HomeMy WebLinkAboutBP24-227PERMIT # &n:lq— % DATE: lokV4411/O a3
SECTION 3J 310 BLOCK LOT
TYPE OF WORK
JOB LOCATION C� eGUC�pp/ l j V�
OWNER sQ/�orl LM) 933- JO
CONTRACTOR�A•)
e C T
"�O # FEE
DATE
TCO # FEE DATE
INSPECTION RECORD
I DATE 1NSP
FOOTI N G
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING 0
RGH PLUMBING
GAS ED
SPRINKLER
ELECTRIC M
LOW -VOLT
ALARM Cl,
AS BUILT
FINAL
S
OTHER APPROVALS
ARB �&( moot D04 y
BOT
PS
ZBA
OTHER
BUILT/FINAL SURVEY
REQUIRED PRIOR TO
FINAL INSPECTION
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
February 11,2025
Sharon Kane
1 Edgewood Drive
Rye Brook,New York 10573
Re: 1 Edgewood Drive, Rye Brook,New York 10573
Parcel ID#: 135.36-1-30
Building Permit#24-227 issued on 10/23/2024 for a New Fence
This certifies that the new four foot high black chain link fence& four foot high black aluminum fence and
gates,installed under the above captioned permit have been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
��_ For office use only:
D E C BiTILDIN �>`]�1'A7ZTMENT PERMIT# 7
VIL OF RYE BROOK ISSUED:KING STRE YE
JAN 2 3 2025 BROOK,NEw YORK 10573 DATE: —�939-0668 FEE: I 0 PAID CIVII
VILLAGE OF RYE BROOK H >brooknN. ov
BUILDING DEPARTMffVT
ERTIFICATE 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
+s+rtststs*sssr*s*ttrtt**sssrr+r+rt+rr+srr+rrrts*srr*+r*r+srr+r+rr++rrss*ss+tsrt+++t+rss+++++sttssrrtt++s+rt++*++st+++sss+sts
Address: I ED-E KODD T)R I VL
Occupancy/Use: S 1a 11 Fq/Vl'I,y Parcel ID#: 13 5 3 D Zone: R- Z5
Owner:�3&&N )61qNIG Address: 99 aQQ( JD k4LL gL) 1,,2Oj Ale (\/Lf
P.E./R.A. or Contractor: 6a►Z1&1VE(j.4 SCP Address: J�9 ROL -0—' & ffiLl�UW(• Pq (�J
Person in responsible charge:���ho(V Y 1 K15(VIk_ Address: Z9 RO iJ- btti,(A aJ- rd/FYI MICAN/OSt y
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:
S h Q f D✓1 �Q"(f- being duly swom,deposes and says that he/she resides at ;q AD Y4 Ali]
(Print Name of Applicant) �" I - (No.and Street)
in jVY f D l U ,in the County of w Q S N ly S�f 12-. in the State of N y ,that
(Cityrrown/Village)
he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,
labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may
have been donated gratis was:$ 7, 7 ,
for the construction or alteration of: 1 n y j p -7°lf'1c<-
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.
9 Sworn to before me this '�� Sworn to before me this 3
day of , 20 day of J Q4 UCA ( 4 , 20�
c -.IK(L yu M ga AA
Signature of Property Owner SignatTre of Applicant
Sffi ckyLy 6jo sonrw Kai
t a of Property Owner int a of Applicant
Notary Public Notary Public
SHARI MELILLO S:1ARI MELILLO
Notary Public,State of New York tary Fub;i�
,' 01 in76160063 ,State of New York 6/1/2024
; I''�•-C1 it+i=6160063
Qu; ;'„ . i in V,"'Achester County, n N,'estchester County
Cogjiy,ISS::):;Expires J.1010 y 29.20 � C ' r; . .:un Et'W,e,J,vt ste
Y 29,20C
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1932 BUILDING DEPARTMENT
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 : ` 52 (,9-1-1-)A ` DATE:
PERMIT# �( (7� "'� ISSUED: SECT: � � 'BLOCK: � LOT:
LOCATION: t r ��' 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
U' FINAL
�❑ OTHER
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BUILDING` EPARTMENT MI
[E C E D V E
VILL: OF RY t ROOK SEP 3 0 2024
938 KING STREET RYE Brt�,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
www.ryebrookny.gov BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: 7 Q e �� ����/ Application# � ( �
Approval Signature: ARCHITECTURAL REVIEW
BOARD:.
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary
ZBA Approval Date: Case
Other: M
Application Feea/w Pb Permit Fees:
FENCE / WALL / GATE PERMIT APPLICATION
�]
Application dated: 7 30 a# 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: I E D C�Yy 0Cb -D fLw& m l�- BaTM N LA
2. Occupancy/Use: 50(M I''M10 S.B.L.#: 13 5-310- 1 -3a Zone:
3. Proposed Fence/Wall/Gate(describe in detail):
II II ` J IAC14 d1WnfiMLe w ea WWI 0 bfMk mr tm WCW (4-k br'b
-h addtt4s 54"iMvK Df falLckv, Ial bn . jell -Hum gOJO Ifth U -b �ey y
4. Property Owner: I r�-(1: , r
Address: Zn Lnnd h l 1 ) Rd m�1 V :-
Phone#_ ")D?f_9?22A _ Cell /► YU— —email: S r 1Clr?� u d C�, e.4�J. k
,00Q `
5 ha
Applicant: �y Con n , n 1V , 1 �7�
Address: Z"f QOU I�IJ �11�� Q8 lwm o� - t "I 10� V _
Phone#- !g• q 3,;k'(4 -f q0 Cell# 6,AM e email: a r? r- u aA oa nM
Architect/Engineer: sit A
Address: II ,,
Phone# Cell# email: POLO
,��LA C 0 mlyj rvC( Q u
01191 /� SW,11 r-CA �.E
Contractor:Address&Phone: 289
uk Y l M 00ac Q
I
5. If building is located on a corner lot,which street does it front on: I�
6. What is the estimated cost of construction $ 9,l)l)() M
(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: �� l�G V y` ` i :�,V 2_ '
i
6/112024
Please note that this application must include the notarized signature(s) of the legal owner(s)
of the above-mentioned property, in the space provided below. Any application not bearing
the legal property owner's notarized signature(s) shall be deemed null and void, and will be
returned to the applicant.
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the
for the legal owner and is duly authorized to make and file this application.
(indicate architect,contractor,agent,attorney,etc.)
That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use
conducted at the above captioned property will be in conformance with the details as set forth and contained in this application
and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire
Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this Sworn to before me this
day of , 20� day of , 20
5Signature of Property Owner Signs ure of Applicant
PHn ame of Property Owner Print N e of Applicant
Notary Pumite Notary Ppe
GREGORY RL RIVERA
Ndwy Public,State of New York GREGORY M.RIVERA
No.OIR16441398 Nef n Public,State of New York
OmMled In Westchester County Wo.01 R16441398
Condon Expires September 26,2 � Qualified in Westchester County (�
CoMtfasion Expires September 26,28
2
61112024
www.componellafence.com
e p 0 289 Route 6 Mahopac NY 10541 ! Y
Pau l@cam Panel lafence.com
845-628-2200 phone 1 845-628-5649 fax
Westchester 4145-1-191 Yonkers 4418 Putnam 50489 Connecticut 581036 Rockland H11709
Date: 8-11-24 Project Manager: Paul Papineau
Customer: Kane, Sharon E-mail: s.kane@yahoo.com
Contact: Other Email --
Job Site: 1 Edgewood Dr Phone: r[F.P
Phone:
Town: Rye Brook Other: 3 0 2024] 3D
State: NY Zip: 10573 Fax:
Billing Address: VILLAGE OF RYE BROOK
TERMS AND CONDITIONS OF CONTRACT ---BUILDING DEPARTMENT
If necessary,Campanella Fence will contact"Dig Safely"to mark out all public utilities such as electric,sewer,water and gas prior to
installation.Flags and sprayed markings may be placed on the property and should not be disturbed.Customer is responsible to mark all
private underground utilities,including, but not limited to,electrical wires,propane lines,septic tank and lines,sprinkler lines,pool
equipment,path lighting and drainage pipes. Restrictions of any nature which might interfere with installation,cause injury and/or
damage should be made known to Campanella Fence prior to installation. Campanella Fence is not responsible for damages to any
unforeseen items.
Fence permits,wetland permits and ordinances are the responsibility of the Customer.Customer should check with their local building
department to determine if a permit is necessary and if there are any restrictions.Customer warrants that the work will not violate any
town,county or state municipal codes,any pool codes,wetland setbacks and/or buffer zone ordinances. Customer is responsible to
disclose to Campanella Fence any setbacks,buffer zones or environmental areas located within 500 feet of the proposed work a rea prior
to the commencement of installation.It is the Customers responsibility for placement and location of the fence. If property markers are
not present,it is recommended that you have a survey done with proper markings by a licensed surveyor to ensure the fence is installed
within your property boundaries. If survey markers are not present,then Purchaser assumes 100%responsibility for the place ment of the
fence and any costs associated with removal and reinstallation.Customer understands that the erection of a fence on Customers'
property will require Campanella Fence to remove sod,soil,grass,shrubbery and/or plantings that could affect the installation.
Accordingly,Purchaser agrees that Campanella Fence its agents,and employees are not responsible for any damage caused to Pu rchaser's
sod,soil,grass,shrubbery and/or plantings or for consequential damage because of the erection of the fence,absent gross negligence.
The price quoted by Campanella Fence in the proposal is based upon normal construction conditions. All grading and or filling required
after the completion of the project is the sole responsibility of the Customer,unless otherwise stated in writing.All work to be completed
in a workmanlike manner per standard practices. Any alteration or deviation from specifications involving extra costs will be executed
upon written orders with an extra charge,if any,above contracted price. Customer agrees to indemnify and hold harmless,Campanella
Fence,its agents,and employees for any damage caused by a breach of any of the foregoing warranties. All fence materials a re the
responsibility of the Customer after servicemen leave the construction site.The product contracted for does not become the property of
the Customer until final payment is made. Campanella Fence can withdraw,at any time,all materials supplied and/or installed by them
should payment not be made per the agreed upon terms. In the event of legal proceedings brought by Campanella Fence to enforce the
terms of this Agreement,the Customer agrees to pay contractor's reasonable legal fees,expenses and court costs.Campanella Fence
carries a 4-year labor warranty on installations.Self-closing gates,latches and hinges,and any gate adjustments are not included in the
labor warranty.Any acts of God are not covered under labor warranty.Chain link,aluminum and PVC materials are warrantied as
specified by the manufacturer.Campanella Fence offers no warranties or guarantees on wood products.Wood is a natural product that
may crack,split,warp,mildew,twist or stain.Dog kennels and animal enclosures are not covered under installation guarantees or
warranties.Manufacturer warrantied materials,do not include labor to remove and reinstall.Staining or painting of any wood product is
done only at the customer's request. Peeling,blistering or cracking may occur. Rough wood surfaces,knot holes,nail holes etc.may
become noticeable with staining. Campanella Fence does not warranty any staining or its stained materials.
Balance is due within 10 days of completion.An annual interest charge of 24%compounded monthly at 2%will be charged on balances
over 30 days,Any check returned will incur a$100.00 fee.
ALL CEMENT FOOTINGS INCLUDED-ALL ROCK DRILLING INCLUDED UNLESS OTHERWISE STATED
WARRANTY ON ALL PVC THROUGH THE MANUFACTURERS
ANYADDITIONAL LABOR OR MATERIAL NOT WRITTEN IN THIS CONTRACT CAN RESULT IN ADDITIONAL CHARGES
Customer Signature ` t_2*q,�h Q roct pricing is valid for 7 days
,vt www.campanellafence.com
mmw
M�14
289 Route 6 Mahopac NY 10541
paul@campanellafence.com L � Yearr
in 845-628-2200 phone 1 845-628-5649 fax ,111?44101�V
Westchester 4145-H91 Yonkers 4418 Putnam 50489 Connecticut 581036 Rockland H1
Date: 8-11-24 Project Manager: Paul Papineau
Customer: Kane, Sharon E-mail: s.kane@yahoo.com
Contact: Other Email:
Job Site: 1 Edgewood Dr Phone: 508-932-4990
Phone:
Town: Rye Brook Other:
State: Zip: 10573 Fax:
Billing Address:
CALZL
C�
❑Stepped Y ❑ Follow Ground ❑ Straight Top
Along the stone wall at brook, install a total of 136 ft of 48" tall black chain link fence
with 1-3/8" top rail.
The 40 ft long portion on the other side of the bridge will be on the wall, due to the
large bushes planted against the wall.
Install a single walk gate at the bridge.
On the left side of the house install 48" tall black aluminum with a single gate over
the walkway.
On the right side of the house install 48" tall black aluminum with a 5ft wide single
gate so the mower service can get in.
All gate poles are heavy duty for strength.
All poles are set in concrete.
Campanella Fence provides a 5 year warranty on labor.
Date of Acceptance: r Sub Total: $7,987.00
Capital Improvement: 0.000% $0.00
Customer Signature: Total: $7,987.00
50% Deposit Required/If paying by credit card a 3%surcharge added Deposit Received:
Authorized Signature (CFC): Balance Due Upon Completion
Purchaser has an unconditional right to cancel this contract until midnight of the third business day after the contract was signed.Cancellation must be done in writing.
R
CC REM
To: Town of Rye Brook Building department SEP 3 0 2024
From: Sharon Kane, Owner 1 Edgewood Drive Rye Brook NY VILLAGE OF RYE BROOK
Date: September 19, 2024
BUILDING DEPARTMENT
RE: Safety fence
This cover memo accompanies a permit request for a fence at the property referenced above. The
backyard of the residence above has a brook running through the property which currently has
stone retaining walls on either side of the brook and a bridge that cross over the brook all well within
the property lines. If one were to fall over the retaining wall which is currently flat with the grass it is
about a 4 foot fall into the brook which presents a hazard to humans and pets.
I have a pending contract with Campanella Fence company a licensed and insured NY fence
contractor to install the fence. I intend to install a 48#high black chain link fence along the interior
(house side)of the brook with a gate at the bridge to address this safety concern. At the same time I
intended to fence the left side of the house to the existing perimeter wood fence at the property line
with a 5 foot gate and fence the right side of the house from the new brook fence to the side of the
house with a gate. I have attached a copy of the proposed site plan.
The permit application refers to a review by the architectural review board. It is my understanding
based on reading the town code that the building inspector has the discretion to determine whether
such fence requires review by the architectural review board and the associated need to engage an
architect in granting a permit.
I am requesting that these facts be considered:
1. This is not a front line or rear line fence and the fence is to be constructed all well within the
property lines and will only touch the neighboring property at one edge(left side).
2. The fence will not inhibit or divert any drainage which should be readily apparent by the
description of the fence(black chain link and black aluminum).
3. 1 am submitting with this request the survey,the location of the proposed fence on the
survey and the contractor's description of the fence to be installed and pictures of the
products to be installed. I have also included a copy of the property survey as certified in
February 2024.
4. The fence is being installed solely to address a safety risk and the involvement of an
architect and associated architectural review board meetings and process could create
delays in addressing this risk.
5. Based on the rules of procedure of the architectural review board certain routine
applications will be presumptively approved"consent agenda"and one of the items listed is
a fence provided it is not located in a front yard or facing a public right of way. The fence I
am seeking to install meets this criteria.
I would like to have these facts considered to determine what additional documents, experts
and processes I should follow to obtain a permit to move forward with this project. Thank you.
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Ir• Building. P al t Check List&Zonin An
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Address. (DV ��Z SBL ��• 3lJ~ \ 3
Zone: a- Use: Coast Type: v,-? Other.
Submittal Date: �L- Revisions Submittal Dates:
Applicant: a
Nature of W C�! l 1,V �-- 1� E L
Reviews:ZBA: OCT — 3 2024 BOT• Other.
NEED OK
OK `
FEES:Filing Et. C/O Flood Plane: Legalization:
APP: Dated Notarized: SBL• ✓Truss I.D. Cross Connection: H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening.
( ) ( ) ENVIRO:Long Short: Fees: N/A:
( ) ( ) SM PLAN.Topo: Site Protection: S/W Mgmt: Tree Plan: Other.
( ) ( SURVEY:Dated Current Archival Sealed: Unacceptable:
( ) ( ) PLANS:Date Stamped Sealed: Copies: Electronic Other.
( ) License Workers Comp: Liability. Comp.Waiver. Other.
,� ( ) CODE 753#: Dated N/A:
( ) ( ) HIGH-VOLTAGE ELECTRICAL Plans: Permit: N/A Other:
( ) ( ) LOW-VOLTAGE ELECTRICAL-Plans: Permit: N/A: Other:
( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other.
( ) ( ) PLUMBING Plans: Permit: Nat Gas: LP Gas: N/A/: Other.
( ) ( ) FIRE SUPPRESSION:Plans: Pernrit N/A Other:
( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other.
( ) ( ) FUEL TANK Plans: Perrin 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. I it
( mtg.date approval -1 lo-2 o t�notes: -
)ZBA mtg.date: approval- notes:
( )PB mtg.date: approval- notes:
REQUIRED EXISTING PROPOSED NOM APPROVED
Axm-
.:—�OCT 7 024
Circle:
Fronta e:
Front:
Front:
Sides:
Rear.
Main Cor
Accs.Cor
Ft.H Sb:
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GFA:
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notes: Nam& S U '�e A-
BUILDING DEPARTMENT
RSEP
[EC ENE
VILLAGE OF RYE BROOK 3 0 2024
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
www.rvebrookny.gov BUILDING DEPARTMENT
ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS
This form must be completed and signed by the applicant of record and a copy shall be
submitted to the Building Department prior to attending the ARB meeting. Applicants
failing to submit a copy of this check list will be removed from the ARB agenda.
Job Address: 1 1E e 1 ►:K ))� Date of Submission:
Parcel ID#: 135 �4 '1 .30 Zone: C—��
Proposed Improvement(Describe in detail):
yg�� u b��r „I /{,� APPLICANT CHECK LIST:
'll�l /nJ"� �.,Ut�ILI MUST BE COMPLETED BY THE APPLICANT
.�0 P mat( wtrlci The following items must be submitted to the Building
'all u s� Department by the applicant-no exceptions.
Property Owner: Sf1Q rM aFj.-G
CIY1 IC1.— 1. ( Completed Application
�
2. ( )Two(2)sets of sealed plans. (� I size(maximum
Address: )q �� ATj')'�kbil & AX— 9U allo,,ablc plan size=36"�t i)land one 11"xl7")
3. ( t�Two(2)copies of the property survey.
Phone# .���_q 2j�.—({ 9 4. (v)-Two(2)copies of the proposed site plan.
Applicant appearing before the Board: 5. (%4,(Ine electronic/disc copy of the complete
�q YG�I � L application materials.
nr 6. (vj Filing Fee.
Address: .� 2t,q Md 41 7(( (�.(J, �►�'Y)Ti, 7. (-)Any supporting documentation.
8. (WHOA approval letter. (ifapplicable) N114
Phone# - Q 9. (—) Photographs.
Arch itect/Engineer: pf 9Pl;UQfi'U CI�PA 10.(—)Samples of finishes/color chart. (a sample board or
Phone# C6 U 5 L a 0 - I20:0 model may be presented the night of the meeting)
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves
the right to refuse to hear/any application not meeting the requirements contained herein.
Sworn to before me this Sworn to before me this
day of , 20 day of , 20Q
C"^
Signature of Property Owner Yaole-
Signature of Applicant K
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Notary Publi otary
GREGORY M.RIVERA
Notary Public,State of New York GREGORY K RIVERA
No.01RI6441388 Notary Public,State of New York
Qualified In Westchester County Q .01111 Wes6403 e8 Coun �Commission Expires September 26,20 Commission Expires September 26, 09 6/I/2024
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Y AVIM
Laura Petersen
From: Laura Petersen
Sent: Wednesday, October 23, 2024 10:08 AM
To: s.kane@yahoo.com; paul@campanellafence.com; melanie@campanellafence.com
Subject: 1 Edgewood Drive - 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:
1. Copy of general contractor's valid Westchester County Home Improvement License.
2. General contractor's valid liability insurance (the Village Of Rye Brook must be the
certificate holder)
3. General contractor's valid workers compensation on a NY State Board form (C105-2 or
U26.3)
4. Building permit fee $150.00 (due once permit is issued and ready for pick-up)
Thank you
Laura
Laura(Petersen
Office Assistant
Village of Rye Brook
938 King Street
Rye Brook, NY 10573
(914)939-0668
1
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DATE(MM/DDIYYYY)
ACORO� CERTIFICATE OF LIABILITY INSURANCE
10/31/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endonsement(s).
PRODUCER CONTACT
NAME:
JEFFREY D KAVOVIT INS AGENCY INC. C.NE x
N.E,rt,:845-562-0701 uuc PH ,No1:.
FARM FAMILY CASUALTY INSURANCE CO. E-MAIL
ADDRESS:
81 A WEST MAIN STREET INSUR S AFFORDING COVERAGE N=•
INSURERA:FARM FAMILY CASUALTY INSURANCE CO. 408-13803
INSURED INSURER B
CAMPANELLA CONSTRUCTION COMPANY INC
DBA CAMPANELLA FENCE INSURERC:
289 ROUTE 6 INSURER D:
MAHOPAC,NY 10541 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 POLICY
LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY X 3101 X 1956 11/01/23 11/01/24 EACH OCCURRENCE $ 1,000,000
DAMAGE TO REN—Mb
CLAIMS-MADE Fx-1 OCCUR PREMISES Ea occurrence $ 100,000
X SELECT BUSINESS PKG MEDEXP(Any one person) $ 5,000
X CONTRACTUAL LIABILITY PERSONAL BADVINJURY $ 1,000,000
GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY E JET LOC PRODUCTS-COMP/OP AGG S 2,000,000
OTHER: $
A AUTOMOBILE LIABLLITY 31400O245 11/01/23 11/01/24 aerB,cl ED1SINGLE LIMIT $ 1,000,000
ANY AUTO BODILY INJURY(Par person) $
OWNED X AUTOS SCHEDULED
AUTOS ONLY BODILY INJURY(Per accident) S
HIRED NON-OWNED PROPERTY DAMAGE
Jx
AUrOS ONLY X AUTOS ONLY Par aeeMent $
$
A X UMBRELLA LAB OCCUR 3101 E 1316 11/01/23 11/01/24 EACH OCCURRENCE $ 4,000,000
EXCESS LIAB CLAIMS•MADE AGGREGATE $ 4,000,000
DELI X 1 RETENTION 510,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIETOR)PARTNERIE—CUTIVE E.L.EACH ACCIDENT $
OFFICERMIEMBER EXCLUDED. O NIA
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below I E.L DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it mom space is required)
NEW FENCE AND/OR GATE INSTALLATION AND REPAIRS
VILLAGE OF RYE BROOK IS NAMED 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
ACCORDANCE WITH THE POLICY PROVISIONS.
938 KING STREET
RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
1
1 \\
NYSIF
New York State Insurance Fund PO Box 66699,Albany, NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
0 �
A A A A A A 061196865
CAMPANELLA CONSTRUCTION COMPANY INC _
D/B/A CAMPANELLA FENCE � } 1
289 ROUTE 6
MAHOPAC NY 10541 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
CAMPANELLA CONSTRUCTION COMPANY INC RYE BROOK,VILLAGE OF
D/B/A CAMPANELLA FENCE 938 KING STREET
289 ROUTE 6 RYE BROOK NY 10573
MAHOPAC NY 10541
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
Z1190 627-8 746659 05/01/2024 TO 05/01/2025 5/6/2024
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1190 627-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK. EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK. TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
ANTHONY CAMPANELLA AND
PAUL PAPINEAU OF
CAMPANELLA CONSTRUCTION CO.INC.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY
NEW YORK STAT SUR NCE FUND
T �V
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 542882886
U-26.3
Laura Petersen
From: UDig NY Exactix <tickets@exactix.udigny.org>
Sent: Monday, October 21, 2024 1:11 PM
To: Steven Fews
Subject: Message from UDig NY
****REGULAR****
DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 10/21/2024 13:11
To: VIL RYE BROOK PRIMARY Transmitted: 10/21/2024 13:11 00003
Ticket: 10214-001-735-00 Type: Regular Previous Ticket:
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State: NY County: WESTCHESTER Place: RYE BROOK
Addr: From: 1 To: Name: EDGEWOOD DR
Cross: From: To: Name:
Offset:
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Locate: LEFT SIDE OF THE PROPERTY; RIGHT SIDE OF THE PROPERTY
NearSt:
Means of Excavation: AUGER Blasting: N
Site marked with white: N
Boring/Directional Drilling: N
Within 25ft of Edge of Road: N
Work Type: FENCE INSTALL
Estimated Work Complete Date: 10/24/2024 Depth of excavation: 3 FEET Site dimensions:
Length 40 FEET Width 2 FEET Start Date and Time: 10/24/2024 07:00 Must Start By:
11/07/2024
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Contact Name: MELANIE GOODWIN
Company: CAMPANELLA FENCE
Addr1: 289 NY RT 6 Addr2
City: MAHOPAC State: NY Zip: 10541
Phone: 845-628-2200 Fax:
Email: melanie@campanellafence.com
Field Contact: MELANIE GOODWIN
Alt Phone: 845-628-2200 Email: melanie@campanellafence.com
Working for: KANE
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Comments: SMALL SECTION JUST ON EACH SIDE OF THE HOUSE
Lookup Type: PARCEL
------------------------------------------------------------------------------
Members: ALTICE USA CON-ED
SUEZ WTR WESTCHESTER VIL RYE BROOK
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