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HomeMy WebLinkAboutBP25-086PERMIT Pc S)- ,. DA �� a� ®(P SECTION 3 Jr BLOCK- J TYPE OF WORK -� A? Cie k Ord / )0C J� /w7 JOB LOCATION _ OWNER Or(?I EST. COST V/CO #—c� _ C� (4 FEE FEE c�-S TCO FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER �(„ ALARM �= AS BUILT FINAL DATE INS 7- /y- zozr rm)z C4 ot� -/8 -zozr /a3_ �99 � LSD CY93- a j" OTHER APPROVALS ARB ,Or/� X c�0o1S� BOT ZBA OTHER AS-BUILT/FINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION VILLAGE OF AYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-117 Certificate of ®ccupatur ( y This is to certify that cre /� "k-a s of, Y kC- having duly filed an application on 20 CW,requesting a Certificate of Occupancy for the premises known as, /�40 Rye Brook,NY, located in a R�Zoning District and shown on the most current Tax Map as Section: / 5. Block: / Lot: / and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.c;25 —0547issued 20 �5, 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: R3/ e- ,9 9& Construction: _ for the following purposes: ealdclff I- r Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height shall be made or shall the building be moved from one location to another until a permit to accomplish such change ha e obta' ed fr ¢Building Inspector. Building Inspector,Village of Rye Brook: Date: SEP 1 7 2025 � \`/J ��33 For office use onl •: ) U E C^[E � V E. jD038 BUILDII C4E'?"TMENT PERMIT VILLAQE OF RYE BROOK ISSUED: AUG 19 2025 KING STREET;''RYE BROOK,Nf;W YORK 10573 DATE: r"419 4668 FEE: '4 PAID Rk VILLAGE OF RYE BROO K wvwv ro . ov BUILD', .., — 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 ttstsstsstssttsttssstttssssst*sstt*ssttssstssstststssstt*tttt*t**tst*tttsasaststss►sssrstsssststtstssst*sttssssstsssssssstsst Address: � C a-kt RO Occupancy/Use: Rkg%je w QL Parcel ID#: 13 S. 051' LP} 34 $1 04CA _I Zone: R. — 12 Owner: r-C� n/ C�-Qu Address: 5 Ql c aZ P.E./R.A. or Contractor:�? G(�,N a , j y�-P�_ Address: !�O &Y 1-1 Lt 2 I?�Ck6l&f. A 0s13 Person in responsible charge: No A. ►`/ Address: S-Pt p►6oy— Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: Cr ek n L+D1y if- , 2l�eing duly sworn,deposes and says that he/she resides at rj a(C at� 00 J (PrinUN,Ame of Applicant) (No.and Street) in )Ie gnack ,in the County of �, es/ rc Las le — in the State of� that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ , for the construction or alteration of: Q 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 IR f_ Sworn to before me this 42- day of &a, 220' r day of Au r u Signature of Property OwAer Signature of Applican Cr �.c Print Name o r erty Owner Print Name of p -cant rM12 � Notary Publ TIANNA MAJOR TI A MAJOR Notary Public-State of New York Notary Public-State of New York NO.01MA0005867 NO.O1MA0005867 t Qualified in Westchester County Qualified in Westchester t unty My Commission Expires Apr 19,2027 My Commission Expires Apr 19, 2027 QyE BR(��, w � 1982 BUILDING DEPARTMENT ❑B WING 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 :-�5 _- !_ O►k -GO U _...-- DATE:q- 9 - Zd ZS PERMIT#t -� ZS' - 05( __ ISSUED: -4r__ZrSECT:4?x- BLOCK: I LOT: 7 LOCATION: I� „1-I OCCUPANCY: ❑ Violation Noted THE WORK IS... 0PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �1 ❑ Natural Gas ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 1plINAL ❑ OTHER O w � 198'2 BUILDING DEPARTMENT ❑,BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK I� ❑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 1�L_C..QZL--- �fXn. .- -- --DATL':_'_ PERMIT#-- 23 ZS-O c7 ISSUED:_' Z8-9 SEC'I:--/-?, '� BLOCK: LOT: _3 7 LOCATION: -20 c� --ce C _ OCCUPANCY:_ ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P.Gas A eor %. � 1_ ❑ FUEL TANK C -- — ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION -- ❑ FINAL ❑ OTHER r- l� `►f ,' w Loll, •,yam„_ I r 1 I I , .I rl I.IJ r I _ T BUILDING DEPARTMENT ❑ II.DING INYPEC "OR .wmmmmm� Assls,rANT BUILDING INSPECTOR VILLAGE OP RYE BROOK ❑CODIR ENFORCEMENT OFFICER 938 KING STRFE'T•RYE BROOK,NY 10573 (91.4) 939-0668 FAY (914)939-5801 wwwxycbat OOkorL - - - - -- - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - .ADDRESS:__-5—��L�a o J DATE• 7- 20zi— PI.ItMI1' Z.s---- D g (e I:ssulan• y 4� lsEC.r• /`!L,59 BLOCK: / LOT: ,3 7 LOCATION: __ I6 i — OCCUPANCY: ❑ VIOLATION NO TM) THE WORK IS... 9/ACCEPTED ❑ RETI:CTIm/REINSPECTION ❑ SITE INSPECTION REQUIRED Ja--1'OOTING -• 1 GIB ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULA 1ON , ❑ NA'.rURA_.L GAS - o I de L ❑ L.P. GA.S - ❑ FUEL'I'ANIC.. /r' ❑ FIRE SPRINKLER ^_-- ❑ FINAL PI,UM..lJING ❑ CROSS CONNECTION 0 FINAL ❑ OTHER Wow ol �• •9q, 4t� IN MI 77 If •`� !�� �. ~� ,�.`l.. � ". ., �� •`� � ,'_'tom ��`�._��,•� V►: ' 'r•�y '�` � -'!Ind'f .r. y14 J 31 _ �' .�,/,. '� �.. Y Yam. � .. •; ..t' i d�` 'f VA ♦ `!� i x i.l y i N00 00eq _ N o R. .. 0 m z a O to o W Ln c o o t o � 3 241 W i H r 1 0000 w o0 0 II C1� e � O W - y o , O I--, v a W W ^ c:H x " Fi. Q O z S.,E v PLO V f-j O 0000 W " r :-d Q a O un Ln i L U 1 .2 PCI L 7E Cn i H W U � a o i z A c Wo E a z O z � 0 w ;5 1 u O H z z 11 ~-I y ZpN a C.7 Q U U z A $ � Lu ay y av o e Q A z C4 g adz � _ •• R' W W O � aa a. LLI a Hl U -'ram i 41'r�,--.- BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 APR - 1 2025 www.ryebrookny.tiov VILLAGE OF RYE BROOK _BUILDING DEPARTMENT FOR OFFICE,USE ONLY: (/ Approval Date: Permit /� Application# [� � Approval Signature: = ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: � r Application Fee:fib`/C0--//'� Permit Fees: ( n�� EXTERIOR BUILDING PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress:�5 1 CVO b-tV,-o 4t-d 2. ParcelID#: i' 5. 0 5 't 1 a C,& 1 - Zone: /` � - 3. Proposed Improvement(Describe in detail): a lQ L.G ZaC--A ot E L/�_S t ram ,I n 4. Property Owner: 1 r*' Address: 5 `' C J Phone# C{1LA - 8 3 Q ' Q I �-J Cel I#^ 0114 3 Q DOI �-j e-mail C ree kQ 14pn!. C t a_4 l�a�►�• jo List All Other Properties Owned in Rye Brook: N ( A Applicant: _►o�nktanl L- - 1. y Address: I �C( � �E aj _- _- Phone# 111`t -- '610 , 01TT Cell# �14 - 830' e-mail Crt ,kry,Cr&\.j 0 ceft Architect; J Qf,6i N N.� c� �".f`P IL Address:^1�'' M� 'AK Z rU(Z6oi_ � N 1 I 10S'- Phone# Cell# qi� ., e-mail jn.r (EWi0 !hAL( /, 1)*.C,(i�^ Engineer: Address: Phone# Cell#r e-mail r f General Contractor: /�� r/S G,Yr+-7�' `��Yl,CJ/UV e �/� '-e,, 4-1Address: � q -73 7 fl'p/ N�?k� A) 41? Phone# Ccll # e-mail (1) 6/1/2024 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,ete...)Pre-construction:srmdl tvm i Post-construction: sileil 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: ek1 s rear yard: I? Jh n No ry Tight side yard: e.c is C left side yard: t s other: Jy /,A- 8. If building is located on a corner lot,which street does it front on: ey Vy-I- 9. Area of proposed building in square feet: Basement:-����a�fl: NO „a fl: �' 3'd fl: 10. Total Square Footage of the proposed new constriction: IL For additions,total square footage added:Basement: lS`fl: 2"d fl:T/ 3'tl: 1`4 12. Total Square Footage of the proposed renovation to the existing structure: 1" 13. N.Y.State Construction Classification: -4��. V N.Y. Stu Use Classification: 14. Number of stories: Overall Height: We Median Height: 15. Basement to be full,or partial: N/N i k r n c np wi, finished or unfinished: N1AA 1 N o c�aA 16. What material is the exterior finish: Wood oo e G f'&i .4 17. Roof style;peaked,hip,mansard,shed,etc: ilY G C Ad nyt�_ Roofing material: AcG 18. What system of heating: G i 1 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: Nov< (ifyes, 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: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:_><' (ifyes, 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: X (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: Noft" (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: X (if yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 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: S 34, 0 0 o Note:The estimated cost shall include all site improvements, labor,material,scaffolding,ftYed 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 CIO. 30. Estimated date of completion: D( 4,1t (2) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK. 938 KrNG STREET RYE'.BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: 5 Talcott Road Section: 135.058 Block: 1 Lot: 37 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SO. 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% 1 4% 0a. 0 0 R-12 12,500 17% 4% 4% o c 3.b% R-T 7 500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT 5,985 Sq. Ft. unchanged Sq, Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) 1,903 Sq. Ft. unchanged Sq. Ft. b. Area of I-'Floor Divided By Area of Lot x 100 31.7 % unchanged 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) n/a Sq. Ft. n/a Sq. Ft. a. Coverage of Accessory Building Aiea of Accessory Building Divided By Area of Lot x 100 n/a % n/a oho 4. AREA OF DECK +I- 561 Sq Ft +l- 561 Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 9 % 9 % Note: It is our understanding that Talcott Development has prior regulations-there is no change in the existing deck footprint-this is a repair only due to decay. I attest to the best of my knowledge and belief,the above information is correct. 01 w-.a, Q. 7 Arch ect's Signature l3f BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 5 Talcott Road Section: 135.058 Block: 1 Lot: 37 'Lone: R-12 IMPERVIOUS SURFACES(Definition): All buildings, as defined herein, and all areas on the grownd 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 MAX[MUM 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-_5 1 Lot Area % R-25 20 R-20 IN =1to 200 35 6.001 R-15 ;5 12.001 to 16,000 4,520 26 R-1 5A 35 16.001 to 20,000 5,560 25 R-12 40 20.001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 R2-fi 30 *"Base Lot Area"is the minimum end of the lot size __ _._ range in the"Lot Area"column Area of lot: 5,985 s .ft. Existing Allowed Proposed Total impervious coverage = +/- 2,618 S .ft. 2,894.4 S . ft. unchanged S .ft. Front impervious coverage = 65 % 35 % unchanged Note: It is our understanding that Talcott Development has prior regulations - there is no change in the existing deck footprint - this is a repair only due to decay. I attest to the best of my knowledge and belief,the above information is correct. C]at� 0. 7A— Aiqict's Signature (4) 60/2a24 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK.NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 5 Talcott Road Section: 135.058 Block: Lot: 37 MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = 3,818 Sq. Feet b. Existing = 2,348 Sq. Feet c. Proposed = unchanged 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 I 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 Vill of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EX4fT1MG !MM/0"17 BEaDUIRED FRONT: FRONT: FRONT: .44 R-35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 R--25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 R,ZO SIDE: SIDE: SIDE: 1.60 FRONT: 1.15 FRONT: unchanged FRONT: .60 RLis SIDE: 1.40" SIDE' unchanged SIDE: 1.60 `@ corner of deck(proposed work area) FRONT: FRONT: FRONT: .80 ALMA SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 IP•f2 SIDE: SIDE: SIDE: 1.60 Note:It is our understanding that Talcott Development has prior regulations-there is no change in the existing deck FRONT: FRONT: FRONT: gp footprint-this is a repair only due to decay and the deck is not affected by the existing heightlsetback ratios. ALTO SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 R-7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 APJ SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 R,ZP' SIDE: SIDE: SIDE: 4.00 1 no the best of my kno ledge and belief. the above information is correct. Q. t Archite is Signature b!1 J2024 BUILDING DEPARTMENT E, �W E VI AGE OF RY '1(iOOK 938 KuvG 9TREET RYE BRooK,NY 10573 APR - 1 2025 (914)939-04b�; 1 ------ - �- www.ryebra©ltl ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT >ki.ie-kat*dr*i-k•k skkk*>F***k>Y>4>-9:x-k9:**-kkk****F*'.e•k is it a`* .•*:l-aF*k*=**>l•*x*d.•k*frk***d.••A*k*3:A***�-*#**�-****k1tr*k**ici t•k kYe•k>F*:Y 4r AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 31, Dr-P k q O n cm ,residing at, Co - (Print name) (Addres,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; (Z(ia y , 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. r,, '_L_ ( � ('� , (Print Name of Property Owncits)) Sworn to b fore m this Y D da of to, , 20 a (Notary Publi }MOGA N r �cblic State of New York 0.01 M05023476 Qua)` in Westchester County (6) ro session Expires Feb My ` m 6l1I2024 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. **************ie*******************i:***k:Fk***k1e*•k**:Fi:**i:**k**•k***i:**iF******t.***1e******k******************�t•h. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: C(_?_to ktWN ,being duly sworn,deposes and states that he/she is the applicant above named, (print narne4individual 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,ete.) 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 2 � Sworn to before me this 9 day of_ MN' I , 2 day of MN1241-, 204-,9 r C �' Signature of 'rope y Owner Signature of pplicant. Print Nam Property Owner Print Name oL pplicant r C� Notary Pub 1c Notary Public R.CSEMARI A RCSEM J MOGA ERO Notarl, P,,blic Stat of New York No New York N0. 01M050 3476 NM 01 5023476 Q,,,al"ec in Wee ster County Q a estchester County My Curn.niSsion an Expires Feb 7, 2076 MY C =ss n Expires Feb 7, 2026 (g) 6/1/2024 A .Building Permit Check List&Zoning Analysis c/ Address: 1 1 �JT� SBL: Zone: -12 Use: Z V Const.Type: Y 3 J Other. Submittal Date 1 I S Revisions 50mittal Dates: Applicant -A- Nature of Work: Gncks�1 ei ��ew- Q e C CL Q\ Cow Reviews:ZBA: APR 0 1 2025 PB. BOT: Other. NEED OK r^ ((+'FEES:Filing. 03 BP- �`J\ C/O: Flood Plane: Legalization: O Q,\t.�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 k1___ Current: Archival;- Sealed: Unacceptable: ( ) ( PLANS:Date Stamped Sealed `Copies: ,--bl-ectronit Other. (� ( ) License: Workers Comp: Liability Comp.Waiver. Other. CODE 753#: Dated N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: 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. (j, BARB mtg.date �U u�2� approval 4- 1b-Z notes: f1V ILL ( )ZBA mtg. date: approval notes: ( )PB mtg. date: approval: notes: REQUIREVD EXISTING PROPOSED NOTES APPROVED Area: `2_5 �` 5 qg� N c Cirde _ Fmntage Front: Front: Sides: Rear. Main Cov: Accs.Cov: LA 165�� s�,� 5b l c S Nuc'! Car-dfz�ccrri n y Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.Inv: Paz ' . Height/Stories: notes: BUILDING DEPARTMENT D � `=' E M WE VILLAGE OF RYE BROOK APR - 1 2025 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rvebtookny.Pov 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: �" , �1 e p �pa J Date of Submission: 3�- Parcel ID#: ►35 .058 lbinr_k 1 Zone: P-- 1 ), —o�S Proposed Improvement(Describe in detail): S- 2p Ia u / 6 a Ckt ob C.A"f APPLICANT CHECK LIST: �/ MUST BE COMPLETED BY THE APPLICANT *-j The following items must be submitted to the Building Department by the applicant-no exceptions. Property Owner: rC60i'i0N Crt*u �. nS 1. (x)Completed Application ,�1 L 2. (x) Two(2)Sets of sealed plans. (one fill]size {maximum Address: l a C G"CT (Zj allowable plan size=36"x 42"} and one I 1 N I T') 3. (k)Two(2)copies of the property survey. Phone# 1�l 3 Q i� 4. (x)Two (2)copies of the proposed site plan. Applicant appearing before the Board: 5. (>e)One electronic/disc copy of the complete _ application materials. 6. (A)Filing Fee. Address: {IC 7. ( )Any supporting documentation. 8. (�)HOA approval letter. (ifapplicable) Phone# 914 - �5,3(y n q� 9. (x)Photographs. Architect/Engineer: l�C IQ 1 y �C 2 \�f 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# C�1 q a 0 � - (o `4 6 LJ 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 Swom to before me thi day of Or W I , 2Q� day of M&-'C , 20 (- 1,- j C r, C C Signature of Property miner Signature o Applic t Cr-c'taMr4l C— C � 41M c- Print N�jv, Print a of ApaXant NotarEX-M-W /�j Notary ubl� — R R J MOGAVERO ROSEM.aR J M GAVERO Notar,�_ C- tate of New York 3ri P'-:bhc - ate f 76 w York N0. 0 023476 No.01M05 Qual ^ec-'Westchester County ali eC in Westcter oun y My Corn—,zs on Expires Feb 7, 2026 �,mmission Expires 1/2024 RD alcott Woods Home Owners Association APR - 1 2025 3D OFFICE USE VILLAGE OF RYE BROOK Rec'd By Date BUILDING DEPARTMENT REQUEST FOR ARCHITECTURAL COMMITTEE REVIEW Document Check List Request From Survey/Plot Plan Specifications Date fh Bldg. Plans Permit Mr./Mrs.: Elevations Photos ''I } Details Other (noted) Address: o 0 Phone No.: Brief description of addition, alteration, improvements, etc.: tY c : k't l C fic L S (_i 14t 1A;0e'>d Contractor: _ HOMEOWNERS AFFIDAVIT Address: I have read the covenants and restrictions of my Associations and agree to abide by such covenants and restrictions. No work Cent. of Insurance .9. / will be commenced without the approval of my Association. Date: Signed. Please check with Viifage of Rye Brook for Building Department Approvals FOR ASSOCI ION USE ONLY Approved by Homeowners Association Preliminary Approval Subject to Review Insufficient Information Submitted - Resubmit —" Not Approved Approved with the Following Conditions �. Chair erson. Archi tural Revie oar Tp�y�N .f,Rs 1rp QgpJ� �O�.yL„ P9-0%J tp1e, Date: .� Village of Rye Brook ML MR Agenda FB ✓' SE ✓ Architectural Review Board Meeting AC AD Wednesday,April 16,2025 at 7:30 PM Village Hall,938 Ring Street JM SF 1. ITEMS: 1.1. ARB25-032(Consent Agenda) Thomas Commons&Nicole Pelosi 391 North Ridge Street 4'high black chain link fence and black aluminum gates. 1.2. ARB25-033 (Consent Agenda) Christopher Pascuma&Julie Pascuma 2 Latonia Road 6'high white vinyl fence and gates. 1.3. ARB25-034(Consent Agenda) Min Sik Pang&Gui Suk Pang Yeon 7 Maple Court Legalize patio. 1.4. ARB25-035 (Consent Agenda) Christopher Light&Emily Light 7 Bishop Drive South 6'high white vinyl fence and gate. 1.5. ARB25-036 (Consent Agenda) Michael Gorman&Alysse Schumacher 4 Magnolia Drive Rooftop solar array. 1.6. ARB25-019(Consent Agenda) (Amendment to Approved Plans) Michael Fisher&Jaclyn Fisher 108 Country Ridge Drive 4'high white vinyl fence and gates. 1.7. ARB25-014(Consent Agenda) (Amendment to Approved Plans) Joseph Bradford&Amanda Bradford 304 Betsy Brown Road 6'high chocolate woodgrain composite fence. 1.8. ARB25-037 (Consent Agenda) Scott Levy&Nicole Levy 42 Meadowlark Road Re-do and extend existing patio with bluestone. 1.9. ARB25-038(Consent Agenda) Olfer Danilo Mendieta Saraguro 227 Irenhyl Avenue 4'&6'high white vinyl fence. Page 1of5 Architectural Review Board April 16,2025 1.10. ARB25-004(Consent Agenda) (Amendment to Approved Plans) Arun Acharya&Bhargavi Panjala 16 Country Ridge Circle Window and door changes,interior alterations. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB25-039 Michael Weinberg 505 Comly Avenue Enlarge existing deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB25-040 Marianne Landa Chao 6 BelleFair Road Rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB25-041 Washington Park Plaza Associates LLC 275 South Ridge Street New signs,"Blackstones Steakhouse&Fusion" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 5 Architectural Review Board April 16,2025 1.14. ARB25-042 Ethan Hoch&Haleigh Hoch 13 Old Orchard Road Rear window&door changes and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.15. ARB25-043 Joshua Blackwood&Gretchen Blackwood 6 Dorchester Drive Legalize new wall and extension of existing patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB25-044 Creighton Cray&Julia Gans 5 Talcott Road Replace rear deck in kind. Approvals: Motion Second__Abstention Aye; _ Nay; _ Adjournment; Notes 1.17. ARB25-045 Jamie Billington&Kara Billington 6 Bonwit Road New rear deck and patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.18. ARB25-046 Evan Haskell&Sabrina Haskell 22 Red Roof Drive Rear window&door changes and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 5 Architectural Review Board April 16,2025 1.19. ARB25-047 Daniel Marks&Yael Marks 18 Hillandale Road New deck,renovate existing deck and extend patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.20. ARB25-048 Marc Testerman&Kristin Testerman 3 Sunset Road In-ground swimming pool and re-locate existing shed. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.21. ARB25-049 Francisco Lopez Calderon 30 Brook Lane Second floor addition and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.22. ARB25-050 Rohit Sharma&Lovleen Sharma 64 Rock Ridge Drive Second floor addition,new deck and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 4 of 5 Architectural Review Board April 16,2025 1.23. ARB25-051 Michael Varela&Joan Varela 21 Wilton Road In-ground swimming pool and patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.24. ARB25-052 Michael Cohen&Allison Cohen 34 Woodland Drive Change existing vinyl in-ground swimming pool to gunite,add spa and reconfigure patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: May 21,2025 Page 5 of 5 'ty a;�,? 71,�'.f�'� . = � / , �j";I'6•: ,r.!= _t rt .?� �� 0. t r�' ' �.• � 77..E{- r`,+.� y���`�• \ � y Y i I �,� ��- 7� Z r + '��'f,;Y,. aim �• {!/ �M. � T{ f .1 E 'er {,�/� � / 111�J.{• / �+�._ .L... ,�, ��. '•tt'' i- •�!\'�"`'�'��. �,.•1 jf�i y, tk ',n .fit . �,•• t + ! r ! .a. �. � 1,r11v'yy/ tl. •/ 't ti f,,-. J! yea .:� �-S•t.� -`` , �.iM��!r�•�J , `-,..`\��j��p �a�\art `r/��+��, I�', {. 1 '1 i$ X•�fir,;�• I_ y �- Atff� �':�>Ir � / �� /� Wes• •. vV by � +� ! C � f'• �r , r '7. sr — J _ " to i1•! � ' - . _ 1 • y'1.- •^� M , Ar6L/wk fir_ � � 'f�-�7.w �w">Y�'� �1�. -F�, `t :' �•.S_s�s.✓'�, t�'�4` •.`P., ..,r r:..+ "`}'�'i a •�.�'� �,,, � 1^ � 1'`� r`s eft lb AL .i r f ''.. h ;. ylop F M. 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'�. t.. .f t,• _. : , AL ri. t - �f 9 _ .�vf se' 'r' s •� � �`ray'. � Jam; •Z ..4,, ��' _ `` -. - 7'� + ,.e 1 rS . . 44 AV a Niy �i . _y 4, w ` o ci Laura Petersen From: Creighton Cray <creighton.cray@gmail.com> Sent: Thursday, April 24, 2025 11:49 AM To: Laura Petersen Subject: Re: 5 Talcott Road - Exterior Building Permit Application for Deck Attachments: Certificate of Liability Insurance.pdf; Certificate of Workers' compensation Insurance.pdf; Home Improvement Llcencse.pdf; Certificate of Insurance NYS Disability and Paid Family Leave Benefits.pdf Hi Laura, The contractor we will be using in Gendry Frfan - Gendry's Home Improvement • Telephone Number: 845-893-2184 • Email: gendryfCcbyahoo.com • Address: PO BOX 173 HAVERSTRAW NY 10927 Copies of his insurance and work permits are attached. Please let me know if you have all the documents/information you need to issue the work permit. Thank you. Creighton Cray 914-830-0987 On Thu,Apr 24, 2025 at 11:06 AM Laura Petersen <LPetersen@ryebrookny.gov>wrote: Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office: 1. General contractor's contact name (first and last) & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $612.00 (due once permit is issued and ready for pick-up) 1 6. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 2 ! 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"4r�<;; i.+� PAr ♦ YV �r�1♦ �,p .A► lt4tl �t? D t er "' �kt• '3Z�� - V Ali lN�. i n //V '• s d yl_.'y iX`CV�1 - ''�'a`I ' � '' "^f,�r�\ + • -..,L��.. .i b ./�'<� ,M1.�./,�1 J�o�b tit• v :.., �v - .Yaps }�V�4 ..4 DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 04/17/2025 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 Michael J.Donnelly NAME: Donnelly Insurance Center Agency Inc PHONE (914)347-6500 FAX (914)347-6303 AIC No Ext: A/C.No): 6 North Lawn Ave. E-MAIL INFO@DONNELLYAGENCY.COM ADDRESS: P.O.Box 880 INSURER(S)AFFORDING COVERAGE NAIC N Elmsford NY 10523-0880 INSURER A: RUTGERS CASUALTY INSURANCE CO 41378 INSURED INSURER B Gendry's Home Improvement, 1 Inc. INSURER C PO Box 173 INSURER D INSURER E Haverstraw NY 10927 INSURER F COVERAGES CERTIFICATE NUMBER: CL2461434898 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 CONTRACTOR 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 AUUL 51JUK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE [X] OCCUR PREM SES Ea occu ante $ 100,000 MED EXP(Any one person) s 5,000 A Y SKP100088015 05/02/2024 05/02/2025 PERSONAL&ADV INJURY s 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE s 2,000,000 X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CARPENTRY,DRYWALL OR WALLBOARD,PAINTING EXTERIOR CERTIFICATE IS SUBJECT TO TERMS.CONDITIONS AND EXCLUSIONS OF THE ACTUAL POLICY AT THE TIME OF ISSUANCE.CERTIFICATE HOLDER IS/ARE ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT. 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. BUILDING DEPT 938 KING ST AUTHORIZED REPRESENTATIVE RYE BROOK NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1 -0t; \\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^A A A^^ 815343093 DONNELLY INSURANCE CENTER AGENCY INC PO BOX 880 ❑4.�L ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GENDRY'S HOME IMPROVEMENT I. INC. VILLAGE OF RYE BROOK PO BOX 173 BUILDING DEPT HAVERSTRAW NY 10927 938 KING ST RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2308 864-4 321912 1112212024 TO 10/22/2025 4/17/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2308 864-4, 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://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 DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT GENDRY FARFAN VICE-PRESIDENT GLADYS JIMENEZ GENDRY'S HOME IMPROVEMENT I, INC. 2OF2 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 STAT SUR NCE FUND 7 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 765348799 U-26.3 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, April 28, 2025 1:20 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/28/2025 13:19 To: VIL RYE BROOK PRIMARY Transmitted: 04/28/2025 13:19 00004 Ticket: 04285-002-215-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 5 To: Name: TALCOTT RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK YARD NearSt: LINCOLN AVE Means of Excavation: SHOVEL, HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: DECK REPLACEMENT, INSTALL DRAINAGE Estimated Work Complete Date: 05/27/2025 Depth of excavation: 10 FEET Site dimensions: Start Date and Time: 05/06/2025 07:00 Must Start By: 05/20/2025 ------------------------------------------------------------------------------ Contact Name: GENDRY FARFAN Company: GENDRYS HOME IMPROVEMENT INC Addrl: PO BOX 173 Addr2: City: HAVERSTRAW State: NY Zip: 10927 Phone: 845-893-2184 Fax: Email: gendryf@yahoo.com Field Contact: GENDRY FARFAN Alt Phone: 845-893-2184 Email: gendryf@yahoo.com Working for: CREIGHTON CRAY ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, April 28, 2025 12:43 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/28/2025 12:42 To: VIL RYE BROOK PRIMARY Transmitted: 04/28/2025 12:42 00003 Ticket: 04285-001-992-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 5 To: Name: TALCOTT RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK YARD NearSt: LINCOLN AVE Means of Excavation: SHOVEL, HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: DECK REPLACEMENT, INSTALL DRAINAGE Estimated Work Complete Date: 06/05/2025 Depth of excavation: 10 FEET Site dimensions: Start Date and Time: 05/05/2025 07:00 Must Start By: 05/19/2025 ------------------------------------------------------------------------------ Contact Name: CREIGHTON CRAY Company: Addrl: 5 TALCOTT RD Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-830-0987 Fax: Email: creighton.cray@gmail.com Field Contact: CREIGHTON CRAY Alt Phone: 914-830-0987 Working for: WORK TO BE PERFORMED BY: GENDRYS HOME IMPROVEMENT INC ------------------------------------------------------------------------------ Comments: CALLER ADVISED TO HAVE CONTRACTOR CALL UDIG NY Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER = VIL RYE BROOK WESTCHESTER CTY SWR i TOWN OF RYE e S�oe Stone Swo e\ SHEET 135.058 5`a� S BLOCK 1 26"s9 LOT 37 to i — °ne Tax Sw°% r----1 ��—\\ 9�,Telephone \ N-4.9' ; Lot ; LOt \� `V 1 3 7 ; ` / C R.R.Tie Walls 5-2.7' N-1.3'' Railroad `Tie NN 12.0 47.5' z. 703 O o.l N Wood 18.3' iv ° a' s o n ❑ e c k c,4 Raised `r; O ¢a Wood Deck 6.9— �6 S-1.9' 6 0' 0 T 10.0' , S" Tax LZ 42 C Tax AC Steps r ----1 a0 O Unit Lot O r----� ® 2 Story _ I I o1 LO `o6 LOt I Window n i 138 I OQ I I nd Frame d L----� Q) L - , 36 , a o - L—___J ( House {{ 5 ) > /i \Oil Intake ! Lot Valve C zQ - v v �\ 67 i ) �\ (House) o a j LOt t On Line X_ t\\ 65 i Overhang(House) Of DI 10� i,? �+ C N-0.3' S-3.6' u Ne W 90verhang O N-1.2' u U) (0 (n Dirt 3 �0 O .O M o o = O 1 Q,Q" 4 Dirt : Q CV — (n O Q1 3 N-2.8' E-3.5' 17 Qi ° Blacktop �' R.R.Tie Wall V Driveway n/ U O Y O \ Metal TV Tel. /// Vault R.R.T a Wall v �r L Verizon co Box W-4.4 in fij � � Stone CB Curb / 4" rAPR — 1 2025 To t R O (:I 1;o s ""dJ VILLAGE OF RYE BRO K Cl -.1, /08" BUILDING DEPARTME" T December 21, 2018 SURVEYED AS IN POSSESSION THE MUNSON COMPANY SURVEY OF LOT 66 AS SHOWN /V.1'S License 50054-2 ON A MAP ENTITLED "SUBDIVISION 9 NORTH GOODWIN AVENUE PLAT, TALCOTT WOODS" DATED ELMSFORD, N.Y. 10523 AUGUST 30, 1976 & FILED OCTOBER 15, 1976 AS COUNTY Lot Area- 5,988 or o.t375 acres. CLERK MAP No. 18972. Scale ��=20' "Unauthorized alterations or additions to a survey map is a violation of section 7209, sub—division 2, of the New York State Education Law." UNDERGROUND PIPES, WIRES, STRUCTURES, "Only copies of the original survey marked with the land surveyor's inked or embossed seal shall be considered a true and valid copy." 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