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HomeMy WebLinkAboutBP24-203PERMIT# / -c�O3 DATE: 9/441/ kz/ P: 9 SECTION y BLOCK LOT TYPE OF WORK 0 q %/ 7cly/lC'p .A JOB LOCATION:! j i� OWNER CONTRACTOR T. COST �i i FE Al,CO # FEE DATE FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING F1 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT 0 FINAL S o8 7/ 700 rR A TROVALS sh, • _• :r OTHER �3UILTIFINI�L SURVEY REGWRED PRIOR TO FINUL INSPECTION �yE BR 4" G t t� �Ztr ' Q �v�W V 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE August 21,2025 Matthew Gillman&Danielle Gillman 49 Country Ridge Circle Rye Brook,New York 10573 Re: 49 Country Ridge Circle,Rye Brook,New York 10573 Parcel ID#: 129.74-1-38 Building Permit#24-203 issued on 9/24/2024 for a New Fence This certifies that the new six foot high white vinyl fence and gates,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to ED D E C E�� BUILCYEBROOK� ENT For office use only: PERMIT# bX. AUG 12 2025 VIL OK ISSUED: q' a 8 KING STRE YORK 10573 DATE:VILLAGE OF RYE BROOK O� FEE: JSD PAID BUILDING DEPARTMENT ov APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ►#►#►iVittit#i#i##i#►it►ii1t ttit►iQi►,i;#'#►►tit►ii/i�►tint##iittit#tii#i#it#it##t#ii#it##tt#iiAt i't#iit►►iiititt#tii#iiit►#itiiti►i Address: Occupancy/Use: G Parcel ID#: //;; /� Zone: Owner: I V VA�'Nk"cco ��� f t � Address: "� � COL n�,�I/K1dm GI rr�c l� Qloei�� P.E./R.A. or Contractor: /c(`(�i� �-e,-,-C. Address: Person in responsible charge: Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE n, ,,,OFF NEW YORK,COUNTY OF WESTCHESTER as: l"�`1 _ being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) (No.and Street) in Le 6�cvkz, ,in the County of���� in the State of that (Cityrrown/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:$ 1 a I c9 C-) for the construction or alteration of: �sG e 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 2— Sworn to before me this ' Z day of 4CaA 11 , 20 ki`7 day of f� U I , 20 Z tgnature of Property Owner Signature of Applicant I r� f V es c cam-Gri) Elame Property Owner Pr' a of Applicant Notary Public Notary Public SHARI MEULLO SHARI MEULLO Notary Public,State of New York Notary Public,State of New York No.01ME6160063 6i I izoza 60063 Qualified in Westchester County No. Westchester Commission Expires January 29,202: Qualified In Westchester County Z� Commission Expires January 29,20` �yE BRC�k 1987 cu � 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: y 1 l V ._�\✓� i c—%q- C (U DATE: PERMIT# Z 41 — Z �� ISSUED: rl" Z SECT: 7 / BLOCK: LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... E[ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION } ❑ Natural Gas ❑ L.P. Gas , 1 I , ❑ FUEL TANK G L0 1 �� C v'Z L` v _�C.✓l ✓ ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [} FINAL (] OTHER , _ s M N id 41 fq /LO N N M � � • H > � z M+•1 M y a z H a w z � 44 a p v C/O W x g a rcq Oo L s _ �..yz [ � `yi � rl ^� p ,a tea• v p tip^ oo _ - O C? o � ° 04 o o w o � � a•5 v) _ Ln u O � �•� � a _ 4 10' '000 a (� C)Fii a C o A H A V _ © ° _ W � zr� ,� a� � z IN* eo oc 14 z Z v w ' u v ~ z x v o °av -o w -Q� a v Z (Jw H 0 °CL ° ❑ v v C� i--i e wZ a'v o �— � -� Cf LU LL xw a © a _ BUILD RTMENT Q3D VILL� OF RIWI� ROOK SEP ' 3 ZQ2� 938 KINc' ". EET RYE B ,NY 10573 )l4 9 VILLAGE OF RYE BROOK broilko BUILDING DEPARTMENT FOR OFFICE USE ONLY: J Approval Da§EP 2 0 ?aZ cant' & Application# 7-lO/L24 I Approval Signature: Q ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:4/00—p 6 Permit Fees: l� FENCE / WALL / GATE PERMIT APPLICATION Application dated: 9-3- Z)—r[f is hereby made to the Building Inspector of the Village of Rye Brook,NY,forthe issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),ofthe Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address: W 1 2. OccupancyAJse: S.B.L.#: / 49 i 7 _ 3(y Zone: �S 3. Proposed Fence/Wall/Gate(describe in detail): 4. Property Owner: N�VkkrC _) [ 7 i w\C (7 p Address: �'�� C �r�/ ��p_r � �� lle 1 >k 13 V a `� Phone# cILA cis 7 I Cell# so-"- _ email: Lo Applicant: Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: Cr Address&Phone: lT 5. If building is located on a corner lot,which street does it front on: 6. What is the estimated cost of construction I t of L r)r) (NOTE:The estimated cost shall include all site irhprovdments,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: dtj t 611/2023 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, Sprint 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. Sworn to before me this Sworn to before me this day of PCs , 20 day of , 20 Signature of Property Owner Signature of Applicant AA&,�+�-IcW �/m L-2 Print ame of Property Owner Print Name of Applicant Y/Zeel,�D A Notary P Notary Public GREGORY M.RIVERA Notary Public,State of New York No.OS R16441398 Qualified In Westchester County Commission Expires September 26,10 61112023 Building Permit Check List&Zoning Analysis Address C�o� (di SBL: Zone: 1 S se C.Typ 0Other. Submittal Date: ���\�-� Revisions Submittal Dates: Applicant: G rY� Nature of Work { 1 V '( )y (' nIn � 2 S Reviews•ZBA: 2024 V111 BOT• Other. NEED K ( FEES:Filing: 1' P• � ' e/�-�" C/O:. Flood Plane: Legalization: ( ) ( 9/APP: Dated: ✓Notarized: SBL: ✓Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stoan Water Review. Street Opening. ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( 4-§URVEY:Dated: Current: Archival: Sealed.— ealed Unacceptable: ( ) ( ) PLANS:Date Stamped Sealed: Copies: Electronic Other. (� ) License: Workers Comp: Liability Comp.Waiver 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: I-LW.I.C.:_Battery _Other. ( ) ( ) PLUMBING:Plans: Permit: Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other: ( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. (� ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER Other. (`��) Other ( mtg.date approvaL - l qnotes: ( )ZBA mtg.date: approvaL notes: ( )PB mtg.date: approval notes: _ REQUIRED EXISTING PROPOSED NOTES Date: A 2 0 2024 Area: Circle: Fron�taee Front: Front: Sides: Rear. Main Cov: Accs.Cow. Ft.H Sb: Sd.H Sb: GFA: Tot : Ft In' P� Height/Stories: notes: BUILDING DEPARTMENT VILLAGE OF RYE BROOK SEP — 3 2024 D] 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rvebrook.org 'BOIL DI N.!G BEPARTMENT 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: 4"/I lL� I F �(�M1 Date of Submission: Parcel ID#: 1 a�j,-74—/-3� Zone: —)57 — —� Proposed Improvement(Describe in detail): ' O�acxs l .S r\A r,verD 1t, We lift, w%Y) APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building t� saex7tS d (� S Department by the applicant-no exceptions. 1. (,Completed Application Property Owner:M(`A7 Gi\\tv-&,n 2. ( )Two(2)sets of sealed plans. (one full size(maximum Address: LA (Ql_AVx/ Paw-&-A c % P p MA9\ allowable plan size=36"x 42") and one l l"x17") 1 3. ('' Two(2)copies of the property survey. Phone# (a6 5?.LA 4. (•. Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (J�One electronic/disc copy of the complete (�,��� � application materials. r, � 6. ( Filing Fee. Address:t Iq���y ( L R� K k 7. ( )Any supporting documentation. �� 8. ( )HOA approval letter. (if applicable) Phone#1�\6 �a� ��� 9. (t�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 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 SP r��x I , 20 day of , 20 Signature of Property Owner Signature of Applicant Imo`(\'k-kV"/") Cs c I I M e Print Name of Property Owner Print Name of Applicant V." & . 1)711Y�,VIV - Xdy& Notary Publ' Notary Public GREGORY M.RNERA Notary Public,State of New York No.0111164411398 Ouallfied In Westchester County an 2/2021 Co"Ission Expires September 26,201 yE uR(��• Village of Rye Brook ML MR Ot� y ends FB SE Architectural Review Board Meeting AC AD Thursday,September 19,2024 at 7:30 PM Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB24-103 (Consent Agenda) Charles Goldsmith&Lois Goldsmith 54 Talcott Road Replace existing deck railings. 1.2. ARB24-104(Consent Agenda) Gregg Lefkowitz&Alison Kaplow 6 Lawridge Drive Rooftop solar array. 1.3. ARB24-105 (Consent Agenda) John Meer&Deborah Meer 8 Primrose Lane Bluestone patio under existing deck. 1.4. ARB24-106 (Consent Agenda) Aaron Gettinger&Amanda Gettinger 5 Old Orchard Road Paver patio&new hot tub. 1.5. ARB24-107 (Consent Agenda) Kaushik Gopal&Archana Gopal 61 BelleFair Road Rooftop solar array. 1.6. ARB24-108 (Consent Agenda) Askar Djabbarkhodjaev&Karina Babakulova 7 Winding Wood Road 4'high white pvc gates&6'high black welded wire fence. 1.7. ARB24-109 (Consent Agenda) Jeffrey Landau&Agnes Landau 55 BelleFair Road Rooftop solar array. 1.8. ARB24-110(Consent Agenda) Matthew Gillman&Danielle Gillman 49 Country Ridge Circle 6'high white vinyl fence&gates. 1.9. ARB24-111 (Consent Agenda) Sheema Sen Gupta 4 Pine Ridge Road 4'high black chain link fence&4'high black metal rail fence and gates. Page 1 of 2 Architectural Review Board September 19,2024 1.10. ARB24-112 (Consent Agenda) (Amendment to Approved Plans) Matthew Beatty&Kelly Beatty 213 Country Ridge Drive 4 1/2'tall black aluminum fence and gate. Consent Agenda Approvals: Motion S01 AC.-G Abstention Aye; Nay; Adjournment; Notes 1.11. ARB24-113 Richard Johns&Stefanie Johns 221 Betsy Brown Road 2nd story addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB24-074(Amendment to Approved Plans) 2 Elm Hill LLC 6 Elm Hill Drive Legalize depth change of pool&porcelain pool patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB24-039 (Amendment to Approved Plans) Cameron Sager&Jessica Sager 41 Winding Wood Road Window,door and roof changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: October 16, 2024 Page 2 of 2 Laura Petersen From: Matthew Gillman <matthew.l.gillman@gmail.com> Sent: Tuesday, September 3, 2024 2:00 PM To: Laura Petersen Subject: Privacy Tongue &Groove Illusions Fence White PVC Vinyl Privacy Fence From Illusions Vinyl Fence. The Best Fence Brand in the Industry. #fence #fenceideas #homeideas #backyardideas #vinylfencing Matthew Gillman 1 ILLUSIONS VINYL FENCE • MEDFORD, NY 11763 or www.illusionsfence.com VT I N Y L F E N C E TOLL FREE: 1 800 339 3362 SELECT DESIRED POST CAP MODEL ❑ FRENCH GOTHIC-V55FG ❑ TEARDROP-V55TD ❑ A COACHMAN-V55CM ❑ �Q BALL-V55BC ❑ SOLAR-V55P ❑ SOLAR-V550 ❑ NEW ENGLAND-V55NE ❑ 8 ® FLAT-V55FO SELECT DESIRED POST OPTIONS: ❑5"X 5"-.140 WALL ❑5"X 5"H.D.-.250 WALL ❑MAJESTIC T"8"X 8"-.250 WALL 905, 9S S FRONT ELEVATION A B C D H FT INCHES H FT INCHES H FT INCHES H FT INCHES 3 60 3 22 3 1 25 3 36 4 84 4 34 4 37 4 48 5 96 5 34 5 49 5 60 6 108 6 34 6 61 6 72 NOTES: 1. ALL ILLUSIONS VINYL FENCES ARE ASTM F964-09 COMPLIANT 2. AVAILABLE IN GRAND ILLUSIONS COLOR SPECTRUM(35 COLORS)AND GRAND ILLUSIONS VINYL WOODBOND(5 AUTHENTIC WOODGRAINS) 3. INCLUDES METAL REINFORCEMENT BOTTOM RAIL ALL STYLES AVAILABLE IN GRAND ILLUSIONS 35 COLORS AND 5 AUTHENTIC WOODGRAINS 'RTnI1111Uti( ' V300-3,4,5,6 ILLUSION C O l O R $ P E C 3',4',5',6'H X 8'W SOLID TONGUE AND GROOVE 3708-101 SEE ACCOMPANYING SPECIFICATIONS FOR MORE INFORMATION. REVISION DATE 05122/2012 PROTECTED BY COPYRIGHT©2012 CADdetails.com LTD. www rAnciatnilc rnm r __ . may_ _,-� ag6)"t•..'Y."Fi,I l� .;;tom''�. -.� q11:'.�`„�'�. � ...Y sue', 'rc •,.,��• ,�,�`"�C� �,. ,,�p�„�i.�,n,' .rj� :+�' �., r'�+�. ..p. �,- �i7b' ,N '.'Y y�[T'•e'iy /,I/ 1y . v ■� ? � yi1•• go . • (i,� >115� t�r�f••f I '�I�����f / ICI i I 1�.•� tip'+, �.., 5�1�1 �i zx. 41 II_ N�1�� Vs I_'� i� �e._._E.. _ . _s_4 _ ai_ .i�` ..a�.. r�.is .'jig_. ma's �. .._�fY, �(0)1, '•(ems>y. % t '� i _ .� +(A2,j AN CN Oup •1.. K L OKI ction uj LL f0i 4V� Ink r, u' 2 (oAND" Y 3 p v ataolil cc CO 4y .Fy-' �� Imo• .! — ^i. 70 - . wow i C r �= 2 • `sf i = = 3 y N ti .,tY.v I J J 4, ttlsllA ">rF; -�`r,I ► ,.-•N� f�� r4:: Ito r4 ;+`f�` ray}, 7►Tt v' i / / r3.r�I�� Ii,tom, 3,ti• �.�y8 ,d, , i1��r I��i±i/+�� � i L► i•!� jy�l. ��` :q'•�1�p .:!4,• •q'� �`A '�►s' k� i y��I,:.B I"�• " . ,,}, i gam. ,• .py -:�r. • +r.., ... ..• • .; .,�;,.• _• . . ,y,,, 4tii�•`.M. yL �4. ��.y�ir.� 'o>'_'_ "SrR�r .i_. .e_��.�yV^,:,Z.,�+„%C�:• -•-' 'ti �i�. kW�',�' �`v' �0rr�.l` ..Y.y'>�'xK �•ti..,�.::,�edi'_',��[.�C�:� ' '�� - ``����� f "..77CY+fO'�'� •�'ta. �\. ��l�f.J„�.,.,y `K`'A,�-k--}� I �i`.: CIPSFEN-01 _ LOLIVEIRA ACORO DATE(MMIDD/YYYY► `� CERTIFICATE OF LIABILITY INSURANCE 10/17/2023 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 C TACT Liglan Oliveira_ Ference Gray Insurance Brokerage,LLC PHONE o Est):(g1q S17.g6g2 FAX (914 696-0415 19 Mill Street __ __- ('C,No): Port Chester,NY 10573 _WAk..loliveira@efgins.com INSURER(S)AFFORDING-COVERAGE NAIC• INSURER A:Erie Insurance Company 26263 INSURED INSURER B: CIPS Fence Co.Inc.dba King Fence INSURER C: FRANK CIPRIANI _ 48 GRASSY SPRAIN ROAD INSURER D: YONKERS,NY 10710 INSURER E:L I _ _INSURER F: _ COVERAGES_ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 TSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP N rym) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1 OCCUR Q47.{950054 11/19/2023 11/19/2024 DAMAGE TO RENTED rrenceI $ 1,000,000 MED EXP(Any oneperson) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY L X I JPER LOC -PRODUCTS-COMPIOPAGG 2,000,000 OTHER C�O $ _ A AUTOMOBILE LIABILRY COMBINED S 00 SINGLE LIMIT $ 1,0 ,000 X ANY AUTO 11-6940010 11/19/2023 11/19/2024 BODILY INJURY Per person) S OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY BODILY INJURY Per accident S X AUTO$ONLY X AUOTOS ONLY PP60r adeTMrNDAMAGE S S A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESSLIAB CLAIMS-MADE Q35-5170349 11/112023 11/1/2024 AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIFTOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S pFFICER/MEMgER EXCLUDED N I A (Mandatory In NH) E L.DISEASE-EA EMPLOYE $ If yes.describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,mazy be attached I more space is regrired) EVIDENCE OF INSURANCE. CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF An I Conlipertsatio;n NYS WORKERS COMPENSATION INSURANCE COVERAGE B�i d— r - !. i 1b.Business Telephone Number&insured • 12.Legal Name Address or insured(use s*reei address or�,y, i Abel HR II,Inc Labor Contractor,for leased workers to: ; (609) 860-0400 1 1c.NYS Ur•emplcyrri insurance Employer Registration Number of insured lips Fence Co,Inc.dba:King Fence 48 Grassy Sprain Rd Yonkers,NY 10710 ld r ederal Employer Identiicabon Number of Insured or Social Security Number I Iwork Lon of Insured(Only required r coverage is specricali;�limn tc certain czab i Vocations in New York State,i.e.,a Wrap-Up Policy) 13-4049813 I2.Name and Address of Entity Requesbne Proof of Coverage(_nlity Being 3a Name cf Insurance Camer i Listed as the Certificate Holder) Zurich-American Insurance Company i 3b Policy Number of Errbty Listed in Box"12" ! i WC 11-33-516-01 ' Village of Rye Brook Zc Policy effective period i 938 King Street Rye Brook. NY 10573 3/1/2024 to 3/1/2025 l 3ri The Prepretor Partners,or Executive Officers are I � included-(Only check box:"all partners/officers inclued) ail excluded or certain parMerslofficers excluded. I This certifies chat the insurance camer indicates 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 i}te INFORMATION PAGE cifithe workers'compensation insurance policy) The Insurance Camer or its licensed agent will send this Certificate of insurance to the entity listed above as the certricee holder in box'2' The insurance carrier must notiy the above oetficate holder and the Workers Compensation Board wrtiiin 10 days IF a polity 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 elminate the insured from the coverage indicated on this Certificate.(these notions may be sent by 'regular mail)otherwise,this Certificate is valid ror one year after this form is approved by the insurance camer or its licensed agent or until the polies expiration date listed in box 3c, whichever is earlier —1 Thrs certificate is issued as a matter of information only and confers no rights upon Cie certificate holder This cetiricate does not amend,extend or alter the Coverage afforded by the policy'listed nor does it confer any hohs or responsibiiiies beyond those contained iin the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only white the undeiiying policy is in effect Please Note Upon cancellation of the workers'compensation policy indicated on this form,d the business continues to be named on a Permit,ficese 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 pequry,I certify that i am an authorized reoresen:tative or licensed agent of the insurance carrier refernced above and that the named insured has the coverage as deoicted on this form. Approved by: Douglas Jones (Print name of authorized representative or licensed agent of insurance camer) 'L 2 ,approved by' 6/26/2024�i+�►�L� -- --- — -- — — — — -- — -- — — — (Date: (Signature) Title: Vice president - -- — -- — -- — -- — — (480)951-4177 Teleohore number-of auir orized representative or licensed agent of insurance carver Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue rt- ww.wcb.ny.gov C-105.2 (9-17) Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, September 3, 2024 4:18 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 09/03/2024 16:18 To: VIL RYE BROOK PRIMARY Transmitted: 09/03/2024 16:18 00005 Ticket: 09034-002-571-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 49 To: Name: COUNTRY RIDGE CIR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: Means of Excavation: POST HOLE DIGGER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: FENCE INSTALL Estimated Work Complete Date: 09/16/2024 Depth of excavation: 2 FEET Site dimensions: Length 240 FEET Start Date and Time: 09/16/2024 07:00 Must Start By: 09/30/2024 ------------------------------------------------------------------------------ Contact Name: NANCY CIPRIANI Company: CIPS FENCE CO INC DBA KING FENCE Addrl: 48 GRASSY SPRAIN RD Addr2: City: YONKERS State: NY Zip: 10710 Phone: 914-337-8700 Fax: Email: info@kingfenceny.com Field Contact: FRANK CIPRIANI Alt Phone: 914-337-8700 Email: matthew.warne3@gmail.com Working for: MATTHEW GILMAN ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i C� �] I~ sum i �' y SVMBOL LEGEND •�ON � "'� FP - 3 2024 �--1 I VI AGE OF RYE BROOK I Bt I LDING DEPARTMENT 1 Village of Rye Brook Ai hitectural evi w Board Approvalate: Chalrma FILE CO Nip FM[nr n TAX LOT$4 `0, 165?6 TAX LOT 37VT \\ N66�j1 40 E o 9-1 , o w W y .. rY LOT 2D [7 �► . TAX LOT DI J r u tOT lI %It 1 PAX!oT s WViLr �^ p CMcr 1= �y w Z. rm wr to TAX LOT 4 S 150.24 S87.09'50-II DIY PERMIT rw Jr), ��� — 3 SBLA TAX LOT JD _ DATE A AS-BUILT/FINAL SURVEY REQUIRED PRIOR TO BUILDING INSF CTO o Rye Brock, N FINAL INSPECTION �'OUNTRY RIDCE DRIV ,„ (50' WIDE) _ GRAPHIC SCALE GUARANTEED TO: LOT AREA Y1TT1[N OWIAM MUO DAkMW O ) OLLWA14 AMIMS TITIZM9l COWFWY NOAD MW uw TRMs/O.° IN FEET 16,]!1 De S►. o J!AC I loch 90 ft SCALICE SURVEY OF PqOPERTY CIKLE \ - 49 COUNTRY RIDGE CIRCLE _ RYE BROOK, NEW YORK I0573 LOT 28. 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