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HomeMy WebLinkAboutBP25-122PERMIT # Al ) SECTION /I TYPE OF WORK JOB LOCATIQN OWNER /r/LU"1Q :LOT. SSA �(f J OAoCO3) 94&_$& ys vv/CO #� FEE At/�-�b DAT TCO # FEEIIIIIIIIIAIIIIIIIIIIIIII� DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING ❑ RGH PLUMBING GAS ❑ SPRINKLER ELECTRIC ❑ LOW VOLT ❑ ALARM ❑ INSP AS BUILT ❑ FINALiiiiiiiiiiiiiiiiiiii Muslim Will III III wmmmmmm"WAIII� OTHER APPROVALS BR � t1'vr V OY 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 17,2025 Richard Stumpf&Julietta Stumpf 78 Windsor Road Rye Brook,New York 10573 Re: 78 Windsor Road,Rye Brook,New York 10573 Parcel ID#: 135.52-3-45 Building Permit#25-122 issued on 5/30/2025 for Replacement Windows This certifies that the twelve new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Z— I Steven E. Fews Building&Fire Inspector /to PE_ F r mBuILD� lF T�VIEN7' Pa�trr4 2025 VIL OF RV K ISSUED: 938 KING State Ylt Illt(3t)t�, R YoRK 10573 UATF: 7 j<{-1 s- VILLAGE OF RYE BROOK d).y -BUILDING DEPARTMENT w -r%l ff-'rifel udiv — APPLICATION FOR CF 11TIF ICATF,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 ............................................................................................................................. Address: �� _ J l Occupancy;�tse: I'arcel ID N: off— — Zone: O�►��_ N�I.V� Address: P.E./R.A.or Contractor:TlL Address: Pcrson in responsible charge: a -\ Address:—A : -, Application is hereby made and submitted to t e Building Inspector of the Village of Rye Brook for the issuance of a Certifcatc ofOccupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW Y RK,COUNTY OF WESTCHESTER as: being duly sworn,deposes and says that he/she resides at 10 ,� V.� � y I/ ar N3 of Applicant) _ (No wid Saes) sin 2 in the County ofV� in the State of �� ,ttlat (City.'roN%n'Vill gC) he/she has supervised th ork 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 LD for the construction or alteration of: Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/ber 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 flit 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 duty issued by the Building Inspector as per§250-10.A.of the_qode of the Village of Rye Brook. Sworn to before me this Sw•om to before me this 2»�_ day of_ 20 3 day of Ju�� 20 Z� Sigr rwrc rty Ow Signature of Applicant Frlri l arne of Pr y Ow i'rint Name of ApplKant '�ntdr Public� n tib n JOSS RODAIGUEZ T' DNA A JOA Notary Public Notar/Piblic -Stete of llew York COMMONWEALTH Of MASSAD USETTS NO.OINd.0005ti67 My Commission Explrea ��&jitwd in Wo--tchi ,ter(Aumty October 10, 2025 N y O�rnrnr,5ux�E�pu a Apr 19, 10)7 . .19"19 . 'BUI' ,ID'tN'G )'E"PART ENT ;irk"ItrVANT 14111,I)M4 VILLAGE OFRYERROOK D CODE 938 KxN(.S-YRIKET-ItYli BROOK,NY .10573 (914) 939-0668 IlAx (914)939-5801 - - - - - - - -- - - -- - - - - - - - - - INSPECTION REPORT Aj)Ditvss :._. .-7 ? . A6 - Zoe--S— LOT: OCCUPANCY: 0 VIOLATION NOTED 1.kUji wolus- (s... RL.'jj.:c,ri..,D/RmNSPECTION 11 STIT INNIIECI-IoN RL.'(junma) 0 FoO.I.I.N44 Q 1"00-YING ❑ UNJ)VltGJ.MTlWJP PLUMBING 0 Romi'm Pirmimsm 11 I(OTT4,111 J."RAMING 1*1 INSULATION NNorm-A.T.(*i.A.S /2- 0 1 llu.A.Msm. 11 P'llui.svin-N 0 FINATA,)T,T I Al I I I.N(. N N I tICTION OTHIM N � N O � \ \ ^� N N 0 4 p a u W u (�J A14 V , OLn v uo ■ Li PQ W o c!� ay272 W 60 66 o f Q A w ' `�■ c -* L 7•i■I V y� -�i r" v dam" o"O ,0, Z r 9 �'' ■ °O q 5 0 Ln4 z UO z „ VJ rT, om pa, cutz _ oo ce zZ � E w 0.4 oo � � ° o o v W '�■� U <C � U U v o 2 �—■c A W H p o 42 p p � o '° � � 00 z w w �, Q A W z 4 0 � o � .. ,.� Oa W W a a2 5 'K A a BUILD `tom` TMENT D E C � �E V E VIL •OF RY OOK IJ 938 KING E'r Rl'E BR„ , ,NY 10573 MAY 2 3 2025 1.4)939-06 -c oM ov VILLAGE OF RYE BROOK 19 BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EY'fERIOR WORD WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE01A Qf) /� /� APPROVAL DATE:�� P IT#:!V l� / ��PLICATION FEE: /O ' APPROVAL SIGNATURE: PERMIT FEES: I t/T H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: "�_ a3-,;k� 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. I. Job Address:78 Windsor Rd. 2. Parcel ID#: 135.52-345 Zone: X— 7 3. Proposed Improvement(Describe in detail): Remove and replace 12 windows, same size, no structural change. 4. Property owner: Richard Stumpf Address: 78 Windsor Rd., Port Chester, NY 10573 Phone# 914-261-9756 Cell# e-mail richstumpf@gmail.com List All Other Properties Owned in Rye Brook: Applicant:Janet Cho- Go Permits Address: 105 Buttonball Ln. Glastonbury, CT 06033 Phone#— 303-946-8685 Cell# e-mail permits@gopermits.org Architect: n/a Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell # e-mail General Contractor: Home Depot USA Address:2455 Paces Ferry Rd. Atlanta, GA 30339 Phone# 303-946-8685 Cell e-mail Permits@gopermits.org b/I12o24 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction:1 family Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I` fl: 2'fl: 3`a fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: 14,fl: 2"d fl; 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14, Construction Type&Location:O Typical Western Lumber Frame;O Timber Frame[TC];O Wood Truss[TT]; O Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing JR];O Floor&Roof Framing[FR];Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style:peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: 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: _ (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineeredplans) 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: 23. 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) 24. 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) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (ifyes,the area ofwetland 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: (ifyes,the area and elevations of the flood 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: (ifyes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER 1: TIER IL• TIER III: (ifyes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: S 1 O 13 u V Note:estimated cost shall include all site improvements, labor, material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis. If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance oJ'the C:/O. 30. Estimated date of completion: 10/1/25 (2) 6/1/2024 BUILD,. MENT D VIL OF:;RX : OOK MAY 2 3 2025 938 KING NY 1057 VILLAGE ©f RYA 43ROOK c OV BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST HEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL HE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: I,Richard Stumpf ,residing at, 78 Windsor Rd., Port Chester, NY 10573 (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; 78 Windsor Rd., Port Chester, NY 10573 , 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 stortnwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Pr rty O CT(s 1 S,f (Print?Name or Property Owner(s)) Sworn to before me this day of ��J , 20 t l� ROSEmART J MOGAVERO o Public) Notary PubHC-State of New York No,01m05023476 Qi,ali�ee in WestCheSter County M, Ccmri'ssion Expires Feb 7, 2026 (3) 6/tr1024 •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: Janet Cho , 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 Sworn to before me this day of �t , 20� day of , 20 Signature rope r Signature of Applicant Print Name of Property Owner Print Name of Applicant No'Cary Public M Notary Public ROSEMARIE 9 MOGAV Notary Public-State of New York No.01M05023476 Qualified in Westchester county My Commiss'on Expires Feb 7. 2026 (4) 6/l/2024 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: Janet Cho ,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 Swom to before me this 2 3 day of , 20 day of__b A 1 ,20Z_ Signature of property Owner Signatu�_.Mpp�liwnt Print Name of Property Owner Print am of Applicant Notary Public No ary fublic HECTOR G VENTURO Notary Public Connecticut My Commission Expires Mar 31, 2026 (4) 6/1/2024 nk Home Improvement Agreement: Page 1 Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers Rocco Deleo Salesperson Name Registration#- CA, CT,ME,MD,MI,NJ, DC only Home Depot U.S.A., Inc. ("Home Depot")or its Authorized Service Provider named below will furnish, install, or service the equipment listed below at the price, terms, and conditions set forth in this Agreement. 1. Service Provider Contact Information The Home Depot I The Home Depot Service Provider Contact Name Service Provider Company Name (914) 347-6900 ahs_ccwwestchester@homedepot.com Phone# Service Provider Email Address 2. Customer Information Stumpf Richard Westchester F50950893 Customer Last Name Customer First Name Store # /Branch Name Customer Lead/PO# 78 Windsor Road Port Chester NY 10573 Customer Address City State Zip (914) 261-9756 richstumpf@gmail.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: ahs_ccwwestchester@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 1 Zeiss Drive Thornwood INY 10594 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU MUST BE MADE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER AT YOUR ADDRESS LISTED ABOVE AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED.YOU MAY ALSO CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACB40WLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTIC OF YOUR RI ANGEL. Acknowledged by: 04/24/2025 usto igna Date 460 Standard Form HIA(13 Aug.24)(E) Generated Date 04/24/2025 I.ead/1100 F50950893 v 4.0.0 Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph or document entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice, or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 08/22/2025 1 Approximate Finish Date: os/21/2025 All dates are approximate and subject to change due to various circumstances such as weather,manufacturing delays, obtaining permits or HOA approvals. 6. Electronic Records Authorization You are entitled to a paper and electronic copy of this Agreement if You choose. If You consent to an e-mailed copy, Your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. Contact your Service Provider to update Your email address, withdraw Your consent to electronic records, or obtain a paper copy of the Agreement or related documents at no charge. By providing Your consent and verifying Your email address above, You confirm that You have access to a computer that can receive and open emails and PDF documents. --,_-. - -_-_-- _ ----- - 7. Contract Price and Payment Schedule Payment of the Co race i u on signing unless a different payment schedule is required by law,is specified below,or is in a yment addendum. Contract Price: $ 10382.62 cludes all applicable taxes. Excludes finance charges.* Sales Tax: $ (If applicable,total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD, MA, ME(33%),NJ, WI(99%) Deposit% 1100.0 Deposit Amount $ 110382.62 Remaining Balance $ 10.0 8. Finance Charges Any interest payments or other finance charges will be determined by Your cardholder or loan agreement, to which Home Depot is NOT a party,and will not affect the payment due under this Agreement. You are subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Your payments made payable to Home Depot. 9.Acceptance and Authorization By signing below,You authorize Home Depot to:(a)arrange for Service Provider to perform the Services;or(b)order and arrange for the delivery of special order merchandise, including any custom made special order merchandise,as specified in this Agreement. Further, You acknowledge: (i) You have read and understand this Agreement; (ii) You have accepted this Agreement in its entirety, including the General Conditions and State Supplement (if any); (iii) You are receiving a complete copy of this Agreement; (iv) all rights and interests under this Agreement, including interest in the property where Services are performed, are solely vested in the person listed as "Customer" above; and (v) electronic signatures will be deemed originals for all purposes. Do not sign if blank or incomplete. Service Provider's or permitting informati n may need to be provided to You in writing at a later date. X 04/24/2025 Customer's nature Date X I/s/T>eflome Depot 04/24/2025 The Home Depot Digital Signature Date For questions related to your installation,contact Service Provider at (914) For any other concerns, contact The Home Depot at 1-800-466-3337 460 Standard FonnH1A(13 Aug.24)(E) Generated Date 04/24/2025 Lead/POu F50950893 4uu i .1 al QUOTE ' i 54069153 STUMPF Unassigncd ® 1 6500 Double Hung 35.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 36 x 49.875 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, Bedroom Upper=Annealed,Lower=Annealed,Locks=2, 1 White,Cam,Air Latches=2,Sill Extender,Head Expander,Screen Coverage=Half,Fiberglass, Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A-44-58060-00001, f Meets Energy Star Zones=None,DP=50,AAMA, 35.75 RO-36 Initials' ® 1 6500 Double Hung 35.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 36 x 49.875 White,Int. Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, I Bedroom Upper=Annealed,Lower=Annealed,Locks=2, White,Cam,Air Latches=2,Sill Extender,Head tz Expander,Screen Coverage=Half,Fiberglass, Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, - STC=28,CPD Number=SBP-A44-58060-00001, Meets Energy Star Zones=None,DP=50,AAMA, 35 75 RO-36 Initials: Page 3 Of 6 Quote#: 3225313 QUOTE NAME PROJECT NAME 54069153 STUMPF Unassigned ® 1 6500 Double Hung 35.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 36 x 49.875 White,Int. Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room 1D: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, Master Bedroom Upper=Annealed,Lower=Annealed,Locks=2, White,Cam,Air Latches=2,Sill Extender,Head Expander, Screen Coverage=Half,Fiberglass, Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A44-58060-00001, Meets Energy Star Zones=None,DP=50,AAMA, 35 75 RO-35 —. Initials: ® 1 6500 Double Hung 35.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 36 x 49.875 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, 1 Master Bedroom Upper=Annealed,Lower=Annealed,Locks=2, White,Cam,Air Latches=2,Sill Extender,Head Expander,Screen Coverage=Half,Fiberglass, Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A44-58060-00001, Meets Energy Star Zones=None,DP=50,AAMA, 1 35?5 n O-36 —� Initials: Page 4 Of 6 Quote#: 3225313 PO NUMBER QUOTE NAME PROJECT NAME 54069153 STUMPF Unassigned ® 1 6500 Double Hung 27.75"X 45.5" Operation= RO: Operating,Frame=Replacement,Ext.Color= 28 x 46 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, TT Room 1D: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, I Bathroom Upper=Tempered,Lower=Tempered,Locks= 1, .T. White,Cam,Air Latches=2,Sill Extender,Head Expander, Screen Coverage=Half,Fiberglass, �a Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, LoSTC=28,CPD Number=SBP-A-44-58060-00001, Meets Energy Star Zones=None,DP=50,AAMA, 1 .- 27.75 �- RO-28 Initials• ® 1 6500 Double Hung 23.75"X 49.5" Operation= RO: Operating,Frame=Replacement,Ext.Color= 24 x 50 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, Living Room Upper=Annealed,Lower=Annealed,Locks= 1, Ex` White,Cam,Air Latches=2,Sill Extender,Head Expander,Screen Coverage=Half,Fiberglass, _ Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A-44-58060-00001, ,n, Meets Energy Star Zones=None,DP=50,AAMA, =c _ — Initials: Page 5 Of 6 Quote#: 3225313 QUOTE PROJECT 54069153 STUMPF Unassigned ® 1 6500 Picture 75.875"X 49.5" Operation=Left/ RO: Right,Operation=Fixed,Frame=Replacement, 76.125 x 50 Ext.Color=White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E, Room ID: Argon,Super Spacer,7/8"IGU, Glass Thickness= Living Room 3/16 in-3/16 out 3S,Annealed,Sill Extender,Head I Expander,Screen Coverage=None,U-Factor= a j 0.26,SHGC=0.3,VT=0.54, STC=0,CPD Number=SBP-A-43-27509-00001,Meets Energy Star Zones=None, DP=45,AAMA, i 1 76.1 RO• .^5. Initials' ® 1 6500 Double Hung 23.75"X 49.5" Operation= RO: Operating,Frame=Replacement,Ext.Color= 24 x 50 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, Living Room Upper=Annealed,Lower=Annealed,Locks= 1, ` White,Cam,Air Latches=2,Sill Extender,Head Expander,Screen Coverage=Half,Fiberglass, , Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A-44-58060-00001, Int Meets Energy Star Zones=None,DP=50,AAMA, 23.75 —+ RO-24 —. Initials: 12 Total Qty Units $2,790.88 ■� $0.00 Comment: �nni+ n ' i $0.00 � 101In 7.l a Irm $0.00 i 1 11 lliffl $0.00 -� $2,790.88 11 of 10113 ' ' ($0.00) $2790.88 Submitted by: Accepted by: Date Page 6 Of 6 Quote#: 3225313 CUSTOMER TOTALS COPY 5/9/2025 5/14/2025 QUOTATION #3225313 Tia Ferguson S I M O N TO N SOLD TO: SHIP TO: W 1 N u O W S THE HOME DEPOT THD/LONG ISLAND-THORNWOOD 2455 PACES FERRY ROAD 1 ZEISS DRIVE ATLANTA,GA 30339-4024 THORNWOOD,NY 10594-1939 Phone:914-347-6900 Phone:914-347-6900 Fax: Fax: PROJECT 54069153 STUMPF Unassigned 1 6500 Double Hung 35.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 36 x 49.875 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, I Kitchen Upper=Annealed,Lower=Annealed,Locks=2, I �� White,Cam,Air Latches=2,Sill Extender,Head W, Expander,Screen Coverage=Half,Fiberglass, " Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A-44-58060-00001, 1 Meets Energy Star Zones=None,DP=50,AAMA, 1 1 35 75 R0-36 —. Initials: ® 1 6500 Double Hung 35.75"X 37.5" Operation= RO: Operating,Frame=Replacement,Ext.Color= 36 x 38 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, T Kitchen Upper=Annealed,Lower=Annealed,Locks=2, I 1 White,Cam,Air Latches=2,Sill Extender,Head m Expander,Screen Coverage=Half,Fiberglass, Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A44-58060-00001, Meets Energy Star Zones=None,DP=50,AAMA, �8-I6 Initials: Page 1 Of 6 Quote#: 3225313 PROJECTPO NUMBER QUOTE NAME 54069153 STUMPF Unassigned ® 1 6500 Double Hung 29.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 30 x 49.875 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: Glass Glass Thickness= 1/8 in- 1/8 out DS, Custom Upper=Annealed,Lower=Annealed,Locks=2, ; Ex. Office/Computer White,Cam,Air Latches=2,Sill Extender,Head Expander,Screen Coverage=Half,Fiberglass, Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A-44-58060-00001, i Meets Energy Star Zones=None, DP=50,AAMA, 25 75 Initials: ® 1 6500 Double Hung 29.75"X 49.375" Operation= RO: Operating,Frame=Replacement,Ext.Color= 30 x 49.875 White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E,Argon,Supercept, Room ID: 7/8"IGU, Glass Thickness= 1/8 in- 1/8 out DS, i Custom Upper=Annealed,Lower=Annealed,Locks=2, I E" Office/Computer White,Cam,Air Latches=2,Sill Extender,Head m Expander, Screen Coverage=Half,Fiberglass, o Extruded,U-Factor=0.29,SHGC=0.28,VT=0.5, STC=28,CPD Number=SBP-A-44-58060-00001, r Inc Meets Energy Star Zones=None,DP=50,AAMA, 1 2575 .— RO-30 Initials: Page 2 Of 6 Quote#: 3225313 10 ip, N,w 14� mn OF g g 66 1 m. W 'hi"M & - OMM 11111.A R ItIr vk AII 0 V Q\ 7/ im,5-9 C14, Rk SKR WT nw.Mll A vlvi 'hy -vy h cr 1-W V) 0 co Nt ,ection Lo NO 8 LU Lo "g--:w , 0 4-J LLJ s 4-o Lij 2k u 0 Z3 H x o' Nt I P. OU C:D YJ 11k, v/ ­\Xg 00 00 IAN V),:4 N �N 1W W llpo V, N\" v11�Tv . . . ... . . . .. .. ... .... ,M9!N I Al. All? M lull, ,No".1 19gh-. - 1A1 -,MA N N,4q go q,11 Ulm' 'vg .9 rD DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 0212412025 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 MARSH USA,LLC. NAME` ONE TWO ALLIANCE CENTER fA/C.No.Ext): FAC 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS: INSURERIS)AFFORDING COVERAGE NAIC N CN101642069-HomeD-GAW.-25-28 INSURER A: Old Republic Insurance Co 24147 INSURED THE HOME DEPOT,INC. INSURER B: Indemnity Ins Co Of North America 43575 HOME DEPOT U.S.A.,INC. INSURER C: 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004348037-20 REVISION NUMBER: 1 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER M DD YYY M DD YY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY319004 03/01/2025 03/01/2028 EACH OCCURRENCE $ 1,000,000 AGE TO RENTED CLAIMS-MADE XI OCCUR PREMISES Ea occurrence $ 1.000,000 X SIR:$1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY MWTB 319001 03/01/2025 03/0112028 I EOMaBINdEeDtsIN LE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S A X UMBRELLA LIAB X OCCUR MWZU319032 03/0112025 03/0112028 EACH OCCURRENCE $ 10.000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000.000 DED RETENTION$ S B WORKERS COMPENSATION SCFC7262564A(WI) 03101/2025 03/01/2026 X I STATUTE I ORH AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 5.000,000 OFFICER/MEMBEREXCLUDED7 N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 5,000,000 If yes,describe under Continued on Additional Page 5,000,000 DESCRIPTION OF OPERATIONS below 9-7 E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 770-433-8211 Home Depot U.S.A.,Inc. 2455 Paces Ferry Road 1 c.NYS Unemployment Insurance Employer Registration Number of Atlanta,GA 30339 Insured 76011130 Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) id.Federal Employer Identification Number of Insured or Social Security Number 58-1853319 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Company of North America Village of Rye Brook 3b.Policy Number of Entity Listed in Box 1 a" 938 King St WLR C72625602 Rye Brook,NY 10573 3c.Policy effective period 03/01/2025 to 03/01/2026 3d.The Proprietor,Partners or Executive Officers are ❑included.(Only check box if all partners/officers included) ■all excluded or certainpartners/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: JoAnn Reynolds (Pmt name of auO raed representative of icensed agent of insurance carrwe Approved by: -- 1�...�c� _ 02/19/2025 ( tuxe} (Date', Title: Asst. Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 302.476.6807 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