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HomeMy WebLinkAboutBP24-198PERMIT # A SECTION TYPE OF WORK 10B LOCATION OWNER CONTRACTOR �4/ST. COST_ co # C TCO # DATE 17 DATE: 0 f% !S FEES/ o�L2't°L3 p: 7 as LOT I /�- / ?7 S'h,nq eS FEE DATE I NSP FOOTING - -- FOUNDATION FRAMING - - RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS L SPRINKLER ---T ELECTRIC LOW -VOLT 0 - - - ALARM AS BUILT 0 -- �-- FINAL 'f- L - 2� �►SS !)Sc &7)5(?3® &Y&SQ VT/o c3oy/S-73P OTHER A ROVALS ARB u GSlo 2) BOT P8 ZBA OTHER QyE aR 19 CCLu�t � Q JaGG'Vu W V �C 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 David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 30,2025 Jeffrey Mensch&Hannah Mensch 10 Red Roof Drive Rye Brook,New York 10573 Re: 10 Red Roof Drive, Rye Brook,New York 10573 Parcel ID#: 135.42-1-5.12 Building Permit#24-198 issued on 9/17/2024 for a Rooftop Solar Shingles This certifies that the rooftop solar shingles,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to ��a i ii - ekv For office use on1 J D �, BUILENT PERMIT# c3 —/9U VILK ISSUED: MAR 27 M5 938 KING STREYORK 10573 DATE:3--3 —cW � FEE:4,4 /S— PAIDJ1 VILLAGE OF RYi; BROOK 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 Rti#ki#R#4#t#ik####itkfiii#ff##iti#iitiff R#ititi#f###Ri#iitiRtR#iiti#iRiR#iRRkti#RittRtfRt#i#i####kttikt#ii##iRiiRiiiftRRRRRR Address: 10 Red Roof Drive Rye Brook NY 10573 Occupancy/Use: Residential Parcel ID#:_ /3 7, Y,4 Zone: —� Owner: Jeff Mensch Address: 10 Red Roof Drive Rye Brook, NY 10573 P.E./R.A. or Contractor: GAF Energy LLC Address: 5981 Optical Ct San Jose CA 95138 Person in responsible charge: Mike Williams Address: 5981 Optical Ct San Jose CA 95138 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: Anais Abello being duly sworn,deposes and says that he/she resides at 105 Harrison Ave (Print Name of Applicant) (No.and Street) in Miller Place ,in the County of Suffolk in the State of NY 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:$ 0 for the construction or alteration of: $65,000 �O IQr S in q le S Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this 4t_11 Sworn to before me this 2(P day of t `l" , 20 as of 210 Signat re of Property Owner a re Appli t 0 } M��c �� Anais Abello Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 40141AY,ACOSTA Di& %IE,;SCH Notwy Public,State of New Yob*_�� - E OF NEW Yp No.01AC6299818 21 E611()778Qualified In Suffolk COCommission Expires Marchhester county July 24,2028 �yE BR(�j�. 1932 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: ,./ - X 7 - �OaJ PERMIT# ISSUED: SECT: BLOCK: I LOT: �L 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 ��� ON g N ? 7 N M CT � • w 0 tid ,P, I- to N w O fTl O o o 70 A = ao v 00 W O Q I CALn o ° _ 040 o „ � : W U n x 3 U i7 a V A z 00 Z o z V. 00 00 acn p W A E w PQ W � � � o � o -o o P4 o 031 A o V o V � V �• C7 } A O g rn � - O z w vWi w d oA �~ �� � o o � A P4 Q~ W f W PO4' � � d O E" �,.� •�° a� BUILDING DEPARTMENT VILLAGE OF RYE BROOK R � c � 938 KING STREET RVF, BROOK, NV 10573 L (� �`G (914)939-0668 JUN 2 0 2024 l VILLAGE OF RYE BROOK ...«««...*«..««.«..««...*«......«.«.....*....«►*«t,*:.«*..►....««.......*«*... BUILDING DEPARTMENT FOR OFFICE USE ONLY: — Q Approval Date: AUG 2 1 # f e� — g Application# o q Approval Signature:. ARMTECTURAL REVIEW BOARR: Disapproved: Date: 2 BOT Approval Date:_ Case# Chairman: PB Approval Date: Case#_��_ Secretary: ZBA Approval Date: Case# 1 r Other: Application Fee:I$!/'(`U ,' Permit Fe.: APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY Application dated 6/14124 is hereby made to the Building Inspectorof the Village of RveBrook,NY.for the issnanc c of a Permit forthe installation of a Photovoltaic Solar Array as per detaited statement described below. 1. Job Address: 10 Red Roof Drive / L/ �_Zolie:� - 2 Type,kW& Location of Array,lose additional sheets ifncce�tan 1: 9.292kw Solar Shingles to be installed on the South and West facing roof planes. Inverter and AC disconnect to be installed adjacent to existing meter as per site plan. 3. Property Owner:Jeff Mensch Address' 10 Red Roof Drive, Rye Brook, W 10573 - — Phone# 917-583-6865 Cell# e-mail Jeff mensch@yahoo.com 4 Applicant: Sarah Hawkins-Rushing for GAF Ene LLCAddress.5981 Optical Court, San Jose, CA 95138 Phone# 571-409-0287 Cell# e 5. Design]rngineer:_garun Corp/Yurianto Yuria nto 610-202-45Q6 Address: -imil NYPermits@gaf.com Phone# Cell# ehrisk ba GAF Energy e-mail � run-corp,com 6. Solar Contractor:_ gy LLC Address: I urt San pea u^A g�138 Phone# 571-409-0287 Cell# — peits�gaf co-� m 7 Occupancy; I 1-I am.2-17mn,C'uazmercL i� .et. ,Pre-construction: e-mail etiou: 1-Fa --- Post-construction: 1-Faln 8. If building is located on a corner lot, which street does it front on: NIA 9, N.Y State Construction Classification: N.Y. State Use Classification: 10. Construction"Type& Location: ()Typical Western Lumber Frame;()Timber Frame[TC],()Wood Truss[TT]; () Pre-engineered wood IPW];Located;()Floor Framing IF];() Roof Framing I RI;()Floor& Roof Framing[FRI,- Other: ------------ i 1. Number of stories:2 Roof Style:011p.slicd,nunixud.cuc...) hip 12. Will a New Roof Be Installed: No ❑ yes Ia scp,iralr tooling hrniril r�rcqund iu rc-rout nn cv.unL huidui�! 13. Roofing Material& Number of Layers: GAF Energy Timberline Solar ES (solar shingle) and Timberline Solar HDZ asphalt, 1 layer 1 �v2u2a 14. Will the proposed project disturb 400 sq. ft. or more of land,or create 400 sq. fl.or more of impervious coverage requiring a stormwater Management Control hermit as per§217 of Village Code? No: 0 Yes: ❑ Area: 15, Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: d Yes: ❑ t ll',cs nlsphcant mtisl suhntit a Nite Plan Applicntinn,8 prm idc tleiatictl drrnt most 16, Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: V Yes: ❑ if�c,agalrlii;i€n ron��t>iihmel❑ IliC l:cn,mal Fcrmit�%pplicau,ari 17. hoes the proposed project involve a Home-Occupation as per §250-38 of Village Code? No: V Yes: ❑ Indicate: TIER 1:__TIER 1l: TIER 11 I: i,l,e, ,l 1nniE:t iccupntion Fcnnit Application is rcquired 18- What is the total estimated cost of construction: $65,000 (which includes re-roof work �( Ov u iNotc The estimiated cost shall include all site nnprovenients,labor,niaienril,scat Gilding.fixed equipmcnt,prolbssion, es.rnch6ng any m, al and labor which nm be domaied gratis If the final cost ex+xcds the estimated cost.an additional Ccc u it1 he regvtrcd prior to issuance of the( tab 19. Start Date:TBD Completion Date: TBD w**r#ww#wwwwww#*wwwww*�„t**ww,�ww*�*,�wxw#*w%x*w*NY*w*%wwwwwti*##t�,t*,t,t#wt,rf*fr*www*www*wwwws#w#w#wr.,t*ww*wwwwi This application must bear 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 andfor not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. #irtw#,tt###tn►s+r*#k#f*i►*#tr#ir**f.#t##1F+k##twk�.*w,�*a�**w,kwr,�rw*w,e**tww t*w*w*,aw,t*##wwwre#w*wtt*wwtw*i,�,w***ww*,�tw#*w STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I Sarah Hawkins-Rushing being duly sworn,deposes and states that he/she is the applicant above named, (print name of indi%ideal iening as the apl,l III:ant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the, Agent/'Contractor for the legal owner and is duly authorized to make and file this application, iu,dicalc arcltrtect.cuntracnv.acirt_attotncr cis 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 /y /A Sworn to before me this �{ day of tJ_d/) , .20 0 - day of ,20 Z <=Notary Public Notar) l'uh c 5tgnatur C P lityn-ert'k Signature of Applicant Tct, Sarah Hawkins-Rushing PriatNaraeo#Prupr Owner ]jrint Name uCApplicant SKYLER WAGNER SAMANTHA JEAN BEYDA StNotary Public State of Colorado NOTARY PUBLIC-STATE OF NEW YORK Notary ID tt 20234027959 No.0IBE6441631 My Commission Expires 07-25-2027 Qualified in New York County My Commission Expires 09-26-2026 tvlaoz4 • s a� rl ..r CL s � N N W N N OL u W = A � d :L f _ rf" ' O r � ��^rram� �j �.~I,• � � � N00 �/ NJ w i ^�1I z O rNi A M N I O = 00 `-' uj QE r u `-� ' `Z n C �w z v j Cl) e v fN Z M z z :� O z o 5 - V x U �� W 0-4 00 z z N v S a w w0 _o a H H x z a. W 0 U : s W a. C � a• � a i EEII EE'f _ 4W4 A4� �����w���w ��� ������� ���� ��� _E- aRnu BUIL �E MENT D E C IE W E VILtt�,�,,� E OF RYE _ K DD 938 KtN T"" ' ET RYE B1 isc,NY 10573 SEP 3 0 2024 ' nv. ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION -- _ - - Westchester County Master ElectriciansLicense Required/ / G FOR OFFICE USE ONLY BP#: l U EP#: Approval Date: OCT 0 1 2024!;��_ Permit Fee: $ / P 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 �y TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, g 30--a 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. p 1.Address: 10 Red Roof Drive Rye Brook, NY 10573 SBL: /3Si /—S Zone:/e—�S 2.Property Owner:Jeff Mensch Address: 10 Red Roof Drive Rye Brook, NY 10573 Phone#: Cell#: 917-583-6865 email: jeff_mensch@yahoo.com 3.Master Electrician/Licensed Installer:Jared Vaught Address:5981 Optical Ct San Jose, CA 95138 Lic.#: 2061 Phone#: Cell#:631-413-7314 email:NYPermits@gaf.com Company Name: GAF Energy LLC Address: 5981 Optical Ct San Jose, CA 95138 4.Proposed Electrical Work/Fixture Count: (202) GAF Energy TLS-1 solar shingles 46W (1) 10000W Delta M10-4-TL-US Inverter (1) Fused AC Disconnect 60A 5.31 Party Electrical Inspection Agency: SWIS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Jared Vaught ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the Master Electrician 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 Sworn to before me this 44� day of 20 day of Signature of Property Owner Si Wa � t JVaught Print Name of Property Owner HIL ame of ENotary ER WAGNER tary Public Notary Public e of Colorado No ub D#20234027959 ion Expires 07.25-2027 6/1/2024 STATE WIDE INSPECTION SERVICES, INC. :0 • swis JOB APPLICATION0. • Office Use Elect. Permit !� �-- / 9 -7 Date Bldg Permit# Q J 7 /— 4-�/ / Scl Ft Plumbing Permit# Final Certificate# City/village Rye Brook zip Building Dept.Village of Rye Brook County Westchester Address 10 Red Roof Drive Cross Street Section Block Lot Owner Name/Address(If different than above)Jeff Mensch Contact Number 917-583-6865 ❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑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 3P # Meters # Disconnect ®Underground ❑ New ❑ Reconnect ❑Repair 200A ❑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 (202)GAF (1) 1000OW (1)60 Fused Energy Solar Inverter AC Disconnect 0 Shingles 46 ❑Legalization ❑ Safety Inspection ❑Consultation Scope of Work Residential Roof Integrated PV Solar System Installation/system size 9.292kw/ PV Shingles (202) GAF Energy Timberline Solar ES/Inverter(1) Delta M10-4-TL-US D I E C� EE� �V/ E, ID, I LSEP 3 0 2 224 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 NYPermits@gaf.com Name Jared Vaught License# 2061 Date Signature Address 5981 Optical Ct City/State San Jose, CA i ode 95138 Company GAF Energy LLC Phone # 631-413-7314 �- State Wide Inspection Services 080 Main OCT 2 1 2024 1 Fi hkill, NY 152524 L�. . _ 845 202-7224 Phone TO Vr VILLAG_E. 6 IDYL t3ROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES - BUILDING DEPARTMENT MENT � Email: office@swisny.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: GAF Energy LLC Jeffrey& Hannah Mensch Jared Vaught 10 Red Roof Drive 125 Mitchel Boulevard Suite D Rye Brook, NY 10573 San Rafael, CA 94903 Located at: 10 Red Roof Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-197 135.42 1 5.12 Certificate Number: 2024-7503 Building Permit Number: BP 24-198 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 10 Red Roof Drive, Rye Brook, NY 10573 The Photovoltaic System 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 21st day of October 2024. Name Quantity Rating Circuit Type PV Shingles 202 Inverter 01 Disconnect 01 Officer: Frank J. 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. I r Bull Pernut C &Zonin Anal u Address Zo Use: 2 Corot.Type: Other: Submittal Date. Revisioro ttal Dates: Applicant: S C ` 1 Nature of Work. r g za4U L 0 8 ?U24 P ROT: other. (v?'' (a- FEES Fihng. \ P: A () _ _/O Flood Plone. Legalization: ( ) (,APP: Dated:__6,-N_oumcd: SBL: Truss I.D. .'Cross Connecnon: H.O.A.: C ) ( ) Scenic Roads. Steep Slopes Wetlands: Storm Water Review: Street Opening•. C ) C ) E4VIRo. Long Short Fees: N/A ( ) ( ) SITE PLAN:Topo: Site Protemoni S/W Mgmt.: Tree Plan: Other. ( � ( ) S VEY:Dated: Current: Archival• Scaled Unacceptable - ( C LANS:Date Stamped:___,—Scaled ✓ Copies:✓ Electrotuc,�'Other ( ( ) License Workers Comp: Liability Comp. Waiver. Other. ( O CODE 753#: Dated. N/A (�( ) HIGH-VOLTAGE ELECTRICAL-Plum: Peruut N/A: Other: ( � ( ) LOW-VOLTAGE ELECTRICAL rmit•Plans: Pe N/A: Other. (�( ) FIRE ALARM/SMOKE DETECTORS: Plaru: Permit. FL W.I.C.:_Battery:_Other: ( ( ) PLUMBING:Plans Perm r Nat. Gat: LP Gas: N/A/: Other. ( ( ) FIRE SUPPRESSION:Plans: Pertrut N/A: Other. ( ( ) H V A.0 Planar Permit N/A Other. ( i ( ) FUEL TANK Plans: Permit: Duel Type: Other. ( ( ) 2020 NY State ECCC: N/A: Other. Final Survey Final Topo: RA/PE Sign-off Letter: As-Built Plats: Other. ( ( ) BP DaNIAL LITTER: C/O DENIAL. l f=I'I EIt Other. ( � C ) Other: (�;f1CRB mtg.date _approvaL• ( )ZBA mtg.date. approvaL• Dies: PB mtg.data approval notes: REOLam EXISTING PROPOSED NCY1 HS APPROVED Am: _ AUG 2 2 2024 CirdG •-- - Fg1unG Front: Front S►d= Rear. Main Aug Cove. Fe.H/Sb' Sd H QA. T�1tI7D: >L H�ht/Stones: --_— notes: BUILDING WPARTMENT ]D VILL" tE OF RYE BROOK LN 938 KING�'t]iF.ET RYE BRddKt,NY 10573 JUN 2 0 2Q24 �--� (914)939-0668-1, VILLAGE OF RYE BROOK ��ti��v,rvcbrual�ny.` or i BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This fonin must be completed and signed by the applicant of record and a copy shalt 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: 10 Red Roof Drive Date of Submission: Parcel ID#: 135.42-1-5.12 Zone:/�—/�� 6/14/24 Proposed Improvement(Describe in detail): Residential Roof Integrated PV Solar Shingle APPLICANT CHECK LIST: System installation/system size 9 292kw/PV Shingles(202)GAF Energy Timberline Solar ES/Inverters MUST BF, C:OMPLFTFA 13Y THE APPLICANT (1)Delta M10-4-TL-US The following items must be submitted to the Building Department by the applicant - no exceptions. Property-Owner:Jeff Mensch l. (0 Completed Application Address 2. V) Two(2)10 Red Roof Drive, Rye Brook, NY 10573 c sets of sealed plans. _ilo-,able pian size Phone#917-583-6865 3. (WA)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 Ziggy Bobrowski on behalf of GAF Energy LLC ` � application materials. 5981 Optical 6. �v) Filing Fee. Address: P Court, San Jose, CA 95138 7. (�Any supporting documentation. Phone#571-409-0287 8. (N/A)HOA approval letter. Nfapplicable) 9. (V Photographs. Architect/Engineer: Barun Corp/Yurianto Yurianto 10 Samples of finishes/color chart. (a sample board or Phone#610-202-4506 model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions& Procedures,and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this /,- '� _ Sworn to before me this day of �/��.c . 20 a J/ day of siguat o Property Owner I Signature of Applicant _1(0 'A��6 5­\ Sarah Hawkins-Rushing nt Name of Prop rty Owner Print Name of Ic nt Notary Public Notary Public — SAMANTHA JEAN BEYDA SK WAGNER NOTARY PUBLIC-STATE OF NEW YORK Notary Public No.01 BE6441631 State of Colorado Qualified in New York County Notary ID#20234027959 My Commission Expires 09-28.2026 My Commission Expires 07-26-2027 6/1/2024 D C E ff/ E J U N 2 0 2�024I j "F DD VILLAGE OF RYE BROOK ENERGY BUILDING DEPARTMENT Village of Rye Brook Building Dept/ARB 938 King Street Rye Brook, NY 10573 To Whom It May Concern: Please find our plans, permit applications and attached check in the amount of $100.00, for proposal of residential solar shingle system to be installed at 10 Red Roof Drive, Rye Brook, NY 10573. We will have someone available to attend the ARB meeting in July, should we be granted a spot for that meeting. Please reach out to me directly should you have any questions or concerns, as well as for the payment of all additional fees. Thank you, * Sarah Hawkins-Rushing Regional Permit Lead (East) 571-409-0287 NYPermits@gaf.com 5981 Optical Court, San Jose, CA 95138 www.gaf.energy �yE BROt Village of Rye Brook ML MR ✓ 0� ends FB �/' SE Architectural Review Board Meeting AC v/ A Wednesday,August 21,2024 at 7:30 PM Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB24-084(Consent Agenda) Jeffrey Mensch&Hannah Mensch 10 Red Roof Drive Rooftop solar array. 1.2. ARB24-093 (Consent Agenda) Giuseppe Castellano&Alicia Castellano 8 Hunter Drive Rooftop solar array. 1.3. ARB24-094(Consent Agenda) Mitchell Greenspan&Caryn Cherlin 23 Berkley Lane 4'and 5'high black chain link fence and gates. 1.4. ARB24-095 (Consent Agenda) Joshua Shaw&Melissa Shaw 12 Birch Lane Replace bluestone walkway in kind. Consent Agenda Approvals: Motion 3"'A7 Second MR Abstention Aye;�'�"� Nay; Adjournment; Notes 1.5. ARB24-096 Win Ridge Realty LLC 9 Rye Ridge Plaza New awning, "SLT" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 . ♦ y Architectural Review Board August 21,2024 1.6. ARB24-097 Paul Tyler&Linda Tyler 16 BelleFair Boulevard New deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB24-098 Wesley Canhedo&Orival Canhedo 11 Beacon Lane 1 story addition&demolish roof over patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB24-099 Jay Swartz&Lisa Swartz 69 Tamarack Road Replace existing decking and railings. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB24-100 Joseph Nerenberg 9 Country Ridge Drive Widen full length of driveway and install storm water management system. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board August 21,2024 1.10. ARB24-101 Michael Rifelli&Lauren Webber 43 Rock Ridge Drive Second story addition and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB24-102 Randy Hamlet&Anne Marie Hamlet 21 Country Ridge Circle Deck,circular driveway,legalize patio and remove concrete patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: Thursday,September 19,2024 Page 3of3 Village of Rye Brook ML �/ MR O�� yAgends FB SE Vol Architectural Review Board Meeting AC AD Wednesday,July 17,2024 at 7:30 PM Village Hall,938 King Street I JM ✓ SF 1. ITEMS: 1.1. ARB24-063 (Consent Agenda) (Amendment to Approved Plans) Eric Steinert&Caryn Steinert 24 Meadowlark Road Install two skylights on rear deck roof. 1.2. ARB24-069 (Consent Agenda) Eric Steinert&Caryn Steinert 24 Meadowlark Road 6'high white PVC fence and gate. 1.3. ARB24-084(Consent Agenda) Jeffrey Mensch&Hannah Mensch 10 Red Roof Drive Rooftop solar array. 1.4. ARB24-085 (Consent Agenda) Craig Bergman&Samantha Bergman 11 Jennifer Lane 6'high white vinyl rear yard fence. 1.5. ARB24-086 (Consent Agenda) Norman Wang&Esther Wang 180 Country Ridge Drive 6'high white vinyl rear yard fence&gates. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; 1 Adjournment; J Notes N O Page 1 of 4 Architectural Review Board July 17,2024 1.6. ARB24-020 556 Westchester Ave LLC c/o Anthony Guastella 556 Westchester Avenue New rear windows. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB24-078 G&G Homebuilders Corp 18 Rock Ridge Drive Second story addition,deck and fence. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB24-083 Robert O'Neill&Melissa ONeill 4 Loch Lane Garage door overhang. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB24-087 Win Ridge Realty LLC 19A Rye Ridge Plaza New awning,"Mendel Optical Insight" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2of4 dr Architectural Review Board July 17,2024 1.10. ARB24-088 Paul Cuzzupoli&Pamela Lustig 7 Lincoln Avenue Two-tier retaining wall and drainage. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB24-081 (Re-Appearance) Kenneth Gerchick&Amy Bernstein Gerchick 3 Mohegan Lane Second floor dormer addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB24-089 Emily Groglio Irrevocable Trust,Shari Melillo,Trustee 5 Paddock Road Enlarge rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB24-090 Christine Sciandra 47 Roanoke Avenue Window and door changes,rear paver patio,relocate mechanical equipment. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 " Architectural Review Board July 17,2024 1.14. ARB24-091 Francesca Italiano 31 Arrowwood Circle Extend existing deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.15. ARB24-092 Michael Oles&Kathleen Oles 33 Arrowwood Circle Extend existing deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: August 21,2024 Page 4 of 4 10 • Roof • Aff f l a � tir . . � - Dr .� �� '.�`d �. . t, . :�'_ � ` - �, "�* .. �1�,w t 1✓A�� J? 8 Red Roof Drive (Adjacent Property): Y , 12 Red •• (Adjacent •• y r •'. p; 5 Red Roof Drive (Property directly across the street): Vr 6 _� ■ `t■ 7 Red Roof Drive (Additional property across the street): s , l 1 . GAF ENERGY RE: Solar roof permit fee for, 10 Red Roof Drive Rye Brook NY 10573 To Whom It May Concern, I have enclosed the required permit fee for the solar roof project at the above property address. Once review is completed and if documents are approved, please mail me the approved plans and permit to the address listed below. Please do not hesitate to contact me with payment request and if any further action is required. Anais Abello 105 Harrison Ave Miller Place, NY 11764 Thank you for your help. Best, Anais Abello Permit Associate anais.abello@gaf.energy paPermits@gaf.com 631-413-7314 125 Mitchell Blvd, Suite D, San Rafael, CA 94903 www.gaf.energy ENI Timberline Solar" Solar Roofing System RAN 1 Its i r 1. Ir Al OWN F � r ZOO BMW Group inc. ROOFING • SOLASOLAR Proposal for GAF Timberline Solar Roof p CERTIFIED Prepared for: Prepared on: Jeff Mensch May 29'", 2024 10 Red Roof Dr Port Chester, NY 10573 222 PURCHASE ST SUITE 201 1 RYE,NY 10580 1 TEL:914-403-6752 We propose to furnish the necessary labor, material and equipment required to do the roofing above named project as follows: DEMOLITION AND ROOF DECK SHEETING - Remove existing asphalt shingles and underlayment to the roof deck sheeting and dispose of the material off site - Inspect existing roof deck sheeting (Note: Any replacement of existing sheeting will be an additional charge of$100 per 4'x8' sheet. Customer will be notified of existing damage. - Furnish dumpster -Complete job clean up TIMBERLINE SOLAR ROOFING SYSTEM INSTALLATION (202 solar shingles-system size 9.29 kW DC) - Engineer and design Solar system ( Electrical and structural analysis ) - Furnish material and install white aluminum drip edge for entire roof perimeter.This prevents insects from entering the space between the deck and the fascia board. - Furnish material and install GAF Weather Watch membrane at all eaves and valleys Note: Membrane shall be installed atone all eaves and shaft extend past the interior watt tine minimum of 24 inches to provide protection against damage from ice dams. B& W Group Inc. will install 6 feet of membrane at aft eaves.) - Furnish material and install GAF Feltbuster roofing underlayment for roof area not covered by Weather Watch membrane.This helps provide long lasting protection against wind-driven rain from infiltrating under your shingles. - Furnish material and install GAF WeatherBlocker shingles at all eaves and rakes.This is to prevent shingle blow offs. -Furnish material and install GAF Timberline Solar HD architectural style asphalt shingles and Timberline Solar Energy shingles with all hardware for entire steep slope roof area (Note:Shingles will be installed in strict accordance with the manufacturer's specifications and shall be fastened using six nails per shingle.) - Furnish material and install GAF Cobra ridge vent at all ridges.This is for effective ventilation to keep houses cooler in the summer. - Furnish material and install GAF Timbertex hip and ridge shingles at all hips and ridges - Furnish material and install new aluminum pipe boots on all external vent pipes -Connect solar shingles to inverter ($5,000 Value) - Furnish GAF Solar Max and Golden Pledge Warranties ($1,500 Value) -Apply and obtain building and electrical permits - Facilitate interconnection approval with utility and net meter change - Perform testing to help ensure installation is complete and Solar system is fully operational -Schedule with building inspector to perform necessary inspections All the above, for the sum of:Sixty Five Thousand Dollars- $ 65,000 222 PURCHASE ST SUITE 201 1 RYE,NY 10580 1 TEL:914-403-6752 You may be able to apply the 30% Federal Tax Credit to your cash purchase or loan amount. GAF Energy and B &W Group Inc. do not provide tax or legal advice. You should consult with your tax advisor for more information.There are no guarantees, warranties or representation regarding the production, performance, utility rate increases,workmanship, or any other data relating to GAF Timberline Solar.This proposal is not an approval for installation or financing. PAYMENT SCHEDULE: 1 It payment ( deposit ) -$5,000 paid before ordering permitting package 2^d payment ( deposit) -$ 15,000 paid after getting all approvals and before ordering all needed materials 3'd payment-$ 13,000 when 30%of roof is installed 411 payment-$ 13,000 when 60%of roof is installed 511 payment-$ 13,000 when roof and solar shingles are installed 611 payment-$4,000 when new solar system is connected to an inverter with all disconnects installed 71h payment-$2,000 when job is completed and connected to the grid NOTES -B & W Group Inc.will provide GAF Solar Max and Golden Pledge Limited Warranty backed by GAF ( 25 year workmanship coverage and lifetime material coverage. ) -GAF Golden Pledge and Solar Max Warranty will be registered online and proof of warranty will be emailed after completion and final payment. - Price does not include removal and replacement of any siding or exterior trim - B &W Group Inc.will meet all insurance requirements for general liability, automobile liability and workers compensation with adequate limits. - B & W Group Inc.will not be responsible for pre existing damages and nail pops created from men working on the roof -Pricing is good for 30 days -Consumer may cancel the contract at any time prior to midnight of the third business day after the contract is signed. Thank you for the opportunity to provide you with this estimate. Ziggy Bobrowski President Approved y: B &W Group Inc. Date: Date: 5/30/2024 222 PURCHASE ST SUITE 201 1 RYE, NY 10580 1 TEL:914-403-6752 D SCE s BARUN CORP JUN 2 0 2024 Registered As Chris Kim Engineering P.C. VILLAGE OF RYE BROOK _BUILDING DEPARTNIENT June 11,2024 RE: CERTIFICATION LETTER Project Address: JEFF MENSCH 10 RED ROOF DRIVE RYE BROOK NY 10573 Design Criteria: Applicable Codes=2020 NYSEBC/NYSBC,2020 NYSRC,ASCE 7-16 and 2018 NDS Risk Category=II Wind Speed=117 mph,Exposure Category B,Partially/Fully Enclosed Method Ground Snow Load=30 psf MP 1:2 x 10 @ 16"OC,Roof DL=9 psf,Roof LL/SL=23 psf(Non-ES),Roof LL/SL=12.3 psf(ES) MP 2:2 x 10 @ 16"OC,Roof DL=9 psf,Roof LL/SL=23 psf(Non-ES),Roof LL/SL=14.6 psf(ES) To Whom It May Concern, A structural evaluation of loading was conducted for the above address based on the design criteria listed above. Existing roof structural framing has been reviewed for additional loading due to installation of Timberline Energy Shingles on the roof.The structural review applies to the sections of roof that is directly supporting the Timberline Energy Shingles. Based on this evaluation,I certify that the alteration to the existing structure by installation of the Timberline Energy Shingles meets the prescriptive compliance requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally,the Timberline Energy Shingles assembly(including attachment hardware)has been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed the requirements set forth by the referenced codes. Sincerely, NY Of NEWyO yIJ �L 1 Digitally signed by * 7 a nto Yunanto Yunanto L DN:cn=Yunanto Yunanto c=US o=Texas r Y to n Reason:I am the author of this document - _ Location ZraNNr — Date.2024-06-11 101980 20 17-05 00 By Yuri at 8:16:33 PM, 611112024 This document is the property of Barun Corp and cannot be reproduced without prior consent. It is site specific and shall not be transferred to any other property, property owner,person(s),or entity This document may include an expression of professional opinion by the engineer of record,which is based on his or her best knowledge,information provided by others,and belief Other professionals may have different opinions.Barun Corp reserves the right to amend and/or supplement this document in the event additional information be uncovered or made available Barun Corp I Design and Engineering 1610.202.4506 1 chrisk@baruncorp corn I www.baruncorp.com 1/6 BARUN CORP RESULTS SUMMARY Registered As Chris Kim Engineering P.C. JEFF MENSCH,10 RED ROOF DRIVE,RYE BROOK NY 10573 MOUNTING PLANE STRUCTURAL EVALUATION MOUNTING PLANE ROOF PITCH RESULT GOVERNING ANALYSIS MP 1 38° OK NYSEBC IMPACT CHECK MP 2 32° OK NYSEBC IMPACT CHECK Limits of Scope of Work and Liability: The existing structure has been reviewed based on the assumption that it has been originally designed and constructed per appropriate codes.The structural analysis of the subject property is based on the provided site survey data. The calculations produced for this structure's assessment are only for the roof framing supporting the proposed PV installation referenced in the stamped planet and were made according to generally recognized structural analysis standards and procedures.All PV modules,racking and attachment components shall be designed and installed per manufacturer's approved guidelines and specifications. These plans are not stamped for water leakage or existing damage to the structural component that was not accessed during the site survey.Prior to commencement of work,the PV system installer should verify that the existing roof and connections are in suitable condition and inspect framing noted on the certification letter and inform the Engineer of Record of any discrepancies prior to installation.The installer should also check for any damages such as water damage,cracked framing,etc.and inform the Engineer of Record of existing deficiencies which are unknown and/or were not observable during the time of survey and have not been included in this scope of work.Any change in the scope of the work shall not be accepted unless such change,addition,or deletion is approved in advance and in writing by the Engineer of Record. Barun Corp I Design and Engineering 1610.202.4506 1 chrisk@baruncorp.com I www.baruncorp.com 2/6 BARU N CORP LOAD CALCULATION Registered As Chris Kim Engineering P.C. M P 1 JEFF MENSCH,10 RED ROOF DRIVE,RYE BROOK NY 10573 ENERGY SHINGLES DEAD LOAD(ES-DL) Energy Shingles Weight = 2.50 psf Hardware Assembly Weight = 0.50 psf Total Energy Shingles Weight ES-DL= 3.00 psf ROOF DEAD LOAD(R-DL) Existing Roofing Material Weight Composite Shingle Roof 1 Layer(s) = 2.50 psf Underlayment Weight = 0.50 psf Plywood/OSB Sheathing Weight = 1.50 psf Framing Weight 2 x 10 @ 16 in.O.C. = 2.89 psf No Vaulted Ceiling = 0.00 psf Miscellaneous = 1.50 psf Total Roof Dead Load R-DL= 8.90 psf REDUCED ROOF LIVE LOAD(Lr) Roof Live Load Lo= 20.00 psf Member Tributary Area At< 200 ftz MP 1 Pitch 38°or 10/12 Tributary Area Reduction Factor R1= 1.00 Roof Slope Reduction Factor R2= 0.73 Reduced Roof Live Load,Lr=Lo(Rl)(112) Lr= 14.50 psf SNOW LOAD Ground Snow Load pg= 30.00 psf Effective Roof Slope 38' Snow Importance Factor Is= 1.00 Snow Exposure Factor Ce= 1.00 Snow Thermal Factor Ct= 1.10 Minimum Flat Roof Snow Load pf-min= 0.00 psf Flat Roof Snow Load pf= 23.10 psf SLOPED ROOF SNOW LOAD ON ROOF(Non-Slippery Surfaces) Roof Slope Factor Cs-roof= 0.98 Sloped Roof Snow Load on Roof ps-roof= 22.70 psf SLOPED ROOF SNOW LOAD ON ENERGY SHINGLES(Unobstructed Slippery Surfaces) Roof Slope Factor Cs-ES= 0.53 Sloped Roof Snow Load on Energy Shingles ps-ES= 12.30 psf Barun Corp I Design and Engineering 1610.202.4506 1 chrisk@baruncorp.com I www.baruncorp.com 3/6 BARUN CORP NYSEBC IMPACT CHECK Registered As Chris Kim Engineering P.C. JEFF MENSCH,10 RED ROOF DRIVE,RYE BROOK NY 10573 EXISTING WITH ENERGY SHINGLES Roof Dead Load(DL)= 8.90 11.90 psf Roof Live Load(Lr)= 14.50 0.00 psf Roof Snow Load(SL)= 22.70 12.30 psf EXISTING WITH ENERGY SHINGLES (DL+Lr)/Cd= 18.72 13.22 psf (DL+SL)/Cd= 27.48 21.04 psf Maximum Gravity Load= 27.48 21.04 psf Load Increase(%)_ -23.42% The requirements of section 806.2 of 2020 NYSEBC are met and the structure is permitted to remain unaltered. Barun Corp I Design and Engineering 1610.202.4506 chrisk@baruncorp.com I www.baruncorp.com 4/6 BARUN CORP LOAD CALCULATION Registered As Chris Kim Engineering P.C. M P 2 JEFF MENSCH,10 RED ROOF DRIVE,RYE BROOK NY 10573 ENERGY SHINGLES DEAD LOAD(ES-DL) Energy Shingles Weight = 2.50 psf Hardware Assembly Weight = 0.50 psf Total Energy Shingles Weight ES-DL= 3.00 psf ROOF DEAD LOAD(R-DL) Existing Roofing Material Weight Composite Shingle Roof 1 Layer(s) = 2.50 psf Underlayment Weight = 0.S0 psf Plywood/OSB Sheathing Weight = 1.50 psf Framing Weight 2 x 10 @ 16 in.O.C. = 2.89 psf No Vaulted Ceiling = 0.00 psf Miscellaneous = 1.50 psf Total Roof Dead Load R-DL= 8.90 psf REDUCED ROOF LIVE LOAD(Lr) Roof Live Load Lo= 20.00 psf Member Tributary Area At< 200 ftz MP 2 Pitch 32°or 8/12 Tributary Area Reduction Factor R1= 1.00 Roof Slope Reduction Factor R2= 0.83 Reduced Roof Live Load,Lr=Lo(Rl)(112) Lr= 16.50 psf SNOW LOAD Ground Snow Load pg= 30.00 psf Effective Roof Slope 32' Snow Importance Factor Is= 1.00 Snow Exposure Factor Ce= 1.00 Snow Thermal Factor Ct= 1.10 Minimum Flat Roof Snow Load pf-min= 0.00 psf Flat Roof Snow Load pf= 23.10 psf SLOPED ROOF SNOW LOAD ON ROOF(Non-Slippery Surfaces) Roof Slope Factor Cs-roof= 1.00 Sloped Roof Snow Load on Roof ps-roof= 23.10 psf SLOPED ROOF SNOW LOAD ON ENERGY SHINGLES(Unobstructed Slippery Surfaces) Roof Slope Factor Cs-ES= 0.63 Sloped Roof Snow Load on Energy Shingles ps-ES= 14.60 psf Barun Corp I Design and Engineering 1610.202.4506 1 chrisk@baruncorp.com I www.baruncorp.com 5/6 ARUN CORP NYSEBC IMPACT CHECK Registered As Chris Kim Engineering P.C. M P 2 1EFF MENSCH,10 RED ROOF DRIVE,RYE BROOK NY 10573 EXISTING WITH ENERGY SHINGLES Roof Dead Load(DL)= 8.90 11.90 psf Roof Live Load(Lr)= 16.50 0.00 psf Roof Snow Load(SL)= 23.10 14.60 psf EXISTING WITH ENERGY SHINGLES (DL+Lr)/Cd= 20.32 13.22 psf (DL+SL)/Cd= 27.83 23.04 Psf Maximum Gravity Load= 27.83 23.04 psf Load Increase(%)_ -17.19% OK The requirements of section 806.2 of 2020 NYSEBC are met and the structure is permitted to remain unaltered. Barun Corp I Design and Engineering 1610.202.4506 1 chrisk@baruncorp.com I www.baruncorp.com 6/6 V •• r N �► •• r N r •• r '�• �' vI � °b •� "' r � Aw . �'" ,! ' _.. ��..J-3 .y.�.. .a3`��. L�ic., '1:���1 h:.� � '.1,1 11'. tii. ♦�.3i�1'�`i.�,if t 4 1' ��1'��"L��t3 f[ t�='::.1'�,i'.'� ��iS.tJ.�f��t(0)!� Q. 1 o c v >f� Cl. C 4 O. � L � \ C Li% C v : c tco) M c �° O ^ `\.L• / -+� C� +r z w ° ection '..,,. / 0.., �i � � — o o R : toy •� L. z " c < o W v V U) r � X zcv- . )s , L ^' v r✓ ? '9 ` V a ` w. N O , i L lu 4(6=0 A!`C)RL>® DATE(MM/DD/YYYY) V CERTIFICATE OF LIABILITY INSURANCE 09/03/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mrs.Taub NAME: .Sureways Inc. PHONE (845)371-9000 FAX (845)352-1670 AIC No Ext: A/C,No 125 Route 59 E-MAIL mrstaub@surewayinsurance.net ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Monsey NY 10952 INSURER A: Evanston Insurance Company INSURED INSURER B B&W Gfoup li INSURER C: 110 Chestnut Ridge Rd#106 INSURER D: INSURER E: Montvale NJ 07645 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2373104854 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 AU1JL15UI3R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR DA G 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 A 3AA651380 03/28/2024 03/28/2025 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY ❑PRO ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION PER 01 AND EMPLOYERS'LIABILITY Y IN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in Ni E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is the Additional Insured in respects to General Liability 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 St AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-20 J1ft15 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 814318879 j.''r B&W GROUP INC(NJ CORP) 110 CHESTNUT RIDGE RD 106 „ MONTVALE NJ 07645 �� 2 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER B&W GROUP INC(NJ CORP) VILLAGE OF RYE BROOK 110 CHESTNUT RIDGE RD 106 938 KING ST MONTVALE NJ 07645 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2565 834-5 99011 03/22/2024 TO 03/22/2025 9/3/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2565 834-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COMICERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT WOJCIECH BOBROWSKI B&W GROUP INC(NJ CORP} 1 OF 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND T�Y r DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:347993280 U-26.3 .:it •'�. §opq�'l 111�/11f � -Yae r,..1•1K1•y,•�1.1•1 t L. 1.. 1 1 fftyi. M � 1,1•�/•��,, "... �r�1jP/�r!'�,,I�I>1,"�X,����W��V +\,�s�. / 21 • ,i! - o 0. I •�S� o a' h O DC � fit._-��� 1 aCa. O r • • � V p LU zti• Ono U co :% ..1 0 y } Q Q �� G CD z 0 2-;2 LL Ln MEMO ei o) X c,. { i: a , •_ Y cz i N •. .. r y; V y L ME- _• x • J y3( .�My iI rr, i^ I .. • 1,I'1.+,.j1/,1�p* i_iA ll ,'ll•`,•'•,,1 I�I,•�.•.I1s1fII/1�, �1 - '�R,. >•ly'Yy7' A :, OrY4 �eOv �r :! Ovtsr'� Ov 1 :smOda / N�\. ..I�4 •%\ .'. -:J,Yam\ .. ',./�\. � � ''�LYst ...� .,•/*�Y� ll OW CERTIFICATE OF LIABILITY INSURANCE DATE,MMIDDIYYYYI v 1)a z0z4 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 MARSH USA,LLC. NAME: 445SOUTH STREET PHONE FAX UV A/C No: MORRISTOWN,NJ 07962-1966 E-MAIL ADDRESS: INSUREII AFFORDING COVERAGE NAIL/ CN 101 442967-GAF E-GAW-23-24 INSURER A: American Zurich Insurance m n 40142 INSURED GAF Energy LLC INSURERS: Zurich American Insurance Company 16535 5981 Optical Court INSURER C: San Jose,CA 95138 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011567650-09 REVISION NUMBER: 2 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. NLTIR SR TYPE OF INSURANCE DDL B POLICY NUMBER M WD� MAY EXP YYYI LIMITS B X COMMERCIAL GENERAL LIABILITY GLO2165695-27 11/01/2023 11101/2024 EACH OCCURRENCE S 2,000,000 DAMAGE TO RENTEU-- CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 500,000 B GLO 3252408 01 11/01/2023 11/01/2024 MED EXP(Any one person) $ 10,000 (PRODUCTS(COMPLETED OPS PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 4,000,000 X POLICY JETO. LOC PRODUCTS-COMP/OP AGG $ 6,000,000 OTHER: I PRODUCTS-OCC $ 3,000.000 B AUTOMOBILE LIABILITY BAP2165690-27 11/01/2023 11/01/2024 COMBINED SINGLE LIMIT $Ea accident 3,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ A WORKERS COMPENSATION WC 2165693-28(ADS) 11/01/2023 11/01/2024 X STAPERT TE ER N H B AND EMPLOYERS'LIABILITY YIN WC 3p3679S 17 WI 11101/2023 11/01/2024 ANYPROPRIETOR/PARTNER/ .CUTIVE ( ) E.L.EACH ACCIDENT $ 2,000,000 OFFICER/M EMBER EXCLUDED9 N❑ NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT S 2,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 King Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD oRK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured 973-628-3000 GAF Energy LLC 5981 Optical Court 1c.NYS Unemployment Insurance Employer Registration Number of San Jose,CA 95138 Insured 54-026870 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 22-2934562 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) AMERICAN ZURICH INSURANCE COMPANY Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street Rye Brook,NY 10573 WC 2165693-28 3c.Policy effective period 11/1/2023 to 11/1/2024 3d.The Proprietor,Partners or Executive Officers are ❑✓ Included.(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"T'insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a 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: Asia Drumgoole (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Plata Dworgm& 09/19/2024 (Signature) (Date) Title: AVP, Senior Underwriter Telephone Number of authorized representative or licensed agent of insurance carrier: (410)404-2556 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. 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