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HomeMy WebLinkAboutBP24-202PERMIT # /—�mml/— SECTION _ /ck, 9 a TYPE OF WORK JOB LOCATION OWNER S r < Af% DATE c),% k I/ r:D(P:� BLOCK LOT 00 �q zJ00d,& b r 4Pv FEE DATE - INSPECTION RECORD I DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT O ALARM AS BUILT f I FINAL 1c1Pd1W1, 4Q mince t �G/vl/4 �3�i7)933-3777 r, & V�11'rsch &#� )3o#- 81oa� OTHER APPROVALS// BOT P8 ZBA y�-oulLurINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION ReC:e►ved �QyE BR O VC4 is��J Y 7. 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.go_v TRUSTEES BUILDING&FIRE INSPECTOR Susan K Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 15,2025 Askar Djabbarkhodjaev&Karina Babakulova 7 Winding Wood Road Rye Brook,New York 10573 Re: 7 Winding Wood Road, Rye Brook,New York 10573 Parcel ID#: 129.82-1-8 Building Permit#24-202 issued on 9/24/2024 for a New Fence & Gates This certifies that the six foot high white pvc gates and four foot high black welded wire fence,installed under the above captioned permit,has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDING DEPARTMENT For office use onl PERMIT# � I' NOV 7 ZOZS VILLAGE OF RYE BROOK ISSUED:(4-j4/Tay 938 KING STREET,RVE BROOK,NEW YORK 10573 DATE: //—!7%94 25 / VILi (914) __9 -0668 FEE: /C)U PAIDM R'WW rooknv. ov APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Address: Q W R 1J Q Occupancy/Use: I— / arcel ID#: q ��— �— U Zone: Owner: Address: P.E./R.A. or Contractor: �I(LSI A Address: Person in responsible charge: Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: MPI,P, D Ab1&A RK+jC0j1 being duly sworn,deposes and says that he/she resides at 7 tolt,'.NToAtJ&100Q Rb N (Print'Name of Applicant) (No.and Street) in RAP- �If4rDO%C.. in the County of in the State of�,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 3 7 O O for the construction or alteration of: r-IG—IJ C 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 / Sworn to before me this day of , 20_b day of 20 rIVI) Signature of Pro er Signature of Applicant AsKA-a6K � Pri Name of Prope Owner Print Name of Applicant Notary Public Notary Public SHARI MEULLO Notary Public,State of New York 6/I/2o2a No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20 AC Bk O 2m 1962 � 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 :--7_ __-r_IAJ _) o _w-Qt ---i�'t ► a DATE: IZ - g - Z0Z.- PERMIT#r W_2.7 01-- ISSUED:_!�-L f-ZAECT:121,34 BLOCK: / LOT: LOCATION: I L�T ru��. �.� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... R ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / 1 ❑ NATURAL GAS ❑ L.P. GAS P ❑ FUEL TANKFtao" V PVAf-k ❑ FIRE SPRINKLER `WA ❑ FINAL PLUMBING ❑ CROSS CONNECTION I FINAL 1 Y bV BOTHER � O ��0 a N a GG am- P, C 44 o > °C O W v a i—`ni OID w O c1 ao x o W w a V �° C ao F- OO p .07 C O 'O60 Q e Lin L. ^ . aC a, ao W 00 x z N A © w V v o o O O ° + y w W I w p M � P. '� -a v W Q c w o O zzb � o A x c04 'A z o S a °� � w x CA y/, I, �' Q P y - maw �] O V W. o w .� Q 0. ~" V V am tz wa ? o I!tujz W w � }— L J i.. ��j-ell P..( u► H w u C J wl X -dj c r• BUILDING DEPARTMENT D ECENE D VILLAGE OF RVO-BROOK AUG 2 9 2024 938 KINGS EE[ RYE BROOK,NY 10573 � 9114)939-0668 VILLAGE OF RYE BROOK www.ryebrookny.i!ov BUILDING DEPARTMENT FOR OFFICE USE ONLY: Q Approval Date:SAP 2 0 4 PC-Qer 1 Application Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: V IV ZBA Approval Date: Case# 41 Other: }}� Application Fee PQ Permit Fees:&,t-)() 'C1 FENCE / WALL / GATE PERMIT APPLICATION �Q Application dated: Ord /—3 q is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit forthe installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code ofthe Village of Rye Brook,as per detailed statement described below., f Swimming pool fences must conform to the State Code. 1. Job Address: (A)04Q 1 N� LAM OW (o'S 73 2. Occupancy/Use:. M S.B.L.#: /c) /i <f c� Zone: 3. Proposed Fence/Wall/Gate(describe in d tail): Q tree_ t„/4I d?, W I ee s& i7 s t I t1 1.4 _ - WAtit �le,�ue - - 4. Property Owner: As1c" Address: w %ou Woo cA 4p Phone# Cell# n7 T S? 7-77 email: A-QkAk -'C.J''F' 'Q Applicant: Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: GUu' - k A 4'c'- l Wjj&L L L- p Address&Phone: 747 0-,oUa-a. t W ...I o' �or TI� 5. If building is located on a corner lot,which street does it front on: 6. What is the estimated cost of construction ,3-7 O 0 (NOTE:The estimated cost shall include all site-improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: eAw i sttr2o24 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, (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. Sworn to before me this 01 Sworn to before me this day of , 20_ph day of ,20 Signature o P p Owner Signature of Applicant ame of Pr arty Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME616O063 Qualified in Westchester county commission Expires January 29,20�Z_7 2 611/2024 • .Building Permit Check List&Zoning Analysis Address: i �2 Zone. t _Us ' _Z— O t.Type: r `� Other. Submittal Date: T2 Revisions Submittal Dates: Applicant: , _ V 1 Nature of Work l��'S T ` � � S 1 C�Q MCA r � L r\C CG c Reviews'•ZBA: PB• nB Other: NEED OK� ( (0 ram:Filing: BP. x C/O. Flood Plane: Legalization: ( APP. Dated: Notarized: SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Shorn Fees' N/A: ( ) ( ) SITE PLAN:Togo: Site Protection: S/W�,�Igmt.: Tree Plan: Other: ( ) (a/SURVEY:Dated / Current:// ArcluvaL Sealed: Unacceptably ( ) ( ) PLANS:Date Stamped Sealed Copies: Electronic Other. (� ( ) License Workers Comp: Liability. Comp.Waiver. Other. ( ) ( ) CODE 753#: Did; N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other: ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H,W.I.C.:_Battery:_Other: ( ) ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: 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 Sure Final T o. RA PE Si off Letter As-Built Plans: Other: ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ) Other. ()ARB mtg.date: approval' 'Z notes. ( )ZBA mtg.date: approval' notes' ( )PB mtg.date: approval' notes: ,7Mn%/S REQUIRED EXISTING PROPOSED NOTES Date. SE P q O 2024 Area: 4 Circle: Fro�¢c Front: Front: Sides: Rear. Main Cov. Accs.Cov- Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.Im : Height/Stories: notes' BUILDING DEPARTMENT R IE C IE 0 �E VILLAGE OF RYE BROOK AUG 2 9 3D 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrookny.gov BUILDING DEPARTMENT 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: 1 W11 otWGW000 Qn N Date of Submission: Parcel ID#:b)91 O —�— 8 Zone:,-J S c3 /—C Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: �I '_I `' MUST BE COMPLETED BY THE APPLICANT ' erg t`'t- �'`'� `' -�S� The following items must be submitted to the Building °I DS w k.l 4.e b w>��� rvl et J(Qra k � Department by the applicant-no exceptions. Property Owner: KAQ D1��Jl��K�P9Q�AEV 1. 111 completed Application —o 2. ( )Two(2)sets of sealed plans. (one full size{maximum Address: -7 N933101 MIG W" rt> N / allowable plan size=36"x 42"} and one l l"x17") Phone# �� —1��j —'�1� ('�) l o(2)copies of the property survey. 4. ( o(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( One electronic/disc copy of the complete a plication materials. 6 PROPGRTY oWN�Q . ( i ing Fee. Address: 7. (✓ Any supporting documentation. 8. ( )HOA approval letter. (ifapplicable) Phone# 9. (.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 1ul , 20� day of , 20 Signature of Pr w r Signature of Applicant mod Name of Pr peeAwner Print Name of Applicant Nota4 Public Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County Commission Expires January 29,20- 6/l/2024 ',JC DRO( k. Village of Rye Brook ML y O� 2Agend FB SE Architectural Review Board Meeting AC AD Thursday,September 19,2024 at 7:30 PM Q 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 •k s 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 ' Second 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 2of2 K , t �. 4, *,. R t Ile A. + •' ''.s., k db!' .e„5,. ,fry, s*l.F }: ��" C.f' � -0 e<' � a ���� �:q r,'` - a ,,,,. ;� to Ey ie& \� 4 � ,I`"�..�.; -1 it�� 1°¢ Hirsch Fence Install & Design 747 Route 9,W Valley Cottage, NY 10989 ' R+K?+m c tart NsnR,etim wwnwrI L�#�',t•=-- s,r+ae.w;7. �Cft Nevner►Qg1Yna ;9taPRAf p 4vent t F9,RI!rw ZIP CwtdT ar I F froW A ,e" PERMIANSPECTLON tNFC4tMATi0;,i TOt � Yes �NC� i, ' '1'et tr4daut F— ns ssroM :� RsN+tiot+M aW nq�,ed p.mdt iwibu►inrraf rd to Obt,00 e ..��..., APPAO7d1ptATE LAYOUT '� r '�-' r'EhY'E FOQYAOt CAh A¢i®w TWO mw%W4 4 Mp40AVATt MAAW JN FltA M8A7u��t6hTS.FiRA,PRYE WIL W.Ml-Wfo mm"ON A,r Famet ru"TAM Uatp AS W FCWMJ IM TL t Af16 C TUWa.tf ADOfM',I AI.COST 0 S0 LACE DOWN AM HALL R.-Ay O9 FENCE 1 SUIT TOTAL $ SALES TAX S iil. FMi AMOUNT GUE t' tG+ntA pw tarmw $ .seariN t--t Stack Product u Special Order Product cuuam�:"` "' " ;' ;..t`. ato afd*on*ypa,mti,t,m,w -p,/�( ,// (� b4*V r0WjW b w d mtles +"'"'Cf'rf emd '�{ `7 flo� �* �Plaov®OC+utwtcec ___ !r a L� {� GCB INSTALL-AMN RELATED T QRADE:PLEASE mnAL �j f�F 1 NtRPS:tiTTOTleEYE i RXLAWNi1«low t<} /� f7Crt •�rAGLArrxo ra antll �f , fie f'`��-^^' sae m re�Il�wrN t aw�ar M+�+rN'tMNwwwe wan"MR taµtcWdl tore Mwrq ra6aarlwe+wwar an t�.w oa .w.e aft MML Ma 'Al _b xkJf.t1 HatphL Sty{a: .'„ (r HelyM { Styled � if Gabs FD(do if Ggf � Foowga: Poo Cop: P p: color Post Cap: Cbpf P"(;W. Rai Type: pap Gap: Color, PkJrst T ROA TO$' Post Cap; Rai Type Punt cap t t t PfGival Type: ;��pgogw VOR Al �r V J E LU ui f JJ�1 f ice{ f-- � }.- � � .��'•h.. �"` lt1 t• V ✓p �� 4;'. ;ti LLJ kLL _¢ 0-0AM I X C 3 y i N 0 GU . N 3 J � • .1t IN 1► . K 4� s 1 ---"N el 78T/12/2024 ACOR" CERTIFICATE OF LIABILITY INSURANCE E(MMIDD/VVYY) 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 CONTACgAME._ Courtney Potter McCarthynsurance PONE- — y C.NoL..Eat: (914)769-0417 1(MC.No): 378 Elwood Avenue ADDRESS: courtney@mccarthylnsurance.net Hawthorne, NY 10532 INSURER(S)AFFOROINOCOVERAGE NAN •_ INSURER A; Preferred Mutual Insurance Company 1 024 INSURED INSURER B: Hirsch Fence Install 8r Design LLC INSURERC. 747 Rt 9w Cottage#4 INSURER0: Valley Cottage, NY 10989 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 00002210.0 REVISION NUMBER: 13 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 DOCUNENT 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 TYPE of INSURANCE ADDL;BUB'R�- POLICY EFF POIJCYEXP L POLICY NUMBER l MMIDDN� LIMITS A X COMMERCIAL GENERAL LIABILITY Y N BOP0100721375 11/12/2023 11112I2024 EACH OCCURRENCE $ 1.000.000 DAMAGE O RENTED CLAIMS-MADE E X I OCCUR PREMISES a occurrence S MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY S 1 000 000 OEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑PRO- El I JECT LOC ! PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABLRY i COMBINED SINGLE LIMIT Ea accdent' $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Persoddent)HIRED N-OWNED S AUTOS ONLY AU PROPERTY DAMAGE ONLY Per accident S I f UMBRELLA LIAR OCCUR i EACH OCCURRENCE S EXCESS LIAR CLAIMS-MAUE _AGGREGATE S . ....._....................._._.._._......................___--_.---....__..___._............................... .... DED RETENTIONS S WORKERS COMPENSATION I PER OTH- ANDEMPLOYERS'LIABILITY YIN ,......__.. STATUTE-.J....._......_ER . ANY PROPRIETOR/PARTNER,'EX=CUTNE --- .E.L.EACH ACCIDENT _ S OFFICERIMEMBER EXCLUDED? N/A I ....__..._.....___....—_......_.. _._ .- (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LgAIT S i DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101,Additional Remarks Schedule may be attached if more space is required) Address : 6 Windingwood Rd,Rye Brook„ NY 10573 Certificate holder listed as Additional Insured 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 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook NY10573 AUTljp�R O�ARbB(eNT/fqT (E_ CPO n 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(20161031 The ACORD name and loco are reaistered marks of ACORD Printed by CPO on 08/12/2024 at 10:47AM Y� Workers' Certificate of Attestation of Exemption �TE Compensation BOd� from New York State Workers' Compensation and/or Disability and Paid Family Leave Benefits Insurance Coverage **This form cannot be used to waive the workers'compensation rights or obligations of any parm** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract, This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit Hirsch Fence Install&Design LLC From Villa e Brook a of R 747 Route 9w#4 g Y valley Cottage,Ni'10989-2452 PHO)\E:845-304-8622 FEiN:XXXXX0091 The location of where work will be Performed is 6 Windingwood Rd,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building; permit are from August 12,2024 to August 1,2025. The estimated dollar amount of project is SO-S10,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a LLC,LLP, PLLP or a RLLP;OR is a partnership under the laws of New York State and is not a corporation. Other than the partners or members,there arc no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Partners I Members: Bruce Hirsch Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual: OR 2) is a partnership(including LLC, LLP.PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock): OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law) I,Bruce Hirsch,am the Member with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and ' family Ica benefits coverage and also immediately furnish proof of that coverage on forts approved by the Chair of the workers'Compensation oar to ihe cmment entity listed above. SIGN Signature: q HERE Date: / 1 .,� �..n 7 -' K •��lT ,� „ ' n Tr �. !■ti�,n o�'�.''y j/tom n .ti�.a�-.':ti. "a1nyg!aPa+��A�;IdKst'C-34+MWY' 'gyp: `� CE 2000tnots Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, September 24, 2024 2:13 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 09/24/2024 14:13 To: VIL RYE BROOK PRIMARY Transmitted: 09/24/2024 14:13 00002 Ticket: 09244-001-848-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 7 To: Name: WINDINGWOOD RD N Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK YARD, WILL BE MARKED IN WHITE 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: 10/04/2024 Depth of excavation: 2 FEET Site dimensions: Length 12 FEET Width 80 FEET Start Date and Time: 09/27/2024 07:00 Must Start By: 10/11/2024 ------------------------------------------------------------------------------ Contact Name: BRUCE HIRSCH Company: HIRSCH FENCE INSTALL & DESIGN Addrl: 747 RT 9W Addr2: City: VALLEY COTTAGE State: NY Zip: 10989 Phone: 845-304-8622 Fax: Email: bruce@hirschfence.com Field Contact: BRUCE HIRSCH Alt Phone: 845-304-8622 Email: bruce@hirschfence.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK WESTCHESTER CTY SWR 1 D 1 2 3 i HUTCHINSON RIVER PARKWAY LMI� TLM� ORIGINAL SIZE IN INCHES 10't HIGH CONCRETE WALL N dd _ §rocA1 ' L= 108 . 17 ' M 1 chitectural ev w oar Appr al Date: Chal an: t PERM T� �- r YARD n SBt.�ll �a _ 0 FlLID MAP LOT 4 ® ATE P 2024 w z Z R � g `—BUILDING I SPFCTC I 3 . . . . . . o of R e Brook, 3.8'W a w LLJ 7 a c� ¢ {d a a STEP. 1 STORY BRICK AND FRAME. N +_ `Y Lv O o GARAGE. 0 : 4' o ARQUIRED UILT/FINAL SURVEY � jo.s'E PRIOR TO w FINAL INSPECTIONcx CV GRASS U. ip Ln Q W LE 13 0' 11 7'-309.14' AUG 2 9 2024 F�-1 ,836.41 ' L=100.00' VILLAGE OF RYE BROOK BUILDING D_EPA_RTMEWT ROS - ROOF OVER STOOP , FILE COPY SC - STONE CURB WINDING WOOD ROAD NORTH KNOWN AND DESIGNATED AS LOT 4 IN BLOCK C AS SHOWN ON A CERTAIN MAP ENTITLED "MAP OF SECTION A. & B. RYE .ACRES, THE PROPERTY OF RYE ACRES COMPANY, SITUATED IN THE TOWN OF RYE, WESTCHESTER COUNTY, NEW YORK- PREPARED BY HOWARD T. LOCKWOOD, LICENSED SURVEYOR DATED FEBRUARY 15, 1950 AND FILED IN THE WESTCHESTER COUNTY CLERK'S OFFICE ON APRIL 25, 1950 AS MAP NO. 7050 NOTES: I 1.TM SURVEY WAS DONE FOR nOR"MtED TITLE SERVICES,LLC AND IS INTENDED TD BE USED FOR TITLE PURPOSES ONLY, p 2. NO GUARANTEE 15 IMPLIED BY THIS MAP AS TO THE EXISTENCE OR NONEXISTENCE OF ANY EASEMENTS OF RECORD THAT WOULD AFFECT SUBJECT PROPERTY, UNLESS SURVEYOR q HAS BEEN FURNISHED WITH A COMPLETE COPY OF TITLE REPORT. 3. THIS MAP WAS MADE AT A SCALE OF 1' =20' WHEN ORIGINALLY DRAWN 4. PROPERTY CORNER MONUMENTS WERE NOT PLACED AS PART OF THIS SURVEY. 5, IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR TO ALTER AN ITEM IN ANY WAY. 6. THIS IS TO CERTIFY THAT THERE ARE NO VISIBLE STREAMS NOR NATURAL WATER COURSES IN THE PROPERTY EXCEPT AS SHOWN ON THIS SURVEY. 7. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITHIN AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. 8. THIS SURVEY IS NOT INTENDED TO BE USED FOR NEW CONSTRUCTION. CERTIFIED TO: DATE SURVEYED: JULY 1, 2024 OF EVV Y I THOROUGHBRED TITLE SERVICES, LLC ALL COUNTY LAND SURVEYOR PC /� osucK RADIAN TITLE INSURANCE INC. WELLS FARGO BANK, NA. ISAOA AT1MA DO167NAL A. O'BUCKLVE AVENUE ASKAR DJABBARKHODJAEV AND KARINA BABAKULOVA 1LUSHI 45TH AVENUE 358 LAW OFFICE OF JUUA KHALDAROV FLUSHING, 5 11114 TEL 718-358-8114 TAX MAP FAX. 718-353-0938 JQ SECTION 129.82 VILLAGE OF RYE BROOK EMAIL: DOBUCKLEY®ACLSNY.COM g LAyp� BLOCK 1 TOWN OF RYE TITLE No. TBT53060 DONAL A. 'LEY P. LOT 8 COUNTY OF WESTCHESTER STATE OF NEW YORK NEW YORK LICENSE 05064 as-suiLHUTCHINSON RIVER PARKWAY DOCUMENT 0 1 2 3 ORIGINAL SIZE IN INCHES w W O J L.� C) 10'f HIGH CONCRETE WALL ,986.4 L=108 . R== 1 836 * 4 1 ' L= 100.00' PIN NOV 1025 L.L.s • C� r 3 4 M.r, mcY��I.1l6a['C.�' PERMEABLE SURFACE CALCULATION TOTAL AREA - 15,612.67 SQ FT NON -PERMEABLE SURFACES - 3,895.18 PERMEABLE SURFACES - 11,717.49 SQ 111 .7� �-309.14'.. WINDING WOOD ROAD NORTH N a o - SQ FT FT iw Lil ROS - ROOF OVER STOOP VF - VINYL FENCE KNOWN AND DESIGNATED AS LOT 4 IN BLOCK C AS SHOWN ON A CERTAIN MAP ENTITLED "MAP OF SECTION A & B, RYE ACRES, THE PROPERTY OF RYE ACRES COMPANY, SITUATED IN THE TOWN OF RYE, WESTCHESTER COUNTY, NEW YORK" PREPARED BY HOWARD T. LOCKWOOD, LICENSED SURVEYOR DATED FEBRUARY 15, 1950 AND FILED IN THE WESTCHESTER COUNTY CLERK'S OFFICE ON APRIL 25, 1950 AS MAP NO. 7050 SURVEY AMENDED JULY 19, 2024 TO SHOW THE LOCATION OF 4 IRON PINS SET ON THE PROPERTY CORNERS, NO OTHER FIELDWORK WAS DONE. SURVEY AMENDED SEPTEMBER 15, 2025 FOR FINAL CERTIFICATE OF OCCUPANCY PURPOSES, LOCATE THE SLATE PATIO, GATES AND HVAC, AND TO SHOW PERMEABLE SURFACE CALCULATIONS NOTES: 1. THIS SURVEY WAS DONE FOR ASKAR DJABBARKHOWAEV AND IS INTENDED TO BE USED FOR CERTIFICATE OF OCCUPANCY PURPOSES ONLY. 2. NO GUARANTEE IS IMPLIED BY THIS MAP AS TO THE EXISTENCE OR NONEXISTENCE OF ANY EASEMENTS OF RECORD THAT WOULD AFFECT SUBJECT PROPERTY, UNLESS SURVEYOR HAS BEEN FURNISHED WITH A COMPLETE COPY OF TITLE REPORT. 3. THIS MAP WAS MADE AT A SCALE OF 1" = 20' WHEN ORIGINALLY DRAWN 4. PROPERTY CORNER MONUMENTS WERE NOT PLACED AS PART OF THIS SURVEY. 5. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR TO ALTER AN ITEM IN ANY WAY. 6. THIS IS TO CERTIFY THAT THERE ARE NO VISIBLE STREAMS NOR NATURAL WATER COURSES IN THE PROPERTY EXCEPT AS SHOWN ON THIS SURVEY. 7. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITHIN AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. 8. THIS SURVEY IS NOT INTENDED TO BE USED FOR NEW CONSTRUCTION. CERTIFIED TO.0 ASKAR DJABBARKHODJAEV AND KARINA BABAKULOVA VILLAGE OF RYE BROOK BUILDING DEPARTMENT TAX MAP 7 WINDING WOOD ROAD SECTION 129.82 VILLAGE OF RYE BROOK BLOCK 1 TOWN OF RYE LOT 8 COUNTY OF WESTCHESTER DATE SURVEYED: JULY 19 2024 ALL COUNTY LAND SURVEYOR PC DONAL A. O'BUCKLEY P.L.S. 167-17 45TH AVENUE FLUSHING, NY 11358 TEL. 718-358-8114 FAX. 718-353-0938 EMAIL: DOBUCKLEY@ACLSNY.COM STATE OF NEW YORK f:—roP.L.S. E 050641