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HomeMy WebLinkAboutBP25-169PERMIT ffV�rS-I CO / SECTION 4ji3 TYPE OF WORK 4cicl Alezo JOB LOCATION i OWNER/t'UCiiP/ I Q/.Spl;1oi CONTR rcow0 00ST fit_ C'. C'o/7?vz? d- �iZ71�2SS G(%/)d(oGi TCA �t FEE DATE � SATE FVOTING FlUNDATION FRAMING RGH FRAMING INSULATION P LUMBING Q RGH PIUMQING GAS 0 SPRINKLER ELECTRIC LOW40LT ALARM AS QUILT FINAL OTHER APPROVALS ARB "T BOT VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No• 26-019 Certificate of (Occupancy This is to certify that Leona Y�' ��1 SMr s A ac of, ye &oak' 1 y , having duly filed an application on ,� ua� l1 20 o2(p requesting a Certificate of Occupancy for the premises known as, Mah pnn' 7 /J V l , Rye Brook,NY, located in a U 1� Zoning District and shown on the most current Tax Map as Section: �p�`-i 7 Block: Lot: 14 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.q25 _ , issued 20 a?J5, 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 -c� Q y7e- / Construction: _ for the following purposes: Odd new 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 th exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in ' t all a ma or shall the building be moved from one location to another until a permit to accomplish such change as bee taine fr the Building Inspector. Building Inspector,Village of Rye Brook: Date: FEB 1 7 2026 For off _ I1 BUILDLN EY1TMENT PERM'# use only: VIL OF RYE BROOK ISSUED: LJ 11 JAN 3 a 2026 9 8 KING STRE YE BROOIC� PORK 10573 DATE: — o� _ -06 O FEE: PAID APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION iiiiiiiiti#tlif iiii4iiiif itiii#i4iitiiii iiiiiiiitttttiititiiiiiii#ii##i####i#i#####•i#i#i#i#•#i####4#4#i####i###4#######k## Address: Occupancy/Use: ¢ S ' Parcel ID#: 1CR q 7 3-- 1— 1,;2 Zone: Owner: L a.- n o r ti y 9 (�a C-A V q: 5 " a✓l. Address: P.E./R.A. or Contractor:6Kd2 Address: 4� ,2(� Person in responsible charge: Address: 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: G q I.L P✓1 a t 4 i S >r✓1 9 being duly sworn,deposes and says that he/she resides ate- (Print Name of Applicant) I (No and Street) in L b r o o L in the County of W Sk C�Q S��S' in the State of " ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ � I 'o 0 r' for the construction or alteration of. IN Vi 11\4 Li 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. Swom to before me this / at Swom to before me this day of G ��,l , 20A day of ,20 Signature of Property Owner Signature of Applicant Print Name of Prope caner Print Name of Applicant Notary Public Notary Public CARLOS A GONZALEZ 6/l/2024 Public-State of New YorkNO.01GO6435350 QualiM4d In Westchester County[NOtary Commission Expires Jun 27, 2026 E BRCZj�• . 19 l7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 2-ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - -- --- ---- -- - - -- - ADDRESS : S / (1 N /��; /iU l ��l'Z ( CP DATE• ,2' z-z ��b PERMIT# ISSUED: '1 y -1 J/SECT•)Z 7 ' 7 BLOCK:_LOT: 12 LOCATION: •pe!/yA � ) l dill(h Chu OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Gr ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION l ❑ NATURAL GAS ❑ L.P. GAS SAC o- J �IJ�'L �)P dlT,),X� M ❑ FUEL TANK ❑ FIRE SPRINKLER i o L-) ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER ALL C Co---i L D n BRC�j� O Zm w � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENG04EER 938 KING STREET RYE BRooK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914)939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - -- -- - --- - - - - - - - - - - - ADDRESS: \ 1 `' DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ,� ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING 0 FOOTING DRAINAGE 0 FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING O ROUGH FRAmiNG ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS 0 FUEL TANK 0 FIRE SPRINKLER O FINAL PLUMBING O FINAL O OTHER _ 17" `° o � s eq \ v y o : � cif. 'G p � � y Q � • _ N 'Z per' C� v C ✓U s KU = O W C!} N O c 2 w = a+ W v a .b a.Ts a. y �'" ■ ►-> wzC � � f � ' w a M o W WgvOZ) W 00 z N ' W \0 � 0 O Vr O , .-, W V z cn u 8 0 a O : z = 4 w _ AE 40as • 72 cn • c o ) a V o N , . u _ � O z z ^p � O U W O O a O r' cu 0 z o C A a t V Q! 0.i Q Gc, O C v a. v N H Nly ~ W o F a� � u � MM � = C1 �.���}} BUIL 6E MENT VIL E OF RYA OK DEl 938 KrNc xr Rvv H,,4 ,NY 10573 JUN -3 2025 ©V -` VILLAGE OF RYE 13ROOK FOR OFFICE USE ONLY: en Approval Date: ��N 6 er izll__�PG6 Application# ��Ql [� / Approval Signature: ► ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# /�_�d1C - l 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 Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: V__qH F 1"T Gj 2. Parcel ID#: �C) A/r 7 Zone: 3. Proposed Improvement(Describe in detail): DZ�� -�_� $� 5"1,Ek,' 4. Property Owner: b y V&,':=ld.1`e Address: -�1[ 1•-1 ��/y,"j'' C'4 24:>-E 1 2,f6 Phone# 5 7- -� Cell# V-_J77-- e-mailLy44t-H,V&,cj fAN #61.,dlL•C40 List All Other Properties Owned in Rye Brook: Applicant: yffjm_ O(d>&j!'j�;R Address: Phone# Cell# e-mail Architect; + Address: ` — G� �(� � �4 y 7 Phone#R - :�j- Cell# q14 >f�- f}[l e-mail✓ Lf-1�, �?//�, _•C t` Engineer: Address: Phone# Cell## e-mail _ General Contractor: Address: Phone# Cell# -mail Il) 6/11-10-14 5. Occupancy;(I-Fain.,2-Fam.,Commercial.,etc...)Pre-construction: 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: 21 fl: 3"d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: I`fl: 2"d fl: 3"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. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17, Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system'?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (if yes,applicant must submit a separate Automatic Fire Suppression Svslem Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft,or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Y Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:__7" (if 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: (ifyes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of'-wetland and the wetland buffer zone must be properly depicted on the.survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: Nld� (tf yes,the area and elevations of the flood plane must be properly depleted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: L (tf: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: 1` Indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S �V• Note:The estimated cost shall include all site improvements,labor,material,sca&1ding,fixed equipment,professional fees, including any material and labor which may be donated gratis.Jf'the final cost exceeds the estimated cost,an additional fee will be required prior to issuance oJ•1he CIO. 30. Estimated date of completion: (2) 6/1/2024 BUILD, 1 ~' MEN [ CC F H [E VI EorRY. OK 938 KING ET lkk�Bit NY 1 J U N - 3 2025 w OV VILLAGE OF R'r EBROOK -r BUILDING DE"ARTMENT 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 YOR(K, CO TY OF WESTCHESTER ) as: F l Le 0 � c'� l 5 r*i A ✓ CZ C C� ►'t ,residing at, (Print nanic) {Address where you C) 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; Rye Brook, NY. IJ (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. r (Signature of Pr(T. e y i)wner(sl) LQ.A V' A T 0A ` S Y-Y\,l ►--% (Print Name of Prorx;rty()wrier(,)) Sworn to before me this day of , 20 0\ (Notary Public) LILLIAN SIERRA Notary Public state of New York NO. 01S162803`-` Qualified in Westch,," (�'I My Commission Exp, �� � y 6/112024 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: !"-M1'HQSJ 944.s>;II Subject Prope T Gl P-CC-C- SBL: Zone: Please take notice that the subject; v One or Two Family; ❑Commercial, ❑New Structure ❑ Addition to an Existing Structure � �����, XRehabilitation to an Existing Structure (r`� to be constructed or performed at the subject property will utilize; �U� — 3 z025 ❑ Truss Type Construction(TT) VILLAGE OF RYE BROOK )rPre-Engineered Wood Construction(PW) I3UILDING DEPARTMENT ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing,including Girders&Beams(F) ❑ Roof Framing(R) 'g Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1,a64 for Commercial Buildings, and NYCRR§126g for One&Two Family Dwellings. Sworn to before me this 3c) i Sworn to before me this day of 20 day o 3 ,20 a Signature of Property Owgn �f of D n Professional V e- a ^ 4 C CR V q VM A v\ U - Print Nam of Pr pe Owner Name of Design PrIpfessional Notary Pub ' Notary Public SHARI MEULLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Notary Public -State of New York Commission Expires Jandary 29,20-0 NO. 01$16280398 t— — — — W Qualified in Mstchester linty l7) MY commission Expires 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 mull and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW ORK COUNTY OF WESTCHESTER ) as: �iL 0 n a C �a. S yf%a v% ,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 architoct,contractor,agent,attorney,ctc.} 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 3 L) Sworn to before me this day of ,20 } day of , 2072 Signa operty Owner Signa Print Name of Pro etty Owner Print Name of Applicant Notary Pu Notary Public LILLIAN SIERRA LILLIAN SIERRA LNotary Public-State of New York Notary Public -State of New York NO, 01 SI6280398 NO. 01 SIG260398 ified in Westch ounty Qualified in Westchest r mission Expire !emmission Expiras �R- 18) 6/1/2024 c N > O L 1-1 N o � ` i 7 U O CT a C c • ) m OA N E � a L v � L L 2 -8 to Q) o a — a � v N m m W s �1 c ra v, L. N a 3 a LLi m a; - �a Li X aw > v > LLi Q) W V) in �° a o v z m O > v y m W w Z s �: a, a) N � u � � s W E- s — c N 2N 3 � o o � Y 3 °` Q } LQ •- O O Q L O L v dZ O I— o > - u � LLI a Y 0 > N w w a o o 0Ln 0 0 > O NY $ Loo i e� W v v a M 0 3 ° L c a 00 v J LLJ L.: ~ E o — v o M V 8 Q y c M o m Q v CU f- � > M >-.L ~ i O Q �t c c Ln t .> O O a ro Yw — (n W O � ._ � : Z to u y c > OWE Q^), y � U UQ Qaw E o `O L a E {' a J mcno cn o � .� Z cna W � � � � � W a , a Y Z Lu i O o } Z � }j v -ate °o pw 3I 3: Y Y X 3 �a to U > o f v c .v LLOOa-I .x 0 � = m w0 � U ov a>i Q p. O CO r, o w a, E LL a)uj w S —i In N a a �, Z O a U O Ln Q ° o o C) aci um U ++ .0 n w ya E E . E Z_ w O au H H m- � o -0 v = a Z O LLI O v > E LL > 2 d C mQ LI)O w0 + ( a — v oo O = � N °� � � as v } oy ago o ��" v E < E .n= 6 O = �, U v � U •5 z W,Q, U OI CT CV Q m C " >-.V H Q W (AA 41 ; > aL •i Ln Ln a N Q oo W � r-i cV c ' o o " ° Cal EO0 o � V m a a ce 2 o o a ^, r G NEw yoR� W ~ NN cii VW ovo� oa uE a Wwoa � c ° FE -a E= (z 0 oEo W O . C QQ,a O y r a' L a o Q a a 0 !a = v = Electrical Permit Application Village of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL Zone 124.73-1-12 R3 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency BetterHomes Master Electrician/Licensed Installer Information Name Lic# r8aple ss email Phone# Cell# Angelo Zaccagnino 755 Ave, Rye NY 10580 Office@Zaccagnino.net 9149213244 Company Name Company Address Zaccagnino Electric Address of Work? Homeowner Information 59 High Point Cir, Rye Brook NY 10573 Electrical Permit Application,page 1/1 BRnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 Phone:(914)939-06681 www.ryebrook.gov Building Department ❑ Electrical/New Fixtures And Wiring(New) Permit Permit Set 59 HIGH POINT CIR P#RB25-0010 R#124.73-1-12 PERMIT INFORMATION Address Permit number Date issued 59 HIGH POINT CIR RB25-0010 10/24/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Steven Fews stevefews@ryebrook.org INSTRUCTION AND ATTENTION It is the responsibility of the Applicant to print full size the entire approved permit package and provide at the time of inspection. TABLE OF CONTENTS Cover page 1 Building Permit 2 Required Inspections 3 3rd Party Electrical Inspection Form 4 Electrical Permit Application 5 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 BR(�vk VILLAGE OF RYE BROOK 0 938 King St Rye Brook,NY 10573 W :E Q Phone:(914)939-06681 www.ryebrook.gov . 1982 ' Building Department INSTRUCTIONS THE PERM IT HOLDE R AN D/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSU R I NG THAT ALL REQUIRED/APPLICABLE INSPECT IONS ARE SCH EDU LED AN D THAT THE PERMIT IS COMPLETE 0 REQUIRED INSPECTIONS Name Description Final Electric Final Electric 5 Buckout Road BETTER HOMES == West Harrison, 10604 Phone:91490906-0443 ELECTRICAL INSPECTION SERVICES INC. " " Email:betterhomes252@gmail.com NAME: DATE: ELECT.PERMIT NO. Leonard Vaisman 9/5/25 CITYNILLAGE ZIPCODE BLDG PERMIT NO. 59 High Point Cir 10573 ADDRESS: BUILDING DEPT 59 High Point Cir Rye Brook PHONE# 917-302-9666 SECTION BLOCK LOT UTILITY 124.73 1 12 EMAIL ADDRESS: Residential ® Commercial ❑ OWNER'S NAME AND ADDRESS Leonard Vaisman 59 High Point Cir, Rye Brook NY 10573 WORK LOCATION: ❑Outside ❑Basement ❑Garage ❑Attic [—]Porch Floor: ❑t st floor ❑2nd Floor ❑3rd Floor ❑4th floor ❑Other floor ❑Reinspection ❑Renovation []Generator ❑New home ❑Other Comments: Wiring for bedroom addition SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: CON EDISON Overhead ❑ Underground ❑ COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: Zaccagnino Electric 9/5/25 755 STREET ADDRESS: CITY: STATE: ZIPCODE: F81 Maple Ave Rye NY 10580 TELEPHONE: CELL PHONE: EMAIL: E914-921-3244 [Off ice@Zaccagnino.net SIGNATURE OF APPLICANT: X The application is intended to cover the above listed items to be inspected.If at any time of inspection additional items have been installed,we are authorized to make the inspection and adjust the fee for the additional items inspected as provided by the applicant.The applicant declares that there are no open applications for the above with any other inspection company.Application only good one year after filing date. BY THIS CERTIFICATE OF COMPLIANCE Better Homes Electrical Inspection Services Inc. 5 Buckout Road, West Harrison, NY 10604 914-906-0443 CERTIFIES THAT Upon the application of: Upon premises owned by: -_--�, Zaccagnino Electric (� -` Leonard Vaisman 81 Maple Ave j i 59 High Point Circle Rye, NY 10580 FEB 10 2026 4 =- Rye Brook, NY 10573 VILLAGE OF RYA BROOK Certificate Number: 5140 MCQAPTM1r KJT Certificate Date: 2/4/26 Located at: 59 High Point Circle Occupancy Type: Residential Rye Brook, NY 10573 Permit Number: RB25-0010 Section: 124.73 Building Permit Number: Block: 1 Lot: 12 A visual inspection of the electrical system at this premise described above, wherein the premises electrical system consisting of electrical devices and wiring, described herein. All inspections are in accordance with the National Electrical Code and the details of the installation, as set forth below, was found to be in compliance therewith on the date of the inspection. Name Quantity Rating Circuit Type Re-inspection to legalize the wiring in 1 120v 15a Light fixture a 2nd floor bedroom, in order to 1 120v 15a Smoke detector obtain a certificate of occupancy. 1 120v 15a Switch 4 120v 15a Duplex outlet This certificate may not be altered in any way. �� .•;��rye ' ����; SEAL This certificate is valid for work performed ', 2022 before the date of inspection only. tivv o��',r Licensed Inspector • S �,,d�lo eI jU\\\\a\\\,,,. Buildin Permit Check List&Zoning Anal sis ` Address: C ` 1 \ 04SBL: Zone: is Const.Type: Other. Sub mittal�3 Z Revisions Submittal Dates: Applicant: S Nature of Work (� Reviews:ZBA N 0 6 2025 pB. BOT Other. NEED OK L1� J ( '' FEES:Filing BP: C/O: Flood Plane: Legalization: ( ) ( �-"P: Dated. Netaized. SBL• Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed: Unacceptable: (� ( S;Date tamped: waled: �Copies�Electronic Other.RleV 152j� �� C24 j ( V ( License: Workers Comp: ty 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: Nan 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. ( ) X) Other. GARB mtg.date: approval notes: /ft& 5—U 77 ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval: notes: REQUIRED EXISTING PROPOSED NOTES Axex- APPROVED Circle: FrL=ge pate: Front Front: Sides: Rear. Main Cor Accs.Cov Ft.H Sb: Sd.H Sb: _ GFA ,U .;7 3 b q� To�Imv Ft Imo: Parkin: Height/Stories: notes: BU1LD t #'''�'MENT VILL'A,IgE OF RY OOK D 938 KING Er RYE Box ,NY 10573 L �` J!1 N - 3 2025 ov ARCHITECTURAL REVIEW BOARD CHECK LIST FOk-A-PPL1CANT�LnJr 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: P�,)l t4T LLB. Dated oaf/Sub fission:Parcel ID#: Zone: U/ o?� ) c Proposed Improvement(Describe in detail): �7 j APPLICANT CHECK LIST: pp �L' MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building . / Department by the applicant-no exceptions. Property Owner: LF.i-1tJ`/ V4S1-1A.,.A I. ()<)Completed Application 2. (yj Two(2)sets of sealed plans. (one full size {maximum Address:52 44"4 R2)W 04 94 S allowable plan size=36"x 42")and one I I"x 17") 3. ( )Two(2)copies of the property survey. Phone# !@7- ?A"Z Tdt66a 4. ( )Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. One electronic/disc copy of the complete application materials. 6. Filing Fee. Address: 7. ( )Any supporting documentation. Phone# 8. ()cj HOA approval letter. (tfapplicable) 9. (N.) Photographs. Architect/Engineer: ,t�j 10.( )Samples of finishes/color chart. (a sample board or Phone# q7 4-- `j ' t(p model may be presented the night of the meeting) —�p 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 oe day of , 20 day of , 20 Signa of Property Owner Signa re of Applicant Le, o, a, k, s,-, LeAV-% q ` OP V49 , VVI V) Print Name of P erty Owner Print N e of A ph nt Notaryl<lic Notary P c LILLIAN SIERRA Ill � LILLIAN SIERRA Notary Public State of New York Notary Public- State of New York NO.01 S16280398 NO.01 S16280398 Qualified in Westchester unt Qualified in Westchester ount My flommiccion Fxpires t 6/1/2024 D EC ENE '.(13 C -TtR JUN -4 E X&Aosewosr'sasw=tuo,lac, VILLAGE OF RYE BROOK Sos;rd 0Atrrctsn BUILDING DEPARTMENT 14 ikar F"Arrst J?y#BrvaLk if. 1057z BelleFair ARB "'APPROVAL" Wednesday, May 30, 2025 59 High Point Circle Rye Brook, NY 10573 Re: Second Floor Egress Window Installation Dear Mr.Vaisman, The Architectural Review Board (ARB) is writing to you in response to your request for approval regarding the addition of an egress window at your home located at 59 High Point Circle, Rye Brook, New York. We are pleased to inform you that based on the details of your application, your application has been approved as long as the window is of the same type, style, and color as those in the existing house and has a Sound Transmission Class Rating of 33.5 or greater. Please be advised that our approval will be expressly conditioned upon your continued compliance with Schedule D of the Declaration. Accordingly, if the aforementioned fails at any time to comply with the Regulations, the ARB reserves the right to direct modification or the removal of the improvements at your sole expense to ensure compliance. As a reminder, certain alterations will require the approval of the Village of Rye Brook's Building Inspector or Engineer. You shall be responsible for obtaining all required approvals and permits. The Village of Rye Brook will consider applications after BelleFair ARB approval is given. The Village of Rye Brook approval does not preclude the need for ARB approval, nor does ARB approval relieve you from any responsibility of obtaining Village of Rye Brook approval. If you have any questions, please do not hesitate to contact us. Very truly yours, The BelleFair Architectural Review Board �yE, R(1u�. Village of Rye Brook ML � , MR O� Agenda FB �/ SE Architectural Review Board Meeting AC AD Wednesday,June 18,2025 at 7:30 PM j Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB25-066 (Consent Agenda) Sean Kirby&Erika Sanchez 270 North Ridge Street 6'high cypress vinyl fence&4'high welded wire fence. 1.2. ARB25-067 (Consent Agenda) Joshua Blackwood&Gretchen Blackwood 6 Dorchester Drive Rooftop solar array. 1.3. ARB25-068(Consent Agenda) Yadira Abreu 17 Division Street Rooftop solar array. 1.4. ARB25-069(Consent Agenda) Lucas Amaral&Claudia Pereyra 10 Arlington Place Rooftop solar array. 1.5. ARB25-070(Consent Agenda) Deepanker Gupta&Swati Kakkar 57 BelleFair Road Rooftop solar array. 1.6. ARB25-072(Consent Agenda) Michael Kopy&Lori Kopy 566 Westchester Avenue Add two skylights in attic rooms. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 Architectural Review Board June 18,2025 1.7. ARB25-071 John Berardi&Diana Berardi 4 Jennifer Lane Rear roofed porch and rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB25-008 (Amendment to Approved Plans) Donald Amell&Katlyn Amell 235 Irenhyl Avenue New front entry. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB25-073 Estate of Gerald Appelbaum&Myra Appelbaum 1 Country Ridge Drive Legalize rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. ARB25-074 Christopher Perrotta&Felicia Perrotta 4 Mark Drive New rear deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board June 18,2025 1.11. ARB25-075 Georgia Caseres 23 Brook Lane New gable roof on existing flat roofed garage. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB25-076 Rabi Burathoki&Babita Burathoki 29 Lincoln Avenue New prefab pergola and hot tub on existing patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB25-077 Leonard Vaisman&Rachel Vaisman 59 High Point Circle New window. Approvals: Motion V Second Abstention Aye; _ Nay; 1 Adjournment; Notes 1.14. ARB25-078 Merle Minks&Krishna Minks 42 Hillandale Road New rear deck and sunroom. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: July 16,2025 Page 3 of 3 NLo R tiyv jy rtihs } lr 03' F!R,, ,�1 yp 0 O O Ott to _S •Y:. \ /.'�� ''V t•� '�w�:. V N Akt1� V k'( S V.. 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O C+a - :: - 774.: v / :. �::Lv) ... ,:. viv � �"-5"�•i •t,, '.,r`ar�� /�.,. `' ✓�.YH .,! ��v��_.. y : r '�.'.�'•� ',�w�fi rv, Y•� ���e��08�� •.vc��.+ �c . r,_,,t� , �•�ry <r��,.. ,,�4� y+�6�'.�+'' .SbX�' ` '•vYe&�.`w'�...r' 6s7d�x-� �isfe b�s4.Y•. '"r�^...k<�`e.�``.. :.'.e6�Q�' �., 'S•`.' ����!:' 'ACORa CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDRYYY) 0723/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT NAME'ACT Felix Maisonet _ Northeast Agencies Inc i.ac Ns_FYsL_914-934-8800 iac.No): g E-MAIL __._ _ _ PO BOX 661039 ADDRESS: Dallas,TX 75266 _ INSURE15-S FORDING COVERAGE _ NAIC 0 INSURER A: UTICA FIRST INSURANCE ; 1526 INSURED RAC CONTRACTING j INSURER 5: ROBERT A CLEMENTI INSURER C: 17 HIGH POINT CIR INSURERD: PORT CHESTER,NY 10573 I j INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THL INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AUDL SUE^I POLICY EFF POLICY E%v LIMITS LTR INSR vr�o POLICY NUMBER iMM DD YYYY: i1dM'DDYVYYJ X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 :,,:: u• I1 50,000 CLAIMS-MADE �OCCUR l�HHdISF�.it::r.,,.r S MEDEXP,-:one, S 5 cCu ART300033440 07/10/25 07/10/26 PERSONAL a ADV INJURY s 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE SPR - OOO OQO POLICY L: JECT E_ LOC PRODUCTS-COMPIOPAGG S 2 000 000 O ',: S AUTOMOBILE LIABILITY --- -- - - .;X111M •-I`. LIMIT S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) 5 HIRED NON-OWNED ""E S AUTOSONLY AUTOS ONLY ,I,^t• S UMBRELLALIAS OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DED _ S _ WORKERS COMPENSATION CF AND EMPLOYERS'LIABILITY YIN ANYPROFFICE /MEMB REXCL EXCLUDED? CUTIVE ❑ NIA E.L.EACH ACCIDENT S OFFICER/MEMBER EXCL UDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLO-__ S I(yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S F OPERATIONS I LOCATIONS I VEHICLES ACORD 10t,Additional Remarks Schedule,may be attached ff more space Is required) �DESCRIPTION0 1 I I Exclusion roofing,siding landscaping,masonry the scope of work carpentry,painting and titling i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King St ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 A.U.T/HR�EPPRRESENTATIVE � (/ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD oW Workers' Certificate of Attestation of Exemption STATE Compensation from New York State Workers' Compensation and/or Board Disability and Paid Family Leave Benefits Insurance Coverage **This form cannot be used to waive the workers'compensation rights or obligations of any party." The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit robert a clementi From: Village of Rye Brook DBA:rac contracting 17 High Point Cir Rye Brook,NY 10573-1092 The location of where work will be performed is PHONE:914-937-0837 FEIN:XXXXX8554 59 High Point Circle,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building permit are tkom August 5,2025 to September 10,2025. The estimated dollar amount of project is $10,001-$25,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is owned by one individual and is not a corporation. Other than the owner,there are no employees,day labor, leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) 1,robert a.clementi,am the Sole Proprietor with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,t above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disabili paid family leave fits covA,ie and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compe ti B the go ent entity above. SIGN HERE Signature: Date: Exemption Ceicate Number x ti�ems;zj?`//-,A7 R eived ,Y�C 2025-058111 r s k � y .�;y July 23, 2025 �K�x $. 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