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HomeMy WebLinkAboutBP24-191PERMIT# Qj�l�_ 9L DATE 2ZL.�Z)zl SECTION c� %5 BLOCK L07 TYPE OF WORK J<ie4ace CQ/ aoes JOB LOCATION ocel,,ew Worje Qj / OWNER 114eoew7 60r ,t CONTRACTORS 'ge a.ri0 (20,92 r c?C�4�C —\Jr7�(O/*7 EST. COST -- O FEE So 0 # FEE DATE TCO # FEE DATE trd2!FCT10N REGORU DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT 0 RM AS z&U1LT FSNAL /y) 7/ y- � 0911/ -�Qn0 C9/4q (Bb3 00419/6 .% ad OTHER APPROVALS ARB BOT PS ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 25-119 Certificate of Occupancy This is to certify that l�V�40 Yaza&r .F ��h0ra h Ha&Iel of, Par 8(o6 /V J having duly filed an application on 20_"L requesting a Certificate of Occupancy for the premises known as, / y 1 , Rye Brook,NY, located in a R"/5 Zoning District and shown on the most current Tax Map as Section: Block: Lot: c , and having fully complied with the requirements of the Building/Code and the Zoning Ordinance under Building Permit No. , issued 5 20.��, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: /' Construction: :0 , for the following purposes: &Siac� lk�" 4�i'laeJ�ol-)eo -)90 Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shal ade,and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the 0aiMing be moved from one location to another until a permit to accomplish such change h n in m the it ' g Inspector. SEP i 7 2025 Building Inspector,Village of Rye Brook: Date: F BUILiz. e(ov ENT For office use onnlly�:'/ SEP ' 2 2025 VILK PERMIT#'fe��3 ISSUED: 93 KING STREYORK 10573 DATE: -� -p VILLAGE OF RYE BROOK FEE: /S PAIDBUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ftttttt#i##4i#Off#fffifiiikkiti}ittti}#}}ttti#}#####tf###f##f#}#-itikkiitt}#}tit}}}}}##############ikii#iiiiiii}}ttttt}##}ti# Address: U I �- Occupancy/Use: Parcel ID#: 75 e —C�) Zone: R—15 Owner: Address: / P.E./R.A. or Contractor: �L,/rayt CJ�'�Q`rG��. Address: J/ Person in responsible charge: Address: Ll/ f• 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: S� being duly sworn,deposes and says that he/she resides at 7/ rint Name o licant) f (No. d Street) PP IIC� �J in Q ,in the County of l`f in the State of A-/ ,that (City/Town/Village) I 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:$ 2 �/lSti for the construction or alteration of Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day o , 20 day of , 20 /ignature of Property Owner /n; it of Applicant 519 4� ?ame of Property Owner Pri a of Applicant ZIA jl� <Z�� �� No ry Vublic SHARI MELILLO Notary 2AJ�Rl MELILLO Notary Public,State of New York Notary Public,State of New York No.01ME6160063 No.OIME6160063 6ni2024 Qualified in Westchester coun Qualified In Westchester County Commission Expires January 29,2 ;omn�isslon Expires January 29,20 w ¢ ao" 1 98? BUILDING DEPARTMENT (❑BUILDING INtiHh:CTOK p ASSI.STAN'1-BUILDING INSPF:C OR VILLAGE OF RYE BROOK ❑Cc►uh 1'*NFOR(:I-*MFN9'OFFICER 938 King Street . Rye Brook,NY 10573 (914)939-0668 FAX (914)939-5801 www.ry-dmi QQk,urg - - - - - - - - - - - - - - - INSPECT]ON REPORT - ADDREss:.__!y �pG� �vg f�oGSG �/Lw� L. [)nr�:•--�- /0 - .70.7j- p d" PERMIT# mLO(;K: LOCATION: Rea,, ,5l0 - ` ❑ Violation Noted THE, WORK IS.... PASSED ❑ FAILED / RLINSPECTION ❑ SITE INSPECTION RIiQUIRED ❑ FoOTING ❑ FOO.1•ING DRAINAGE: ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NO'I'!?S ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / ❑ Natural Gas RP�ca l O RZ � ��► .. p/ ❑ L.l'Gas ❑ FUEL TANK ❑ FIRIs SPRINKLER ❑ FINAL. PLUMBING ❑ CROSS CONNl:C1'ION ------- fd' FINAL L W - pyleteq N -cs = N \ W au N \ Lin a-� A kn \ cn W u f--1 P. 7� O er � rs w h 20 00 p w p � " zp � C ° � V wvyg „ � U � O Nor z A Q � � � � O Z v ) v v.5 a o cf3 � v 0-4 . cw oAvU O pQ w W w� U j 'J a ate, 3 0 �I—I � F� U � d A z W Cd W A °' � ' •n a, ��., _ r o O Zzb " o . u sa w w 0 - � b O y w o .o � v fl1-0 �) I h ¢ �wo yLor; v }�7 z O o G y y pz 1�1 V cr V LL U U a O taC�jO v = 1 ►• � H w O v u y y () Cn FF��II - F, w w Z Q ° q� o � .. W P, W W A ] u v " u BUILD ARTMENT D r� C VIL F OF RYE BROOK DD 938 KING ET RVE BROOK,NY 10573 SEP - 5 2024 14)939-0668 w VILLAGE OF RYE BROOK q{} i BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY:: ,C� APPROVAL DATE: EP V Q E �/ /2LAPPLICATION W APPROVAL SIGNATURE: PERMIT FEES: 19 H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: f Application dated: 9-s` y is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. ---1. Job Address: `4 Rnc�G 1�1t�tiSe �Vg�p �1 Dc4_ , 0�S 7 2. Parcel ID#: 7 Zone: — 3. Proposed Improvement(Describe in detail): �y�la ce VA i.rl, .—•�- Property Owner: Address o CV4 kQIA ay �bV�' _ U Phone# Cell#il f ���y` �D e-mail ►�^'x�'L� l�e� l lr lf1 t List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: J mi Sean Address: O WC C1 r'T JC�V/ �if��� Q ^i s /oto o Phone# -Cell#- q i g e-mail Qi``l SC'rr4no /cc � YQ h 00 6/1/2024 5. Occupancy;(I-Fam.,2-Fam.,Commercial„etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 11 fl: 2"dfl: 3rd fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: I`fl: 2°d fl: 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PWJ;Located;O Floor Framing[F];O Roof Framing[R];()Floor&Roof Framing[FRJ;Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: , finished or unfinished: 17. What material is the exterior finish: 18. Roof style:peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type 1 Hood,etc...)Yes: No:— (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:—No:—Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (ifyes,applicant must submit a Site Plan Application,&provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes, the area and elevations ofthe flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER I: TIER II: TIER I II: (if yes,as Home Occupation Permit Application is required) -----2 o9. What is the total estimated cost of construction: $ t Db() Note:estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: (2) b/t/2024 BUILD NG DEPARTMENT D VIL E OF RYE t OOK 938 KING ET RYE BROo ,NY 10573 SEP - J 2024 (914) 9-0668 w ok .. goy VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I, Ole V1G� I _ ,residing at, ` PC)C*t t' jk bV,-e_ 7l- (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; i L� P( ()44 k,-w✓�e_-Fr ) &-e Rye Brook,NY. (Job Address) 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. 1� " (Signature of Pr011CI , Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this of ?�'� €' � '��' 20 � 1 U L (Notary Public) SHARI MELILLO Notary Public,state of New York Nu.01ME6164063 Qualified In Westchester County Commission Expires January 29,20 (3) bni202a This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK COUNTY OF WESTCHESTER ) as: Dole- :6 w�I-r- , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. 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 Sworn to before me this day of 3�Ae 20,'71 day of , 20 Signature of Property Owner Signature of Applicant 7W1 �-tiv",V\i�- Print Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20�l (4) b/1/2024 0 N F" o w 1 LL Q CD _ O �n = F W o o O z z o W m 3 U Z � r 3 � z O O o � 5 0 � w ' Q O � L O a �' o Z p a CL F O W a , O 's z d 1 _/ O L W 1 O 13/ O - / t cn (a hil `� � •� O LY O o L W = 1 0 � w a . U LL Q � zw W a ,I- R m c ° O z o Cl) W as / O Z /� Q Cl a` c o v� o A LL d ca c� 00 o U W = Q o Z p 1 LL � O J v X N . O~ 0 \; J o z 3 o c (n dQ W w \J 1 W v♦ O /i� =i m O G W — O ow T > 1 i � I N E Co o (s] 1 W O � R ~ 1 Q O W LLJ b L �pd+A LL! > � Q w w w L U- O,� 0 z m IMP r 17 ACL �: '-" Ic + ' LLJ � a .., LU m _ _ _ W13, uj Jr uj } 71 UJ Liu tJ uj ad l >_ uj 4 _ f 1 ct, r cep � f: s �.. 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C v .,.•• J L C y.'�, aeo CY) �`•tip.` •� C � •�--, 'jam �M; ate+ •... 1s �• !��+• �►- Fir. 4)1 i Z C) own to LLI •Vt r 1 O U 0— °' c- r-�' v `02 w =_ zz �0 Zcz 40 _� .t ~i , s '%�•Y'c.a� �• �i c ,,f�... �.►`\i��{yy(.. 1�//1�11 a�� 3f.a1i1/111 .$'-s*.a ".ism. . . . . . . . . . a::.; .�,.�7 ••:.�� ���1,3r��,.:s:r���i*w �.4ti�./.�lii'��IR• .d.s:��'�.,!ili•1114 t >'�s��: �r7i1•��:6't��'t ..!.�.�4'K}-zs-a-r-• �-,.A/•.e .iaa>t�,'��`��7„►•r.�'!rrr�� - toss». ACORO® DATE(MM/DD/YYVY) CERTIFICATE OF LIABILITY INSURANCE 08292024 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 Michael J.Donnelly NAME: Donnelly Insurance Center Agency Inc A/CO NE No Eat): (914)347-6500 A/C,No (914)347-6303 6 North Lawn Ave E-MAIL INFO@DONNELLYAGENCY.COM ADDRESS: P O Box 880 INSURER(S)AFFORDING COVERAGE NAIC# Elmsford NY 10523-0880 INSURER A: Atlantic Casualty Insurance 42846 INSURED INSURER B: Serrano Contracting.Inc. INSURER C: 130 Old Tarrytown Road INSURER D: INSURER E White Plains NY 10603 INSURER F COVERAGES CERTIFICATE NUMBER: CL2462834947 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL SUBm POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/VYYY MMIDD/VYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1.000,000 CLAIMS-MADE OCCUR PREM SESCEa oNccu ence s 50.000 MED EXP(Any one person) s 5,000 A Y L068027112-3 06/24/2024 06/24/2025 pERSONALBADVINJURY s 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000.000 X JECT ❑ LO PROUCTS-COMP/OPAGG sPOLICY El PRO 2.000,000 OTHER I s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE s AUTOS ONLY AUTOS ONLY Per accident s UMBRELLA LIAB OCCUR EACH OCCURRENCE s EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEC I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY IPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L EACH ACCIDENT s OFFCER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ROOFING RESIDENTIAL&COMMERICAL&REMODELING-INCLUDING ONLY THOSE CLASSES SHOWN ON REQUIRED FORM AGL-REM 01 17. CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS PER ENDORSEMENT CG2012 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 i� NYSIF New York State Insurance Fund PO Box 66699,Albany.NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE E-;:4 ; ,a A ^^^^ ^ 465015116 DONNELLY INSURANCE CENTER AGENCYINC PO BOX 880 r ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SERRANO CONTRACTING INC VILLAGE OF RYE BROOK 130 OLD TARRYTOWN ROAD 938 KING STREET WHITE PLAINS NY 10603 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2197 304-5 94419 03/16/2024 TO 03/16/2025 8/30/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2197 304-5, 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://WWW.NYSIF.COM/CERT/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 JUAN SERRANO SERRANO CONTRACTING INC 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 SUR NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER 748341270 U-26.3 PIN SET 22 25 GATE Aino4 1 ,4n,,w I - WIRES �pVERHEAD, . --.. LIIFB ASPHALT ••q.p... ROCKINGHORSE O THE PREMISES SHOWN AND DESIGNATED AS LOT No. 21 IN BLOCK M ON A CERTAIN MAP ENTITLED, "SUBDIVISION MAP SECTION THIRTEEN COUNTRY RIDGE ESTATES, TOWN OF RYE, WESTCHESTER COUNTY, N.Y.", MADE BY CHAS. H. SELLS, INC., DATED NOVEMBER 14, 1962 AND FILED IN THE WESTCHESTER COUNTY CLERK'S OFFICE - DIVISION OF LAND RECORDS, FORMERLY THE REGISTER'S OFFICE OF WESTCHESTER COUNTY ON NOVEMBER 18, 1964 AS MAP No. 14134. O PREMISES ARE DESIGNATED ON THE TAX MAPS FOR THE TOWN OF RYE SECTION 1; BLOCK 5; LOT M-21; PROPERTY AREA: 15,724 sq . ft. /0.3610 acre O SURVEY IS SUBJECT TO ANY STATE OF FACTS WHICH AN UP-TO-DATE TITLE EXAMINATION MAY DISCLOSE. O THE OFFSETS SHOWN HEREON ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES, STRUCTURES OR ANY OTHER IMPROVEMENT. O ENCROACHMENTS BELOW GRADE AND/OR SUBSURFACE FEATURES, IF ANY, NOT LOCATED OR SHOWN HEREON. O UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAWS. O ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S SEAL SHALL BE CONSIDERED TO BE TRUE VALID COPIES. O THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY CONDUCTED ON THE DATE SHOWN AND THAT SAID SURVEY WAS PERFORMED IN ACCORDANCE WITH THE EXISTING " CODE OF PRACTICE FOR LAND SURVEYS " ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. PREPARED FOR: STEVEN H. & DEBORAH S. HANDLER l 15.00' 191 WOOD FENCE PIN SET 20 FINAL AS BUILT SURVEY OF PROPERTY SITUATE IN THE TOWN OF RYE, WESTCHESTER COUNTY NEW YORK SCALE: 1"= 20' SURVEYED: MAY 26, 2005 PROPERTY MARKERS SET: JUNE 7, 2005 25ft. SIDE SETBACK LINE STAKED JUNE 16, 2006 As Built of new Addtion Prepared FEB. 912007