Loading...
HomeMy WebLinkAboutBP25-069PERMIT # Z�ZJ -O6 9 DATE; '1S gp. 'I% J_ ) SECTION 136 05O BLACK LOT TYPE OF WORK ;'I`*nZw Je A;o? /7a� JOB LOCATWil? OWNERon CONTRACTI%l L 1.f5 z EST, COST 3 I � FEE ✓CO #-('JC L P Me V FEE 0 P% TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT C7 ALARM INSP AS BUILT O FINAL = 95 s©.-?C,)03) )9cz)-03& 7 OTHER APPROVALS �yE BR 'Y t` � ct . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rve Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www,ryebrookny.Qov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 11,2025 Robin Elkowitz 61 Talcott Road Rye Brook,New York 10573 Re: 61 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-67 Building Permit#25-069 issued on 4/15/2025 for a Double Entry Door Replacement This certifies that the new double entry door,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D C C IE N IE BUILDING DEPARTMENT For office use only: PERMIT# BP 25-069 JUL - 2025 0 VILLAGE OF RYE BROOK ISSUED: 04/15/2025 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: 1—/—d S— VILLAGE OF RYE BROOK (914)939-0668 FEE: ' Z��)--PAIDW- BUILDING DEPARTMENT w"%ryebrookny.?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 :ssissssssssstsstsssssxxs*stss*xstssttstttxstss*st*sisttitsstsssassss*sssstsssssssstssssstssuss*rtssxssxstsst*xsssrtrtrtsstsss** Address: 61 Taleott Road Occupancy/use: 1-Fam Res Parcel ID#:135.50-1-67 Zone: R-3 Owner: Robin Elkowitz Address: 61 Talcott Road P.E./R.A.or Contractor: Renewal by Andersen Westchester Address: 421 West Avenue, Stamford CT 06902 Pcrson in responsible charge: Franklin Barahona Address: 421 West Avenue, Stamford CT 06902 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: Franklin Barahona being duly swom,deposes and says that he/she resides at 421 West Avenue (Print Name of Applicant) )No.and Street) in Stamford ,in the County of Fairfield in the State of CT ,that ICityfrown/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 19,316.00 for the construction or alteration of: Double Entry Door replacement 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 F250-I O.A.of the Code of the Village of Rye Brook. t Si- Sworn to before me this t S Sworn to before me this day of 1' , 20 ?15 day of S`f 1 y , 20 Signature of Property Owner Signature of Applicant Robin Elkowitz Franklin Barahona Print Name of Property Owner Print Name of Applicant Notary Public Notary Public HRlAN MACDONALp NOTARYPUBlIC - 9RIAN MACDONALD State of Connecticut )VOTARY PUSIJC MY COMMISSION EXPIRES Oct 31 2026 State of eonnecttcut MY COMMISSION EXPIRES Oct.312026 BRnv� O lm cu � > �O ,��• 1932� BUILDI NG 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 UebrooLorg - - - - - - - - - - - - - - - -- - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: 1— I_G,,L_c o ea'-j DATE: / - 7 Z O z-r PERMIT# �` ?_ �_�� ISSUED: -/S-G� is ��'_dZ� BLOCK:_j LOT: 6 LOCATION: _ tep Do/L 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 �L �� [��J � O ❑ ROSS CONNECTION 4 . FINAL !SSup r ❑ OTHER I O N � � � � ■ a h ae a 4-4 w O u ■ F W p4 oa� � � y � ■ ■ U 0 Oncn (n = ■ a H W a + Q �--� ■ O r- 0 D� cis a y4 O ■ L ■ L M W hy � y _ 1 ■ � 0 \ ►- tip O C O , p Cn f� s ■ Q W r--� O Uri N " O o p 70 W a 0 CA OA K, ■ O -0 V p Q C eAy > a ■ 1� W F-�-1 ��. O W W O O di G rV-j� a O {� W 00ICI p A �-a A V ate, v PLO _ Q 7 O 4. �-t V O �i \ w z Z W F-t oo �~-4 O C cy O x o x wA t z 2 ti -a W ' v Q1 p 6l , a, a Z O U o ° w v 0-4 U H C �✓ z � z ULL a a �y■� V z � - F+y O V w � 75 C0-4 z a w BUILD TMENT ���\/] VIL OF R OOK U IE 938 KING ET RYE BR NY 10573 APR 14 2025 14)939-06 °` VILLAGE OF RYE BROOK . 190 ' BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: APPROVAL DATE: PERMIT #: I APPLICATION )FEE: b APPROVAL SIGNATURE: PERMIT FEES: `s'3 CYO H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: 04/07/2025 is hereby made to the Building Inspector orthe Village orRye Brook,NY,for the issuance ol'a Permit for the construction of buildings,structures,additions.alterations or for a change in use,as per detailed statement described below. I. Job Address: 61 Talcott Road, Rye Brook, NY 10573 2. Parcel 1134: 135.50-1-67 Zone: c�- 3. Proposed Improvement(Describe in detail): Installation of ( 1 ) replacement Andersen Ensemble Double, Dual Active Inswing Entry Door into existing openings with no structural alterations. 4. Property Owner: Robin ElkowitZ Address: 61 Talcott Road, Rye Brook, NY 10573 Phone# (917)365-9577 Cell# e-mail elk1021@gmaii.com List All Other Properties Owned in Rye Brook: Applicant: Lindsay/ LOson Address: 2261 Market Street STE 10301, San Francisco, CA 94114 Phone# 315-335-8730 Cell# NIA e-maillindsay@permitflow.com Architect: NIA Address: NIA Phone# N/A Cell # N/A e-mail NIA NIA Engineer: Address: N/A Phone# N/A Cell# N/A e-mail NIA General contractor: Renewal by Andersen - Fairchester Custom Windows LLC Address: 421 West Ave, Building 1, Stamford, CT 06902 Phone# (203) 292 - 0367 Cell # e-mail PERMITS@RBAWestchester.com (I} 6/t/2024 '5. Occupancy;(I-Fam..2-Fam.,Commercial.,etc...)Pre-construction: N/A Post-construction: NIA 6. Area of lot: Square feet: N/A Acres: N/A 7. Dimensions from pro osed building or structure to lot lines: front yard: N/A rear yard: N/A right side yard. Np/A left side yard: N/A other: N/A 8. If building is located on a corner lot,which street does it front on: N/A 9. Area of proposed building in square feet: Basement: N/A I s,fl: N/A 2„1 fl: N/A „a fl: N/A 10. Total Square Footage of the proposed new construction: N/A 11. For additions,total square footage added:Basement: NIA I`fl: N/A 2"d fl: N/A 3rd fl: N/A 12. Total Square Footage of the proposed renovation to the existing structure: N/A 13. N.Y.State Construction Classification: N/A N.Y. State Use Classification: N A 14. Construction Type& Location:()Typical Western Lumber Frame;()Timber Frame[TC];O Wood Truss[TT]; ( }Pre-engineered wood[PW];Located,O Floor Framing[F];O Roof Framing[R];O Floor& Roof Framing[FR];Other: N/A 15, Number of stories: N/A Overall Height: N/A Median Height: N/A 16. Basement to be full,or partial: N/A finished or unfinished: NIA 17. What material is the exterior finish: N/A 18. Roof style: peaked,hip,mansard,shed,etc: N/A Roofing material: N/A 19. What system of heating: N/A 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. 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: N/A (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. 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: N/A 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: lA (if yes, applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: N/A (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: N/A (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: N/A (if yes. the area and elevations of the f ood plane must be properly depicted on the survey&site plan) 27, Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: N/A (if yes,applicant must submit a Tree Removal Permit Application) NIA 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TIER[I: TIER III' (if yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $19,316 Note:estimated cost shall include all site improvements, labor,material,scaffolding,fired equipment,professional.hes, including any material and labor which may be donated gratis. lf'the final cost exceeds the estimated cost,an additional fee will be required prior to issuance ofthe C/O. 30. Estimated date of completion: N/A (2) 6/1/2024 BUILDING,DEPARTMENT VILLAGE OF RYE BROOK APR I � 2025 938 KING STREET RYE BRoox,NY 10573 (914)939-0668 ' VILLAGE OF RYE BROOK %%-wwx%,ebrulAkny.+,1ov BUILDING DEPARTMENT ###**###*#**###***#********#*t*#t##*##*t*##*#*k*****t**#*#kGkkkkkkkk***k****k**##***##*t#t***####**##*# AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • 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: ROBIN ELKOWITZ 61 Talcott Road, Rye Brook, NY 10573 residing at, 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; 61 Talcott Road , Rye Brook,NY. O'd, . 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. ,r �Sl�n.dlf�nl I'lupctt owncrioi ROBIN ELKOWITZ 11 `11. 11VII Sworn t before me this day of A ` I'111+Ifa1 i Michelle D. Berk Notary pudic,State Of Connao cW Commission: 126816 (3) Gnrtoza This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: LINDSAY LOSON _, 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 Agent 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 r r`— Sworn to before me this 7th day of_l 'n—+( , 20 day of April , 20 2025 Signature of Property Owner Signature of Applicant ROBIN ELKOWITZ LINDSAY LOSON Print Name of t',roperty Owner Print Name ul'.lpplieant Z. _ I"' Michael De Pena Notary lublic Notary Public HH 308451 Michelle D. Berk NO�ry P ubic'StatO Ot CorM Florida Broward �mmissiora: 126816 . 'pr rip MICHAEL DE PENA i Notary Public State or Florida Commission#r 3x4si o.z �. a Expires on Sept~s,2ms or Notarized remotely online using communication technology via Proof. l-tl 6/l/2024 Talcott Woods Home Owners Association OFFICE USE Rec'd By Date REQUEST FOR ARCHITECTURAL COMMITTEE REVIEW Document Check List Request From Survey/Plot Plan Specifications Date 4413 /� -Q 2-5 Bldg. Plans Permit Mr./Mrs.: Elevations Photos �1--KcU , ? -- Details Other(noted) Address: Phone No.: Brief description of addition, alteration, improvements, etc.: all, /C� - �P �'_ o t �,,'r oo✓_ �i vedv� Ovlt /S v✓/c ihG.� �a r'�•';'f1trT- Contractor: 1 eriey.vi/ ! h u HOMEOWNERS AFFIDAVIT Address: 42/ .11Vr j I have read the covenants and restrictions r',,4,u.LJ r� C./ �96 ice- of my Associations and agree to abide by such covenants and restrictions. No work Cert. of Insurance yr' S will be commenced without the approval of my Association. '///// Date: �rT 3 rZ-'25 � r Signed: 11=,� (_- 41) j% Please check with Village of Rye Brook for Building Department Approvals FOR ASSOCIA ION USE ALY Approved by Homeowners AssociationU" I t Preliminary Approval Subject to Review Insufficient Information Submitted - Resubmit ---Not Approved pr d with t ollowin ondi ons its,, Chair It erson, A ite tura Revie o d _ V%­ sTI � R Date: L'.1 4 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT EnsembleTm Entry Door Details DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Robin Elkowitz RENEWAL Legal Name: Fairchester Custom Windows LLC 61 Talcott Rd CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 b-HM &M DS_E_N` 421 West Ave,Building 11 Stamford,CT 06902 Year Built: 1980 Phone:203-406-0545 Fax:203-406-0828 sales@rbawestchester.com H:(917)365-9577 101 ROOM: EXTERIOR Inswing Entry Door EnsembleTA° Double, Dual Active Standard Active (Left)/ Passive (Right) 74 1/2" W x 81 3/4" H 36" Nominal Panel Width 80" Nominal Panel Height - � Sill Type: Standard Door Panel: 3 Light Surface Texture: Smooth i Exterior Color Exterior Frame Color: White Exterior Panel Color: White Exterior Astragal Color: White INTERIOR Interior Color Interior Frame Color: White I I Interior Panel Color: White Interior Astragal Color: White Sill Options Sill Color: Clear Anodized i • Hardware � I Hardware Configuration: Cross-Bored Lock Sets Lock Types: Double Bore Exterior Hardware Finish: Yale Satin Nickel Exterior Hardware Set: Rainier Exterior Deadbolt: Included Interior Hardware Finish: Yale Satin Nickel Interior Hardware Set: Niagara Interior Deadbolt: Included Strike Plate Finish: Satin Nickel Handle Position: Standard Handle Height: 36 04/02/25 Page 5/ 34 �� EnsembleTm Entry Door Details DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Robin Elkowitz Legal Name: Fairchester Custom Windows LLC 61 Talcott Rd RENEWAL CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 bYANDERSEN 421 West Ave,Building 11 Stamford,CT 06902 Year Built:1980 Argnn reo+i ooa enx[rn Phone:203-406-0545 1 Fax:203-406-0828 i sales@rbawestchester.com H:(917)365-9577 ROOM:Room I Deadbolt Position: Standard Deadbolt Spread: 5 1/2 Hinge Finish: Satin Nickel Hinge Type: Adjustable Hinge Hardware Backset: 2 3/4 Glass Glass Family: Patterned Glass Family Glass Pattern: Satin Etch Glazing: Tempered High Performance Satin Etch Glass Family Passive: Patterned Glass Family Glass Pattern Passive: Satin Etch Glazing Passive Panel: Tempered High Performance SmartSun Satin Etch Jamb and Trim Jamb Depth: 5-9/16 Misc None 04/02/25 Page 6/ 34 y � r N 777 It4L � K lie ti. L� 9. `err � !' � �si'r`✓ •_ � .Y If :..�... .,... �.�... _: - -- ___. A _ ��� . �» » ®k�\\� \yc». �a w\ y. ��\ ���\ � 2 ��z � � � � � � \�. � � . f 7 . ,/ \ :� . . . . . \�\, y:x«yw . . � � . . . \��\�2'����\ � . � c��_ ���v� � ��»� . ,y:§ . . � -�.=w. c»o. �& � ���2».6..� . � ~��d������» � . �?� «�. . . .ate 2,/yam. .�\ . . ` �����\\ � . . �\\ . � ���� �\\\�/ : , � � � � . ©�t±> � _ - . � y� ��� . . .�� \�\ �\�./� � � �\ ��»� � � � . ��/` � \\. � » �»w« . . . » ��%© � < \ . � . �~ » > 'r OVERVIEW DETAILS CHECKLIST FLOORPLAN Floorpian iv,ndaws;0 Patio Doors:0 En"Oms:l Spec,ulq,0 EDIT FLOORPLAN BASEMENT lit FLOOR 2"FL00R Tap any we to gr.to Nrat pf6duct's a*"uremont p6ge Sold ■ unsatfl aft sic WIA Home Improvement Agreement and Payment Terms DBA: RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Robin Elkowitz RENE%WAL Legal Name: Fairchester Custom Windows LLC 61 Talcott Rd It NDER A CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 FNIan�.=adma 421 West Ave,Building 11 Stamford,CT 06902 Year Built: 1980 Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com H:(917)365-9577 Robin Elkowitz 04/02/25 BUYER(S)NAME CONTRACT DATE 61 Talcott Rd, Rye Brook, NY 10573 (917)365-9577 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER eIk1021@gmail.com PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),in accordance with the terms and conditions described in this Home Improvement Agreement and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Home Improvement Agreement,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL CONTRACT PRICE: $19,316 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DOWN PAYMENT: $3,863 BALANCE DUE: $15,453 Estimated Start: Estimated Completion: 4-2-2025 completion AMOUNT FINANCED: $15,453 We schedule installations based on the date of the signed contract and secondarily on the date METHOD OF PAYMENT: Credit Card in which we complete the technical measurements.The installation date that we are providing at Financing this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. NOTES: Door will not be ordered till HOA approval. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank. You are entitled to a copy of the contract at the time you sign. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 04/05/2025 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 2` � C� SIGNATURE OF SALES PERSON: SIGNATURE OF CUSTOMER 1: SIGNATURE OF CUSTOMER 2: Jay Berey Robin Elkowitz PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 04/02/25 Page 2/ 34 �l Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Robin Elkowitz Legal Name: Fairchester Custom Windows LLC 61 Talcott Rd RENEWAL CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 brANDERSEN g 1 � 421 West Ave,Building Stamford,CT 06902 Year Built:1980 Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchesteccom H:(917)365-9577 ROOM: SIZE: DETAILS: PRICE: 0 W Misc: Misc, HOA Contact Details, HOA Contact Details, 0 H Quantity 1, HOA Association Name: Talcott Woods Management Company Name: None Property Manager Name: Mike Despojado Property Manager Email: mikedespojado@gmail.com Property Manager Phone Number: Notes: Self managed HOA 101 Room 1 74 1/2 W Inswing Entry Door: Ensemble"' Double, Dual Active; 81 3/4 H Standard; Active (Left) / Passive (Right); 74 1/2" W x 81 3/4" H; 36" Nominal Panel Width; 80" Nominal Panel Height; Sill Type: Standard; Door Panel: 3 Light; Surface Texture: Smooth Exterior Color: Exterior Frame Color: White; Exterior Panel Color: White; Exterior Astragal Color: White Interior Color: Interior Frame Color: White; Interior Panel Color: White; Interior Astragal Color: White Sill Options: Sill Color: Clear Anodized Hardware: Hardware Configuration: Cross- Bored Lock Sets; Lock Types: Double Bore; Exterior Hardware Finish: Yale Satin Nickel; Exterior Hardware Set: Rainier; Exterior Deadbolt: Included; Interior Hardware Finish: Yale Satin Nickel; Interior Hardware Set: Niagara; Interior Deadbolt: Included; Strike Plate Finish: Satin Nickel; Handle Position: Standard; Handle Height: 36; Deadbolt Position: Standard; Deadbolt Spread: 5 1/2; Hinge Finish: Satin Nickel; Hinge Type: Adjustable Hinge; Hardware Backset: 2 3/4 Glass: Glass Family: Patterned Glass Family; Glass Pattern: Satin Etch; Glazing: Tempered High Performance Satin Etch; Glass Family Passive: Patterned Glass Family; Glass Pattern Passive: Satin Etch; Glazing Passive Panel: Tempered High Performance SmartSun Satin Etch Jamb and Trim: Jamb Depth: 5-9/16 Misc: None 101 front entry door 0 W Misc: 0H 04/02/25 Page 3/ 34 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Robin Elkowitz NEWALV Legal Name: Fairchester Custom Windows LLC 61 Talcott Rd RE RE E AL CT Hlc#.0667292,WC-35743-H22,Putnam#51220 Rye Brook.NY 10573 bYA421 West Ave,Building 1 1 Stamford,CT 06902 Year Built:1980 Phone:203-406-0545 Fax:203-406-0828 1 sales@rbawestchester.com H:(917)365-9577 ROOM: SIZE: DETAILS: PRICE: Misc, Permit Fees, Town of Rye Brook - Estimated Permit Fees *HeatLock Required*, Quantity 1, Renewal by Andersen will facilitate the application of the building permit to the Town of Rye Brook. Homeowner is responsible for any outstanding permit applications or code violations that may prevent Renewal by Andersen from procuring permit. Renewal by Andersen is not responsible for any historical or architectural review applications and approvals that may be required as pre-requisite for a building permit. WINDOWS: 0 PATIO DOORS: 0 ENTRY DOORS: 1 SPECIALTY: 0 MISC: 2 PROJECT TOTAL $19,316 Renewal by Andersen is committed to our customers'safety by NOW complying with the rules and lead-safe work practices specified by the EPA. 04/02/25 Page 4/ 34 James Maisano George Latimer iQunt f 7 Westchester County Executive y Director.Consumer Protection Department of Consumer Protection Home Improvement License FAIRCHESTER CUSTOM WINDOWS, LLC I 421 WEST AVENUE-BUILDING 1 i -'TAMFORD,CT-06902 This license is issued in accordance with Arrcle XV i of the Westchester County Consumer Protection Code and is valid only upon presence of the official department seal.Proof of citizenship or immigration status is not required for issuance of this license. NOT FOR FEDERAL PURPOSES `ok ConSpt',do � '• '4s \ License Number ,�� to Date of Expiration i t WC-35743-1-122 09/20l2026 .�. , sl�hester Co��rl I ' UP- LnUONUSA FAIRCUS-01 PSMITH A�ORO CERTIFICATE OF LIABILITY INSURANCE DATEYYYY) _ s17n1202�2o2a 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 CAONTACT Theresa Brandon MBI Company Group LLC. PHONE Fax 280 State Street (A/c,No,Et): (203)288-3401 (A/c,No):(203)281-0414 North Haven,CT 06473 EMAILADDRE .theresa.brandon@mbi-ins.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: Fairchester Custom Windows LLC dba: Renewal by Andersen INSURER C: Fairchester 421 West Avenue, Building 1 INSURER D: Stamford,CT 06902 INSURERE: 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSD WVD MM/DD/YYYY) fMM/DD/YYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ DCLAIMS-MADE FX OCCUR S 2516791 8/12/2024 8/12/2025 PAMAGE TO RENTED EMI a occurrence) $ 500,000 MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 POLICY a PRO- a LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER. A AUTOMOBILE LIABILITY COMBINdED SINGLE LIMIT $ 1,000,000 ANY AUTO S 2516791 8/12/2024 8/12/2025 BODILY INJURY Perperson) $ OWNED OS ONLY X SCHEDULED AUTOS BODILY INJURY Per accident $ X HIRED X NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per.ccident $ X Comp Ded$500 X Collision Ded$500 A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LAB CLAIMS-MADE X S 2516791 8/12/2024 8/12/2025 AGGREGATE $ 4,0009000 DED I X I RETENTION$ 0 $ A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X TAT TE X ER WC 9099063 8/12/2024 8/12/2025 E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE a NIA SOO,000 OFFICER/MEMBER EXCLUDED andatory in ) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 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 Additional Insured as required by written contract per the endorsements included with this certificate. 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 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 Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured Fairchester Custom Windows LLC. 203-406-0545 Renewal Andersen Fairchester 421 West Avenue. Building 1 1c. NYS Unemployment Insurance Employer Registration Number of 421 Stamford. CT 06902 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) 1d. Federal Employer Identification Number of Insured or Social Security Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Village Selective Insurance Company 938 Kingg Street Rye Brook 3b. Policy Number of Entity Listed in Box"l a" Rye Brook, NY 10573 WC9099063 3c. Policy effective period 08/12/2024 to 08/12/2025 I 3d.The Proprietor,Partners or Executive Officers are XI included. (Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These 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: Patricia Smith (Print name of authorized representative or licensed agent of insurance carrier) Approved by: SyytZ6� 8-9-2024 (Signature) (Date) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 203-288-3401 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