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HomeMy WebLinkAboutBP24-221PERMIT # SECTION /8 TYPE OF WORK JOB LOCATION OWNER A1114 CONTRACTOR T. COST, g` 0 # TCO # BLOCK / LOT 9 4 600i (2 Q,07es ,g s e wt ftj�c? c% s er 3 Y- 3 7a/ 3�)�533.30(o FEE DATE �- INSPECTION REC03� i DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT O FINAL OTHER APPROVALS / ARB ()C /70 BOT Ps ZBA OTHER L� w BR . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.tyebrookny.Qov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 28,2025 Michael Fisher&Jaclyn Fisher 108 Country Ridge Drive Rye Brook,New York 10573 Re: 108 Country Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 129.67-1-9 Building Permit#24-221 issued on 10/21/2024 for Window& Door Changes This certifies that the window and door changes,under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to p E 'E For office use only: JAN 2 3 2025 BUILDUNG DEPARTMENT P$a>vnr# - a/ VILLAGE OF RYE BROOK ISSUED:�� VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: d BUILDING DEPARTMENT (914)939-0565 FEE: ! PAID I w'ww•,rvebrooknv.cos APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE.OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON CORPLETION OF ALL WORK AND PRIOR TO THE FINAL INSPECTION tata�aNlNatttrtata�aNta00-0.0ttt taaast0......titt•tt•t.ttt• Itt tttt..t��tts Address S r. r 9, 9.14 D i ,v Occupancy/Use: - Parcel tD#: / C f 07-�'�1 Zone: r Owner: M t C to c t 1 c.r�d 1 a c ly✓� i`t.t c Address: t u b r: t t •! ) . �' ►�r t t is P.E.r'R.A.or Contractor:_ 6v,,ljc w _ s: : ._� Address: '1s s ;; urn¢ 0 -1 Coy Colo Person in responsible charge: _ .Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law. STATE OF NEW YORK.COUNTY OF WESTCHESTER as: 4(W . being duly sworn,deposes and says that he/she resides at ? •i'� ! r 4 r .I "� 1 1 (Print Nano or Appk.) (Nto.:uui Street) in i i S C C i in the County of=-- --<< i" _--_--in the State of < 7 _,that Cltq 1'oun Yillag.9 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 c t. for the construction or alteration of: v : i . h v-6 f 5 Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy I 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 we or perm it the use of any building or premises or part thereof hereafter created,erecta 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. Sworn to befiire me this 1 cl; Sworn to before me this r day of C 20 2 r day of �,>1 V C.� 1 20 �S ipa r o p n'OwnLr C I Sig re of Applicant I / �Jke ly :i/CW .� V yt Print Na of P nv Owner Print�'Kame of Applicant lot— — 1 1,�,-i. ry Public Notary Public _ KARINA BRACHLOW � _ - t i--SAM NOTARY PUBLIC,STATE OF NEW YORK NOIARY;L: E;3;=r iEW YORK Registration No.OISR0019201 Hec,str�,G, f.�. a"t ir,<<5�4963 Qualified in Westchester County Commission Expires Dec,29,20 Q ,n` :sec"os,br County Conirris;,on t:, i,s. r: 31, 2028 QyE 4Rcb, tim '9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 2 (SSISTANT 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 : �1 ✓ DATE: 1 Z 7 - 2-Q PERMIT# `, �\ % Z ISSUED: /0-Z/-L SECT: I Z g. i BLOCK:_LOT: _ LOCATION: c: 1 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 F } FINAL ❑ OTHER W� N N N O N N eq a �y V - ICI O O • v � � _ w O �a j W = chCA (n p" W z O p a M 0-4 ' r ° ,0 � O en �i a L V} O U pG ' p ,may 0 -vv W a y 'v Cj ' W ^ Men 0 :'� LL � 1�- •ice QW W en en fl o `� V = ooOee)^ O rxn NA F v c a�i V R, W ~ Oi enw W c � �0 a N _ �1 0 Oo a! A a x a 3 9 fl 44 C!1 M"1 W x O d v o 6 b PQ _p N . v raj �' [•y V � y ty T y , w W:0-4 U V OQ 0 F A W O o 1-4 z w rA � d . � r' Q z a � IS R - BUIL ]D DIX6 MENT ��J VIL E OF RYE OK �! V 938 KING ET RYE BR NY 10573 -Q �` � SEP 12 2024 wwr�h: kn ov VILLAGE OF RYE BROOK p BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: QC T 24 Permit# � Application# f ,Ppc-2LA-- ii'- c-X�) Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: /���,�,� �n Application Fee:y JOia:7 ..� Permit Fees: EXTERIOR BUILDING 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 construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: IO$ COVY1�f!�1 Rkc'{gC bYIVe- 2. Parcel ID#: 7 1 ✓ Zone: "e—1 S 3. Proposed Improvement(Describe in detail): (Z,e hnO U t 03) W r Y1,do o)S and 0) "+e-r 10 v CAQQV re I+11 CCALt' Sidtft ► / Sy IC k 4. Property Owner: M 1 C y\&,e t S 1\C r Address: l 0% C Ctu Yl t f-I RI r V Phone# iy 37N " 3121 Cell# '"�" e-mail Mikt �• ft�hCr•Qgrn�,I.COv List All Other Properties Owned in Rye Brook: Applicant: DTF 'R aS C rr+o u,'\} U.C. Address: UGt 1 C d [US Cc b CT 0( Phone# W4-Z03"5'33- 30-7t Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: C huc K l)vsc b1.141 Address: 2.'9V VAlieq 12d Svi e 201 WS c )b (,T 0bTc>-7 Phone# W3-S33-30'7(o Cell# ^� e-mail Chu it K P fjt•C roil'ry\w,t•nd+ General Contractor: PM&r ew V t 5 0tyQl j?3 A 30-I f- P'o Sey"Ovvri t- L(,C Address: Z$$' V0.1P,1 F-8 Sulve 201 (.US Cc:,b (.r C)68g-1 Phone# 20S-S33- 307(o Cell# e-mail C)C.C,c e c4)c[-tf f-o5CmoL^t ne i- (1) 6/l/2024 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: V'0-m Post-construction: I -�Q iV-1 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: PQ (A rear yard: t^1 A right side yard: /sJ JA left side yard: 11418 other: 'lE 8. If building is located on a corner lot,which street does it front on: N I�� *9. Area of proposed building in square feet: Basement: MA 1"fl: N IN 2nd fl: t_f A Yd fl: N %10. Total Square Footage of the proposed new construction:C) -VI 1. For additions,total square footage added:Basement: 11 fl:C_2"d fl: 0 31 fl: .*12. Total Square Footage of the proposed renovation to the existing structure: 1J *3. N.Y. State Construction Classification: ; J I'A N.Y.State Use Classification: NLA *14. Number of stories: it X t a m4 Overall Height: Median Height: -915. Basement to be full,or partial: N 0 , finished or unfinished: AJ 1A 16. What material is the exterior finish: g r' C k A,✓1 d C ctiv $ A s r1 c, 17. Roof style;peaked,hip,mansard,shed,etc: NIA Nit C he ymc Roofing material: A,/�f} .*18. What system of heating: N 0 C K c.-n L Q 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. NC) 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fi e suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: I_ ✓ (af yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq. ft.or more of land,or create 400 sq.ft.or more of impervjous coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: � Area; y 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:_ue'�' (ifyes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: f (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: " Indicate: TIER 1: TIER 11: TIER III: (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: N O 1(1 e- 29. What is the total estimated cost of construction: $ 10 1000• 00 Note: The estimated cost shall include all site improvements,labor,material,scaffolding,fired equipment,professional fees, including any material and labor which may be donated gratis.Ifthe.fnal cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: I I l IN j-14 'f1�errc IS no CvvAr,�e 1r, tie VIVI �CAiM EnV lGC`c C) t� tid� +tom of S40tUMe CA9t . '(h,s aefl�cr� tWr mGlvd�� � a 3 w�nd�v�5 ornt� � door. bi1/2o24 e D E C IE BUILDING.bii- T& iENT SEP 1 2 2 224 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING SmET RYE Bttook,NY 10573 BUILDING DEPARTMENT (04)V9-0668 ynyw. IrnY ioy AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216•STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGHATURE OF THE LEGAL PROPERTY OWNER AND BE SUSWITTM ALMO WITH ANY BUILDING OR PLIMING PERKIT APPLICATION. ANY BUILDING OR PLUMBW PEF.WTT APPLICATION SUBMITTED WITHOUT THIS COjwpL&TED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 31, MA, C In qQ k C i S iNe t residing at, 2`1 i t c td /rs ri Prim name, !Address where you IlVe) being duly sworn,deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; lot coon-t-ni L Rye Bro&NY. (Job Address i Further that all statements contained herein are true,and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains,sump pumps,or other prohibited stormwater ar groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ,. gnxutFr�� ur.r. (C 'nrt, Name nr Prupah uw acu„ Sworn to before me this I day of 9-0f� 20�—�► JOSHUA E. BALSAM NOTARY PUBLIC,STATE OF NEW YORK Registration No. 01 BA4994963 `'''`Q`'� Qualified in Westchester County Commission Expires January,31,2028 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK.COUNTY OF WESTCHESTER i as: _C hc}t ke s U i 5 CVt 16� ,being duly sworn,deposes and states that he!she is the applicant above named, Ipnnt name of individnai signing ac the applicant) and farther states that (s)he is the legal owner of the property to which this application pertains, or that (s}he is the (--n�J ,V)Z 4t for the legal owner and is duly authorized to make and file this appiication. • (indicatc architect,mntmaor,agent,attorney.etc.? That all statements contained herein are true to the best of hisiber knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater l connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 1 0 t� Sworn to before me this 1 Q#V\ day of C _. 20_ day of S Z C'vvl tJti v 20 Zatu Pmpetty Owner Si attire of lean Print Name of Property Owner Punt Name of Applicant Notary Public Notary Public jOSHUA E BALSAM }<gRINA BRACHLOW NOTARY PUBLIC,STATE OF NEW YORK NOTARY pUBLIC,STATE OF NEW YORK Registration No. 01BA4994963 Registration No.01BROO19201 Qualified in Westchester County Qualified in Westchester County Commission Expires January, 31, 2028 Commission Expires Dec.29,2nl b,i-2021 Building Permit Check List&Zoning Anal sis Address: ��`r 1 _ ��- SBL. - Zone: Use: 2�� onst.Type Other. Submittal Date: Z` Revisions Submittal Dates: Applicant: \ T le ,^ Nature of Work: \ 1 c, CAAG Reviews:ZBA: P& BOT: Other. NEED, OK / (3(.� FEES.Filing: BP: f 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. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current: Archival• Sealed: Unacceptable: ( ) ( PLANS:Date Stampedes Sealed t, Copies: L Electronic Other. License Workers Comp: Liability. Comp.Waiver. Other. O O 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. ( ) ( ) 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: ti approval;- 10-16'to 14 notes: 4 ( )ZBA mtg.date: approvaL• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: Circle ate: gG; 1 Sl WIA From e Front: Front: Sides: Rear. Main Cov: Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot imp: Fc In' P Height/Stories: notes: BUILDING DEPARTMENT I I SEP 1 2 2024 VILUkd OF RYE BROOK + �` 938 KING 9*EET RYE BROOK,NY 10573 ; VILLAGE OF RYE BROOK 939-0668' ' BUILDING DEPARTMENT ww i"akm.eov ssssssss:tssstsatrtsss*ssssssssssssssssssssssessssisssssssssxsssssssssxssasssasxs*a.tssssssssxssttsstssssts ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANT'S 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 ARS agenda. Job Address: k08 Wu,'Xt vy Date �of;Submission:�L Parcel ID#: /49, (D 7- %—J Zone: Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: �f W`:t. J2 L� 1r+,✓1�i(:vv'� ClY1d 1 `lUST BE COMPLETED BS' TnE AI,PLICANT The following items must be submitted to the Building r!t ttr �j;I C K Department by the applicant-no exceptions. Property Owner: n C 41 GtE_I FI s 1n e I. (, Completed Application 2. (, )fwo(2)sets of sealed plans. tone toll s re !maximum Address: z)f 1 V e ailuwehle plan iizr-. � 7 3. ( )Two(2)copies of the property survey. Phone it j 7 y ';-1'1 4. wo(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (vf One electronic/disc copy of the complete plication materials. h�.ar 1i'S li t SC11�� ,! (�c Si vvlLti,t1 t t( 6. ( Filing Fee. Address: 2`a 6 %dc:l\2y P-d i i (100 CT u(: 1 7. (✓ Any supporting documentation. 8. ( )HOA approval letter.(ifopplicable) Phone# �U j 5'�3 3C'7t� 9. ( )Photographs. Arch itect/Engineer: C ie-xj IeS ,;t5C h.cT I 10.( )Samples of finishes/color chart. la sample board or model mm•be presented the night of the meeting/ Phone# `I t`I '-{t 1 `j i at.: By signature below, the ownerJappiicant 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. Swum to before me this -1 Sworn to before me this te� Oigna.'wrc--o 20 day of 5 20L 1 O ropemr Si fort of ant IC�Cte ( f(1L�� _ CV-%iAr ut5cti, �l not Namc of Properm Owncr Print Name of Applicant O Notary,ubltc rvKblic Pt: KARINA BRACHLOVi' tit NOTARY PUBLIC,STATE OF NEtN YORK JOSH UA E BALSAM Registration No.OIBR0019201 (NOTARY PUBLIC.STATE OF NEW YORK Qualified in Westchester County Registration No. 01 BA4994963 Commission Expires Dec.29,209 Qualified In Westchester County o a Commission Expires January.31. 20" i Village of Rye Brook ML f MR f OttiH �• Agenda FB oe SE Architectural Review Board Meeting AC ✓ AD Wednesday,October 16,2024 at 7:30 PM Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB24-114(Consent Agenda) Daniel O'Keeffe&Denise O'Keeffe 19 Wilton Road Rooftop solar array. 1.2. ARB24-115 (Consent Agenda) Brian Downey-Zayas&Eileen McDonald 97 Country Ridge Drive 4'high black chain link fence and 4'black aluminum fence&gates. 1.3. ARB24-116(Consent Agenda) Kaloyan Lazarov&Masako Okudaira 215 Betsy Brown Road Rooftop solar array. 1.4. ARB24-117 (Consent Agenda) Christopher Baildon&Tamzin Manning 72 Valley Terrace 6'high white vinyl fence and gate,4'high black chain link fence. 1.5. ARB24-118(Consent Agenda) Sharon Kane 1 Edgewood Drive 4'high black chain link fence and 4'black aluminum fence&gates. 1.6. ARB24-119(Consent Agenda) Edwin Gonzalez-Roncancio&Stacy Gonzalez 9 Charles Lane 6'high white vinyl fence and gates. 1.7. ARB24-120 (Consent Agenda) Joseph Feisel&Liana Diamond 9 Boxwood Place Rooftop solar array. 1.8. ARB24-121 (Consent Agenda) Robert Promisel&Susan Promisel 10 Meadowlark Road Rooftop solar array. Page 1 of 3 ' Architectural Review Board October 16,2024 Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB24-122 Megan Tyre 1 Berkley Lane Rear one story addition&rear deck on piers. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. ARB24-123 Michael Fisher&Jaclyn Fisher 108 Country Ridge Drive Window and Door changes. �+ Approvals: Motion Second FQ Abstention Aye; 5 Nay;�_ Adjournment; Notes N F-$� Sc.��P�1 A . L • a 1.11. ARB24-124 Renato Ochoa&Cynthia Ochoa 8 Maple Court Legalize replacement of existing patio and walkways with pavers,new shed on concrete pad. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2of3 • Architectural Review Board October 16,2024 1.12. ARB24-125 Howard Miller&Melissa Miller 4 Rock Ridge Drive Enclose part of front porch,widen driveway and new retaining wall. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB24-126 Scott Schwartz&Stacy Schwartz 35 Meadowlark Road Second story addition,one story garage addition,new front porch,and new rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. ARB24-127 Matthew Wiener&Erica Wiener 18 Boxwood Place Enlarge deck,new pergola,built in BBQ,window and door changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: November 20,2024 Page 3 of 3 \ v�• , ++�+i+�,� �1���'-� }�+Ii++�i► �����i� � �_ riiir ,v,� � �+1++ ��11 a7+'+1+ (1"+�11 =,`.: 4lLri' usa _ir :i'�!�.!�1_ _. u?Y•h�!1�} � W: LO (V a co JA �. y R .. ^� ♦""'' o c u O 9:, d>� ' u � -ection uOf 'tom:7i V rj O U N •G O _—=►i��' ,et W00 v p� V .•.r s'. CO � Y � O �4 �°yam c 1. rZ r rJ L 'n C N C) 0 C O J CA . . . . . . Ray!? " � A�:�y"�}N1�nf#•CIA }u �� Til ,l;l(.`�"`91.�_ (g}l/l+�As�-{f�i,?l�1�,l��..+�'1���r�!4,y'!'4"��1Is_A'sS�y��{�jF�,7'(�'tit�►)�1�+1i�/a1�,�',s'�j1=.�'_A x{�rp 16�l y, +4 �+• A{�17� ll�+j+l�fl� '^•�JA IXe O pyyrf yOS9YN �t �`m' (�y � ..,`\ ^` -- `- �-� DTFROSE-01 SCHASS ACORO DA TE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/17n024 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 NR4E CT Susan Cha8sagnouX Cross Insurance-Westport HONE,Ext 203 655-6974 118 FAX One Turkey Hill Road South I ):( 1(A/C,No): Westport,CT 06880 .susan.chassagnoux@crossagency.com INSURE S AFFORDING COVERAGE NAIC0 INSURER A:S018CHVID Insurance Company of South Carolina 19259 INSURED INSURER B: DTF Rosemount LLC INSURER C: 288 Valley Road Suite 201 INSURERD: Cos Cob,CT 06807 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. INSRF TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR S 2512283 1/15/2024 1/15/2025 DAMAGE TO RENTED 500,000 MED EXP(Any oneperson) 15,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000,000 X IPOLICY❑jp& LOC PRODUCTS-COMP/OP AGG 31000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO S 2512283 1/15/2024 1/15/2025 BODILY INJURY Per n $ AUTOS EONS ONLY AUUTOSyUyLNED BODILY INJURY Per accident S AUTOS ONLY AUTO ONLY PPerOadent AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE S 2512283 1/16/2024 1/15/2025 AGGREGATE 5,000,000 DIED I i RETENTION$ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN WC 9097980 1/15/2024 1/15/2025 A LITE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT �FFICER/MEMBER EXCLUDED? ❑ NIA Aandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 if yes,descr be under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is shown as an Additional Insured on the General Liability policy as required in the written,signed and executed Agreement/Contract directly with the Named Insured subject to all terms,conditions,and exclusions of the insurance contract in place for the Named 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured 203-533-3076 DTF Rosemount LLC 288 Valley Road,Suite 201 Cos Cob.CT 06807 1 c. NYS Unemployment Insurance Employer Registration Number of Co Insured Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 26-4035807 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Village of Rye Brook 31b. Policy Number of Entity Listed in Box"la" 938 King Street Rye Brook,NY 10573 WC9097980 3c.Policy effective period 1/15/2024 to 1/15/2025 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) �X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box "I a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Susan Chassagnoux (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 5U4_, '-N� ��GI�C 4 11712024 (Signature) (Date) Title: Commercial Account Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 203-635-1084 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov z U) 6 M. W LLI U - ti W Cl) a M. Lu F— Q 00 r O r 06 LL O t U Z p N r Z J m .-. O O �-• W o. N f ® w W O00 a O Q M � F- O o_� 24. ,r N W w _; _.� z O>Uoo r..11 Z m {� w 00 U3 � U a; X o U> 1 0 W coo _ W O W � N cv .( ?bM = U >- W b�! .. U 0- O N v co a> S* LICEN-- Z LU Q W F- LL a Z Ui <C O o a rY 3 ct Gi C,) U) cl W O N co LU LL W ¢ J +^ N J �V l in O LL F- Z w z W a ¢ LL Y O LL' = Q Z LU F J LL, J W o O Q O W C0 Z � of o z N _� w zo� w3�I- I w C o �� zz= N z C W w C I Q zo Z m F- F- F- o� Z. 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