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Home My WebLink AboutBP24-241PERMIT #,0 �7" -� �l DATE: a� (•�(p; / / a f%i % SECTION �'Si �/ BLOCK_ / LOT TYPE OF WORK AOAlell,e02 M JOB LOC TION �j/� rj V e OWNER I/% ✓q .7 .$ Q _C'l//I2IL& C4TT 17 %SST. COST�c�O OOO v CO # TCO # DATE FOOTING FOUNDATION FRAMING RGH FRAMING FEE DATE I NSP INSULATION ./ PLUMBING RGH PLUMBING qo �Z'YfZOZS1 ASSIL�� GAS SPRINKLER ELECTRIC mor L W-VOLT ALARM AS BUILT O FINAL �- 23-7,0zr As)t r-D ? - 23 Zo LL ,-y ,e,0/oCa*74%o.'o�? 335=S3&S0 lea 4yla4q OTHER APPROVALS ARB BOT PS ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-096 Certificate of Occup ucp This is to certify that1.))--- r h the, /n v� a e � � s of. LJ e /V 7 having duly filed an application on W _ 11.0 f--20 o?5 requesting a Certificate of Occupancy for the premises known as, y E.lm )41.' 1 y-)ye— , Rye Brook,NY, located in a Q''D Zoning District and shown on the most current Tax Map as Section: 5 .5 1 Block: ) Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.a`'j1�'e;? , issued 20jp?w such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: — /one— Construction: for the following purposes: Lowey a 7 4 Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit f ilities shall be made, and no enlargement, whether by extending on any side or by increasing in heigh 1 be made,no h the building be moved from one location to another until a permit to accomplish such change has b n o m t ilding Inspector. Building Inspector,Village of Rye Brook: Date: JUL 2 4 2025 D BUILD �� Ef' TMENT For office u onl ID PERMIT# c)`7� JUL 16 2025 "L OF RYE B r OK ISSUED: 4 938 KING STRE YE BROOK,1 YORK 10573 DATE: -7— 11- VILLAGE OF RYE BROOK 4).9 -0668 �� FEE: yryt /SQ—PAID,, BUILDING DEPARTMENT k ov APPLICATION FOR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ***sss*s*****sssssssssssssssst***s*ststt**s*t****sst*sssssss*sss*ssss*ssts********t*ss****************ssssss**ssssststtssstt* Address: 'K Ei,,,-% Hill br. &It gr ooic, NY 105 --'�3 Occupancy/User Parcel lD#: a Zone: �a Owner: l7 A v,d k c-h^ Address: $ t 1M R;II Qr.. P.E./R.A.or Contractor: Ross M c c ti,,v%4'c<19 C o.%rr--r,A1dress: Person in responsible charge: S o 1n^ (Z o s s, 'S r, 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 forthe structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: 1)a V:d K ra 6 r% being duly swom,deposes and says that he/she resides at g I—, K A l 1)s . (Print Name of Applicant) (No.and Street) in tZ y t g r c o K ,in the County of W t s re k-c s fit r 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:$�o�0 o o , for the construction or alteration of: I o w e r- I c v c t h�k-kN r o c•v1 r)e fCla c ✓1, 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 1 b Sworn to before me this day of � �� , 20_� day of , 20 Signature of Property Owner Signature of Applicant DAv�'o� kc'ti h t e of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MEUU.O Notary Public,State of New York 6/l/2o2a No.01ME6160063 Qualified in Westchester County Commission Expires January 29.20_ �yE BR(��. cu � • 1982 BUILDING DEPARTMENT VBLDING 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.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : U Lyn At k I w- I i-e DATE: PERMIT# 1 2 _ Z ISSUED:11- 1L-2 SECT: 3 S"• Sl BLOCK: LOT: Z LOCATION: L at..J tl, Le VA L (ZA 4�o nn 4- ),4.uy OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas o �O D .�i�✓lD�Gc C�1E "J ❑ L.P. Gas 4 L'E OS v o0 ❑ FUEL TANK de ❑ FIRE SPRINKLER A,G p 0 ❑ FINAL PLUMBING ❑ CILOSS CONNECTION 12 .CrJJ/FINAL ❑ OTHER BR 0 2m BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT 1411I,D1M.INSPECTOR VILLAGE OF RYE BROOK ❑C0PE TNUORCEMINT 01TICLR 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www,i-vebrook.grr - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :___Q( 5 17 I-LN-! 1A i L LL— l We, DATE: 7- 7,4— ZO Z PERMIT# 48P Z7- Z(1 / ISSUED: '/Z't SLC'r:1.3r BLOCK: / LOT: Z LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION ✓'� 2 REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROtJGH FRAMING ❑ INSULATION ❑ Natural Gas IVF,4—b 14 4 C( . O eb^7�y ❑ L.P.Gas❑ FUEL TANK �p�l-dv? / u- L3,4se em +CA o M ❑ FIRE SPRINKLER 4Z So /V Pe- AN A A//9- J,4e!!�sl ❑ FINAL PLUMBING S ❑ CROSS CONNECTION FINAL ❑ OTHER -- L10 1/1 . PA. Jt s QyE BR- . .��o-c '982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OP RYE BROOK ❑CODE E"oRcEmENT OFFICER 938 King Street• Rye Brook,NY 10573 (914)939-0668 FAx (914)939-5801 www.LTe—brook.org - - - - - -- - - - - - - - - - - - -- - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDIu?SS:---- --- Ls6 ✓C. _ _ ---- DATE:7- Vz, ZOZ-r PERMIT#- p_ ZJ 0.7 9_ ISSUED: SECT:BLOCK:/LOT:�� LOCATION: / �J ` OCCUPANCY: ❑ Violation Noted TIIL' WORK IS... 4R i)'ASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / ❑ Nab iral Gats • /�-p /� •+-i.7��v4 �,44,,u OIL ti ❑ L.P.Gas _ ❑ FUEL TANK DO M — j AA o/ 1?4Al ��0 ❑ FIRE SPRINKLER /I/ A A.�e*144- 1 F SU 41 to-A-710J ,a'FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�uk. o`` tim 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : �/ V� �/e I q`Ci DATE: S� 070 PERMIT# ` ! ' ✓� 7 ( ISSUED: 'L2 SECT:/3S.�i BLOCK: / LOT: LOCATION: ` `�� V1 lr `'� ►JA "'W �- OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Er 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 QyE BRC�v� o`` tim BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.ors; - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : g Fz j.ln DATE: 7 �Z PERMIT# TY 2 0`-I 1 ISSUED: SECT:,l Yl BLOCK: LOT: LOCATION: 1 J Ateo --D J�. 0 '; C�Q vP 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 N N F' (-j ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION VilA'- ❑ FINAL ❑ OTHER t Ln N N N �1 t� 'D �T v) ca O Cl) cn w I _ L9 en O O - g u v W s u c � c o � OC)c v O � a , O', Q Vic, z ti w z � � � �+ w � ° � Wes + o x �o �: O cc r�l Q as ° +, O O W ,°�0 Z O ono � o o -c v V' z _ Lo Z U Z .d a E Q FF�-t TT W w v a w C,) 00 o o cy 0. c z z q a A 4T� � (�} A l V U o ° �+ a e I--I ►� L� � � O � �p E�., a�i � � � V L v . o ° . .0 � � a r Z o w w ¢ o d Y o a � ❑ a bA _ oun.Ulm,ts LjLrAK1 MLil L VILLA(;r•.OF Rvr [ w)oK D [ECIEVIE 938 Kum,.SrKtm' 11%,F RmooK, NY 10573 (914)939-0668 I DD NOV - 6 2024 1�t1 i1.a1't'Itt'�ur�lt`1."�te1 VILLAGE OF RYE BROOK INTERIOR BMDING PERMIT APPLI AT"G DEPARTMENT RUC'. 4�N1G� i-.; + ;s v ,�,,�� •1��,,f �> titgr"��;sl I'.;: Noll a '��n: cJ 7�d / / Applic.ttion !cv:$ `- 1tgM,,��rl�., ,.. . 1'crnuit I•ce,:S i ,,i.,„•.:; LL Other. �rrswtr*rMawrtwrrwwarAar+6rrMr�rr�rkriRsrrw.�irwAlitiiyblrYrriw«wArrrwr�w{rirwwrir�rwrr,Mr#wterwr�ww♦.rwr#ww:wa,►+w,� .ipplrcutu�n+Ls1eJ ��,�L� islhrrMmt�keetithrHuildin.^,lnr•�tnr, l'tl:rYillr�Crt`It,�ttryn•1,.ti1',f��rthci,.�nn�i,►tuI'ctmitli"rthe entcYiar httcr,,tiaet of tut ctiatn�hull►ltng..�r ti,r a chnrt�c to u,c.,r•per d�•tnll«I,eatctncnt tkr:nPctl t+cle»� r f 1. Job Addr6s:1 �.f''� P- ' t f1 SEiI.:�l iJ�/ —/—c)L- lone: -/ 2. I'ruiw3c3 Imptovctncnt. 1 tc.crick in J r,tl;:_ ��.M�Tl1 iG•'t,� +'�- ��t' [ sir_?T iC r— �+�' 3. Dk-se.the ptupired impr+ovomicnt involve it liputc-Occupation as per 51240-38 of the CcKlc of the Village of Rv [kw k'? No: Yv,: Ify0 indi"c: I11:11 I: '1 Il;l( It: _1 IER 1I1: I. t1-11 the prulxt scd prOject rcyuire t1w insiallaaiur,of a nca.or an cxtcnsion,nttxlitirutinn to an CXWISLAutomatic lice aupprrssum:Ns,tcen l Fire Spi inkkr.ANSI.Sc.rc,n- 1 11,21ll"S%,re,n Net: Yew �. (kcul?.tnc%: ,I i'lim.3 film..c"nruet_tic...►Prior to Construction: / f A r-r Allcr CoWntctiun: / _f-12 f7 6. NX Suic Con,trttctiun Cl.wilicatioa: N.Y.State the Classifcalimu 7, Prupcn% 0wric.-. I"iu,nc Cell#1?d �) �?cattail: _ V"r�r 6-4 ,'7 8. �1p�lic:tnt; %ddress: J�j MQi • i^Ca i*�I' Phone 9. Archavct Address: I'honc�- Call :. cm ul: IU. I:n;ir:t.,er. Address:_ I'Itone Cell - cattail: I I. (ienrral t'onlractnr: ,j�Q, S/ t1 +'L Addn,�: _/�y ''1/u t.: r+:•+_.�. /--.�'. /'•;h�f r rr._� /brit: 1 e:� �7gK�sSiv�1� Ccl14 91`/ - i/rj- S��i `! email:4wo)tx0neG� cc,-I 12. l:;tirnatcd c�,+t e,f rort,truelicxt � /C I L"eK: ��51 e'i- 2�t �� r 13. Job Tittwtable:Stunt: 11�3 t.W Y _ Finklu /7'�� C' a y Itf t1Jt{?1l2a Bu><Ln - MINT VIL E OF RY OOKR938 KING �T RvE BR ,NY 10573 pp;_ kn N.gov VILLAGE OF RYE BOOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: I, rI)a vi'd K rp b y ,residing at, E I m h I Dr, (Prins name) (Address where you live) 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; F (t c . ,Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Property Owner(s)) LQV. U )�"% �✓) (Print Name of Property Owner(s)) Sworn to before me this cUyof_ 20 V-\� I L (Nolan PnbliC) SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester county (2) Commission Expires January 29,20K_1 6nno2a This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: TL a✓J Lrti hr. , 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,allomey,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this ( Sworn to before me this day of 20 al�1 day of , 20 Signature of Property Owner Signature of Applicant Da V c,6( Jams- � 7Z77iA6 Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No,01ME6160063 Qualified In Westchester County Commission Expires January 29,20ZD (4) 6/l/2024 M Ln N N N N N W Ln Ln a W rA F ch W N O CLn W bA ^ s M�I M Z \ F z Q z < N A o z � H n U U ;' $ � F ■ z zcn vt A Q N W es_ CA M"", oho � ►--� M a V � w `� � F MM W _ gg zo W Oo O F x � oa x ,wa Q W N F o F , a U W z a W H A ° o � 0o z a � • BUILDING DEPARTMENT i i F RYE ROOK OL i 938 KrNG�T' ET RYE BeK,NY 10573 MAY - 1 2025 . )F RYE BR vv�rCw� Q Y_� PILLAGE C Y� BROOK ,'UILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION ""- Westchester County Master Electri ' icense Required L FOR OFFICE USE ONLY BP#: �7— EP#: ID', //-S Approval Date: - Oz_ Permit Fee: $ ZQ 5—Jon Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERNUT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADNHNISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUNI FEE OF$750.00 Application dated, I Jk6 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or r move electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: (� Et,M I-I ALL �12. SBL: 135.5(-1 2 Zone: 2.Property Owner:,'tagy i a (fWA F}tj anf-E jele ML f4tjy5Address: Egg RIZL 'j;,12. J[ & my In s7-A Phone#:(601).53,5-f6fG Cell#: email:�Piguin.H. .. ANN -/ 1h, . UM 3.Master Electrician/Licensed Installer: AA13Wrs GUN ztgL z Address: Uo QUTz.AN:D -4.. kffi'v g Lic. #: 10 Phone#:N14)292-bll U Cell#: email:.r,Fa� F#�t1Qc�r?Llc 03(4 Company Name: ELL-00i['�N[_ Address: 40 1Z j1A&-3> , Nouizk5cA wi b,591 d 4.Proposed Electrical Work/Fixture Count: New eali'ea-ltcY/ �rllyoo n ee_go va fr'on i oslall gaol fan, New 6FZ Srurfc4 Latenary Weurcefe1 0Kt/e4- 5.31d Party Electrical Inspection Agency: V, ETfet2 RgtAe5 GUec,i. �1U5(> _-6=Ayjc,,F5• STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states 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 regulation Sworn to before me this Sworn to before me this day of ,20 day of RAX ,20 AP67 Signature of Property Owner Signature/of A a CLMA R MALDONAW 4,1,-3 plic nza/e Z Print Name of Property Owner NOTAW PUKX,STATE OF NEW YORK Print Nam canlic t Registration No.01 MA=4523 Qu&Wad In W Cou nty ? Notary Public O,20_j Not blic 6/l/2024 5 Buckout Road ts E T T E' 'MES w West Harrison, 10604 �' Phone:91490906-0433 ELECTRICAL INSPECTION SERVICES INC. " Email:betterhomes252,agmail.com NAME: DATE: ELECT.PERMIT NO. CITY��/ILLAGE ZIPCODE BLDG PERMIT NO. 12N(E Zook - - to 573 13 P o?4 --021-1( -- ADDRESS: BUILDING DEPT 8 ELM N I LL �Dr PHONE [SEC`r1ON BLOCK r2— UTILITY08 ) 335—56 86 � 51 Go�u ��iSu�J EMAIL ADDRESS: [R:e:sidential Commercial ❑ �DAu i9. H. Iti2wh1�G KR��•Cam( OWNER'S NAME AND ADDRESS , �pAv•tb �\t?AFIN ' G4THr121N� MCMr+(�Vs 6 rLN f4I t L 1�'YEca�l( N1' Io573 - 1 WORK LOCATION: ❑Outside ❑Basement ❑Garage ❑Attic []Poch _ jl i Floor. �t floor ❑2nd Floor ❑3rd Floor ❑4th floor [�Other Floor_ MAY i M VILLAGE OF RYE BRO, l ❑Reinspection Renovation [—]Generator ❑New home ❑Other BU!I `?TME' Comments: Nw-+ �''rac► ' D ClrCuiT" FOR .60r+VlCouM i2rrf�urgriu�u SNSTIrIt� pA►� (►tttef= Ft-X(µpv6i f=prt/ CV:zw GFT StuI'T'r UquN7Dfy -D1='P 14-rl—D Ck3cCk.'� SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: i CON EDISON Overhead ❑ Underground ❑ COMPANY NAME: DATE OF APPLICATION: LICENSE4 WHEN APPLICABLE: G �E".r'oZ+c, Nc. 15511 l puo2 1767 STREET ADDRESS: _ CITY: STATE: ZIPCODE: LIO �UTc.t +7 1 �oucu� �'(iSw NY �05'{9 TELEPHONE: CELL PHONE: EMAIL: F(1I4) '0'Q- o 1 I 0 t kc:—Irl ic.Ny. cU" SIGNATURE OF APPLICANT: X The application is intended to cover a ove liste be inspected.If at anytime of inspection additional items have been installed,we are authorized to make the inspection n djust the fee for the additional items inspected as provided by the applicant_The applicant declares that there are no open applications for the above with any other inspection company.Application only good one year after filing date. RJ U L 17 2025 ID BY THIS CERTIFICATE OF COMPLIANCO. VILLAGE Or RYE BROOK Better Homes Electrical Inspection ServJcbk94 .�"FPARTMENT 5 Buckout Road, West Harrison, NY 10604 914-906-0443 CERTIFIES THAT Upon the application of: Upon premises owned by: AG Electric Inc David Krahn & Catherine McManus 40 Rutland Street 8 Elm Hill Drive Mt. Kisco, NY 10649 Ryebrook, NY 10573 Certificate Number: 4389 Certificate Date: 6/23/25 Located at: 8 Elm Hill Drive Occupancy Type: Residential Ryebrook, NY 10573 Permit Number: EP-25-113 Section: 135.51 Building Permit Number: BP-24-241 Block: 1 Lot: 2 A visual inspection of the electrical system at this premise described above, wherein the premises electrical system consisting of electrical devices and wiring, described herein. All inspections are in accordance with the National Electrical Code and the details of the installation, as set forth below, was found to be in compliance therewith on the date of the inspection. Name Quantity Rating Circuit Type Fan & light combo fixture 1 120v 15a Fan & light fixture Switch 1 120v 15a Switch GFCI receptacle 1 120v 20a GFCI duplex outlet 20 amp circuit for laundry area 1 120v 20a Appliance outlet This certificate may not be altered in any way. \` Z . rc>k'��o `l •� SEAL This certificate is valid for work performed _ ', 2022 : C before the date of inspection only. ,may' �Rv vo\-..'7r, Licensed Inspector • S #9F � �r•, N s N o� M M OC N M M W Q W 1S. y v • i ' C4n0-4 pro-, 00 W r Q w F s - .. R+ 00 C) y c Z z a s n W w coi A � z co � cl, W C z v rh A !' I W a g N z a r _r 4 Or �i °� Q N E A Q .a z , a < A ZQ o < cn x V P ►•. � W � x W ' ►? W z � A z A o � . r-1 a g. EE__ g; EE ��:: cE� EEM�II Ffa.I� ��■■ EE . R �U7 �� 1 LL BUILDING DEPARTMENT MAR 2 8 2025 VILLAGE OF RYE BROOK I,� _ _.. 938 KING STREET RYE BROOK,NY 10573 VILLAGE Or RYE BROO'.\ (914)9 9-06fi8 ' BUILDING DEPf R7T�,'ENT www.ryebrookny.go_v PLUMBING PERMIT APPLICATION ^� / FOR OFFICE USE ONLY BP#: �/ _ / PP#: Approval Date: APR 0 1945 Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 3 Zg a.f0-4'S is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or rerhove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: ELM u►i-4- 1)61VE SBL: /`35,s/— Zone: 2.Proposed Work: a PTq a Or Qf"aw r j i- Lp��r l)y RX4LO "rqe I A V Ir) )C R/ "n1 4 rtjF dress: 1Yi;fJ�ANAd 3.Property Owner: Phone#: 6 6 8'1 3 S—S 03 6 Cell#: email: 4.Master Plumber: 0300a" S4410 Address:-Q,5'39 .041'14 A►f, LjM/ rfjC.WP-tL f, l�Y I�SQp Lic.#:�$9 Phone#:91 1 .-44 - Cell#: 91�1 �'-`�7' t�� email:Wus f"M9utC CfjAj"if-r @C.61AtL, UPft) Company Name: E� 5 Abj6h&fjC^ Address: d_, S0-1TV qt) Limoiay p4a or Ia 9g INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement ` 1 st Floor r 2nd Floor 3`d Floor 41 Floor 5te Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 1- 6/l/2024 D _ L. _H � BUILD _ MENT VIL OF R OOK MAR 2 8 2025 938 Knvc ET RYE BR ,NY 10573 4 -0 VILLAGE OF RYE ov ! BUILtDN. G, I;E ,'�R..T 1?Ei`JT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,3J, 1 K ,residing at, E 1 H; i t r v C, o k, f`� Y /�'S (Print name) (Address where you live) 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; � r, �y� 13fook .ti7 1e� 3 , Rye Brook, NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Property Owner(s)) _DA V, GI /l('n k.2 (Print Name of Property Owner(s)) Sworn to before me this ay of 20 Z � c � — ( o ary Public) SHARI MELILLO Notary Public,state of New York No.OIME6160063 Qualified In Westchester county. -3- commission Expires Jand 29,20 ary 6/1/2024 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 Master Plumber for the legal owner and is duly authorized to make and file this application. 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 2-0 f-- Sworn to before methis -"eTN day of /1 -c k ,20 2 5— day of tAAA-N ,20 a I Signature of Property Owner Signature of Applicant ,r Print Name of Property Owner Print Name of Applicant Notary PubliSKARI MEULLO Nt o Notary Public,State of New York No ar ate of New York No.01ME6160063 No.01ME6160063 Qualified in Westchester County Qualified In Westchester County Commission Expires l Commission Expires lentlary 29,20�� tsntlary 29,20 Z-� This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 6/1/2024 Mldin \ ` �-' a g Permit Check List&Zoning Analysis Address: _ 1 , SBL• Zone: Use: ConsL Type: Other. Submittal Date: t Revisions Submittal Dates: Applicana ` �\ti Nature of Work: c_ Reviews:ZBA:NOV 0 7 2024 BOT: Other. NEE OK (1�ES:Filing. .BP: C/O: Flood Plane: Legalization: ( ) (Q/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: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( RVEY: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: 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: ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES Date: [Y02 A NOV U 8 2 Area: Circle: Fro�ta¢e: Front: Front: Sides: Rear. Main Cov: Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.imp. Pg& Hei ht/Stories: notes: -.W1 -VIP •.r l..V .off..1 �.-�1,.,. .�.ty�.-.r �.. �,•- •rv� ..r a•. +yi�'.n•. —Jr. �Ar, _tea. .,�,• y.-�... ^ . .v� •i.�i+ �`� •' .it � �► ►ii. ^ v i + Mloe � - .sir w t .• �' ��. ,;,,,,r��• 1�►.titi,;.,. ,;,�� + . � +' ;��4 !9). ��,�„ ,�� •�»� ��girl ;: ►�i�.,,...,. �. 1��fili�_. „_ +irt/tMr - .•t . _! `!— i��_1r'-w,- �ii)�fi� -_+ -u-•ril�rir _� . r1�rl�s o" -.� /��)� ..��- .i,►• -�-- - y..-.eft-��-� �i.�r I....` - �..�.�4..._- - . t��1 _ Ld C'j � t Lr a = = Z - -� CC fle- Ire ��` �='' ;,,,^ � = O o =. •� _ Qc -fib �� . ,ti ca U Wuj r'<taa)i_. �EK �+ � ) �Q = � k1„ 3 �M aft iV� i �lrW►� o O j -- o cl:lro LW G IL7 ti �� y iw.f id k ''8', i'rl•� i 1•,i .rrl• .,'fit. �•,�n ! r*I No. +`� �r.�'. -��' •- w 1 Ali'.•: .�rliir�� i. � •-li:.�; ' �rl';. •r. ' ��4, ��Il 'i f 1 (1'��1�r�1�`r w-. i�!. u ,w •.r. • !yi+i r�A�r��, r� {�' +tr.►til�'. .�,';.,5 -�r�.►�i1.! Iii�VL ��j _a� �' i•: � �Yl(. .!-J `vim-,- .�� `-- va—a a a as 1\/r'1 a &- va I.Ir .0416..I a 1 111%Jv11r%r1vL- Itl'17r2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORPAATION 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: It the certilicale holder Is an ADDITIONAL INSURED, the pollcyliesl must have ADDITIONAL INSURED provisions or be endorsed. II SUBROGATION IS WAIVED,subject to the terms and condillons of the pollry,certain policies may require en endorsement. A statement on this cenlllcate does not canter rights to the certlfic-Dic holder In lieu of such cndorsement(s). OtiODUCEq I NAPE: Kail1Y SwI] Ri%m Ugi:invarincc Agm,'3.TnC AtG Nd.Call 18+5I 7:9-61:F 915 2:",S Nilddletuwn Rd I AO AzSY n► eittourr.0 Gr1L'ISC ' esgitncy',:gRaiall.cnm 5r:tc t IMyUREP(S)ArFOfLMNG COVEPAGE kAIC r Nirucl '%Y 10954 INsuaLct A; LMC\FIRST f\S CO 15326 Ma=UPM:D I.4SUAEA tl R,ml Tt�)1r ic�l mrztlr ir` Imau"Ea C' IN)�ttLLl3tTrlWTti R t1 hGunE4 C ICSUnEti E lit-T)'rORD I11SURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: rHi S iS TO ccnTit•Y T ItAT.I tC PCL'UES Or INSURANCE LISTEC)BELOV'1 NAVE 13UN ISSUEO TO TI'E"AISIITILI rIA11ED ALL3UvF-r(3n THE POLICY PERYIZ INC<CATED WTWITHSTAI:D NG A,•IY FTCOU+REMEUT.Tr71161 OP C01`10iTo0r,Or ANY CONTRACT CIQ GT}tEA DOCW-1ENT 1 1.TH FESQECT TO WHICH T1?IS CErZifICATE MAY BEIfSSU15D on MAY FSKAIN THE INSURANCE AFFant)EQ my T11E VC:4 r-ICti 5L.,e:EL?TO ALLTIc-TEAMS, rXCLL'S.'O+JSANO COr1D1TaOflS OF SUC;I POLICIES LIMITS SK NN MAY HAVE BEEN,AEOUCE0 BY PAID CLA-Ysti LTT1 TYTEOF III 6UCIANCE INBO MrVJ POLICY NUOADC R MKT)aYYYYI U. ,.WDD+YYYYI UVITS �COWWE14CtALGENERALLIABILITY EKI+tSCCUARLir�E { I,W0.00 tuAIMl:atF�r �!R.C.rH LJ PPE YISES IFA t�t�i4r" f 100.00 WD LIK F CAm 7we Lmruml f 5.00 A 5' 1kT31Kd17?'0'11 D$Gt:02s 01—a-2025 r�s r.A1 s Aav 1':tiaY L 1,000.04 G7'ni L AG7.-�LUATL t VIT A✓I%--E3 M I I OP�ET+AL A�Oti-GATC t 2,000.00 ►OL'r a}CT�Ac LC-' Pf�!�UIICT3 COMI.G+ 4o-D / 2.�.00� T1-E#I f AUTOMOBILELIABILTTYIA�_dAa�p�.•.• • t ANY A11Tn 3Cd)IL'+1%JL•1Y II'm i-aw 1) UM.CO IXHLOULED 9COILY 1•�JLar Ira r�wy) Aut 0l,OIS`I (AUTUR M n[o NONCNr7atR .1- t IH s UN1801ELLA LIAD RLA'Va f*'§I UCtU1lM%C1 s EXCEU LIAS VAtIo AIS'_i1 PT"IF L*r+ I I WIT NIMIA%S ! WORKETISCOWLtIlMATKTN AUD CMYLOYERS•LIAOIUT V Y N 67AI.iTT I FR •J♦i•M fJIETLkINA1trt.1rLLaYT117,41 ❑ N!A LLLALHALMLVI Is Yartdn�OrT M Nxnn- 11I LL DISEASE EA EOWPLOYEE t yn• SstM lrilw L:�"ItrII0%CYCPERA1n704St—.+ £1 D"SCA.',C P(XJrwLI4'r is .7ESCWPTION OF OPUUTIONS!LOCATIONS!VEHICLES tACOAD 101,AdMllovl Harnras Sdiedule,ney be Wiathed LI mor. Ia rwdu•rod1 RE:CARPf1TRY NOC T`FIE CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INS:REU FOR THE GFNTRAL t.1AB11-r Y,IF REQUIRED 8Y WRITTG'r CON-M',CT.LICENSE OR PERV11T FU'RPOSES,SUBJECT TO THE TERMS,CON'DITIO-S AND FXCLUSTDs'S OF THE.PO(.IC)' CERTIFICATE HOLDER CANCELLATION ! FHOLILO ANY Of THE ABOVE OISCnIBEO POLICIES 81!CANCELLED BEFORE THE E)CCIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN VTLI-.AGE OF R�'E BROOK,HI'IT.WNC}T)cPA ACCORDANCE WITH THE POLICY PROVISIONS. 931 �7NC STREF T AVTHOAl2E0 FREPPESEHTArrvE RYE BROOK tit' 10373 1_ 1988.2015 ACORD CORPORATION. All rights reserved ACORD 25(201&'03) The ACORD name and logo art registered marks of ACORD �sTa Compensation . ----...r- -. . P from New York State.Workers' Compensation and/or Board Disability and Paid Family Leave Benefits Insurance Coverage "Th1r foram cunnul he awed to waire 11te trurAvrs'ronlpensullon rights or ubllgallonx of trot'par(f: The applicant inuly use tltis Certifcatc of Attestalictrt or Exemption ONLY to show a government clttity ttltrt NYc%v York State +pmitic workers'compensation and/ordimbility and paid frunil) leave benefits insurance is not requirml. The applicant omv NOT tla:this fimn it1 sho%%untidier husiness or that business's insurance carrier Ihnt such insurance is not required. Please pruvlde this rarm to the government vailty rrom which you me requesting,a permit.license or contract. This Certifseatc will not be accelmd by government orrmlak one%ear ancr file date printed on the form. In dire Application of Husims,i hpph•ing For: (Lett! Entity Name and Address): Rulldinc Permit jishis KwJ Jli OBA Fornnt: 1 ilU c orRyr Smut,a35 Kin>_g.S1rcei Rye Grimk NV 111573 q8,\:Itu�a{1•trttunkat A`t:iaernrtin= ti, - lug%11111rrant'n Rd llydfora.N1 1pfWIy05 the lucatiun of%%hcre work-%%iIl be oerfomted ic. htltl\E:414-318 Wpi 1'1:11:%-*JX c QX,4 2 tt Elm Hill Dr.Rye Rruuk.tit W573. 1.%Lintati.•J dates n.*vori, to Limpkic weni;Lowhciatcd w lilt the huildiu}; Iscrmlt arc trom NevcmFacr 1.M4 to Decamber 1.21124. l he evimiated tktlt,tr.tmuunt or pn�je i:,N s lu.eol -s.m(m Worlirm,Compensatian EtcnrLtion Statement: 'Ifte afore tttmled hu%incxc is certiN imt that ii is,VOT REQUIRED TO OBTAIN NEW PORK SPATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reawn: flie itcisiness is Am tied by unc individual and k not it corpora.lion. Other than the owner.there arc no emptoy,.rs,day lalrclr.leawd employee.. hommod =rAloyces,part-time empinyces, impair/vnluntcrrrc(irtclttding family momhrrs)or suhconimctors. D62hility and Patld Family Lcayc Bcnrfits Exemption Statement: Theabove named businm is certifyine that it is.NOT REQUIRED TO OBTAIN NEW VORK siovrE STATUTORY DISABILITY AND PAID lrAMILV LEAVL SE,%r rrs INSURANCE CO%'ERA(;F fix the fnllow•im:reason: The husinc:s MUST tic citlxr, 1) owned by one individual; ()K 2) is a panne ship(including I.I.U.I-I.l'.fLI.P.K1111.or 1-I1)untlsr the LLWx of New ytwk State:tilt] is not u corporation; OR 3) is a one or two perNon owned corporation.with thtAc individuals ottninp till of tllc stuck and holding all offices of the corporation(in a two perum owner/corporation each individual must Lk an officer and o%%n at Iml ortc%hare ot'atock); OR 41 is a btninm%with no NYS location. In addition.the bwoness does not require disability and paid family(cave brrtctits covernge at this lime.incc it Im not cmptuvcd one or more individuals on at least 30 days in any calendar year in Nv%v York State, (Indepandent contlat:turs arc not cottsidt:red to be employ«:s under the Disbility and P:ud Pt►mily I.cave 13cnefits I aw.) I.Jahn RAN%.,um Ilk Suttc Prrt+aclur wills 11sc alx,Vc-ttwnad Iota)cnlity. I ulfiml that dui to my p.uilltan wish the r1+an,-n.►etttt htt.inc%% I hart 11K l nt+ttlesl r.inforni4oit jilt►Lwilu,rit% to mAt:thi.Ce"ificate of Atlam;ttitan of Lxemplittn. I lacrehy:dfirrn thud the%lulcmcn1%m:ak;hcrcin,ttr trite.111.d I hu%c nut mute am flnucrially l'.d%c Ywicmcnt..m,l t Inak-c this Cumilicatc ill Allot dim►pf I:,t mption urdcr the p`ttaltics orperittry, I funhcr affirm that ttndemumi.1 th.0 am•lake 4wctrtm.rcpn-rent.uitm gill %uhlcct me Gt ttaony criminal�tsct orlon,irtclluliny fait and civil liability in .vi.mra,mcc with the llttrtcer<<_ompLn4atirn I%% and all other Nmt York St:uc IuW:. By%uhmittiru thi%Ccnifiewc i+f:litc tutii+n tit tarmption 141 the p,%emncni cntity Betel sl%atc I alto.►hereby ahirnt ilmt il't:in:um%tanvc%cluiTte Ott thin ttorkeri.11+mlmr,.;►tit+n in.umrn:c aril!or Jiktl+ility and pair! U110e I:a+e!>`•rteAt..reea.a c i.Mluircd.the aKrtc•nLumd tcPal tnitity Will intm-diutch acquire uplrmpri tic 1e►% Ytwk Stuw glkcif'.c%%orkem' tr,mrrrvuuaNa i 1wnutcc ana+ut'Jh.at►ili:y wad raid faun(ly h :1Cjlt: covcragC wtJ utx,inntanli:ucit rnrni.ta rinx+t tit that amrna}:c.na tutzn:npprt,+cal to the C h Air tit tit.Alork.n'Compcmtuion Board to the;povcnu t.-In entity IWcd uMtt c. SIGN IlEkl: Ci-n;ltun: l / I)lttc: AV; .:� .7 -(f /r Exemption ('eo' irate tiumlmr lteceited 2024-080223 October 22, 2024 NYS Workers' Compensation Board EXISTING TOILET TO REMAIN LOWER LEVEL RESTROOM LOWER LEVEL F.F.E. m WINDOW(TYP.) EXISTING LAUNDRY EXISTING LAUNDRY DRYER WASHING MACHINE 010 BASEMENT F F E \� -4'-3't ] /10 EXTERIOR WALL(TYP.) STAIRS BETWEEN LOWER LEVEL AND BASEMENT GARAGE F.F.E. 0'-0't Fill COP5 1 LOWER LEVE BASEMENT EXISTING PLAN Scale:1/4"=1'-0" ELM HILL DRIVE PERMIT#SBL# / \ (/fC)- wage DATE P E NEW VANITY till D1146 INSPECTOR,ViII of Ry Brook, NY ECIE WIE EXISTING TOILET LOWER LEVEL TO REMAIN NEW CABINETS AND RESTROOM WINDOW(TYP.) COUNTERTOPS LOWER NOVLEVEL F.F.E. _ 6 2024 RELOCATED DRYER 0 C�\ � u NEW SHOWER / I L�-A l.;i t.. OF RYE f3 F�Q O K RELOCATED WASHER VBU11 f, P� G DEPARTMENT BASEMENT F.F.E. -4'-3't �► ` \ v LOWER LEVEL RESTROOM EXTERIOR WALL(TYP.) STAIRS BETWEEN LOWER RENOVATION AND LAUNDRY LEVEL AND RELOCATION BASEMENT GARAGE F.F.E 0'-0't 8 ELM HILL DRIVE,RYE BROOK,NY 10573 DRAWINGS PRODUCED BY: DAVID KRAHN,P.E. OCTOBER 1,2024 2 LOWER LEVE BASEMENT PROPOSED PLAN ELM HILL DRIVE A-1 00.00