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HomeMy WebLinkAboutBP19-155PERMli SECTION TYPE OF WORN. JOB I_ACAMP EST. CAST *Aco * TCO # FEE DATE pATE iNSP FOQTlNG FOUNDATION 7RAMING RGH FRAMING INSULATION PLUMBING Ci RGH PLUMBING GAS C SPRINKLER ELECTRIC LC *W+ VOLT Ci ALARM r AS BUILT Q FINAL �M ER APPROVALS. • PB -q7�5 ZBA .� ��w 5i6--+5qa QT� U. �v��fiti i`yy V VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.or TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE October 26, 2021 Periklis Beltas &Brandy Beltas 159 North Ridge Street Rye Brook, New York 10573 Re: 159 North Ridge Street, Rye Brook, New York 10573 Parcel ID#: 135.51-1-47 Building Permit #19-155 issued on 7/23/2019 for a Rooftop Solar Array This certifies that the rooftop solar array,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building& Fire Inspector /tg �' ' � ENT For office use onl : PERMIT# S5 BUILD �y VIL OF RYE OK ISSUED: OCT 12 2021 938 KING STRE YE BROOK, . YORK 10573 DATE:Jo/ —a.1 FEE:,m PAIDXL VILLAGE OF RYE BROOK BUILDING DFPARTMEN T APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ttttttttt+t ttttttttttttttttttt*+**++*t*++s+*sss+ss+*+**+*+s+**+ss*r*+++st+*s+s*s*+*+sss*s+++ss++s++*+*++*+*+ss+*s++*s+s*+**** Address: 159 North Ridge Street, Rye, NY 10573 1 Occupancy/Use:Residential Parcel ID#: . �"f Zone: R-j o Owner: Periklis Beltas Address: 159 North Ridge Street, Rye, NY 10573 P.E./R.A. or Contractor: Gregory D. Sachs Address: 4589 Austin Blvd. Island Park, NY 11558 Person in responsible charge: Gregory D. Sachs Address: 4589 Austin Blvd. Island Park,NY 11558 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: Ines Fernandez being duly sworn,deposes and says that he/she resides at 159 North Ridge Street , Rye, NY 10573 (Print Name of Applicant) (No and Street) in Rye Brook in the County of Westchester in the State of NY ,that (Cityrrown/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 39,915.82 i for the construction or alteration of: roof mounted solar panels. (28)SPR-360 w ACPV Modules. 10.08kW total system size 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 44k Sworn to before me this day of a Lv 64/ , 207. 1 day of r . 20 Z 1' Signature of Property Owner Iicant Periklis Beltas =1nesndez Print Name of Property Owner Print Name of Applicant 2 j i q Public Ryan M.Moser YQR� Ryan M. Moser PUBLIC,STATE OF NE'N NOTARY PUBLIC,STATE OF NEWYORK 1M06412506istration No.0 u County Registration No,01 M06412506 ualified in Nash Qualified in Nassau Countypn Exp Tres D ember 28,2024 Commission Expires December 28,2024 �E BRCivk. 1932' 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 DATE: PERMIT# 4 1 f ISSUE): SECT: ` BLOCK: LOT: LOCATION: y ` � OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION f 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 F 4449444444444444 t4164414g 4taut 4a&6rm464444"Afmi:#A et clq 1 - N a 1.4 c c �, = M N to to ul 16 �c n in Md it IT M C t1i x > ` a tn UOEM Q Gail L96 Now co 00 w � C�s z o z con, 0 N x ; 1 /�—A wMilo �.. C G, a Im r �� > as C s V a .. o o � CG <r F.. z lu- a. 09 4 444tf 4;#AWa 4to44 4414; 4;t44t41"f t, tat 47044it44446a4 eff9a4$ C449U$44 ® E C IM-W SEP 2 0 2021 BUIL Ja MENT VILLAGE OF RYE BROOK VIL + X OK BUILDING DEPARTMENT 93 8 KIN t' 1 >i :' ,NY 10573 (914)9 r, .8 939-5801 w 9 -do .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: ,/ 7 fl�� EP#: Approval Date: SEA 1 11 Permit Fee: 15p_ Approval Signature: Other: Disapproved: ('fees are non-refundable) Application dated, c is hereby made to the Building Inspector of the'Village of Rye Brook NY, for the issuance of a Permit to install an or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: IT-f /U. 12i'd;Z— tS tv e-et f-- SBL: i1. / Lf 7 Zone: 2.Property Owner: �tri'+�Lfi� r�,cl�'�e j Address: Phone k(6,M) t 7 N d r179X__ Cell#: email: ' 3.Master Electrician: '4nea-E Address: /C 7^,[-,_ 'V1 fi-Y./17v- i" Lic.#:�_Phone#: Cell#:. /d email: C— Company Name: ( '1 (�� .n Address: 4.Proposed Electrical Work/Fixture Count: . (0.00t W ?l/ 9y r`cf t-i'ed S VA to. apas'rr 4-r4 (20sUZ 3(0d C...' ,c',wc& �.P)3Low H"C av C) -144 v•c.rf-r-/.f 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 ie applicant) rs t state that(s)he is the legal own of the property to which this application pertains,or that(s)he is thee .+i.CJ� cc'U�..G� for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) 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 regulations. Sworn to before me this ,'44-k' Sworn to before me this 3-rAL day f ,20 L 1 day of S ram. 20 _-L _ Signature of Property Owner gna e o p nt ot t me of Property Owner Print Name of Applicant �� Notary Public Byron Robert Johnson (VOTARY pUE3L)C,STATE OF NEW YORK Carol A.Walker Registration No,01J06374726 Notary Public Sttate of New York Qualified in Queens County NO.01WA6095255 Commission Expires May 7,2022 Qualified in Suffolk County WI/19 y Commission Expires 12/23/a L- Westchester Rockland Electrical Inspection Services, Inc. Phi 914 347-359 'DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue y �� Fax: 914-347-3596 Elmsford, NY 1523 BUILDING PERMIT NO. TEMP It DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY f � I STREET AND NO.OR ROAD /l POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMO8 LOCATED? SECTION BLOCK LOT OCCUPANTS NAME ! BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO:.OF FIXTURES 6 MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCASE FLUORE r r3Pkvsj-r_H INSPECTION OUTSfDE BASEMENT I'FL 7 2aFL. VILLAGE OF RYE BROOK REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: k LJ c41v r,j , c THIS APPLICATION IS lWLNOEO TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED,IF AT ANY TIME OF INSPECTION ADDITIONAL REMS RAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WRE IS,INC. IS NOT LISTING,LABELING.UNDERWRITING OR'CERTIFYING ANY EQUIPMENT. MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER.,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDMONS AS SET FORTH FOR THE APPLICATION SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW ADDITIONAL iJ EXPOSED❑ CONCEALED MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD E. UNDERGROUND AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPUCATION f SIMATURE OF APPLICANT X r STREET ADDRESS TELEPHONE NO FJ CRY OR'POST OFFICE "/ ZIP ODDE LICENSE NO.WHEN APPLICABLE F An WESTCHESTER ROCKLAND ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 19523 914-347-3595 (Office) 1 914-347-3595 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Corporate Electric Group Inc Periklis& Brandy Beltas 73 Third Street NY, New Rochelle 10801 Located at: 159 N Ridge St Rye Brook, NY 10573 Certificate Number: 1030415 Section: 135.51 Block: 1 Lot:47 BDG: Permit Number: EP:21-233-BP:19-155 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located inlon the premises at: 159 N Ridge St Rye Brook, NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Q Garage ❑Attic 12 Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 09124/21 Name Type Quantity Solar Electric System Up to 10KW ------- 1 Solar Panel SPR 360 28 Solar Micro Inverter SPR 320 28 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. �r/�G This certificate is valid for work performed before date of inspection only. `• ♦������!�� ���ir� �.�i�ii�� ���� i� �� !� l� �� �� ���i '�.. �� '�'n �• �w l*�i �� ��i l` �i �a �i. �i Y*�i \i s �t � 7 rr Y al r. oc 16 la is v�i Qy C� z 4c 33 co b.6. 11C z C)N% Ono 00 i G G- •Q © Li: �t � � Cam? O �' CN 19art ;: O 3 w to W z F/4 ° low . �� 13RC-() BI1IL E MENT G 1J v!L E m-RVE x 938 K1N l.`f RY B1 NY 10573 (ACT 3 2019 (914)9 939-5801 org VILLAGL1,0F RYE BROOK ELECTRICAL PERMIT APPLICATION BUl EF'ARTPdENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP `" I � EP#:A9 � Approval Date: OCT Pernut Fee: $ Approval Signature: Other: Disapproved: (tees are non-refundable) Application dated, 0/300 1 s hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed wil I be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 159 North Ridge Street,Rye,NY 10573 SBL: S: 135.51 B: 1 L:47 zone: R-10 2.Property Owner: Periklis Beltas Address: 159 North Ridge Street,Rye,NY 10573 Phone#: (650) 274-9795 Cell#: email: periklis_beltas@yahoo.com 3.Master Electrician: Pedro T Martinez Address: 29 Penfield Avenue,Croton,NY 10520 Lic.#: 1368 Phone#: (914) 469-3536 Cello: (914) 271-3279 email: pedromartinez@prmelectric.com Company Name: PRM Electric Inc. Address: 29 Penfield Avenue,Croton,NY 10520 4.Proposed Electrical Work/Fixture Count: Installation of roof mounted solar.Total System size: 10.08 kW (28) SPR-360w-ACPV modules with(28)SPR-320w built-in micro-inverters. t�**,t**,r:r*��*,v��***��r*,v**a*,r:rt,t*,r�*,r*:ram*,r�**,r**�*trwx�rx*:��*,►,r�,r+,�a�*:r���*:r��**�****�***,r,�:r***x:rr�,a,rW�+,r**�,r:r* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: F-,,W '1k,1 44Tl N1 Z_ -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 legal owner of the properly 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.) 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 regulations. Sworn to before a this 1 Sworn t before e is +le' da . ,20 1 day o / 20 ature of rope M er S6 o pplicant -aA3 l Print Na tytYwner Print Nam Ap ` ant Notary Pub<c No ary PuAc Byron Robert Johnson Byron Robert Johnson NOTARY PUBLIC.STATE OF NEW YORK NOTARY PUBLIC, STATE OF NEW YORK Registration No.01JO6374726 611IIR Registration No.01Jp6374726 Qualified in Queens County Qualified In Queens County Commission Expires May 7 2022 Commission Expires may 7,2022 INSPECTIONSTATEWIDE 1:1 Main Street,Fishkill, NY 12524 1 email:office@swisny.com SWIS JOBAPPLICATION845.202.7224 • 9.1062 1 SWISNYcom • r Dffice Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County Address 1'� R 1� Cross Street Section Block Lot Owner Name/Address(If different than above) y!� Contact Number ❑Basement 0 1 st FI. 0 2nd Fl. ❑3rd FI. ❑More Than 3 FL ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information P14--+ 4i VILLAGE OF RYE BROOK BUILDING DEPARTPITNT This application is valid for one(1)year from the date received by SMS.This application is intended to cover the above listed items to be inspected,if at any time or inspection additional items have been Installed,you are authorized to make the Inspection and adjust the fee for the additional Items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above termsand conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name f i 1 Ll iie C -lio c Date Signature Address 4N ti p v City/State ,Y f ✓ j Zip Code i-�0. License# � i t� i' Phone# q 0-1 • q b 3 L— Gregory Sachs, PE 4589 Austin Blvd., (516)-544-4592 Island Park, NY 11558 permitting@empower-solar.com September 27, 2021 DR E- C E IJ ce E Village of Rye Brook SEP 2 9 2021 Building Department BUILDINGILOD PARTi1 BROOK 938 King Street Rye Brook, NY 10573 Permit#: 19-155 159 N Ridge St, Rye Brook, NY 10573 Section: 135.51 Block: 1 Lot: 47 To Whom It May Concern: The Solar Electric installation at 159 N Ridge St, Rye Brook, NY 10573 (Beltas Residence) has been inspected and meets the minimum New York State 2021 Building Code standards for construction and the provisions of ASCE-7. The solar panels have been secured to the roof as per the manufacturer's attachment detail shown on the approved drawings, and are in compliance with the structural engineer's requirements. The project is consistent with the specifications set forth in the permit application. Sincerely, OF NEIV Gregory Sachs, PE �� Cab�Y D. S Q ��^ - r C7 r"fie _ w + w ti �DFESS10 Building Permit Check List&Zoning Analysis Address ( � t — i SBL: Zone % ` 1/) Use Const Type: Other. Submittal Date: ��? I y Revisions Submittal Dates: Applicant: L.t A' Nature of Work �7LoO A-it— Reviews:ZBA: J UN 1 9 2019 PB: BOT: Other. NEED OK ( ) FEES:Filing: �S''� BP: Ski'- ���' C/O: Legalization: ( ) (,APP: Dated: Notarized: SBL: ✓Truss I.D. Cross Connection: `y 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:Da t ,Stamped Sealed - Copies: Electronic Other. (� V 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 I-I.W.I.C.:_Battery:_Other. ( ) { ) PLUMBING:Plans: Permit Nat. Gas: LP Gas: N/A/: Other: ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) KV.A.C.: Plans: Permit N/A: Other: ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2017 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. ( ) C ) Other. ( )ARB mrg.date: ' Z approval 11 notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg. date: approval: notes: REQur ED E)C=O PROPC6M NQ= APPR OVEU Arm JUL 1 9 2019 Cie: Frontaee From: _ Front: Sides: Rear Main Cov: _ Accs.Cow Ft H Sb: Sd.H Sb: GFA: Tot : Ft.imp Height/Stories: notes: BUILD MENT I (C E E VIL E OF RY OK 938 KING �" ET RN,f, BR , NV 10573 J U N 14 2019 (914)9 9' 39-5801 w o r VILLAGE OF RYE BROOK 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:159 N. Ridge St., Rye Brook,NY 10573 Phone# (516) 544-4592 Parcel ID#: 135.51-1-47 Zone: R-10 Date of Submission: Proposed Improvement(Describe in detail): Installation of roof mounted solar. (28) Sunpower APPLICANT CHECK LIST: 360w-ACPV modules with built in micro-inverters. The following items must be submitted to the Building Department with the application- no exceptions. 1. ( J�Completed Application 2. ( v�Two(2)sets of sealed plans. (one Full size{maximum Property Owner: Periklis Beltas allowable plan size=36"x 42") and one I I"x17") Address: 159 N. Ridge Street, Rye, NY 10573 3. ( *+ Two(2)copies of the property survey. 4. ( )Two(2)copies of the proposed site plan. Phone# (650) 274-9795 5. ( vr0 ne electronic/disc copy of the complete Applicant appearing before the Board: application materials. 6. ( Filing Fee. Michael Conway 7. (✓ Any supporting documentation. Address: 4589 Austin Blvd. Island Park,NY 11558 S. ( )HOA approval letter. fifapplicable) 9. (vfPhotographs. Phone# (516)544-4592 10.( ) Samples of finishes/color chart. (a sample board or model maybe presented the night ofthe meetingl. :-.i Architect/Engineer: Gregory D. Sachs 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 I � Sworn to before me this day of Su 20 4 1 day of 20C---- ��A Ll� Signature of Property Owner signature of Applicant �\ A�(I o 4 4.1 KV4 Print Name of Property Owner Print Name of Applicant Notary lic Notary P gc Byron Robert Johnson Byron Robert Johnson NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,STATE OF NEW YORK Registration No.o1J06374726 Registration No.01JO6374726 Qualified in Queens County Qualified in Queens County Commission Expires May 7.2022 Commission Expires May 7,2022 b/1118 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, July 17, 2019 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 55 Winding Wood 4ft Black Chain Link Fence For Full 4800 Road (Dehardt) @ Rear Yard & 4ft Review. Aluminum Picket @ Side Yards 14 Sunset Road Eft Vinyl Privacy Fence Consent 4801 (Riley) w/Lattice Top �4-84 N. Ridge St Above Ground Swimming Consent 4802 (Sarrizan) Pool Agenda 159 N. Ridge St Roof Top Solar Array Consent 4$03 (Beltas) � Agenda �,A L 4� 17 Knollwood Drive Amendment To Approved Consent 4804 (Bocci) Application/ Siding Change Agenda 21 Elm Hill Dr 4ft Black Aluminum Fence Consent 4805 (Kanarek) In Rear Yard Agenda 4 Oriole Place Change Rear Window To Consent 4806 (Esterow) Patio. (Interior Alterations) Agenda 173 Country Ridge Demo Existing House and 4753 Dr(NDRB Construct New One family, Development) New Swimming Pool 260 Linclon Ave Replace Existing Wood Rail 4807 (C.P.W.) W/ Steel Pipe Rail 23 Elm Hilll Drive Amendment To Approved 4808 (Erb) Application 5 Heritage Ct Replace & Build New Deck 4809 (Bhagavan) (Extended) ML NM MR �' SE JM ✓ SF AC MI JB � L 0 UO L. 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'} -�: �`�., 4•� .1`,�• art., ,..: s Ito —Now.. _ e ., `�`�� � "�� , . rya.,- "�-•.a""/�' � �r c, Ax ag ti.. �, � 4 '91�� e� �ia.• - A "'.lo � .��,r � ,J'�i tee' "``•�' � •�? �_ Check List For Release of Building Permits nt Address: Owner/ Applicant: E62ncL E(a Phone #'s: Dates Attempted To Contact Owner / Applicant: Comments: "e,0VVrr,4- Comments: Comments: NEED: (wilding Permit Fee $ _fR2 2(�� ( ) UFPO # { ) Home Improvement License GOMP { } Fire Sprinkler Plans (2) { } Fire Sprinkler Application ( } Fire Sprinkler Permit Fee ( } Estimated Cost ( } SWO Fee $ ( } Legalization Fee $ { } Other Liz Caruso From: Liz Caruso Sent: Monday, July 22, 2019 1:28 PM To: 'periklis_beltas@yahoo.com' Cc: mconway@empower-sola r.com' Subject: Solar Permit Application for 159 North Ridge Street Good Afternoon, The solar permit application for 159 North Ridge Street has been approved by the Building Inspector. Before we can issue the permit, the following items must be submitted to our office: 1. General contractor's contact name & phone number 2. General contractor's valid liability insurance (Village of Rye Brook must be the certificate holder) 3. General contractor's valid workers' compensation on a NY State Board form (C105.2 or U26.3) 4. Building permit fee of$599 (due at the time of permit pickup) Thank you. Liz CARUSO OFFICE ASSISTANT BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NEW YORK 10573 OFFICE (91 4) 939-0668 FAx (914) 939-5801 ,r°\-a�,A � �:;Atiw!b"'�_,{�, l'rw'yi+ � �'��' �RAI` �``�/'�`�.:`A.k �\`5"+�`� .}i 'a �'iJ -•. ,y�r.;.+rw'�+^4 ,. �,a.-,{#f+ CD ffl CN 00 / e y fr: an cu f co r a ~ / ccn)T t C) (Y Q Lmtito)>Jl r It W ;tom► �" G3 LLJLli m Q Q o / fl!{ ) Q Q O Z Q O o V Q ' W L!J N J �3 ca �da� . r..i y . I..I G cn CZ f cz - rll i. N 1 a cr C6 itss)s f ,w,.a G '. •', ' r / r r + fT till i't sELLti{ fit--,*ssai __•,�I+fy ,Y..c.-. r._°tfl (ys;ks. r,111�1r! 'z''. ;' i�fy �' f/�t tilill}i' k ���1l/1/►f1 •� ftlll`Ittl�'� Itl/fll/yt-- "� 1/lI/y1 psi f//Mft EMPOCES-01 DWRIGHTI ,a►Corra CERTIFICATE OF LIABILITY INSURANCE OAT 5/1412D(YYYY) 14/2019 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(les)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 License#0757776 �WN T Davita Wright Los Angeles,CA-Center Drive-HUB International Insurance Services Inc. E,d). 310 568-5944 FA6701 Center Drive West,Suite 15001 } _ EAR,No_I Los Angeles,CA 90045 1iss,dayita.wright@hubintemational.com tNSURE!NS1 AFFORDING COVERAGE NAIC S INSURER A:SOuthWest Marine&General Insurance Company 12294 INSURED INSURERS:New York Marine&General Insurance 16608 EmPower CES LLC INSURER C: 4589 Austin Boulevard INSURER D: Island Park, NY 11558 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 VMTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUER POLICY EFF POLICY EXP LIMAS LTR TYPE OF INSURANCE POLICY NUMBER im A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �X OCCUR PK201900006109 5/4/2019 6/4/2020 pAMAGE TO RENTED $ 500,0700 MED EXP one S 51000 PERSONAL&ADV INJURY $ 1r000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY j T LOC PRODUCTS_-COMP/OP AGG $ 2,000,000 OTHER: ERRORS AND OMIS $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eal S ANY AUTO BODILY INJURY Per rson S OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBOODILY INJURY Per awk!W FHi�70S ONLY AUTOS ON � PPS ardent AGE $ A X UMBRELLA UAS X OCCUR EACH OCCURRENCE s 5,000,000 EXCESS LIAS CLAIMS-MADE UM201900002951 514/2019 5/412020 AGGREGATE S 51000,000 DED X I RETENTIONS 10,000 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY _ rR ANY PROPRIETORIPARTNERIEXECUTIVE YIN ',WC2019DODD8912 514I2019 514/2020 1,000,000 Q�FICERIME M EHR'EXCLUOEDS NIA E.L,EACH ACCIDENT S IMandatory In E.L.DISEASE-EA EMPLOYE $ 11000,000 Ifyee dewnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,0MAN r DESCRIPTION OF OPERATIONS I LOCATIONS.I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTRDRIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD II< Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a Legal Name&Address of Insured(use street address only) 11 Business Telephone Number of Insured Empower CES LLC 516-837-3459 4589 Austin Boulevard Island Park. NY 1155$ 1 c NYS Unemployment Insurance Employer Registration Number of Insured 47-472713 Work Location of Insured (Only required if coverage is specifically limited to 1d. Federal Employer tdentifcation Number of Insured or Social Security certain locations in New York State. i.e.. a Wrap-Up Policy) Number 522407627 2 Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York Marine&General Insurance 3b policy Number of Entity Listed in Box 1a" Village of Rye Brook WC201900008912 938 King Street Rye Brook NY 10573 3c Policy effective period 05/04/2019 to 05/04/2020 3d The Proprietor,Partners or Executive Officers are ❑X included. (Only check box if all partnerslofficers included) ❑ all excluded or certain partnerslofficers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box 1a"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". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? ❑x YES ❑NO ONLY IF THEY WERE NOTIFIED OF A CONTRACTUAL REQUIREMENT IN ADVANCE. 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: Christine Howley (Print nam f author ed representative or licensed agent of insurance carrier) Approved by: 4/23/2019 (Signature) (Date) Title: Program Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 973-532-1758 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 (9-15) www.wcb.ny.gov TNiS LOCATION SURVEY WAS PREPARED FOR TITLE PURPOSES ONLY. OFFSET DIMENSIONS ARE NOT TO BE USED FOR CONSTRUCTION. SUBJECT TO EASEMENTS AND RESTRICTIONS OF RECORD, LANDS N/F OF KATZ PONTY WDDD TIE WALL 2.2' N. f . ' S. 80.-27'-30" E. ,f o C4 134.56' � L.V O x � PARCEL I , LO CO /� SLATE WALK �Aa 26 Q CV• � a 4 h 9 " a 31.5° � ---- a -_---- - ----- MACADAM ----- MA Y{AD I �� WALK 0 VINYL FENCE 1.4 E.J- 1 ---�-�- LA! MACADAM DRIVE O ccr -------- --- ------- ----_------- ------- M 0 230 R PARCEL II ..------ ----- z VINYL FENCE 146.39' 0.3' E. P.a J1 N. 83*-34'-18" W. ' 22 og FILED MAP-/ LOT (TYP.) is 6� ^a m,� SURVEY OF PROPERTY D, #159 NORTH RIDGE STREET S4 14 2019 LOT 47 , BLOCK 1 , SECTION 135 . 51 VILLAGI OF RYE BROOK RYE BROOK, WESTCHESTER CO . , NY BUILDI G DEPARTMENT Certified to:Periklis Beltas and Brandy Andrea Beltas;First SCALE: 1"=30' DATE: JUNE 13, 2016 American Title Insurance Company;The Judicial Title Insurance Agency,LLC;Citibank,N.A.,its successors and/or S T E P H E N F. H O P P E, L.S. assigns. LICENSED PROFESSIONAL LAND SURVEYOR 303 M Reference:Being known as a portion of Lot 22 AND all of 1 1 t ROUTE K Map $ Po TAPPAN, NEWSY K 10983 Lots 23,24 25,26 and Lot I Iin Block"A"on a map entitled; NY O. "Revised Map of Tamarack Gardens in The Town of Rye Property of Tamarack Gardens,Inc."filed in the Westchester County Clerk's Office on August 6, 1930 as Map No,3675, L.S. TITLE NO. - 123836 DRAWN BY- RW REVISED: FILE NO.- 3898-1 b