Loading...
HomeMy WebLinkAboutBP25-045PERMIT #),e,./- c SECTION 1 cD-g> 7"1/ BLOCK LOT. TYPE OF WORK JOB LOCATION OWNER, a CONTRACTOR( EST. �AcO #, TCO # DATE FOOTING _ FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT 1(a FINAL 99e f7r1 ali FEE DATE , INSP OTHER APRROVA S ARB Mc7 /9, ao,� BOT PB ZBA OTH�f2 AS-SUILT/FINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION 'e�e�ved 8/8 QyE BR 19 4 yycwo'JJ V L try.Vu.'`j 4 Ji4G,�.y J VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.tyebrookny.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 23,2025 Janine Hannon 20 Country Ridge Circle Rye Brook,New York 10573 Re: 20 Country Ridge Circle, Rye Brook,New York 10573 Parcel ID#: 129.76-1-23 Building Permit#25-045 issued on 3/25/2025 for a New Fence This certifies that the new five foot high white vinyl fence and gate,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to EC IE � v [[E BUILDING UEPI�RTMENT For office use only. 1L_ PERMIT# VIL OF RYE BROOK ISSUED: —c�s c3s EAUG 7 2025 938 KING STREXIV-0668 FEE: --PAIDE BROOK,Nt'w, YORK 10573 DATE: --]—aS VILLAGE OF RYE BROOK BUILDING DEPARTMENT W , JX 1 k ov APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION wwwssr*s*sw+s**++*s+*sswswssss+ss+wsas*ssssss*s+****s*ss*s**r*r***s*r*sr*sr**srs*s*tstssssssttsssssssasssssssst+sswswss***ttt Address: .20 CQ.1fctYV J26wf1 C IrC le- Occupancy/Use: / 1�:;4M Parcel ID#: a 9,-7L/ Zone: I_S' Owner:�SGJI In( e- Hcu-1 yp n Address:20 (j)( d C Ord P.E./R.A. or Contractor: C(°lG- ?- abaers Lar su-p ddress: �- Person in responsible charge: 4i S C2t 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: JCgnlr\e N Ctf\q\ZY\ being duly swom,deposes and says that he/she resides at 20 C,DUj? Y4 ndke_ OrC� (Print Name of Applicant) (N .and Str ) n in Ky 0—8 y1yjK ,in the County of W C` Ck1.e.N�et� in the State of N y ,that (City/Town/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:$ 15,ocp for the construction or alteration of: W ktVe_ i !�a:X2 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 , 20� day of ,20 SS&p ture of P Owner Signature of Applicant �1r1.e �-I rlf�v� in ame of Property Owner Print Name of Applicant Otlk_�_ ��I�L Notary PubIi9HAR1 MEULLO Notary Public Notary Public,State of New York No.OIME6160063 6/t/2o2a Qualified In Westchester County Commission Expires January 29,20 L BRC>v� O �m w � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK 0 VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 0 ASSISTANT BUILDING INSPECTOR (914)939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - -- - - -- - -- - - -- ADDRESS: V� DATE: �. 4 PERMIT# ISSUED: H BLOCK: LOT: LOCATION: v °. y OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 4fACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING 0 FOOTING DRAINAGE 0 FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 0 ROUGH FRAMING e` ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS D FUEL TANK v 0 FIRE SPRINKLER Cl FINAL PLUMBING ❑ FINAL O OTHER BRC�j� w � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK 0 VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAX(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - - ADDRESS: n ( � C l DATE: PERMIT# ISSUED: SECT: BLACK: LOT: LOCATION: OCCUPANCY: � ' v 0 VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING _ 0 ROUGH FRAMING 0 INSULATION 0 NATURAL GAS ❑ L.P. GAS (� ❑ FUEL TANK 0 FIRE SPRINKLER ❑ FINAL PLUMBING ❑ FINAL ❑ OTHER _ Ln x o 7 �[ \ Q ry� M on • W w d x - .ter ea O _ xor� _ 0 a o fsl = U �1 x _ = Q A W as = w r- a o � u z aeq 7 -5 �\ OC C O A� �l z �7 y fly 3 rL. _ W m "0 Oti �p o EL 1--1 P'1 z hH Y� ), v vi b ✓ J 0 y a G 7 110, � wao8 U 7J L W hl ai M r�i W W c7v.do V) o Q cv O ID 00 lul W W x z a z d � � v d 0. ° zzb o z a L9) : Hd z = Cc: jvW W x Uoow : > Q2 14 O o aka V 1-4 _ W O II va W E-r Q z a aj o ° � F V� C3V nnnn �..� g �° � � U : aCC a14 0. o w ((O U U z W ° o . rA y tol. � 'oI-J = —. � Q N A W z a �' 0 = CY z OP uj p E" BUILDI I.G ARTMENT D VILLAOt OF R ;�ROOK 938 KING S" EE'r RYE B .` ,NY 10573 =MARk- 59- W �. 0v VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: �� Approval Date: 'Z J" Permit# Application# 1 Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secret ZBA Approval Date: Case# Other: —7 Application Fee: 6 Permit Fees: .D /d — 0C ' *********************************************************************************************************** FENCE / WALL / GATE PERMIT APPLICATION Application dated: 3 5--Q S is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address: 70 AY 1I (Z.ldA e Cr l._ e,g6ue- btD/UK 2. Occupancy/Use: � S.B.L.4: ,�c� /. 17 r I r �3 Zone: 3. Proposed Fence/Wall/Gate(describe in detail): 5R. yohitt PVC fence- with gate. Re-p cQ e, dnna knee iy'-/)af&y 4. Property Owner: ri Address: 2-0 (c�11h t>v Vj d4 e C1 r d e Phone#Q j y-3.7 9-y 81 ( Cell# email: JI-f an n on 33S'5 EQ m ai!. cow► Applicant: n Address: 20 CeII# [e email: lHonnon �T C011�Phone# U(1411 J4 Architect/Engineer: Address: Phone# Cell# email: Contractor: Address&Phone: I Oct" 5. If building is located on a comer lot,which street does it front on: n I 6. What is the estimated cost of constructionr. ,Q�Q (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: ! fS- �0 t 6/1/2024 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,JW I ne HCk Aa CA ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this J Sworn to before me this day of G$cc, h , 20,)11_�, day of 920 b&nature of Property Owner Signature of Applicant acne of Property O Print Name of Applicant Notary Public Notary Public SHARI MEULLO Notary Public,State of New York No.01ME616M63 Quelifted In Westchester County Commission Expires January 29,20_7 2 6/1/2024 Building Permit Check List&Zoning Analysis Address: r SBL Zone:�-`S Use: 2 `C) Coast ype: Other. Submittal Date: S 2 Revisions Submittal Dates: Applicant: \ 1 \^ Nature of Work: Reviews:ZBA: MAR 0 7 20&. BOT: Other. NEED .-OK n /FEES:Filing: km P: C/O: Flood Plane Legalization: ( ) ( �A P: Dated: --Notarized. — SBL: --- Truss I.D. Cross Connection: H O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( SURVEY:Dated: Current: Archival: Sealed: Unacceptable: ( ) (,�LANS:Date Stamped: Sealed: Copies: Electronic Other. License: Workers Comp: Liability Comp.Waiver. Other. (� O 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: N/A/: Other. ( ) ( ) FIRE SUPPRESSION.Plans: Permit: N/A Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other: ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A Other. (�( ) Final Survey: Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) Other .- r. ( �ARB mtg.date —approval:- 3- 19 - 2 notes: A La25_O ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: Circle: ate: Fronngge: Front: Front Sides: Rear. Main Cov Accs.Cov Ft H Sb: Sd.H Sb: QFA: Tot : Ft imp: par . HeighJStories notes: BUILDIN -&�ITMENT E f VILLA 1BR Y ' OOK "�'-` 938 KING ET +c ,NY 10573 MAR - 5 202540 ' ov I VILLAGE OF RYE BROOK 1 BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: 2n C (I CI l e Date of Submission: _ Parcel ID Zone: Proposed Improvement(Describe in detail): O ew fen rp_ around car \jand of APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT prOher+V. 5-4, �yjc4h�;White yIYh I kh(e- The following items must be submitted to the Building Dep ent by the applicant-no exceptions. Prol Owner: e 0 1. (�)Completed Application p rty 11I rl ���V1 fl n 2. ( )Two(2) sets of sealed plans. (one full size (maximum Address: 20 CUnJYV g1d C C r-0 e allowable plan size=36"x 42")and one 11"x17") 3. ( Two(2)copies of the property survey. Phone# 4. (✓S Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (--f One electronic/disc copy of the complete application materials. . c 6. ( Filing Fee. Address: 7. ( )Any supporting documentation. 8. ( )HOA approval letter. (tfapplicable) Phone# 9. (.4Photographs. Architect/Engineer: cAiq -77� -gggll 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the 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 Sworn to before me this / day of (Z�'G� , 20� %riiL day of � 4( , 20 i ature of Property Owner Signa�pplicant AIM I-A(AAjAC;IALvtS �Ge�� tte f Properly Owner Print 7;7/p li t /� ti � Notary Public -Note Public SHARI MEULLO IJ Notary Public,State of New York No.01ME6160063 HELEN J.TORNESE Qualified In Westchester County Notary Nob02T0ateof New Yorkk 6346436 Commission Expires 3endary 29,20^� commissionQualified Count 6/1/2024 "yE QRC� �. Village of Rye Brook ML MR O� yAgend FB SE Architectural Review Board Meeting AC AD j Wednesday,March 19,2025 at 7:30 PM j Village Hall,938 King Street JM SF �7. 1. ITEMS: 1.1. ARB25-015 (Consent Agenda) Max Woltshock&Amanda Chiu 67 Rock Ridge Drive 5'high aluminum and chain link fences&gates. 1.2. ARB25-016 (Consent Agenda) Frank Gabriel&Danna Gabriel 432 North Ridge Street Rooftop solar array. 1.3. ARB25-017 (Consent Agenda) Janine Hannon 20 Country Ridge Circle 5'high white vinyl fence and gate. 1.4. ARB25-018 (Consent Agenda) Mark Bronzo&Meredith Bronzo 8 BelleFair Road 5'high cedar fence with black welded wire and gates. 1.5. ARB25-019 (Consent Agenda) Michael Fisher&Jaclyn Fisher 108 Country Ridge Drive 4'high black aluminum fence and gates. Consent Agend1-19 Approvals: Motion Second M IC Abstention Aye; Nay; Adjournment; Notes Page 1 of 4 • Architectural Review Board March 19,2025 1.6. ARB25-020 Thomas Tempesta&Jeannine Tempesta 29 Brook Lane 2nd story dormer addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB25-021 (Amendment to Approved Plans) Vivian Nolan&Sonia Patel 4 Maple Court Construct second floor addition and new balcony. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB25-022 Vivian Nolan&Sonia Patel 4 Maple Court In-ground swimming pool. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB25-023 (Amendment to Approved Plans) Scott Schwartz&Stacy Schwartz 35 Meadowlark Road Siding,stone and roof material changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 T' Architectural Review Board March 19,2025 1.10. ARB25-024 Washington Park Plaza Associates LLC 259,261,263,265 South Ridge Street New signs, "Rye Brook Wine&Spirit Shop",Villa Rustica Trattoria", "salon la bottega"&"Rye Ridge Cleaners". Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB25-025 Win Ridge Realty LLC 14B Rye Ridge Plaza New awnings, "AAA" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB25-026 Michael Chiappini&Joanne Chiappini 10 Paddock Road Rear yard paver patio,steps to landing and gas fire pit. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB25-027 Easwaran Nambudiri&Draupat Nambudiri 9 Castle View Court Window changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 Architectural Review Board March 19,2025 1.14. ARB25-028 Eric Steinert&Caryn Steinert 24 Meadowlark Road Front porch roof extension,siding and roof changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.15. ARB25-029 Corey Shulman&Lindsay Shulman 40 Meadowlark Road Facade,windows,siding and roof material changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB25-030 Daniel Fix&Glenna Fix 7 Oriole Place Demo screened porch,construct new deck and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: April 16,2025 Page 4 of 4 co - - a� L -C'p to CMS c o C,3 Ca C -O O O O _ O N -- C � - cv E � N U i C =- N X O d 'N ---- ¢ C _ r` p a - G > P- U � -C3 M (n yLL- c� m o 0 h X •('O c7 c� m o7} w a QQCD o (b o - o a� @ N V o C o cfl c � X (a o °�° ED S(OTI� oo C '- • y m E-= C v 9i - M c� ) O 2T, cD CD W b0 . H -_ - .c MON 53\��S~� - - O V J ILLUSIONS VINYL FENCE • MEDFORD, NY 11763 AV AV AAi o% www.illusionsfence.com V I N Y L F B N C B TOLL FREE: 1-800-339-3362 r SELECT DESIRED POST CAP MODEL ❑ FRENCH GOTHIC-V55FG ❑ �5 TEARDROP-V55TD ❑ COACHMAN-V55CM ❑ BALL-V55BC o ❑ SOLAR-V55P ` Cl SOLAR-V550 ❑ ®NEW ENGLAND-V55NE ❑ 8 ® FLAT-V55FO SELECT DESIRED POST OPTIONS: ❑5"X 5"-.140 WALL ❑5"X 5"H.D.-.250 WALL ❑MAJESTIC TM 8"X 8"-.250 WALL 90.E• I 95.5' FRONT ELEVATION A B C D H INCHES H F INCHES HIM INCHES H F INCHES 3 60 3 1 22 3 25 3 36 4 84 4 34 4 37 4 48 5 96 5 1 34 5 49 5 60 6 108 6 1 34 6 61 6 72 NOTES: 1. ALL ILLUSIONS VINYL FENCES ARE ASTM F964-09 COMPLIANT 2. AVAILABLE IN GRAND ILLUSIONS COLOR SPECTRUM(35 COLORS)AND GRAND ILLUSIONS VINYL WOODBOND(5 AUTHENTIC WOODGRAINS) 3. INCLUDES METAL REINFORCEMENT BOTTOM RAIL ALL STYLES AVAILABLE IN GRAND ILLUSIONS 35 COUM AND 5 AUTXENTIC WOODGRAINS V300-3,45,E O P P E T N ll WDODQ.IP'1 T,�.L 3',4',5',6'H X 8'W SOLID TONGUE AND GROOVE 3708-101 SEE ACCOMPANYING SPECIFICATIONS FOR MORE INFORMATION. REVISION DATE 05/22/2012 i( r .• / O '•a �+ A! t ! rb jjr f. 4rPT . \ gyp, �./ f�J i ���`�.•._'s��r.•4`; , ?��. i�Za _ � �rrf-L•AC yr• - '�� . -_ _G � 4 �•.r C: 4 i 4 ! i mot. � 1 � �,'• ., �':�."•!�✓ Ir f IL 4L � c� k� 7 rr 1 Jpr ' A4 - AE ; � } tip t► + .:" ,r + �' '� �} JPt r• or rnow and �. ' •�� � r• Y'4' � e.•.•�C y .. y 4k ' f p f , f� 4 1 - , ARM "R-'• ' N. vo Oc m' 7er, i1114 41 - _� .' i. �'--� - _ a `•i � t' ,. :� 1 to r.�_' •'�.. :. :� � Ir, �+ �1.?' F. s. y --� '}y - �y`����•� At .aa � r , �' y�i . •+ 'I 6 r Fy �'• s ,y' p•. 1 � ° '° •"£� - yx Pal ♦ y t F_ W . l � _ ti.: fi r/ ��� - '`_�� r _ ter'- � •'ti— a . � � 3Y Awl ON— J 11 1 1 1 ♦ a I L ''+.r ti 4 � r i, 1 Ilk, • 1..' -.rr � P AL L .• �.�. - gip..• a .la. �C�� �'J �. �4. 1 - i . �e 1r I f' J i . •,R ems.�:�, za 4� r r f - r rr. r _ ♦ a t r 4 v C C y ` i 4 4 � r �. ti . fi re. 16w r, gL ui ' ;pn E U J e} ' r In 1 t M CC < i cot M 1 « CEJABRO-01 FHOLZHAY A�ORO CERTIFICATE OF LIABILITY INSURANCE FDAT 3/4/2 D/YYYY) 3/4/2025 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 Carol Mueller NAME: Acrisure Insurance Partners Services of NY,LLC HONNo,Ext):(914 937-1230 FAX 90 S.Ridge Street ( ) (A/C,No): Rye Brook,NY 10573 E-MAIL CMMueller@acrisure.com INSURER(S)AFFORDING COVERAGE NAIC/ INSURER A:Merchants Preferred Insurance Company 12901 INSURED INSURER B Ceja Brothers Landscaping Inc. INSURER C: 25 Congress Street INSURER D: New Rochelle,NY 10801 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF INSURANCE ADDLISUBR POLICY NUMBER POL ICY EFF POLICY EXP i LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 ] CLAIMS-MADE F V 1 OCCUR x ICTRIO06104 8/9/2024 8/9/2025 DAMAGE TO RETIED rice $ 500,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY Fx—I jEeT LOG PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER 1 _ _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident) $ ANY AUTO OWNED SCHEDULED BODILY INJURY Perperson) $ AUTOS ONLY AUTOS BODILY BODILY INJURY Per accident $ AUTOS ONLY AUTO ONLY PO dDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N PER ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Village of Rye Brook is included as an additional insured when required under written Contract or Agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE I e"-- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YoRK Workers' CERTIFICATE OF STATE Coardm Bo pensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE � 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Ceja Brothers Landscaping Inc. (914)469-5998 25 Congress Street New Rochelle,NY 10801 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1 d.Federal Employer Identification Number of Insured or Social Security Number 27-1506358 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being Listed as the Certificate Holder) 3a.Name of Insurance Carrier Merchants Mutual Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"1 a." 938 King Street Rye Brook,NY 10573 WCA1038722 3c.Policy effective period to 8/9/2024-8/9/2025 3a.The Proprietor,Partners,or Executive Officers are 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"T'insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. 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: Ronald Brunell (Print name of authorized representative or licensed agent of insurance carrier) Approved By: �' 3/4/2025 (Signature) (Date) Title: Partner Telephone Number of authorized representative or licensed agent of insurance carrier: 914-937-1230 C105.2 (9-17) www.wcb.ny.gov Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, March 26, 2025 11:42 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 03/26/2025 11:41 To: VIL RYE BROOK PRIMARY Transmitted: 03/26/2025 11:41 00002 Ticket: 03265-001-371-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 20 To: Name: COUNTRY RIDGE CIR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FENCE WILL GO IN BACK BY POOL AREA, LOC WILL BE MARKED TODAY NearSt: 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: INSTALL FENCE Estimated Work Complete Date: 04/14/2025 Depth of excavation: 2 FEET Site dimensions: Width 2 FEET Start Date and Time: 03/31/2025 07:00 Must Start By: 04/14/2025 ------------------------------------------------------------------------------ Contact Name: LUIS CEJA Company: CEJA BROTHERS Addrl: 25 CONGRESS ST Addr2: City: NEW ROCHELLE State: NY Zip: 10801 Phone: 914-469-5998 Fax: Email: luisfceja@gmail.com Field Contact: LUIS CEJA Alt Phone: 914-469-5998 Email: luisfceja@gmail.com Working for: HOME OWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 DocuSign Envelope ID: CACCF422-BDAC-44EC-9B79-178E151635EA 44 LM _N C Q 0co GD ai M c 4-0 v •w •�f T cu M • •• '44 4z Richar A. Spin 650 Halstead Avenue Mamaroneck, N. Y. 10543 (914) 381-2357 N.Y.S. Lic. Land Surveyor No. 49240 S it XZZ Co or 44 44 21•� R\OGE C\RG�EC0�3tog,s( 13F NEB "IkATa A- 49240 LA NDS� UUUU1V1C1N I W In MAR - 5 2025 VILLAGE OF RYE BR }C Bl1.ILDING..DEPARTMENT. Survey of property known as Lot 5 on a map entitled, "Section Thirteen, Subdivision Map, Country Ridge Estates, Town of Rye, Westchester County, New York". Filed with the County Clerk's Office on March 19, 1956, as Map No. 14134 Scale 1 "= 20' July 26, 2019 January 14, 2020 (add spot grades only) March 25, 2024 (update) E "COUNRIDCIRCLE" • • to.: em Richard A. Spinelli 650 Halstead Avenue Mamaroneck, N. Y. 10543 (914) 381-2357 N.Y.S. Lic. Land Surveyor No. 49240 2 R\DBE 09GkjEP C ��pF NEW LANDS ks-,BUILT i� \J11 F I AUG - 8 2025 VILLAGE OF RYE BROOK UILDiNG IrC-`--A.Tl; ENT Survey of property known as Lot 5 on a map entitled, "Section Thirteen, Subdivision Map, Country Ridge Estates, Town of Rye, Westchester County, New York". Filed with the County Clerk's Office on March 19, 1956, as Map No. 14134 Scale 1 "= 20' July 26, 2019 January 14, 2020 (add spot grades only) March 25, 2024 (update) July 1, 2025 (update) E "COUNRIDCIRCLE"