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HomeMy WebLinkAboutSP24-001PERMIT # SECTION. TYPE OF V JOB LOCH EST. COST �CO My1 TCO # FEE DATE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT O ALARM O AS BUILT O FINAL C�o�ilny l_OinPtJntJ. // cqiH)937 e¢3bo OTHER AP//PRPPV__A�LS ���'/ ARB /�CYuQ/U o�� d�3 BOT PB zBA OTHER l�i uu vu�j+ CQ a u O 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.tyebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 31,2024 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 124 South Ridge Street,Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 Sign Permit#24-001 issued on 3/6/2024 for New Sign This certifies that the new illuminated sign;"Mixology Clothing Company",installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D 4 I - .F '1Rr1�,� For office use onl JUL _ 2 202 BUILDI FGiDI TMENT PERMIT# — CO/ VILLAGE OF RYE BROOK ITM6 E OF RYE**90K ISSUED: BUILDING DEPARTMENT 938 Knvc STRE1�'jt BRoox, w YORx 10573 DATE: y9FEE: tPAM W 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: S , ea. s ' Occupancy/Use: Parcel ID#: ( . a -7 Zone: Owner:iA 74 V\ .r Address 44 J�V f.i e- -P jQ jZ-4L�,0 a P.E./R.A. or Contractor: 4 C IA DAddress: {e4 Lt,Y,(Ldft e . ,J 0hey 1JJ Person in responsible charge: to h Address: � lie try & I03�3 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: �rx,,oh 113,17,a— being duly sworn,deposes and says that he/she resides at4/)4 1.1 11 ((�(� rant Name of Applicant) (No.and Street) y in IZ � l ' � ,in the County of �1�I Q S t(it leS�r�i in the State of that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ ' o co o for the construction or alteration of. W jWQ]{3(2�4 L I C AA-N�OQ 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 structuretwork 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 l Sworn to before me this day of l/U/Jr- ,20 7-t day of —/�d ,20 0? rynantre of etmeer' Si lure of pplicant Pritil Nape of Property 4WMr AtO}-7— Print Name of Applicant L'O x"� Otaty ruvnc Notary Public ALENAHAKANJIN LOIS NIETO WrmyPusix,STATE OF NEW 1fORK NOTARY PUBLIC, STATE OF NEW YORK 9112,2021 Rsaistrstion No.OIHAOO13645 NO. 01 N14899825 1 iMA In westchester County J omminionEavhes911612027 QUALIFIED IN WESTCHESTER COUNTY COMMISSION EXPIRES DECEMBER 3, 2026 QyE BRC�k. '9a2 BUILDING DEPARTMENT ❑'BUILDING INSPECTOR D 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 - - - - - - - - - - - - - - - - - - - - �-y ADDRESS • I F DATE: I Z= , A Z PERMIT# ' -- ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: -- ❑ Violation Noted THE WORK IS... ] PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION ;r 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 _ a ■ e a ^{ LC) +0 CCy _ Q � N '" 4 ■ C/) �j 1-0 c� 7 � a W 5 Colp �. C). M a a a �j DO W o "Oa o. v a ix x o vvE o F O en .o O 0-0W p ram-+ p a o _b° + O �rTT . oo C7 +i W G p w w U w ; - -V a � � /'� � O � � v p cr I� a U z o H O CA ►M��+�--ill rn w y 1a F v W w v a¢ 45 o cFn a W A O c zz � v w U A z 5 ' p 0.4w z O U U V C) � PC) o �) W p >" a v o z o d , s O ow BU19> t *. XTMENT � JD - Vn, ` > 'o o©x JAN 2 2 2024 938 Knvc `'�': R NY 10573 VILLAGE OF RYE BROOK BUILDING- N.1- w*srssrswswwssrrrs*cartswww*ss*ssrsswwrrw*s*w*swwsrssaswwswswwr+rwwsrrssswrwsrrrwrwwswrrws•rss•rwsssssrwwrw FOR OFFICE USE ONLY: Approval Date: F E B z�2024p - C� Application# 1 Approval signature. _ ARCEMCTURAL REV W BOARD: Disapproved: Date: f 2 BOT Approval Date. Case# Chairman: PH Approval Date: Case# Secretary. ZBA Approval Date: Case# Other: C • Application Fee: . I- ,' bperwt Feet: s 7 ) •sw*rssws+ssrrwwrssrssssr*wrsaswrsswrsww****ssssssrwsswwwwwswrshwswsaswwwrsss***srsssss*rrsrwwwr**ss**srss SIGN PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction/installation of a sign in accordance with Village Code§250-35 as per detailed statement described below. 1. Address: /�h/ S , L Ia' G_ �) SBL: 14, 02�- �C`i Zone: 2. Property Use or Business Name: / 0 0 81 ,- 3. Proposed Signs)(Describe in detail including number of signs,types,sizes,exact location(s),and illumination metbod(s)if applicable.) (A separate Electrical Permit will be required for any associated el cal work.) " / 4. Height from grade to highest point of sign: 15j to lowest point of sign: 5. Property Owner. Qjr1 ICIT_r Address: k na /D5'73 Phone# I,f -'406,f)-, Cell# _ email; , r ✓� b. Applicant: — �u Address t-- - --,�� f -P,4 Id 7--5 ZEY Phone# - - -) Cell# email o',ty/„ r��t:/�r;S/�;�J�EG3r►�l 7- Architect/Engineen Address: Phone# Cell# � email: 8. Sign Contractor: j ).- ' ) c Address: Ito Phone# -�J= �- '.1> Call# email: 62420 FS/! •G4r>'1 _l. 8/12=1 4. Will the proposed sign require a Site Plan Review by the Village Planning Board as per#209 of Village Code? Yes: No Z (If yes,you must smbmit a Site Plan Application,&provide detailed drawings) 10. Does the proposed sign involve a Home-Occnpatioa as per 0250-38 of Village Code? Yes: No: If yes,indicate: TIER I:_TIER II:_TIER III:_ (If yes,a Home Occupation Permit Application is required) 11, If building is looted on a corner lot,which street does it front on: 12. Property frontage:T 13. Property size:Sq.Ft.: Acres. 14. What is the total estimated cast of construction: $ DOo , D C) (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.) 15. Estimated date of completion: ***##*kt##*#t#tk#**###trtttt*#*****#r##rk#*tr**,t***#***rr#t*#*#**+t#*#**,►trtt##s##**###*#t##t*#r#t#**r##ttr This application 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. R*tr##**t#*t}*#f*#*kt#*#t#**##t#*t#tt*****#t***##rtktk***#tt*#*1rRt#t###t*##tt#k*#t#!t#t*tt#*##*####ttt###* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print nano of in&vi"sivdag as the 9PHe m) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the ' ��t `far the legal owner and is duly authorized to make and file thus application. (indicate architect,contractor,agent,atlomey,etc.} That all statements concon atned herein are true to the best ofhis/her]mowledge 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 Fine Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Swots to before me this } _ Sworn to before me thus j y of U' ' 20 Z day o�y( 20cR f S' of (�Wtid� U Si o Applicant OSc' ` 2� a�o�f] Print Name of Applicant Notlkrry Public Notary Public ALENA WAKANJIN LOTS PVIETO NOTARY PUBI.C,STATE OF:NEW yopK NOTARY PUBLIC, STATE OF NEWYORK Regletrotion No.DINA01364S NO. O1 N14899825 My Coo r to ioV, im 9 County QUALIFIED IN WESTCHESTER COUNTY �y Commission ExDfrN 9119I2011 COMMISSION EXPIRES DECEMBER 3, 2026 _2- 9/12/2021 a : a a s s 0 t O N N w A \ eq \ z lz F+1 ti O ' • a F, ca O 4EA ►-+ • U 00 . N s a w H C7 W � G � � o .4 W W o ; x x O V Call) o1,04 00 O Q e 0-4 0 Y O I.-, O z U 'uj w O ►� . W W � Z ►'' � � o � z � � � A Oo c 5 o wo O W C~� a W o o U z cn cn(� Z � M z V z A Ns a a z Cl) v00 cn a F+ a I�iCN a ' V zz C7 of A w 0 .5 0.4 O ►j'�iy w wU 7�F O u z M M o zo O = O a CA ° d ' •. 0. a �I a a z w x � BUILDING DEPARTMENT E C E N E . VILLAGE OF RYE BROOK APR 15 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.tyebrook.org BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required / Q FOR OFFICE USE ONLY .B ": y��J 7 O EP#: / O v Approval Date: ` 2 Permit Fee: $ Approval Signature: Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE / TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. L Address: SBL: 1 N 1,d27-1 - (o Zone: 2.Property Owner: -L�Sjt1 C4it�59k, t ea l� L- _C. Address: 0-H �1-1 h �,i1�C G-t" Phone#: Cell#: email: \/ 3.Master Electrician/Licensed Installer: tfr11_ Address: ie RW, .$ Lic.#:Phone#: Cell#: email:?;ry'ku2lect*c t1 P A ol-t Company Name: P LQcjc" L �cnAddress: 1o`1 ojqi° tyre fie. k)'� I 'f&-L"' 4.Proposed Electrical Work/Fixture Count: NP�t,J _'1.-Il talmMc�tet\ �-„tiY1 5.3rd Party Electrical Inspection Agency: C' )W\5 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: R('Vy-_ Qj)ft­'�,e ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual si*�ggppmmg as the applicant state that(s)he is the t-XLx for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Swom to be ore me this day of ,20 day of 20 Signature of Property Owner Signatu of Applicant 1 FELICITY FULLER Print Name of Property Owner M Name of pplicant Notary Public-State of New York No.0 1 FU6425939 Notary Public Qualifi"in Westchester County o Public My Commission Expires 11/29/20 10/30/2023 STATE WIDE INSPECTION SERVICES, INC. 00 Service Hith lnfegri�v I 0•0 • • SWIS • B APPLICATION tel 845.202.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COI Office Use Elect. Permit# -_— r/ _ ) "/ Date Bldg Permit# ef-�D 4L- _ W 1 Scl Ft Plumbing Permit# Final Certificate# City/Village ��, �( I Zip ,<� Building Dept. '�,.-1.Q C l�(? County Address !�� Cross Street Section Block 77 Lot Owner Name/Address(If different than above) Contact Number i y--�� '- � vU,_ ❑Basement ❑ 1st A. ❑ 2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic .Outside ❑Residential commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P I 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation � oy'6\-C � Liu- APR 15 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address Name License# Date Signature Address City/State Zip Code Company Phone# D E C IEN F, State Wide Inspection Services D1080 Main Street JUL 2 3 2024 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office(cbswisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Pinto Electrical Company, Inc Win Ridge Realty LLC Mark Pinto 124 South Ridge Street 109 Maple Avenue Rye Brook, NY 10573 Rye, NY 10573 Located at: 124 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-084 141.27 1 L Certificate Number: 2024-2758 Building Permit Number: SP 24-001 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 124 South Ridge Street, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 23Ed day of July 2024. Name Quantity Rating Circuit Type Illuminated Sign 01 Officer: Frank 1. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Building Permit Check List&Zoning Analysis O'BI & C ONLY Address: 1 Zone: - Use: Const.Type: Other: Submittal Date: Revisions Submittal Dates: Applicant:,, I's', C�N qQ- / S <<.r► � N Nature of Work Reviews:ZBA:FE$ 20` PB: BP: er. NEED OK (FEES:Filing: BP: �7 C/O.. Legalization: ( ) (,�-APP.: Date Stamped: 'Properly Signedr' SBL Verified: Cross Connection: F.O.G.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO.:Long Shore Fees: N/A: ( ) ( ) SM PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival• Sealed: Unacceptable: ( ) (,)5; LANS:Date Stamped: / Sealed -' Cop;;., Electronic "U Other. ( � ( License: Workers Comp: Liability. Comp.Waiver.44' Other. ( ) ( ) Code 753#: Dated: N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: Grease Trap: 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: ( ZB mtg.date: 1 � approval:- 1 notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval:- _notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: Circle: Fie _ Front: Front: Sides: Rear. F.A.R.: en S ace HHehn Stories: notes: BUII,D OOK 938 KING NY 10573 VILLAGci R Ili DiR . 444tt444t44444444444444t4ti4t4t44t44444#44t444tt#####ttt••4#•#i4tt444ittitttt4t•##4•t•#t#tt4t4t4tti44ittttt ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address:_ /2'/ 'e 6'/- Da of Submission: / Parcel ID#:j6//.J 7-/-fir Zone: / '-'9 Proposed Improvement(Describe in detail): 1 11[, 4e�- 7il Lrolll� , �'le 'ewers APPLICANT CHECK LIST: 11 �X M1�n1 MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building ,`v-% L,44t.T-s. 4 747"x 17 66i-} intj L jr. n.� Department by the applicant-no exceptions. Property Owner:�� �a r LL 4 r 1- (>4)'Completed Application ;) 2. ( )Two(2)sets of sealed plans. (one full size(maximum Address:Q�� 4 P 1 k �� N 1 allowable plan size 36"x 42"1 and one 11"x 17") _ vl Phone# 14 - Q d% 4,0 D,< 3. ( )Two(2)copies of the property survey. 4. ( Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. One electronic/disc copy of the complete J? n t n application materials. 6. Filing Fee. Address:46 4 0 4- ' 1&57 3 7. ( )Any supporting documentation. ! Phone# 8. ( )HOA approval letter. (fapplicable) 9. (>4 Photographs. Architect/Engineer: 10.( )Samples of finishes/color chart. (a sample board or Phone# model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures,and that their application Is complete in all respects. The Board of Review reserves the night to refuse to hear any application not meeting the requirements contained herein. Swom to before me this I s", Sworn to before me this 20 day of� li l'-/ , 20Aipshfi 0? OfTiopoo Uw.a./ /t)i / Swature of App t 7 N of Properlyf Print Name NoWYy Public 1 V No 'Public ALENA NAKAN.NN LOIS NIETO NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC, STATE OF NEW YOM Registration No.01MA0013645 NO. 01 N14899625 Qualified in Westchester County My Commission Expires911912027 QUALIFIED IN WESTCHESTER COUNTY COMMISSION EXPIRES DECEMBER 3,2026 8/1=021 ` y Village of Rye Brook ML MR .00 Agenda FB SE Architectural Review Board Meeting AC !SF W Wednesday,February 21,2024 at 7:30 PMVillage Hall,938 King Street 1. ITEMS: 1.1. ARB24-008 (Consent Agenda) David Ybarra&Carleen Ybarra 45 Mohegan Lane Rooftop solar array. 1.2. ARB24-009 (Consent Agenda) Jeff Wang&Yenwen Chen 55 Talcott Road Rooftop solar array. 1.3. ARB24-010 (Consent Agenda) Scott Stern&Bonnie Stern 79 Greenway Close Paver patio. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.4. ARB24-011 Win Ridge Realty LLC 124 South Ridge Street New illuminated sign. "Mixology Clothing Company" Approvals: Motion_ Second P-R Abstention Aye; Nay; Adjournment; Notes 1.5. ARB24-012 Brett Roer&Rosa Ortiz 12 BelleFair Boulevard Rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 2 %r Architectural Review Board February 21,2024 1.6. ARB24-013 Michael Bonnici&Wendy Catherine Lopez Valbuena 4 James Way Legalize exterior entry and stairs. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB24-014 Eduardo Mateus&Heather Winnicki 4 Maywood Avenue Garage addition with bedroom above. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB24-015 Seth Schneider&Karen Jaffe 67 Winding Wood Road Two tier rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB24-016(Amendment to Prior Approval) Stuart Gelbard&Adrian Gelbard 51 Winding Wood Road Exterior changes and skylight installation. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: March 20,2024 Page 2 of 2 Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 05/31/2023 THIS C6,TIFICATE 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 Stacie Washington NAME: Borrelli Partners Insurance Agency A/CO No Ext: (914)939-7900 � No (914)407-5088 287 Bowman Avenue E-MAIL swashIngton@borre Ili partners com ADDRESS: Suite 406 INSURER(S)AFFORDING COVERAGE NAIC N Purchase NY 10577 INSURER A: Travelers Casualty Ins Co ofAmerica 19046 INSURED INSURER B: Travelers Indemnity Co 25658 Lanza Corporation D/B/a INSURER C: Phoenix Ins Co 25623 404 Willett Ave INSURER D INSURER E: Port Chester NY 10573 INSURER F: COVERAGES CERTIFICATE NUMBER: CL235804613 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 AUUL bUbK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMSMADE OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 A 6805,1175092 06/05/2023 06/05/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Par person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B X EXCESS LIAB CLAIMS-MADE EX5J175240 06/05/2023 06/05/2024 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY v/N STATUTE ER 1,000,000 C ANY PROPRI OFFICER/MEMBER EXCLUDED?R/PARTNER/EXECUTIVE ❑ NIA UB5J175160 06/05/2023 06/05/2024 EL.EACH ACCIDENT $ (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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) BLANKET AI-OWNERS,LESSESS OR CONTRACTORS,AI-MANAGERS OR LESSORS OF PREMISES,AI-STATE OR POLITICAL SUBDIVISIONS PERMITS RELATING TO PREMISES,At LESSOR OF LEASED EQUIPMENT,PRIMARY 8 NON-CONTRIBUTORY WORDING,WAIVER OF SUBROGATION-WC POLICY INCLUDES BLANKET WOS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE 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 YORK Workers' CERTIFICATE OF rsTATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE ` 1a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured Lanza Corporation 914-937-6360 DBA Sign Design and J C Awning 1c. NYS Unemployment Insurance Employer Registration Number of 404 Willett Avenue Insured Port Chester, NY 10573 Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 13-3525268 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Phoenix Insurance Company Village of Rye Brook 3b. Policy Number of Entity Listed in Box"1 a" 938 King Street UB5J175160 Rye Brook, NY 10573 3c. Policy effective period 06/05/2023 to 06/05/2024 3d.The Proprietor,Partners or Executive Officers are ® induded.(Only check box if all partners/officers included) ❑ 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"1a" 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". NII the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? YES ®NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Joanne SIrICO (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �� L� 54� 05/31/2023 (Date) Title: Acct Mgr Telephone Number of authorized representative or licensed agent of insurance carrier: 914-939-7900 ?lease 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 (9-15) www.wcb.ny.gov