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BP25-192
SATE SECTIONLe % �L TYPE OF WORK - %O� rGYj/�! 2/1 fJ�/Q Off% JOB LOCATION / P� Tj V42 �� /1 OWNER � Q,*�7 44 LAS O/I c�77 Q!) c4v'1� 7%c — 730% CONTRACTO U SS%C O/rlP�lr+'I �{%�irp�7'�S 1_LC ._Ccz�lvs�c?�P�p Caaj)�T6/� 00c7, JzST. COST` wommomol� f _ CO #Now �� FEE DATE I . T' TCO # _ FEE wommomWO DATE I DATE INS' FNTING - FOUNOA710N FRAMING — RGH FRAMING INSULATION PLUMBING RGH PLUMBING2olt a fSe GAS C womommoopm- SPRINKLER 1 y ELECTRIC �J L��(jp/-VOLT C7 -- ?#vALARM L7 ,1 Wj 2 - 2o& AS BUILT CI -mmommommom - FINAL 1 ow Moo 10 l'y R APPROVALS VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 26-005 Certificate of (occupoucp This is to certify that `C of, , having duly filed an application on J�P eM)9-e K J4 20 ,. requesting a Certificate of Occupancy for the premises known as, D )V� , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: Block: Lot: 3,15 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. issued h 20 a5, 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 // Construction: � , for the following purposes: 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 i shall be made, o shall the building be moved from one location to another until a permit to accomplish such change h be ob ne om uilding Inspector. Building Inspector,Village of Rye Brook: Date: JAN 13 2026 BUILQtov NT For office use only: PERMIT# -1� VILK ISSUED: $ • 1tt ?I - DEC 0 4 2025 938 KING STREYORK 10573 DATE: 2- 610 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 rrsssrsrsrsrrrs«tssrrsrrsrts►srrsr►rrsrssswswwsrsrwrrrrsrss►rssrssssssssssssswrrrr►srs♦rrsssssrrssrrs«rs«rrrrrrrsrsss►rrrrrr► Address: /� /r9/�✓i0L /JO✓I ,�/�j !/L Occupancy/Use: ID#: Zone: Owner: Address: P.E./R.A. or Contractor: G11a.5sic- I-la7 c- 14 WAtffress Person in responsible charge: C--a-1 La S 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: 'Keing duly sworn,deposes and says that he/she resides at /� /`�'/��✓L:'"V 117a>-71) 61 (Print Name of Applicant) (No.and Street) in "�Y L- ,in the County of W L=� Ca/L� 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:$ �, 6 for the construction or alteration of: %I`f/1 D�')✓-''/ 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 ` Sworn to before me this day of del, 20 day of , 20 ?aWwr_�oCr.,perty Owner / Signature of Applicant re e of Property Owner Print Name of Applicant No ublic Notary Public SHARI MELILLO Notary Public,State of New York bil i2024 No.OIME6160063 Qualified In Westchester County-7 commission Expires January 29,20 q�y 77 oZ O� J T r BUILDING DEPARTMENT ❑BI LUING INSPE(Jok f2'AstiISTAN'r RUMI)ING INSPECTOR VILLAGE OF RYE. BROOK. ❑CooE ENI'URCI:AIENT OFFICUR 938 KING STREET • Rl'1; BROOK, NY 10573 (914) 939-0668 FAx (914)939-5801 rv__Iyw_r�ebm�k,or� - - - - - - - -- - - - -- - - - - - - INSPECTION REPORT - - - - -- - -- - - - - -- - - - - - ADDRESS:-A _ PERMIT# POfA7 r Jtj - ISSUED: SECT: • 4 BLOCK:_LOT:_y � n LOCATION: (� t �QIJ�„� � OCCUPANCY: ❑ VIOLATION NOTED Tim- WORK Is... 200 ,ticcE rmm ❑ REAI-'CTED/ REINSi-Fc-riON ❑ SITE INSPECTION RLa2U1R1:1) ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGIi FRAMING ❑ INSULATION ❑ NA'1'URAi.GAS ❑ 1.A GAS ❑ FvEL TANK ❑ FIRE SPRINKLER IAD FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BR(��, O 2m BUILDING DEPARTMENT ❑13 ILUING IN5PFC1Olt ASSIK'i'ANT RU14U1N[,1N�Y1., �„�; VILLAGE OF RYE BROOK ❑CODE-ENFORCCMI:NT01TICP.R 938 KING STREET • RYL Bizo0K, NY 10573 (914)939-0668 FAX (914)939-5801 www_rxrbr�►okAn -- - - - - - --- - - -- - - - - - - INSPECTION REPORTT - - - - - - - -- - - - - -- - - - - - RM41--Soc ' ite, - - - ---DATE: / PERMIT# ti ? BLO(:K:--/ LOT: r Y � a -1 ( - LOCATION: a ` �O�L-- `�'�M 00-v%, OCCUPANCY:_, ❑ VIOLATION NOTI?D THL wORK IS... \l:t:l.l I 1 i, ❑ I(EIP.CTL'D/ ItI.INSi,Fc:r10N ❑ SITE INSPECTION 14--Q IIRIA) ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLU1MiBINI; NOTI S ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATVRAL GAS (�� V�/VQi fi D. ❑ I,.R GAS /•SS(if,Q `f/ ❑ FUEL TANK - ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION .�FINAL ❑ OTHER Qyre,BRC��• W � t,7 BUILDING DEPARTMENT ❑BUILDING INSPI•.CIOR U ASSIS'1'AN'1'BUILDING INSPECTOR VILLAGE OF RY)E: BROOK 0 CODE ENFORCEML•.N'r OFFICER 938 King Street • Rye Brook, NY 10573 (914) 939-0668 FAX (914) 939-5801 www.rycbrook.urg - - - - INSPECTION REPORT AuuRla, : I ( I� 1 ��J �o►,, k Je— DATE: ICE Issula): SE.c:r:/.3s' 67 lkocK: / ►,wl: 35' LOCATION: /1'114 � 3,4 .---- OCCUPANCY: ❑ Violation Noted THE, WORK IS... PASSED ❑ FAILED / REINSPECTION ❑ SITE. INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE; ❑ FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPEC"PION: 01110MAI PLUMBING ❑ R0UG11I'RAMING ❑ INSULATION ❑ Natural Gas ❑ I,.P. Gas p ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL 1'I.11M1)1N<: ❑ (,1(OSti (,ONNIi(:'1'1ON ❑ I'INA1. �QyE QRC�� O y� W � �j 198? BUILDING DEPARTMENT XR1IMINI: INS111;"CTOR sISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODF.ENFORCEMENT OFFICER 938 King Street • Ityr Brook, NY 10573 (914) 939-0668 FAX (914) 939-5801 www.rycl)rook..urg - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - ADDRIisS : ` CC W 'C p .� :� l�el✓Q� I)A F: IO - 13 -ZQL, Pmm-r# Zs-- IcjZ 1SSu1::n9-'y-JS"SFC'1 : 13S. 67 BLOCK: / LOT: 3J LOCATION: � 7Z—.,L-4--hxmoM OCCUPANCY: ❑ Violation Noted 1'111r worm is... PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ TOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTFIS ON INSPECTION: ❑ ItOUGII PLUMBING ❑ ROUGH FRAMING INSULATION ' n ❑ Natural Gas �'aSc� t..�s� La%.4 •4� _ •�,� 644-L ❑ Ll. Gas ❑ I'U :'L TA N K ------ --- ❑ FIRE SPRINKLER ❑ HNAI. PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ � '1'111?12 : CN N o w _ Ln N \ C a m ! 00 v � � H ~ O en 0-4 L Q o 3 c� bc 2. G J W n 1 O cn 0oa cq 00 A N Oa .� co �i W z � W oo z A w c� ,.0 O p W �" o O b v pm( ■ cn p ` ' p 1 CPN ^ ,n w i v A Q, �, ` Z I� M z M w � � Eo � v (� A � � H Ig � � w �W V z ~ W p w z � o o a a00 `Q � M [� ^1 rH � I�w A 'z'i cn 0.i o7fL cn t7 o a "o C U a 4 NI 7, A © zZy 0- J Cn s= 0 Z �" O j" 2v� 8 `n , aC 4 O z V C� ` ° c► a. o w v z O CA C O a.,n A w F O Z �� ~ A w v 9 z V w HS H O U z -° o, b w c9 A z O 0 � � v a lu W 4 O � fob U a E■ v e _ . BUILDING DEPARTMENT VILLAGE OF RYE BROOK ��] 2025 938 KING SMEET RYE BRooK,NY 10573 I �� (914)939-066$ VILL r �'= $ROOK www.tyebsoo�cny,�a% BUIi. ' _1EPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: taut _ o � 5/ f� Approval Date I' nr Application Fee:$ Appwval Stgnaaltrre: Permit Fees:$ 1,80 — /�IJ 4 19isappr� � Other: !!R!!l4fRRA4 RlRff!lRRff4flflffRRRflR4RRRR4!l4RRlRRRR fRRRl4RRRRRfRRlRRlf RRR RRRR R44 RRl4Rl RR RRRf RRRRk RR kk RRRlR Application dated: is hereby made to the Building Inspector of the Village of Rve Brook.NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: It 4-1 t 0 nE PJ 9 oy\ ©Ir SBL: ,�a„�,'�� �a—7 Zone: 2. Proposed Improvement.tI k,crihe in detail r: 0 2 Ca rya D Lr of EX"brinq !7lywl lb i-1 H Gv►(d E eTrc_ lt_ X\.C'Tiny Tvfis IToygf rE►�4%te ctv\d CN.&grf fo 51�0v✓�rt 1VEty 11/AtWrl TlAQ1 3i%ck Q�+d-�.Ti�f Pa�ra�rov� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook'? No: Yes: II'yes,indicate: TIER I: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(lire Sprinkler. AN�1 tiN acm. FN i-_n()S.aeni. fclx:1 11oo&etc... :No: ✓ Yes: I'detaailcd engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm..etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property C-Xvner: 10�1✓l a rl of StJ 6AfJ M OI'4!I k W Address: I l {, t 0 0 ew-j IV 0 yn � Dr E 0Jra Y Phone# Cell# 91 ( — �� 3 �- email: 8. Applicant: Clart05 5A-05+%J0 Address: `t(C ft"WTi"" 5r 5TMmFOCO) Cr Phone# Cell# `703 -S(ol 1001 ► o"Fr►rlp�oy nEns�CLCrQ� 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: CIASSto "ftf I'"fro46-4t',yAddress: L4(a rkArr;� S i Apr s S7-tir vr-o.-4 C r ph"ne 06,1I05 SQTC2II L-�CCU# '203 3-tel-tool email: !AS Q! f`l t7m FJ rOV T'SL.1-C 12. Estimated cost of construction $ It verl (Nui7.: Ilrr4stirouliYlr.sl.hall tnriuJ�•alllulk.r. . gratis.) 13. Job Timetable: Start: Finish: (I) 6/112024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK AUG - 1 2025 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOD www.�vebrool:riy Gov BUILDING DEPART MENT R#RIIRlR��!lR�RRRRfi RRR RRRRRRRRRR XRIlRRXR'Rf RRRR RXX RRRRX RRXRfRRRRXRRRRRRXRfsRRRX RkX Rfi Rfi kRRRk RR RRkfiRfi RRRRfikRRfi 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, COUNTY OF WESTCHESTER ) as: I, &4't- /� D 411� residing at, =L)K64K 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; `�-Y / 00 t= l t Rye Brook, NY. 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. L� Sworn to before me this O day of 20 2 �r RICHARD J.SLAGLE NOTARY PUBLIC-State of Connecticut My Commission Ex*" March 31.7,M (2) b/i/2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STAT OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name orindividual signing as the plicant) and farther states that (s)he i 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 contacted 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/shc 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. I S+ Sworn to before me this Sworn to tx;fore me this day of ,20 day of f . 20 2- -_ Signature of Property(honer Signature of Applicant c Print Nanw of Property Owner Pant t Notary Public Notary c Joni Lamaj Commission#O 1 LA 0025681 Notary Pub1ip,State of New York My Commission Expirm lure 07,2028 (4) 611/2024 �O = O #.•fir w: N = �• •.,1 CL i N o co = y „ ° o a� Q a 00 i C v c c v v LL cz a a o v y E W m F- L: c m N a a LLl m v E v cu LL 0 W ~ A o a o w U) L " a a� m `O ^, d v .. H W -� W _u Y N Z /��// W H L �c O W LL � = N 3 0 N ,e N L y O- Z � N Q } U O 0 p LUL e1 E O p > tyE0 0 3Qq 0 LLI : W0 eZm m 3ccC "O ° to c 0 >- Eocyvo J � �ooa° Z vJi � oa °. Ci 3 o arc , m � c -YcG +_T' c ' = a 020 O O Z } V o � o pL '0 Q j v = m UQ aawEmp J ac -6 aEQ m "' � — a � � co Zp w » "0oc WZM 0W 3Nw — aLn 3 ( , \ G= Y O W O °6 U 0 -0 v v LL O � O, +'d �c CO d o Z n W o` '_' X L u1 H a v t z o o O ci N 'a c L p r `-� Q o Q 0 00 au W Q LL N v E oo E J y J > O $ N N H �- M� ti O � m > Z — p - -� - a Zu1 ° � L' W > 2 > m 0 M N 0 clf v v ao z 'o c V) +, + N y } ++ O j, \ O = un P O L O = U �? X i m N .-i e-{ a CV) Q = r4 N O o L U c A — a ENS •i b a o a-0 E W U w E O v v o_= o :g c E p > E - .= �N OD ~ W J W Ocl> •' a aj C co b 2 W O Q E M of Q U �LLI O D u n u VJ Q•L Q a a i n ( y \ / 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 PUD Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Bathroom Remodel, Exhaust fan, 3 Recessed Lights, Vanity SWIS Wall Light, 2 GFCI, 3 Switches Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Cell# Jose Mendez 2115 425 King St.Apt 1H Office@easeelectricalcontracting.com 914-888-6127 914-688-5174 Company Name Company Address Ease Electrical Contracting 315 King St. Apt 1H Port Chester NY 10573 Address of Work? Homeowner Information 11 Hidden Pond Drive Electrical Permit Application,page 1/1 �y BPR VILLAGE OF RYE BROOK 938 King 5t Rye Brook,NY 10573 � Q Phone:(914)939-06681 www.ryebrook.gov Building Department Electrical/New Fixtures And Wiring(Remodel)Permit Permit Set 11 HIDDEN POND DR P#RB 25-0053 R#135.67-1-35 PERMIT INFORMATION Address Permit number Date issued 11 HIDDEN POND DR RB 25-0053 08/29/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Tara Orlando torlando@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 Copy of Electrical License 4 3rd Party Electrical Inspection Form 5 Electrical Permit Application 6 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 �yE DR(1v� VILLAGE OF RYE BROOK O� 2 938 King St Rye Brook,NY 10573 W :1� Q Phone:(914)939-06681 www.ryebrook.gov 1902' Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE S. 0 ah REQUIRED INSPECTIONS Name Description Final Inspection Completion of all required items under the permit including the site grading and the surveyor's final grading certificate. STATE WIDE INSPECTION SERVICES, INC. ••• • • SWIS . : APPLICATION0. • Office Use Elect. Permit# Date 08-25-2025 Bldg Permit# BP 25-192 Scl Ft Plumbing Permit# Final Certificate# City/Village Rye Brook Zip 10573 Building Dept. Village of Rye Brook County Westchester Address 110 Tanglewylde Cross Street Section Block Lot Owner Name/Address(If different than above) John & Susan Monaghan Contact Number 914-772-7307 ❑Basement ❑1st FI. Q 2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps 2 3 Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch 3 SERVICE Amperage #Panels 1P 3P # Meters #Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair El overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑NYSEG ❑Central Hudson ❑Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation Scope of Work Bathroom Remodel 1. 3 Recessed Lights 2. One Exhaust Fan. 3. Vanity Sconce 4. 1 GFCI's This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed Items to be inspected.If at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address Office@easeelectricalcontracting.com Name Jose Mendez License# 2115 Date 08-25-2025 Signature Address 315 King St. Apt 1 H City/State Port Chester zip Code 10573 Company Ease Electrical Contracting Phone# 914-888-6127 R (� (r /J State Wide Inspection Services CA:> LC I� �J 1080 Main Street Fishkill, NY 12524 a DEC - 1 2025 84E ID 5 202-7224 Phone 914-219-1062 Fax STATE wIDE NSPEC110N SERVICES Email: otfice�swisny•com VILLAGE OF RYE BROOK Website: www_swisny.com service With Integrity BUILDING DEPARTMENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Ease Electrical Contracting John Monaghan 315 King Street APT 1H 11 Hidden Pond Drive Port Chester NY 10573 Rye Brook, 10573 Located at: 11 Hidden Pond Drive,Rye Brook 10573 Section: Block: Lot: Electrical Permit Number: RB25-0053 135.67 1 I 35 Certificate Number:2025-8255 Building Permit Number: A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 11 Hidden Pond Drive, Rye Brook 10573 The Second Floor: Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 21st day of November 2025. Name Quantity Rating Circuit Type GFCIs 02 Switches 03 Luminaires 03 Vanity Light 01 Exhaust Fan 01 Officer. Frank 1. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. , et � CN , N o o W a a H M ■' � W M C � v , Ln � O 0-4F M V v a a � zo O W > �., �i Z Z O w N 1 °° O U i w q A z cc �,z Ov . ao O z o a t w ���Jj z z `�' z v� • CN W C , � A P z � • � zz A o z a w � V H8 ►T+ U CL s r+ z w z P6 p ' �I � � � BUICEF E` MENT R IE C E 0 V VILYE �OOK S E P 2 9 2025 938 KIN BROOK,NY 10573 -4668 VILLAGE OF RYE BROOK tebroukny BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: C2.51Q0 PP#: z—/ Approval Date: '\\ S Permit Fee: $ r 7 `J `& Approval Signature: Disapproved: (fees are non-refundable) ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, /;)q ) is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner, by signing this document agree that saidplumbing work will be in conformance with all applicable Federal,State,County and Local Codes. l.Address: I I I n ? ✓ SBLj 35.ta7-/3_ Zone:R—/U 2.Proposed Work: ae 3.Property Owner: p n / 10 k 0/t Address: I N 1 d d Q,►1 ?Uyid 0✓ Phone#: I Cell#: 1 email: 4.Master Plumber: Address: 4V A/Ce�/Y/ 00, Lic.#: Nq Phone#: 0 "/Cell#: Q/2- !�` S3 7�, )email: ,( clo Company Name: ���f' y� �.,�f ii�/,�LS Address: INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement I st Floor 2nd Floor / 3,d Floor 4d'Floor 5'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -I- r, I "i_'-: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: \/ylY-A-� /�ON/P�ii� I`' ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Z- Sworn to before me this day of /� ,20 7i�J day of --� ,20 .ems c+ alure of Property Owner e o Prin Name of perty Print Name of Applicant / LJ otary Public otary lfubli4-,(,^,;- scon J. IDWE NOTARY PLq=Qf?&WYORK I u.0 luc. I.D.#01GO5W7188 7 C// Qual;licd m MY COMMISSION EXPIRES V�Z \I\ COI71I7715510I1 E\i 4 ss This application must be properly completed in its entirety and must include the notarized signature(s) of [tic legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirely and/or not properly signed shall be deemed null and void and w ili be returned to the applicant. -2- 6/12024 BUILDING DEPARTMENT F F �V"VILLAGE OF RYE BROOKP 3 0 2025 938 KING TREET RYE BROOK,NY 1057 (914 _,0668 VILLAGE OF �Y BROOK ov BUILDING DEPAR'TI MENT *w*«**,r*,r*******«********w**s«**,r�,r**x*,�*,r*w*«****rr*w*****«w*w*****«*.r**«*ww**w****w*«,►,t*****��t*t**�*«� 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, COUNTY OF W/ESTCHESTER ) as: / �� _;o i��� /l�O ri/,� C��y�?✓✓ residing at, �/ /� J ��% 0 0/J (Print name) (Address where you live) 4 y/ being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the ,o S7 legal owner of the property to which this Affidavit of Compliance pertains at; / a, , 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. az ) (Sign atur roperty Owner(s)) �i 6�i�/ (Print Name of Property Owner(s)) Sworn to before me this 3(`;�� Joni L,amaj day of Qr 20 2--5 commission#OILA0025681 Notary Public„State of New York My Commission Expires:June 07,2028 (Not Publi -3- 6/1/2024 :salou Airl d -401 'VJD :qS H'PS :9S H'13 :e0D•s»y :n0D U.MW .sapiS r17 A � auos- ��os3 :easy S3LON Q3SOdOldd DIFII.TCiXA Q32IIf1 u :Mou IVAOldd8 -=P•8nu gd( ) :saaou lr,&oiddr :a;ep•Szu ygZ( ) :s23ou 7AOJddE mvp•8=m( ) =Xpo ( ) ( ) Uaw -U T"" Tl TVIN-a O/D :WILD I TVINda ds ( ) ( ) :a W :M'Id 31Tng-sy u=21 J3°-uS's gd/V-d :od°.L Tum- :AaesnS TmnJ ( ) ( ) =Xpo -V/N :DDDg 2ms,CN ozoz ( ) ( ) UaLPO .3cUJ,Tan- :Imuad :mvId-INV.L"IaCI.4 ( ) ( ) :z2w 'y/N :3?"=d :savId D-V'A'H ( ) ( ) =IPO -*d/N :3?1=d :suvId:NOISS32IddnS 9UH ( ) ( ) _UJiPO :/d/N :mD d-I :=3 '3EN aiuuad :RMd VDNIgNIfl'Id =IPO MUM :suId:SXOJ-DaL-Q WOWS/WWv7V HUH saLPO :y/N anuzad :suvTd-IV'JRLLD9'Id UJd.L IOA-A10'I ( ) ( ) axpo :y/N :Inuzad :M' Td-IVDRLL7-'IH UDVI-IOA-HJIH 'd/N ,P;nEQ :#£sc 2GOD ( ) ( ) u2xpo saerEm•dLuoD thTP79 :dLuOD saalaoAA, -aswaq ( ) =IPO :Diuo=aT- :saidoD p72S :Pad=S M(I:SNd'Id ( ( ) :aTgnda»gun paTeaS Te°?Y'JV auaunD :PMQ:,k-AXnS ( ) ( ) :saLpo -ucTd aail :-aOW A VS :uonDaao-Td 4TS :odo.L:Nd'Id=S ( ) ( ) :y/N :saa- :uoLTS SuO-I:OMANH ( ) ( ) -2u. —�aaa�S :,aaiea-d MrAA uuo1S :sPuvPam :sadoTS daa;S :spEoZT DivaS ( ) ( ) :VO•H ssoaD Q'I ssru.L :,Igs q'azuMON FnEQ :ddd ( ) ( ) aonezcle8a-T :amid POOHO/D Q�� BUT aa4, xo CIR aaLPO :Log 'gd SZ�Z -VSZ:stA2u2 i N :TTOAA 3o anueN aueagddy :saaeQ Tm!LugnS suois 2-d �—� :23VQ Tm?wgnS uaLPO nal-3suoD `^ asn auoZ L9 V 1 :ssaiPP�' sis Teud MUOZ 2s"I T �iuuad 1 o a • n G N = w U L H z 0 40b o � O d `om zw C) E Z 0 W o W o > �fl C 01 z O O W z W '4 Z a 00 j ELL � c O = 0 x 4, 0 CY W CD ' O [� a o d O Q An a w O w � '•£ c m W Q, z c a V O - O O _v O .90 Clm Z W ) cl o oen s = O A W W N o o m tx x A ` E h W � - O ` O O a Lu , Z o oO O o " o 0 .0 Q z F LL a 0 z° a y 2� �. O C C i °a W co C 7 Lu a� O 6 U U `" G o ' C Ina o' '"'w Z M N U LLJ 4. Q r.0 .s section C j W c o = Quo W �'_ U 0- ofC/) ai E ao Of L w cLL v O _ co ICIV5 C Z b � N ra is G a U cn o 4� R0> CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) Ac `„� 07/30/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Liberty Mutual Insurance PHO IC,N E: 800 962-7132 i4C,Notc 800 845 3666 PO Box 188065 E-MAIL - - ADDRESS: INSURERS)AFFORDING COVERAGE NAIC M _ Fairfield OH 45018 INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B Classic Home Improvements,Llc INSURER C 46 Martin St Apt 3 INSURER D INSURER E. Stamford CT 06902 INSURER F COVERAGES CERTIFICATE NUMBER: 0211936888 REVISION NUMBER: 2016-03 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. LTTRR TYPE OF INSURANCE INDp F AL WVD POLICY NUMBER MWDDryYYY MM/D r ExP ' LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 100,000 CLAIMS-MADE X OCCUR PREMI EES RENTED 1 PREMISES tEa occurrence) $ 00,000 MED_EXP(_Arty one person) S 1.000 A X X BLS66566426 07/27/2025 07/27/2026 PERSONAL aADVINJURY S 100,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 100,000 X POLICY JECT PRO- LOC PRODUCTS-COMP/OP AGG S 100,000 OTHER: S AUTOIAOBILELIABWTY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE S F AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACHOCCURRENCE S EXCESS LIAB CLA*AS4AADE AGGREGATE S i DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN - STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFiCER/MEMBEREXCLUDED? N/A ------- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) "See Additional Remarks" CERTIFICATE HOLDER CANCELLATION Village of rye brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 f Curt s Lcken ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD /7-01k4\- NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o -W •o A^A^^^ 364939931 CLASSIC HOME IMPROVEMENTS,LLC (CT LLC) • , 46 MARTIN ST APT 3 STAMFORD CT 06902 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CLASSIC HOME IMPROVEMENTS, LLC VILLAGE OF RYE BROOK (CT LLC) 938 KING ST 46 MARTIN ST APT 3 RYE BROOK NY 10573 STAMFORD CT 06902 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2566 218-0 636637 03/09/2025 TO 03/09/2026 7/30/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2566218-0, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IIWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NICE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 816693690 U-26.3 a N A ��rf-t av Fll� Wh ArrA Poe 1� f J U Ott wr LO • N z Lf PER t M1T A �- 8Blf ' PATE APPRO D � BUiL.DW'16 iNSPE Rye Brook,NY