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BP25-034
PERMIT #/ SECTION 1 TYPE OF WO JOB LOCATIC OWNER CONTRACTO EST. COST A O# TCO # DATE: roo aj ?- 2t CjWLZf �lsdTCc� F'J 51nc�, i el��►) wSPECTION RECORD FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL DATE INSP 3•)c ZC>7L P�> P se t"I • - A_ in r�r/�I �� ♦i� LOT o� 03� 9 60/0 . �/�� 5 c� 1� 1� l�-1a �� o S� I✓a �/���! cam. l OTHER APPROVALS OTHER AS-BLNiT/fiNAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION THlS BUtLOtNG kIUST BE POST:D 1Ni1}9 A PEP:WtANEM CONSTRUCT}OPL TYPE IDENTFICATION SIGN; W FR PF;tOR TO THE ISSUANCE OF A C/O, AS REQUIRED BY NY STATE LAW. VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-118 Certift'r to of (Dralp urp s This is to certify that y of, Rue \>/ having duly filed an application on 20�requesting a Certificate of Occupancy for the premises known as, � (.�00t P/a(. e , Rye Brook,NY, located in a —6Zoning District and shown on the most current Tax Map as Section: 5 1 Block: / Lot: c-2 7 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. :AV, issued 20-Z- , 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 thee following New York State Classifications, Use: -3 - /� Construction: ..f�� for the following purposes: 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 ade, and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the>iiiffmg be moved from one location to another until a permit to accomplish such chan SEP7 2025 ge h en obtain om the ld- Inspector. Building Inspector,Village of Rye Brook: Date: BRA � L� r7 19 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 David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 17,2025 Maxwell Buckley&Whitney Buckley 31 Boxwood Place Rye Brook,New York 10573 Re: 31 Boxwood Place, Rye Brook,New York 10573 Parcel ID#: 129.59-1-27 This document certifies that the work done under Mechanical Permit #25-038 issued on 3/21/2025 for the modifications to the existing ductwork has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to VILLAQ* OF RYE BROOK WESTCHES9 ilk COUNTY, NEW YORK NO: 25-101 �' �eut�orarp � Certificate of ®ccupaucp C. Ehis is to certify thatnVa)well t° LOP;Ifteu &c&-eq of, 04( Wkj /V 7 having duly filed an application on J1J'! c-21, 20 cal requesting a Temporary Certificate of Occupancy for the premises known as, 3 k )6k-, )QQ� Pla6f , Rye Brook,NY, located in a �Z-/5 Zoning District and shown on the most current Tax Map as Section: t Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.075'168 , issued 5 202:1�1-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: K--316r2e- �a'MZ/[/Construction: for the following purposes: New A0,04 "'KA'fh Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: T r 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 sh a made, nor shall the building be moved from one location to another until a permit to accompl h ch c ge h s bee o ained fr the Building Inspector. Building Inspector,Village of Rye Brook: Date: AUG 1 2 2025 BUILD R NT For office use only: s PERMIT# -0-3 VIL OF RYE OK ISSUED: wr-S- Q 938 DING STRE YE BROOKS YORK 10573 DATE:_ ��rr S� G BR�CN1 .0 O�c FEE: PAID ����PGoQE�P �M r ov Bv, APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANC)F AND CERTIFICATION OF FINAL COSTS l TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION tiiii#kiitiiti!}lit}ititi!!i#lMilkilk#it#iktt#t#ttitttkktiit#i#tkii#ti#i#lit#ti#iiiitiiiitiii##tiitiittit#iitiii Yi#iiiitiYi#i Address: Occupancy/Use: arcel ID#: Zone: v�; I Owner: \���.�ress: 3� �xl-xS� �— P.E./R.A.or Contractor: ' o� ddre s \3 ��" ��\ .,��( \dt-9 Person in responsible charge: L j \�s� . �.c. Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: M�-` —���..•���zy being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) (No.and Street) in ar_� ,in the County of in the State of /VN that ( 'hyrrown/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 ��Z I Coo for the construction or alteration of: 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 Sworn to before me this day of 7S1___��_,,0,r K- , 20 day of , 20 Signature of Property Owner Signature of Applicant nt a of Property Owner Print Name of Applicant Notary Public SHARI MEULLO Notary Public Notary Public,State of New York No.01ME6160063 6/1 ao2a Qualified In Westchester Countyr7 Commission Expires January 29,20 (�� D E C EN E —� For office se onl . BUILD1RTMENT PERMIT# -D3� JUL 2 12025 VIL OF RYE"�AOOK ISSUED: ,3-5 aDa5! 93 1 KING STRE YE BROOK,`* YORK 10573 DATE: -7 VILLAGE OF RYE BROOK 4)939-06 FEE: 1.-_PAID BUILDING DEPARTMENT o' ov �9t}2 APPLICATION FOR TEMPORARY CERTIFICATE OF OCCUPANCY 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 shall have been issued by the Building Inspector. g250-10.A.code of the village of Rye Brook Address: & &AWOod et aCe, Rye gnci)y N)( 105-7 3 Occupancy/Use: r�Parcel ID#: " )aq, 5� — f-_-7 Zone: 12-1 5 Owner: 1C Address: go"cx)ci Contractor: i ui am o %i rQ ,,ll Address: Z(o5 N.rt'ultan F�Ve, MtVer Uln NY Person in responsible charge: I,It1 am V I I V�e (_C Address: ZG 5 N. FUUM Ne ffi "yblk N Reason for temporary use:TO m o V2 %" k m tPc.Ytt n(y 1 Estimated date of completion: e/';Z I Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Temporary Certificate of Occupancy for the structure herein mentioned in accordance with law: STATE OF NE(W� YORK, COUNTY OF WESTCHESTER as: -' W Y1�111(�LV 1�h(G�,e if being duly sworn,deposes and says that he/she resides at 3l &x w t;G:� Pk (Print Nime of Applicant) �— (No.and Street) in t N y , in the County of Wr'sk6kr in the State of that (Cityrrown/Village he/she has supervised the work performed to date at the location indicated above, for the construction, alteration or repair of-. Ye-nova-bons Deponent further states that he/she understands that a Certificate of Occupancy must be applied for and obtained upon completion of the above captioned project in accordance with law, and that a Temporary Certificate of Occupancy shall only be valid for a period not to exceed thirty(30)days. Sworn to before me this (91 Sworn to before me this \ day of lti� , 209-� day of V `-A_\� , 20 Signature o Prope er Signature of Applic t v e of Prop Owner SHARI MEULLO Notary Public,State of New York Pri of Applic, t No.OIME6160063 Qualified In Westchester County Notary Public Commission Expires January 29,20_Z� Notary Public 6/I/2024 E QR 0 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR J20ASSISTANT 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 :2 / & ( O p`UA4- DATE: / !r,2-OZ,f PERMIT& Sf o?l5 -O3 y ISSUED:3-S_-_ZrSECT: I2f•S7 13LOCK: LOT: Z7 LOCATION: _ =rd ,¢�, 4 _ �C OCCUPANCY: ❑ Violation Noted THE WORK IS... &-- YASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas , 7;v . fy Ize eva ❑ L.P.Gas ¢ ❑ FUEL TANK - ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION'FINAL !.t/[X2,& (�//s� OA'I ee,4cl '- k ifs ❑ OTHER 4 � Y 0 It DING JNN14w'rq)R BUILDING .DEPARTMENT csxsTArv'�t'1lrnua►Ix�s Ir��;r►rtc r'ox VILLAGE ON RYE BROOK ❑CODE l:1v 40X(:,I?MrtM,thtxrr(:j(M 938 King Strmt.• Rye Brook,:NY 10573 (9111)939-0668 T�.A.s:(914)939-5801 - ww:_r. T rookorg - - - - - - - -- - - - INSPF.GTTON R. .PORT - - - - - - -- - - - - - - - - - --- ADDRESS:. PERMIT.'$G Q_ Cl _ T.Ss1J7; >:3• SQL 1+.�; : (G7•.�7 BLOCK: LOT: Z 7 LOCATION: Ct •- OCCUPANCY: tt,__.__ (h. ❑ Violation Noted 1'IIE wo.mC IS... INS 1.ASSED ❑ FAILED /REINSPECTION ❑ SITE.INSPEC PION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ 11"ODNDAI.'IO.N IJ UN-mm.I.m.7NI)PLUMIIING lYOT]?,ti ON WSPLCTION: ❑ ROUGII PLUMBING JJ-"1toUGII FRAMING 0 INSULM ION r ❑ N:aur:a cati ^J ❑ L.P.Gsr�► - --"� ❑ FUI?I.TANK ❑ FIItI?SI�ICINKI.,I?Ii ❑ FINAI,PLUMIIING' -- ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 1982. BUILDING DEPARTMENT 'h vs 0 � pvcox -r 'pulu.)MC INSPECTON. VILLAGE OF RYE BROOK 0 Com ENVORCEMENI'0111.11143 MR 938 King SIrmt-Rye.brook,NY 10573 (914)939-(Wi8 FA-Y.(914.)939-5801 w w W.17 yv h ru L)Wk(k-r g - - - - - -- - - - -- - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:- ax - Lots-e- 2, PERMI-xv-lb? ZS- -03-q— BLOCK: LocxrioN: Lil - ------- OccUP"cy: 0 Violation Noted DIE WORK IS... FW Op PASSED ❑ FAILED /REINSPECTION 11 SITE INSPECTION REQUIRED 0 FOOTING 7' Ly 0 FoOTiN(.,DRAINAGE 0 FOUNDAI-ION 0 UNDERGuouND PLUMBING NOTFS ON INSPECTION: 0 ROUGH PLUMBING 0 RouGia Fpumimu 0 INSULATION 0 Naturad Gas -F-Q-R AIE CE 0 L.R Gas 0 Fui,TANK. 0 Li Lu s • 0 FIRE SPRINKLER 0 FINAL PLUMBING (D Ive TTOT.❑ CROSS CONNEC eFmAj. 10 1) . OTHER aA pal .4 Rear t 04—ai-k--cAt �c' nq lu 70 Cv4& ti Q.._ Uoo (I !&-T-op le 45 � 6 BR��• O -yam 1982 � BUILDING DEPARTMENT ❑BUILDING,INSPECTOR rJ ASSIS9:A.NP 111TH ZINC.INSPECTOR VILLAGE OF RYE, BROOK ❑CODE EN-FORCEMENT OFFICER 938 King Street•Rye Brook-,NY 10573 (91.4)939-0668 FAX.(914.)939-5801 ww.w.xy_c:hrt►—O (>rrg - - - - - - - - - - - - - - -- - - -^ -• INSPEC-1.40N REP011T - - _ .. _ _ _ _ - .- _ _ _ _ _ _ _ ._ _ .. ADDRESS:_3 I 430X-WAN2A4.__-- PERMIT#_�` 2-5 d 4 Z ISSUED:-_ _ SEC-1- .,�BLOCK.:—,J—LOT:Z_ LocA>IO]Y: r' j OCCUPANCY: ❑ Violation Noted THE WORK IS... &PASSEL) ❑ FAILED /REINSPECTION ❑ SITE INSPECTION A� O L REQUIRED ❑ FOOTING C• ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTIRS ON INSPI?MON: ❑ ROUGII PLUMBING ❑ ROUGH FRAMING ❑ INSULA iON • ❑ Nahu:il G s N �l-O�,� T•�r. 1 s1. w�O V�J�F-1 O a ❑ .L.P Gas 'ki 0 FUEL TANK ❑ FIRE SPRINKLER 8'FINAL,PLiJMBING y, �fi„E� �� ---- ❑ CROSS CONNECTION - ; Lti.(',t.Q , ,Q( FINAL. T.G. 0 . ❑ OTHER 11 )(- -Ae 13R( L BUILDING DEPARTMENT D RMIPIN16 INSPECrOlt 6/As,ql,','rAMr DMIJANG INSPECTOR VILLAGE OF RYE 0 CODIK ENFORCEMENT 01114CUR 938 King Strect-Ryc.Brook-,NY 10573 (914)939-(Wi8 FAX.(914)939-5801 w w W.-ry-g b-1,L)(A-9 rg - - - - - - - - - -- - - - - - - - - - -INSPECTION REPORT- _. - - - - - - - - - - - --- - - - - AiDDREss: 040Z.Jr- PERMIT# SECTJ 4BLOCK: LOT:1- LOCATION: OCCUPANCY: 0 Violation Noted THE WORK IS... Pr PASSED 0 FAILED REINSPECTION 0 SITE INSPECTION REQUIRED 0 FOOTING 0 FOOTING DRAINAGE 0 FouNDxj.,YoN 0 UNDERGRO-UND PLUMBING NOT.U.S ON INSPEcrlON:, 0 ItOUGII PLUMBING 1:1 ItOUGH FRAMING 0 INSULATION 0 Natmund Gas Jr..;v 0 Ut Gas lou -Alire 0 Fum,TANK El FIRE SPRINKLER in -a-4t. . ❑ FINAL PLUMBING 0 CROSS CONNECTION .P-41N.A.1, CJ OTHER V,/-I. QyE BRC�v� If • �9�2 BUILDING DEPARTMENT BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OP RYE BROOK ❑CODE ENFORCEMENT OEEICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.I Xebrook.ore - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 60?( WW A DATE: 7- .30 r 0PeS PERMIT# ?p "(.�y �/ ISSUED: SECT: dL •.S BLOCK: / LOT: 7 LOCATION: -, OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED 2-/FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gases it!p Ah i -} t g ❑ L.P. Gas0,0-j LC&CL A (-j 0, N O t O N ❑ FUEL TANK. • ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BR( l7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OP RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914)939-0668 FAx(914)939-5801 www.rytbrook.org - - - - - - - -- -- - - - - - -- - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:__130A u0cocl P ` c-ct _' DATE: 7 Z 6G1� PERMIT#-,Pill�,� V y ISSUED: __ SECT;_IeJ BLOCK: L OT:� LOCATION: -_. _ _ �• t Vim. �+ a i/ OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED tJi FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gws 0 0 rY► ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ,R-FINAL PLUMBING `-❑ CROSS CONNECTION - �-L G // C� "_/ ,Z. ❑ FINAL ❑ OTHER QyE BRC�v� '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : V'0 woo d DATE: PERMIT# �l n/ - 3 ISSUED:3 S Z�SECT: Sl BLOCK: LOT: 27 LOCATION: Lec-A �G� OCCUPANCY: ❑ Violation Noted THE WORK IS... 2—PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED 'FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION❑ Natural Gas o� I (L�. l � c! ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER O tim (D 932 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.xyebrook.org - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : -31 S-QX woog ` Lr-cQ ---- DATE: 10 " Z O Z Oar PERMIT#-�_Z-S d 3_� ISSUED:3 L,j—SECT:� _! JL BLOCK:_L LOT: LOCATION: 4A,3 J . _- — OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION❑ NATURAL GAS 2C� a ��k" ;IV (� ❑ L.P.GAS ❑ FUEL TANK O cyc ❑ FIRE SPRINKLER ❑ FINAL PLUMBING L ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRnu� o � /�• �92 BUILDING DEPARTMENT ❑�BUILDING INSPECTOR , �E1tiSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFEICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.j:yel)rook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT AAxt - - - - - - - - - - - - - - - - - - - - Q� _ ADDRESS :-�.�' i-� �(„�7C?�I DATE• � (? ✓ ,qoVCr PERMIT# LS `�� l ISSUED:. • .SECT: BLOCK:_LOT: !� / LOCATION: 0���� j� OCCUPANCY: ❑ VIOLATION NoTTi1) THE WORI:IS... 0/I ACCEPTED ❑ RujiiCTED/ REINSPECTION ❑ SITE INSPECTION ��� REIN U I RED ❑ TOOTING ❑ FDOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION❑ NATURAL GAS /t p OLAO[ A.A.-" .-✓� �`� � 4-4 ❑ L.P. GAS - ❑ FUEL TANK ❑ UIRE SPRINKLER . ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER i L czC QyE BRC��. 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# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑' ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS - u ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�k. 0 Zm u, � '9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ElASSISTANT 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 : 2� ! CO .F )j U i L "-t DATE: 7 OZ-�• PERMIT# r ` ISSUED: SECT: 2 .S/ BLOCK: LOT: 27 LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BR . p tim 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : _ ► DATE: PERMIT# l - ISSUED: SECT: BLOCK: LOT: LOCATION: < OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... El ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1 ' ❑ NATURAL GAS _ ❑ L.P. GAS r- A C'u' la ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL4 (� [� OTHER a�Qy_E 4R(�k. O 2m • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- �, v j L'c' DATE: PERMIT# Q -� l�� 1 ISSUED: S" ?j SECT: BLOCK: LOT: LOCATION: r~ rJ. J OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑-: INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER cu � '9a2 BUILDING DEPARTMENT 0 UILDINGINSPECTOR &ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER J N U Q k/-1 ,93. 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 : 1 �_1�,yr, -j DATE: PERMIT# ISSUED: ~' '_`"-SECT: BLOCK: LOT: 2-7 LOCATION: 2:n�' F F ri+i OCCUPANCY: 1 /c� ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK l ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER m M h S N In cam k us s Ra bEP4 0 W C 3 a. c v 1n �i w Q r � c z � � U Lq b _ M Q0 7 a � - 2` .. Q ~ F A W � O � `n C d y tr o "� o •= N `� a y , o v i en c p co � � � t U a 7 OS4 00 ~ DOE 4 64 V a pq V o o z z , 71 Clar U Ix � � a M zWz O o w � 4.4 S CL i o u � pZ C7 A z O 0 ,0 � ui Oct V �, � a y a BUIL MENT VIL E OF R*iV oOK �4/,7 rp NY 10573 938 KING ET RYE BR oVLL111 - 4 2025 —~ FOR OFFICE USE ONLY: 11��� Approval Date: -FEB 2 5 Perm" J(JJ Application#� Z'(rj 1f b Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: _ = Date: S BOT Approval Date: Case# : Chairman: PB Approval Date: Case# : Secreta ill ZBA Approval Date: Case# Other: q rr Application Fee: Permit Fees: 6') EXTERIOR BUILDING PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: 31 TSOY-U000 IQLntA jr6Mal�,, /0573 2. Parcel ID#: °�• S y — Z 7 Zone: 3. Proposed Improvement(Describe in detail): 40,j F�►-on r �'e�►� } (�►npew5 W Wq Sow c)y'nyam, Hoa k44i-L ,- (?eWj vp }e (�Ihw fko 1�2y" t4oiw% jIQ1-rUA►y LAVh!±V tna ICIM 5wymo•j-6f a/�- of �(l.. RQyk).1u un of rr't�3 +/151�4 D�A<t'14 G k- awns !tev^ on S,ptrs»n filwc� 4. Property Owner: W�C1lt Address: 1 a Phone#{7A'y 9 43- o`_4z. Cell# e-mail t,,LA'%+n*,A A,,r,yl ej7 o List All Other Properties Owned in Rye Brook: V_6 rheu i t.,f,am Applicant: Address: Phone# Cell# e-mail Architect: .5"DVyl (r 5 CZX?—kcx�U Address: //3) -b�jmy- AA 1 t 1 rw A AV-t 100 V-j �1 y 1©4<I Phone# lI 14k) LT5— 73 s" Cell# (1 4— OI SZ e-mail _TCSG0,r1, r-j le 6r+ 04' Engineer: Address: Phone# n n Cell# e-mail General Contractor: Address: /I � M 'vn, 4 d r/ Phone# `i— �-cp—g / Cell# e-mail (I} 6/1/2024 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: _ 6. Area of lot: Square feet: I S7S5' Acres: • 3(o 7. Dimensions from proposed building or structure to lot lines: front yard: �- rear yard: right side yard: 1J1.'1 left side yard: 10.. other: 8. If building is located on a corner lot,which street does it front on: 1509�0 0_4-'a 9. Area of proposed building in square feet: Basement: 18,fl: 2°1 fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 0 11. For additions,total square footage added: Basement: I51 fl: 2"d t1: 31 fl: 12. Total Square Footage of the proposed renovation to the existing structure: —7 36 13. N.Y.State Construction Classification: 7:e N.Y. State Use Classification: K Z 14. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16, What material is the exterior finish:_ -a1.1 17. Roof style;peaked,hip, mansard,shed,etc: Roofing material: 18. What system of heating: 4-4.1 s .b'J 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire 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 engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: ✓ Area: Z6' 5-q,PT 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: 11 (jyes,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: (if yes,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: (if 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: (if 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: ✓ (if yes,applicant must submit a Tree Removal Permit Application) 2T Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: 1� Indicate: TIER I: TIER II: TIER III: (if yes,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: $ J6 1 C200 Note: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.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: (2) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (9I4)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: 3 J�W-1 ,Q pt-rt-*-C Section: /Z�-59 Block: Lot: PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 1 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT SS Sq Ft. �S f Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building)' Sq. Ft. 4 0 7- Sq. Ft. b. Area of 15' Floor Divided By Area of Lot x 100 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) d Sq. Ft. 6 Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 % O 4. AREA OF DECK I ' 4-) Sq. Ft. 5-3 Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 % 3 4 Z % I attest to the best of my knowledge and belief, the above information is correct. rchitect°s Si nature (3} 6/1/_'u24 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 31 15+SXw0019 69i-A-4i Section: 1 Z`I. 5 `t Block: i Lot: Z,`I Zone: P_`1 s" IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts, swimming pools,patios,sidewalks,ramps,terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD(%) Area (sq.ft.)* Over Base R-35 15 Lot Area % R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 _ R-15A 35 16,001 to 20,000 5,560 2.5 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 1 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 R2-F*"Base Lot Area"is the minimum end of the lot size 30 range in the"Lot Area" column Area of lot: /J' 75-5- s .ft. Existing Allowed Proposed Total impervious coverage = Z$01 S .ft. S'4 96 S . ft. Z 8 Z S .ft. Front impervious coverage = % 5 % / fi a 7 I attest to the best of my knowledge and belief, the above information is correct. itect's Signature (4) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: Plr4 l fi Section: )7 1, s 9 Block: Lot? MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = 3 '5 O$ Sq. Feet b. Existing = Z S L-1 Sq. Feet c. Proposed Z S -L 1 Sq. Feet HEIGHTISETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10%of the entire roof area,shall be permitted to extend. Height and Setback shall be calculated using the formula; Height 1 Setback= X, where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXISTING PROPOSED REO[/I/RED FRONT: FRONT: FRONT: .44 R-35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 1r25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 0-20 SIDE: SIDE: SIDE: 1.60 FRONT: .3l FRONT:• 31 FRONT: .60 /IBIS SIDE:,,"1S 1,51 SIDE: ��S J I.3t SIDE: 1.60 FRONT: FRONT: FRONT: .80 /RISrA SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 RL12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R--fO SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 RL7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 /P-5 SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 R-2F SIDE: SIDE: SIDE. 4.00 1 attest to the best of my knowledge and belief, the above information is correct. itect's ignatur (5) 6/1/2024 BUILD MENTFFB V1 OK 938 KING NY 10573 VILU,GE OF PROOK UV BUILDING DEPARTMENT v,t+..wk*wsr*www**w**wwwwww*,t*wwwwwwwww*wwwww*ww*wwwwwww*wwwwwwwwwwwwwwwww*wwwwwwwwwwwwwww.rwwwwww*Mrst�rFFF* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §21 E - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST HEAR 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 WILLL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 1, "U it ,residing at, 31 &�,xLiooay d7LEq4_<. (p4t uninc) (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; 31 T_)Cs)zwoay FLU, , Rye Brook, NY. (Job Address) Further that all staternents 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. r (Sigiwlure of Property Own r(s} LLb4rL4 U (- h (\J (Print Name of Property d zer(s)) Sworn to before me this J ot yl Lt C,"L day of U , 20 _ (Notary Public} SKa,RI MEULLO Notary'Public,State of New York No.0JME6160063 Qualified In Westchester County- (6) commission Explres ignuary 29,20� GI 112p24 This form must be properly completed ¬arized by the De i of ssioit� record and the Property Owner. Failure to provide this compl )f'ocm with y permit application will delay the permitting pr - vp Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To: The Building Inspeetor of the Village of Rye Brook. From: 56hr\ &' S CAv-l a-k-"� j l'L Subject Property:_ N ?_')dr)._0c-Q'2 ek- 4 ,4Z, SBL: I Z 9,S1 4 I-3,' _7 Zone: Please take notice that the subject; ❑ One or Two Family; ❑Commercial, ❑New Structure ❑Addition to an Existing Structure Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑Truss Type Construction (TT) APre-Engineered Wood Construction(PW) ❑ Timber Construction (TC) in the following loeation(s); 7, j 7oor Framing,including Girders&c Beams(F) ❑ Roof Framing(R) ❑Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before me this `L1A uQ Swom to before me this day of 0 20 —0 :T-- day of 30 ,20 Z r Signature of Pro Owner rgnature of Design rofessional Pr Name of Property,Qwnar, lame of Design Pro si N tary Public Notary Pu is SHARI MELILLO Notary Public,state of New Yo* SHARI MEULLO No.OIME6160063 Notary Public,State of New York Qualified In Westchester county Z 7 No.01ME6160063 Commission Expires)nuko y 29,20^ ( Qualified in Westchester County (7) commission Expires lEMuiwy 29,20� 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 andlor not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. w***,rwww*atsst.*t�,t,t**�•:r*w*www�*�w:r;r**,t•***wwwwwwww,vwwt�:,t;�***w*w,r**:t:r*w**+r*w�*,rw*,t,r*c•wwww***�-t�.w*::**,t,t:tw#:rats* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: h , . Q1L 10-±s Im kizA 4Atq;being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention &Building Code, the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. 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 �4- Sworn to before me this day of , 20 3 day of �3 0 120 Z-�_ �L A,, Signature of Property V er gt ature of Applicant�z' Print Name o Prope ty Owner Print Naine of Applicant otary Public Notary Public SHARI MELILLO Notary Public,state of New York No,01ME6160063 SHARI MELILLO Qualified In Westchester County Notary Public,state of New York 'Commission Expires 1afiu*ry 29,20 No.01ME6160O63 Qualified In Westchester County Commission Expires 1ftunty 29,20 7 (8) 6/1/2024 Ear. a _ p = NN r71 W ■ ( � N N r1 ■ M M >Ln CL W N CA W U s 04 ] X M � ,. CA ^W.. .� � - 9 O F-i1 p 4-+O C M O W z p O w c w g o0-4 W00� O w 4 o Zz �, UI M o v A � F - >CN � V z w = w x .I w ►- _ a .f Cl) z Z ¢ F-i W ul O p Q o U p U $ f U " ai j ¢ p L40 a w F- r"' Q F ►..y = V W z a l or _ 4 44QwC—+t tl to444 �64 64;4U444i944444to4446 Q& = yEa 1- D IEC�;, iE WE BUIL E MENT -- V11L E OF RYE OK ! MAR 12 2025 938 KIN , ET RYE B ,NY 10573 VILLAGE OF RYE BROOK n BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License RequiredFOR OFFICE USE ONLY BP#: (Q 67-0 EP#: c::)15-- UCD Approval Date: . MA 1 Permit Fee: S �CO — Approval Signature: 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 TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 311112,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. 1.Address: 31 �O X vJ 0 c.D 1 L SBL: Ia29.5q" 1 — Zone:9-15 2.Property Owner: 1 I R V-W E L L 419 0*P q BUM(-E V Address: Phone#: 10 0 9 L4 Cell#: S A H L email: 3.Master Electrician/Licensed Installer: H A Ain S; L 0 A Address:33 NEW ST, Put�HASe P� I oS�� Lic.#:_(Phone#: Cell#:9 1 L1 403 315l email: KSjLVA&tCCT�epL&Cf/M;2• Cpl-f Company Name: Mfg 0 SiLdA ELtePuCAL TN '- Address: 191 Crnec eHtyzeH S-r. grC/fF3,T. LIM05+', 4.Proposed Electrical Work/Fixture Count: )i g Poi+X i S U P 6-y\p C7 SG Q 0 ; e( _'kU 100 P4Ae W'%ilia(,- R y e o p r✓ 4'f-) 9 -0 fu-'4 w i 6 , CZ.E No VI ArS 5.3�d Party Electrical Inspection Agency: �J \ *nxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx,:xx,x*xx*xxxxxxxxxx*xxxx;.xx*�*��x****,��x**xxxxxxxxxxxxxxxxxx STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn to before me this day of 20 day of - 20 0 Signature of Property Owner Signature of Applicant f4y'A fL�--_ o S, JV�- Print Name of Property Owner Prin Name of Applicant^ GREGORY M.RIVERA ` Notary Public Notary Public,State of Ne o a ubl No.01 R.16441398 Qualified In Westchester County n/ 6/1/2024 Commission Expires September 26,20 `� STATE WIDE INSPECTION SERVICES, INC. CA) Seii-vice With ItirtegrilY 0•0 • • SWIS • • Office Use Elect. Permit# s_O Date Bldg Permit Al 2 _ O 3 t- 5Q Ft Plumbing Permit # Final Certificate # City/Village R E j3RC)OV Zip /iOs Building Dept. County l✓ES7�/��T�7Z Address 1 �GXV-% Cross Street SectionP"1 $q Block ' Lot 7 Owner Name/Address elf different tPi t%' W 61 L w ; f9j) k-tEE Contact NumberIf C4 Basement ®1st Fl. ®2nd FI. 3rd FI. ❑More Than 3 FI. Garage JM 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# 1//� _ �Z�R Con Ed [:]NYSFG []Central Hudson Orange/Rockland IT l� I PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect 11 Legalization Safety Inspection Consultation Scope of Work UP �n�,�r SCRJ� c � Tc� doo r�NF W R-i N G P-e N 0 J PrZ o a-% A y (?V n t- T N D YYa u—;.1-1 v S if MAR 12 2025 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS This application h intended to covet 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.Thr,applicant dedates that there is no open applications for the above address with an other y inspection company The applicant owner or authorized agent agrees to all the above terms and conditions as set forth for the application Email Address S V E Lf lit o-�c fA L d IL r ev K Name 14(?.c p S f L✓� License# 9`7-6 Date 3/. Signature o Address ( GTVAec n C.4 Sr City/Stat f tlT-0#gV7Z Zip Code )0573 Company NZ ID S t I-IJ A E Le C T - C14 L, N Phone 4 qv3 395 State Wde Inspection Services `J ' 1080 Main Street AUG - 6 2025 � ' Fishkill, NY 12524 845 202-7224 Phone ----••-- 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BPOOK Email: office@swisny.com BUILUI`,,. ,'.""IENI — — 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: Mario Silva Electrical, Inc. Maxwell &Whitney Buckley Mario Silva 31 Boxwood Place 121 Grace Church Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at:31 Boxwood Place, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-066 129.59 E 27 Certificate Number: 2025-2518 Building Permit Number: BP25-034 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 31 Boxwood Place, Rye Brook, NY 10573 The Basement, First Floor,Attic, Garage & Exterior were 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 301h Day of July 2025. Name Quantity Rating Circuit Type Receptacles 72 Switches 52 Luminaires 26 L.E.D. 73 Spot Lights 05 GFCI 07 Smoke Detectors 07 Visual Inspection Only; Not Tested by SWIS. C/O Smoke Combo 04 Visual Inspection Only; Not Tested by SWIS. Warming Drawer 01 Washer 01 Oven 01 Name Quantity Rating Circuit Type Refrigerator 01 Microwave 01 Dishwasher 01 Exhaust Hood 01 Cooktop 01 Service 01 200 Amp Meter 01 Panel 01 Disconnect 01 Grounding and Bonding of Service to Current Code. 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. Page 2 i i i CV N N - � • 00 00 R,, R� v"' 'f vi 00 Z > u C� a • '+ z Ln O W N a a 0500 A eq iz ac Ln :2 �r co t '� c 14 W u u x V > _ CA H I z j r- o� Wa c/) N. �i n z o O o < rn M g w z q D BUILDING DEPARTMENT MAR 17 2025 VILLAGE OF RYE BROOK 93 8 KING,STREET RYE BROOK,NY 10573 BUILDIAGeNG op D pA O 939-5801 BUrLDrN� pEFq�rROOK (914)939 i "ENT wVv9v .or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#; 5 V Approval Date: Permit Fee: $ Approval Signature: j Other: Disapproved: (fees are non-refundable) ************************************************************************************************** Application dated, 3 '17' 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 Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: 2,1. `,/( placr 9 Y SBL: /c4 15 7 Zone: '�- 2.Proposed Work:a jU W ja M ! 3.Property Owner: W h 1 tYV Ll &ULL j C y Address: 31 5UKVV4PJ Pia cal V-U C. 6►Va k-W I PSG Phone#: ZV :3 A &942Cell#: 203 Oq� &q4A email:Wh1h11ffY6uC0ty2i} ICJofMdd• (Uc J 4.Master Plumber:BILL !9 Ali 10 s C Address:3_ u 0 t c Lic.#:�1 Ph �}+Lff;� 'j'�/ C59�#' L41 Ss-Q&3-7 email:�& Q y��oZ � ti Company Name: " e&sa n del_ P+A l�C Address: �/►)AcuClc a OA wa nZ t�1 0I INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor L 2nd Floor 3R Floor 4T Floor 5 Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 3/21/19 J BUILDING DEPARTMENT VILLAGE OF RYE BROOK D �� � ��vn 938 KING STREET RYE BROoK,NY 1057 IE (914)939-0668 FAX(914)939-5801 www.rvgbrook.ore MAR 17 2025 ID BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE U 16 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: (� B , residing at, � ( go �W60 (Print node) (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; I r-5L l( wubd I CC, , Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Property Own s (Print Name of Property er(s)) Sworn to before me this of �c , 20 A-t-, V-\ otary Public) SHARI MEULLO ;:ry Public,State of New York No.MMM60063 0 -led In Westchester County ,sion Expires Jandary 29,20,�i. -3- 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �), 1/,t Eau r iahv fotkl tiS ,being duly sworn,deposes and states that he/she is the applicant above named, (print rOdae of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. 1 Sworn to before me this Sworn to before me this day of Ty's a CC,\,-\ ,20� day of 2 20 Z5� Signature of Prope Owner Sign#6re of Applicant Lau 1MG1 9YG4-(,e ('+1V 0vC,v<- Print Name of Prop&ty Owner Print Nam6 of Applicant ottb h)*bIic,State of New York No ary Public No.OIME6160063 PATRICIA B NEFF Qualified In Westchester county NOTARY PUBUC,STATE OF NEW YORK Commission Expires January 29,2027 Registration No.01NE6434642 Qualified in Westchester County My Commission Expires June 13,2026 This application must be properly completed in its entirety and must inc the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/21/19 a en E 0Ln 4. N .1 Cr G G J / w a W � L � '3 � � t CA C Z o o ,_ F u o vim C enUJ t . v en cz ■ u oC C. 7 Cc a IOI Y 4r C _ C v U (� �' o0 7 z wy �Ot tj Fi Wr F y 7 w / - c en .r 0V 0 , 7 x z CE V r Q Q E � .9 m z 7 _ K C � J r w a Z F � a M A � z q ��" `cQ � � � �• ii H O U ? W a C- Bt111,D�Kt;.6�0AUMEN'1' V11, ` E OF RYA 4kOOK D ((� �/�(t= 938 KIN(:§,f -,FT RYE Bit t ,NY 10573 v v IS -or; s>; MAR 19 2025 r> ro��'ri ov VILLA OF RYE BROOK APPLICATION FOR PERMIT TO INSTALL AND/O 9 DEPARTMENT HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT- 5 (FORO OFFICE l'1sF ONI.1'; �,�' �.�� J Approval Date: MA trr Permit Fee:$ Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START NVORK or CONSTRUCTION UNTIL A PERMIT HAS IIEEN ISSUED BY THE BUILDING INSPECTOR THE ADMINISTRATIVE FEE FOR WOltl< PROGRESSED Olt CONIIII_FTE"W ITHOITIr A PERMIT US 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINI •IUNI FEE OF S750.00 i REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed&Signed Application. 2. Sitc/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance.(village of(rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment ofFees/Unit: RESIDENTIAL=$150.00/unit•COMMERCIAL=$450.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated.3 (G( 7-5 is hereby made to rite Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by sighing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. I I. Address: 'al 3OXWODA B ate, U L�kL 1��SBL:/4 7C, 6 ?—/-4 /�r Zone: 2. Property Owner: Address: Phone#:20;' 8A CPA 2 Cell#:2,6' 949- D I A a email: 1 C V :) tYIW1•Cdra n f A Adaress: 1-I� �t`)++fie AVM New�Iep Nv l�ol 3. Contractor. 17 r t l Phone#: Cl)L4- Cell#: 9►L-i -21o2- 13O1 email: OnClrQ&n.HAndl;.�k�gmpil.Nrr 4. Scope of Work:New Installation( )•Replacement( )•Removal( )•Other(J. DUCt MJL-)1l I (r4+l c-V2 S. List Equipment: SC A ryx-Q -ea�U 12ni e Tit' mV U it 1 rice DuCt 6. Location of Equipment: 7. Method of Instal lalion/Removal(list all equipment needed to perform job): 1 MAOFST TE NE YORK,COUNTY OF WESTCHESTER ) as: i IIIZOPW ,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 Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 day of ""oy, 20 9-5 91 Signature of Property Owner Signature of Applicant _P11Ka A0ra" Print Name of Property Owner Print Name of Applicant Notary Public 4ryPublic Jessica Barkley Commission#: O 1 BA 0r'26020 Notary Public,State of New York My Commission Expires:June 20,2029 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 6/1/2024 W 1STA1 .O NEW YORK.COUNTY 01:WI:S'I(:NIiS'I'I:R 1JhI C l RV lug ,being July sworn,deposes and states that he/she is the applicant above named, (pnnt name 01 Indn•xa1%ignmg As the a ie nt) and turther states that(s)he is the I leating.Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. lltat all statements contained hereu+are true to the best of his/her knowledge and belief,and that any work performed,or use conductext al the above capti(ined 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 d Sworn to before me this�l day of ��(G 1\ .20 day oM-�," .20�_ Signature of pro Owner sw►nl MEuuo Signature of Appli t ((// lA Notary public,State of New York u J/ Name of owner J No.OJME6160063 print Name of licant Jy Qualified E Westchester county— C\Y"t�l \' \ n x Commission Expires lentlary 29,2 Notary Public Notary Public INS application mast be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property,and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 NI!'0_d ■ ■ Jason Mann ■ William Besharat ■ BPI Certified Professionals ECNHOME jasonmann@ecntesting.com 914.557.1879 PERFORMANCE ecntesting.com & TESTING Client Name: Andrada Heating & Cooling Fan Model: HSC 4.0 Property 31 Boxwood PI Address: Rye, NY 10573 Serial Number: 6498 Phone: 914-262-1307 Date: 5/8/25 Email: Andrada.handc@gmail.com Temperature: In:65 Out:68 Total Leakage Test (3CFM per 100syft) Zone 1 (Baasement Unit) Zone 2 Time: 11:47am Time: Square Footage: 2,500sgft Square Footage: Flow Ring Installed: n/a Flow Ring Installed: Target Leakage Target Leakage (3CFM per 100sgft): 75CFM25 (3CFM per 100sgft): Actual Leakage: 24CFM25 Actual Leakage: Comments: All of duct work in the home was sealed with Aeroseal Duct Sealing Technology to meet testing requirements per the 2020 ECCC-NYS section 403.3.3, with duct work separated from air handler (3cfm per 100sgft). BPI CERTIFIED PROFESSIONAL Jason Mann BPI Certified Professional M BPI ID #5058959 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NEW YORK 10573 (914)939-1121 FAX: (914)939-0242 FREEDOM OF INFORMATION LAW REQUEST FOR RECORDS Under the provisions of the New York State Freedom of Information Law, Article 6 of the Public Officers Law, I hereby request a copy of the following record(s)or portion(s) thereof- - OR - I hereby desire to inspect the following record(s)on file in the Office of the Village of Rye Brook: Records may not be removed or taken from the premises, but copies can be made at the rate of$.25 cents per ppA �x4 aag e`forassttandard/sizze copy. �/( NAME: � 7��/ � PHONE: EMAIL ADDRESS: ADDRESS: SIGNATURE: Date Approved A / Christopher J. Bradbury, tigge Administrator Completed By: ► n Building Permit Check List&Zoning Analysis c Address: 30 SBL: Zone: `^"1 Use: 21Q Const.Type: Other. Submittal Date: `Z y Revisions Submittal Dates: Applicant C Nature of Work: V-4 2 _0 4� C, e- \ -Ar =.Cs��s \' (1 �c QAS Reviews:zBAFEB 0 6 2025 PB: BOT: Other. rc�ZFEES:NEED Filing. �� BP: �d�)to� C/O: Flood Plane: Legalization: ( ) (a—.APP: Dated: t,— Notarized: SBL: — Truss I.D. Cross Connection: H.O.A: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO: Long. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current: Archival• Sealed: Unacceptable ( ) ( PLANS:Date Stamped Sealed Copies: Electronic Other. License: Workers Comp: Liability Comp.Waiver. Other. (VY ( ) 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. (yY ( ) PLUMBING Plans: Permit: Nat. Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. H.V.A.C.: Plans. Permit: N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. 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. (04R mtg. date: approval: Z '/4"23 notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval: notes: REQUIRED EXISTING PROPOSED NOTES ArrKUVED Area 5\(- 95 N c a� Date:FEA 7 5 1025 Circle: Frote S 'Zt{f] fyC Front: �C) Front: Sides: L . 1 G� Rear. L4 r-3 1 0— Main Cov:---L16 OK Accs.Cow. y "it V. etc Ft.H Sb: Sd.H Sb: POTLU GFA Z 2'l 'Z5 2-1 NC Tot. t a'.--Ft.Imp. '.--Ft.Imp. [0 .7 Kc- P Height/Stories: p /� notes: E�k BUILD MENT VIL yt / 1'` OOK F 938 KING , ' ,NY 10573 I ` :qJ FEB - 4 4i1�5 ov _ ARCHITECTURAL REVIEW BOARD CHECK LIST FOR NTS 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: 31 �jC�.WCOD Q000. Date of Submission: Parcel ID#: ) 7-9.�e -- )-Z-1 Zone: Proposed Improvement(Describe in detail): �.1" APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT �?o,t nco U, pk;jC, tp , W-VI14- The following items must be submitted to the Building Ft•5' '�a.�- j)r44•, pAro�� ,JA^'"''n Pam!' Departr�nt by the applicant-no exceptions. 1<u�ii 55 oRIT( 4 Sik-tr s 4 1 p- "-,nni ►iowty, I. ( y ompleted Application roperty Owner:m� Ij 8 r ;— ilc,k 6!4 2 C,,Y „vo (2)sets of sealed plans. (one full size{maximum Address: 3 12Lh-L& RI-Q. ' rtiOL allowable plan size=36"x 42"} and one I t"x17") Phone# (Z��� Qi 3~ �q �}Z 3. t: w (2)copies of the property survey. 4. (2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( ne electronic/disc copy of the complete ` application materials. a�11Y' L `'Cep'1"-4,' �'t'L .,A`r�c,�9�t�1-`�'' 6. ( Filing Fee. Address: 1�j�r2t yr, ) {1 1/ }" 1�17a��,aki/-�`'j 7. ( A supporting documentation. Phone#_�Jitif ) s73-73St' 8• (; ) A approval letter. (ifapplicable) 9. ( Photographs. Architect/Engineer: .Sal,^e C'S A gc re_ 10.( ) Samples of finishes/color chart. (a sample board or model may be presented 1he night of the meeting) Phone# 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 0 V 61 W, Sworn to before me this :1�4fi'f e" day of ?j�; , 20 ,3 day of 30 , 20 Z S- signature or Property wner sgnature of Applicant VV Yl�l1eil F)06kinj71 �•nn G SCar�a jam` Nnmc of Propert Owner t Name of Applicant Notary Public Notary Public SHARI MEULLO SHARI MEULLO III Notary Public,State of New York Notary Public,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County Qualified In Westchester County j Commission Expires Jahuery 29,20 L Commission Expires JcnuKy 29,20 L 6/I/2024 L�R�ly� Village of Rye Brook ML MR V nda FB ✓` SE Architectural Review Board Meeting AC AD Wednesday,February 19,2025 at 7:30 PM JM ✓ SF J Village Hall,938 Sing Street 1. ITEMS: 1.1. ARB25-005 (Consent Agenda) Pak Yun Chan&Jaclyn Chan 745 King Street 4'high split rail fence. 1.2. ARB25-006(Consent Agenda) Maxwell Buckley&Whitney Buckley 31 Boxwood Place 6'high white vinyl fence and gates. 1.3. ARB25-007 (Consent Agenda) Purvang Desai&Mehernaz Desai 4 Red Roof Drive Rooftop solar array. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.4. ARB25-008 Donald Amell&Katlyn Amell 235 Irenhyl Avenue New front entry. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.5. ARB25-009 Bradley Scharf&June Scharf 8 Magnolia Drive New rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 Architectural Review Board February 19,2025 1.6. ARB25-010 Maxwell Buckley&Whitney Buckley 31 Boxwood Place New front portico,new deck,new windows and interior alterations. Approvals: Modon Second Abstention Aye; / Nay; _ Adjournment; Notes Col,oQ c7� � � aOa2 46 . 1.7. ARB25-011 Thomas Potter&Ellen Potter 16 Beechwood Boulevard Window change and add skylight. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB25-012(Amendment to Approved Plans) Matthew Wiener&Erica Wiener 18 Boxwood Place Eliminate pergola,add roof over deck,eliminate section of deck,enlarge outdoor kitchen and change railing to cable railing. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB25-013 (Amendment to Approved Plans) Michael Frenklakh&Amy Frenklakh 177 Betsy Brown Road Remove stone veneer and change siding material. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board February 19,2025 1.10. ARB25-014 Joseph Bradford&Amanda Bradford 304 Betsy Brown Road In-ground swimming pool,patio,retaining wall and fence. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB24-133 (Re-Appearance from 11/20/2024) Pak Yun Chan&Jaclyn Chan 745 King Street Roof over existing patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: March 2025 Page 3 of 3 Laura Petersen From: Steven Fews Sent: Tuesday, February 25, 2025 4:54 PM To: John G. Scarlato,Jr.; Laura Petersen Subject: RE: 31 Boxwood Place Cost Expires: Wednesday,June 25, 2025 12:00 AM Ok,thank you John Jr Thank You. Steven E. Fews Building Inspector& Fire Inspector Office (914)939-0668 From:John G. Scarlato,Jr. <jgscarlato@gmail.com> Sent:Tuesday, February 25, 2025 4:26 PM To:Steven Fews<sfews@ryebrookny.gov>; Laura Petersen<LPetersen@ryebrookny.gov> Subject: 31 Boxwood Place Cost The construction cost is $ 162,000.00 It is the same contractor as the demolition permit. Let me know if you need anything else on this. Thank you for your help. Best Regards, John John G. Scarlato, Jr., Architect 33 Byram Hill Road Armonk, New York 10504 O: (914) 273-7350 jgscarlato@gmail.com www.scarlatoarchitects.com i t t_ S Lr G N OD vj V �1 Q J L _ x to Jy Irl 73 y 4:q y c To Y _. O CN $ 3 ? ov. 7 v 40 yy�� � 7 1 Ilww r ® 7DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE A�� /13/2025 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 CONTACT NAME: STEPHEN SOLIMAN Scavone Insurance Agcy CtrLLC PHONE 914-428-7111 FAX 914-428_7764 470 Mamaroneck Ave Suite 205Fae White Plains. NY 10605 AD RIESS: stephen0scavoneinS.COm INSURI AFFORDING COVERAGE NAIC N INSURER A: WESTERN WORLD INS CO INC 13196 INSURED Andrada Heating and Cooling LLC INSURERB: 48 Potter Ave INSURER C: New Rochelle. NY 10801 INSURER D 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. INS, TYPE OF INSURANCE ADDL UB POLICY NUMBER M/DD/YYYY MPOLICY EFF POLICY LTR Dr YY LIMITS A S/I COMMERCIAL GENERAL LIABILITY Y NPP6164555 01/25/2025 01/25/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE TO ED__ CLAIMS-MADE ✓ OCCUR PREMISES EaENTI oomarenoe $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ✓ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY EOMBSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON OMED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LWB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER _ ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is included as additional insured under the General Liability Policy for Permit Purpose only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD •NYS I F New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE E ,E ^^^ ^^ 843733446 r �X SCAVONE INSURANCE AGENCY 4:• y}M .ti CENTER LLC f 470 MAMARONECK AVE SUITE 205 WHITE PLAINS NY 10605 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ANDRADA HEATING AND COOLING LLC VILLAGE OF RYE BROOK 48 POTTER AVENUE 938 KING STREET NEW ROCHELLE NY 10801 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2523 894-0 80398 09/25/2024 TO 09/25/2025 3/13/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2523 894-0, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK. TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE.VISIT OUR WEBSITE AT HTTPS:I/WWW.NYSIF.COM/CERT/CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY AFFORDS COVERAGE TO THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. RODERICK ANDRADA MEMBER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE SUR NCE FUND T �V DIRECTOR.INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 100262647 r e.e++� tomes- Jssw�tasaw panty Department of Consumer Protect-on lionit: lmprrwenient License R RP C_%STRUCTt 1:SVCS CC= i"l F0JRT►i AW%LL - 01 nsS�!f��NMI�<�Kt�N�{rlC�f v,Lh.�a����i ...a LI'R Ila�:;_r . _ .� 1.�,r.f1Ke �' �.:14�CMQr anit it��►�un'`ti YQi'M1 prewact of tfe�•S�c�•�bt'reit*t�l 11+*►l K c�-xtr'�p q•ir��.:al�,o�+,ts:�.r,,r tt r�rrN f.,r ,sr-.•�C Itus t��e�lw Y.C�ffh-z1 G C?72a''102S eta C=~ If r K+� RRPCONS-01 BEG ACORO CERTIFICATE OF LIABILITY INSURANCE DATE IMMODnYrvl2/12/2025 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 NAMEACT Ellen Goldman(e0oldman@butwin.com) Nathan Butwin Company,Inc. PHONE 60 Cutter Mill Rd.Ste.414 I(AJC, o.Ertl:(516)46"200 (`AIC,N. 616 466-421.j Great Neck,NY 11021 M0433:inf6wuttain.com INSURSRISI AFFORDII a CDIIERAgE Waco INSURER A:LIdCs First Insurance Co.___-_. INSURED INSURER B RRP Construction Services Corp INSURER C 413 4th Avenue INSURER D: Pelham,NY 10803 INSURER E: INSURER F: COVERAGECERTIFICATE 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 TYPE OP 00SURANCI ADDL SUER' POLICY NUMBER _ .IM 1! P I - - LAW"JKE A X OCROAMIAL GENERAL LIAAWJTY EACH OCCURRENCE S 1,0001000 ART3000632800 11/21/2024 11/21/2025 DAMAGE TO RENTED 60 000 CLAIMS MADE X OCCUR .PREMISE$LEa ocowrrence! S _ '_ _ MED EXP LAny ompion on) PERSONAL 6 ADV ILLIPRY S 1,000�000 TE LIRqMIT APPLIES PER: GENERAL AGGREGATE f 2.000,000 X POLICY JECT u LOC AGO 1-�----- U00r000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE UM(T If ANY AUTO BODILY I r Per 'OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Par wo HIRREES� NON-py�rNED PROPERTY DAMAGE AUT6SONLY AUTOS ONLY era001—CWK] _- i l� UMBRELLA I" OCCUR EACH URRENCE AL, MCCMLW CLAIMS MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION - - ---- -. ._ _ RTU H- AND EMPLOYERS'LIAaILnr YIN - ----- -- NYPROPRIETORIPARTNERIEXECUTIVE - "-' E.L.EACH ACCIDENT ZI E IMTw)EXCLUDED? NIA I E L.DISEASE_-FA EMPL If yes describe unndder ------ DESCRIPTION F OPERATION below y LIMIT i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached It mom space,a required) 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 - ------- AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Narne 8 Address of Insured(use street address only) 1b Business telephone Number of Insured RRP CONSTRUCTION SVCS CORP (914)755-5405 413 FOURTH AVE PELHAM,NY 10803-1209 1c NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically landed to 1d.Federal Employer Identification Number of Insured or Social Security certain locations an New York State.i.e. a Wrap-Up Policy) Number 37-1916210 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Hartford Accident and Indemnity Co Village of Rye Brook 938 king street. 3b Policy , tier of Entity Listed in Box"1 a" Rye Brook NY 19573 16WECAJ8Ng 3c.Policy effective period 02/01/2025 to 02/01/2026 3d.The Proprietor.Partners or Executive Officers are included.(Only check box if all partnersaofficers 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-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" 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 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 Benjamin Palancia (Pnnt name of authorized representative or licensed agent of insurance carrier) Approved by i�ao ran — Signature) (Date) Title Agent Telephone Number of authorized representative or licensed agent of insurance carrier 914-698-1373 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 wcb ny gov Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, March 5, 2025 3:41 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 03/05/2025 15:41 To: VIL RYE BROOK PRIMARY Transmitted: 03/05/2025 15:41 00001 Ticket: 03055-001-327-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr= From: 31 To: Name: BOXWOOD PL Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: CORNER PROP, LOC WILL BE MARKED, REPLACE FOOTINGS ON EXISTING DECK ON THE BACK OF THE HOUSE NearSt: FAIRLAWN PKWY Means of Excavation: HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: FOOTINGS FOR DECK Estimated Work Complete Date: 03/15/2025 Depth of excavation: 25 INCHES Site dimensions: Length 16 FEET Width 14 FEET Start Date and Time: 03/10/2025 07:00 Must Start By: 03/24/2025 ------------------------------------------------------------------------------ Contact Name: WILLIAM OLIVEIRA Company: RRP CONSTRUCTION Addrl: 1213 FOURTH AVE Addr2 City: PELHAM State: NY Zip: 10803 Phone: 914-906-8932 Fax: Email: wcppaint@msn.com Field Contact: WILLIAM OLIVEIRA Alt Phone: 914-906-8932 Working for: HOME OWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 r N (D 0 � o L ID Q. 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'n o o ce d Q to S'� 'o ,._ m n O. o y G:.. b R at c. n > a Sn '7 n �' d n m o O Cy n '/ a a a WWca a Cn r-,•' cn 2) as b W o W o Um M. c O M cot-r m 3 b w m -ice A A .'^-X' _ -J :3 _ .A-. a •7 G - CD a- N- o x 0 o'trva ccr rn x' q j 1 c ! F m p a o a " °° 2- a -3 -� -_i a • _.A n• _ O. _ t5' ra tD - a W) Cot M O 0 = --A,• 'y G w r- G ti ro Do m to ce " o e O rn m orS.- o cn�' m - C°' o o n'cD o c -m, ca m � � ro C n m y ,.,, 'v 0 to A (C o a R Ei o = �- ••� -iF m` cCr' Q y 9� x' 3 = o m- o O a w a) m o m O m - :s ti 77 trl to m C A R yP•. V c r C a, O Cy � •., 0 3 a A -C io w H '' Fsr T i z nG) o 3 3=_== a o as <- 3 _a= n a 0 ���n O m Go Lhwa �n O �a �y � ^ _ n= a ,'i7z 3 Oa �' O v� 0. n [� O. C. m A P T a n o a- ....:, ... - ra �-- - m C-"'n 3- 0 C o c- co a 0 a R n 0 'C7 Cn K G D n n fo to Q. T Qa a _ a C -w a x•�- Co G. o n n --.0 O 0. X m Or �_ n A Ca O a- v 6 W O m . t't� A ,1, _ d -•' A �e -pa !Z a W ^a N 0. `G o rD m 0. 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Cn n a O O x Z n o- O_ a c a o A A cst tJt o crr ca W O 0 N N a Z O �t R O' O 7 O N as O C, n t O d 0 ^' O CD O to .� E. Q ca O 3 .5 y n "a ^ A a ip .+ W - p " p m O R �Z d f1 ^I - .1• Ir w O .-. = 0 00 pt O A R_ Cn th pp O w vi rr� b ...r I 1 CD ro 5 .A.. 3 11 R „OJ, .0 a '-' d c b R = m .+ 0 A A N m G N n [J - d to T .a* 0_� '' C m A tl as '' O C C) a o ''y o fo X _ `, t`_ Z vi- _ -} •o _ .r < a 0 m n N b n �o a Las °� "� � (n O .ry y ••, - `J N O S N , .•. ..-..�•' ..0 .. y 0 .- ID p a� O-'b O�� Cn 's7 G as ... N d o n w N .< n N 1 1 r� •�y c b �= � -1-1 iirz I 1 = r it Cr a c = o H w a A ='r? a to _ C .-. A tl O b c cD < 0 0 � 3 v n w- tNia � m � CD •o A C-1 o r-, to "- cs m o= W, c o` o o b O n _ P O O P H P O O * Z a co 3 O .r.{`• '?'a 0 O 1l . ,,. . • m -0 n a ro m n. o 2n .p is v n (� � a rn - a � O z -� t- '_0 a c o -, c o zr o• o c w a- .., •z �_ nr -.. - a ID m ',7 :n m m n [n - .ta n R. w ai H O a, c rn n ro a 00 .O' O° C O -fit - m m a ,� � Q' C C.� ^• b / _ do H = 0 :-I a R7 p C H as �c�' v< o a t: Q v0 � a 7 ". ro p n tSJ N ro P a rroi. O n 0 ¢" A CD b fn ...I n Z . i i -) M '\ O o P >- r_. �m ! a .E.CISR. _=• � < d 7 -'o H to _ m 2 O O 7C '<< p• b p 0 7r. m y.. O = O a �f W r+ r'-!.. a t-i QQ O d a ` G O _ b "+'i r1• . ,_ O- ...r, ^ R S O O b y; •; : 0 Z' < fA •-! - N O O O a Al � R Cn as V J A Ci � m " Q F � 7 p 07 .. [n a .- A = 0. N - •••t O .- O a!-. 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IT IS !k� O R I C 1 Nh SCAL__ 1 — 20 NOT VALID FOR ANY OTHER PURPOSES OR FOR ANYONE ELSE �L_ 1 � 4 A 11 I .T3'�1`J1st r':�F_'�-r _-Tr-�-r•.r_-�:9....,__.�--.ra.r:-�.�._�..--+""-�cT__.-_ as.rifEs'l#.:X7i�"rs�oEt�R'LT,- _ __. 4;s_^.r� -�'fa-.. .. y � AT le p[• -'1 �'�-�" ,, {' p j y I" has.. I J X' L'ECP 9 ION': I -.#G) r :\ . .� .. . LOT: G j I �� YARD +I /n ram.`��-"` � A �y1 I V I FI`4 I 7i'l., �. P"�'" .(� i' r 1.. 6, PVC FENCE v I i C Ft. I /�y?+/I pf"� "?1�, .3 I° R/�� �' r"'G FE, Y I� � I�t.1 r�,I 1�♦trTl a C� y,!I `� �. ! .4 F�.L k' V.�5O U r 3 i + u Yv i!� '�_ 4 Ex, `# 3 r u ' 5'T � 0.5 SCUT.1 !, 0.4'-'EA5T 1 2.2'Wr5T ] II I! ;f .V r ;� YARD LLJ © d Z YA,t1„J C� i.ti L.L. Q -. fi ;-3,a_ I > ! ' `: F r i 5. > U,P-1 I' o� 9.7' I I.f' ..° I 410.0' I Cc�� aslr �_ 1 GATE DECK I.,.. S v.� ; 1 �.TORI � �� iG � >=E.A1ri_ � � Ei` PVC �`'-��' [7 CIJi� ` C?P11dI G �E Pvc FE. � l 1 +. STONE CURD r. h :� ► vATE l V V �� t #i PVC FENCE 1'2'5 I•ORY I .13 cA,ST i v Q'jVfLL I'-1G No. 3 I ASPHALT DRIVEWAY r'i fry .I I STONE CURB 44.8 +r •.� 1 tl I ROOF PQRCS cam' L2y�µ! CO ro Ld r ri I I I 1 titiy�T 1, _ �� LLJ I� I: ,. YARD .k YARD i Ol .y <1't1 ' I YARD t I I; < + 4• f u` r'�s ��,n ,n 9-,,•�:3 � v 'i ASPHALT STREET CURBr �-} ,4 tL.� �K: ly I^ILcD MAP X� 2 �• KNOWIN AS LOT No. 7 I IN BLOCK A FILED AFRIL 28th, 1965 AS MAP NO. 14304 LO T 11\L-A !�,43 P. �� - f-+rsr..rrr--•r�rtrarearv�r:.�:.r_:.^�:ra-i:^r�.���srs-r:-.a--re-.�-c-�z=r^.rr.�.:�-a;. .... .. ' �RC �nss>,Iv:rr�,_:_�-,L-e"..+w�.m.s^rc�'r�:>-=ra�rr;r-•r>rt_a:'�-rraac:r 4a�-rua•-.:Inc.:cs-:c-••sR-�zr.-�-.r-•..-.rarr.�l•sacr'�•-�c-u,•••,• ...;...r 7r�,a,.�rae�� 3ra�r_^•:c�a•rast�rr r . GUARANTEES 4R CERTIFICATIONS INDICATED TrD I-i;�RE�7N SHALL RI)N ONLY TO THE PERSON FOR D,-"%I E DE �RIPTION l' R V1HCi*4i THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AID LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING r -- _ INST!R UTiON, GUARANTEES OR CERTIFICATIOJVS ARE NOT TRANSFERABLE TO ADDI�IdNAL INSTITUTIONS Gf SUBSEQUENT OWNERS. ��Ia���� � � IJ�1/EY 2. PROPERTY CORNER Ir1DNU1'JIENTS WERE NOT PLACED AS PART OF THIS SURVEY. I` `= 3. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 720J9 OF THE NEIN YORK STATE EDUCATION LAW. I 4. 01•JLY COPIES FROM THE ORIGIN L OF THIS SL1PVr=Y MARKED WITH AN ORIGINAL Q1= TIME LAND SURVEYOR'S INKED SEAL OR HIS EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. S, EASEI�IE7!LENT OF RECORD ARE ONLY GUA'PANTEED IF AN ABSTRACT OF TITLE IS FU�7h;l;HED TO THE SURVEYOR. � �I s PLLC 71N _ ravr srsr•a�:= �as:a.ate,®.-.•..�..--..-._�,- .�.,�� ` =+iY: slpL-:icarsT.zM�z¢'ys--ri:��"-�1c1AC+iLti."'• .. rs:asap E t y� S U M/cE J C-Eu 1. MA::WELL DAMES 6UuKLEY AND WHITNEY iMILLS I-3UCKLEY PRO ESSIGNAL LAND SURVEYOR I 2. CITY OF RYE DEPARTMENT OF E'U1LDINGS LICENSE No. 05093 to �l } 172-24 0.3rd AVENUE 373 0 A 91738� 73Q4TELEHONry TM- S `� FAX ?18)206---2814 0F i TITLE+_ _N� GiMA,IL: GOPAULLALSA@GMAIL,GOM _��.___. .__,._.,w.•..L� _ ALL RIGHTS RESLERVED 2025