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HomeMy WebLinkAboutSP23-011PERMIT # g21 SECTION _d_._[ TYPE OF WORK JOB LOCATION OWNER /06/e 3 � Q// DATE: /.4 )'9a3 ocP 17 BLOCK T--�-�- LOT. ew S� U /LJ/JJO�C?✓J -mow f ST. CO T U Ufa FEE 5 J� CO # FEES �SO�/��DATE YCO # FEE DATE INSPECTION RECORD I DATE 1 NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS CI SPRINKLER ELECTRIC LOW -VOLT O ALARM O AS BUILT O FINAL I' L g' 2O LS 't'F'�►� y r/ ' Pr 34:y 3oc)k/ OTHER APPROVALS _" /� '('! mlbe/ Q0 c�O13 BOT � P8 zaa OTHER �yE DR K J O c4 L� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE January 30,2025 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 118 South Ridge Street,Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 Sign Permit#23-011 issued on 12/28/2023 for New Illuminated Sign This certifies that the new illuminated sign;"Starbucks",installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D (11' rRFJAN 2 4 2025 BUILOING DEPARTINTIFNT P I•:k�tl'I f#uur um:unl;: -�� _ VILLAGE OF RYE BROOK ISS1114): VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK.NEW YORK 10573 MIT: /-a j-/-3S BUILDING DEPARTMENT (91.1)939-0668 FEE: b tii tt cl+ruuku%._;t. APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF CONIPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY I1POty ('01•iPr.RT 0x1 OF M,T, KOgR, II TO PRIOR TO THE FINA-L TptSPECTTn*i .................—.•.•,,.............+ rrr•..rrrrrrrrrrrrrr•rrsrrr�rrrrrrrlrrrrrrrlrrrrrr��rlrrrr Address: )) c7 S—ireO- n Occupancy/Use: `�Tafh��t4S Parcel ID T: �� - I - 6 "Lone: L7-- !� Owner: WT I/ R;A c"_ eJr LLL Address: 3q RYC 9;�5L pIGZt� P.E./R.A. or Contractor: Sr��j,15 lr t.- )I J) Address: 3Z-S LE",n 't.,4 Rt-) 1 K'k,w,-, -VY Ios Person in responsible charge: Jt^- S rilS ,`,k-Address: Application is hereby made and submitted to the Building inspector of the Village of P e 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 WESTCH ESTER as: pp 1e5 �i�111,5�� being duly sworn.deposes and says that he/she resides at ass CrG��^1C✓� R�:� in in the County of LL) in the State of A)),that 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: for the construction or alteration of: -ta ,-t_u-S Deponent further states that he/she has examined the approved plans of[lie 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 strucatre/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 laxvs governing building construction.Deponent further understands that it shall be unlawful Cot an owner to use or permit die use of any building or premises or part thereof hereafter created,erected.changed,con erted or enlarged.wliolly 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-I O.A.of the Code of the Village of Rye Brook. S I �Sworn to before me this - I Sworn to before me this '[ day of �t A NJAX j 20 Z S day of 20 c�S Sixnaturc ut Pru m ( � tiignaui •of �pphcanl Alena Hakanjin, Agent � �'�-S Pol"Aj 4 Print Name of I'll rty a { •t Print Name of't% plicanq No Pt is FAUSTO ESTEBAN BAOU RO /RICHA D A- Notary Puoiic state of New York 37403 NOTA PUBLIC,STATE OF NE R� Westchester Qualified m Westchester County Registration No.OIYA0013323 ' My Comm Expires Aug 1.2026 Qualified in Westchester County Commission Expires September 08, 2027 �E BRC�k cu � 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 :— S' :� I "2� DATE: PERMIT# 23 11 ISSUED: );? 1 SECT: 2- BLOCK: LOT: LOCATION: JA R, \, U OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ICI 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 L m ❑ OTHER C 1 r x ri N v qqv © N A Fr' bq t \ N \ � v v v W m G y-� CJ� q 4-4 p o O (� pp A � aui a W CA ^ Z a � W o W r+ ll O id o 'v 00 Oa� H • ^ C� N ,'�7 z � � tw� a�i U v id u h4 C O O ,0 v o�U. QI W x W O••O v� M �jj M ems—+ U U r; Z �0-0 cn pal0-4 En CAI A " � -� o � w H z a O z oc � 0, ■ x V "� 4 c V o v W cn w z 00, ' C0 4 : b c7 A z O _ Z W Q � .� ° A © W cn cu mum : o r . BUI4w; M. fzl MENT NOV 14 2023 VILOK 938 KING ,NY 10573 FOR OFFICE USE ONLY: ,[��/�j 2 Q Approval Date: DEC 2 2 702 Permit ���'�// Application# / ► r _66R_'�143 v Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee (o- b Permit Fees: 2 SIGN PERMIT APPLICATION Application dated: I I—I 3-acQ3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction/installation of a sign in accordance with Village Code§250-35 as per detailed statement described below. 1. Address: 118 S. Ridge Street SBL: 7—/— & Zone: C1-P 2. Property Use or Business Name: STARBUCKS 3. Proposed Sign(s)(Describe in detail including number of signs,types,sizes,exact location(s),and illumination method(s)if applicable.) (A separate Electrical Permit will be required for any associated electrical work.) : Replace exisiting STARBUCKS COFFEE sign with new updated STARBUCKS halo illuminated channel letter sign on front facade. New halo lit channel letters on full size aluminum backer panel 3"deep. Backer panel measures 16"x10'. Halo lit letters measure 12" tall x 9'8"wide. 4. Height from grade to highest point of sign: 164" ,to lowest point/of sign: 14 feet 5. Property Owner: �A% QYn U,l Address: 24 1'\7 L 9-M&F p(A'_ Phone# ���' � Cell# email: , r 6. Applicant: Signs Ink Ltd. --Jim Polinsky Address: 3255 Crompond Road Yorktown NY 10598 Phone#914-739-9059 Cell#914-438-3004 email: Ip@signsink.eom 7. Architect/Engineer:M.Arthur Gensler Jr.8 Associates Address:10 North Park Place,Suite 400,Morristown,New Jersey 07960 Phone# 973-290-8500 Cell# n/a email: emad_bouless@gensler.com 8. Sign Contractor: Signs Ink Ltd. —Jim Polinsky Address: 3255 Crompond Road Yorktown NY 10598 Phone#914-739-9059 Cell#914-438-3004 email:Jp@signsink.com 8/12/2021 9. Will the proposed sign require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (If yes,you must submit a Site Plan Application,&provide detailed drawings) 10. Does the proposed sign involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X If yes,indicate: TIER I:—TIER II:_TIER III:_ (If yes,a Home Occupation Permit Application is required) 11. If building is located on a corner lot,which street does it front on: n/a 12. Property frontage: 13. Property size:Sq.Ft.: Acres: 14. What is the total estimated cost of construction: $3,000.00 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 15. Estimated date of completion:January 31 St 2024 This application 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: Jim Polinsky ,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 sign contractor 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. Swom to before me this ZNh Sworn to before me this day of N Way , ?� ,20 2 day of -e4 , 20_11 igna a of troperty Owner AbrJ.r Si re of Applicant 6 ftVe 0I&U S,N :s�S pb vas k Pri t e of Pro a Gwrrer Pri a of Applicant E; r - "Notary Public Notary Public SHARI MELILLO ALENA NAKANJIN Notary Public,State of New York NOTARY PUBIC,STATE OF NEW YORK No.01ME6160063 Registration No.01HA00126/5 Qualified in Westchester Coun Qualified In Westchester County tY My Commission Expires 911912027 Commission Expires January 29,20 Z� -2- 8/12/2021 i _ 446 ago _ n , = O =n �c (V N N C a w ai V0-4 : � H Er r _ W 04 cell - w 00 ` a �+ W @ F�•• .� z w vai o Ln w 0-4 w CA cn V oc `- 0.0cel w � � � z CA 0.4 Lei � � f � N z [� o _ a z w s � , , BUILD G�DEP MENT VILLAGE OF RYE BiwOK 938 KING,STREET RYE BRooK,NY 10573 `\ 4'93g=06frK' wwy✓:rye6roolzily.gov ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY L —U >/ EP#: Approval Date: , I Zv ) Permit Fee: S C Approval Signature: AL Other: 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 /T/OTAL COST OF CONSTRUCTION WITH A MINIMUM FEE.OF$750.00 Application dated, _ �7'c�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 remove 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. L Address:l 1 Sa ,� ��G ���:fr 2 ��w �v i CS t 3 SBL: 141 i�� �_� Zone: 'i 2.Property Owner: �"Ik Address: Zu 2,-e - i,i,Ac2 &,2G Phone#: a IN :�C'� L�005 Cell#: email: �1��; ( ` o O(Lj J 3.Master Electrician/Licensed Installer: c, o Address: t11� J I GZ,24- Lic.#: iS2: Phone#: 746 a`4c�-4- Cellrur:Gticl yGo =c email: +nl .+� �otrr ricsnvn..it.�. Company Name: Address: `L' �C-' 4.Proposed Electrical Work/Fixture Count: � J�o.-- <Na� 0— 5iov-, V I- =�- T r:4 OC i ti S S.31 Patty Electrical Inspection Agency: J xxxxx rir***i***********ir*****i[***********�**t****t.*1t**ex*ir4***h****ix******i*�****i•*iic*s *r.***ricTkiri iir*•i**A STATE OF NEW YORK ,COUNTY 0=WESTCIESTER ) as: TL.G�J .being duly swom,deposes and states that he/she is the applicant above named.and does further (prinm t nae of indi`iduai mining as the=;icant) state that(s)he is the 0,cc"10 for the legal owner and is duly authorized to make and file this application. (Maas=Elcet:-iciar.'Liec=d lnselicr) 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 13'p` Sworn to before me this of /yokf 20 `� day of ��C)\f°V��1Yd°r,20 '2` Signature of roperty Sipature of Applicant Print Name of Property CANa:z Y� ! Print, me of,Applicant ;I Elt_EEt+�ncH- , Notary PdtWARY KRLIC4TATE p�exlzc T K rotary Public-staff f+ r no. atS0e292746 80.01DE0024939 QU21M C in oronx County :t 6/1n0.4 QUQlli1'Bdt kl 1r.eslch0$*f COUn}y � eay Canmission Expires May 20,2028 JAy C041.1 1*iOn 69piroo STATE WIDE INSPECTION SERVICES, INC. Service With Integrity 0•0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# Date Bldg Permit# Scl Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number + I I ; ❑Basement ❑ 1st Fl. ❑ 2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation E Cl /1 �1 I IAN 1 4 Zw a - VILLAGE. PI 11+ r" ' This application is valid for one m year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of 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 terms and conditions as set forth for the application. Email Address Name License# I S ,._t Date Signature Address City/State Zip Code Company Phone# Dv 1 State Wide Inspection Services cr" i 1080 Main Street JAN 2 2 2025 Fishkill, NY 12524 Tb u r 845 2 Phone 914-219-119-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@swisny.com BUILDING DEPARTMENT Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Dr.Sparks Electric Win Ridge Realty LLC 139 Route 9W Unit 8 118 South Ridge Street Haverstraw, NY 10927 Rye Brook, NY 10573 Located at: 118 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-007 141.27 1 6 Certificate Number: 2025-0478 Building Permit Number:SP23-011 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 118 South Ridge Street, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 20`h day of January 2025. Name Quantity Rating Circuit Type Exterior Sign 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Building Permit Check List &Zoning Analysis OB & C ONLY Address: 1 ' b a , '` l 1 C 1 C'-.Q SBL: (- Zone. - �� Use: Const.Type: V Other. Submittal Date: Revisions Submittal Dates: n t Applicant S ► Nature of Work: NOY 2 7 1013 Reviews:ZBA: BP: Other: NEVI K FEES:Filing. tp: C/O: Legalization: ( ) (�PP.: Date Stamped Properly Signed: SBL Verified Cross Connection: F.O.G.: ( ) ( ) 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: Jil✓ANS:Date Stamped: Sealed: Copies: Electronic: Other. License: Workers Comp:_V 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: Grease Trap: 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. (t4R mtg. date: 1 approvaL -L notes: ( )ZBA mtg. date: approval notes: ( )PB mtg.date: approvaL• -notes: e REQUIRED EXISTING PROPOSED NOTES ^ O f� Area: Cate• - Circle: Fes• _ Front: Front: Ste: RMr. F.A.R.: Qpen S e: Hcgk- Stories: notes: BUILD ���TMENT NOV 1 4 2023 � VIL OF RY OOK 938 KING j ` ET RYE BR ,NY 10573 VILLAGF- OF KYE BROOK 5 4) , 9900 �j� - B01-DING DEPARTMENT io or 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:-1 18 S. Ridge Street Date of Submission: Parcel ID#:14102700010060000000 Zone:C1-P Proposed Improvement(Describe in detail): Remove exisiting STARBUCKS COFFEE sign APPLICANT CHECK LIST: and replace with new STARBUCKS sign MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner: �;''ti pV l:Z (;' Fe;7�•�;, ,((� 1. (-fCompleted Application ,� 2. (✓)''t wo(2)sets of sealed plans. (one fitll size {maximum Address: �� y(� G �}If t�t allowable plan size=36"x 42")and one 1 I"x 17") Phone# i� _ " �4-O(_�S 3. ( )Two(2)copies of the property survey. 4. ( )Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( ) One electronic/disc copy of the complete Signs Ink Ltd. --- Jim Polinsky application materials. 6. (✓jFiling Fee. Address:3255 Crompond Road Yorktown NY 10598 7 ( )Any supporting documentation. 914-438-3004 8. ( )HOA approval letter. (ifapplicable) Phone# 9. (✓fPhotographs. Arch itect/Engineer: M.Arthur Gensler Jr. 8 Associates 10.(--'Samples of finishes/color chart. (a sample board or Phone# 973-290-8500 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. l Swom to before me this v Sworn to b fore me this . f I day of �t ✓� .}' ` , 20 v 7 day of 20 Z'> of Pry� -opc y-ow"er en) Signa c o App an 0" It-46 isi) Jim Polinsky Priam f Property �-Z�w j Print Name of Applicant f FAUSTO ESTEBAN EIAOUERO Notaa Public- F� York Notary Public Notary No CleA6437403 L n f Qualified in 1Nestchester county My mm Exp,reS Aug 1,2026 ALENA MAKA19JIN NOTARY PUBLIC,STATE Of NEW YORKRs1lstreflon No.O/MA0013645 GuIp1Nsd In Westchester Countyy Ny Commission ExOnis 9119/2021 s 1.112021 O m N N a O E N O � � U N Cl N N O 0) N O O ..Now mCT a a j N O_ N m _X U a O � f0 E � _ N fn N N 0 LL N 0 O_ ti L rJ t, O N 7 N N O M 01 O N N � C a � N CA T Cl) T LO co E M r to O •�1� -y. O '{ N c (D li M tD V Cn N co \` (D 6 cn �_ Cn io (p U) G 3' O J d 3: Cl) (O c0 W O N a3i `O S� �- > E �S N o a) m Q1 v E aa) C/) a Z a) 0) ai d >' o O m o O CV `O C.) N 00) m Cl) m N >, cli > f0 Nzz M uj L r DR Village of Rye Brook ML MR O�Qy yAgend FB SE Architectural Review Board Meeting AC AD Wednesday,December 20,2023 at 7:30 PM Q Village Hall,938 King Street I JM -7 SF 1. ITEMS: 1.1. ARB23-059 (Consent Agenda) (Amendment to Prior Approval) Srivatsan Raghavan&Janani Ranganathan 436 North Ridge Street 4'high black aluminum fence. 1.2. ARB23-132 (Consent Agenda) Harikumar Mahadevan&Prithvija Kamatham 12 Holly Lane Rooftop solar array. 1.3. ARB23-133 (Consent Agenda) Shubhro Ghosh&Sayantani Biswas 148 North Ridge Street Rooftop solar array. 1.4. ARB23-134 (Consent Agenda) Maryann Rekuc 1A Castle View Court Rooftop solar array. 1.5. ARB23-135 (Consent Agenda) Michael Sepkowski&Maureen Sepkowski 105 North Ridge Street Rooftop solar array. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.6. ARB23-136 William Servedio&Annmarie Servedio 28 Wilton Road In-ground swimming pool,patio and fence. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 r • Architectural Review Board December 20,2023 1.7. ARB23-137 Erin Moran-Atkin&Miriam Lagunas-Fitta 105 Lincoln Avenue Roof over front entry and den entry,slate patio and stairs. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB23-138 Win Ridge Realty LLC 118 South Ridge Street New illuminated sign. "Starbucks" Approvals: Motion Second—A Second— ACo Abstention Aye; Nay; Adjournment; Notes 1.9. ARB23-139 Zinovi Levitan&Lori Levitan 5 Dorchester Drive One story addition&interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. ARB23-140 236 Central Ave LLC c/o Ed Ensign 180 Country Ridge Drive Rear deck,patio and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2of3 Architectural Review Board December 20,2023 1.11. ARB23-141 King Ave.LLC c/o Fernando Lourenco 11 Monroe Place(Front House) Legalize two family conversion,construct two tier deck with egress steps to grade. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB23-142 King Ave.LLC c/o Fernando Lourenco 11 Monroe Place(Rear House) Return converted servanes quarters back to single family use from unpermitted two- family use.Legalize deck expansion. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB23-143 Georgia Caseres 23 Brook Lane Legalize new portico over front entry and walkway to driveway. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.14. ARB23-144 Eric Steinert&Caryn Steinert 24 Meadowlark Road Roof over rear deck,new cable railing,demo retaining wall,alteration to pool fencing and outdoor kitchen on patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: January 17,2023 Page 3 of 3 AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 111%.� 10/30/2023 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 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 CONTACT NAME: John Sldwa Miller& Miller Insurance Agency Inc PHONE — FAX 720 Commerce Street (A/C.No.ExOm 914-239-4413 (A/c.No):914-741-6407 Thornwood NY 10594 ADDRESS: JohnS@miller-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:GREENWICH INS CO 22322 INSURED SIGNS-1 INSURER B:XL SPECIALTY INS CO 37885 Signs Ink Ltd dba White Plains Sign Company INSURERC:Hartford Casualty Ins Co 29424 3255 CromDond Road INSURER D:Hartford Life&Health Yorktown Heights NY 10598 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 1539977099 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 TYPE OF INSURANCE :ADD SUER' POLICY NUMBER MM/DDY EFF POLICY EXP WVD /YYYY MWDD LIMITS LTR A I GENERAL LIABILITY NPC100218003 11/21/2022 1121/2023 EACH OCCURRENCE $1,000.000 TO RERTff X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES Ea rrence $100,000 CLAIMS-MADE �OCCUR MED EXP An one person) $10,000 X Contractual Lab PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,D00,000 POLICY X PRCT F O LOC $ B AUTOMOBILE LIABILITY N N NBA100210103 11212022 11212023 C MINED IN LE LIMIT Ea accident 1,000,000 X ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident _ $ A X UMBRELLA LIAB X OCCUR NEC6W560403 11212022 11212023 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 1SWECDU0437 11212022 11212023 X STATU- OTH- AND EMPLOYERS'LIABILITY Y/N LIM ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1.000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,Ooo,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000000 D Disability LNY647952 1112021 12/312025 Statutory DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 'Policies shown are subject to terms,conditions,exclusions,sublimits and deductibles not listed on this certificate. We recommend that requests for policy copies be directed to the Named Insured shown above.' Work in the 5 Boroughs is Excluded CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King St AUTHORIZED RE ESENTATIVE Rye Brook NY 10573 �_n 4LQ_� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD .'NEW Workers' STATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name and address of Insured (use street address only) 1b. Business Telephone Number of Insured SIGNS INK LTD 3255 CROMPOND RD (914) 739-9059 YORKTOWN HEIGHTS NY 10598-3605 1c NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is specifically 1d. Federal Employer Identification Number of Insured or limited to certain locations in New York State, i.e. a Wrap-Up Policy) Social Security Number 13-3841692 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Twin City Fire Insurance Company Village of Rye Brook 29459 938 King Street 3b, Policy Number of Entity Listed in Box"l a": Rye Brook, NY 10573 16 WEC DU0437 3c. Policy effective period: 11/21/2023 to 11/21/2024 3d. The Proprietor, Partners or Executive Officers are X Included. (Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c", whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Worker's 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: Sara Seier (print name of authorized representative or licensed agent of insurance carrier) Approved by: 10/30/2023 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: (866)467-8730 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) Form WC 88 31 21 F Printed in U.S.A. www.wcb.ny.gov Page 1 of 2 . ..�.v • oT..cv-.�-.��-�.. xen�a�.r:,asv�e*i-w.cw:a.3�ar�v_+utirxri�,� C ,� ���.nw.+ernaots�rn+�a�a� v:-.�.?+n• TM� G Z�,�.z, r-aaaie::+r..>aasw sc•crtomc G # ��•.� 4 MOOO ,.ujN ...i Pall'""' IL rj N c) zIL L1 _' W 00 CL �. • -� T yy r,rt I 4..J as �� W M W mno" > LU 0 •� � re) Qw V� CL m O t� OG j 00 us 0 COMD � � N L,r) C)N r4***. 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