,LL(',express or implied,as Sa to atn finding or other matter in this report,or as to anv product covered by the report. �� , Copyright©2020 ICC Evaluation Service,LLC.All rights reserved. Page 11 of 4 98-63 1 Most Widely Accepted and Trusted Page 2 of 4 ■ The footing shall not be undermined under any INFORMATION SUBMITTED circumstances during the excavation required for the 0 VTEC Laboratories, Inc., Test Report No. 100-886, installation of the WaterGuardO Subfloor Drainage dated October 22, 1998, containing results of physical System. testing performed in accordance with Section 1710.3 of ■ The WaterGuard® Subfloor Drainage System shall not the BOCA®National Building Code/1999. be installed where the load-resisting capability of the N VTEC Laboratories, Inc., Test Report No. 100-950, wall is not adequate or is jeopardized by the excavation dated March 11, 1999, containing results of structural and/or installation. testing performed on concrete masonry units with and ■ Evaluation of the WaterGuard® Subfloor Drainage without drainage holes. System when utilized with a rubble stone, brick or cast- ITEMS REQUIRING VERIFICATION in-place concrete foundation wall is limited to installations that comply with Section 1813.5.2 of the ✓ Water which drains into this drainage system shall be BOCA®National Building Code/1999. collected and disposed of in accordance with the 1997 ■ The WaterGuard® Subfloor Drainage System is limited International Plumbing Code®. The collection and to applications where the ground water table disposal system shall be installed in accordance with investigation determines that a subsoil drainage system the 1997 International Plumbing Code®. is required by the code. ✓ The floor shall be resurfaced with concrete meeting the ■ For installation with foundation walls constructed of minimum requirements as set forth in Sections 1905.0, concrete masonry units, a maximum of one 5/8-inch- 1906.0, 1907.0, and 1908.0 of the BOCA® National diameter (15.9 mm) weep hole shall be drilled in each Building Code/1999. core of every block in the bottom course of blocks. ✓ Methods required to enhance the capacity or stability of ■ This report is subject to periodic re-examination. For the foundation system, including modifications and information on the current status of this report, contact repairs of structural cracks in existing foundation walls, the ICC-ES. shall be determined by a registered design professional and are outside the scope of this report. APPLICATION FOR PERMIT PRODUCT IDENTIFICATION To aid in the determination of compliance with this report, All Basement Systems Inc., WaterGuard®Subfloor Drainage the following represents the minimum level of information to System components, or their packaging, manufactured in accompany the application for permit: accordance with this report shall bear the following ■ The language "See ICC-ES Legacy Report No. 98-63" identification: or a copy of this report; ■ "See ICC-ES Legacy Report No.98-63." ■ Type of foundation wall construction; ■ Manufacturers name and product name. ■ Method for disposal of water from the system; The report holder's contact information is the following: ■ Instructions regarding investigations of the load carrying BASEMENT SYSTEMS, INC. capacity of the wall to determine adequacy; 60 SILVERMINE ROAD ■ Specifications for all destructive operations;and SEYMOUR,CONNECTICUT 06483 ■ Specifications for location, number, and size of weep www.basementsystems.com holes in concrete masonry unit foundations. Basem P { Tri IeSaferu SUMP PUMP SYSTEM Specifications Manufacturer Product Basement Systems Inc. 60 Silvermine Rd. TripleSafe Sump System Seymour, CT. 06483 Part# 020406 800-640-1500 The TripleSafe is a combination of patented and custom components which make up a highly Description efficient and reliable pressure relief system and water evacuation system for basement water controls stems. Utilizing 2 120v pumps and 1 12v battery backup system. Use TripleSafes are designed to relieve sub floor water pressure and evacuate water from the basement water control system. TripleSafe Height: 22 3/8" Physical Properties TripleSafe Width: 18" • Length 24" Capacity 23 Gal. TripleSafe Shipping Weight: Approx. 80 Lbs.(No BBU.) Components The Liner has a 24" X18" dual liner configuration, is 22" deep and made of structural Liner Polyethylene foam. The liner also features exclusive pump stand locator tabs, which ensures proper pump location to prevent the pump float switchs from hanging up on the sidewalls of the liner by kee in the pump properlypositioned in the liner. Two-piece structural polyethylene foam lid that bolts down to the liner. Lid has floor drain with a Lid ball float and rubber grommets for the electrical cord and discharge lines. Hex Indented Screws for Lid 5 Part#02012 (1) Zoeller M-53 1/3hp. Part# 02201 and (1) Zoeller M-98 1/2hp. Part#02202 Cast iron submersible pump with non-clogging vortex impeller and a automatic mechanical float switch. Pump(s) The Primary 1/3 hp. pump will pump 2240 gallons per hour at an 8' head, Startup Wattage:2980w, Run Wattage:11 15w. The secondary '/ hp. Pump will pump 3900 gallons per hour also at an 8' head start up Wattage:3360w, run wattage:1080w. The UltraSump 3 Battery Backup Unit has a pumping capacity of 1970 gallons per hour at an 8' head. WaterWatch alarm system, which sounds off when water rises above the point where the pump Alarm should normally turn on. The WaterWatch alarm runs on a 9V battery and sounds off when the water level is within 6" below the sump lid and before any water can reach the floor. Part# 02400E Check Valve A full flow 1-1/2" check valve that screws directly into the pump with a rubber hub to help control noise and vibration. Part# 02290 Cord Made of PVC, Yellow in color. Comes with a hose clamp, mounts on discharge line to keep Captain TM cords neat. Service log envelope ties to Cord Captain TM to hide pump and charger cords. Part# 02093 CleanPump The CleanPump stand is designed to fit in the bottom of all of our sump liners, insuring that silt Stand and sediment build-up without affecting the pumps performance. Part# 02013 TripleSafe bridge is added to provide support to the center of the 2-piece lid, discharge lines Bridge and also has cutouts to provide wire management of the sump pump and UltraSump power cords. Part# 02014 Accessories What you need each year to service a system that already has the service envelopes Part# 02087S includes: Annual (2) Screw-in check valves Service Kit 9v Battery • 2 Wire Ties • 2 "Next service due" labels • 1 `This basement protected by" label System Comes with each complete sump package. Attach the envelope to the top of the Cord Service Captain with the included wire tie. Part# 02082S Includes: Envelope Service Envelope • Wire tie (8") • Owner's Manual • 2 "Next service due" labels • 1 "This basement protected by label • 1 Condensation indicator strip • 2 Electrician notes Electricians Lists electrical requirements for Basement Systems products, leave with the homeowner to Notes give to their electrician. Part# 02038 No-Hub Rubber fitting serves as a quick release point or vibration suppressor on 1'12" discharge line Fitting Part# 02300 2-Piece Patented 2-piece lid with floor drain and check ball included. Part# 02012 Sump lid Sump Lid Grommets Kit Part# 02601 Includes: Grommet 1 Blue pipe grommet Part# 02601 Set 1 Yellow cord grommet (Single hole) Part# 02602 • 2 Wire ties 2" Part# 02605 Discharge 1 Grommet Black 2" Grommet Basonen'k!" fit[ [Clean Cowl Spoce Encapsulation System` Specifications Manufacturer Product Basement Systems Inc. 60 Silvermine Rd. CleanSpace Tm Liner Seymour, CT. 06483 Part# 500 800-640-1500 Part# 5001 CleanSpaceTm Liner is a white/blue seven-layer reinforced laminate containing no adhesives. The outer layer consists of high-strength polyurethane film manufactured using virgin grade resins and containing UVI and thermal Description stabilizers. CleanSpace TM is reinforced with two separate plies of a 900 denier polyurethane reinforcement laid in a diagonal pattern spaced 3/8" apart with an additional machine direction polyester every 3" across the width. The individual lies are laminated together with molten polyethylene. The CleanSpace TM liner is used to isolate the home from the earth completely Use and permanently. This dramatically reduces the humidity levels In the air which, when combined with sealing outside air and dehumidification, will eliminate mold growth and rot from the crawls ace. CleanSpaceT"^ Roll: 24' x 50' (1200sgft) Part# 5000 Physical 6'. 2" x 200' 1200s ft Part# 5001 Properties CleanSpaceTm Roll Weight:114lbs. 16 rolls per pallet. CleanSpaceTm Appearance: White/Blue CleanSpaceTm Thickness: 20mil max./16mil min. CleanSpace TM Construction: 7 layer extrusion laminate w/2 layers polyester reinforcement. CleanSpaceTm Tensile strength 1": 1051bf CleanSpaceTm Grab tensile: 1501bf. CleanSpaceTm Elongation at peak strength: 20% CleanSpaceTm Trapezoid tear: 1101bf. CleanSpace TM Maximum use temp: 180°F. CleanSpace TM Minimum use Temp: -70°F CleanSpace TM Perm Rating: 0.0023 CleanSpaceTm Fire Spread: 10 CleanSpace TM Smoke Density: 105 CleanSpaceTm Fire rating: Class A 1 Installation Procedures The CleanSpaceTM liner is carefully cut and installed in sections. Small holes will be drilled into the crawl space walls approximately 6" below the wood sill plate and every 3' along the wall. Nylon fasteners are installed to permanently secure the CleanSpaceTM liner to the wall. The top edge of the liner is sealed to the walls with polyurethane sealant. All seams are sealed with special 4" wide sealing tape and/or sealant. The CleanSpaceTM liner is also sealed around other objects, such as pipes, columns and piers with any combination of sealant of concrete. Version 3 12/18 98-63 1 Most Widely Accepted and Trusted Page 3 of 4 ® J 111%\� —III / 06 . Concrete Concrete Poured Block Well Floor Concrete a Wall Concrete Floor 1, Crushed 4 Stone Crushed Stone Footing * A WaterGuard y\`/7<\\�`� WaterGuard ��"ll�lt►% aaJ Footing \% ���\`//1= FIGURE 1*—WATERGUARD®SUBFLOOR DRAINAGE FIGURE 2*—WATERGUARD®SUBFLOOR DRAINAGE SYSTEM CONCRETE MASONRY UNIT FOUNDATION WALL SYSTEM CAST-IN-PLACE CONCRETE FOUNDATION WALL -F.020 --.350 't' 100 4.275 7±.075 1.850 oe ±.075 3.125 For SI: 1 inch=25.4 mm FIGURE 3*—DRAIN CHANNEL COMPONENT 98-63 Most Widely Accepted and Trusted Page 4 of 4 a , Mates to WaterGuard ~Male to 4" PVC pipe to sump FIGURE 4*—DRAIN OUTLET COMPONENT *THESE DRAWINGS ARE FOR ILLUSTRATION PURPOSES ONLY.THEY ARE NOT INTENDED FOR USE AS CONSTRUCTIONDOCUMENTS FOR THE PURPOSE OF DESIGN, FABRICATION OR ERECTION. Installation Procedures Create a hole in the floor approximately 27" in diameter and excavate down 24" from the floor surface. Set the liner in the hole with the lid approximately '/4" below the surface of the floor and back fill with clean stone. First install 1 pump stand into the positioning tabs at the base of the liner then install the primary pump with Ultrasump pump preinstalled; with check valve and section of 1-1/2" pvc discharge pipe that extends above the floor. Next position 2 pump stands stacked on top of each other into the other set of positioning tabs and set the secondary pump . Slide the lid around the discharge pipe and pull the electrical cord through the top and then bolt the lid into place. Install airtight grommets and WaterWatch probe alarm. Mount CordCaptain to the 1'/2" discharge line using supplied pipe clamp for wire management, hang system service envelope using 8"wire tie supplied and fill out all information on labels. Version 6 3/18 Prepared by: Prepared for: Proposal �e Vincent Orsini Daniel Taub cOIIIItwm C (860)490 4038 dptaub@gmail.com $hcott _=CL_ vincent.orsini@comcast.net C (917)584-5 06 Waterproofing to Flnishlnyl Connecticut Basement Systems Inc. P (917)584-5 /7 CT#0526823 WC#0644- PR189337 [ECIEv IE H94PC5504MA147215 Job location: connecticutbasementsystems.com 12 Red Roof Dr vin J U L 2 5 2024 TF(800)541-0487 Rye Brook,NY 0573 F ( 9339 VILLAGE OF RYE BROOK License#nse#CT:0526823 WC:06440H94 BUILDING DEPARTMENT MA:147215 R1:38081 Prepared on: ( , 1 4-5-24 Product List WaterGuard ........................... 266 ft Interior Underground Discharge Line ..... 26 ft TripleSafe .................................. 3 IceGuard .................................. 6 Rough Wall Cuts ....................... 214 ItCleanSpace 1/2 Wall System ........... 236 ft WellDuct Window Drain ................... 4 Project Summary My Basement .................................................. $38,680.00 M o Total Investment ............................................... $38,680.00 Preferred Customer Discount .................................. $1,934.00 Total Contract Price ................................. $36,746.00 Deposit Required-30% ....................................... $11.023.80 Deposit Paid $11,023.80 Amount Due Upon Installation .................. $25,722.20 Customer Consent Customer fully understands and accepts the transferable warranty provided,which covers only the areas of the basement addressed and does not cover water damage to home,property,or personal items.Partial perimeter systems carry a limited warranty.Unless in the notes,installation of the system does not include painting,finished carpentry,electrical work,or replacement of floor tile or carpeting.Contractor cannot be responsible for frozen discharge lines without an IceGuard.Warranty does not cover condensation,damp spot discoloration,and window well flooding.Customer shall grant contractor a 60 day right to remedy any problem after reported.Homeowner responsible for moving objects away from walls and back again.Some dust should be expected from work.Additional work needed will be at customer expense.Homeowner assumes all responsibility for damages due to breakage of any hidden fuel/water/utility service lines on surface or below. Authorized Signature Date Any alteration from the above specifications and corresponding price adjustment(if necessary)will be made only at the Customer's request or approval. Completing the work in this Proposal at the time scheduled is contingent upon accidents or delays beyond our control.This Proposal is based primarily on the Customer's description of the problem.This Proposal is valid for 30 days. Acceptance of Contract—I am/we are aware of and agree to the contents of this Proposal and the attached Limited Warranty(together,the"Contract"). You are authorized to do the work as specified.Payment will be made as outlined above.I/we understand that all deposits paid are non-refundable after expiration of three day right of rescission.I am/we are aware of and agree to the entire contents and additional pages of this proposal,(together,the "contract"),by signing below I am/we are signing all pages. Customer Signature ^.a Date 04/05/2024 A full perimeter system with a TripleSafe Pumping System was recommended Initial sic— Sales Tax is not included and will be billed separately if applicable. Initial =- Connecticut Basement Systems Inc. Job Location Pagel/6 33 Progress Ave Seymour CT 06483 12 Red Roof Drive Rye Brook NY 10573 4-5-24(2) Job Details r r � T$ O r O r r Typeof Wall ................................................................................................................................ Poured Concrete Existing Wall Finish ......................................................................................................................... Plain/Sheetrock Existing Floor Finish ................................................................................................................. Concrete/Carpet/Tile Discharge line length away from house ........ . ...................... ................................................................................. 0 Connecticut Basement Systems Inc. Job Location Pate V6 33 Progress Ave Seymour CT 06483 12 Red Roof Drive Rye Brook NY 10573 4-5-24(2) Job Details (Continued) Specifications 1)Install WaterGuard sub-floor drainage system as indicated in job drawing. 2)Install Interior Underground Discharge Line as shown in drawing. 3)Install TripleSafe pump system with twin liner,1/3 hp cast iron primary AC pump,1/2 hp cast iron AC back-up pump,and UltraSump battery back-up pumping system with charging/control box with alarm,and 120 amp sealed maintenance free battery. Includes 3 CleanPump stands,airtight lid with airtight floor drain,and WaterWatch alarm system.4)Install IceGuard to prevent floods from clogged or frozen discharge line. 5)Cut Wall Bottoms where indicated as necessary to install WaterGuard.Customer responsible for wall restoration. 6)Install CleanSpace 1/2 Wall System on walls as shown on drawing. 7)Install WellDuct Window Well Drainage system. Contractor Will 1.)Cut finished walls and studs as necessary to install system properly.Customer to restore walls. - Customer Initials: OT 2.)Remove existing finished flooring as necessary to install system.Customer to restore. Customer Will 1.)Provide proper dedicated electrical outlets for all pumps,and other electrical devices after the completion of the installation. 2.)Move items 4 feet away from perimeter. 3.)Remove shelving/cabinets/sink/workbench. 4.)Remove baseboard heating prior to installation.Customer to restore. 5.)Customer understands that there may be ponding of water in discharge area under certain conditions. 6.)Complete and agrees to any items mentioned in this Contract under"Customer Will"and/or"Additional Notes"that apply. --Customer Initials: - Additional Notes It is recommended by CT Basement Systems that the customer provide two dedicated 20 amp circuits at each sump pump location.This work should take place after the installation is complete. Customer will remove AI I items 4 feet from the perimeter walls including toilet,vanity,shower,sink,base board heat,washer,dryer,sink, work bench,shelves,platforms,as well as any other obstacle along the perimeter walls where the work is being performed prior to installation to allow for a clean unobstructed shovel ready workspace. In areas where the system cannot be installed due to utilities,Oil Tank,Water Filtration System,HVAC System or Air Handler,Hot Water Tank,Furnace,etc.,CT Basement Systems will install system around or in front of such items or structures. Customer is responsible for removing and capping the existing hot water baseboard heat prior to installation. CT Basement Systems will tie discharge lines into existing leader drain.It is assumed by the contractor and understood by the customer that the existing drainage system is functional and can handle the additional capacity of the pumped water.Additional work at an additional charge may be necessary to install new discharge lines if it is determined later that the existing drains are not functioning properly. CT Basement Systems will cut away finished walls as necessary in order to expose concrete floor and wall so that work can be performed. The top edges of the remaining wall may get marked during installation.The customer is responsible for cleaning and/or painting of the top portion of the wall.Initial here X;2�_ The customer will provide wall restoration once work has been completed.Initial here X Customer is aware that the flooring will be sacrificed during installation and the customerwill replace later at own expense. CT Basement Systems will fold carpet back to install system and cannot be responsible for the condition of the carpet.Customer will restore carpeting later at own expense. NOTES TO CREW: Connecticut Basement Systems Inc. Job Location Page 3/6 33 Progress Ave Seymour CT 06483 12 Red Roof Drive Rye Brook NY 10573 4-5-24(2) Products - r Wc1lDuct WaterGuard TripleSafe keGuard Window Well Drainage i_ TS _ ® wNr Connecticut Basement Systems Inc. Job Location Page 4/6 33 Progress Ave Seymour CT 06483 12 Red Roof Drive Rye Brook NY 10573 4-5-24(2) Limited Warranty The warranty is considered in effect when job is completed and paid in full. If water from the walls or floor wall joint passes through the perimeter water control system and onto the basement floor,we will provide the additional labor and materials to fix the leak at no additional charge to the homeowner.This warranty applies to WaterGuard and Two Stage systems,along with the specific areas where the system is installed.Said warranty will be in effect for the lifetime of the structure.This warranty maybe transferred to future homeowners provided we are notified within 30 days of the real estate transfer. The water control system shall not rust,rot,or corrode for as long as you own the home. If the entire perimeter of the basement was not treated,then additional work at an additional charge to the customer could be necessary to extend the system or treat other areas or other problems not addressed by this work.Pump or power failure may be possible, therefore this warranty is not a guarantee of a dry basement,as the scope of this work cannot guarantee that in all circumstances. This warranty shall not apply to:condensation,or anysystem that has been altered in any way,water vapor transmission,concrete discoloration from capillary action,water squirting out of the walls over the system,window well flooding,plumbing leaks,surface water flooding,leaks from chimneys or garages,or efflorescence(white powder)on concrete.Contractor cannot be responsible for peeling paint,water that has been pumped from the house,dust created from installation,damage to hidden fuel lines or plumbing,or frozen discharge lines without an IceGuard.A DryTrak system alone will not eliminate seepage from floor cracks.Floor cracks are warranted against leakage with full perimeter WaterGuard or full perimeter Two Stage systems. Primary AC operated sump pumps are covered under a separate manufacturer's warranty which is 36 months from date of installation. DC operated back-up pumps are covered under a separate manufacturer's warranty which is 36 months from date of installation.Failure of any pump for any reason is outside the scope of this warranty.Back-up pumps that run off a battery,if not maintained,or that are called on to run beyond the current life of the battery,can fail.These systems are very much recommended but cannot be relied upon to work in every situation.Annual maintenance is recommended to find potential problems,but not required for this warranty to be in effect.Electrical work is not included in the contract and problems from electrical connections or lack thereof are disclaimed. Drainage systems clogging or malfunctioning from iron ochre,iron gel,or iron bacteria from the soil are rare,the contractor cannot be responsible for these situations,and that system will require cleaning,flushing,or other service as necessary to keep it functioning for that particular situation. A CleanSpace crawl space encapsulation system will isolate the home from the earth.The humidity level in the air will be lowered, reducing moisture needed for mold growth,however the encapsulation system does not claim to be a mold mitigation system.Wet crawl spaces require a drainage system,and a SmartSump system to remedy the problem with water below the CleanSpace liner.CleanSpace has a transferable 25-year warranty—there will be no charge for service calls on any tears or holes in the CleanSpace liner,in the unlikely event this occurs.Sump pumps are covered under a separate manufacturer warranty.Installation of the system does not include extending discharge lines,or electrical work unless specified.Contractor is not responsible for frozen discharge lines without an IceGuard,water once it is pumped from house,or condensation. TH15 WARRANTY DOES NOT COVER,AND THE CONTRACTOR SPECIFICALLY DISCLAIMS LIABILITY FOR WATER DAMAGE TO FLOOR COVERINGS,FURNITURE,STORED ITEMS,FINISHED WALLS,AND OTHER OBJECTS INSIDE THE FOUNDATION.Contractor will not be responsible for any damages caused by mold;to include,but not be limited to,property damage,personal injury,loss of income, emotional distress,death,loss of use,loss of value,any adverse health effects,or any other effects.Homeowner agrees to keep area dry and report all other obligations on contractor's part.There are no other warranties verbal or written. Items For Which Customer Is Responsible-Customer is responsible for: 1)making ful I payment to the crew leader upon substantial completion of the work;2)preparing the work area for installation;3)any finish carpentry,painting,paneling,landscaping,etc.that may be necessary after Contractor's work is finished;4)marking any private lines such as satellite cables,propane lines,sprinkler system lines,etc.;and 5)any items mentioned in this Contract under"Customer Will"or"Additional Notes." Connecticut Basement Systems Inc. Job Location Page 5/6 33 Progress Ave Seymour CT 06483 12 Red Roof Drive Rye Brook NY 10573 4-5-24(2) Notice of Right to Cancel You are entering into a contract.If that contract is a result of,or in connection with a salesman's direct contact with,or call to you at your residence without your soliciting the contract or call,then you have a legal right to void the contract or sale by notifying us within three business days from whichever of the following events occurs last: 1.The date of the transaction,which is: 04/05/2024 or 2.The date you received this notice of cancellation. How to Cancel If you decide to cancel this transaction,you may do so by notifying us in writing at: Connecticut Basement Systems Inc TF(800)541-0487 F (203)463-9339 connecti cutbasementsystems.com 33 Progress Ave Seymour,CT 06483 You may use any written statement that is signed and dated by you and states your intentions to cancel,or you may use this notice by dating and signing below.Keep one copy of the notice because it contains important information about your rights. 1 wish to cancel. Owner's Signature Date Owner's Signature Date The undersigned acknowledges receipt of the two copies of the Notice of Right to Cancel. 04/05/2024 Owner's Signature Date Owner's Signature Date Connecticut Basement Systems Inc. Job Location Page 6/6 33 Progress Ave Seymour CT 06483 12 Red Roof Drive Rye Brook NY 10573 4-5-24(2) Taub_Daniel-Rye Brook_NY_2024_4_5 Final Audit Report 2024-04-05 Created. 2024-04-05 By: Vincent Orsini(vorsini@Ijctbs.com) Status. Signed Transaction ID: CBJCHBCAABAAkgrc_NWsweLVVNvV-txSmrBs5RM3183w "Taub-Daniel-Rye Brook_NY_2024_4_5" History Document created by Vincent Orsini (vorsini@ljctbs.com) 2024-04-05-4:26.34 PM GMT-IP address:96.250.238.123 Document emailed to dptaub@gmail.com for signature 2024-04-05-4:26:39 PM GMT Email viewed by dptaub@gmail.com 2024-04-05-4:27:35 PM GMT-IP address: 104.28.55.220 Signer dptaub@gmail.com entered name at signing as Daniel Taub 2024-04-05-4:32:21 PM GMT-IP address: 146.75.245.83 Document e-signed by Daniel Taub (dptaub@gmail.com) Signature Date:2024-04-05-4:32:23 PM GMT-Time Source:server-IP address: 146.75.245.83 Agreement completed. 2024-04-05-4:32:23 PM GMT 0 Adobe Acrobat Sign NEW Department of Taxation and Finance ST-124 YORK New York State and Local Sales and Use Tax 1 2 STATE Certificate of Capital Improvement (12'15) After this certificate is completed and signed by both the customer and the contractor performing the capital improvement, it must be kept by the contractor. Copies of this certificate must be furnished to all subcontractors on the job and retained as part of their records. Read this form completely before making any entries. This certificate may not be used to purchase building materials exempt from tax, Name of contractor(print or type) Name of customer(print or type) Connecticut Basement Systems Daniel Taub Address(number and street) Address(number and street) 33 Progress Ave 12 Red Roof Drive City State ZIP code City State ZIP code Seymour CT 06483 Rye Brook, NY Sales tax Certificate ofAuthority number(if any) To be completed by the customer Describe capital improvement to be performed: Permanent Perimeter Waterproofing System Project name Waterproofing System Street address(where the work is to be performed) City State ZIP code 12 Red Roof Drive Rye Brook, NY I certify that: • I am the(mark an X in one) 91 owner ❑ tenant of the real property identified on this form;and • the work described above will result in a capital improvement to the real property as outlined in the instructions of this form;and • this contract(mark an X in one) ❑ includes © does not include the sale of any items that will not become a permanent part of the real property(for example,a free-standing microwave or washing machine). I understand that: • I will be responsible for any sales tax,interest,and penalty due on the contractor's total charge for tangible personal property and for labor if it is determined that this work does not qualify as a capital improvement;and • I will be required to pay the contractor the appropriate sales tax on tangible personal property(and any associated services)when the property installed by the contractor does not become a permanent part of the real property;and • I will be subject to civil or criminal penalties(or both)under the Tax Law if I issue a false or fraudulent certificate. Signature of customer�T Title Owner Date 04/05/2024 D.vn,[I l„b Ay�,:02113?3 EDi To be completed by the contractor I,the contractor,certify that I have entered into a contract to perform the work described by the customer named above, and that I accept this form in good faith.(A copy of the written contract, if any,is attached.)I understand that my failure to collect tax as a result of accepting an improperly completed certificate will make me personally liable for the tax otherwise due, plus penalties and interest. Signature of contractor or officer Title Date This certificate is not valid unless all entries are completed. Page 2 of 2 ST-124(12115) Instructions When the customer completes this certificate and gives it to the Temporary facilities at construction sites contractor,who accepts it in good faith,it is evidence that the Subcontracts to provide temporary facilities at construction sites work to be performed will result in a capital improvement to real that are necessary for the construction of a capital improvement property. are considered to be part of the capital improvement project. A capital improvement to real property is an addition or alteration Examples of temporary facilities include temporary: to real property that: • heat,electric,or plumbing services; (a)substantially adds to the value of the real property or protective pedestrian walkways;and appreciably prolongs the useful life of the real property,and scaffolding services. (b)becomes part of the real property or is permanently affixed to the real property so that removal would cause material A primary contractor purchasing qualifying temporary facilities damage to the property or article itself,and from a subcontractor must give the subcontractor a copy of (c)is intended to become a permanent installation. Form ST-124 issued to the primary contractor by the customer (including a customer that is an exempt organization)to The work performed by the contractor must meet all three of purchase the subcontractor's services exempt from tax. these requirements to be considered a capital improvement. A certificate is accepted in good faith when a contractor has no This certificate may not be issued unless the work qualifies as knowledge that the certificate is false or is fraudulently given, a capital improvement.See Tax Bulletin Capital Improvements and reasonable ordinary due care is exercised in the acceptance (TB-ST-104), of the certificate. if a contractor performs work that constitutes a capital If a contractor gets a properly completed Form ST-124 from the improvement,the contractor must pay tax on the purchase customer within 90 days after rendering services,and accepts it of building materials or other tangible personal property, but in good faith,the customer bears the burden of proving the job is not required to collect tax from the customer for the capital or transaction was not taxable, improvement. No credit or refund is allowed for the tax paid on the cost of materials by the contractor.See Tax Bulletin If you are a contractor who installs items such as washing Contractors—Sates Tax Credits(TB-ST-130). machines, clothes dryers, dishwashers,refrigerators,furniture, For guidance as to whether a job is a repair or a capital etc.,which when installed or placed in real property do not improvement, see Publication 862, Sales and Use Tax become part of the real property,you must collect tax on your Classifications of Capital Improvements and Repairs to Real charge for the installation.The individual charge for any of these Property. items is also taxable as the sale of tangible personal property. A contractor,subcontractor, property owner,or tenant,may If a contractor does not get a properly completed Certificate of not use this certificate to purchase building materials or other Capital Improvement within 90 days,the contractor bears the tangible personal property tax free.A contractor's acceptance burden of proving the work or transaction was a capital of this certificate does not relieve the contractor of the liability for improvement.The failure to get a properly completed certificate, sales tax on the purchase of building materials or other tangible however,does not change the taxable status of a transaction;a personal property subsequently incorporated into the real property contractor may still show that the transaction was a capital as a capital improvement unless the contractor can legally issue improvement. Form ST-120.1,Contractor Exempt Purchase Certificate.(See Contractors and subcontractors must keep any exemption Publication 862 for additional information.) certificate for at least three years after the due date of the last The term materials is defined as items that become a physical return to which it relates,or the date the return was filed,if later_ component part of real or personal property,such as lumber, The contractor must also maintain a method of associating an bricks,or steel.This term also includes items such as doors, exempt sale made to a particular customer with the exemption windows,sinks,and furnaces used in construction. certificate on file for that customer. Floor covering Need help? Floor covering such as carpet,carpet padding, linoleum and Visit our website at www.tdX.ny.goV vinyl roll flooring,carpet tile,linoleum tile,and vinyl tile installed as the initial finished floor covering in new construction,a get information and manage your taxes online new addition to an existing building or structure,or in a total check for new online services and features reconstruction of an existing building or structure,constitutes a capital improvement regardless of the method of installation.As Off Telephone assistance a capital improvement,the charge to the property owner for the installation of floor covering is not subject to New York State and Sales Tax Information Center: (518)485-2889 local sales and use taxes. However,the retail purchase of floor To order forms and publications: (518)457-5431 covering(such as carpet or padding)itself is subject to tax. Floor covering installed other than as described above does Text Telephone(TTY)Hotline(for persons with not qualify as a capital improvement.Therefore,the charges for hearing and speech disabilities using a TTY): (518)485-5082 materials and labor are subject to sales tax,The contractor may ' Persons with disabilities:in compliance with the apply for a credit or refund of any sales tax already paid on the (5v Americans with Disabilities Act,we will ensure that our materials. lobbies,offices,meeting rooms,and other facilities are accessible to persons with disabilities.If you have questions The term floor covering does not include flooring such as about special accommodations for persons with disabilities,call the ceramic tile, hardwood, slate,terrazzo, and marble.The rules information center. for determining when floor covering constitutes a capital improvement do not apply to such flooring.The criteria stated in Privacy notification (a), (b),and (c)above apply to such flooring. See our website or Publication 54, Privacy Notification. Daniel Taub ST-124 Form - Waterproofing Final Audit Report 2024-04-05 Created. 2024-04-05 By: Vincent Orsini(vorsini@Ijclbs.com) Status: Signed Transaction ID: CBJCHBCAABAAfxFO1XUKaliCK1hLROhMYjythXGmWKv2 "Daniel Taub ST-124 Form - Waterproofing" History Document created by Vincent Orsini (vorsini@ljctbs.com) 2024-04-05-4:27 57 PM GMT-IP address.96.250.238.123 Document emailed to dptaub@gmail.com for signature 2024-04-05-4:28:01 PM GMT Email viewed by dptaub@gmail.com 2024-04-05-4:32 32 PM GMT-IP address 146.75,245.83 5� Signer dptaub@gmail.com entered name at signing as Daniel Taub 2024-04-05-4:33:03 PM GMT-IP address 146.75.245.83 i:10 Document e-signed by Daniel Taub (dptaub@gmail.com) Signature Date:2024-04-05-4:33:05 PM GMT-Time Source:server-IP address, 146.75.245.83 Agreement completed. 2024-04-05-4:33:05 PM GMT Q Adobe Acrobat Sign Bu�1dn�Perrrut Check List&Zoning Analysis �2 �e -- Adds:n 1 SBL m Zones ♦�-'` u1 : Conic.Type: Other. Subtrumal Due: ZL Revmions Subrruttal Bates: Applicant C.\ Ar--) Nature of Work: NS � �! 1 Nw�CA \C-,14 S n ) roc �ox new ZBA: im 2 5 2024PB: BOT: Other. NTED �LK !2 4 ( FEES.Filing: \ BP: C/O Flood Placec Legalisation ( ) ( APP: Dated: Notarized SBI: Truss I.D. Cross Connection H.O.A.: ( ) ( �Scenic Road:: Steep Slopes: Wetlands: Scorn Water Review: Street Opening. ( ) ( ) ENVIRO: Long Short. Fees: N/A. ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan Other. ( ) ( ) SURVEY: Dated: Current Archival• Sealed Unacceptable ( ` ( ) PLANS.-Dace Scanrped Sealed (' Ilectrorue Other. i ( ( LtcrosC_Workers Comp:�'I cabiL '. Comp.Waiver. Other: ( ; ( ) CODE 753#: Dated. N/A HIGH-VOLTAGE ELECTRICAL•Plum: Pemut N/A: Other: ( ) ( ) LOW-VOLTAGE ELECTRICAL-Plans: Pemuc N/A: Other. (� ( ) FIRE ALARM/SMOKE DETECTORS Plum: Pemut H.W.I.C.:_Battery:_Other. (I ( ) PLUMBING Places mit Per Nat_Gat: LP Gas: N/A/: Other. ( ( ) FIRE SUPPRESSION:Places: Pemu t: N/A: Other. ( ) ( ) FLV.A.C_ Plans: Pem t: N/A Other. FUEL TANK Plans: Pcmut: Duel"Type: Other. ( ( ) 2020 NY State ECCC: N/A: Other. ( ( ) Final Suuvey Fucal Topo: RA/PE Sign-off Letter. As-Bwh Plum: Other. ( ) BP DI2,IAL LITILR C/O DENIM. I-E I"I1:R. Other. ( ) ( ) Ocher. ( ;ARB mug.due approvaL• notes: ( )ZBA mug.date: approval;- notes: ( )PB mug.due: approvaL• notes: REQUIRED EMSTING PROPOSED 'NOT►_S APPROVED Arez C<tCIC _ Date F - FF Sees: MASTIC ASg.Cyr. R.HS : - Sd.H/Sb: — i�FA: Tct lmp: Hight/Scones -- _ notes: lA '-`ciW ..�A .��^M�� ,�A.' 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In �t(0)1 rr., , •ix5t s .�,tifr' 11 11 ss ems'ter+<`:`i 1,Use ail 1 e ij; 1 /1 ;!:? ; ��i 1, , t(0)► ,til' lll,1/1111 rS Iy,1, 11/11 lllif /11►I�i lh + 11�1 Ih + 11/1 Nh1 11 f/j yq� 1111 it 11111 �}�` *t b c d 11111 A • ETiAP'1f� 1• f �tA*! •1� �1�tA`e�(:��11/ 1�ljA� •• �nf`}rAr'f x 1•11111 M (A��xn�w :6�� .yO\ ` �'i�V . •4 �`'�..:.Jv\�;• ... ..rho �7�ir :.. :.Y,� .i.V�� -a��/ice\: �. _. .r`y\ � ... -. r...: . ' 1 DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE F7/24i2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Liz FOX Arthur J. Gallagher Risk Management Services, LLC HONK Ez 518-556-3113 ac No:518-869-3580 30 Century Hill Drive IA Suite 200 ADDRESS: Liz Fox@ajg.com Latham NY 12110 INSURERS AFFORDING COVERAGE NAIC0 INSURERA:Wesco Insurance Company 25011 INSURED INSURERB:Travelers Property Casualty Co of America 25674 Connecticut Basement Systems, Inc.33 Progress Ave INSURER c:CorePointe Insurance Company 10499 Seymour CT 06483 INSURERD: Milford Casuafty Insurance Company 26662 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:539145822 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF PWDDhrfM OLICY XP LIMITS A X COMMERCIAL GENERAL LIABILITY Y VVPP191228803 5/1/2024 5/1/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $300,000 X PD Ded$1,000 MED EXP(Any one person) $10,000 X Contractual Liab PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY 1K JET LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY WPP188551303 5/1/2024 5/1/2025 COMBINED SINGLE LIMIT $1,000,00E Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S A X UMBRELLA UAB X OCCUR WUM204089700 5/1/2024 5/1/2025 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 RED X I RETENTION$in nnn $ C WORKERS D AND EMPLOYEMPENSATION RS'IABILIITY CPW1002471 5/1/2024 5/1/2025 X STATUTE ER TH Y/N MWC1036688 5/1/2024 5/1/2025 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED7 NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Leased/Rented Equipment QT6302T247171TIL24 5/1/2024 5/1/2025 $100,000 Special Form DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) RE: Job Location: 12 Red Roof Drive Rye Brook. NY 10573 The Village of Rye Brook 938 King St. Rye Brook, NY 10573 is added to the General Liability as an Additional Insured if required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The Village of Rye Brook 938 King St. AUTHORIZED REPRESENTATIVE Rye Brook, NY 10573 ©19.888--2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . Wesco Insurance Company 800 Superior Avenue East, 21 st Floor FFA Cleveland, OH 44114 COMMERCIAL COMMON POLICY DECLARATIONS SUMMARY PAGE Policy Number WPP1912288 03 Policy Period From: 5/1/2024 To: 5/1/2025 12.01 A.M.Standard Time at the Name Insured's Address Transaction Renewal Named Insured and Address Producer: 25260 Connecticut Basement Systems, Inc. Oryx Insurance Brokerage, Inc. See Extension of Named Insured 2 Court Street Suite 401 33 Progress Ave Binghamton NY 13901 Seymour CT 06483 Telephone: (607) 724-0173 Business Description Type of Business Auditable XO Non-Auditable Waterproofing Contractor Organization Including a Corporation Audit Period Annual In return for the payment of the premium. and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. This premium may be subject to adjustment. COVERAGE PART DESCRIPTION PREMIUM General Liability $ Policy Premium $ Deposit Premium (if applicable) $ Taxes and Surcharges $ Total Deposit Premium $ (Includes Taxes. Surcharges,and applicable Terrorism Premium) FORMS AND ENDORSEMENTS* See Forms and Endorsements Schedule 'Entry optional if above in common policy declarations schedule THESE DECLARATIONS TOGETHER WITH THE COVERAGE DECLARATIONS, COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORM(S) AND ENDORSEMENTS. IF ANY, ISSUED TO FORM A PART THEREOF. COMPLETE THE ABOVE NUMBERED POLICY. / 5/13/2024 Date Signature of Authorized Representative ILDEC 0414 Page 1 of 11 YORK NEW 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 workers'compensation rights or obligations of any party." 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 Connecticut Basement Systems Inc. From Village of Rye Brook 33 Progress Ave g y Seymour,CT 06483 PHONE:800-541-0487 FEIN:XXXXX0272 The location of where work will be performed is 12 Red Roof Drive,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building permit are from July 24,2024 to September 24,2024. The estimated dollar amount of project is $25,001 -$50,000 Workers'Compensation Exemption Statement: The applicant is NOT applying for a workers'compensation certificate of attestation of exemption and will show a separate certificate of NYS workers'compensation insurance coverage. Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is 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 are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) I,Lawrence M.Janesky,am the President 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 statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I 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 New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately famish proof of that coverage on forms approved by the Chair of the Workers'Compensat n Board to the government entity listed above. HERE Signature: Date: 7 y 2� Exemption Certificate umber Rece ved 2024-057204 July 24, 2024 NYS Workers' Compensation Board CE-200 01/2018