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HomeMy WebLinkAboutBP24-208PERMIT# �/- "7-QO DATE: /� c�S' kxp: �® I Xgs SECTION .Ja BLOCK ISIS TYPE OF WORK 'a4 JOB LOCATION 40L OWNER 1 ., e// � rPQO,ts Ole? .�f �4� •I 4*60/' q(w 7)dw -��98® C� Ste/ Si 19 FEE FEE+ 60--I DATE22pjZMc74Y FEE DATE 0 EST. COST -v/cO #� ` INSPECTION RECORD I DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS I� SPRINKLER ELECTRIC L� - LOW -VOLT O ALARM AS BUILT m FINALWIN III I ?�Z OTHER APPROVALS BOT P8 'Z8A OTHER Q�ved %ay DR VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.1yebrookny.Qov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E.Fews Stephanie J.Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 18,2024 Mitchell Greenspan&Caryn Cherlin 23 Berkley Lane Rye Brook,New York 10573 Re: 23 Berkley Lane,Rye Brook,New York 10573 Parcel ID#: 135.43-1-6 Building Permit#24-208 issued on 10/1/2024 for a New Fence & Gates This certifies that the new four and five foot high black chain link fence and gates,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to R For office u only: Q � , V E i i ; BUILD ENT PERMIT# — IVIL OF RYE K ISSUED: 7DEC - 9 2024 8 KING STRE YE BROOK! YoRK 10573 DATE: - t3 9 -0 0 FEE: <' f,'SQ —PAIDA VILLAGE O1= RYE BROOK ov BUILDING DEPARTMENT 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 sr*rsssssssssssssr*w*ss*sssssssrsswrsssrrs**swsssnssssrtsrswwrwssss*►ssssssssssssrwsssrswsrswwwsrr*srsssss*sssssssssss*ttttws Address: 23 3 a r-10 e y L Ure_ 1`y e &—bO� 0 y O S7� 3 Occupancy/Use:ReS JS hi-C I h�Parcel ID#: L y 3 Zone: _ Owner: Address: Z 3 Ofvl w4 JWre, e y_ e&d, �Y 10573 P.E./R.A. or Contractor: 1A i(-Sa) I, tCtl1 } byes h Address: 1" K_V aye# 'd Uct I►p V 6O Ita"'C) Person in responsible charge:Cam(1n c IN,) Address: 73�e�K lM l ci _ (Z�,P�� (us�� ��' I Cq" 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: C0 (jL r _ ber I i being duly swom,deposes and says that he/she resides at Z.3 a�� ('Print Name of Applicant) II (No.and Street) in a,f e j%y D 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:S <�-, T o U 01/0 0 I,, , for the construction or alteration of: Q 'p\i 1( cV to JW,x17 E rc e. n vT* -)C( pe►1 m L 1c c 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-IO.A.of the Code of the Village of Rye Brook. ��yy Yv+ inn Sworn to before me this O Sworn to before me this day of Pl;CP1I3� , 20 day of - � , 2012& 14�A Ly - SignatuifofPrbperty Owner Sign re pp ican ke r I V__) (21W ir I'c) 64 int Name of Property Owner t Name Applicant No Public P;,TRICIA A b is ` Notary Public,State of New k Il�A SCHOF LD Nubli , 5086075 Notary Fublic, State of New York Qualified in Westchester County� No.01,:_1 5086075 I;,(,,4 mmission Expires October 06,212- Qualified in Westchester Counti, Commission Expires October 06,2 �yE BRQ:� O�` tim 1932 BUILDING DEPARTMENT ❑BLDINGINSPECTOR HSSISTANT 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 : L-3 -D-L�r DATE: u � PERMIT# '6p 1 2 l Z -) A ISSUED: SECT: BLOCK: LOT: LOCATION: GJ\ \ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION q ❑ NATURAL GAS t{ t ❑ L.P. GAS \ ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER Gj CP S -n Oeq : N rq va i/i O O W a w y U 15 a 0-4 W z P ,, E ro O w a W r4 � ° o C �; � O x v b W� M © .1 q o rr�Y z 40 .� © � - � v a I ' x w ap o ... 0 a �t W 0 M (Aw/} � a, �,•Lj A�.� CJ' ,.� Q; p „ � •^ � w � a s w v A N z 0 ° O w U a z rN � 0.4 o � a � vU _ uZ o aF c ��f m wCn 1 W } 0 U Cq O L zLn o' Q y o cq _ 00 cN � a W w � � � N � �, °' 00 �. "M w04 z x o k a ` w V �•y V d Q.! f 1 V ' 0 0 cn co 0 0 ',�,' JIX � fM� 0 V Imo Qp you _ zC3V) I�1 V Q V z ccduj p p rp [3 v 0 LU m BUILDING RTMENT VILL/ J OF R ROOK 938 K1NGit>E✓»T RY>�B ,NY 10573 AUG - 5 2024 41 9- . ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: at- Approval Date: A rmit# %` Application# '(J'��I Approval Signature: ARCHITECTURAL REVIEW BOARD: e Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: '' Application Fee;, — b Permit Fees: r FENCE / WALL / GATE PERMIT APPLICATION Application dated: S 1 Ilocaq is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the 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: 23 Berkley Ln., Rye Brook, NY 10573 2. Occupancy/Use: Residential/Home S.B.L.#: 135 43-1-6 Zone: R-15 3. Proposed Fence/Wall/Gate(describe in detail): Black Chain Link Fence around perimeter of backyard 2 Entry/Exit Gates 4 feet street facing side 4. 4.5 or 5 feet remainder of yard/non street facing 4. Property Owner: Caryn Cherlin - Address: 23 Berkley Lane, Rye Brook. NY 10573 Phone# 917-887-5980 Cell# email: ccgreensnan@icloud com Applicant: Caryn Cherlin Address: 23 Berkley Lane Rye Brook NY 10573 Phone#917-887-5980 Cell#samd email: ccareen5pan@icloud.com Architect/Engineer: TBD Address: Phone# Cell# email: Contractor:=w 1 r.S cAi /qjl e 2 Address&Phone: 'I'f 7 , ztA 942 Val-&- i C o#a ge I J Y /0 9 P9 5. If building is located on a corner lot,which street does it front on: N/A Berkley Lane Cut-de-5ac 6. What is the estimated cost of construction est. $7 000 00 (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: TBD. 1 2 days' work (potentially late September 2024) t srlr2o24 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: Caryn Cherlin ,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. gi Sworn to before me this Sworn to before me this 1 day of k0(0 Q S , 20 2%� day of A-V6I i5l , 20 ZA` C120/1, A rri'l X 4 e Signature kProperty Owner Signrtud6f Applicant Caryn Cherlin Caryn Cherlin (5-7 e of Property Owner nt Name of Applicant -- 0 . � Public UPublic PATRICIA A SCHOFIELD FATRICIA A SCHOFIELD Notary Public,State of New York Notary Public,State of NewYork No.OtSC5086075 No.01 SC5086075 pualified in Westchester CountyZc� Qualified in Westchester County Commission Expires October 06,20+ Commission Expires October 06,20c— 6/1/2024 Building Permit Check List&Zoning Analysis A4dress:" SBL: Zone:2 l S Use: Z 1 0 Const.Type:__712 Other. Submittal Date: S Z Z Revisions Submittal Dates: Applicant: t4 C, 2L ►-� Nature of Work L !.�{� ��L _ C�r1A-(N 1 �--�CZ Reviews:ZBA: J AN - 6 2021 PB: BOT: Other. OK ( ( ) FEES:Filing. 7S. g2!: BP: l DO- �,�Fy C/O: 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. Short: Fees: N/A: ( ) ( ) ITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan. Other. ( ) ( SURVEY:Dated: Current: Archival: Sealed.. Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed: Copies: Electronic Other. (v�/ ( ) 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: 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. O O 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. (�ARB mtg.date l Ct ZZ approval tt M11notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval: notes: APPROVED REOUIRED EXISTING PROPOSED NOTES Date: J AN 2 1 2022 AaLL Cir : Frontage Front Front: Ste: Main Cov Accs.Cov F H Sb: S .H Sb: -GFA: Tot.Imp E L I Parkuig. Height/Stories: notes: Greenspan APR - 6 2022 23 Berkley Lane VILLAGE OF RYE BROOK Rye Brook, NY 10573 BUILDING DEPARTMENT 917-887-5980 ccgreenspan(a)icloud.com April 5, 2022 Building Department, Village of Rye Brook 938 King Street Rye Brook, NY 10573 914-939-0668 Dear Sir/Madam, Enclosed is our amended application for a permit to put a simple fence inside the perimeter of our backyard. The fence will be 4 feet in height, black chain link, and placed inside our property line. An example of the fence is pictured in this cover letter. We have not yet selected our supplier but will provide that after approval when filing the paperwork with the town to do the installation. I wanted to get our application in by the first Wednesday deadline so we can begin as soon as possible. Documents as listed on the Application Checklist are enclosed. Si e�ely, Caryn C rlin & Mitch Greenspan ;k BUILDING DEPARTMENT rt D VILLAGE OF RYE BROOK APR - 6 2022 938 KING STREET RYE BROOK,NY 10573 (914)93.9-0668 VILLAGE OF RYE BROOK w-,v".ry rook.or(-, 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 3 kindew Co . bf-&-Wk 100.3 Date of Sub fission: Parcel ID#: (3�. q3 — t "C Zone: -LZ Proposed Improvement(Describe in detail): ffiij 6bCt&ntn1mt,r�_a?'3 QCI�FS q f[ �`0_1 APPLICANT CHECK LIST: �1Z ( MUST BE COMPLETED BY THE APPLICANTf on ' Q��y,r( r The following items must be submitted to the Building Gqayd Department by the applicant-no exceptions. ,- Ain 1. ( Completed Application Property Owner: h an 2. ( )Two(2)sets of sealed plans. (one full size I maximum Address: L O all hl plain >ii }?"l andone I p 3. ( )Two(2)copies of the property survey. Phone# 4. ( )Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( -}One electronic/disc copy of the complete �� V, �wU SXV-7( 41 fly y p i 1d / application materials. �-� hlR 1 f"t `Ki'i 0- 6. Oiling Fee. Address: Z WT- 7. ( �jAny supporting documentation. 8. ( ) HOA approval letter. (fapplicable) Phone# So 9. Photographs. Arch itect/Engineer: ( 1YAtt1c� 10.( )Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# 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 NOA , 20 2Z day of (� , 20 Z2 Signa of Pro Owner Si a of plicant �i yl NA (r-1 5Notary e of Property Owner m LAppl'tcant blic N tary Public PATRICIA A SCHOFIELD PATRICIA A SCHOFIELD Notary Publlo,Shft of New York Notary Public,State of New York No.01 SC5086075 No.01 SC5086075 QualifiCo miss ondExpirestOctoobber06,2 County Qualified C�urtd@" in 008 21V��2l VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, January 19, 2022 ANNOUNCEMENT: PER THE GOVERNOR'S EXECUTIVE ORDER THIS MEETING WILL BE HELD VIRTUALLY THROUGH THE ZOOM PLATFORM. THE PUBLIC CAN ACCESS THE MEETING THROUGH THE FOLLOWING LINK: https://us02web.zoom.us/a/81417970741 OR BY OPENING ZOOM AND ENTERING THE MEETING ID: 81417970741 NAME& LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 1 Whippoorwill Rd 5 Ft High Black Aluminum Consent 5663 (Davis) Fence w/Arched Gate - Agenda RearYard. 19 Talcott Road Add Skylight To Roof Line Consent 5664 (Gamboa) in Conjunction With Agenda Bathroom Renovation 70 Rock Ridge Dr Roof Top Solar Array Consent 5665 (Malik) Agenda 55 South Ridge St Roof Top Solar Array Consent 5666 (Rodriguez) Agenda 51 Hawthorne Ave Add Driveway Consent 5667 (Miller) (Exterior/Interior Agenda Alterations) 23 Berkley Lane 4 Ft High Black Chain Link Consent 5658 (Greenspan) Fence w/Gates. In Rear Agenda 545 Westchester Refurbish Exterior Steps, 5659 Ave(Castiglia) Railing,New Aluminum Awning, &Retaining Wall 12 Birch Lane Revision To Prior Approval 5668 (Shaw) (Outdoor Kitchen) 85 Valley Terrace New Egress Window, and 5669 (Krebs) Window Close Up to Facilitate Basement Renovations ML NM MR SE JM SF AC y MI KC �/ BUILD ,t-. R ED REVISED VIL OF R PLANS APR - 6 2011 A�� (;�T APR - 6 2 2 38 KIN ET RYE B TJ ,'\TED: 9- DATED: BROOK — ---- - r - ARTMENT UOR 01,FICL L SI1:ONLl : Approval Date: APR - 8 101 :",+Pv rm' # Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: i ZZ BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: A G ZBA Approval Date: Case# W,Ci Other: Application Fee Permit Fees:-Sloo—b0& FENCE / WALL / GATE PERMIT APPLICATION Application dated: L 15 I ZO ZZ is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the 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),of the 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: a3 �e✓lc�t l r 2. Occupancy/Use: �eS�C� 1 6� L S.B.L.#: 3 o `1 — l Zone: 3. Proposed Fence/Wall/Gate(describe in detail): (3`ac- C�Iawn b'g Y- �eoo (y H�c h� av % eeY1 n fie►— �f- �O 2- 3 G 4. Property Owner: M k k 1 Address: D 3 ae� ke V 1L11 _ \1 L' &b C V '�A y w S 7 3 Phone# Cellp# q« —� - � email: Applicant: ! (ayy`e.d 01,5 6&9D — Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: Address&Phone: 5. If building is located on a corner lot,which street does it front on: I a 6. What is the estimated cost of construction 31 5-/ �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: i 8/12/2021 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. STAT00F NEW;VQRK,COUNTY OF WESTCHESTER ) as: l a&�in ( ,Inc i in , 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 n I C4 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. T1^ Sworn to before me this Sworn to before me this day of /F12-Q, , 20 2-2 day of A P1211, , 20 2Z Si ature roperty Owner gna o Applicant A I n iI�� � , i I aPr* Nan�e of Property Owner Print N ne of pplicant Public CoPub�fic PATRICIA A SCHOFIELD PATtICIACHOFIELD Notary Public,State of New York Notar; ofNewYork No.01 SC5086075 6075 Qualified in Westchester County Qu_ ,ter County Commission Expires October06,^�)�Commiz__ �r 06.?0 PATRICIA A SCHOFIvEW�o t4,tW public,State Ot No.01SC505d075 Qualified In s hres s 01 06,1(66 r,mmissiOn Exp 2 8/12/2021 • a 3 �-�►-� �a�E — 1812 1 TITLE NO. 9010-00015 S. 45 9000 0 0.6'S/E y N ST 20.. 17 C o 3 4N0 0 4�hW 3 e R4Q °N 'R -6 2022 j /. W. L2 °afs m SLATE K VILLA = OF RYE BROOK W"` � W BUIL� G DEPARTMENT F IS Z J 7 O 00 .J S W 1 W If f G it III P II 1 0.613/E a d a O W a t4 1 � AWNNG '1, WALK }, .JJJE Co OVER DECK .9 S� ►� 14.6• ——_ _ CONC. RET. WALL lT lr1J I a FOUNDATION LINE ¢ '. J ONE STORY BRICK b :.°�:::,.1:;_:.. .::.:.'.:.:: :' c ': ':•. Y A.C. FRAME DWELLING b ° 'MIiCADAM;';DRIVEWAY''P,' w _ a 0 BASEMENT o 7•Q L1�':i: CHIN W O O I m N0.23 Da�emenl a �'. ::". O O o ---- � CONC. RET. WALL D ZCD lD BULDNG OVERHANGLD f SLATE WALK 0 Q r N V � Y Q• » D CC 3 D � S — /?O' 0.6'S/E PERMIT o MONce SL# 1 �� — (o .. , B o mFR TIMBER RET,WALL DATE AP9 VE R = 10000 G MACADAM BUILD?NG I°' a of Rye Broil pkL E vV I[POLE SURVEY OF PROPERTY THE PREMISES SHOWN HEREON ARE LOT NO. 18 AS ON SITUATE IN THE "SECTION ONE ROSELYN PARK" DATED AUG 9, 1962, MADE VILLAGE OF RYE BROOK BY THE MUNSON COMPANY AND FILED IN THE OFFICE OF TOWN O F R Y E THE COUNTY CLERK OF WESTCHESTER COUNTY-DIVISION OF LAND RECORDS ON OCT. 18, 1962 AS MAP NO. 13464 . WESTCHESTER COUNTY PREMISES ARE DESIGNATED ON THE TAX MAPS FOR THE VILLAGE OF RYE BROOK, TOWN OF RYE NEW YORK SECTION I ; BLOCK 5F ; LOT 18 . ENCROACHMENTS BELOW GRADE AND/OR SUBSURFACE FEATURES, IF ANY,NOT LOCATED OR SHOWN HEREON. SCALE I" = 20' UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY SURVEYED JAN. 11, 1990 MAP BEARING A LICENCED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209 , SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAWS. IT IS HEREBY CERTIFIED THAT THIS MAP WAS PREPARED ROLAND K. LINK FROM AN ACTUAL FIELD SURVEY CONDUCTED ON JAN 11 , R. F. D. II , BOX 55 1990 AND THAT SAID SURVEY WAS PERFORMED IN ACCOR- SPRING BROOK DRIVE DANCE WITH THE EXISTING " CODE OF PRACTICE FOR MAHOPAC, N. Y. 10541 LAND SURVEYS - ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS . CERTIFIED TO : K. CHICAGO TITLE INSURANCE COMPANY NEWFIRST FEDERAL SAVINGS 8 LOAN ASSOCIATION OF ROCHESTER LAN YORK STATE O.0NCED LAND SURVEYOR NO.044228 ROBERT FISCHER and MARLENE FISCHER , ux APR - 6 2022 h1� VILLAGE OF RYE BROOK , BUILDING DEPARTMENT '9500 V J 00 Coll N 20 64 19 8� o 0 \� N (li N � 0 21 3 4 60.00 ,�, -- 6 23 / S NK s 5 00 �ti 1oiGtk chu��1���c p1 LANE 33 3 As.00 7 39.11 s 45.91 35.94 3� tt ti^. ... 10 D APR -6 2022 ID VILLAGE OF RYE BROOK BUILDING DEPARTMENT o oll R, N 20 64 19 80 0 J 1 0 y .O / 4 21 3 9 18 S 4 60.00 1 N 23 92 's ?3 Rea(ey C�. �o 5 ���ti ►Cye 3YooK LANE �.00 39.11 y 45.91 35.94 3A 11 10 Hirsch Fence Install & Design 747 Route 9VV Valley Cottage, NY 10989 ��'..am�+.•+�_t.,...,. carF !*w.! - •►r�.d ter+... 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Foeer;. �ryles: Paa cdtr Prep: caw.. ,; POUCp: Ca+or F frA GOc4p Pwcw RaiT4" pomCAp Poe" POO To* � I FF C E WAUG - 5 2024 Caryn Cherlin 23 Berkley Lane LAGE OF RYE BROOK Rye Brook, NY 10573 ILDING DEPARTMENT 917-887-5980 ccgreenspan@icloud.com July 28, 2024 Building Department,Village of Rye Brook 938 King Street Rye Brook, NY 10573 914-939-0668 Dear Sir/Madam, Enclosed is our application for a permit to put a fence inside the perimeter of our backyard. The fence will be black chain link, 4 feet high on the street-facing side and 4-5 feet high for the remainder. An example of the fence is pictured in this cover letter. We have not yet selected our supplier/installer but will provide that information after approval and when filing the documentation for the permit to do the installation. Documents as listed on the Application Checklist are enclosed. Si Orety, M Caryn C �ertin N�k= Tt,.�s sccw,Q �yiae o e� 1 Cufi on vas S�w� Z 02Z Ir v' � � �aid 23 Berkley Lane, Rye Brook, NY 10573 S' 'r s. 4 = ' Hs T . i '� �'.�^-ice• - -.. ._ !0. ♦� 9.. 1 k� may, 4r. 14 Yy�Yk � � ',,„k�,ry ^� �t r 'k.i��r�`y,��'t"� -� ,,�+jp�`�-rdtyP r �+s • �+� 4bi'"7;, E�h1i`C. ' 'ry IT 7. pt IUq 23 Berkley Lane, Rye Brook, NY 10573 ti 40. Y T- st ? � nit r- _.. _' .,• att' � yr-��• v,'a' �*' !`- '*� "-•1 Jy�7 f t"-tYn r � � 'c.q- rt-' ��r"'4 v 't ''x.• �.�� Z'i=r X L'R ti1� a � 1 tirw�{ ti�: ,�.• 4 ; FA�'-� „Jti= ''' „s. r - 'fa.�:'Y,.: °uRP` •;w e R- .e"�'.i r v - q 1 yk -- i Z`-174 x� '-yam'-tfi i. ;5�::""�CC} •-_ R`6 Buildin Permit Check List&Zonin Anal is Address: 1--� SBL ,� Zone: —, U 1 Cont.T Other: Submittal ate— Revisions Submittal Dates: Applicant: (� l Nature of Work: N , } ` k C C -- Reviews:zm,AG U 6 2024 P& BOT: Other: NEE OK (t/ FEES:Filing-. P: 0--- C/O: Flood Plane: Legalization: ( ) ( �APP: Dated: Notarized: .i SBL• * I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review Street Opening: ( ) ( ) E*4VIRO.Long Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed. Unacceptable: PLANS:Date Stamped: L--- Sealed: Copies:--/7 Electronic /Other. (�( ) License: Workers Comp: Liability: Comp.Waiver. Other: (►� ( ) CODE 753#: Dated: N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL Plans: Perms 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 Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER Other. ( ) ( ) Other. ( B mtg.date LA .Z WR approval• notes: ( )ZBA mtg.date: approval- notes: ( )PB mtg.date: approval:- notes: REQUIRED EX1SrING PROPOSED NOTES Ate: APPROVED Circle: Fronts a ate: Front: Front: Sides: Rear. Main Cov: Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.Im : parkin . Height/Stories: notes: BUILDI-N _ I ARTMENT RAUG IE C IV1FP,VIL A0 OF RY)�1BROOK 938 KING$� ET RYE B oft,NY 10573 - 5 2024 DD 4 9 9-06,68, WV �i ov VILLAGE OF RYE BROOK 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: 23 Berkley Lane Date of Submission: Parcel ID#: 135,43-1-6 Zone: R-15 -1 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: Add a fence (black chain link) around perimeter By THE APPLICANT of backyard, will contain 2 entry/exit gates. The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner: Caryn Cherlin 1. (4Completed Application 2. ( )Two(2)sets of sealed plans. (one full size (maximum Address: 23 Berkley Lane. Rye Brook, NY 10573 allowable plan size=36"x 42") and one 11"x17") 3. (�Two (2)copies of the property survey. Phone# 917-687-5980 4. (,,IfTwo(2) copies of the proposed site plan. Applicant appearing before the Board: 5. (/ One electronic/disc copy of the complete application materials. Caryn Cherlin 6. (/ Filing Fee. Address: 23 Berkley Lane. Rye Brook NY 10573 7. ( )Any supporting documentation. 8. ( )HOA approval letter. (if applicable) Phone# 917-887-5980 9. (,-If Photographs. Arch itect/Engineer: TBp 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# TBD 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 1 day of A L1 0 L17 I , 20 day of kA u S I , 20ZZA- " r 6�1 A, (� I 1�1 Sig re qfProp&ty Owner Signature pplicant Caryn Cherlin Caryn Cherlin ;No Name of Property Owner ` Print Name of yApplicant ` Public (:), Public PATRICIA A SCHOFIELD 90 jeq,00 s3jldx3 uoissiwwo;; Notary Public,State of NewYork J tt Ja;s91-131saM ui palllli3np No.01 SC5088075 SLO98090S l0.oN Qualified in Westchester CountX MJoA MON 10 MIS'ollgnd AMON Commission Expires October06,20 a131:10HOS V VIDIUlVd 6/l/2024 0 . a Y Village of Rye Brook ML MR O� Agenda FB �/ SE Architectural Review Board Meeting AC AD 0 j Wednesday,August 21,2024 at 7:30 PM - Village Hall,938 Ring Street JM SF 1. ITEMS: 1.1. ARB24-084(Consent Agenda) Jeffrey Mensch&Hannah Mensch 10 Red Roof Drive Rooftop solar array. 1.2. ARB24-093 (Consent Agenda) Giuseppe Castellano&Alicia Castellano 8 Hunter Drive Rooftop solar array. 1.3. ARB24-094(Consent Agenda) Mitchell Greenspan&Caryn Cherlin 23 Berkley Lane 4'and 5'high black chain link fence and gates. 1.4. ARB24-095 (Consent Agenda) Joshua Shaw&Melissa Shaw 12 Birch Lane Replace bluestone walkway in kind. Consent Agenda Approvals: Motion S M Second MR—Abstention Aye; Nay;_ Adjournment; Notes 1.5. ARB24-096 Win Ridge Realty LLC 9 Rye Ridge Plaza New awning,"SLT" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 Architectural Review Board August 21,2024 1.6. ARB24-097 Paul Tyler&Linda Tyler 16 BelleFair Boulevard New deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB24-098 Wesley Canhedo&Orival Canhedo 11 Beacon Lane 1 story addition&demolish roof over patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB24-099 Jay Swartz&Lisa Swartz 69 Tamarack Road Replace existing decking and railings. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB24-100 Joseph Nerenberg 9 Country Ridge Drive Widen full length of driveway and install storm water management system. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 0 Architectural Review Board August 21,2024 1.10. ARB24-101 Michael Rifel i&Lauren Webber 43 Rock Ridge Drive Second story addition and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB24-102 Randy Hamlet&Anne Marie Hamlet 21 Country Ridge Circle Deck,circular driveway,legalize patio and remove concrete patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: Thursday,September 19,2024 Pagc 3 of 3 Laura Petersen From: Laura Petersen Sent: Wednesday,January 26, 2022 9:00 AM To: ccgreenspan@icloud.com Subject: Building Permit Application - 23 Berkley Lane Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $100.00 (due at the time of pick up) 6. Contractor must call Dig Safe NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ipetersene-rvebrook.or4 �`ie i S S-.4*// �J'Q/7,AS -& Q4D C7t 1 0a 7L y � Mike Izzo From: Mike Izzo Sent: Monday,April 18, 2022 9:12 AM To: ccgreenspan@me.com Cc: Laura Petersen; 'Tara Orlando' Subject: RE: Building Permit Application - 23 Berkley Lane - Fence Dear Ms. Greenspan, Your email was forwarded to my attention for reply. Please note that you still do not have a permit to do anything. Your application is awaiting the 5 outstanding items Laura emailed you about last week. Once your permit is issued you must execute the job as per the approved plans. The only survey we have is the one you provided to us with your application. That survey bears the name and contact information of the licensed surveyor who prepared it. You could contact him and request that the property be staked. Please note that once the fence is installed you will be required to provide an updated survey memorializing the location of the new fence. Thank you. A ae/(7, /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Laura Petersen <LPetersen@ryebrook.org> Sent:Thursday,April 14, 2022 8:54 AM To:ccgreenspan@me.com Cc: Mike Izzo<Mlzzo@ryebrook.org> Subject: RE: Building Permit Application -23 Berkley Lane - Fence Good morning and thank you for the email. I have copied the Building Inspector on this email for response to your questions. Thank you Laura Laura (Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ipetersen(tDryebrook.org From:ccgreenspan@me.com <ccgreenspan@me.com> Sent:Wednesday,April 13, 2022 4:31 PM 1 or To: Laura Petersen<LPetersen@ryebrook.ore> Subject: Re: Building Permit Application -23 Berkley Lane- Fence Thanks so much, Laura. May I just confirm that I now have the option of going with the original plan that was approved in January(putting a fence along the entire perimeter of our backyard) or this new revised application (putting the fence around half or so of the yard)? I have another question. The fencing company would like me to have a surveyor put in 4 stakes at the 4 corners of the yard to make sure the fence is built within our property line. Am I able to get a property plan from the village to use? And would I hire someone to come out and do that for me, do you know? Thanks much, Caryn Greenspan 917-887-5980 On Apr 13, 2022, at 3:18 PM, Laura Petersen<LPetersen@ryebrook.ore>wrote: Good afternoon, The revised building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office; 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $100.00 (due once permit is issued and ready for pick-up) 6. Contractor must call Dig Safe NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 1Petersen(&rvebrook.or4 2 Laura Petersen From: Laura Petersen Sent: Monday, August 26, 2024 10:27 AM To: ccgreenspan@icloud.com Subject: 23 Berkley Lane - Fence Permit Application Good morning, The fence permit application has been approved by the Building Inspector. Before I can issue the fence permit the following items must be submitted to our office, r"/A-. General contractor's contact name (first and last) & phone number. U�. Copy of general contractor's valid Westchester County Home Improvement License. V 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the / certificate holder) ✓4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) "' Building permit fee $150.00 (due once permit is issued and ready for pick-up) 6. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 1 Y� i�`r 44ti' .'laf�_:.t11��• '�S°�(!d .54ify •t�.�r ��; fi��, o., !�� ,r ,: r� 1 AMR aifrit� . S► a�rr►k ck Nt 9—i � a 1 a�RJW� Y •� J 4-0 ow ♦ Q.M 4/9 W r \IF 07 Lf 1� _• Y d u LU LL i ~� r oe vi 4 lu to r � ' y rrt�'`Fa!•saYFtl.Ml���[�at.aEsl to ltas-s alaili4aCa alClli�a�Nit►.ittJl#?1 Al ► �a.k # IF f ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/25/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME Courtney Courtney Potter _ McCarthy Insurance AICNN (914)769-0417 �A,c N,1: 378 Elwood Avenue ADDRESS: courtney@mccarthyinsurancem Hawthorne, NY 10532 INSURERS AFFORDING COVERAGE NAICA INSURERA: Preferred Mutual Insurance Company 15024 INSURED INSURER B: Hirsch Fence Install & Design LLC INSURERC: 747 Rt 9w Cottage#4 INSURER D: Valley Cottage, NY 10989 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00002210-0 REVISION NUMBER: 15 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 MMIDD/YUCYEYYY MMLDDNYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY Y N BOP0100721375 11/12/2023 11/12/2024 EACH OCCURRENCE $ 1,000,000 DA AGE To RENTED CLAIMS-MADE 1_X_ OCCUR PREM SES Ea occurrence $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: 1 $ AUTOMOBILE LIABILITY MBINED S $INGLE LIMIT (CEO accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED I RETENTION$ $ WORKERS COMPENSATION PER TH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Address : 23 Berkley Lane 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 AU (CPO) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by CPO on 09/25/2024 at 02:17PM Yo K Workers' Certificate of Attestation of Exemption STATE Compensation from New York State Workers' Compensation and/or Board Disability and Paid Family Leave Benefits Insurance Coverage **This form cannot be used to waive the workers'compensation rights or obligations of any party.** 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:Village of Rye Brook 747 Route 9W#4 Valley Cottage,NY 10989-2452 PHONE:845-304-8622 FEIN:XXXXX0091 The location of where work will be performed is 23 Berkley Lane,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building permit are from September 25,2024 to September 23,2025. The estimated dollar amount of project is $0-$10,000 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 are no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Partners/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.) 1,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 disabili and pai amily leave benefits coverage and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compens n Bo o the government entity listed above. SIGN HERE Signature: Date: K, Received Exemption Certificate Num er <.,. `} < l ",u September 25, 2024 2024-073602 -�F�-�- X� :"x - y�-"'` � '`�'` NYS Workers' Compensation Board CE-200 01/2018 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, September 30, 2024 2:31 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 09/30/2024 14:30 To: VIL RYE BROOK PRIMARY Transmitted: 09/30/2024 14:30 00001 Ticket: 09304-001-996-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 23 To: Name: BERKLEY LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REPLACE FENCE NearSt: BERKLEY DR Means of Excavation: POST HOLE DIGGER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: FENCE INSTALL Estimated Work Complete Date: 10/16/2024 Depth of excavation: 2 FEET Site dimensions: Start Date and Time: 10/09/2024 07:00 Must Start By: 10/24/2024 ------------------------------------------------------------------------------ Contact Name: BRUCE HIRSCH Company: HIRSCH FENCE INSTALL & DESIGN Addr1: 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: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 ^ / 1812 TITLE NO. 9010-00015 Vii, a of Rye Brook Approval Date: ATE ChaIrman: _4X7_f__-I SLATE cm A WALK 4,0 A�A_—A—? t 108 1: 00/ ALK La cc :�VER DECK 0 FOUND TOM LNE Lu _j ONE STORY AC FRAME D BASEMENT Lij DO come. REV. WALL lip ID MCING OVERHANG z SLATE WALK IN IF, IE W ILL AU VILLAGE �DF RYE BROO POLE SURVEY OF PROPERTY LU W THE PREMISES SHOWN HEREON ARE LOT NO.18 AS ON SITUATE IN THE 'SECTION ONE ROSELYN PARK"DATED AUG 9,1962.MADE BY THE MUNSON COMPANY AND FILED IN THE OFFICE OF VILLAGE OF RYE BROOK THE COUNTY CLERK OF WESTCHESTER COUNTY-DIVISION TOWN OF RYE OF LAND RECORDS ON OCT.18.1962 AS MAP NO.13464 , WESTCHESTER COUNTY PREMISES ARE DESIGNATED ON THE TAX MAPS FOR THE VILLAGE OF RYE BROOK, TOWN OF RYE NEW YORK ENCROACHMENTS BELOW GRADE AND/OR SUBSURFACE FEATURES,IF ANY,NOT LOCATED OR SHOWN HEREON. SCALE I" - 20' >_ UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY SURVEYED JAN. 11, 1990 0 MAP BEARING A LICENCED LAND SURVEYOR'S SEAL IS IT IS HEREBY CERTIFIED THAT THIS MAP WAS PREPARED ROLAND K. LINK L) FROM AN ACTUAL FIELD SURVEY CONDUCTED ON JAN It. k. F. D. 11 , BOX 55 LLJ 1990 AND THAT SAID SURVEY WAS PERFORMED IN ACCOR- SPRING BROOK DRIVE < DANCE WITH THE EXISTING .' 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