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BP25-006
PERMIT # SECTION j TYPE OF WOR JOB LOCA71 IN OWNERV/GZj CONTRACT01 ST. COST VCO # TCO # _ BI o 71. ai �4e i14izy n r P 7�Q Q e7/1 Lo 6/'co �C - >Qv1&c7jy0yqo1r woo 9 yo- 74 z FEE A 6 6 ,Z� FEE 5fM DATE IOICI Z�af' FEE DATE INSP I N RECORD DATE INSP IFOOTING S4Uk G :iL' 2� FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT C7 ALARM AS BUILT FINAL OTHER APPROVALS ARB BOT PS ZBA OTHER S:P�iLTlFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION ;elv�l iq la 5 VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: �J-131 Certificate of Occupaucp This is to certify that Do/ /n �/� & P�G of, j2u e Ay-w k, N y having duly filed an application on 20J requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a PL41D Zoning District and shown on the most current Tax Map as Section: `y &5 Block: / Lot: 4,5 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No issued / //3 2005, 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: �" r>e' e/ Construction: for the following purposes: e('n,n , / / UC� oil NYQtl-Ye Pa-/7 d seM 0 n of rea r 'ye-lo/)-I)r7 YJf/ 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 facilities shall be made,and no enlargement. whether by extending on any side or by increasing in height shall be made,no 1 the building be moved from one location to another until a permit to accomplish such change has 6-n obtaine o e B ilding Inspector. Building Inspector,Village of Rye Brook: Date: OCT 0 9 2025 D C' �r iJ r n' For office use onl BUILDING L�E A2. ENT PERMIT# [,o SEP 19 2025 VILLA OF RYE OK ISSUED: -/ -� 938 NG STRE �9; BKS YORK 10573 DATE: -/ o� i VILLAGE OF RYE BROOK O-c FEE:�jt rj PAID BUILDING DEPARTMENT 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 wsssssassssssarssssssssssasassssssss*sss*t*►s*ttt*t*ttststtt*wswtt*swwssswtwssstsssssssssassss*s*ssssss*sst*****stss***t*ttsw Address: Occupancy/Use:I Parcel ID#: �a��. CPS"- /-�/5 Zone: pL�� Owner: To�/�/}} �1L� F��1� Address: 7,01009 P.E./R.A.or Contractor: L rV l R /c'o Address: Z4 � I,� G�� f7-�"AQ Person in responsible charge: [.-#0� �T6�1i fW Address: 2- -C SLr- Y''41Tp M 00 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 NEWP%L0jr67_A YORK,COUNTY OF WESTCHESTER as: �o Al/N/d being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) (No and Street) in r h F==y y K_ ,in the County of Nf�TriA}as�m& in the State of that (Ci own/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 � 4-4 Z, U o for the construction or alteration of: 7 Z&v N STAL v CST! •N 00- R-64-IL- Tr-2 2A<_42 t S-"so-S — lN1�D��"— 1L-� /� �'l R.# —rz G.i 4- 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 a Sworn to before me this day of 20 )--V- day of J Llll' 0 Signature of Property Owner `n tore of A c t r " Print Name of Property Owner Print Name of Applicant Notary Public Notary Public =Statee June Wagner Notarynecticut Notary Public,State of Connecticut 6/t/2o2a My Co 30,20� My Commission Expires Nov 30,20 1 c 13kp�) O 2 w � BUILDING DEPARTMENT ❑BUILDING INSPI C-1-OR P'A"'SSISTANT BUILDING INSPECTOR VILLAGE OF RYI? BROOK ❑CODE,I:NI nrac:l:Mr.N r Urru:r.R 938 King Street • Rye Brook, NY 10573 (914)939-0668 FAX (914) 939-5801 www.ryckrugk.org - - INSPECTION REPORT - - - - - - - - - - - -- A I)i)R i:s s 2. eLu- F0. ?Oa.A 1)A'1'1.: 1�- 7 2-02,S PI:RMrr# ?:k>Zs - OCO(,o ISSUI-A): -IS-ZS11 c '1 : 124 .(dam 13Lo<:x:._.-_-..! LOT: IS— LOCATION: eC,.A ��,})� Occ;UIJ-ANc:Y: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED / REINSPECrION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTFIS ON INSPECTION: ❑ ROUGH PLUMIIING ❑ ROUGH FRAMING INSULATION ❑ Natural Gals ❑ L.P. Gas Q,V S VOL (LQGn O � ❑ FUEL TANK — ❑ FIRF SPRINKI,I:R ❑ FINAL PLUMBINC CROSS CONNY.CTION y]�1:1 NA 1. ()'1'II I:R w J f- ,�� ,�. �4 r' �` ��, � _ � _... - � �' `, � �� ,dam' `•:�,.� � '� .� '� �.. y � y-.,,', r lam' c. � , �. .. � ;�. ,, .,.'; .� �. r. .�,_ ��;�';�� '� ,� .. ',.�.i;'�. . ... � a `,�` i �� J, t� .1�� � I ' � �. '.�. � - r > ' �. � � ' �� � � i r QyE BRC�uk '9a2 BUILDING DEPARTMENT ❑ LDING INSPECTOR VASSISTANT 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 : G DATE: 4�, L L OLJ PERMIT# ISSUED: '13-Z SECT: Z BLOCK: LOT:�� LOCATION: «CG-", C r^- OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Cr ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION rr, ❑ NATURAL GAS , , .._X Jv L ,S�� G•�� ❑ L.P. GAS Gam- ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER S6l '���� I' Syr , '> ,;5' ••��• 1�+'* ''i n� e, � ,j�, \Y '� 75 ,All AL OX 44 IF , vt ' • j ;t' � d�f � -•» ��' , Sri. 41 01 •' {� jr lwl •� 'r,- � r f�` j� f\.'� .. 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S ` v� ;�•,� r ` 1�r a� j /�'r 1!� y •1 dty f `L. ���fi�+t}`4�r�, •���'�li\.�� ��1 • •� tSt t •+t } } � v �a'::•'`� '+� l' 1+��• �.`�'�"�:1•}.ir'. ;. 4 i �F���lias.:">`�` � '�►�1�•.�I►., t���� .?��r��r �` ks ob r r ,t • IR 4.0 or ,Al s � � �!!�•�i .a"''�r. .,?� � ' J►' 'i ''c,17). .. Z ��,� P:,�r ;'�, '�'T�p l'1 9"',��, ,"� ,� K -�� `�+� '�.�R'1 }.IIiL '�' 4.,1i'��.',,}� + :-.;,•<�{�'�1���,idr %�• W:r�'�N Il�t ���r . ��'i'�i•' yE aRnv� o 149 . �92 BUILDING DEPARTMENT ❑BUILDING INSPECTOR n WASSISTANT BUILDING INSPEC'I'OIL VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 1 (914) 939-0668 FAx (914) 939-5801. www rnbrook or- - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : [ , � ; l L+ �0.r 1 rL, 1 ctl-� DATE: PERMITS ��� IQ�p ISSUED: -/3'LT SECT: BLOCK: LOT: yf LOCATION: l Uc OCCUPANCY: ❑ V THE WORK 1 ...; ❑ ACCEPTED ❑ RE'lliC ED/ REINSPF.CTiON SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH Fu..AMING ❑ INSULATION - ❑ NATURAL GAS Let V/1 . J ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION' ❑ FINAL ❑ OTHER e e a FYI M W m cr n. \ N CA �Q w ✓ W � � a �..� W O �--� z � a � � a � � pq • " H ` WC) oall 010 : 0 x 0 O Z A N O �-. us o a ,s � � y ° vim � W 00 W Z �' 0% Q �Ay E. Q u o En r� Q� '�"' FWx w z b a, z W � C ao Q J O m g � � 8 ° p�aU PQ E� Q o a M Oo c� W,,,a s � � � I� z w B rT1 ,.,, Ems-+ � O z A N © OZ .n 5 U x O A x o Z o x1.0 A M ya , Qz UJ W z U aaa GZ 0 � A � O 04W 0. o , a4141414141410.6aaaa4a4A44NtQ4146- 41Q94;aaa414;GO644aaaaa BUILDING DBE TMENT VILLAGE OF RYE aROOK 938 KING STREET RYE BRPOK,NY 10573 (914) DEC 2 3 12Zov FOR OFFICE USE ONLY: Q Approval Date: I Permit# /- �' Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated:_t7_F-� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,stru tures,additions,alterations or for a change in use,as perdetailed statement described below. I. JobAddress: Z e f-Gs PM o 2. Parcel ID#: ��7�p_� ��� 7J Zone: 3. Proposed Improvement(Describe in detail): P.A G8 nrr S-x-It-v C'q- xVC.t 1- o 4. Property Owner: o Address: L't— ' lZA l fL Phone# Cell# 4 1+- 2® g9tiS e-mail !Do SSA}Ar& JA,lL(o%j �.Ua-. List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Ti �,A_ �- 6Lr Address: 60 G 2.n n/ O ST e1,kA nS L(-OS_ W 1�}'\'rL �1 IIQ Tt r!Y + t> Cl U � Phone# 1Po1 Zao Cell# e-mail ti 12 ,p AS"IN$'MS General Contractor: Q Co(J S'-P-`j 4/1#I. - C''0 r, Address: o Phone# Cell# R&L, , C[R o - 0 -mail G12 CI L. Uv W V✓I IA— [N S t"C.—j a i fi C.0 N v fifi� u r --I V fit- R-- -Try I I tj �.,. +4 I, _ -Fb 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: 2, 1 Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: t4IPr 9. Area of proposed building in square feet: Basement: I`fl: 2nl fl:�A Yd fl: 10. Total Square Footage of the proposed new construction: W 11. For additions,total square footage added:Basement: l st fl: 2nd fl, Ji rT 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: NIA N.Y.State Use Classification: 14. Number of stories: 6J Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: IV/ Pr 17. Roof style;peaked,hip,mansard,shed,`etc: A/ Roofing material: 18. What system of heating: N l A:::� 19. If private sewage disposal is necessary,approval by the Westc��r County Health Department must be submitted with this application. i f 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automat', f e suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood„etc...) Yes: No: (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineer., plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of imps ous coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 22. Will the proposed proje require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (ifyes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (f yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (rf yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: (f yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TIER 11: TIER III: (ifyes,a Home Occupation Permit Application is required) 28, List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $ l9 U U Note:The estimated cost shall include all site improvements, labor,material,scaffolding,fired a uipmenl,professional fees, including any material and labor which maybe donated gratis.If the final cost exceeds thee imated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: (2) 6n r2o24 BUILDIiDEPARTMENT VILLAGE OF RYE BROOK 938 ICING!__TR FT RYF.BROOK, NY 10573 (914)939-0668 wwvy rooknv.gov 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 WEST/C}HESTER ) as: j �Dblllt'IA T-P__bF- , , residing at, G koaz' 1��7 (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; t /L 1-7) , Rye Brook, NY. 0ob 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)) i�- (Print Name of Property Owner(s)) Sworn to before me this day of D e e e G,, t- -'" , 20 1 tNotary Pu ic) June �'Jagner Notary Public, State of Connecticut My Commission'Expires Nov 30. 20.2 (6) 611/2024 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YP�tK,COUNTY OF WESTCHESTER ) as: DAVL n �T-f� 1� , 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)ly is the legal owner of the property to which this application pertains, or that (s)he is the vAl P_ 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. 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 ! -PIA Swom to before me this— day of D-e- (,l� 20_�J day of f� -e-, (,�.. �"� , 20� Signature of Property Owner ature ofAppl' gv Print Name of Property Owner Print Name of Applicant Notary P lic Notary blic June Wagr)ev Notary Public,State of Nov a 20 My Commission EXP (8) 6/1/2024 (^ Buildin Permit Check List&Zoning Anal sis Address: `�� �( Q� 1 SBL: 2 1, 6 - 1 - "t J Zone: < L .OUse Const.Type: Other. Submittal Date: 2 2 Revisions Submittal Dates: Applicant: R- Nature of Work. - � ��-i (:t, 5 VWG �2 v 2Srvx C,1 Reviews:ZBA: PB: BOT: Other. NEED OK 7 ( ) ( FEES:Filing. L BP: C/o. Flood Plane: Legalization: ( ) ( yAPP: Dated: Notarized: SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening- ) ENVIRO: Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) (eSURVEY:Dated: Current: Archival Sealed. Unacceptable: ( ) ( �LANS:Date Stamped: Sealed: `� Copies: 2-- Electronic: ✓Other. (� ( ) License: Workers Comp: Liability Comp.Waiver. Other. (� ( ) CODE 7S3#: 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: Perrot: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 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: REQUIItED EXISTING PROPOSED NOTES APPROVED Area: Circle: Date: Z- Fmner Frorit: Front: Sides: Rear. Main Cor. Accs.Cor. Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.in: p2j;kw. Height/Stories: n - t 1 - notes: �� �`u M�2 `^� OC�S�1�5LC \dCy 4�X� it 6� BUILDING DEPARTMENT' VILLAGE OF RYE BRO K n) `�938 KING STREET RvE BROO ,NY 10573 t;tl, 1u�4 (914)939-066/� www i eldnnkTn-'. ov ARCHITECTURAL REVIEW BO/RD CHECK LIST FO PPLICANTS This form must be completed and sig d by the applicant of r ord and a copy shall be submitted to the Building Departm t prior to attending th�RB meeting. Applicants failing to submit a copy of thi check list will be remov d from the ARB agenda. Job Address: LZ &C L�-E 9— A0 Date of Su ission: Parcel ID#: one: 2 l 4 Proposed Improvement(Describe;�'. etail): Go txl S'J' CST S-f 1 t- �P�LICANT CHECK LIST: UST BE COMPLETED By THE APPLICANT `t � �'�" he following items must be submitted to the Building ( Co tJ 5 0 l� t �U_ Department by the applicant- no exceptions. 1. (�)Completed Application Property Owner: o ( )Two(2) sets of sealed plans. (one full size (maximum Address: L �(�/J 1 allowable plan size=36"x 42") and one 1 I-x 17-) 3. (�Two(2)copies of the property survey. Phone# t7 4. (�Two(2)copies of the proposed site plan. Applicant appear i before the Board: �( )One electronic/disc copy of the complete application materials. ( )Filing Fee. A l o u Address: ( )Any supporting documentation. 8. (�)HOA approval letter. (ifopplicable) Phone# �(�U ' 0 tS /�J( )Photographs. Architect/ gineer: rL l/I 0.(\A Samples of finishes/color chart. la sample board or model may be presented the night of the meeting/ Phone# 4 • n O By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instr ctions&Procedures, and tat their application is complete in all respects. The Board of Review reserves the igiyX to refuse to hear any pplication not meeting the requirements contained herein. Sworn to/o before me this Swornto before me this day of be et AN Pt�-►A 20� :ature 4off'Ar e- a—�`'� , 20� "I Signature of Property Owner P/ Print Name of Property Owner Print Name of Applicant i e-- Notafublic Notary blic June Wagner 111 June Wagner Notary Public, State of Connecticut Notary Public,State of Connecticut My Commission Expires Nov 30,20� My Commission Expires Nov 30,20 2 6/I/2024 a Aenresirr'r ArMrietiee,fa[. BeuJ elDirecterr 3 ➢rlls fru Bi+'J.Fir Breek,N.Y. November 20, 2024 BelleFair ARB DEC z 3 24 Bellefair Blvd Rye Brook, New York 10573 Donna Profeta 62 Bellefair Road Rye Brook, New York 10573 Re: Reconstruction of Rear Patio, Stairs Et Wall Dear Donna, We write in response to your request to the ARB for approval of the reconstruction of the patio, stairs and wall located in the rear of your home situated at 62 Bellefair Road, Rye Brook, New York. We are pleased to inform you that based upon the details of your application, your application has been approved. It is our understanding that you will be submitting a Building Permit Application with the Village of Rye Brook. Once this installation is complete please contact our FirstService representative, Rafael Reyes so that a final inspection may take place. Please be advised that our approval will be expressly conditioned upon your continued compliance with Schedule D of the Declaration. Accordingly, if the aforementioned fails at any time to comply with the Regulations, the ARB reserves the right to direct modification or the removal of the improvements at your sole expense to ensure compliance. Please note that approvals are valid for one year as of the date of this letter. As a reminder, certain alterations will require the approval of the Village of Rye Brook's Building Inspector or Engineer. You shall be responsible for obtaining all required approvals and permits. The Village of Rye Brook will consider applications after BelleFair ARB approval is given. The Village of Rye Brook approval does not preclude the need for ARB approval, nor does ARB approval relieve you from any responsibility of obtaining Village of Rye Brook approval. If you have any questions, please do not hesitate to contact us. Very truly yours, The BelleFair Architectural Review Board David Stafford From: David Stafford Sent: Thursday, December 19, 2024 2:52 PM To: David Stafford Subject: Profeta - rear yard pix 2 c a� y �I �1 T y4 ;ir LID 1-J Ad �Y ^sf , Dave Stafford Project Manager Dibico Construction, Inc. Phone 203-618-1219 Mobile 860-990-0334 www.dibicoinc.com X 2 David Stafford From: David Stafford Sent: Thursday, December 19, 2024 2:52 PM To: David Stafford Subject: Profeta - rear yard pix 3 �I fAtJG� wn LA� l D 6t1-- x ` n f l'D /inn ►�--�/1,�� Dave Stafford Project Manager Dibico Construction, Inc. Phone 203-618-1219 Mobile 860-990-0334 www.dibicoinc.com i David Stafford From: David Stafford Sent: Thursday, December 19, 2024 2:51 PM To: David Stafford Subject: Profeta rear yard pix - 1 T iE-C-6 N 1 t- rOtt 6 l N I t�l �J r s. 1 .4 .N r 4 C � rL- o ✓ u Dave Stafford Project Manager Dibico Construction, Inc. Phone 203-618-1219 Mobile 860-990-0334 www.dibicoinc.com X 2 ,.�• � v 51151l,'!1�!' 1,f, i ,5,•1 r Jf,!Yf'ifj�;�.t�t�!"i�:1r ,y =i � i /1 �(�f•QY�1'' .+•- !^:�.�if.�.. �..�'��i,H::,:� � n'I'/-��:. '<':i�h�' 1r•�( �t. 5... G.s: N Ss' CD O Q r y-:f �t��t���+hG�.�. O � � '� •X N TfTTT�PAAAA� +�� •, O 7� j t 4g� �'.e w.r :i � ri O �.• ?S rl ldLLO a to 1 r • � V) � E � � t 9 CL LA 40 *a M� Ch o •� j lr �! °° JU SDO !": a v u F I /, u e3 - b a u a 1 \ 1. 01 �j t.•T"� i11ri'�"it ,•�?.9�'r' t� rr cc;Tl��1f: s� ��..1�� :';-;S i /�;r r;,' .'I ��.; :l. I I a,yr,�.rrY DIBICON-03 K EAR CERTIFICATE LIABILITY INSURANCE DATE-OFDn/YYY) 1213/2/3/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NON TACT Acrisure New England Partners Insurance Services,LLC PHONE Hl k(�3)689-4600 tFAIC,NoI: 10 Research Parkway,Suite 400 — Wallingford,CT 06492 �" ss: Z1 s AFFORDING COVERAGE NAIL 0 INBURERA:SsIYctll/!Insurance Company Of America 12572 INSURED INSURER B DIBICO Inc. INSURER c 803 Woods Brooks Dr INSURER D Mahopac,NY 1D541 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTRME OF INSURANCE ADDL INSD SU POLICY Nl1S1aER POLICY LIMITS A X COMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE F _ OCCUR S 2510758 8/Y/2024 919i2025 DAMAGE TO RENTED 500,000 PREMISES IF,ocolmn�cai S _ TMILAIMS-MADE _ MED EXP(Any one _ S 15,000 PERSONAL a ADV INJURY _ S 1r000,000 'OTHER TELIMIITAPPIPER: FGENERALAGGRE_GATE__ ,S 2,000,000 X POLICY t�pEERCC7T ILA LOC PRODUCTS-COMPIOP AGG $ 2,000'� H R: _ 5 AUTOMOKa WMJTY COMBINED SINGLE LIMIT S WxAsnu ANY AUTO I BODILY INJURY Per ersori) $ .— OWNED - SCHEDULED AUTOS ONLY AUTTNCSSyyyy EEpp I BODILY INJURY Per accident AUTOS ONLY AUTOSONLY PROPERTY I AMAGE A X UMBRELLA LIAO X OCCUR PPEACH OCCURRENCE 11000r000 EXCESS LIAB CLAIMS-MADE S 2510758 9/9/2024 $.J>iJ2025 AGGREGATE S 1,000,000 DED RETENTION S A WORKERS COMPENSATION I X PER STATUTF OTM- AND EMPLOYERS'LIABILITY YIN ANY PROP41ETOR�PARTNERiEXECUTIVE 'WC 9087597 9/912024 9i'Y12026 E.L.EACH ACCIDENT J 1'000'000 aCER/MEMgEREXCLUDED7 Y� NIA ntletor)'In NMI ---- E.L.DISEASE-EA EMPLOYEEI S 1'0N'00 If yes deambe under 1,000,0N DESCRIPTION OF OPERATIONS Deb. _ DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.Addi ional Remarks Schedule,may be attached N mom space Is required) Certificate holder is included as additional insured if required in written contract per form CG 73 00 06 22 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village Of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIED REPRESENTATIVE ACORD 26(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers YORK ' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name 8 Address of Insured(use street address only) 1 In Business Telephone Number of Insured Dibico.Inc (203)618-1232 803 Woods Brooke Or Mahopac.NY 10541 1 c NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 10 Federal Employer Identification Number of Insured or Social Security certain locations in Nevr York State r e.a Wrap-Up policy) Number 13-3818316 2.Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company of America Village of Rye Brook 938 King Street Rye Brook.NY 10573 3b Policy Number of Entity Listed in Box"1 a" WC 9097597 3c. Policy effective period 9igl2024 to 9/9/2025 3d The Proprietor.Partners or Executive Officers are included.(Only check box if all parners,officers included) QX all excluded or certain partnersiofficers excluded. This certifies that the insurance carrier indicated above in box 3' Insures the business referenced above in box'1 a"for workers' compensation under the New York State Workers'Compensation Law (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2 The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate (These rohces may be sent by regular ma:l )Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder This certificate does not amend. extend or alter the coverage afforded by the policy listed. nor does it confer any rights or responsibilities beyond those contained in the referenced poiicy This certificate may be used as evidence of a Workers'Ccmpensation 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 Gale Roman IPnnt name of authorized representative or I tensed agent of insurance carne') Approved by. (,�� {�' — 12/3/2024 (Signature) tDate) Title Agent Telephone Number of authorized representative or IicenseC agent of insurance carrier (860)461-1441 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www wco ny gov Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, May 5, 2025 12:17 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 05/05/2025 12:17 To: VIL RYE BROOK PRIMARY Transmitted: 05/05/2025 12:17 00015 Ticket: 05055-001-696-00 Type Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 62 To: Name: BELLEFAIR RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF HOUSE NearSt: MILLENIUM PL Means of Excavation: HYDRAULIC EXCAVATOR Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: REBUILD STEPS AND PAITO Estimated Work Complete Date: 07/31/2025 Depth of excavation: 4 FEET Site dimensions: Start Date and Time: 05/08/2025 08:00 Must Start By: 05/22/2025 ------------------------------------------------------------------------------ Contact Name: ROBERT CARDINI Company: CECI BROTHERS INC Addr1: 740 NORTH ST Addr2 City: GREENWICH State: CT Zip: 06831 Phone: 203-869-2583 Fax: Email: rob@cecibros.com Field Contact: VITO CECI Alt Phone: 561-677-1776 Email: rob@cecibros.com Working for: DIVICO ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i oMQ'Z910`1 510��-1�39 �b•6 G•b-Z b ��-6LZ b- �886� qo(' l0901 %41 °Su1,UV a/4/f pa�asacy sty6�g !/b' ;�ul `s�aau�6ug �a,�uad.�o0 p/10/9 pp0el--6661 a /y6i�.fdo % 0 anua.Is/oauo-lnura7ry 9z ' ScYSiVMO 1N-7/IO1Sg/7S cYO SNO/11U1-ZSN/ 7VA0/1/00V 01 278b' SN 6�' uoi n / sul 6ui • V�.�/SNb'�l lON �'�/b' 0/1 O/ u �/ld�..7..� ./ �,� -,o a/ ay/ 10 saau,6isso ay/ o,� puo uoa.yay ,oars/ r fWua/ pu,0 /(OUa,6D /n/uauru./a ro.6 e� ,� �aA�ns a y/ cuoy si ao� /fuod�uo uosday/ of una//1 04V o/ 1/D41a sIV uo PZIO if/uo p a.1oda-ld 6-1 s�o/faAun,S puo? 1Duo1ssal0_410r �f + jo ,�oss� ato/s -+ao Mc9 a l a do o s . - � N y/ 9 p / p �fa.Vns puo 7 .ro1 a.?//.anted ,rQ aPoo ay/ q1,x 9044op-10o00 q1 pa-1oa'aad so,� /fa rms sly/ /,oy/ /r1u61s uoa faya /fd0.2 PVOl puo an-// o pa-lap/suo,? aq l/oys leas asso cua ./o - a u/ s ./ovfavns " p 9 p �' . puo/ ay/ yl/,f paY.rvur .fa uns lQu/44/0 a y/ jo sa/doo upu rv7 uo%to,�npg a/o1S -�o,4 �aiy ay/ 10 Z uo�s�•r�p-qns 60?L ua/1 aas 10 uol/o/ol.f o si dour Arc runs o o/ su%//poD 10 sU0//o.la/l0 ,oaZ/a0y/nOU�, 0619,t', 'ON dOW Y-1a/,2 lrluno,q mad so uoa-"ay Umoys uol ,Ow Olur. 2///,�O .•a/aN yalocu/ 7 :7 ua//g puo ya1Vaj17 /./0 puo r/uog s6ui�tDs ,ouo/s/ ualo/S ��o,� -.s�aN ,ro .fuodcuo,� a.�uo�nsu/ a//1 uo,�f�acu� ,rs1� o/ ,oaY.,lra,2 Y'CCYZ 'oN da/Y-'-1al,? 4 uno,, 1 1!ud6' pa/,y pUo 164561 /So/ g?661 pa/Dio , .fuodWO,2 puo? ,P acuoy ay/ -joj pa,"odaad /ora//ag Jo dofy u4els11rlpg17S pasr tad, pa///,qua docu .o uo u 011S SD c7,9 /07 ,6ulaq sas/cua./d ay1 000e lfl-n� pappb u01/,00 y1p,90 puo 1fa1uns ,/ou� 666! 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