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HomeMy WebLinkAboutBP25-181PERMIT DATE: SECTION BLOCK I TYPE OF WORK LQ %Z2 In /n A % JOB LOCATION OWNER`l SO, CONTRACTOR Q �03 �f (�- y93S O`L; r,17 �s� ui ve l DATE �_ TC• FEE DATE SATE FOOTING FOUNDATI#N FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS C] SPRINKLER ELECTRIC 0 LOW-VSLT ALARM AS BUILT FINAL OTHER APPROVALS BOT PS ZBA OTHER S$UILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION DR >� 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 16,2026 Joshua Rosen&Alison Rosen 6 Fairlawn Parkway Rye Brook,New York 10573 Re: 6 Fairlawn Parkway, Rye Brook,New York 10573 Parcel ID#: 129.68-1-10 Building Permit#25-181 issued on 8/7/2025 for a New Fence This certifies that the six foot high white vinyl fence,installed under the above captioned permit,has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D E U V E Z For office use only: BUILDTMENT PERMIT# / SEP 15 2025 VIL OROOK ISSUED: -7 KING STRE YE �VV YORK 10573 DATE:VILLAGE OF RYE BROOK1- FEE: J �j PAID BUILDING DEPARTMENT klay.g2v 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 #4##t##iii i}##4###}##i!!#kikt!#k►kiikiittiiti}}}}}k}iilitlilk####klikti!►k}kklk►!i##tikti}►kiii#i ik#►t►tit##it►#i►i ki►t#tttii Address: Occupancy/Use: - Parcel ID#: ��� �. �4? — 16) Zone: Owner: J �� L 4 Y( G 3�� Address: P.E./R.A.or Contractor: Address: 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: l yS� being duly sworn,deposes and says that he/she resides ate i ✓`Plil/ (Print Na a of Applicant de- / 1 �� (No.and Street) in 7 ye f o y k in the County of 4 in the State of-Axf_'that (City own/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:$ t1 G c, , for the construction or aheration of: e VL C G 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 Is Sworn to before me this day of J 1��� , 20,25 day of , 20 Signature of e t Signature of Applicant ame of Property Owner Print Name of Applicant No ublic Notary Public SHARI MEULLO Notary Public,State of New York 6/I/2o2a No.01ME6160063 Qualified in Westchest°r 29 Zy Commission Expires landary O Zm BR w � 1932 BUILDING DEPARTMENT 0 BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914)939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - - - -- -- - INSPECTION REPORT - - - - - - - - - - - - -- - - - - - - - ADDRESS: ( C,C�t� _ -j DATE: ' rp PERMPT# �SSUED: SECT: BLOCK: LOT: LOCATION: _ > 1 J� � 1 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 'ACCt:PTED ❑ REJECTED/REINSPECTION ❑ STIE INSPECTION i REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE 0 FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS 0 FUEL TANK 0 FIRE SPRINKLER ❑ FINAL PLUMBING ❑ FINAL O OTHER _ M _ 00 w Ln N O "� w _ O N '0 m 1+1 GO ~ • H as 4-4 W : rA rn W x U A ° W 00 bo rt W 10, a° v Q ab W O W cc 'v° y W C " a w °� � ° � a•� can = Q' 3V s }-y h M G7 W fz7 u O v w w z 1 M O � ` 0 " 6 .0, E00 U .-. G1 A w p •- a i--i v U E V) Ln Z C1 > a °cn .5 N e 00r- 7C/ Mgt W Z d SE CY CL o a o w w o z z b4 m45uO v ' W � pz ✓ W p V O © � � uU � � 1-0 x aW () W MM �.H ON V U v z 0 ° � � WZ O >- � � ° > = Q A cn N wd ro- Oz .. o: �P ui p U W W � �aa cu D ILE BUILDING DEPARTMENT CCaE �W VILLAGE OF RYE BROOK JUL -A 2025 938 KING STREET RYE BROAMC,NY 10573 VILLAGE OF RYE BROOK (914)939-066$ BUILDING DEPARTMENT www.rxebrooknv.�yov FOR OFFICE USE ON1.1 : 1 ' ,/ Approval Date: 2 4 �G5 P r it# / d� � �I Application# _6iVA6 r , Approval Signature: ARCHITECTURAL REVIEW BOARD: y Disapproved' Date: ✓ uz_ BOT Approval Date: Case# ; Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: AA Application Fee: U Permit Fees: F1E,,NCE / WALL / GATE PERMIT APPLICATION Application dated: ?_d't3ll'!�_ is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,`gall or Gate,in accordance with Section 250-6 B,(1)(g),ofthe Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code, 1. Job Address: -- k a r` G` w k-, a t/ 2. Occupancy/Use: S.B.L.#: < a91 © Zone: —� 3. Proposed Fence/Wall/Gate(describe in detail): 4. Property Owner: t'X_ K& S ram/ Address: eft '/ Phone# Cell# -j 16 1 l 7`d d email: Applicant: Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: c 'G r ,o ce z-v0 CR Address&Phone: L Ot 1 D G `t 5. If building is located on a corner lot,which street does it front on: 6. What is the estimated cost of construction Lf 140 U v U (NOTE:The estimated cost shall include all site improvemen ,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: 61112024 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 YORK,COUNTY OF WESTCHESTER ) as: ,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 r Sworn to before me this day of �1k , 20 0�� day of ,20 Signature rope Owner Signature ofApplicant Name of Property Owner Print Name of Applicant Notary Public Notary Public Swill MELILLO Notary Public,State of New York No.01MM60063 Qualified in Westchester County commission Expires Jandary 29,2027 2 6hf2024 Building Permit Check List&Zonin Analysis Address: Zone: Z se: 1 Const.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant: Nature of Work: '� L� ` •+ � Ic Ph Reviews:ZBA: JUL 0 8 2025 PB: BOT: Other. NEED () FEES:Filing. I 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 Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival- Sealed. Unacceptable: ( ) ( ) PLANS:Date Stamped. Sealed. Copies: Electronic: Other. ( ( ) License: Workers Comp: Liability: Comp.Waiver. Other. (i ( ) CODE 753#: Dated: N/A: ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) BP DENIAL LETTER: C/O DENIAL LETTER Other. ( ) ( ) Other. (GARB mtg.date approval:_-7- 1 10- 2,5 notes: 1:16 ( )ZBA mtg.date: —��—approval notes: ( )PB mtg.date: approval- notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: II Il 7 4 2025 Circle: L Fro�ee: Front: Front Sides: Rear. Main Cov: Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.Imy: Pgkiw. Height/Stories: notes: IE C IE PY IE BUILDING DEPARTMENT R DD VILLAGE OF RYE BROOK JUL -d 2 525 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www ,l Aaok>r `. ov 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: 6 14 "1 14% t't- .1 �(1 k i""y Date of Submission: Parcel ID#:/c) /r&p ? —I— 10 Zone: ,C—/-1 ?— 01— Proposed Improvement(Describe in detail): &)�?I-K /17/ 4'CQ APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT 2 The following items must be submitted to the Building Depart t by the applicant-no exceptions. ' Property Owner: I. (_ �U,S 4-'`� c, Sze Completed Application 2. ( )Two(2)sets of sealed plans. (one full size{maximum Address: ✓ V ✓1 G a,/ allowable plan size=36"x 42"; and one I 1-x l7") y 3. (� o(2)copies of the property survey. Phone# S 7 7` �$ r 4. 0 (2)copies of the proposed site plan. Applicant ap earing before the Board: 5. ( One electronic/disc copy of the complete c S 6 jcOS P� /a pplication materials. 6. ( ,Filing Fee. Address: 7. (✓✓)Any supporting documentation. 8. ( ) OA approval letter. (if applicable) Phone# 9. (✓photographs. Architect/Engineer: 10.( )Samples of finishes/color chart. (a sample board or Phone# 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 ���� , 20 day of , 20 Signature roperty Owner Signature of Applicant int ame of Property Owner Print Name of Applicant No ublic Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires landary 29,20?7 6/l/2024 (3Rnvk Village of Rye Brook ML VI MR W Agenda FB SE 0 ` „w� Architectural Review Board Meeting AC AD 0- t :r__ Wednesday,July 16,2025 at 7:30 PM JM SF ..+ Village Hall,938 King Street �J 1. ITEMS: 1.1. ARB25-079(Consent Agenda) Fabio Marconi Goncalves de Arruda&Eleine Gomes Fernandes Polido 11 Carlton Lane Rooftop solar array. 1.2. ARB25-080(Consent Agenda) Askar Djabbarkhodjaev&Karina Babakulova 7 Winding Wood Road Rooftop solar array. 1.3. ARB25-081 (Consent Agenda) Ronald Pennella&Rose Pennella 77 Tamarack Road 6',5'&4'high cedar fence and gates. 1.4. ARB25-082(Consent Agenda) Andrew Culross&Adriane Albrecht-Culross 77 Windsor Road 6'high white vinyl solid fence,4'high white vinyl picket fence and gates. 1.5. ARB25-083 (Consent Agenda) Michael Krebs&Marissa Krebs 85 Valley Terrace Rooftop solar array. 1.6. ARB25-084(Consent Agenda) Renee J Spencer Revocable Living Trust/David Ruzow&Berdine Ruzow 1 Arrowwood Circle/ 3 Arrowwood Circle Replace existing two-tier deck in kind. 1.7. ARB25-085 (Consent Agenda) Mark Elliott&Tarini Chakravard 3 Holly Lane Replace railroad tie wall with SRW block wall. Consent Agenda Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 Architectural Review Board July 16,2025 1.8. ARB25-050(Amendment to Approved Plans) Rohit Sharma&Lovleen Sharma 64 Rock Ridge Drive Second story overhang at entry&new deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB25-086 Alexandre Gagnon&Kate Breen 80 Windsor Road One story addition&kitchen renovation. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. ARB25-087 Dylan Fijor 8 Beacon Lane Addition of three dormers. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB25-088 Oren Hoffinan&Arielle Hoffman(Contract Vendee) 1 Mark Drive Remove rear chimney,add windows and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB25-089(Amendment to Approved Plans) Gregory Varone 47 Hawthorne Avenue Material and elevation changes. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 Architectural Review Board July 16,2025 1.13. ARB25-090 Joshua Rosen&Alison Rosen 6 Fairlawn Parkway Legalize 6'high white vinyl fence. Approvals: Motion :Tft7 Second Abstention Aye; Nay; Adjournment; Notes 1.14. ARB25-091 Win Ridge Realty LLC 204 South Ridge Street Lighted facade sign. "Kidstrong" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.15. ARB25-092 Paola Garcia 1 Wyman Street North Seasonal above-ground pool. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.16. ARB25-093 Francisco Ceron,Reyna Ceron&Ivan Ceron Barajas 8 Woodland Avenue Legalize and re-build rear decks. 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A' � •I 00 Ilk (! t 0 6.4 c r S �'1��,�; ,t. 1. f.���s }..3' w 1 h�f; ¢ e7J t�,r,�� •�. ���lk. .�/ .J IM1Y y YS,� �y Y 4.,' .a h,� .�» •'��5. ` a • q. . � y i'. n �. j Laura Petersen From: J&J FENCE SERVICE <jjefence@aol.com> Sent: Thursday, July 3, 2025 11:50 AM To: Laura Petersen Subject: 6 Fairlawn Pkwy Rye Brook, NY 2 Attachments: 77324857802_12D6C915-42D4-4180-9E4D-DD587CFEABFO.jpg; 77324857802_ 12D6C915-42D4-4180-9E4D-DD587CFEABFOjpg Juan Esquivel J &J Fence Service 203-496-9935 ----- Forwarded Message ----- From: J&J FENCE SERVICE <jjefence@aol.com> To: "Ipetersen@ryebrookny.gov" <Ipetersen@ryebrookny.gov> Sent: Thursday, July 3, 2025 at 11:47:12 AM EDT Subject: 6 Fairlawn Pkwy Rye Brook, NY Hello, Attached are few pictures of the fence I'm trying to Install. Address: 6 Fairlawn Pkwy Rye Brook, NY 10573 Please for any questions or concerns you can reach me at the email or number below. Thank You Juan Esquivel J & J Fence Service 203-496-9935 1 a� OKLAHOMA SOLID PRIVACY STYLES applications and maximum le for its diverse apP du 2" x b" onl sold vinyl fence style for king tongue&groove board and heavy duty The Oklahoma style is the most comm Y privacy in scalloped and crowned designs. with our privacy. These sections are manufactured the Ok ahomalfence and matching gate steel reinforced bottom �n from 3 to 8 feet• s les area in heights ranging The ahoma Privacy tY N•.� \� F_ OKLAHOMA with OKLAHOMA TOPPER OKLAHOMA I i ■.■.■■■rrri n... ..eggs■ ■r n..�err n. % sews p ■■■////■ :7.' ...nn••' �'•• Jl,''t �nu..nn. c l.. 11 to. 1 OKLAHOMA with SQUARE MINI LATTICE TOPE TOPPER 12 Tone OKLAHOMA with DIAGONAL MINI LATTICE 77 � '••' ♦��e��iii ';;;:.:n 1.(IIIIIIIIIII'' i -i i7� ♦ ♦ ♦ 1eee1'` �l' '' ' Illlllllllflllllll;i;ll OKLAHOMA with OPEN 31 4 illterStateviSiOns.':c"" y ytrJ t�C tt• td ac`ti•1: VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher 1.Bradburt• wwv..q ebnx,knN.goc TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E.Fews David Di.Heiser Donald T.Krom,Jr. Salvatore W.Morlino NOTICE OF DISAPPROVAL Application # ZBA25-019 September 30, 2025 Joshua Rosen&Alison Rosen 6 Fairlawn Parkway Rye Brook,New York 10573 PLEASE TAKE NOTICE that your application for a Certificate of Occupancy dated,September 15,2025, submitted in connection with Building Permit #25-181 issued 8/7/2025, for the premises located at 6 Fairlawn Parkway,Parcel ID# 129.68-1-10,has been disapproved because of non-compliance with the following section(s) of the Code of the Village of Rye Brook: 5250-9.A. No building or structure shall be erected, enlarged, structurally altered or moved until a permit therefor has been issued by the Building Inspector. Except upon a written authorization of the Board of Appeals, no such building permit or certificate of occupancy shall be issued for any building where said construction, addition, alteration, moving or use thereof would be in violation of any of the provisions of this chapter. All construction shall be performed in accordance with all approved plans and land use approvals, any approved amendments thereto and field changes authorised and approved by the Building inspector, Superintendent of Public Works/village Engineer, or their designee. The as-built survey prepared by Richard J. Spinelli, LLS dated August 27, 2025, shows that the new fence was constructed over your rear property line and not in conformance with the approved plans nor with the approval from the Architectural Review Board. Please note that the Building Department cannot issue a Certificate of Occupancy/Certificate of Compliance for encroaching construction. As such please arrange to have the encroaching portion(s) of the fence removed or relocated such that it is situated entirely on your property and in compliance with all applicable sections of Village Code or seek to enter into a licensed easement agreement with the affected neighbors. Sincerely, Steven E. Fews Building&Fire Inspector �� 670 H".q.A A10543 Wery o1 Lot.n Mock R.s Wr m SPINELLI "••".Ck,NY loser Srmy.n 11ap s.ct,-9.Cants Wvey.0 l03a22 _ ��, t9la)]Yi-2717 E.eoa.• W v.lap.es;.F-oak N. D•o.n 11,322 .wSO..udu v.Y�O<o" Twn W Ry..v.stdritw Cmnty.NY. Nuo Upcktod 12727 l SURVEYING SCALE V-3o Ealawro "'"w+a 1960.. ke 1P9n S y1' fir. k ►� N 6 g,4. W R.90.00 rM 3 p s u vna.>ti hw 0 ..�. ere W O N 3 N N rM L.98.11' FAIRIAWN PARKWAY EC EiYE D Ll � SEP�20 VILLAGE nF CYE RRf`OK BUILDING^EPARTMENT NOTES: 1. THIS PLAT WAS PREPARED WITHOUT BENEFIT OF A TITLE REPORT AND 0 30 THEREFORE DOES NOT NECESSARILY INDICATE ALL ENCUMBRANCES UPON THE PROPERTY, AND THIS IS SUBJECT TO ALL RESERVATIONS. RESTRICTIONS. EASEMENTS AND AGREEMENTS OF RECORD TO THE EXTENT THAT THEY LAWFULLY APPLY TO THE PROPERTY. EQF NEB►•Y 2. THIS PLAT IS BASED ON A CURRENT �� P�PRIOR TO THE - �'l*'p0 J.S .p�FIELD SURVEY AND p�4f� PERFORMED ON OR DATE SHOWN ON PLAT AND IS BASED R. d J. SporUL .S. 90973 ON MONUMENTS AND EVIDENCE FOUND - - IN THE FIELD AND MAY NOT CONFORM -U onx.d o"tlons to or alterations of this TO DEEDS, DESCRIPTIONS OR PLATS plan I..vldatlon of Sectlen 7209 of th.N.Y.S OF RECORD. Educatlon 1.a. S097S 3. PROPERTY CORNER MONUMENTS WERE NOT SET DURING THIS SURVFY LA A{y1.3 M �„� �► ef'a\ r►qp^�'n� ''.`-%s4 �►qgy^;'\ �/.tt i► v __�/ iaYc P►' ens _ fi P►q�(y^�h� �' " 7 •� � 1 YSY'SPP/ � 'S�P 7 Y�'`"1,_ v •• v • :r r mll •1•11/1/11i �11:o'�'•..� ..1 �11.. i-••: /1 11_ 2.- ..11�11 y ..11�11 r.t\tr��(0)y'� a < 10 1 N 1` U O � ° W O _ � r 'i R V � 4. ♦ J'' i� .�G.� 9 O O Z7 4• a C� o .. LL) ectionHem) b , i ikO < «o)> �i W W ' U (A DfQ W a E �: CO) V cnLLJ N, z O �, o p v / LU r _ 06 r) cf) �, Tie ap <c•rs» r; Ocu «aai iMh CN •i� .ice' it QJ i�i' 'G(•. n hh. 3 " • . . .00 �. ; 1/1/�//111 ¢� �11/1///11� r I l/l/l/lh � 111/11//1l1 Ill/ll//lll 111/1/1/111 r� 11/1/1/111 �{s' �A ♦♦ A�t ♦1" S��A �,• 1 A � 1 �1• At �11� A ♦♦ lA s ♦♦ •1n{� DIY 1* O CERTIFICATE OF LIABILITY INSURANCE DA07102/20225) 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 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 CLAUDIA VERA Putnam Insurance Agency LLC NHONEE FAx 1152 East Putnam Ave No.Ex : (203)967-1550 Nu):(203)967-1551 E#MAL ADDRESS: Riverside, CT06878 NSURERS AFFORDING COVERAGE NAIL• INSURER A: National Grange Mutual Insurance Co INSURED Esquiv el,Juan dba J&J Fence Service. INSURER B:AMTRUST INSURANCE CO 43 Dale St NSURERC: Hartford Insurance CO Stamford, CT 06902 INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR AODL SUER POLICY EFF POUCY EXP LTR TYPE OF INSURANCE em WVDPOLICY NUMBER M/DD MM/DD LDS C GENERALLYIBILRY 31SBABL4WPB 12/27/2024 12/27/2025 EACH OCCURRENCE _ _ 1,000,E DAMAGE TO)RNTED COMMERCIAL GENERAL LIABILITY PREMISES EaEoccurrence E 300,W0 CLANAS-MADE F71 OCCUR NED EXP("one person) _ 5,000 -PERSONAL&ADVIrUUtY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLES PER: PRODUCTS-COMPIDPAGG $ 2,000,000 POLICY PRO- LOC E A AUTOMOBILE LIABILITY B1P9713Y 11/22/2024 11/22/2025 C 1,000,00C EMdent ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODLYNJUFtY(Peraa9derrt) S NON-OWNED PROPERTYDAMAGE _ HIRED AUTOS AUTOS eraociderY $ UMBRELLALIAB J OCCUR EACH OCCURRENCE S EXCESSLIAB CLAJIMS-MADE AGGREGATE $ DED RETENTION $ S B WORKERS COMPENSATION WWC3491816 10/25/2024 10/25/2025 wcSTATUL OTH- AND EMPLOYERS'LIABILITY YIN "rrSANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $ 100,000 OFFICER/NENUEREXCLIDED? ❑ NIA (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 100,000 ryes describe under DESCRIPTION OF OPERATIONS below ELDSEASE-POUCYLMR $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) certificate holder is also additional insured ALL OPERATIONS OF THE INSURED SCOPE OF WORK : FENCE INSTALLATION 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 BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET AUTHORIZED REPRESENTATIVE RYE BROOK, NY 10573 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured 203 496 9935 UIVEL DBA J&J Ic.NYS Unemployment Insurance Employer JUAN ENS Q Registration Number of Insured FENCE SERVIES 43 DALE ST STAMFORD, CT 06902 Id.Federal Employer Identification Number of Insured or Social Security Number 30-0046737 Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy) 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) AM GUARD 3b.Policy Number of entity listed in box 1 a" VILLAGE OF RYE BROOK WWC3550749 BUILDING DEPARTMENT 3c. Policy effective period 938 KING STREET 10/25/2024 to 10/25/2025 RYE BROOK, NY 10573 3d. The Proprietor,Partners or Executive Officers are X included. (Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "l 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"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IFa policy is canceled due to nonpayment ofpremiums 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 maybe 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. Please Note:Upon the 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: _John Sparano (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Jo 5pa� 07/02/2025 (Signature) (Date) Title: PRES Telephone Number of authorized representative or licensed agent of insurance carrier: 203 967 1550 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. /��S4Nb70,�\ 9L609 M3N 3 d�� 3cOZ d3S n 'MD, u01}DonP3 'S*A*N ay} 10 60ZL u0i109S 10 uOIJDJOin D Si uDId Siyj 10 Suoi}DJOIID ao o} SUOII!PPD PaziaoyliDun— 9L609 ':)!-j 'S'3 f11ausdS 'f p Afipi J xvm)j8vd 'ZLEZT 'ON d*oW sn 0961 18 11-4dd pall] S2'L2'8 pa:npdn d-oW 'AN `AlOno3 ja:�saHo::�saM IaAd jo uMol ZZ'E'TT um*o„ iQ d�oW '>joojg aAN jo a6n11IA aN:� ul ,sa::p:�s3 22,06,01 paAan.AnS a6piN kxpno3 '6 uol:.:)aS d-oW uoISIAIpgnS, uo uMoHs sn (,.j )1oolq uI {, :.o-1 jo AaAJnS A3A8nS SIHl ONIma 13S lON 3?JW SiN31NnNON �13N�100 Ai83dO?ld '2 'aM0038 JO SiVId 80 SNOlidl?JOS3a `Sa33a Ol V4803N00 lON AVV4 aNd a-131J 3H1 NI aNnOJ 30N3a1n3 aNd S1N3WnNOW NO a3Sd8 SI (INV ld�d NO NMOHS 31da 3H1 Ol �1018d d0 NO MV4803�13d HD�Je3S3�J aNd A3n�ins (1131A 1N3�j8nO V NO a3S`d8 SI iVId SIHl 7 *Ai83dO8d 3H1 Ol Aiddv A-lin3M`d-1 A3H1 iVHl 1N31X3 3H1 Ol a8003�J 30 SiN3W33�JDV aNd SiN3W3Sd3 `SN0110181S38 `SNOLVAd 13S38 -IIV Ol 103f 8nS SI SIHl aN`d `,ki83dOdd 3Hl NOdn S30NV8GNn0N3 -IIV 31VOIGNI A� 18VSS303 N lO N S30a 3�I03383 H1 aN`d 18Od38 31111 d 30 1133N38 inOH11M a38Vd38d S`dM iV-ld SIHl ' l :S310N NM`nN81d3 101 .QIdNf1o3. ,0E=,.T TWOS I ONIARATIS woo-6ujAan.AnSlllauldS'MMM LSE2-18E (VT6) EtSOT AN '>loauo.AiowioW anuany p-oa:�s1OH OS9 L 6 L IS3 ITI 21 N I JS l Unauthorized c,teroti, or St to Ne embossad seal shall not Le z ■: a 0 t�1 y► ie. d uj CL .«w z 00" /ia� IIDDECKER LANDS SURVEYING \�444 - FEB Z 4 2025 u VILLAGt: OF C�YE BROOK BUILDING DEPARTMENT C. 10 20 30 METERS 0 20 40 60 GRAPHIC SCALE 1" - 20' FEET 80 -hash. _ZHORD= - --- = S 80'11+' 20" E S �_ _ _ 9 5.2 7'SMt, _ S --- AY - S - S — N P ARKW �� --7 210.0o VFAIRLA --GV REBAR FOUND W - UTILITY POLE I G V �01 WATER VALVE C� CATCH BA I ! REBAR FOUND p[S^ T BETWFFN TWO IRON PIPES ! — —�_ _ DRAW OINT OF BEGINNING MONUMENT REBAR FOUND _L3 L _RECHARCER I FOUND ' N .r yFfi f a r ` N �te r( o II 1 REuj CU' RG f o al tJ T j / 3 � I CHARGER � � l N N CD_J =I 1,' —\,3_ SECTION 129.68-BLOCK 1-TAX L01 1' I� EBAR FOUND �'- Lu WOO i..,. / N/F IAN SE IH & SARA ,LANE LEVIN ;wcul— g r 7.91 CCNTROL NO. 6/0063333 � ` A 1 GgR,•�E� FLED MAP NO. 126/2-LU I 6 � r � �, wirvELLuow � ' WSECTION 129.68-NI OCK 1-TAX LOT 9 N/F RU T H A. TRUMINO / s n/ 2 STO ' _ _ CONTROL NO. 560843471 s� fir RESIDENCE � 1 u.c FILED MAN NO. 12372-I OT 3 W� 29 3, PROPANE \ �� TANK � ' u WINDOW /WELLc rl 27.5' / SECTION 129.68—BLOCK 1—TAX LOT 10 N/F FRANK PAGNANI Ar MATHII.DA PEZO ANO CONTROL NO. 551173551 FILED MAP NO. 12372-LOT 4 vW� \ N AREA= 00 23,294SQ. FT. 0R 0.535 ACRES +F N SECT:ON 129.68—BLOCK 1— T AX 10- 6 IRON PIPE FOUND — N/F MICHAEL W. SMITH LIBEK 11604-PAGE 133 � f�rCE N 24"42'20" W p�N�"� R=90.00' 27.38' " cN L= 71.47' IRON PIPE FOUND I CHORD= N 84°29'35" W v S 71 °30'00" W 73.45' 32.15' i E-011EN tom- UP UTILITY POLE 0 LP LICHT POLE 0 = CB CATCH BASiN O VP VFNT PIPE O CC CLEANOUT FH FIRE HYDRANT O IV In WV IRRIGATION VALVE WATER VALVE 1 20015 CONIC CLF SrCT FLFVA.T'0V CONCRETE CHAIN LINK FENCL ELEv ELEC LLLVAIION ELECTRIC L/S LANDSCAPED NOTE MULT! R= MULTI -TRUNK I. FIEL WORK WAS CONDUCTED NOVLMBLH, 2024 BY I-EIDECKLH LAND SURVFYINT:, PI I.0 AND ALL MEASUREMENTS RIM ELEVATION WERE TAKEN ON THE GROUND. 7777777777777777 2. Ill IINFS, BEARINGS. AND NORTH ARROW ARE BUILDING LINE BASED UPON DEED FILED AS CONINOL NUMBER 551173551 AND FILED MAN NUMFIFR 12372. CHAIN LINK FENCE x - - Z. DRAINAGE RECHARCERS SHOWN HAVE BE_N PLOTTED RETAINING WALL BASED UPON THE CLIENT PROYDED SITE PUN. - SIDEWALK 4. W I. UNDERGROUND UTILITIES MAY NOT BE SHOWN. PRIOR TO CONSTRUCTION TI-E CONTRACTOR SHAII CALL "CALL PROPERTY LINE BMARKED ONITHE GROUD10' AT ND, AND HAVE ALL UTILIT LOCATIONS _ - _ - _ ADJOINING PROPERTY LINE 5. Bun DING. TITS SHOWN ARE BASED UPON THE FOUNDATION OF THE STRUCTURE AND ARE SHOWN FOR ,NFCRMATIONAL EASEMENT LINE PURPOSES ONLY. THEY SHOULD NOT BE USED TO SET PROPERTY LINES, FENCES, BUILDING AUDITIONS, ETC. 96 CONTOUR MINOR 6. THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TTLE REPORT AND IS SU&.,ECT TO ANY STATE OF FACTS A 95' CONTOUR MAJOR FULL AND CURRENT TITLE REPORT MAY REVEAL OF NEW co O a1 n ' ° `• �- O i d tn2 0507A 3 CFO LAND SJ� —� —� D FEB 24 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT %S4Nd14�\ �p 9L609 413N Jo 09 06 0 IN VU�JW!3 `)NICilinB.... f >100 Kl J0 -�����-ITA Z 330, J CJ i T 'ti vY�. N.ti.Oq.tOry.,�P�..i�ae .a� _AYE ►'ti�wtNOIIIo>�.�::1aO�taR^ �. 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