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Home My WebLink AboutBP25-131PERMIT #i /L-�/� r� pq c�� 9 SECTI*N�i c� BLOCK LOT �- TYPE OF WORK ojis )S)o 94 Abro oj4q� �c /11e�1�/uQs�o�Q A4%0 JOB LOCATION r Q OWNER l' PC9iy)69a- 93 7S7 CONTRACTOR eLa V62 e?' EST. COST /�'�C �J O? i FEE NCO � TCO FEE DATE "► h� a MillA DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMPING O RGH PLUMBING GAS 0 SPRINKLER ELECTRIC C� LOW -VOLT ALARM ---- AS QUILT ZOZS� FINAL �- ZBA OTHER AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 25-088 (fertif irate of (Orcup urp This is to certify that RIVId Feldnin CoorhocU n of, Rue Bff-LY 1 I V having duly filed an application on -)(�I ILA 20 requesting a Certificate of Occupancy for the premises known as, cxa m�aowla j� k, eco d , Rye Brook,NY, located in a �[� Zoning District and shown on the most current Tax Map as Section: B 6.0 Block: ) Lot: 3Z , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.C95 1 �.li, issued O 20,-2 , 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: R 3 /e,Y)e- &,q7-/ Construction: , for the following purposes: Dewd I S / 1 ell I S-h yio nergo l a- i)a-h o , Cool sfyacf ne Y-e -fir o 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, r shall building be moved from one location to another until a permit to accomplish such change has ee obt ' from a ilding Inspector. Building Inspector,Village of Rye Brook: Date: JUL 1 7 2625 R For office use on1 _ E� E O v�/](��c BUILDI � MENT PERMIT# VILI A- t OF RYE'O*OOK ISSUED: JUL 14 2025 KING STRE YE BROOK, W YORK 10573 DATE: . 9 -06 0. FEE: PAID 00 VILLAGE OF RYE BROOK ov BUI DING DEPAR T M N i RTIFICATE 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 ,/� ,#,#rt##irtrt#iikk#ik######k#—#7######k#kk#ki#f#i###### Address: �IVOu/�t/ /� ��/e /��00 /v y Occupancy /Use: A Parcel ID#: 1357 02 V— I— �� Zone: — ao Owner: �Ny ��/►tC�/1 Address: Ae4jaw� &Bfodk&ios7% �/� I� P.E./R.A. or Contractor: CaCG10000'I FAQ1AeetjAQ, PLLCAddress: �-�/ 1 )7Q/'k Ale, Su/7L Person in responsible charge: Address: tiY�OSb 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: /O/' ,6 being duly sworn,deposes and says that he/she resides at �/�eAdON/(G A/[ (Print Name of Applicant) l (No.and Street) in 19/'p o& ,in the County of�Q '�C/l Q�i� in the State of &,K/,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: $ lf '3 Q0, oD / for the construction or alteration of: G ;O CO .5V*rM L4m� /i'1 Q/1 C{ per!��1 r' (C' u �p C 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 -A Sworn to beore me this day of 1 20 day, , 20 9, Signature of Property Owner Signature of Applicant T�/ ELVIIJ "G 1 /al (// d rL1 jMC-A Print Name of Pr Ow er Print Name of Applic IteiN HO�VARD BE3�N N tary Public Notary Publi NOTARY PUBLIC,STATE OF NEW yORI{ Registration No.01 BE6274181 Qualified in Westchester County 6/1/2024 Commission Expires 9/29/2u2j— 0 BU ILDING DEPARTMENT ❑BfULDING INSPECTOR l-411418TANT BUIL lNci INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET•RYE BROOK,NY 10573 (91.4) 939-0668 FAX(914)939-5801 wwwjy_t*racy ox8 - - - - - - - - - - - - - - - - - - -- INSPECTION REPORT - - - - - - - - - - - _ _ - - - - - - - ADDRENS: ooA,J 0Lo_-to,,�,--_.-_". mj_ DATE: 7 - /S- 7-O Zs- PERMITS_y 2, 3 1___ ISSUED:_ '�'ZfSECT: BLOCK: LOT: 1 LOCATION: OCCUPANCY: ❑ VIOLATION NOTED 7.11.E WORK IN... AccEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAIN.A.GI: ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULA'l'ION ❑ NAruRA.I,GAS q L + ❑ L.R GAS ❑ FUEL TANK Zv 1 N E r 0 ❑ FIRE SPIONKI,EIt - ❑ FINAL Px,UMIl1NG ��- ❑ CRONE CONNECTION -'. /� FINAL A L.L Q�� 0. k /.S.S4.,( OTHER Village of Rye Brook Public Works and Engineering Department 938 KING STREET-RYE BROOK,NY 573 (914)39-0753 FAx(914)939-0242 19t32 • INSPECTION REPORT Address: �'�/��11�!/�/7�� Date: d % Name: —` Ay Location: !//C��` Aor Permit#: Phone: Email: Work being Inspected: '��1`/l�fi�, /' i�T� Work Inspected is: Accepted Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water Pass Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation Notes: ;�� Jl'/,/�/�� d /��l Tit f�' /=,i� 112►�� _f Diagram: Signature ��/� , f Ln Ln N W ■ N o� Q. r' M H ■ V F A O 8 -0 y V s 0CL ., W cn v y w C/) a w Z z N V °° LAj z � � o r C4) (n 1 1 O 0 a+ ems''•cN T-4 .ram-, � -ou, o a E QI 4 U � a °�' � � ■ Z y o a o W Z o A O w c°� ) ° °' w ° ►-� QO ^ try ►� A b V UZ a c v Z CN 00 a V _ '� 9 � w z a d a o '5 a CCA, r�i w -< c Wp E w u Z o z z a v o c+ a C� w Z o f.., o v C� z z o Z zU � •$ W � � O � V U � ` O CA 1= o C Ce W 0d ZCLN V O U z o z v o Z O a � a Weq W z x ¢ oA � Qz .. Aa W W �aa 9 0 -C LLM � Q H ] ] aa BUILDV I3E "TMENT D VIL�,A,GE OF RYE BROOK 938 KING STREET RYE BRQOK,NY 10573 fAPf 2025 14)939-065651), wwV�rVe kn ov VILLAGE OF RYE BROOK -- - 13UI1--NNG DF-PARTMENT FOR OFFICE USE NL : Approval Date: I P_epWt# �c�-, Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: �d BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: +�► ,�� 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: 22 MEADOWLARK RD,RYE BROOK,NY 10573,USA 2. Parcel ID#: 135,28-1-12 Zone: R-20 r, 3. Proposed Improvement(Describe in detail):iProposed Bluestone Patio v E Sit t f c� . - 4. Property Owner: David Feldman Address: 22 MEADOWLARK RD,RYE BROOK,NY 10573,USA Phone# Cell# 914-522-9375 e-mail davey24@gmail.com List All Other Properties Owned in Rye Brook: Applicant: Gregory Caccioppoli-Caccioppoli Engineering,PLLC Address: 441 Central park Ave.,Suite 1238,Scarsdale,NY 10583 Phone# Cell# 917-309-5410 e-mail greg@caccioeng.com Architect: Same as applicant Address: Phone# Cell# e-mail Engineer: Same as applicant Address: Phone# Cell# e-mail General Contractor: lm� Qrn /VQVQrr q A017 SC4,�'�i,19 _(Jl C- Address: Q / Phone# )J L - '77` /o St, Cell# e-mail (1) 6/1/2024 5. Occupancy,(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: I-Fam Post-construction: 1-Fam 6. Area of lot: Square feet: 20,263 sf Acres: 0.465 Ac 7. Dimensions from proposed building or structure to lot lines: front yard: 89.73 rear yard: 11.75 right side yard: 37•4 left side yard: 87.18 other: 8. If building is located on a corner lot,which street does it front on: Meadowlark Road 9. Area of proposed building in square feet: Basement: n/a I"fl: 21 fl: 3'd fl: 10. Total Square Footage of the proposed new construction: 906 11. For additions,total square footage added:Basement: n/a I"fl: 2nd fl: 3'd fY: 12. Total Square Footage of the proposed renovation to the existing structure: n/a 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14, Number of stories: n/a Overall Height: n/a Median Height: n/a 15. Basement to be full,or partial: n/a finished or unfinished: 16. What material is the exterior finish: n/a 17. Roof style;peaked,hip,mansard,shed,etc.. n/a Roofing material: n/a l8. What system of heating: n/a 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,ANSI,System,FM-200 System,Type I Hood,etc...) Yes: No: X (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineeredplans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft,or more of impervious coverage requirin attic Stormwater Management Control Permit as per§217 of Village Code? Yes:_ _No: Area: �965F 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: X No: (f yes,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: X (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: X No: (►f 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; No: X (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: X Indicate: TIER 1: TiER II: TIER III: (i(yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: N/A 29. What is the total estimated cost of construction: S $18,aoo.oa Note:The 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 of the GO. 30. Estimated date of completion: (2) 6/l/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 RESIDENTIAL LOT AREA COVERAGE Address: 22 Meadowlark Rd Section: 135.28 Block: l Lott: 12 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. 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% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 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 20,263 Sq. Ft. 20,263 Sq. Ft. 2.AREA OF HOUSE a. Coverage of Main Building 2,487 (Including Attached Garage or Accessory Building) Sq. Ft. 2°487 Sq. Ft. b. Area of 1-It Floor Divided By Area of Lot x 100 12.27 % 12.27 % 3.AREA OF ACCESSORY BUILDING (includes Detached Garages,Tool Shed,Playhouses) n/a Sq. Ft. n/a Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 n/a % n/a % 4. AREA OF DECK n/a Sq. Ft. n/a Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 n/a % "/a % I attest to the best of my knowledge and belief,the above information is correct. Architect's Signature (3) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: 22 Meadowlark Rd Section: 135.28 Block: 1 Lot: 12 Zone: R-20 IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground 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 MAXIMUM 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-35 15 Lot Area % R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 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-F 30 *"Base Lot Area"is the minimum end of the lot size range in the"Lot Area"column Area of lot: 20,263 sq.ft. Existing Allowed Proposed Total impervious coverage = 5,835 S .ft. 6 S . ft. � S .ft. Front impervious coverage = 28.8 % 3U % 32 % I attest to the best of my knowledge and belief,the above information is correct. ,fir&jaty ,, P.[-. Architect's Signature (4) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 22 Meadowlark Rd. Section: 135.28 Block: I Lot: 12 MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area -21,780) x 0.11478421 ]: a. Allowed = n/a Sq. Feet b. Existing = nra Sq. Feet c. Proposed = pia Sq. Feet HEIGHT/SETBACK 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 VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: FRONT: FRONT: FRONT: .44 AW SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 *W SIDE: SIDE: SIDE: 1.30 FRONT: 40.05 FRONT: 40.05 FRONT: .60 /IN SIDE: 26A2 SIDE: 26.42 SIDE: 1.60 FRONT: FRONT: FRONT: .60 SIR SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 A"M SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 Ap SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 AM SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 A/ SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 K SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 ANW SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. Architect's Signature (5) 6/1/2024 BUILDING DEPARTMENT APB � ' �� V1LLAGE OF RYE OROOK 938 KING STEtEET RYE BROOK;NY 10573 VILLAGE Ot" RYE BROOK (M)939-0668 BUILDING DEPARTMENT ww'W.Kxebropknmov tktt*t***t**tt*t*#k**#***k*#*#**t*k******tk**kk*#**k#****k#****k*k#**k#**k*###kk**********#***k***k***# 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,ROM614 COUNTY OF WESTCHESTER ) as: 3, ck y ) ,residing at, & 01rini name) (Address where you live) ,A/t*v / �d being duly sworn,deposes and states that(s)he is the applicant above named, and further states that(s)he is the -r7 3 legal owner of the property to which this Affidavit of Compliance pertains at; /111 / I"eIz :,Pk gd. 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. (Signature:of l'raperIN 01A11 (S)) "'Da vil nan!m (Pant Name of Property Uuncr(s)) Sworn to before me this day of A ai ,20 2 (No,aq•Put cc) LAN HOWARD BERMAN NOTARY PUBLIC,STATE OF NEW YORK Regimation No.0 1 BE62741 81 � (6) Qualified in Westebester County - 6/Infl24 Commission Expires 91'l9/2-4— 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. STAlf.OF�l W YOR COUNTY OF WESTCHESTER ) as: 61 yIt: Fe A _,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. 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 H Sworn to before me this day of 2012r day of , 20 Signature of Property Owner Signature of Applicant V J J E-e�140/1 _ - Print Name of Property Owner Print Name of Applicant r—J'\� Notary Publ Notary Public LAN HOWWARD BERMAN NOTARY PUBLIC,STATE OF NEW YORK Registration No.01BE6274181 Qualified in Westchester County Commission Expires 9/20M (8) b/l/2024 BUILDING,09PARTMENT D LS C LS V F VILLAGE OF RY'r-AkOOK 938 KING ET RYE BROOK,NY 10573 ' APR 17 2025 ov VILLAGE OF RYE BROOK BUILDING DEPARTP':_',IT FOR OFFICE USE ONLY: q� BOT Approval Date: PB Approval Date: BOT Disapproval Date: PB Disapproval Date: Attach Resolution Hereto: BOT[ ] P13 [ ] ZBA[ ] Chairman: SITE PLAN FEE: DATE PAID: 17 S- ne- ENVIRONMENTAL FEE: ram(► c ©V DATE PAID: S OTHER: ************************************************************** ******************************************** APPLICATION FOR SIT PLAN APPROVAL Submission of this application does not assure placement on/Plang Board Agenda.The Applicant will be notified of such placement. This application references but is not limited to the followinf the Code of the Village of Rye Brook 50 ZONING,§209 SITE PLAN REVIEW,§235 TREES,§107 DEMOLITION OF B ,§224 SWIMMING POOLS,§12 XCAVATION&TOPSOIL REMOVAL, §118 EROSION& SEDIMENT CONTRO , §213 STEEP SLOPES PROTECTION, 9 SUBDIVISION OF LAND, §250-40 NOTIFICATION REQUIREMENTS. Appli nts and their Design I'rofessionats are ongly advised to review the above mentioned code sections online at, www. ebrookn ov prior to completing and/or submittit this application. APPLICATION FEE SCHEDULE: Residential Dwellings- $325.00,plus$200 0 per additional dwelling unit. Non-Residential Buildings- $475.00,plus $3 .00 per parking space. Planned Unit Development-$600.00,per ac PUD Amendment- $600.00 Site Plan Amendment- $575.00 � Wetlands&Watercourse- $1,150.00, rmit$250.00 Consultant Review(Escrow)Fee: Minimum fee$250.00-/maximum2,500.00 to be determined by the Village Engineer. 1pplicadonJees are non-refundable. the applicant s Lscroiv,acpositive balance at all limesprior to any Consultant,-Illornev, or Viltog.review•. k.scrotv Fees ajOSite Plan Fees must he paid on ade payable to the Village of Rye Brook. ********************************************** 1. Site Address: 22 Meadowlark Road Parcel ID#: 135.28-1-12 Zone: R-20 2. Property Owner: David Feldman Address: 22 Meadowlark Road,Rye Broo , Y 10583 E-Mail: davey24@gmail.com Tel.#: 914-522-9375 Other: 3. Applicant: Caccioppoli Engineering, PLLC - Gregory Caccioppoli Address: 441 Central Park Ave.,Suite 1238,Scarsdale,NY 10583 E-Mail: greg@caccioeng.com Tel.#: 917-309-5410 Other: 4. Design Professional: Caccioppoli Engineering,PLLC -Gregory Caccioppoli Address: 441 Central Park Ave., Suite 1238,Scarsdale,NY 10583 E-Mail: Greg@caccioeng.com Tel.#: 917-309-5410 Other: 5. Designate to whom correspondence is to be sent: =reg'ciscaccioeng.com Note: 11'applicant is a"Contract Vendee',please attach a copy of the contract summary with financial and confidential terms deleted. 1 611/2024 6. Street which property abuts: Bluebird Holw/Rock Ridge Dr. 7. Does property connect directly into State or County highway? (k)NO ( )YES: 8. Is site within 500 feet of Village Boundary? ( )NO (X)YES If yes note all bordering municipalities:Westchester County 9. Total area of site: 20,263 SF Area of site activity: 2,590 10. Site coverage: 32.1 %; Building coverage: 13.2 11. Existing building size: 2,487 New/additional building size: ^� Zero 12. Existing parking spaces: n/a New parking spaces: n/a 13. Nature of proposed activity: Proposed Blue stone Patio 900 SF ****************************************************************************************** Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below.Any application not bearing the legal property owner's notarized signature(s)shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YO RK,COUNTY OF WESTCHESTER ) as: av i J rt0.1JMa , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this I —� +A Sworn to before me this day of Ajor�1 , 20 2,7 day of , 20 --i* Z) Notary P PC Notary Public Signature of Property Owner Signature of Applicant 'DCIvI'd 7elc�man Print Name of Property Owner Print Name of Applicant IAN HOWARD BERMAN NOTARY PUBLIC,STATE OF NEW YORK Registration No.O 1 BE6274181 Qualified in Westchester County Commission Expires 9/29/- 2 6/1/2024 VILLAOF ROOK 938 King S T.Y. 10573 w ov SITE PLAN SUBMITTAL REVIEW CHECKLIST This form shall serve as a checklist for site plan submittal and review by the Village of Rye Brook. The use of this plan review checklist by the applicant is to ensure compliance with the technical provisions of§209 of the Code of the Village of Rye Brook entitled, Site Plan Review, pertaining to preliminary and final plan preparation. The Village Code is available on the Village Website at: www.ryebrookny.gov. Prior to the appearance before ANY meeting or hearing of the Planning Board,the applicant must comply with all Notification Requirements of Code Section 250-40. SITE PLAN SUBMITTAL SHALL INCLUDE: 1. APPLICATIONS. Completed and signed including correspondences. 2. CHECKLIST. Completed and signed. 3. PLANS. Signed, Sealed & Dated. Two paper (2) copies and one (1) electronic version. One (1) record set with original signatures,dates and seals shall be provided. 4. FEES: All application fees and Environmental fee. A separate check for filing fee and Environmental fee. 5. Environmental Assessment Form. Form available on the NYS DEC website and mapper. 6. Electronic Copy. Complete copy of all plans and shall be submitted electronically at time of submission. 7. otar' d ffidavit of Sign Posting& Mail Notification. I, (Applicant's signature)have read the Notification Requirements Sect, 0-40 and will provide notification as required. IDENTIFICATION OF APPLICANT(S): Identification of Applicant: Applicant: Caccioppoli Engineering, PLLC Gregory Caccioppoli Address: 441 Central Park Ave., Suite 1238 - Scarsdale,NY 10583 Tel. #: 914-689-0220/914-309-5410 cell Fax: E-Mail: greg@caccioeng.com Project Name: 22 Meadowlark Rd Project Address: 22 Meadowlark Rd, Rye Brook,NY 10573 Current Property Owner: Mr. David Feldman Address: 22 Meadowlark Road, Rye Brook, NY 10583 Tel.#: 914-522-9375 Fax: E-Mail: davey24@gmail.com IDENTIFICATION OF PROPERTY: Identifying Title: 22 Meadowlark RD Tax Designation: Section: 135.28 Block: 1 Lot: 12 Zoning District: R-20 Street which property abuts: 22 Meadowlark Rd Plan Submission Date: 04/17/2025 Site Plan Checklist Page 1 of 7 6/l/2024 X Project Address 22 Meadowlark Rd Y N NA PLAN REQUIREMENTS 0 O O 2 copies of plans prepared and signed by a registered Land Surveyor,Engineer or Architect. Q O O One(1)electronic copy of all submitted plans and surveys. " O Topographic Survey stamped by New York State Land Surveyor with license number and seal. 00 O Topographic survey scale of one(1) inch per twenty(20)feet or larger. O O O Section, block and lot numbers of the property taken from the latest tax records along with a copy of the most recent property card on file with the Town of Rye Tax Assessor's office. O O O Name of the proposed subdivision plan. shown on survey 0 O O Name and address of the owner of record. O O O Name and address of the applicant. O 0 O Deed reference(s). 0 O O Names, addresses and signature of every Engineer, Architect, Land Surveyor or Soil Scientist whose professional seal appears on any site plan submitted to the Board. 0 O O North arrow and scale. 0 O O Location map at the minimum scale of 1"equals 1,000 feet. Q O O Area of all lots, in square feet. 0 O O Engineering notes on plans as stated in application packages. O O 0 Copies of all existing and proposed deed restrictions or covenants applying to the property, including, but not limited to, covenants and agreements restricting the use and establishing future ownership and maintenance responsibilities for all private roads,recreation,and open space areas. O 0 O Any prior land use approvals with respect to the subject property. 000 Date the plans were first drafted. Any revision(s)made to any of the sheets first submitted are to be so noted in the revision block. The revision block is to be placed on the originals of the revised sheets. Additional paper copies are to be made& submitted for the Planning Board&Building Dept.to replace those sheets previously submitted. 1000 Other existing site improvements, including,but not limited to, fences, landscape or retaining walls, landscaping & screening. 000 Location of all buildings and structures on the premises and approximate location of all neighboring buildings or structures within 100 feet of the lot line. 0 O O Fees paid to The Village of Rye Brook Building Department. O O 0 Any revisions to plans shall be identified with a revision cloud and numbered revision triangle V N NA ABUTTING PROPERTY INFORAL4 TION 0 O O The names and addresses of all abutting property owners within 250 ft as indicated in the Municipal records. 0 O O Zoning and use of abutting properties noted on plans. 0 O O Shape,size,height and location of existing buildings and driveways within one hundred(100)feet of the site. O O 0 Location and description of existing easements within one hundred(100)feet of the site. O O O Location of existing private or public trails within one hundred(100)feet of the site. O O 0 Location of existing roads, scenic roads and/or driveways within two hundred(200)feet of the site. 0 O O Location of proposed parkland. If none state nearest recreation facility O O O Location of existing septic system leach fields within two hundred(200)feet of the site. O O 0 Locations,dimensions,grades and flow direction of existing sewers,culverts,waterlines as well as other underground utilities within and adjacent to the property. 0 O O The location of all existing watercourses, intermittent streams,wetland areas and springs,consistent with the definitions set forth in Chapter 245, Wetlands and Watercourses,of the Code of the Village of Rye Brook. Site Plan Checklist Page 2 of 7 6/1/2024 Project Address 22 Meadowlark Rd Y N NA PROPOSED SITE PLAN INFORMATION ® O O Sufficient, acceptable information to readily determine the location, bearing, and length of every street line, lot line, and property boundary line. 000 Location of all building setback lines. Q O O Topographic data at a minimum contour interval of 2'-0" increments, showing existing and proposed contours on the property and extending a minimum of 25 feet into all adjacent properties. 000 The location and characteristics of the different areas of vegetation, including the identification of all individual trees 12 or more inches in diameter at breast height("DBH"), protected trees of any size, as well as stands of trees and wooded areas, within areas of proposed disturbance, consistent with the provisions of Chapter 235, Trees, of the Code of the Village of Rye Brook. 000 Location and proposed development of all buffer areas, including existing vegetative cover. 000 Location and description of any zoning district and municipal boundaries including a zoning compliance chart for the existing and proposed lots. 4 O O Shape,size,height and location of all existing and proposed buildings. O O D Location and description of any existing and proposed easements. Q O O Location and dimensions of all existing and proposed streets,driveways, sidewalks,parking spaces,bicycle parking, loading areas and other facilities associated with the proposed use. O O ® Identification of the location and amount of building area proposed for retail sales or similar commercial activity. ® O O Location of existing and proposed utilities(water,sewer,gas,electrical,telephone,oil tank etc.). O O ® Design and location of all existing and proposed wells, septic tanks and leach field systems,or methods of waste water disposal. ® O O Location,type and size of all existing and proposed landscaping and screening including fences and walls. 0 O O Location, size and proposed screening of outdoor storage areas, if any. ® O O Location, design and construction material of all existing or proposed site improvements, including drains, culverts, retaining walls, landscape walls and fences. O Q O Exterior lighting plan and proposed signs to be located on site, including sign orientation,size,height,and elevation view. ® O O Storm drainage plan and plans for snow removal and storage. O O ® Pedestrian and automobile circulation plan. O O 0 Construction drawings for pavements,walks, steps,curbing,drainage&other structures associated with the proposed use. O O O Erosion and sedimentation control plan, including installation details of proposed control measures,directive construction notations and a schedule for the installation and maintenance of proposed control measure. O O O Description of measures planned to assure proper erosion and sedimentation control in accordance with the requirements of Chapter 118 entitled"Erosion and Sediment Control,"of the Code of the Village of Rye Brook. ® O O Drawing and computation for storm water detention design for a 25-year storm in accordance with the Westchester County Best Management Practices ® O O Rock outcroppings and areas of steep slope consistent with the definitions set forth in Chapter 213, Steep Slope Protection, of the Code of the Village of Rye Brook. O O O Location of any common lands and/or public lands. O ® O Phasing or an estimated project construction schedule. O ® O Supporting documents, including deeds,maintenance,condominium agreements,etc. ® O O Location of proposed construction or area of disturbance and its relationship to any property line, easement, building, structure, road, wall, fence, sewage disposal system, well, wetland feature or tree exceeding six inches in diameter measured at a height of four feet from the ground e Site Plan Checklist Page 3 of 7 6/1/2024 Project Address 22 Meadowlark Rd O O 0 Estimate of earthwork showing the quantity of any material to be imported to and/or removed from the site including a chart with the number/species and size of any trees to be removed. 0 O O Location and size of areas of soils by soil types in the area of proposed disturbance and to a distance of 100 feet surrounding the area of disturbance. O O 0 Cross sections of steep slope areas. O O O Retaining walls or like constructions,with details of construction. O O 0 Approximate boundaries of any areas subject to flooding or stormwater overflows, including areas of special flood hazard and coastal high-hazard areas, consistent with the definitions set forth in Chapter 130, Flood Damage Prevention, of the Code of the Village of Rye Brook. Approximate Wetlands and wetland buffer boundaries shall be clearly delineated. O O Q Location of fire and other emergency zones, including the location of fire hydrants. O O 0 Studies to include,but not necessarily limited to: environmental impact analysis,wildlife,traffic,stormwater management,recreation,public service, fiscal impact,visual impact and historic significance documentation,or a written request to waive the submission requirements for these studies. O 00 Amount of any bonds required. na O 00 Amount of excavated material to be removed from site, if any. Y N NA OTHER (as applicable) O O 0 Record of application for and approval status of all necessary permits from state and county officials and local utility companies. O O Q Identification of any federal,state or county permits required for the project's execution, including project referrals, if any,&environmental review procedures mandated by Article 8, Environmental Quality Review,of the Environmental Conservation Law(SEQRA). O 0 0 Any other information felt necessary by the Planning Board to allow the Board to proceed with consideration&to make an informed decision. DEVELOPMENT RE VIEW CHECKLIST WESTCHESTER COUNTY PLANNING BOARD Notice to Applicants/Developers: At some point during the development review process your project may be referred to the Westchester County Planning Board for review and comment in accordance with state and county laws that require local planning boards, zoning boards of appeals and governing bodies to refer certain development applications to the County Planning Board. Referral to the County Planning Board may not occur until your project has progressed well along through the design process. Since the Planning Board's comments may impact project design, this checklist is provided to encourage early consideration of these areas of concern by applicants to avoid project changes later. For information on the County Planning Board review process and to access an electronic copy of this checklist, go online to www.westchestergov.com/planningreferrals or contact Lukas Herbert at lah5@westchestergov.com. I. COUNTY PLANNING BOARD POLICIES: Written policies underlie all recommendations of the County Planning Board. Westchester 2025-Context for County and Municipal Planning and Policies to Guide County Planning, adopted by the County Planning Board on 5/6/08,amended 1/5/10,can be found at www.westchestergov.com/2025. ❑ Westchester 2025: Policies should be reviewed to determine how they relate to the development proposal. II. IMPACTS TO COUNTY FACILITIES AND SERVICES: The County Planning Board coordinates the review of development projects with Westchester County departments to identify and address potential impacts on County services and infrastructure. In some situations, permits and approvals may be required that could change project design. ❑ Map of County Facilities: Review the State & County Roads and Parks map (which also includes county channel lines) to identify proximity to County facilities at: www.westchestergov.com/planningdocs/pdfmaps/countystateroadsparks.pdf. Other useful map links for information about environmental features, septic/sewer map, county sewer districts map, etc can be found at: www.westchestergov.com/maps Site Plan Checklist Page 4 of 7 6/l/2024 Project Address 22 Meadowlark Rd ❑ COUNTY ROAD: Applications for development on sites that abut a County road must be submitted for review by the County Department of Public Works. Information and forms can be found at: www.westchestergov.com/dpw/bldgpenn.htm. Former County Roads do not need review by the Department of Public Works,but will still likely trigger a review by the County Planning Board. ❑ COUNTY CHANNEL LINES: Applications for development on sites within 100 feet of a designated County Channel Line require a stream control permit from the County Department of Public Works. Information and forms can be found at: www.westchestergov.com/dpw/bldgperm.htm ❑ COUNTY PARK: New construction & land alteration projects adjacent to County parks are expected to address screening& buffer of new uses from the park, as appropriate. Stormwater should not drain from a developed site onto a County park without acceptable quantity and quality controls. County parks are designated as Critical Environmental Areas. ❑ SEWAGE TREATMENT AT COUNTY TREATMENT PLANT: Local municipalities are required to reduce and eliminate inflow and infiltration (1&I) into the sanitary sewage systems tributary to County treatment plants. New development will be expected to reduce I&I in relation to generation of new flow at a ratio of three to one. This requirement must be discussed with local officials. ❑BEE-LINE BUS SERVICE: Bee-Line bus stops serving a development site should be identified on plans or noted if located off-site. If a bus stop is located along the site's frontage, the applicant should contact the County Department of Transportation to discuss impacts and the need for improvements. Safe and separate pedestrian access should be provided to link a bus stop and sidewalk with building entrances. Information on County bus service and design guidelines can be found at: w estche stergov.c om/transportation/images/Bus%20 Sery ice%20Gu ide l ines.pdf ❑FAIR AND AFFORDABLE HOUSING: Many municipalities require inclusion of fair & affordable units in new developments. Financial assistance to achieve fair & affordable housing development is available through Westchester County & other sources. Applications that include new residential units to be affirmatively marketed & sold or rented subject to fair & affordable housing provisions should be tied to Westchester County guidelines on affordability including income guidelines of eligible households that can be found at: http://homes.westchestergov.com/. If County funding is sought to develop fair & affordable housing,the County Board of Legislators must be included as an involved agency under SEQR. ❑RECYCLING: New buildings must contain a designated area of sufficient size for separation and storage of recyclables and trash. Building expansions should also include sufficient space for separation and storage of recyclables. For more information about County recycling requirements go to: www.westchestergov.com/environment_recycling.htm ❑STORM SEWER SYSTEM: Any connections to a County storm sewer line will require a permit from the Department of Public Works in accordance with the County Illicit Discharge Detection and Elimination (IDDE) law. Information & forms can be found at: www.westchestergov.com/dpwibldgperTn.htm Non-stormwater discharges to the County storm sewer system are prohibited. III. DEVELOPMENT STANDARDS The County Planning Board's land use policies focus attention on several aspects of development that may have intermunicipal and quality of life impacts.The list below includes areas most frequently commented on by the County Planning Board. ❑WATER: All development plans should include sufficient provisions for stormwater management, water quality measures and mitigation of flooding. ❑Plans should identify the major drainage basin or watershed the site is located in (Croton River, Upper Hudson River, Lower Hudson, Upper Long Island Sound, Bronx River and Lower Long Island Sound). An interactive map with watershed boundaries can be found at www.westchestergov.com/planning/maps&lists/drainbasinsi 1 x I Thtml ❑Watershed plans have been developed for several of the County's watersheds - the Croton, Indian Brook-Croton Gorge, Bronx River & Long Island Sound watersheds - that include specific recommendations that apply to development projects. See recommendations in watershed plans at: planning.westchestergov.com/index.php?option—com_content&task=view&id-- 1231& Itemid-2204 ❑Development that involves filling, creation of impervious surfaces or buildings and substantive loss of natural vegetation in a floodplain or flood prone area should be avoided. Site Plan Checklist Page 5 of 7 6/l/2024 Project Address 22 Meadowlark Rd ❑Above ground, vegetated retention/detention basins or devices are preferred because they perform better, are easier to inspect and maintain and provide additional environmental benefits over subsurface structural devices. Any such treatments should not be constructed within wetlands or buffer areas around wetlands. ❑The development should treat and retain as much stormwater on-site as possible,particularly when the site is located in a drainage basin with known flooding problems. A Construction Stormwater Toolbox with tools and sources of technical information related to the construction activities and stormwater management best practices is available from the New York State Department of Environmental Conservation at: www.dec.ny.gov/chemical/8694.htlnl ❑New development should include protection of aquatic resources. For more information about protection of aquatic resources & buffer areas,go to: planning.westchestergov.com/index.php?option=com content&task=view&id-1491&Itemid-2458 El Impervious cover should be minimized. Permeable paving surfaces should be used where feasible. Vegetative rain gardens should be used, particularly in areas of overland or channelized stormwater flow, to improve stormwater quality and reduce runoff volume. For more information,go to: www.westchestergov.com/stormwater ❑Buildings along coastlines and low lying area should consider the impacts of sea level rise. Specific consideration is required of potential impacts to surface and subsurface drinking water supplies. ❑ SITE LAYOUT. Aesthetic design,building orientation and community character should be considered in the site layout and building appearance. ❑In most locations,buildings should face the street and have pedestrian access from the street. ❑Commercial buildings should be located near the front street line with the majority of parking located in the rear of the building. Even gas stations and convenience stores should be upfront in a landscaped setting with parking,pumps and canopy toward the rear. ❑Buildings should be of pedestrian-scale when seen from the sidewalk. ❑Building facades should contribute to and enhance the character of the community. ❑Driveway and pathway connections should be provided to adjacent sites when possible and cross easements provided. ❑ STREETS. Street design should reduce unwarranted paving and promote connectivity. ❑New streets should connect with adjacent streets wherever feasible to prevent the proliferation of dead-end streets and promote neighborhood integration. ❑Connections could be vehicular or pedestrian/bicycle only,where appropriate. ❑Street widths should be minimized for streets with low traffic volume to reduce speeds and impervious surfaces.Lane widths of 12 feet are only appropriate for major roadways. ❑Driveway widths should be no more than 9 feet to reduce impervious surfaces. El Permeable paving surfaces should be used where feasible. ❑ GREEN TECHNOLOGY.New development should include as many green building elements as possible,such as: renewable building materials,energy efficient heating/cooling systems and fixtures, water saving devices,green roofs and permeable paving surfaces. Information can be obtained from the U.S. Green Building Council at: www.usgbc.org. ❑ LANDSCAPING AND LIGHTING. The site improvements should enhance community character. ❑ Landscaping should consist of native plant species appropriate for the location. Invasive plant species should be prohibited. Invasive plant information available at: www.westchestergov.com/planning/environmentaUReports/InvasivePlantsBroch08.pdf ❑ Pollutant tolerant plantings should effectively shield parking, loading areas and refuse collection sites. Site Plan Checklist Page 6 of 7 6/1/2024 Project Address 22 Meadowlark Rd ❑ Site lighting should be provided at the lowest safe levels and lowest heights,avoiding all spillage off site. ❑ PEDESTRIANS. Safe,convenient and ADA accessible pedestrian access is provided. ❑ A sidewalk should be provided along the site frontage along each street. ❑ Direct pedestrian connections should be made from the front of the building to the sidewalk. Pedestrian crossings of drive-ways& parking lots should be minimized or avoided. If they must be provided,painted crosswalks should be provided through parking lots. ❑ ADA accessibility must be provided. ❑ BICYCLISTS. Provisions for bicyclists should be incorporated into project design. ❑ Bicycle parking should be provided in commercial and residential developments. Guidelines can be found at: www.apbp.org/resource/resmgr/publications/bicycle_parking_guidelines.pdf ❑ If near a trailway or bicycle route,extra consideration should be given to bicycle accessibility such as bike lanes on internal roadways,bicycle parking and other amenities. ❑ Drive-thru lanes at uses such as banks and fast-food restaurants should also be accessible for bicycles. Waiver: Upon finding by the Building Inspector, Village Engineer, Planning Board or Board of Trustees that, due to the particular character or limited nature of development or change in use or to special conditions peculiar to a site, the submission of a final site plan, or certain portions of information normally required as part of the site development plan, is inappropriate or unnecessary or that strict compliance with said submission requirements will cause extraordinary and unnecessary hardship, such official or Board may waive such submission requirements wherever, in the opinion of such official or Board, such waiver will be consistent with the goal of promoting the public health, safety and general welfare of the community. The findings for granting such waiver shall become a part of the public record. Any waiver request must be made in writing,and include sufficient detailed information for the appropriate authority to make an informed decision. Design Professional's Certification of Completion of Checklist I have fully reviewed the Village of Rye Brook's requirements and certify this application to be a complete submission. I understand that an incomplete plat or incomplete checklist shall be deemed an incomplete submission and shall be returned to the applicant upon determination of such by the appropriate authority. Name(Print) Gregory Caccioppoli, P.E. %O NEW YOR/r CAC C/o pAv! Signature o W � W W Z l � Date 04/17/2025 �1 o�ag9 eal Site Plan Checklist Page 7 of 7 6/l/2024 Short Environmental Assessment Forn C W E Part I - Project Information HAPR1 22025 Instructions for Comnletin2 VILLAGE OF RYE BROOK ARTMENT Part I—Project Information. The applicant or project sponsor is responsible for the completion of Part 6 sfi es Become part o t e application for approval or funding,are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 22 Meadowlark Road Village of Rye Brook Project Location(describe,and attach a location map): 22 meadowlark Road Village of Rye Brook Brief Description of Proposed Action: Construct a patio in the 100'wetland buffer as regulated by the Village of Rye Brook. Name of Applicant or Sponsor: Telephone: 914-522-9375 David Feldman E-Mail: davey24@gmail.com Address: 22 Meadowlark Road City/PO: State: Zip Code: Rye Brook NY 110573 1. Does the proposed action only involve the legislative adoption of a plan, local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that El be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes, list agency(s)name and permit or approval:Village of Rye Brook Planning Board ❑ ❑� 3. a. Total acreage of the site of the proposed action? .465 acres b. Total acreage to be physically disturbed? .02 acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .465 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page I of 3 SEAF 2019 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ U NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ✓❑ ❑ b. Are public transportation services available at or near the site of the proposed action? ✓❑ ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ✓❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A F71 ❑ 11. Will the proposed action connect to existing wastewater utilities? NO N'ES If No,describe method for providing wastewater treatment: N/A � ❑ 12. a. Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b. Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ Z b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓❑ ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ❑Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats, listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ 16. Is the project site located in the 100-year flood plan? NO YES ❑✓ ❑ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ ✓❑ a. Will storm water discharges flow to adjacent properties? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: Stormwater detention system designed by P.E. 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Kellan D.Cantrell,AICP Date:4.16.2025 Signature: Title:PlanneNWetland Specialist PRINT FORM Page 3 of 3 EAF Maiw8umnimy Repo Sunday, April 20, 2025 8:30 PM Disclaimer: The EAF Mapper is a screening tool intended to assist i 133:28'1-2 project sponsors and reviewing agencies in preparing an environmental 1 yr assessment form(EAF).Not all questions asked in the EAF are 135.28 1 1 i' / answered by the EAF Mapper.Additional information on any EAF 135.27-1-58 135.27-1-59 ti question can be obtained by consulting the EAF Workbooks.Although I the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources to 135.28=1-1'' confirm ddaata provided by the Mapper or to obtain data not provided by the Ma --_ ,Barrie 135.28-1-19 RO �t 1 Totont< 135-28-1-12 lirmr an R0ChW4► 135.27-1-28 I All Sources:Esn,HIERE�Gar In USGS,1nte+l1iap,INJ2 Vf:='t IT-0NRCart,Esn Japan MET, I � tag .1,-!AI 1) .� 1 ,,%"1 - Kdnq' E•ri ICnrea F;ri?h�tl dS`P�: ";treetP.lap cnntrrr qq 172rti '�Thdii�n�y 1�3G �;`( per5trei;#R�4*ds�1`c'RtnBct'n ri, -he ci:Use .Ril 1J't Us.r kFjV En HERS r air.nu«.w Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No Part 1 /Question 13a [Wetlands or Other Yes- Digital mapping information on local, New York State, and federal Regulated Waterbodies] wetlands and waterbodies is known to be incomplete. Refer to the EAF Workbook. Part 1 /Question 15 [Threatened or No Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] No Part 1 /Question 20 [Remediation Site] Yes Short Environmental Assessment Form - EAF Mapper Summary Report ENGINEERING & S DEPARTMENT VIL OF R A OOK 938 KING ET RYE BR ,NY 10573 07 . ov WETLANDS PERMIT APPLICATION FOR OFFICE USE ONLY: PERMIT#: Approval Authority: Application Fee: $ Planning Board Approval Date: Permit Fee: $ Superintendent of Public Works Approval Date: Bond Deposit: $ Return Deposit Approval: Disapproved: Date: Amount x,��;;********, , �,xx�xxxx�n*,�xx�*x**�***;, ,,, xxr,xx*xxxxxxxr..xx*xxx,,xx,xKxxn*xxxxxxxxxx*,xx��xxxx:xx*: xYx REQUIREMENT SUBMITTALS: 1. Properly completed&signed application. 2. An erosion and sediment control plan in accordance with Chapter 118 of the Village Code if required by the Building Inspector and/or Superintendent of Public Works. 3. Completed Environmental Assessment form. 4. Contractor's Liability Insurance.(Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form (Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 5. Application fee: $1,150.00/Permit fee$250.00 6. Bond deposit. 7. Dig Safely New York#(dial 811): Application dated, 4.16.2025 is hereby made for a Wetlands Permit. 1. Address: 22 Meadowlark Road SBL: 135.28-1-12 zone: R-20 2. Property Owner: David Feldman Address: 22 Meadowlark Road Phone#: Cell 914-522-9375 email: davey24@gmail.com 3. Applicant: Same as Property Owner Address: Phone#: Cell#: email: 4. Contractor: TBD Address: Phone#: Cell#: email: 5. Full Description of Proposed Work: Install a 900 sq. ft. patio, stormwater and erosion control and mitigation plantings. 6. Conditions for Permit: IF PERMIT IS GRANTED,I AGREE TO COMPLY WITH ALL RULES AND REGULATIONS SET FORTH BY THE FEDERAL, STATE,COUNTY,LOCAL LAWS,SPECIAL ORDINANCES,GENERAL ORDINANCES. Signa re of Property Owner 6/1/2024 Michal Nowak From: Michal Nowak Sent: Wednesday, April 23, 2025 5:52 PM To: greg@caccioeng.com; davey24@gmail.com; Kellan.cantrell@gmail.com Cc: Tara Orlando Subject: Review of Plans for 22 Meadowlark - Patio Good Evening, The Public Works and Engineering Department is in receipt of an application to remove and existing Pergola and Patio and reconstruct a new Patio for the property at 22 Meadowlark. This project will need Planning Board review and approval for disturbance within a wetland/wetland buffer and for regrading within such buffer. This email serves as your review memo for this aroiect. Prior to scheduling the project for any upcoming meeting, the following items need to be addressed: 1. The Rear grading plan on sheet is hard to read, Planning Board members may have a hard time so maybe pull out a small window of only the grading to make it easier to understand 2. While a landscaping plan was submitted, it appears to be minimal regarding planting materials. 3. Wetlands disturbed are documented at 1,674 square feet, 906 square feet is removal of buffer and conversion to patio. The following shall be considered: a. Per 245-9-A-3, The patio area shall be mitigated at 2 to 1 for 1,802 square feet. Planting list equates to 52 plants inside 1,802 square feet for a spacing of 34 square feet per plant. This is very sparse and needs to be revisited as it does not appear to meet the intent of the code. The Village Planner will review and comment. 4. The plans show an existing drywell system; however,this does not match any plans on file. Only drywell system onfile is showing (3)cultic 330's located in rear center for an addition that was done in 2008 under building permit 3759 Sheet A-1 as drawn by John Scarlato Architect. Please provide proof of this drainage system and what it captures, provide subsurface reconnaissance information or other documents proving its existence and functionality. 5. The Village needs to witness a percolation test. Plans reference a test performed, but such must be witnessed by Village, Please call to reschedule. Test to be performed in the area of where drywells will be installed. i 6. Installation of Drywells within a wetland or wetland buffer is typically not appropriate. Consider another location. DEC has regulations and design manual language on locating these items within wetland buffers 7. The Stormwater Management system must be revised to capture ALL impervious surfaces onsite as per code section 217-9-C-2 for Total Volume storage onsite for a 25 year storm event of 6.4 Inches. Calculations reference Zero Net Increase in Runoff,this does not satisfy the code. Calculations only capture an increase of 669 square feet and do not include ALL impervious. a. No credit is permitted for Pre and Post Construction Coefficient of Runoff, use Cn of 98. b. All impervious surfaces must be captured 6,504, please revise calculations c. Schedule a Field inspection for Percolation tests in locations of proposed drywells. 8. A water quality system will be required for the driveway and drywells to be located outside of wetland buffer 9. Location of drywells shall be minimum 10 feet from adjacent property lines and from structure. 10. Revisit drainage around the patio, detail shows drain inlets,but none are shown in swale around patio. Please address the above comments and resubmit for review. AfkAd Y..NowcA Superintendent of Public Works And Engineering ISA Arborist Village of Rye Brook 938 King Street Rye Brook,NY 10573 P:914-939-0753 x 2965 F:914-939-5801 ,-9u6 c WON&—gfie fim t� tfti'6 vim„ 2 WETLAND MITIGATION PLAN AND PLANTINGS LIST Q A� � �� April 16, 2025 APR 17 2025 VILLAGE OF RYE BROOK Mr. David Feldman BUILDING DEPARTMENT 22 Meadowlark Road Rye Brook,NY 10573 RE: Wetland Mitigation Plan and Plantings List 22 Meadowlark Road SBL:135.28-1-12 Dear Mr. Feldman: According to the Village of Rye Brook Code Chapter 245-9A(3): Enhancement or restoration of existing wetland/watercourse buffers by improving the density and diversity of native plant species or enhancement or restoration of existing wetlands to mitigate for losses to wetland/watercourse buffers by a ratio of at least two to one for the area of wetland/watercourse buffer disturbed by the proposed activity that replace or enhance the functions of the wetland or wetland/watercourse buffer as described in§245-IA Therefore the proposed patio requires a 2-1 Mitigation for the intrusion into the 100 foot regulated wetland buffer. Below is a list of the suggested plantings that were chosen for mitigation. Specifically the suggested mitigation plantings were chosen for their qualities to facilitate not only native plantings that are tolerant of the existing conditions that will act as a physical buffer to the wetland, but also those species that will attract fauna that include birds and insects to essentially remediate for the lost flora when the retention basin was created. Please refer to the attached Planting Plan for more details. Scientific Name Common Name Size Quantity Osmunda regalis Royal Fern #1 10 Vaccinium corymbosum Highbush Blueberry 18"-24" 5 Athyrium filix-femina Lady Fern #1 20 Ilex verticillata Winterberry Holly 18"-24" 15 Amelanchier canadensis Serviceberry/Shadblow #3 2 Please reach out to me if there are any questions at all. Respectfully submitted, Kellan Cantrell,AICP, Certified Wetland Delineator 914.252.6373 kellan.cantrell(c4amail.com MLLAGE OF RYE BROOK-TOWN OF RYE WETLAND MITIGATION PLAN SECTION 135.28 BLOCK I LOT '2 W.Wod Continua 3 _4 W a n d 2 i Mdt 111, C-u-, FC4thy: I- W I-.mu.)"I_d.III, A", Wood Sherd .2g'-34'.1 Nude ow E-0 Y '0 u's 4 Story 25.42' .w ,Lot", St-ly y I ,1 0 '. ot, -0 2 i 26.60' 40.05 4'.08, L-473.49' -1395.0 R=440.00' A-9-44-20" L=74.79' -3000, L=31.72' GIWAp Meadowlark Road 50 Ft.R.0.W. 9JRVEY OF LOT I IN BLOCK C AS SHOWN ON A MAP ENTITLED SUSOMSION MAP,SECTION 3.MEADOWLARK..."FILED APP1.27. 950 AS COUNTY CLEW NAP N.,t2390 SURVEYED AS IN POSSESSION THE MUNSON COMPANY 9 NORTH GOODWIN AVENUE 5dpf-0-17 200.9 ELMSFORD, N.Y.. 0-ght(0 OlVe A(ey X 2024 10523 _W'd 47 15 2025 N!"m-,R.R, Scale 1"=20' Mrs L_ LOT AREA-20.263 SO.FT OR 0.465 ACRE 'U wthmizfd ot-tim,m ooditim,to awy-p i,a wt m UNDERGROUND PIPES.WIRES,STRUCTURES. of wtm 7209,tut-dM.Io,,2,of t14 N..lok Stale EdNc,otim L11." 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NEED OK (v�FEES:Filing. VOb BP: 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. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mg=: Tree Plan Other. ( ) ( ) SURVEY:Dated: Current: Archival• Sealed: Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed Copies: 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. ( ) ( ) 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. O O 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. O O Other (r�ARB mtg.date: approval: `Z/'L-.,r notes: — - - ( )ZBA mtg. date: approval: notes: approval• notes: APR 2 3 2025 D EXISTING PROPOSED NOTES Area: NC- �NC IDPW Circle: FKQ=Re Front: V IN u w n C ?f19� Front: D8t92 Sides: Rear. Main Cov Accs.Cow. Ft.H Sb: Sd.H Sb: MA_ Tot.I.-0D'� Ft.In : - 'Y)k C-r,;t,QT LU�r -2 P Height/Stories: ores: F we k 1an < r 4. 1 BUILD .�TMENT [ECIEMED V VIL OF RY OOK 938 KING , _ ET RYE BROW,NY 10573 APR 21 2025 btr� ov VILLAGE OF RYE BROOK 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: 22 MEADOWLARK RD,RYE BROOK,NY 10573,USA Date of Submission: Parcel ID#: 135.28-1-12 Zone: R-20 Proposed Improvement(Describe in detail): Proposed Bluestone patio iMF APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building department by the applicant-no exceptions. Property Owner: David Feldman 4l: \r-� 1. (0)Completed Application 2. (0)Two(2)sets of sealed plans. (one full size(maximum Address: 22 MEADOWLARK RD,RYE BROOK,NY 10573,USA allowable plan size=36"x 42") and one 11"x17") Phone# 914-522-9375 3. (©)Two(2)copies of the property survey. 4. (©)Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (0)One electronic/disc copy of the complete Caccioppoli Engineering,PLLC application materials. -- 6. (©)Filing Fee. Address:441 Central Park Ave., Suite 1238,Scarsdale,NY 10583 7. (0)Any supporting documentation. Phone# 917-309-5410 8• ( )BOA approval letter. (ifopplicable) — 9. (0)Photographs. Architect/Engineer: Gregory Caccioppoli,P.E. 10.( ) Samples of finishes/color chart. (a sample board or Phone# 917-309-5410 model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this day,of 2'0 gS7 day of 20 Signature of Property Owner f Signature of Applicant ' avid cC/O'/na n Print Name of Pro erty Owner Print Name of Applicant Notary Public Notary Public WT HOWARD BERMAN NOTARY PUBLIC,STAT7 OF NEW�-OR f: Registration No.01 BE62741 11 Qualified in We,tche:;ter County Commission Expires 9/.29/.-Q23'_'� ______1 6/l/2024 t�4 r �, � � • - k .I • ., � ',fie • ,. �� - WL /2j•, , w AL f •7CI�` AM - ~ .t i ,,. i r 1 f .1 . � Y PAfl Js lw AV 1 tJ rAll �J ON Ll y ' t • `/ '" •aR'< E. t�w�t Y 4.i sr r SY� .. Y '<f ✓ lj, k �,+ ,J � �'^ ,fir t t•�t BSI" •r �� kit t .. ..:-?i �- .. � •fir �: � r � • i w ` • • i • 4V -- � t ar y Village of Rye Brook ML MR a end FB SE Architectural Review Board Meeting \C AD W Wednesday,May 21,2025 at 7:30 PM Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB25-053 (Consent Agenda) 16 Lyon Street Corp 16 Lyon Street Rooftop solar array 1.2. ARB25-054(Consent Agenda) Patricia Walker 454 North Ridge Street Rooftop solar array. 1.3. ARB25-055(Consent Agenda) Rodrigo Toller&Luciana Toller 68 Country Ridge Drive 4'high black aluminum fence and gates. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.4. ARB25-056 Brian jaccoma&Sharon jaccoma 19 Birch Lane Rear elevation change,remove door and add window. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.5. ARB25-057 Howard Miller&Melissa Miller 4 Rock Ridge Drive Expand driveway and widen parking area in front yard,remove steps at driveway and reconfigure entry steps with retaining wall. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 r Architectural Review Board May 21,2025 1.6. ARB25-058 Kevin Miller&Emily Miller 123 North Ridge Street Second story addition,new front porch,new rear deck,new fence and gates. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB25-059(Amendment to Approved Plans) Scott Schwartz&Stacy Schwartz 35 Meadowlark Road Driveway re-configuration. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB25-060(Amendment to Approved Plans) Kenneth Gerchick&Amy Bernstein-Gerchick 3 Mohegan Lane Side and rear window elevation changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB25-061 Evan Einstein&Rebecca Einstein(Contract Vendee) 5 Country Ridge Circle Side elevation change,new window. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board May 21,2025 1.10. ARB25-062 Feliz Diaz&Jocelyn Diaz 10 Maple Court Attached garage and mudroom addition. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB25-063 Adam Capon&Judy Capon 23 Lawridge Drive Replace roofed front entrance and steps. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB25-064 Joseph D'Ambrosio&Pamela D'Ambrosio 34 Talcott Road Replace rear deck and balcony. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB25-065 David Feldman&Courney Feldman 22 Meadowlark Road Demolish existing pergola and patio,construct new bluestone patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: June 18,2025 Page 3 of 3 Laura Petersen From: Sam navarra <samlands124@gmail.com> Sent: Thursday, June 5, 2025 1:45 PM To: Laura Petersen Subject: 22 Meadowlark Road Attachments: Cert of Ins - Village of Rye Brook.PDF; George Latimer.pdf Hi Laura, I attached the home improvement license and liability certificate. Let us know what else you need from us and where we should send a payment for the permit. When should we receive the permit? Sam Navarra Landscaping 124 Crotona Ave Harrison, NY 10528 914-777-1050 i . . . ........_. .. ..... �•-�eI... "lr eww_. "nth Af!M�ti_ .a•�. w T,r t:•' . lY •�A`A V• y "R ��p',,,%A1.,• � ;�f....�► 3>.-��._-:.-' _ � ,•'`i _..._.L��'r.'.�- 4 fir' _" � ^�r�E f I//lf1�F;�� r��M�yfil��9'i lr•�. ,..6+ � ,ups>i � 'O v t. � ,,�• IZ o) co 7 c m _a cl �. s I = �3 ° ' ' t EL co Fig Deco) a. o " D : De n D O \ t � �Cflrs)> .� l to H � � • �I•, i C elf. �rr(as)s O f7 re � O Cri, N r,,, '•� rt O �'' '1 7 • '�.,.. C:)rQ W C c F, � � � _ •� l(o"fill c � 1 l 1 1 t h► i wl�� ( .�. •• � �.��;� .k/�/�{��'� ^ '�;,�I��I,Ii�•�� f `�1�1��`� � , _ t4cs A�^�® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/02i2025 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 NAME: ALEX MAHER Albert Palancia Agency, Inc. PHONE Ext); (914)698-1373 A/C No: (914)698-0125 116 Mamaroneck Avenue ADDRESS: ALEX PALANCIAINSURANCE.COM Mamaroneck, NY 10543 INSURERS AFFORDING COVERAGE NAIC# _ INSURER A: Hartford Underwriters Insurance CoMany 30104 INSURED INSURER B: SAM NAVARRA LANDSCAPING, INC. INSURERC: 124 Crotona Ave INSURERD: Harrison, NY 10528-2963 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 00005596-0 REVISION NUMBER: 139 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. IICY EFF POLICY EXP LSRR ADDL SUER POLICY NUMBER MMLDD/YYW MM DDfYYYY LIMITS TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY 16SBAAN2ZAD 09/16/2024 09/15/2025 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4000000 �( POLICY JECT LOC PRODUCTS-COMP/OP AGG E 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPER DAMAGE $ AUTOS ONLY AUTOS ONLY Per a.dTY I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. 938 King Street RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE AMM ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by AMM on 06/02/2025 at 01:11PM Workers' YORK CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured SAM NAVARRA LANDSCAPING INC 914-777-1050 548 HARRISON AVE HARRISON, NY 10528 1c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 462292416 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) EMPLOYERS PREFERRED INSURANCE COMPANY VILLAGE OF RYE BROOK 938 KING STREET 3b.Policy Number of Entity Listed in Box 1 a" RYE BROOK,NY 10573 EIG5278916-02 3c. Policy effective period nwi,i/gmc; to ne/1,vnmF 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 Maia Esquivel (Print name of authorized representative or licensed agent of insurance carrier) Approved by: r 4a2 �ayG 06/10/2025 (S& ature) (Date) Title: Document Support Telephone Number of authorized representative or licensed agent of insurance carrier: 800.700.9113 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 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday, June 6, 2025 4:54 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/06/2025 16:54 To: VIL RYE BROOK PRIMARY Transmitted: 06/06/2025 16:54 00004 Ticket: 06065-002-066-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 22 To: Name: MEADOWLARK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK YARD NearSt: BLUEBIRD HOLW & ORIOLE PL Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: INSTALL PATIO, UNDERGROUND WATER INSTALLATION Estimated Work Complete Date: 07/09/2025 Depth of excavation: Site dimensions: Start Date and Time: 06/11/2025 07:00 Must Start By: 06/26/2025 ------------------------------------------------------------------------------ Contact Name: DAVID FELDMAN Company: Addrl: 22 MEADOWLARK Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-522-9375 Fax: Email: davey24@gmail.com Field Contact: DAVID FELDMAN Alt Phone: 914-522-9375 Working for: WORK TO BE PERFORMED BY: SAM NAVARRA LANDSCAPING ------------------------------------------------------------------------------ Comments: CALLER ADVISED TO HAVE CONTRACTOR CALL UDIG NY Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY 1 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday,June 6, 2025 4:57 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/06/2025 16:57 To: VIL RYE BROOK PRIMARY Transmitted: 06/06/2025 16:57 00006 Ticket: 06065-002-066-01 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 22 To: Name: MEADOWLARK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK YARD NearSt: BLUEBIRD HOLW & ORIOLE PL Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: INSTALL PATIO, UNDERGROUND WATER INSTALLATION Estimated Work Complete Date: 07/09/2025 Depth of excavation: Site dimensions: Start Date and Time: 06/11/2025 07:00 Must Start By: 06/26/2025 ------------------------------------------------------------------------------ Contact Name: DAVID FELDMAN Company: Addrl: 22 MEADOWLARK Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-522-9375 Fax: Email: davey24@gmail.com Field Contact: DAVID FELDMAN Alt Phone: 914-522-9375 Working for: WORK TO BE PERFORMED BY: SAM NAVARRA LANDSCAPING ------------------------------------------------------------------------------ Comments: CALLER ADVISED TO HAVE CONTRACTOR CALL UDIG NY REPEAT MESSAGE: 06/06/2025 4:57:19 PM CANCELED, PLEASE DISREGARD, CANCELED DUE TO CORRECTION, NEW TICKET NUMBER = 06065-002-068 Lookup Type: PARCEL ------------------------------------------------------------------------------ 1 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday,June 6, 2025 4:57 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/06/2025 16:57 To: VIL RYE BROOK PRIMARY Transmitted: 06/06/2025 16:57 00005 Ticket: 06065-002-068-00 Type: Regular Previous Ticket: 06065-002-066-01 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 22 To: Name: MEADOWLARK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: BACK YARD NearSt: BLUEBIRD HOLW & ORIOLE PL Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: INSTALL PATIO, UNDERGROUND WATER STORAGE INSTALLATION, PIPING INSTAL Estimated Work Complete Date: 06/11/2025 Depth of excavation: Site dimensions: Start Date and Time: 06/11/2025 07:00 Must Start By: 06/26/2025 ------------------------------------------------------------------------------ Contact Name: DAVID FELDMAN Company: Addrl: 22 MEADOWLARK Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-522-9375 Fax: Email: davey24@gmail.com Field Contact: DAVID FELDMAN Alt Phone: 914-522-9375 Working for: WORK TO BE PERFORMED BY: SAM NAVARRA LANDSCAPING ------------------------------------------------------------------------------ Comments: ADDED INSTALLATION TYPE. 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F?P. � an suijuo;) puppoM M ( Z—M� puDl}aM —M 9—M sanwluo7 purpaM NV-ld NOUVOWN CINVli3M �J.2J O NMOl—AC)UdH .JJ.H JU -dJd I IIn Puno-A }uawnuDW VILLAGE OF RYE BROOK —TOWN OF RYE w-5 SURVEY OF LOT 1 IN BLOCK C AS SHOWN ON A MAP ENTITLED "SUBDIVISION MAP, SECTION 3, MEADOWLARK..." FILED APRIL 27, 1930 AS COUNTY CLERK MAP No. 12390 September 17, 2009 Brought to date May, 3, 2024 W611017d Flags added April >6, 202.5 Meadowlark ( 50 Ft. R. 0. W. ) SURVEYED AS IN POSSESSION THE MUNSON COMPANY 9 NORTH GOODWIN AVENUE ELMSFORD, N.Y. 10523 Scale 1 "=20' ce SECTION 135.28 BLOCK 1 LOT 12 LOT AREA = 20,263 SQ. FT. OR 0.465 ACRE UNDERGROUND PIPES, WIRES, STRUCTURES, ETC., IF ANY ARE NOT SHOWN DRYWELL LOCATION SHOWN HEREON AS PER OWNER "Unauthorized alterations or additions to a survey map is a violation of section 7209, sub —division 2, of the New York State Education Law." 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L=473.49" _�� lr- Pif Meadowlark Road ce ( 50 Ft. R. 0. W. ) SURVEY OF LOT 1 IN BLOCK C AS SHOWN ON A MAP ENTITLED "SUBDIVISION MAP, SECTION 3, MEADOWLARK..." FILED APRIL 27, 1930 AS COUNTY CLERK MAP No. 12390 SURVEYED AS IN POSSESSION THE MUNSON COMPANY 9 NORTH GOODWIN AVENUE Sepl&mhel- 17 2009 ELMSFORD, N.Y. 91-01101 to 01011- Away 17, 2024 10523 Wet/and ,1_1_0gS addeoApnl A6, 20-95 SurveyScale 1 "=20' Z7"04,g171 to 0,01e "IZ16, 7, 2025 "Unauthorized alterations or additions to a survey map is a violation of section 7209, sub -division 2, of the New York State Education Low." "Only copies of the original survey marked with the land surveyor's inked or embossed seal shall be considered a true and valid copy." Job # 58371-58551 Filim 4 11 A A [)r)\ A.-\ 11 A A nn SECTION 135.28 BLOCK 1 LOT 12 F71 BUILT L_QQ9M_MENT LOT AREA = 20,263 SO. FT. OR 0,465 ACRE UNDERGROUND PIPES, WIRES, STRUCTURES, ETC., IF ANY ARE NOT SHOWN DRYWELL LOCATION SHOWN HEREON AS PER OWNER J-14400 FOL-20