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HomeMy WebLinkAboutBP25-116PER MR # SECTION TYPE OF WORK JOB LOCATION CONTRACTOR T. COST �$ # c25 :L/L DATE: 0 TCO # FEE DATE FOOTING -- FOUNDATION FRAMING RGH FRAMING ? Zt-2oZS INSULATION PLUMBING l 2 O �� RGH PLUMBING 7� 2 Z'? oozmI' F4f3etf GAS �}' I 02 SPRINKLER ELECTRIC LOW -VOLT O -- '(ALARM C3 1' 8 � oz AS BUILT O FINAL ` IaYY 9797 ;y Q)Q3N>�533-307& OTHER APPROVALS ARB BOT P$ ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-146 Certificate of Occupaucp This is to certify that Uz Z -'70111'ren &r61V174Z of, Pq"e � y (mil l�� 7 , having duly filed an application on y,"&)0" 154 20 requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a PUD Zoning District and shown on the most current Tax Map as Section: / &5 Block: _Lot: 5 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. _ (U , issued a 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: K " Construction: for the following purposes: Q 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 he' all a ,nor hall the building be moved from one location to another until a permit to accomplish such change s been ined o the uilding Inspector. Building Inspector,Village of Rye Brook: Date: NOV 19 2025 f BUILDING DEPARTMENTpMD N — %�5 NOV 13 25 5 VII,LAC* OF RYE TISOOK ISSUED: — 938 KING 3nte&74 Rvz Baootc.lw Yotuc 10573 DATE:l/-/3 - 5 (914)9 FM ot'15 PAsi O� N' v APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO Fr Ft'Ry.ITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ............................................................................................................................. Address: IZ M► jf Sjfo LC_ LA ------- — — Occupancy r Use: rt S t A f r►I•h is,I Parcel ID A: -- ,,`1,G S I -� S Zow:----3 -- Ov►'ner: MAithew And AIttIVA 5CirL0V-,ttr Address: 17 "ite'uo r Qa P.E.,R.A.or on DT F Los rnuvn t t,L L Address: ?SY ULAt(L:j re/ wS ecib GrC.6 kL7 Person in responsible charge:_AMYfiW V tgrl-. , Address: 'Z ff iefi 1Cti Rd US LGb C i 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 structurelconsttuction/alteration herein mentioned in accordance with law STATE OF NEW YOM COUNTY OF WESTCHESTER as: Andrew �j tS C h 4 being duly sworn,deposes and says that he'shc residcs at 2 B8 VG It le y Q S y.I e Zvi Olt"Van*of"wad f XAI and Sireel I in COS f 0b in the County of i r, t t I It I C) in the State of—Cr that R'ry TV-"-vNiAvh he/she has supervised the work at the location indicated abort c,and That the actual total cost of the work,including all.itc improvements. labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may ha%a been donated gratis was.S -7 0()O r C1 G for the construction or alteration of: 1 trt }-C t i Uf k. {C.hf n t e ✓t G �1L h� Ucponcnt further states that he/she has examined the approved plans of the structurc/work herein referred to for which a Certifrute of Occupancy i Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been crrctcdicompkted in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as crectcd/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 entuged 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-I0.A.of the Code of the Village of Rye Brook. rt� Sworn to before me this Sworn to before me this it r`N A day of Ntr\f\Ot/ ,20 day of N L V r 20 ttuc oT Propen)0%nct Siytarm of AMdream �-- � �� 1 S� t )mot� l�V�� �1 ter C W l.'tSl l►t�1 ►tlnt Kunc of PuTcrty 0%ner Print Hum of Apphow !votary Pubtrl KARINA BRACHLOW NOTARY PUBLIC,STATE OF NEW YORK KARINA BRACHLOW Registration No.01BR001920i NOTARY PUBLIC,STATE OF NEW YORK QmVied in Westchester County Registration No. 01 BR0019201 Omission Expires Dec 29.20 1 Qualified in Westchester County Commission Expires Dec. 29, 2017 f o �m Y BUILDING DEPARTMENT ❑It III.UIN(. INtiYL(--l()lt RUILDIN4, INSP►.(:TOR VILLAGE OF RYL BROOK ❑(.(►ICI.ENHORCI MLN1 l)1'I'ICl It 938 KING STREET• It}•L BltooK, NY 10573 (91.1)939-06418 FAX (1914) 939-5801 rv_�yly..r),cl rot k.or1; - - - - - - - - - -- _ _ _ - - - - INSPECTION REPORT - --- -- - - -- - - - - - - - - - - ADDItr:ss :1.3, 1 S-- ,-._ -- --- - ---- — DnTr•��-• 1$ " 2 0 Z ' I'iatMrr �j'l Z S- 1 1 _--- Issvrr�:.._„ j,�-_?.�tirc:r:_f�'1�•G� 13Loc1: � _LOT•_3 LOCATION: ��1`.�C.ti 9 t i/7 440t, �j ,p� 1`"'OCCUPANCY. ❑ VIOLATION NO'1'lil) 1,11E1; wolm IS... %CCI-PTEiD ❑ REJECTED/ Re1NSPFcTION ❑ Sill l ti.til'1[C'riON RL'QulluiD ❑ FOOTING DRAINA(:r. ❑ FOI N RATION ❑ UNDI:RGROUND PLUMBING NO1'1'FS ON INSPI.( I'ION: ❑ ItolIGH PLUMBING ❑ ItoUGH FRAMING ❑ INSULATION ❑ NA'1'lITtAI.GAS0 1-It GAS ❑ FULL TANK tat V ❑ FIRF: IPI(INKI.Fit n — ❑ CROSS CONNFAA I(► — L�1[�l�L �I( � K'• SJ(�(� �'iNAI. -- O �m l9 Y BUILDING DEPARTMENT ❑IIt! .uINc. I�.rrcluli ASs.ISTAN-1 BUILDING INSIII CIolt VILLAGE OF RYE BROOK 000uI.I:NII)IICLULN"1'11P1+11:1.1c 938 MNG STREET . ItYL NOOK, NY 10573 (91.1) 939-0h(i8 FAX (914)939-5801 �y����.r �chru(ik.ol• - - - - INSPECTION REPORT - - -- -- - - - - - - - - - - - - - - Anuul.., : • 1 Z- --- �.1z-s v°V DATE:... 1 I- 19 -Z o Zj PERMITS 1 Q S•-l l Itisul ti, , r: 2 BLOCK:_ / LoT:_Ir_ LOCATION: k.� � _'�- I o"j 14'%, '200" /A9 a.` OCCUPANCY: ❑ VIOLATION Nari--A) •I IIIS WOlth IS... CI?P'1111) ❑ ItE►GCTEW REINSPECT10N ❑ SilI INSPIcCT1ON IU-Qullml) ❑ (•1►t1IING ❑ TOOTING DRAINAGE, ❑ FOUNDATION ❑ UNDERGROUND PLUMBING 'NO TFS ON INSPECTION: ❑ 1tOUl:H PLUMBING ❑ ROU(:i1 FRAMING ❑ INSULATION � ❑ NATURAL GAS ❑ {..P. G A El FIRESPRINKLER .�t,�,��, •1-�Ou1. �ow �.. r2oo�► . P-IrINAL PLUMBING ❑ CROSS CONNECTION NNECTION ❑ FINAL ❑ U'1'11EIi ���[3RC�Uk• cu � BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0ASSWFANr IitrILDI:NG INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street- Rye Brook,NY 10573 (914) 939-0668 FAx (91.4) 939-5801 www.rychrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- 1 2 1M U S 4`1 f. f Qck_- DATE: 7- Z Z - Z 0 Z-,r- P] RMIT# Jul1 Z.S" L� ISSULD4-43-2S SECT: IZ 5�GfBLOCK: LOT: Id" LOCATION: -1 l�yti fA t /O�^t • l� OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING. ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGII PLUMBING ❑ ROUGH FRAMING ❑ INSULATION II -- ❑ Natural Gas 1�tti I s �'J U til �S M o de c/❑ L.P. Gas k I -G�.�-► o.�, d &.)1 L t be 2Qn—L fiy ❑ FUEL TANK ❑ FIRE SPRINKLER )c L CAI ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ZIP ��BRO cu � BUILDING DEPARTMENT ❑BUILDING INSPECTOR Ja'AsslsrnNl'BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENUORCEMTNT ODUICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (91.4) 939-5801. www ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : I ?- m I'tm L j*, _ G� .DATE: �� Z Z r zoZ PEItMI'T# f2P 2s _ I/37 ISSUEll:_�_ SECT: y 6r BLOCK:_LOT: LOCATION: _ L (r,�p(c�j� 40*0,7 OCCUPANCY: ❑ Violation Noted THE WORK IS... 2-"'PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTIN(. DRAINAGE ❑ FOUNDA'TION ❑ UNDERGROUND PLUMBING MOTES ON INSPECTION: ,C�-ROUGII PLUMBING ❑ ROUGH FRAMING ❑ INSULATION , ❑ Natural Gas ALL Y/,ZC '�,S S .4✓ SA lAe ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER P�,�rv1, .�_ tn�l•I C O1JN 1/W �p ❑ FINAL PLUMBING L. ❑ CROSS CONNECTION J ❑ FINAL ❑ OTHER o $ s N = ^ M N q+ ry ■ F+ 1 \ � a y p MM = ICI s • m � a W -o : A4 t� a - ■ a W O z Ln "� Ga � 3 v w O = tu a p Q ° W O o 1 © ^d W W N V s l J t7 O A N O ° 104U W m � Qa �-oa9 cc t" x W MW MLn z O o cri A F U O W O0 c R+ O O ►� ! W V o , V ice+ qqCN ON W V) v a 3 o c v Z o F a F g ; � W p z .6 x Qq L • O O F Z w a Yy l r � V 11 fn o A z o � � 0 eq In C7 q a r-1 z _ DIECEWE BUILD _ 6 E,PARTMENT MAY 1 6 2025 DD VIL E OF RYE , OK 938 KING ET RYE BRO NY 10573 VILLAGE OF RYE BROOK 4_1 -0668>` BUILDING DEPARTMENT >t ov INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: - 1 / _ Approval Date: MAY 2 2, 5 Fermi / Application Fee:$T� ' Approval Signature: Permit Fees:$ A J 0 Disapproved: Other: Application dated: ` _35 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 11 I`A t 1e 5 toile 9d Zone: 2. Proposed Improvement.(Describe in detail): i nAeo yv Ytv~1c c.. -tc�. }o k• l�jr�k, 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. 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,..) :No: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: k 4%m After Construction: VG.z8 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: M%%' Sc>^ %c yoyi�tr_ Address: _ IZ wti ItOOV%e R—c Phone# Cell# '1I9 jig 11,51 email: al: ,berKcu.,tz(0elmvL.1.COA,t 8. Applicant: And(CW Ut50,"ci D S A PTFTZc5MCVrXddress: 2-b'd VaI1C�y Kd Gas Lvb c r n 6$U"7 Phone# Cell# 533 307,& email: O C E c e A d t I Semour%.t- rw-t 9. Architect: Address: '—�- Phone# Cell# email: 10. Engineer: vv G,I VC V C, U rSG h.4) Address: Vt't t1CH lZd (OS Cuh CT Phone# Cell# 7.03 533•- 30-? i- email: C_I'WC K ®d-tf rose rncvrl,V, lfe-r 11. General Contractor: i>T'r JZ.oSe rnwr<F LLC Address: 261? VG I l e!f 6-d COS Colo GT 06 8G"7 Phone# Cell# 20 3- 5 3 3— 3,07 0 email: _©E E-. t(� d t f r oSGrr�cQrn V ne.,V 12. Estimated cost of construction $ 15 I QW,U U (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable:Start: 6 150 uss Finish:_ '31�0`LS (t} 6iu2a2a BUILD rTT ]�D] v E OF> x MAY 16 2025 938 VJNG ET RYE Bit ' NY 10573 q p < VILLAGE OF RYE BROOK -� v ; BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 . STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST SEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONE; 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; _,residing at, �2- (Print name) (Address where you live) being duly sworn,deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; \ �)— \�� �� C C 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 land into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (signature of Property Owner(s)) (Print Team:of Property OWlier( E Sworn to before me this 13 r� clay of M��� 1 2©— KP I ST ATE ATE OF NOTARY YORK Registration No. 01BROO19201 Qualified in Westchester County ttir�tary Public) Qualified Expires Dec.29,201J (2) 6,1112024 This application must be property completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not property signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are nonrefundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: _ 8n d s e w _U3S C fn t ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the ap licant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)hc is the CL-1r-1-trek 1�0,(- for the legal owner and is duly authorized to make and fife this application. (indicate architect,contractor,agent,attomey,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 Cade, 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 stormwatcr or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 13 th Sworn to before me this 13 day of MLl ,20� day of fin`� ` , 2© aa-� of PNmepertyOtvnor Signaturc of Applicant Print Name ofProperty owner Print Name of Applicant ` `�cyy i &tom�.��1.t.�� -.<W3.G4th S't V414'. --'- Notary Public Notary Public KARINA BRACHLOW NOTARY PUBLIC,STATE OF NEW YORK KARINA BRACHLOW Registration No. DIBR0019201 NOTARY PUBLIC,STATE OF NEW YORK Qualified in Westchester County Registration No. 01 BR0019201 Commission Expires Dec. 29,2023 Qualified in Westchester County Commission Expires Dec. 29, 207,1 (4) 61%2d24 00 t � N N N N \ \ f F a w F• r y _ f" IA Ln :zl a v °CA I co N z Vi co F° all Ln 00, oc Ln r- L w A _ V am W LA 0. zoc f .. z ti �„� �•r W z F2• d' < �$ U O Q Q z zg V C w z a � ° W QI ca a i z r� w z � i D QfR BULMENT JUL 15 2025 VIL K938 KIN( ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT . EUCTRICAL PERMIT APPLICATION Westchester County Master El/ec//tricians License Required � �I (D • FOR OFFICE USE ONLY BP q: EP JUL 1 7 25 Approval Date: * Permit Fee: S ApproN all Signature: Other: tfftlttffitifittftiititttttfiitftftttitittlffftlffftft!!iflif!lttiftiflfftRtffitt!!flffftlflftf!!! . DO"NOT START WORK or CONSTRUCTION U L A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR,_ THE ADMINISTRATIVE FEE FOR N'ORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12l/ OF THE TOTAL COST OF CONSTRtiC TION N•ITH A MiWINIUM FF.F.OF$750.00 Application dated w ZCJ is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal.State,County and Local Codes. i 1.Address: 12 Milestone Rd SBL: 124.65-1-75 Zone: R-3 I Proper tt ty Own Matthew&Allison Berkowitz Address: 12 Milestone Rd Phone#: 914-714-9797 Ccll#: email: ali.berkowitzCaD_gmail.com 3.Master Electrician/Licensed installer: Anthony Russo Add; PO Box 732,Armonk NY 10504 Lie.# 1534 Photo# 914-921-0200 Cell#: email: hannah@wetlawnifrigaWn.com Company Name: Wedawn, Inc Address: PO Box 732,Armonk NY 10504 4.proposed Electrical WorkNixture Cotmt: Kitchen Renovation(see attached scope) _ 5.31 Party Electrical inspection Agency: State Wide Inspection Agency #left##4#Mtlftttf#f##t##########t######ft####;###t####f#**#ft##A#t►#tt#t#f###t####1nt#t#t##*###HAf#i####* STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: Anthony Russo ,being duty swom,deposes and states clot he/she is the applicant above named,and does further t (print name of tndtrtduat ta8atng as the hcant) state that(s)he is the Master Electrician for the legal owner and is duly authorized to make and file this application. tMastcr Flcrancian r Licensed tnsuller) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief.and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans end speeiftcauons,as well as to accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. }1. IN-N {1n Sworn to b�fore me this ` ` Sworn to before m this LA day of kk .20�_ day o v ,20 Signature of Property Si6natuii of Applicant �'�►1 n L ly-owNAZ- ►n-�liar`�I �,uSS6 t N Y owner \vt � Notary Public 00MIIAd chta0lt lic Moutfyubllc,State of New`fontDonald Sch UOK 1 1'0� 11Q,iC4928P 110 Court Notary Pubk,State of New OAR I � IttNti>i�b11 DO"� f, �j� No.01 ed in PU110 Qualified in Putnent Ctwnty Commission Etpiroa May 2,201� STATE WIDE INSPECTION SERVICES, INC. (A—) Sei-vice VVith liifegl'l"�v 0:0 • SWIS JOB APPLICATION 0. Office Use Elect. Permit# �J� S-r Date Bldg Permit# �- �GJ // Sq Ft Plumbing Permit# Final Certificate# roo City/Village / ye KZip Building Dept. County Address 12 1 le hL / Cross Street Section Block Lot Owner Name/Address(If different than above)(fla T f c H jtr5aA Contact Number ❑Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation ,n'S ineo AcA%IAf"4 c fo,r ro Wavc =.45 IN@V4 W.r .A9 fa! Zslavic� 1��cof14z Cenolio4+ tie J Arril-4 es . T(%SJ_tI, fNe,4 ' .X tjt' t to fpb�.id�t( 1QM Saw+ e r c :.G4rv►t = ns /VrL4 a<Ai s I ft.1L �n �or,lclt� � m. Sarni Iota+• �.+ - Sns� ,1� -for Ncw UG.�`S �N$ 0t P-._.. eSSe.G� l.•gby+S Zrte, � � avt,t A J( U L 15 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of Inspection additional Items have been Installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address 4aAA'X. 1 A) W(141vwA Lori• Name r1+Ltu11t �_ fru$Sa License# 15 34 Date I j 15 (L 5 Signature Address i�O �K 732 City/State A(,,), 7 1,� /t/S/ Zip Code /G S O y Company �)e r a/n :5,1 e I Phone# (`j/y� yG �' 715 State Wide Inspection Services 1080 Main Street NOV � 2 2D��5 Fishkill, NY 12524 84Phone 914-2 9 1062Fax STATE WIDE INSPECTION SERVICES i �. .'. Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Wetlawn, Inc Matthew&Allison Berkowitz P. O. Box 732 12 Milestone Road Armonk, NY 10504 Rye Brook, NY 10573 Located at: 12 Milestone Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-181 124.65 1 1 75 Certificate Number: 2025-4845 Building Permit Number: BP25-116 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 12 Milestone Road, Rye Brook, NY 10573 The First Floor was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the loth day of November 2025. Name Quantity Rating Circuit Type Receptacle 01 Hood 01 Range 01 Dishwasher 01 Refrigerator 01 Microwave 01 Luminaires 02 Under Counter Lights 04 Light Fixture 01 Q �- Officer: Frank J. Farina Ibi This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. a T-4 N C WLn = N N \ W a r a M p„ -• ►n � od' CIO C A wbt Z � W H r- bL 'Lo m W r- O z W W o c/� • n � � w � c >1 r►� z O � V 0 o W F °00 0-4 ' Uz cn r 00 oo Cr) � �.) .a "4 w od • '� O c CA W '" W a a oa z N � f, Z W � Lod EcE�YE D ' FfCIIE"'ED UL"E .BUILDING 6 2025 VIL E OF RYE BOOK 938 KIN ET RYE BROO ,NY 10573 VILLAGE OF RYE BROOK =0668 BUILDING DEPARTMENT wyviy okny. oovv PLUMBING PERMIT ko APPLICATION FOR OFFICE USE ONLY BP#: PP#: `J Approval Date: JUL 1 7 pp 2�2 Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, ?—& -� is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: SBL:_ I Z (, r — /— 'ISZone u 2.Proposed Work: rS ., /! -___, c 3.Property Owner: 14A 062 i c- Z Address: I Z µ(, e S-/o'-e- Ks� Phone#: Cell#: Y111-7/11—g 7?-7 email: 4.Master Plumber: rrrc, Address: Q?V 1_o,x4 '/( q�� , C164a Z Lic.#: Phone#: 9/i�7!o3-7e1Z3Cell#: 5---- .Z-• email: Q'7 � 0C��c, Company Name: Address: Al./1 L7,���S 1„a. f� G (` C�4a INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor ,! 2nd Floor 'T 3'Floor 41 Floor 5's Floor Exterior 5.*List Other Equipment/Provide Details: Q6 ,e all 7Z (Notarized Signatures Required Next 2 Pages) -I- 6/I/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 6x-, li— ,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 Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. �r Sworn to before me this 7 Sworn to before me this ]s day of -i 120 25-1:, day of J �] 12005 Signature of Property Owner Signature of Applicant 6�k)a"A . Print Name of Property Owner Print Name of Applicant Notary Public Notary Public KARINA BRACHLOW NOTARY PUBLIC,STATE OF NEW YORK KARINA BRACHLOW Registration No.01 BRO019201 NOTARY PUBLIC,STATE OF NEW YORK Qualified in Westchester County Registration No. 01BR0019201 C0mmJ*19rh Chi A operly completed in its entirety and must 19%2v of mmsson�Ires e99 20 the legal owner(s) of the subject property, and the applicant of record in the spaces prove e pp Ica ions not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 6/1/2024 RDE cEOw [7 BUILD MENT VIL E OF RYE OOK JUL 16 2025 938 KING ET RYE BRo NY 10573 06665 VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT 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: -- --tt residing at , (Print name) (Address where you live) being duly sworn,deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 12"' C \ , 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. ignature of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this KARINA BRACHLOW NOTARY PUBLIC,STATE OF NEW YORK day of ��� , 20 l _`� Registration No. 01 BR0019201 Qualified in Westchester County Commission Expires Dec. 29, 20 (Notary Public) 6/l/2024 1 Budding Permit Check List&Zoning Anal sis ( ( Address: '� \�-y SBL• Zone �se: W Const.Type Other. Submittal Date: � 1 Revisions Submittal D es: Applicant � rZ Nature of Work: Y-1 L ,e_VV y aa-,� Reviews:ZBA: MAY 2 2 2025 ,.O. BOT: Other. NEED _K �"�' ( 4-FEES:Filing. BR 1 C/O: Flood Plane Legalization: ( ) ( � APP: 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: ( ) ( PLANS:Date Stamped Sealed: Copies: '2--Electronic: 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. (!�r ( ) 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. ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approvaL notes: ( )PB mtg. date: approval notes: APPROVED REQUIRED E?ISnNG PROPOSED NOTES Area: Date: MAY 2 2 202 Circle: Frontne: Front Front Sides: Rear. Main Cov: Accs.Cov Ft H Sb: Sd.H Sb: GFA: Tot : Ft.imp: Parking: Height/Stories: notes: \\� '�'ror; n., r �' '• ..`• 1•►►►) k!,'� `v,. aup .a i �,lY• •• '•�•' v :' �• '� t i F'�R. � l IV o o a > p K N Vi O � to CO toIlu ° 'b 1 •i G';' 9 PRO Iwo O 4. CL u° LLI �ico» +� J o = a *0 Q coo ° "dion <o;r. )>t - • LU UE : i: ►.r J m s 'LLu LU "i v rLr ap h Oad � �Ga' « >oj � p . e aQ � . 0 z 0 OR u •��:I � � cUa iv y ems— :[��. we � '� -p = Fes• rA C N � c rA u_ U s ry }�� � 1"•1�t s`F.r71 1 :£ _��*.d,•',r 1 1 ;:''3� 'a�£-z�.-c- 1 1 -� ...�,'�_,. .�`_•'�_-:;^`'; . . . . . �` ," / ► 1 1•-= ►►�1►• 1►�1, ,1►i►1 _=� 1►1►, _ "" 1,► llil�j{� 1,1�,/►1� ���jj#/ ,Ic���c►11\' G,►t�6��►1 $ l�pi�i�ih' 5aAc0�c'i;> +f} y� / q A I�.P� A , •:�: r ArTi(j'', ♦♦ �y(f w •�4 1 \ A"• \'•♦ 11�•f • • {t, 7F•'l)�) g� -` .< y i�• �S'! ,.ly+,``yy. f �^ �21 •�•yx €IjFA� `'�Wr. II V .. F/V� .(1VU1Vi - T/•V{1Y t� �' .� y�S DTFROSE-01 SCHASS ACORO CERTIFICATE OF LIABILITY INSURANCE DATED/YYYY) 1/24/224/2025 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 Susan Chassagnoux NAME: Cross Insurance—Westport PHONE FAX One Turkey Hill Road South Iac,No,Ext:(203)655-6974 118 A/C No; Westport,CT 06880 pp RlE :susan.chassagnoux@crossagency.com INSURERS)AFFORDING COVERAGE NAIC N INSURER A:Selective Insurance Company of South Carolina 19259 INSURED INSURER B: DTF Rosemount LLC INSURER C: 288 Valley Road Suite 201 INSURERD: Cos Cob,CT 06807 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 LTR TYpE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X]OCCUR S 2512283 1/16/2026 1/16/2026 DR MGE TO RENTED $ 600,000 _.SES occurrence)MED EXP one n $ 15,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY Ix-1 inoT Fx-]LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER A AUTOMOBILE LIABILITY CO aBINED1SINGLE LIMIT $ 1,000,000 (EaX ANY AUTO S 2512283 1/16/2025 1/15/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS SSyyNEp BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLY PPerr,denl AMAGE $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5,000,000 EXCESS LIAR CLAIMS-MADE S 2512283 1/15/2025 1/15/2026 AGGREGATE $ 6,000,000 DED RETENTION$ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITYSTATUTE I YIN WC 9097980 1/15/2025 1/15/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTWIVE FICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ andatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is shown as an Additional Insured on the General Liability policy as required in the written,signed and executed Agreement/Contract directly with the Named Insured subject to all terms,conditions,and exclusions of the insurance contract in place for the Named Insured. 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 g y 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 Workers' YORK CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured 203-533-3076 DTF Rosemount LLC 288 Valley Road. Suite 201 1c. NYS Unemployment Insurance Employer Registration Number of Cos Cob,CT 06807 Insured Work Location of Insured (Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e., a Wrap-Up Policy) Number 26-4035807 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Village of Rye Brook 938 King Street 3b. Policy Number of Entity Listed in Box"1a" Rye Brook, NY 10573 WC9097980 3c Policy effective period 1/15/2025 to 1/15/2026 3d The Proprietor, Partners or Executive Officers are ❑ included. (Only check box if all partners/officers included) X� 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: Susan Chassagnoux (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �GLQI�/1i 2412025 (Signature) (Date) Title: Commercial Account Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 203-635-1084 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