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HomeMy WebLinkAboutBP24-210PERMIT # AJ SECTION �= TYPE OF WORK JOB LOCATION OWNER CONTRACTOR/ EST. COST v0 #� TCO # C'?/Y f oo� Q mc�* _ LOT �7 cL S r 2 /_ " FEE4 Q U % DATE fEE DATE _ ir�cpt=CTION RECflM� i DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING I� RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW40LT CJ ALARM AS QUILT C� FINAL i.n elC1lo?c,7 Qt:�R/Sww)33�=d� 730 OTHER APPROVALS ARB BOT PS ZBA OTHER 4 c�G4.°l oJy �Go �uu w�i e 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 28,2025 Linda Uzzo 52 Valley Terrace Rye Brook,New York 10573 Re: 52 Valley Terrace,Rye Brook,New York 10573 Parcel ID#: 135.59-1-45 Building Permit#24-210 issued on 10/2/2024 for Replacement Windows This certifies that the two new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D [E C E � V 'IDBUILDING DEPARTMENT For office use onlv: VILLAGE OF RYE BROOK PERMIT# � - Q/C JAN 2 1 2025 ISSUED: 938 KING STREET AZVE BROOK,NEII,YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: PAID b BUILDING DEPARTMENT www .. 0rooknv.gov 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: 52 VALLEY TERRACE Occupancy/Use: 1-Fam Res Parcel ID 9: 135.59-1-45 Zone: R-3 Owner: LINDA UZZO( FIZZINOGLIA) Address: 52 VALLEY TERRACE P.E./R.A. or Contractor: Renewal by Andersen Address: 421 West Avenue, Stamford CT 06902 Person in responsible charge: Franklin Barahona Address: 421 West Avenue, Stamford CT 06902 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: Franklin Barahona being duly sworn,deposes and says that he/she resides at 421 West Avenue (Print Name of Applicant) (No and Street) in Stamford CT 06902 in the County of Fairfield in the State of CT ,that (Cm/rown/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:S 5,330 for the construction or alteration of: Installation of( 2 )Andersen Acclaim replacement Windows 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 an)'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 all 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-IO.A.of the Code of the Village of Rye Brook. S� Z�S� Sworn to before me this Z" S++•ont to before me this day of Ovv b , 20 Zy BR NO A"PUBMACD I�IALD day of 6t�mobtr 20 S h'OTitIZY PUBLIC y State of ConnecticutOct 2AY COAAMISSION EXPIRES Oct 311D26 ��� Signature of Property Owner Signalure of Applicant LINDA LI=O ( FIZZINOGLIA ) Franklin Barahona Print Name of Property O%kner Print Name of Applicant Notary Public Nolan Public QyE BRCv� 1. 1982 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 : S — DATE: -�U �L) PERMIT# L p L�. 2 ISSUEDs'()—Z SECT: BLOCK: LOT: LOCATION: Opt L Y � Al 1 ( Uv 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 �, o �, x N N yy s - � � � • � v � rTl m a a• Pam,� � 1�—I v Alu .. v L19 O •o N ICU OC M is 0 _ O w g .4 ao 0.-0 ^ . OCU 1..1 P-4 ■ r1 W x O h4 V ny 0 u ■ :) �z C +~0 s P-" - h+al 0 w � � s .. o Z O v C� - ° rM w , o R °0 a u V SAOO = �=I � Oo G� W CAI �j � F-� V �Q � ,a ��� ,� �, ►� � CeCo5 � a s IS U y � Wcn - � N - + z u z a a C7 © A z cn id 13 b = s s ■ BUILDr D� PRTMENT R E `=' E �' `� E ,� .. VIL e6F RYE BROOK OCT _ ' 202 4 JD 938 KING 'BEET RYE BROOK,NY 10573 '914,939-0668 VILLAGE OF RYE BROOK w` �ef:'ty "ov BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: qj�- u y�IJ-� APPROVAL DATE. OCT 0 1 L� ti// C� / /QPLICATION FEE:-*/IJ '-�� APPROVAL SIGNATURE: PERMIT FEES: ITIS O—b(J( H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: ****sss**sss*ssssssssss*ssss*ssssssssssssssssssssssssssssssssssssssssssssssss*ssssssssssssssss*s*ssss*s*sss Application dated: 10/01/24 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: 52 Valley Terrace,Rye Brook,NY 10573 2. ParcellD#: 136.59-1-45 Zone: JCS 3. Proposed Improvement(Describe in detail): Installation of(2 )replacement Andersen Acclaim Double Bung windows into existing openings with no structural alterations r-7/QOr O/_) Q f 4. Property Owner: Linda Fizzinoglia L42�Q Address: 52 Valley Terrace, Rye Brook,NY 10573 Phone# (914)645-6369 Cell# e-mail ladybug52@optonline.net List All Other Properties Owned in Rye Brook: Applicant: Erin Branch Address: 2261 Market Street STE 10301,San Francisco,CA 94114 Phone# 315-335-8730 Cell# e-mail updates+rba@permitflow.com Architect: NA Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Renewal By Andersen DBA Fairchester Custom Windows LLC Address: 421 West Ave,Building 1 I Stamford,CT 06902 Phone# (203)249-1986 Cell# e-mail PERMITS@RBAWestchester.com (Ij 6/1/2024 5. Occupancy;(1-Fam.,2-Fain.,Commercial.,etc...)Pre-construction: NIA Post-construction: NIA 6. Area of lot: Square feet: NIA Acres: NIA 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: NIA 9. Area of proposed building in square feet: Basement: NIA Is'fl: NIA 2nd fl: NIA 3rd fl: WA 10. Total Square Footage of the proposed new construction: NIA 11. For additions,total square footage added:Basement: NIA I"fl: NIA 2n1 fl: NIA 31 ft: NIA 12. Total Square Footage of the proposed renovation to the existing structure: NIA 13. N.Y.State Construction Classification: NIA N.Y.State Use Classification: NIA 14. Construction Type&Location:( )Typical Western Lumber Frame;( )Timber Frame[TC];()Wood Truss[TT]; {)Pre-engineered wood[PW]; Located;O Floor Framing[F];{ )Roof Framing[R];O Floor&Roof Framing[FR];Other: NIA 15. Number of stories: NIA Overall Height:,h-,I.A._ NIA Median Height: NIA 16. Basement to be full,or partial: N/A , finished or unfinished: NIA IT What material is the exterior finish: NIA 18, Roof style:peaked,hip,mansard,shed,etc. N/A Roofing material: NIA 19. What system of heating: NIA 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 I Hood,etc...)Yes: No: NIA (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets ofdetalled 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: NIA 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: NIA (if yes,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: NIA (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: NIA (!f 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: NIA (if yes,the area and elevations of the_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: NIA (f 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: N/A Indicate:TIER 1: TIER 11: TIER III: (ifyes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 5,330 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 pf completion: 10/10124 (2) 6/1/2024 Bum MENT Q VIL OF RY> 00K OCT - 1 2024 938 KrNG ET RvE BR NY 10573 4 939- VILLAGE OF RYE BROOK w ov BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §2 16 • 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, Linda Fizzinoglia ,residing at, 52 Valley Terrace, Rye Brook, NY 10573 1 1 Akldr4;;u9Icre YOU 11N L!) 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; 52 Valley Terrace , Rye Brook, NY. l.lob Addre�;1 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. 4 V ( na re of P e Owner(,)) Linda Fizzinoglia (Print Name of l'roper y 0"tier(;)) Sworn to efore me this -7 day of 20 (Notary Public) LILLIAN SIERRA (2) Notary Public -State of New York NO. 01S16280398 Qualified in Westchester ounty My Commission Expires b/1/2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTE,R ) as: Erin Branch ,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 Agent 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. Notarized remotely online using communication technology via Proof. Sworn to before me this Sworn to before me this September day of td! 0 day of 10th 20 24 P Signature of Owner Signature of Applicant Linda Fizzinoglia Erin Branch Print Name of Property Own Print Name of Applicant _ , �_ r� Notary Public Notary Public ario Heredia State: FL County:Miami Dade JLLIAif Produced ID: DRIVER LICENSE Notary Public -'State of New York NO. 01 SI6280398 Qualified in Westchester County w11111101,1"J���� MARIO HEREDIA My Commission ExpiresY�� of Notary Public-State of Florida r 1 Commission rY HH61204 oq, Expires on Now bra.2024 0111141 6/112024 RENEWAL Undi Flalno3 OVIRVIswI ire. DETAILS CHECKLIST FLO03RPLAN EDIT fLOORPIAN Sold 102 101 FRONT s"lk SIDE RENEWAL Technical Data byANDERSEN FULL-SERVICE WINDOW&DOOR REPEA[EMEN1 SPECIFICATION AND TECHNICAL MANUAL a{ P 4W7 AIM RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) Renewal by Andersen' 1.1-Factor(ErTU/(hrft2 oF))' Solar Heat Gain Coefficient JSHGC)2 GlassType Product Air ArGasEllend Without Grilles 0.46 V.44 0.57 0.57 M Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4• Full Divided Light Grilles 0.34 0.31 0.28 0.28 Low-E4"Sun Without Grilles 0.33 0.30 0.19 0.19 .40 Full Divided Light Grilles 0.35 0.31 0.18 0.17 s• Double-Hung Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4'SmartSunTM Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E41SmartSun Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLock" Full Divided Light Grilles 0.28 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4• Full Divided Light Grilles 0.35 0.31 0.28 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4•Sun Full Divided Light Grilles 0.35 0.31 0.18 0.18 s• s, Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E46 SmartSue Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4'SmartSun WithotrtGdlles 0.27 0.25 0.20 0.20 .63 with HeatLock* Full Divided Light Grilles 0.27 0.25 0.18 0.18 Enhanced Triple Pane Without Grilles n/a n/a n/a n/a n/a Enhanced Triple pane with Without Grilles n/a n/a n/a n/a n/a SmartSunTM Without Grilles 0.47 0.45 0.59 0.59 .82 Clear Full Divided Light Grilles 0.47 0.45 0.53 0.53 Without Grilles 0.34 0.30 0.31 0.31 .72 Low-E4• Full Divided Light Grilles 0.35 0.32 0.29 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 Low-E4'Sun Full Divided Light Grilles 0.35 0.32 0.18 0.18 Without Grilles 0.33 0.29 0.21 021 .65 Low-E4®SmartSunTM Full Divided light Grilles 0.34 0.31 0.19 0.19 Low-E41SmartSun Without Grilles 0.27 0.25 0.20 020 .63 with Heati-ock" Full Divided Light Grilles 0.27 0.27 0.18 0.18 Enhanced Triple Pane Without Grilles n/a 0.20 n/a 028 .47 Enhanced Triple pane with Without Grilles n/a 0.19 n/a 0.18 .43 SmartSun' 'Low E44D Smartsun"Afaw-M.'Low E441)Sun'and HeatLockO we Andersen trademarks for'Lovi E'Cass 1)11-Factor defines the amount of heat bu throur the total una-n B7U/tv/ft2.•F.The tower the value,the less neat is lost t)vour the emit produn.window values represent non-tempted 0�use of tempered glass can increase U-Factor ratings.see andtserr dows.com/nf.-c for spec do performance values. 2)Solar Hea!Gan Coe'Saent(SHGC)delves ire fraction of solar radiation admitted through the glass botr o,reclr transmitted and aosorpeo and suosequendy reieased imaard.the iower vie vat ire,the less heat is transmitted dwugn the product 31 visible Transmalance(M measures how much light Comes trrough a prodl(glass and frame).The higher the value,from 0 to 1,the more dayaght the product lets in over the products toal unit win YmWo Light Transrninance u memred aver the 380 to 760 nanometer portion of tie solar spectrum •NFRC ratings arc baud on modeling by a thud party agency as vafdated by an independent test fair in compliance with NFRC program and procedural requirements •This data is acaaate as of April 2021.Due to ongoing product changes.updated test reruns,or new industry standards or requirements,tins data may change over time.Ratings are for sues specified by NFRC for tesung and ctoficatlon.Ratings may vary depending on use of tempered glass.different grille opions.glass with capillary breather tubes for high altitudes.etc. -Low-E44p SmanSunni'and'Low{4®sun' 09-10 COMPANY CONFIDENTIAL-REVISION AA-01 Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Linda Fizzinoglia RENEWAL Legal Name:Fairchester Custom Windows LLC 52 Valley Road CT HIC#.0667292,WC-35743-1-122,Putnam#51220 Port Chester,NY 10573 IriANDERSEN 421 West Ave,Building i I Stamford,CT 06902 C:(914)645-6369 �u�o.�a.��es Hama Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com Linda Fizzinoglia 08/29/24 BUYER(S)NAME CONTRACT DATE 52 Valley Road,Port Chester, NY 10573 (914)645-6369 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER ladybug52@optonline.net PRUMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County('Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $5,330 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $1,066 BALANCE DUE: $4,264 Estimated Start: Estimated Completion: 8/30/24 10/1/24 AMOUNT FINANCED: $5,330 We schedule installations based on the date of the signed contract and secondarily on the date METHOD OF PAYMENT: Financing in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. NOTES: Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyers)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 09/03/2024 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE James Smith Linda Fizzinoglia PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 08/29/24 Page 2/ 30 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Linda Fizzinoglia RENEWAL Legal Name:Fairchester Custom Windows LLC 52 Valley Road CT HIC#.0667292,WC-35743-1-122,Putnam#51220 Port Chester,NY 10573 byANDERSEN- 421 West Ave,Building i I Stamford,CT 06902 C:(914)645-6369 muw..o.uomumte Phone:203-406-0545 1 Fax:203-406-0828 1 salesOrbawestchester.com ROOM: 0 W Misc: Misc, Permit Fees, Town of Rye Brook- Estimated 0 H Permit Fees, Quantity 1, Renewal by Andersen will facilitate the application of the building permit to the Town of Rye Brook. Homeowner is responsible for any outstanding permit applications or code violations that may prevent Renewal by Andersen from procuring permit. Renewal by Andersen is not responsible for any historical or architectural review applications and approvals that may be required as pre- requisite for a building permit. 0 W Misc: Misc, Miscellaneous Job Items, Small Job Fee, Quantity 0 H 1, Applicable to any job less than or equal to 3 units. 101 den 30 W Window: AcclaimTm Double-Hung (DG) 1:1 Flat Sill, Insert 36 H Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / 40 Glass: All Sash: High Performance SmartSun with HeatLock Glass, No Pattern, Hardware: White, Standard Color Recessed Hand Lift, Screen: Fiberglass, Full Screen, Grille Style: No Grille, Misc: None 102 Bathroom 30 W Window: AcclaimTm Double-Hung (DG) 1:1 Flat Sill, Insert 36 H Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / 40 Glass: All Sash: High Performance SmartSun with HeatLock Glass, No Pattern, Hardware: White, Standard Color Recessed Hand Lift, Screen: Fiberglass, Full Screen, Grille Style: No Grille, Misc: None WINDOWS: 2 PATIO DOORS:0 ENTRY DOORS: 0 SPECIALTY:0 MISC: 2 TOTAL $5,330 0 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. 08/29/24 Page 3/ 30 Geam Later unty Contrast 0 ''s a n ® Layout Font O O T 0 Search Results Consumer Protection Home Contractors and Trades Find a Licensed Contractor CHOOSING A HOME Review the search results below for a contractor. You may search again or make another selection by returning to Search CONTRACTOR Search found 1 records Company Name License Choosing a Contractor Contractor Name Expiration Phone Trade Name Date FAIRCHESTER CUSTOM WINDOWS. 9120/2026 203-406- Find a Licensed Contractor LLC 0545 MOORE DAVID L Home Improvement Contractors Renegade Renovators File a Complaint Freedom of Information Request Home Contractor Tips Prevent Home Heating Oil Spills Wage Underpayment and Theft FAIRCUS-01 PSMITH ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)F81712024 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 Theresa Brandon MBI Company Group LLC. PHONE FAx 280 State Street (A/C,No,Eid):(203)288-3401 A/c,No:(203)281-0414 North Haven,CT 06473 Rb%liss.theresa.brandon@mbi-ins.com INSURERS AFFORDING COVERAGE NAIC X INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: Fairchester Custom Windows LLC dba: Renewal by Andersen INSURERC: Fairchester 421 West Avenue,Building 1 INSURER D: Stamford,CT 06902 INSURER E: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR X S 2516791 8/12/2024 8/12/2025 EM DAMAGE TaESO R(EaENToc,ED n $ 500'000 'urreMED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY F PRO- LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER. _ $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 ccidenl000 000 ANY AUTO S 2516791 8/12/2024 8/12/2025 BODILY INJURY Perperson) $ OWNED 1xx SCHEDULED AUTODS ONLY AUTOSSV�.� BODILY INJURY Per accident $ XAUTOSONLY AUTOS ONLY PerOacadentDAMAGE $X Comp Ded$500 Collision Ded$500 A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAR CLAIMS-MADE X S 2516791 8/12/2024 8/12/2025 AGGREGATE $ 4,000,000 DIED I X I RETENTION$ 0 $ A WORKERS COMPENSATION X PER X OH- ER EMPLOYERS'LIABILITY Y/N WC 9099063 8/12/2024 8/12/2025 500,000 "NY PROPRIETORIPARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT $ 4FICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes.describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I, DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Village of Rye Brook is Additional Insured as required by written contract per the endorsements included with this certificate. 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(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK NEW Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a. Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Fairchester Custom Windows LLC. 203-406-0545 dba: Renewal by Andersen Fairchester 1 c.NYS Unemployment Insurance Employer Registration Number of 421 West Avenue, Building 1 Stamford,CT 06902 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e., a Wrap-Up Policy) Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box 1a" 938 King Street Rye Brook, NY 10573 WC9099063 3c.Policy effective period 08/12/2024 to 08/12/2025 3d.The Proprietor,Partners or Executive Officers are �X 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"S'insures the business referenced above in box 1a"for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York(NY)must be listed under item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". 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: Patricia Smith (Print name of authorized representative or licensed agent of insurance carrier) Approved by: PC�2� I'MZ6� 8-9-2024 (Signature) (Date, Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 203-288-3401 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. C-105.2 (9-17) www.wcb.ny.gov