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HomeMy WebLinkAboutBP24-220PERMIT #I,e/ 7�- 7�CZ DATE: SECTION IJ,! t 3L/ BLOCK / LOT TYPE OF WORK JOB LOC TION _ OWNER CONTRACTORC EST. COST vcO # TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS 0 SPRINKLER ziewA � � � +r�� •ice • • • • r ifI i FEE DATE INSPECTION RE ORS DATE ELECTRIC LOW -VOLT O ALARM AS BUILT C+rY FINAL INSP S Q60)7 /, C,q Ira /0 c/y) OTHER APPROVALS ARB f �?T� apaL� BOT PS ZBA OTHER �UILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION PcewPd �� cc 4 t V�J G �`y�vvYi 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 Stephanie J. Fischer David M.Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE December 18, 2024 Dustin Harris&Rachel Boyman 71 Winding Wood Road Rye Brook,New York 10573 Re: 71 Winding Wood Road, Rye Brook,New York 10573 Parcel ID#: 135.34-1-35 Building Permit#24-220 issued on 10/15/2024 for a New Fence & Gates This certifies that the new six foot high white vinyl fence and gates,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to DECENE BUILD I<J�f'AKTMENT For office use only: ID PERMIT# al �lc)o NOV 2 2�24 VIL OF RYE BROOK ISSUED: %O—IS-a 938 KING STRE YE BROOK,NEW YORK 10573 DATE: —ol�— VILLAGE OF RYE BROOK 9 "Q6 FEE: —_PAIDfs� BUILDING DEPARTMENT N . 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 ....+.«sts.*ass*�s*.•�..:.rrs►...............:....:..:....*...�*.ss:....:....+.........•........+.+.«:«..:....+..#...�s:ss+.:.. Address: / �t G�l/1 SoALi Occupancy/Use: r� Parcel ID#: 135, 3y - /- 3 S Zone:�— Owner: '�)(1 STtrJ Ul)(L12-1 S // Address: —71 Inl t/0) ttf 6 ll/oob �� SO` 74Y P.E./R.A. or Contractor:0Ql4Gt//o �i�S /4ndSC!yinyAddress: P-'fG (394 cV-, , �-j Y I oT7 3 Person in responsible charge:,, CQ✓a//v 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: V J�-rI&j HV /ZXt S being duly sworn,deposes and says that he/she resides at -� I W uN r>! (Print Name of Applicant) (No.and Street) in p,1/1E5 a/Z6CA ,in the County of W f S_T_t 00 FX-_(Z_ in the State of that (City/Town/Village) 1 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:$ gi yI y� for the construction or alteration of: _������ W p"f y I/Ii YL )5 9yt< 'I 4A(-JE-' 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 49 Sworn to before me this day of �� , 20� day of . 20 'VdW Signt�ire of Pro erty Owner Signature of Applicant USTIr) ai—IVAlf f Property O Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 6/1/2024 Qualified in Westchester County Commission Expires J;>u y29,20 �yE BRC�� to � F o 1932 BUILDING DEPARTMENT ❑$UILDING 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 : I YV I �J DATE: ( Z �p Z Z / PERMIT# `` IZ. �y�ISSUED: SECT: �J BLOCK: LOT: LOCATION: 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 Q vC 0 1 �4i v Ln inW y N .� ow or x y 11 n o W0-4 Cn • pw, W a p ~' �Q _ O Lin a O "O 3 W v h a C f +a4 Ln Ln 1-0 pcn R N O J v o `a O ' en vcq , 00 -ell �/ a to NET cn H otn a H Q� t7� v O cl b O 0-0 E a Q F" z o C p..j av tE /w jam �"4 LL, tYi " O O OF o Ui zC1 � C7 A z O J [` ul cn f BUILD RTMENT Q C C IE W E VIL OF R\ ROOD APR 16 10 938 KIN ET RYE B ,NY 10573 �# 1 ID 94 9 VILLAGE OF RYE BROOK : ro r>; BUILDING DEF'AR7MENT FOR OFFICE US F: O N IL Y: 11 C Approval Date: MAY 2 1 202 Permit �1% Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case#_ Other: Application Fee: a Permit Fees: FENCE / WALL. / CATE PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,co ruction,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: 7 ! W tnl p i ry (,-�Aj rz-0 &4 t7. Sc 2. Occupancy/Use: &51 b61At-1A S.B.L.#: /3 S 3 y / Zone: �- f 3. Proposed Fence/Wall/Gate(describe in detail): f&�z- r=r 5 i aE o F pc -PeE2 6 'Fr W),+tTE V%W-i L L.'+-rri T-y-P �.... 4. Property Owner: `> 0 S T-t/j_ )-i4 4-r IS Address: 71 LJ N Nj C> 1^)tir,J(PA> K—D � Phone# -'IS-1 - 'ZG 21 Cell# — email: Applicant: u S-n^J H ,4 w-e r 5 Address: W 1 -j nJ v.JO 04 l'j) . .� Phone# q/7-Z7',r6-Z 6 Z7 Cell# --*4 Fr-L.-4-4Q:� email: c V A"-4 s"LuL�l r c Architect/Engineer: Address: Phone# Cell# email: Contractor: G f V 1 L 1- D A S t,,j S 4-A.ev bJ L A ya j ij pie$ — —j s OVAL/0 Address&Phone: /6/'2 S T_ FEE K S KID_L , N -f 101-6 b M -q)7//36o— 5. If building is located on a comer lot,which street does it front on: 6. What is the estimated �A cost of construction 8 q0� (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.) f 7. Estimated date of completion: t 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. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as; T)uS-hn Pary7s ,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 C 4 V AL L O I SorQS 1-mV9 6,4P11IJ6, or 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 7_6 Sworn to before me this day ofXt C , 20�.�l day of ,20 Si re of Prop Owner Signature of Applicant Print Name of Prop weer Print Name of Applicant NotaryPubli VENESSA VITIELLO Notary Public NOTARY PUBLIC-STATE OF NEW YORK No.01 V10412798 Quafified in Westchester County My Comrnission Expires 01-11-2025 8/12/2021 malou :sauoaS nI . 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Z as[I _7� :auo2 u k )`Cn L. :ssaappd scs Ieud uiuOZ V 3s'I'Pa'ID 3!x=d UIPPN' BUILDING DEPARTMENT n VILLAGE OF RYE BROOK L�APR 2 2 L V �� D 938 KING$STREET RYE BROOK,NY 10573 6 2024 49 �49 L9- 668 VILLAGE OF RYE BROOK BJILDING D-..PARTME1NT 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: '7 1 Lt,11 Al J IAjls,W 006 ao.4b S Date of Submission: Parcel ID#: /3.5 34-/ J 3 S Zone: �- jS y/2 6/2 o -Z S6CTI4FJ ' OCK LOr Proposed Improvement(Describe in detail): FEN cE 0-j r 2 Gnl i I LF i~T- I APPLICANT CHECK LIST: M UST BE COMPLETED BY THE APPLICANT 5 l iJ 1- F i'�0T`/ - The following items must be submitted to the Building W" t§E J t rJ y L L4)i T µ 1-A T I CC- 1-OP Department by the applicant- no exceptions. Property Owner: D V S T-1-i IN 41Z,2 IS 1. (✓)Completed Application 2. (VfTwo(2)sets of sealed plans. (one full size {maximum Address: IZp Is allowable plan size=36-x 42 and one 1 I"x17") Phone# 3. (1,1 Two(2)copies of the property survey. 4. (V)Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (V)One electronic/disc copy of the complete application materials. Do iT,rJ 1- /L�-t S 6. (%--) Filing Fee. Address: -7 1 w tN ,r,1(,,,.� f;4 S 7. (v)Any supporting documentation. Phone# J 6 8. ( )14OA-appmv r'7tf applicuble) 26� ' 9. Photographs. Arch itect/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 2- 6 Swom to before me this day of e,It L 20—l— day of . 20 Si re of P perty Owner Signature of Applicant T-4 N LS Print Name o Pro wrier Print Name of Applicant �I Notary Pub]i Notan Public VENESSA VITIELLO NOTARY PUBLIC-STATE OF NEW YORK No. 01VI6412798 Clualified in Westchester County My Commission Expires 01-11-2025 8/12/2Q21 yE QR(�uk. Village of Rye Brook MI_ MR 0� yAgenda FB SE Architectural Review Board Meeting AC AD Wednesday,May 15,2024 at 7:30 PM Q Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB24-043 (Consent Agenda) Jordan Webber,Keith Webber,Nancy Webber&Nicole Webber 21 Westview Avenue Rooftop solar array. 1.2. ARB24-044(Consent Agenda) 786 King Street Sanford Pallotta&Kimberly Pallotta 4'high white PVC picket fence. 1.3. ARB24-045 (Consent Agenda) Zachary Morris&Kathryn Linsky 42 Rock Ridge Drive 4'high black aluminum fence&4'high black welded wire fence. 1.4. ARB24-046 (Consent Agenda) Andrew Levinson&Stephanie Lerman 14 Elm Hill Drive 3.5'high white vinyl picket fence. 1.5. ARB24-047 (Consent Agenda) Paul Snisky&Kelly Snisky 41 Meadowlark Road 6'high driftwood style vinyl fence. 1.6. ARB24-048(Consent Agenda) Dustin Harris&Rachel Boyman 71 Winding Wood Road 6'high white vinyl fence. 1.7. ARB24-049 (Consent Agenda) Fernando Rosales&Leslie Rosales 68 Tamarack Road 6'high white vinyl fence. 1.8. ARB24-050 (Consent Agenda) Matan Dvir&Ilana Dvir 1 Dorchester Drive 6'high white vinyl fence. Page 1 of 4 • Architectural Review Board May 15,2024 1.9. ARB24-051 (Consent Agenda) Jeffrey Coombs&Kathryn Rightmyer Coombs 10 Carlton Lane Rear bluestone patio 1.10. ARB24-052 (Consent Agenda) Andrew Gitkind&Amanda Gitkind 6 Birch Lane Rear Patio and front walkway. 1.11. ARB24-053 (Consent Agenda) Kamlesh Kothari&Charul Kothari 6 Heritage Court Rooftop solar array. 1.12. ARB24-054(Consent Agenda) RMSC Properties LLC 74 Woodland Avenue Above-ground inflatable swimming pool,4'high white vinyl fence&4'high chain link gate. ZConsent Agenda Approvals: Motion Second Abstention Aye; _ Nay; Adjournment; Notes 1.13. ARB24-020 556 Westchester Ave LLC C/o Anthony Guastella 556 Westchester Avenue New rear windows. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. ARB24-055 Douglas Conrad&Judith Fried Conrad 42 Talcott Road Demolish one story bump out,construct new screen porch,renovate existing deck and remove skylights. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 Architectural Review Board May 15,2024 1.15. ARB24-056 7 Bishop LLC 7 Bishop Drive South Single family dwelling. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB24-057 Henry Parkin&Lauren Geller 3 Old Oak Road Window and door elevation changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.17. ARB24-058 Maria Sotire 9 Jean Lane 2nd floor addition over existing den/garage and a new rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.18. ARB24-059 John Capistrano&Maricar Capistrano 300 South Ridge Street Replace decking and railings. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 • Architectural Review Board May 15,2024 1.19. ARB24-060 Jonathan Steiner&Viktorya Steiner 15 Loch Lane Legalize flagstone garden area,walkway and planter boxes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.20. ARB24-061 William Delynn&Donna Delynn 6 Carlton Lane Replace decking and railings. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: June 18,2024 Page 4 of 4 7 • ` • •.7•�1 . 1�41 _ IN W i r t J -■ � s,,,. � as '-,� � ,` w 'w �, + . n�•j .+•� �J{ 7�` r� r31� t% .��. t �. �,�,�f,�.T 4'f±��,� '71'z Pf ;```'s`� R= �,�=�•% f� �j�� J r'YF,-'r4�y��'E`�Lf'�/' �/��f� .� J, ilt )J.P,�� a��q ,r y�:e�� 'yi .� ry�� w - �RIF "fat l!FWjW4 ap p�y� •+'� q ^ f ­UVF.Y f.t Y .t y" FAV "I iwq 1 �+:.��'• \ram: �' r'sEs .' sT r*,`. '� s, -/ .' T\-..�� 1y t � r r •� " /ems;.. 4+ t 1 ...� tnrysv �ALF7 t s rt9Mw�•.-.�„M� „M�•y •'ram tea; irtf `' �. 1 tr -"� ..cam!. iL. -.. -��•t .b.'� j. y\. AW /c AR •r - f : ,gyp 0it .v air ��� ��`• v ..i• is r ..w�� ��} "13 '� A! t�LL,q��• `fir ,K�;{���. • 4 $''�tt'►-'�•''� ''3'�., , .,off dr Rw tj- �-�-r' � `tea• y�i;;� :`.�;�s`. 0, .''��'�r�.'.�a` VM '' ta�• I � `.;,Cd '� i jay �ti� r, r Ta`'T i t s r���•4� � r r r S i. � J Mi �4 or��� � � �t t;�� � {_fr �� ��• � .. Zvi" !L, ti PCs a� :�� �� ���, r« 1• /., 1 } >,,n ,�, �., ..A � �_, _ �'��S��FFff.. = �'ts•y F �Ar � ��'.i °1 - L ,'y`1.}Ta � �'.r/ >il 1 : �} "� + � ;l' ... ,,,�) - t �}'•t*jam•t r. *u�AK y A ZZ t �.: @ f`'. a' ♦1k s+, WA AS Ar -. jam}�.r � �1J �ja.: �1 r. 'f �F �••x ./ �. N' t�• i d 76 T m M,%ff A-i CO CN 6. CY) • CY) C (/ � ti o �I O ^C — ul u CL w LLI LO 0 r- .0 3� ction < W C5 e U Z cjf U) w U z p z ca 0 LU Ln 0. LLJ C/) 0 LU w 04 a- > 07- < E A r y W r- Z 6 7' z Q cn $U C4 0. CAVA&SO-01 ARASTADT ACORO CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 4J221222/2024 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 cCONTACT Teresa Greenough Antalek and Moore,Fairfield County Bank Insurance Services PHONE FAX 249 Main Street Unit 108 A/C,No,2d):(845)440-5125 A/C,No): Beacon,NY 12508 A"TAIL :tgreenough@antalek-moore.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Co.of SC 19259 INSURED INSURER B:Selective Insurance Company of America 12572 Cavallo&Sons Landscaping Corp. INSURER C dba:Precision Fence&Automated Gates 1617 Main Street INSURER D: Peekskill,NY 10566 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 OCCUR X X S 2516761 8/3/2023 8/3/2024 DAMAGE ES TO RENTED IE $ 500,000 MISME EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3'000,000 POLICY JPERPT LOC PRODUCTS-COMP/OP AGG $ 3'000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 2516761 8/3/2023 8/3/2024 BODILY INJURY Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON yyNED PROPERTY DAMAGE AUTOS ONLY AUTO ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE S 2516761 8/3/2023 8/3/2024 AGGREGATE 1,000,000 DED X RETENTION$ 10,000 B W COMPENSATION ORKERS COMPENSAT X ISTATUTE PER OTH- AND EMPLOYERS'LIABILITYION ANY PROPRIETOR/PARTNER/EXi'"IIVE YIN C 9099057 8/3/2023 8/3/2024 500,000 FFICER/MEMBEREXCLUDED? ❑Y N/A E.L.EACHACClDENT $ If tes story in NH) E.L.DISEASE-EA EMPLOYE $ ��'��� If yes,describe under 500,000 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) Per policy terms and conditions the certificate holder is additional insured under the General Liability policy.Coverage is Primary and Non-Contributory. Waiver of SubMatoin applies on the General Liability policy. 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 g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 1 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address Ib. Business Telephone Number of Insured only) (914)736-2664 Cavallo&Sons Landscaping Corp. le.NYS Unemployment Insurance Employer 1617:1-lain St. Registration Number of Insured Peekskill,NY 10566 Work Location of Insured (Only required if coverage is Id. Federal Employer Identification Number of specificallylimited to certain locations in New York State,i.e., a Insured or Social Security Number Wrap-Up Policy) 201775094 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) SELECTIVE h\1SUk4NCE 3b. Policy Number of entity listed in box"la" Village of Rye Brook . WC 9099057 3c. Policy effective period 928 King Street 813.,202.3to 8,3,202.4 Rye Brook, NY 10573 3d. The Proprietor,Partners or Executive Officers are 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 "Y' insures the business referenced above in box "la" 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"T'. The Insurance Carrier will also notify the above certificate holder and the Worker's 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, not does it confer any rights or responsibilities beyond those contained in the referenced policv. This certificate may be used as evidence of a Workers's Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon the 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. C-105.2 (9-17) Form WC 88 3121 F Printed in U.S.A. www.wcb.ny.gov 11 P a g e a e= - off o fy �a o a{ & � 2p3p d �y� Fy �}�N.• 9g s E� a Ow40j�U C g nn� � s4. � �'O§V `a e � F 3 5 h 0 0��• 3 .�� RM � V y A .. L'_'1 ,Q, m� rn 1.7 � u X z ° y ' wz Do 44 :' a as 2.y�e oo S •�°,.,. 3 g .t o o .S .g y } 3�� .8 S Q�•p�2 a c� o v g ��eb� �F any� p��. B 0 AN'o+8 oAm!W a 11 `2 O 1 VN101iflA h g .(°M W I�IM apM.OS dV UVa b Rhos Q�02I QOOM jJ Q(I�'II �MIBS �•�.v ,L656=� r yy u 9^�4 o 9 � 9 FM �y H 00 w o $ 00 �C 11 �� z'_^ y 3 a 24 L O ;: ® awi uoexlWroS FM aw,: ar�J%My7�J ��_ a�p n Ad 03 1 11 M.OZ.Sb.£LN s � NVId N01103dSNlldNIA x"4 s� l� A3AanS ldNl�lllln8-S I � Only copies from the original of this survey marked with an original of the Land Surveyors embossed seal or red colored seal shall be considered to be true, valid copies. Said certifications shall run only to the person for whom this survey is prepared and on hislher behalf to the title company, governmental agency and lending institutions listed hereon. Certifications are not transferable to additional institutions or subsequent owners. Unauthorized alteration or addition to a survey map bearing a licensed Land Surveyors seal is a violation of Section 7209, Subdivision 2 of the New York State Education Law. Possession only where indicated. Adjacent properly lines and easements not surveyed or certified. Residence Tax Lot 36 Now or Formerly Access to adjacent tights o w easements andpublic or ovate lands 1f way, P P t= Yoong Kim & Ooi Min Kevin Teo not guaranteed or certified. Filed Map Lot 6 j { Cor. Stockad Fence F.M.#6921 Underground utilities shown hereon are approximate and should be x N I G° 14' 40" E Li ht g n cihe " - 5 73 o 45 20 E ven d before excavatin f g Cor. Chain Link Fence a60'West �. :_ _. ltl'p1 w �.: Hedge Row 4. - 03' dttzonal underground utilities are not shown or certified. Additional 150.00' Encroachments and structures below grade, if any, not shown or certified. PIPE FOUND t oc a e ence End Fence Guy Wire UPole 0.45`South Chain Link Fence Stockade 0.3T West Fence East 0.71' m a 1 Subject to covenants, easements, restrictions, conditions and agreements 0J9' West Stockade Fence o of record Stone Masonry Stone Masonry Retaining Wall N Retaining Wall Flag. Flag. Tax Lot 47 Tax tot 35 AC on Concrete Walk Walk - ►� v l Now or Formerly 39.16' 6? �€ Premises hereon being Lot S in Block D as shown on a certain map entitled, c� Lauren Kanter - Filed Map Lot 71 N c Filed Map Lot 5 F.M.#6921 Concrete Walk Frame EM Ln a "Map of Section 'A" Rye Acres Company, situated in the Town of Rye, Westchester County, New York." F.M. # 13360 Area - 17,124.52 Sq. Ft. = 0.393 Acres Wood Steps Chimney Flagstone ♦1 �1,� Said ma filed in the Westchester County Clerks Office, Division o Land P f GM Porch &Step a _ in T ®� Records on October 13, 1949 as map number 6921. ' 68.3 1 °let 0 Surveyed in accordance with Deed Control Number 610853761. EC Wood 2 Story Frame Residence o C,/- wv O Premises shown hereon designated on the Village of Rye Brook Deck #71 D4 Tax Maps as: Section 135.34, Block 1, Lot 35. 7 0 c� 0% Tax Lot 48 Now or Formerly Anthony & Randie Paterno Filed Map Lot72 F.M. # 13360 Roof Over Concrete Patio Concrete Walk — Gravel Walk Stone Masonry - Retaining Wall Corner Fence West 0.93' End Fence Stockada Fer . W West0.7T 171% PIPE FOUND 0.49' East 1.11 ' North i I Story Frame Garage o i a CD Tax Lot 34 Now or Formerly Leslie R. Weinberg Filed Map Lot 4 F.M. #6921 Asphalt Driveway 5g .391 �.. AS BUILT DOC MENT Property Address. 71 Winding Wood Road South Rye Brook, NY10573 THIS MAP IS FOR BUILDING DEPARTMENT PURPOSES ONLY. l] Manhole MAP IS NOT TO BE USED FOR TITLE TRANSFER PURPOSES. MAP MAYNOT BE CERTIFIED TO TITLE COMPANIES AND/OR BANKS. DR E �g , Lff � 'W NOV 21 2024 PD VILLAGE HOC?!{ --BUILDING, IiE PA 1 MENT 20 AS BUILT SURVEY PREPARED FOR DUSTIN HARRIS AND RACHEL B0Y?VLA.N SITUATE IN THE VILLAGE OF RYE BROOD TOWN OF RYE WESTCHESTER COUNTY, NEW YORK Surveyed: June 1, 2020 Map Prepared: June 2, 2020 Map Revised.- November 15, 2024 to show as built fence and additional improvements SCALE. Tt = 20' GRAPHIC SCALE 10 20 40 80 ( IN FEET ) 1 inch = 20 ft. Y• New York State Licensed Land Surveyor No. 050604