HomeMy WebLinkAboutAbandoned Application �E BRC��
19312 .
BUILDING DEPARTMENT
❑$UILDING INSPECTOR
/ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573
(914) 939-0668 FAx (914) 939-5801
www.ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : DATE'
PERMIT# ISSUED: SECT: BLOCK: LOT:
LOCATION: OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION
Cl SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION I
❑ NATURAL GAS }✓ i
❑ L.P. GAST
�
❑ FUEL TANK •�J C 'G
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
Building Permit Check List&Zoning Analysis
Address: l D SBL: K 13
Zone:�^( D Use: 21 Const.Type: Other.
Submittal Date: Z 2— Revisions Submittal Dates:
Applicant: r'E���—Z_
Nature of Work
Reviews:zBA:MAY - 5 2022 PB: BOT: Other.
1�1
OK
( ( ) FEES:Filing. 7.<� BP: I 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:
( ) ( ) SITE 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:
O O 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
Am:
Circle:
Fro"e
Front:
Front:
Sides
ReAr
Main Cov
Accs.Cov
Ft.H Sb:
S .H Sb:
G,FA:
Tot.!=
EL!mp
Parki
Hdght/Stories:
notes: rPP�1 7'Q
Residential Building Permit Fee Work Sheet
Permit#: Date Issued: SBL: Zone:
Address:
Property Owner& Contact Info:
Job Description:
For all new dwellings and for additions measuring 800 sq. ft. or more made to existing
dwellings, the following fee schedule shall apply: (plus any alteration fees)
Total Sq. Ft. (excluding basements)x $225.00 x $I 5.00/$1,000.00
Basement Sq. Ft. x W.00 x $I5.001$I,000.00
--------------------------------------------------------------------------------------------------------------------
New Construction Sq.Ft. • New Construction Cost • Building Permit Fee
Basement= sq.ft.x$65.00 = $ x $I5.00/$I,000.00 = $
Attached Garage= sq. ft.x $225.00= $ x$I5.00/$I,000.00 = $
I�t Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00 = $
2"d Fl. = sq. ft.x$225.00 = $ x$I5.00/$I,000.00= $
3`d Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00= $
+1 Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00= $
Total Sq.Ft. = sq. ft. Total Cost= $ Total B.P.Fee= $
Total Amount Paid = $
Total Amount Due= $
Date: Signed:
• I `� pi 1
BUILDING DEPARTMENT I ��(�J L V I !�
VILLAGE OF RYE BROOK
N
938 KING STREET RYE BROOK,NY 10573 MAY - 3 2022
(914)939-0668 VILLAGE OF RYE BROOK
www.ryebrook.org 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:_10 Bobbie Lane, Rye Brook, NY Date of Submission:
10573 Parcel ID _5/3/2022
#: Zone: Proposed Improvement
(Describe in detail): 4 foot white picket fence, 3 sides APPLICANT CHECK LIST:
MUST BE COMPLETED BY THE APPLICANT
of yard The following items must be submitted to the Building
Property Owner:Michael&Michelle Tepper Department by the applicant-no exceptions.
Address:10 Bobbie Lane, Rye Brook, NY 1. (V) Completed Application
2. (IX Two(2) sets of sealed plans. (one full size {maximum
10573 Phone allowable plan size=36"x 42"1 and one 1 PVT')
#_3157272535 Applicant appearing 3. (XTwo (2)copies of the property survey.
4. (v, Two (2)copies of the proposed site plan.
before the Board:_same as above 5. One electronic/disc copy of the complete
application materials.
Address: 6. (� fling Fee.
Phone# 7. (VAny supporting documentation.
��jj t,c t�� 8. ( ) HOA approval letter. (ifapplicable)
Architect/Engineer: �� 9. (VI Photographs.
Phone# �(�j'7j�Q: 10.(�Samples of finishes/color chart. (a sample board or
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 G►. , 20 a-a day of , 20
UF'
Si azure o r e Signature of Applicant
..ti
t Name of Prope y wn Print Name of Applicant
otary Public Notary Public
SHARI MEULLO
Notary Public, State of New York.
No. 01 E6160063
Q!_ialifiad in Westche ter County
Commission Expires Ja.nuary 29,20�
sn 2i2021
BSLL-6Z9(M) '99M-FMN*o—.1 oms 4-x—N,S-z`wm-d q-m
am AN Amd BQ9oa -of—S PUW13O aDW"Wv OMS]PDA AWN OT m1 n c47
=W+Y MIM24A 1,9 0--taa Uwa.a-Pums mot.ow W- m QV— -
O-d guIAaAms puwi I!WmS
o �
A8UQ � bz
3 Mc
dL ROK w v w� 2 AO � N
BUILDING DEPARTMENT zu O" �a z "
OO 4� o
3 .00,4£.90 S 0CN b
d
�,1 Q
AR
' _ AHMihR10 WHOHptlrt ; o
g aHav� f
z�M
v 'O� Z � S7
� � Z W � � � � m
Q
J s7
J_ c W _ 9fQ
J O
w_
i O
m
TA N
.. ARI 1�
Ml
HEpGE
0
O
4 _12s� be
lie 0 lop
lie�
g 7
a3�
�; TmQz� Xz0 N
z
W } z �� r
Ca ^ "; u 0 6 0 3 z 0 R t y �CF 7i 8
BUILDING DEPARTMENT
VILLAGE OF RYE�OROOK MAY - 3 2022
938 KINO STREET RYE BR("C,NY 10573 —�-
(914)939-0668 VILLAGE OF RY` BROOK
www.ryebrook.or2 BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: Per►nit# Application#
Approval Signature: ARCHITECTURAL REVIEW
BOARD:
Disapproved: Date:
BOT Approval D s # Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
lam ;
Application Fee: �i-Ab Permit Fees:
FENCE / WALL / GATE PERMIT APPLICATION
Application dated: � � is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit
for the installation,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: 16 ';I �7pie G,
2. Occupancy/Use: I -01--k • S.B.L.#: t 3 S" . 57 " 1 - S Zone: jZ�
3. Proposed Fence/Wall/Gate(describe in detail):
i
4. Property Owner: µicAy"0A
Address: 10
Phone# 515 -1)2_2 53 5 Cell# email: N.LT,eogl/U F Wit ;(. �C-vs
Applicant:
Address: 10 , 6!J IN
Phone# �jl�'��,�� �5 Cell# email:
Architect/Engineer:
Address:
Phone# Cell# email:
Contractor:
Address&Phone: "'7 41 Rggi k �1u) j c�n1 r q C3 7b,
CI /5. If building is located on a corner lot,which street does it front on:
6. What is the estimated cost of construction C.9W
(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.) L
7. Estimated date of completion: TC.A I y 5
8/12/2021
Please note that this application must include the notarized signature(s) of the legal owner(s)
of the above-mentioned property, in the space provided below. Any application not bearing
the legal property owner's notarized signature(s) shall be deemed null and void, and will be
returned to the applicant.
STATE OF NEW YOM COUNTY OF WESTCHESTER ) as:
,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 2. Sworn to before me this
day of , 202Zt day of , 20
Sign a f u Signature of Applicant
P nt Name of Property Owner Print Name of Applicant
1&,, v) Lk,-,
Notary Public Notary Public
SHARI MELILLO
Notary Public, Stata of New York
i,,o. Q` F160063
fied in Westohe,,ter County
ni-lion Excires January 29, 20_�Z
2
8112/2021
iPLDD-
Sam Marcus I I
DD
12 Bobbie Lane I MAY - 3 2022
Rye Brook, NY 10573 I --- ---
VILLAGE OF RYE BROOK
phone: 914.937.5808 BUILDING DEPARTMENT
mobile: 914.643.6239
sammarcus57ggMail.com
Rye Brook Architectural Review Board
May 1, 2022
Dear board members, AEAN59N19
The purpose of this brief letter is to show my complete support for my neighbor's
(the Teppers at 10 Bobbie Lane) request to install a fence between our
properties.
Given that the Teppers have three young children and a dog, it is quite imperative
for them to have a fence to enclose the backyard and ensure their safety.
I support their choice of color, size and design with our hesitation.
Thank you very much. Everyone be well.
Sincerely,
Sam Marcus
.�
t� 4
_ -
�::. t�� 4
k
1 ,�.s, •+
»-
_s
r
I,. � �,
M
�{ � �.
•� w ` c
a. r. �
.. � k
l .�
R!�"... � `"�,i� r ',�y.`a•3'� *Px� -;�F �s�* l'. 3"� - s �' ��f d`_ „F`c �.. - t8.�!t. w ..
o- ��t �- '✓sP y h ,�' e' � 9,��p`^F1' � x L � +{�-��''�°p �°� F _,.. �.
,� �}` .r-�' ,,yr.',4a+4 -.., � � .'�' �HFy � �'. 'r•Y`. � :d.
` "'. .Gr .4 r..r� "f`1+L.f�j _.G,''�,�F �, 'w '�S•�5 .y - .g,• t,�..: :f �'Y`
'F X'•.. - �,%��4',� - �`• at � - a 76 � �� ''F�° v ,.�� [;W � F`d"'�",r a.''�•, yG i •P ,4 M?�,{ �•!-
` �- - f-. .��'4( o-r :.... - ^• r,r� ,�.a.' a - ,,�t �.y/ r YdJ'. ��� � '4?!j:tF: l���!� �.
I Los"
• A .h• - � - , n�P.. �$��i f } ..off .`,��4ro �
y
t
r - � rF Q� :o � '$'.. * i'.., rr e7. .,.• ", ..' .�,•'. -- ':tz� n"`�'K„ ".s-3P r'�1!
x'+� -�
.an+ aE�"�� •'� f, iS �• � #'� kq.�,vY :—•r,�'� .�';^r �'�.j '` q� y ��'�� ��q
_ l
t rr r ��"�°;.:. ���y-�S..e�'� �F�� u,�1�� t�. i�ivlF�� s ��[ S i{`'. f r� �`• � ,�•'���'�.•r4.. t..d -7:--
�t r 4.� 1,�4`,'l. »t71+7+F` S_.y::, �: - �%� � .:5 J�i"�.�a fK°�'�•�&, �"Yv' �qr�i� �' r {. " o ;�+�•�� �'�
It�� .}[�• '� lf� A7! '�c .¢ .;� yea 1 .e.41�' --y
F, ,Lr { ",ter. (...• t�� � t _ M �,-'�•.�,, 1?�'�3_ ,�• 'c1s �dr •
Hirsch Fence Install & Design
747 Route 9W
Valley Cottage, NY 10989
ES
AEG+'"t3� COS C='.5
rltlF`XZ rz•,CZ
d
f
Stock Product
Caw~ass.rrw o r nworazft"s+ +f1 Isar art rv.m calls.t
Special Order Product
ff 1�. QrsT:4F•� nC Gs�.at
FENCA INSTALLATION RELATED TO RARE=PLEASE IWMAL ONE
1j � f"'t`+� ��/i�,1 �R✓� !' +— ��J 6 1`-' � n.EI� -. :'-E E•E ►^-..�nse�• � �rTc'E�'i�F'1Cw
ref r '
� y � L i
�/� i-tn sn..�ca�
.� ^:.. I 1 f//yam) ce_.... 11!it+[:.M�'� J'f.,R iR/LE A::r T.T l,wft =tKr o= a.
�! J_.� t "!! ,<•�.�.^c.c_M�.M'"r, F'�7VlO R.7W•7�._x
r ram_ ."� . .z
Prcxs�rct Produu
Foctage "u3E85
J ✓ C-`�" � �� PCAI Cap Color Pos'Cap
Gryy1 ;_ Rapt typ Pot,rao Pas Type post Cap
P'#cket Type S
r---�f
Otto
_'S�Tr tr p i ti w
IV
CN
y I
y 72
o,
Z C,QII
=-=
CID
... ition
LU
LLJ
1 U C W ti
_. LL _ a rend U)
t
-,?
lip
Now
.90
AI
;i�s� Imo• � ;� }o ,.p, .z �
jr
Z 00 4tc04
.e.s>�
} � 1
O�> ''C•'.r`Y'_ � � .:'.1 �� ^.Q -..'^f`^' :`�;'}I i `f-'f }� Ot.�-Y...1��T`y�,'•�S�Q-.� -�..�'T 1 (��)1
��iyf�a���X} •Ry"',t 1✓f�f A4g�� 1���1�11��Is 'F)+A .�;:�((iv' jet €(*..}li(.`�(�f gGy�{SE �� �ay i#`1
'grit 11P!! 4At d i, 1 �{ g1(A 4k�
��; � O {f�:���{
CERTIFICATE OF LIABILITY INSURANCE R' ` """�"Y`'
wt �t�tn 0 3,2022
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 certHicate holder is an ADDITIONAL INSURED.the policy(ies)must 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
certtflcate holder in lieu of such endwseme s
C UrTACT
�rioouu• iifl McCarthy
McCarthy Insurance 914 700 0417 „e (914)70 4w
378 Elwood Avrnw EatAil urance net.._
Havii"Dine NY IOS32 rtltes.L -
Prah"ed Mutual
NSUR[0
Hirsch Fence Install A D"W LLC
747 RT 9W-Coupe a1 -
Va "Cottage NY 10M9
COVERAGES CERTIFICATE NUMBER REVISION NUMBER
THIS IS TO CERTIFY THAT THE POLICIES OF k%SURANCE LISTED BELOVV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T►+E POLrCY PERK L,
WOICATED NOTWiTHSTANDiNG ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OT*tER 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 CON0IT*NS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
it Pou Y PP POLICY EXPJL Ts
cersiERciAL GENERAL Lr hSW" EACH 11,000,090
aAAu•.
A c:Aarss+saE ®xc:url
x BOr0100721275 11 T12T20?t 1 U12�022
1 000
AC.Cpf Lwn'A�iY
POL IC.Y lrx
2.000 000
S
AUTOYOWLELMKITY COIrBir401.wGLELOOT f
ANY AUTO BODIL If 1kA1A Y i PN pwson S
ALL OWNED `:,,H6DIAEL= BODILY ikJURV iP,&rcdoHi S
AUTOS Aqros
NON OW14:. Pac0c
Rfti f>AIAM1A S
WtFD IUITOS P
AUTOS
s
UIWXLLA I" OL ,
EXCESS I"
W kltxl*s COAFPENsATTON O M
AND EIKOYEM LlAaiv"
AM F%0PAIETDAVARTNE9txtcVTN1 i ( T —
liffMERVEMBERExCLUIVOI N A
Nanearory•�NMIEL .n hMi.[•E t ___. -
•.I
i
04fcre/TIDU OF OHERATIONIS LOCAtIOM'VOaCLEs (ACORD 101 AaMe%W VAMOPU sctleeMa mew►.~#Wd I INS"yip s n/rrOA
Fenn Contr-an
VkHage of Rye Brook is AddltNsnal Insured
Job Location 10 Bobby Ln.Rye Brook New York 10571
CERTIFICATE HOLDER CANCELLATION
Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED rMX*S BE CANCELLED BEFORf
THE ExPiRAT1ON DATE THEREOF NOTICE WILL BE DELIVERED ;N
936 King Street ACCORDANCE WITH THE POLICY►ROVBSIONs
Rye Brook NYtOST3
AUTH011WED REPREMOFFATM D JFyI-�■ // CUP.
L 1988.2014 ACORD CORPORATION All rights reserved
ACORD 2S(2014101) The ACORD name and logo are registered marks of ACORD
Oa� Workers' Certificate of Attestation of Exemption
STATE Compensation from New York State Workers' Compensation andlor
Board Disability and Paid Family Leave Benefits Insurance Coverage
:This form cantre.t he used to waive the workers'compensation rights or obligations of akv part.),."
The applicant may use this Certificate of Attestation of Exemption ONLY to show a goyernnient entity that New fork State
Specific workers'compensation and'or disability and paid family leave benefits insurance is not required. The applicant
may NQT use this form to show another business or that business's insurance carrier that Such insurance is not required.
Please provide this form to the government entity. from which you are requesting a permit, license or contract. This Certificate will
not be accepted by government officials one dear after the date printed on the form.
In the Application of Business Applying For:
(Legal Entih. Name and Address): Buildint Permit
Hirsch Fence Instal do Design LLC
747 Rani Vw e J From: Village of Rye Brook
%alki Cettagt.]l IN1N-2Ji2
r"o%'E:Alib4-11621 F'EIN:XXXXXOR91 The kkatwn of where WOA oil)be mrt inwd i
10 Bobby La.Rye Brook.NY 1073.
E+tinuted dales necessary to complete work asstkulcd with the building
permit arc front %lay 3.2022 to November 3.2022.
The estinuted dollar amount of o"n is S0-S10,000
Workers'Cottt,�uedsatfun EetemnCuia Statement:
The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEVV 1"ORK STATE SPECIFIC
WORKERS'COMPENSATION INSU'RANCE COVERAGE for the following reason:
The business is a LLC. LLP. PLLP or a RLLP.OR is a partnership under the laws of New York State and is not a corporation. Other
than the partners or members. there are no employees.day labor. leased employees.borrowed employers,part-time employees, unpaid
volunteers(including family members)or subcontractors.
Partners Members: Bruce Hirsch
Disability and Paid F'amih Leave Bcneftts Exemption Statement:
The dboN c tanned business is certifyine that it is NOT REQU IRED TO OBTAIN N'EN YORK STATE STATUTORY
DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason:
The business !MUST be either: 1) ow-ned by one individual: OR 2) is a partnership(including LLC. LLP. PLLP. RLLP.or LP)under
the laws of New York State and is not a corporation. OR 3) is a one or two person owned corporation.with those individuals owning
all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own
at (cast one share of stock): OR 4) is a business with no NYS Itxation_ In addition,the business does not require disability and paid
family Ieave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in
New York State. (Independent contractors are not considered to be employees under the Disability and Paid family Lcave Benefits Law.)
L Bruce Hirsch.am the 41ernl+er with the atxwe-named legal enhly 1 atlirnn that due to itn% position with the Amc-eunxd busines,.1 ha%e the
knowk*c. intorrnation and authority to nuke this Certificate of ,1tt«taUon of Exemption. I hereby affimi that the statement.made hcrvin arc true.that I
have not made any materially false stalcinents and i nuke this C'crtificatc of Attestation of Exemption under the penalties of penury. 1 further atlirm that
i understated that any false Statement. represenlation or concealmcni will subject nee to felony criminal prosecution.including tail and civil hability in
accordance with the Workers-Compensation Law and all other New York State laws. By submitting this C'eniticate of Aticsation of Exemption to the
goyemnerni entity listed abo%c i also hereby atlirm that it cireunistances change so that workers'compensation tnSurancc and,w disablity and paid
family leave benrlits co%cragc is required.the atone-ruined Icgal entity will itnnicdrately acgwre appn4wwatc New York State specific workers
compen%atitm insurance and or disability and paid family Ica%c henetits coycrag;c and also itmnwdutcly fumish proof of that co%cragc tm formtis approved
by the Chair of the wuritcrs'Compensation [kmfd to the government entity listed abotc
SiGN Si nature: Date:
HERE l:
Exemption Certificate Number Received
2022-029626 May 3, 2022
NYS Workers'Compensation Board
(T-200 0l 2i)t x
Representing:
AtnTrust'ritle lusumnee Company
Cotntnotlwcaltl.laud Title Insurance.Company
BENCHMARK
Chicago Title Insurance Company
L L C I Firsts National Title Insurance Clompany
TITLE AGENCY
e First:\uu•rican'Citle lulu ra nce Cumpany
gas Bluaatingdale R—d.Whilr Plains.Neu,Turk info, Stewat•t Title lnsurance Company
(914)250-2400- (212)308-0940 Fax:(914)422 1550 Westcnr Land Title lnsnrance Company
.vww.Beurluuark'rA.cotn \•\'F'(.;N:uiuu:d Title huurauce Company
September 24, 2018
Louis M. Petralia, Esq.
Ipetraliaesq@optonline.net
Re: Title No.: BTA76963
Premises: 10 Bobbie Lane, Rye Brook NY 10573 (Westchester County)
Owner(s): Delma O'Connor
Buyer(s): Michael Tepper and Michelle Tepper
Lender(s): Citizens Bank, N.A.
Reference: Tepper from O'Connor
Dear Mr. Petralia:
Enclosed find the following items with reference to the above entitled matter:
New Survey, Amended Survey Schedule, and Amended Description of
Premises
Kindly annex same to your report and consider it a part thereof.
If you have any questions, or if we can be of any further assistance, please do not hesitate
to contact the undersigned. Thank you.
Very truly yours,
Domenica Stancato
ds
Encl.
cc: Lisa Gioffre Baird, Esq.
Gioffre & Gioffre PC
Igbaird@gioffrelaw.com
Louis M. Petralia, Esq.
Ipetraliaesq@optonline.net
Sa3H N�8 t M� COD
o
,,VM]nlda o d
Dry1. N ii F
r�
Lq NO JAI
I� Fs N O
r7
Y a) Q
J p
o J � E EZ
Ln U
Lij
� w
CIOU O
F m � � F
m
�J
r. Sd31S L
O Lo
CD
i
i
a
w -d qOpQ.�
O
fiz
11VM Y11F4'J N
i
M
6 s
cn
00
N z Z.
0
LLJ
W _I V)
U ~ W LLj
W � J�
� z O 3
b y Y > w - 0Q mF Bo b cya
Q Z J U = W_
J Z Q Q U O
LLJ
~ cii = < ZO p OZ O U "
U m cn
z O
�
w _ z
OLLJ Z � W ± Z
J U CD 0 O O3i Z O O
Benchmark Title Agency, LLC
Title No. BTA76963
Survey Reading
Amended 9/24/18
Survey made by Summit Land Surveying P.C. dated 9/14/18 shows the premises improved by a
one story brick building,plat steps, roof overhang, walks,roofed porch,propane tank, oil tank,
attached garage and the following:
1. Macadam driveway extends onto Bobbie Lane.*
2. Irregular retention wall, irregular chain link fence, and row of hedges varies along portions
of the westerly record line.*
3. Row of hedges varies along easterly record line.*
Utility wires enter premises from adjoining premises on the east and Bobbie Lane,policy
excepts rights and easements, acquired by any public utilities company to maintain its poles and
operate its wires, lines, etc., in,to and over the premises herein and in,to and over the streets
adjacent thereto.
*FOR MORTGAGE POLICY ONLY: Policy insures that said variation/encroachment will not
result in monetary loss to the mortgagee.
1
Benchmark Title Agency, LLC
Title No. BTA76963
SCHEDULE A
Amended 9/24/18
ALL that certain plot,piece or parcel of land, situate, lying and being in the Town of Rye, County of
Westchester and State of New York,known and designated as Lot No. 51 on a certain map entitled,
"Section Three, Map of Rich Manor,Property of R.J. Rich, situated in the Town of Rye,
Westchester County,New York"made by Russell Munson, Surveyor, dated August 19, 1957 and
filed in the County Clerk's Office, Division of Land Records, formerly Register's Office of
Westchester County,New York on June 19, 1958 as Map No. 11517.
BEGINNING at a point on the northerly line of Bobbie Lane, said point being on the division line
between Lots 51 and 52 on said map;
RUNNING THENCE from said point South 87 degrees 30 minutes 00 seconds West 20.48 feet to
a point on a curve to the left having a radius of 250.00 feet and a diameter of 18 degrees 13 minutes
30 seconds;
RUNNING THENCE along the arc of said curve 79.52 feet to the division line between Lots 50
and 51 on said map;
RUNNING THENCE along said division line North 20 degrees 43 minutes 30 seconds West
123.00 feet to the southerly line of Lot 42;
RUNNING THENCE along the southerly lines of Lots 42 and 41 North 80 degrees 00 minutes 00
seconds East 131.74 feet to the division line between Lots 51 and 52 on said map;
RUNNING THENCE along said division line South 05 degrees 34 minutes 00 seconds East
121.64 feet to the point or place of BEGINNING.
FOR The policy to be issued under this report will insure the title to such buildings and
CONVEYANCING improvements erected on the premises which by law constitute real property.
ONLY
Page 1