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HomeMy WebLinkAboutDP25-007SECTION �r �BLOCK LOT TYPE OF WORK m , JOB LOC,`A��TI/O��N dWNERY afli -," We COST FEE, V/CO # FEE 4 tCs #__ ti FEE DATE � ��?FrT10N R�LRD RATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING_ - INSULATION PLUMBING C> RGH PLUMBING/ GAS SPRINKLER ELECTRIC LAW -VOLT G7 ALARM C� AS BUILT FINAL CcDo 1, 6 93,s/o L/ �Sa���oC1V)879 694S Zac��n//7a OTHER APPROVALS ARB BOT P8 ZBA OTHER AS-BUILTIFINAL 8URVEY REQUIRED PRIOR TO FINAL INSPECTION QyE'aR k. C° . 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.>goov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 17,2025 Samuel Knopf&Hallie Steinfeld Knopf 5 Elm Hill Drive Rye Brook,New York 10573 Re: 5 Elm Hill Drive, Rye Brook,New York 10573 Parcel ID#: 135.51-1-7 Demolition Permit#25-007 issued on 7/7/2025 to Demolish In-Ground Swimming Pool&Patio This certifies that the in-ground swimming pool and concrete patio,demolished under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to p F Fc: BUILDING DEPARTMENT For office use only: PERMIT# )�—QO—7 VILLAGE OF RYF. BROOK ISSUED: —7—aS AUG 18 2025 038 KING STREET,RYE BROOK,NEW YORK 10573 DATE: : g (914)939-0668 FEE:,& ,,L0_PAIDhL VILLAGE OF RYE BROOK www,ryebrookyy-eov ___BUILDING DEPARTMENT 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 lffiftttii!•tittttttfititifift•tiitiit•Rfi►itf;!•fffttifiitlif;tti;;tftft!#tiiti;fi;t►iii►ittftltftttiit;f;tlfltftftiiiifi•►t Address: L� E ,n N,11 �► '✓r? Occupancy/Use: 0/"*y &--y Parcel m#: ?, -Cl Zone: Owner: StPr', Ec(/ kry Address: 14,,ll pe, ,e P.E./R.A.or Contractor: a i�l7 (d n ��Nc y (ram, Address: Person in responsible charge: FM Shn I orgy/ 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: /of o-)Lj v +� being duly swom,deposes and says that he/she resides at v►t /�j jI Pr t Name of lic ���/(Prim APP ) (No.and Street) in �1( in the County of "" e S t1, )l `—h in the State of�,that City/Town/Village) I 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:S /O, U o ? / L for the construction or alteration of evh -,Tn f bv��l,jr °'I ��+ C r2/e T Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy f Compliance is sought,and that to the best of his/her knowledge and belief,the stnieturefwork has been erectedlcrnnpleted 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 ,2D. day of ,20 Signature of Property Owner //- Signature of Applicant S�kn HL Print ame of Property Owner Print Name of Applicant otaiy Pu Notary Public GRE134Y M.RIVE/RA Newry Public,State of New York No.01 R16441398 Qualified In Westchester County Commission Expires September 26,20 QyE BRC�k. 1982 BUILDING DEPARTMENT BUILDING INSPECTOR ❑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.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : `� �J �' DATE: PERMIT# - � j L ISSUED:` ,' �_�SECT: t 3�. _B'LOCK: LOT: LOCATION: nA C J~ OCCUPANCY: ❑ Violation Noted THE WORK IS... p PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING CROSS NE ION FINAL ❑ OTHER a Vi a Q W G t ■ d Ln N °� a v ■ N C p R. s N N N n " A [ W x py} G) � W n. uIt a 7 ti t ° . ■ _ a w W x zLn en O y M �e O u 0 '� Enall Ln � A ■ N o L O a ^ 00 m an z V 00 O (/� fi7 F O O ram. cV.. Cf) ` U Z 0040, V I—I o� F w �n w O O � � fit = fL 00 vJ Q ►�i p 0 O ° ov � � • i� 00 C, a CA en w <n o a mw0-9 H d 0 o„Cl) �U x aW� w 1 9 * u s _ tL d Z �.Ta C7 H A w O pj• .� ZF wd u as = CYZ Q = _ s BUILDING DEPARTMENT U [E C Mv E VIL E OF RYE B'OOK 938 KING T �itiET RYE BRO ,NY 10573 JUG 2 �0�5 ( 14)939-Ob68:,_� VILb GE OF RYE BROOK BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: Q � Approval Date: #: /- � 'Applieation Fee:$ Approval Signature: Permit Fees:$ / [J Disapproved: Other: Application dated: /O � is hereby made to the Building Inspector of the Village of Rye 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: S 61—M A I•I 1 ,4 . SBL:/,3S srr�/—�-7 Zone: 2. Proposed Demolition.(Describe in detail): � � ('�4d- r pow. . /G Erf'01 a ritoe�j �GO�r a �a�rcy>Pe �� & 3. Property Owner: MR 4 9As , 1<040f Address: Lit r if � Phone# O 1 6 FCell# , I- * f/01 email: Applicant: Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: General Contractor: iL z!� s: Rio !/V Phone# ��7�4?79 �� �Ceil# email: q_ r'o 4. Estimated cost of construction $ (NOTE:The estimated cost shall include all labor,material,scatlblding,fixed equipment,professional fees,and material and labor which mad•be donated gratis.) 5. Type of construction:(wood frame,masonry,steel,etc...} b. Method(s)of Demolition: 7. Number&Location of Fuel Oil Tanks to be Removed: 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: COUNTY LICENSEC EFINAL INA,L SIW'WEY ELECTRICIAN COUNTY LICFNSEL, D PRIOR TO REQUIRED TO FILE ,I PLUMBER NSPECTION a REQUIRED TO FILE i 6/1/2024 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. Pfease note that application fees are non-refundable. F STATE Of NE W YORK,COUNTY W-ESTCI TESTER ) as being,duly sworn.depuscs and staters that helshe is the applicant above named. {PrAt Warne�[io[.'n�ival si ne ex the {KIInl1 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 owtterand is duly authorized to make and file this application. r indicam arcNu=a contractor.agars.aam&y.etc.) That ail statements contained herein are true to the best of hisrlterknowledge and belief..and that any work perforated,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. Swom to before me this 0 U Sworn to before me this din.of 20�-�_r day of. 20— SJppfw ofpropem tJlhn/ Signow of Applicant vtxrty Owner Print Nante of Appltcmt 3p�.W- SHARI MEULLO Notary Public,State of New York No.01ME6160063 Qualiffed In Westchester County Commission Expires JanUaty 29,202--? 2 iti�1 f?C>24 J V c T O ❑� �' O - W L N O „ U > ❑� _� N > 7 T a a a O i aLn Cc_0 N L_ N (D L,LY to Y t a a 7 4',, — ++ 41 E 7 W -M H C m • d W to " Li X H a > ua > LJ W N � ^, m W m > o y r H Ow T � � W `� � W H 3 � :3 0 c L -0 -0 G N N H Y 32 0 0 in - 41 10 O �- Z 7 m > c OQ � L ;CC U L L w Z •L N - E E 0c o c YO C •� Y oa -, ` 0 o O NO W 3 E o Z oC d m O 0 $ v v w m � r3 -osca -i W i J N E O C 0 a) 0 M cn D o Q v c m T Lo • Ln m � Q OU cot oa Yw — Q W 0 � Z 0Ww = U aawE � o ago �/'�� g pco Ea m U. i C CL Y Z Q W 7 -0 o O C O W N L u a M YY � � Y � m W4 °° u ov v > LL 00 a� v m O w v v M O, •!\ o (0 W d im Z O r o � � `� � a <uLf1 � � t~ Q CN c a� L- L 2 W ya E E �. 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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 135.51-1-7 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Electrical disconnection and safe termination of wiring for pool BetterHomes equpment that is being removed Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Cell# Angelo Zaccagnino 755 81 Maple Ave, Rye NY 10580 Office@Zaccagnino.net 914-921-3244 Company Name Company Address Zaccagnino Electric Electrical Permit Application,page 1/1 5 Buckout Road BETTER HOMES aft/.Qfmm West Harrison, NY 10604 Phone:914-906-0443 ELECTRICAL INSPECTION SERVICES INC. Email:betterhomes252@gmail.com NAME: DATE: ELECT.PERMIT NO. Sam Knopf 6/26/25 CITYNILLAGE ZIPCODE BLDG PERMIT NO. Rye Brook 10573 ADDRESS: BUILDING DEPT 5 Elm Hill Drive Rye Brook PHONE# SECTION BLOCK LOT UTILITY 508-479-6863 135.51 1 7 EMAIL ADDRESS: Residential © Commercial ❑ OWNER'S NAME AND ADDRESS Sam Knopf 5 Elm Hill Dr, Rye Brook, NY, 10573 WORK LOCATION: ❑Outside ❑Basement ❑Garage ❑Attic ❑Porch Floor: ❑1st floor ❑2nd Floor ❑3rd floor ❑4th floor ❑Other floor Reinspection [-]Renovation ❑Generator ❑New home ❑Other Comments: Electrical disconnection and safe termination of pool equipment that is being removed. SERVICE AMPS 77] CASE NO. SERVICE ENTERS BUILDING: CON EDISON Overhead ❑ Underground ❑ COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: Zaccagnino Electric 6/26/25 755 STREET ADDRESS: CITY: STATE: ZIPCODE: 81 Maple Ave Rye NY 10580 TELEPHONE: CELL PHONE: EMAIL: F-914-921-3244 [Office@Zaccag nino.net SIGNATURE OF GZa� 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. y BR , VILLAGE OF RYE BROOK o y +l] 938 King St Rye Brook,NY 10573 A + Y Phone:(914)939-0668 1 www.ryebrook.gov f 02. Building Department Electrical/New Fixtures And Wiring(Repair) Permit Permit Set 5 ELM HILL DR P#RB 25-0009 R#135.51-1-7 PERMIT INFORMATION Address Permit number Date issued 5 ELM HILL DR RB 25-0009 07/24/2025 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 Copy of Electrical License 4 Application Materials 5 Electrical Permit Application 6 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 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 IE C IE � vJ E 03 Sam Knopf 81 Maple Ave 5 Elm Hill Drive Rye, NY 10580 SEP - 2 2025 Ryebrook, NY 10573 VILLAGE OF RYE BROOK Certificate Number: 4555 PI W r-,!r,IG DEPARTMENT - Certificate Date: 8119125 Located at: 5 Elm Hill Drive Occupancy Type: Residential Ryebrook, NY 10573 Permit Number: 25-0009 Section: 135.51 Building Permit Number: Block: 1 Lot: 7 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 Disconnection and safe termination 1 120v 20a Removal of GFCI outlet of wiring for an above ground swimming pool. ins This certificate may not be altered in any way. =� ; SEAL � ! cn This certificate is valid for work performed _ 2022 before the date of inspection only. �y'ti vo�F',r Licensed Inspector a' a a N N s. a N p Cl uj s \ cc a N \ \ oC Ln Ono a o lid Lin 06 c 0 LE o z H °° - O r a' � O ca ul10, _ O Z � O U 7 C!J a INN* ✓3 C Z u M Z a A zM C,, Z 0t a, ocCN a _ H z c 5 � ( _ 1� � W Q ►- �-' art ;� �� � • �/ > a F N a 04 z z � $ w a z N J � g W r A z O n 7ff7l BUILDING DEPARTMENT JUL - 2 2025 VILLAGE OF RYE BROOK W;9 K146 Sys RYy BROM NY 105-1 (914)939-06611JAx(914)939-5801 VILLAGE OF RYE BROOK %Lw pry ixlk.ore BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION volz �j �V� PP l�: — Approval Date: `� - rl Permit Fee:S � - Approval Signature: Obapproved: (ices wr saw-►ffusdablt) .wwwawswwawwrrarrrrww�wwwa�rrirarwwwwwaauar•wwwwwwwwrrrraw�w�wwwwwwrrawrw�wwwwwwrwawwwaawwwwwwwww Application dated. ��a—�S is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Penrdt to install andror remove Plumbing as per detailed statement described below-The applicant do property owner,by signing this document agree that said Plumbing work will be in conformance with all applicable Federal.State,County and Local Codes. l.Address: 5 SBL: SI — Zonc:�e�- 2.Proposed Work: 3.Propaty Owner: C 1 Address Marl: % Phone x: 4.Alaster Plumber: Address: Lic. : f Cell#: email: Company Name: Address: Str.,►I�p INDICATE ESToII .ED A Q PER T13E FOLLOW! SCHED 1.E: t�ealion Water Urinals Ihiaitiag yiala Showers Bath Laundry pottrestic Fire Sanitary Natural/ Other• Tote! Closets Fountains Tubs Tubs Service Service Sewer LP Gas Htscrlxnt I st floor Zed Floor 7 Floor 4tb Floor floe 'iR i 5.0 Lisi Ostia Equip=t1ftovidc Details: (Notarized Signatures Required Next 2 Pages) 1 4sijtcincvn!,'s ORK.COUNTY OF%%'FSTCHF.STl:R _ .being duly>wurn,deposes and states that hc'she is the applicant above named. antlmp 1.0be is*C-4--N otomy 0I 01C prorkm,>ONf7h�7 lI!!S Dn(7)/C.1LKM?iAfWaAR V.[X to]I I q)I1C is dw for the Ic-Val owner and is duly authonzed to make and file this application tntmrl^.nrne .CIO ontained herein are true to the best ofhisfier kttusvtedge and belief.and that any work palormad_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 am•accomp:mying approved plans and spcicifications,as well as in accordance with the New York State Uniform Fire lrrevenucm R Residing Coale,the Code of the Village of RyT Brook and all other applicable laws,ordinances and regulations. Sworn to before me this s om to before me this day of S yam .20 or Igrtatttre of Properry Owner S ature AppDo Print. ame of Property mite � oS �licsmt Notary Notary Publ' rotary u 'State of New York NARI MEULLO No.01ME6160063 Notary Public,State of New York Quallfbed In Westchester Count(„ No.OIME6160063 Commission Ex911es January 29,20(�I Qualified In Westchester CountY7� Commission Expires January 29,20_ This application must be properly completed in itc entii"rt} ,trd must include the notarized signature(s)of tht tepi owntxts)of the subject property, and the applicant of record in the spact-s provides Applications not properly completed in its entirety and/or not properly signed shall he deemed null and void and will be returned to the,ip+phcant. ?GI it R [EC EME BUILDING DEPARTMENT JUL - 2 2025 ��ILLAGE OF RYt'[ 1110 0K 938 KING STRFFT RYE BR(X)K.NN 10573 (914)9-19-f1668FAX(914)939-5801 VILLAGE OF RYE BROOK ww".11dgM16012 BUILDING DEPARTMENT ftfffffffl}tiff}}}}f!f}tt+tt}}f}►f�tftt}tt+eeRi}f}}t1}tftlftf/}ttt}11fi+iii}t}ftt}tf ffl►►t}f aw....i..f... AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216 f STORM SEWERS AND SANITARY SEWERS 7:i::i hXFIDAVIT MUST SF-\R THE NCTARIZED SIG*&TURJZ OF THE LEGAL PROPERTY OWNER AND W SUOUTTED ALONG %IT8 ANY DUILDLN,; Oh PLUMBING PERMIT APPLICATION. J1NY BUILDING OR PLtAMUG MWT APPLICATION sUSKITTrED WITHOUT THIS COKPISM AND NO'DIRIZLD FORM WILL N 11110 1RD TO in AP?lSI1111111T. STATE OF NEW YORK.COUNTY OF WESTCI TESTER ) as: residing at. Ilr„I rl.l:ll.'1 (�Illll i?•\1�1:R 11M111\l'1 being duly swom, deposes and states that(s)he is the applicant above named,and further states that(S)hc is the legal owner of the property to which this Affidavit of Compliance pertains at; Rye Brook. NY. i•urther that all statements contacted herein are true. and that to the best of hlVher knowledge and belief, that there are no known illegal cro.&s-comu ections concerning either the storm sewer or sanitary sewer. aril 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 CodeN. I 1\I 411UfC 1(f�N1CT1)(1WnL11Sli — OlA lk i i Sworn to before me this da of 20 b SHARI MEULL4 Notary Pubtir,State of New York No.OIME6160063 Qualified In Westehester County Commission Expires January 29,20_ FIFA t�x��•� Z"� cy� s �S �..��j,,. ., fr j � ' if .n �j,� -.1Lr°'y any 7. _ - •t - -, r_ �r � ti_ ,� _•�_'_� '� - - ~` =� ' it _ - ��'�'•�w.r+.��3:�xr'. _� ' N ;�'ri p- t•►;�ty`•� `.ate K ' - �'�•�t�.Z \. - r " •,Y -�1.,�.,• •"•,� � -������ ,• S Jt C� '• fie+ '♦ '� -' •_` M•i �r' ` /' _ _ .�,. -�� 21 err '' ,.r � y, 1• _ _ '� '� ���-y�. ••`�, f• � tt•' `. „'�it - •�- •k�, ir„ ��'l.,�a4, , _�.>,� v r .. I y lw �`� �' 7 yr �� r, :r "+./ •`c " .y• ,• .�,' �4t7,.�. _ r �r ♦�� 'r id, L *• .•. w r i-f�} (��o - ♦ jd", :r` `- ;19" f a �` •off zp '"1^t ♦. }� �y�(' ,✓r _ ' r',1[� Mix _3• J .�•s•/�� �.f+��f.Jl"� !� r �'�'.:;. -e1�_ 4 -i��^�r �µ Tr t � Yla.`,4,•+..Y f• �.t� ' '•� �� :.r. r~r .I4 {r'� 11� ,' ~~�,•r�'�Y'+ - "!-wry 1 4 _.y,`• � ` �, Z,• r•'��rr ..R'K,• `yi _� is '',P 1 � � v t 4. ��6'� •q�`'" .. 'r� ^,� .,r c � .. �._ -ice ;Y-'e. •� it �e�„ _ .�'�(� moil �� s'!t � •err �� '+ ? 7 � • � * �.� ��'n0��y �+ I, � ,� •,• -1 •� -- - , - p x- 7!r r "�'�-`�y�` � '" � � „••�`` "'FCC.�-!�•:,-:e cT �,*, ,�"4+ - 'K fps-�. g`•-'� •e.�-'�w 'rC.� � "�^'� ' :,. - ,f-•�'rr-"�u�' f �,� _ - t'u-. ... xd r, .`''< 'T► � ..- - .T asp . All SW WA � +�'er.�+"'i�..,. _ � •,tea s-'� �,� � �r ` 3��.3�^� S yj Ira - � �mz - d •� w K _ I1- oe _y.`t' ',�•a„' :`�`a•7G= .ter ;4 _,, - :"+tom t -c T '. ?- -:. ' ,= = -. r ati" T•X71 - iYC' l"7 f '�► .C',A� c --4i �,. -., �'JR c yey,..�,,� � r.+• �r r 's i"3es4 �q�,t -�" '4•r .. ... �•_.w. . _,;,,•� :.Sly""'.•. B ' din Permit Check List&Zoning Anal sis Address: L r1 W (DC SBL. Zone: - 15 Use: Const.Type: Other. Submittal Date: �12 Revisions Submittal Dates: Applicant Nature of Work: n cA-- Le Q i� JEa v, Reviews:ZBA: J U L 0 4-2025 3: BOT: Other. NEED OK (►. ( ) FEES:Filing. " �BP- l b C/O: Flood Plane: Legalization: J ( ) ( ALA P: Dated: 'Notarized. SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening ( ) ( ) ENVIRO:Long. ShorC 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. 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. ( )ARB mtg. date: approval:- notes: ( )ZBA mtg. date: approval notes: ( )PB mtg. date: approval:- notes: REQUIRED EXISIING PROPOSED NOTES APPROVED Area: Circle e Fron�taec Front: Front: Sides: Rear. Main Cor. Accs.Cor. Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.ImR: Padsinr. Height/St�rories 1 notes: C9 Q- j. C E< CA Fy\ Z\ EARTCON-01 MSINGH1 o OiL�RMP (G FILI BfLt I ANC '-- o 0 0►® © d �"'�' 6 6! /20; 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 Michelle Singh Acrisure Insurance Partners Services of NY,LLC H No,Ext: (516)240-8816 vc,No 90 S.Ridge Street Rye Brook,NY 10673 E-MAIL .mmunoz@acrisure.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Way Insurance Company 26301 INSURED INSURER B:Selective Insurance Company of America 12572 Earthtek Contracting Corp INSURER C: PO Box 146 INSURER D: Rye,NY 10680 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR iMMIDDr LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 �I CLAIMS-MADE X OCCUR $ 2636982 1/13/2026 1/13/2026 DAMAGE TO RENTED $ C00,000 MED EXP(Any oneperson) $ 16,000 PERSONAL&ADV INJURY $ 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 X JE PO- POLICY 71 LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER $ COMBINED SINGLE LIMIT $ 1,000,000 A AUTOMOBILE LIABILITY (Ea accidentl ANY AUTO S 2636982 1/13/2026 1/13/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED _AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED ROPERTYtDAMAGE $ AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR I EACH OCCURRENCE $ 6,000,000 EXCESS LIAB - CLAIMS-MADE S 2636982 1/13/2026 1/13/2026 AGGREGATE $ 6,000,000 DEC) I X RETENTION$ 10,000 $ B WORKERS COMPENSATION X PER UT, OTH- AND EMPLOYERS'LIABILITY Y/NWC 9126626 1/13/2026 1/13/2026 1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) - E.L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Mr.And Mrs.Knopf 5 Elm Hill Dr.Rye Broo�NY 10573 Evidence of Insurance 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10673 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers' YORK CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Earthtek Contracting Corp (914)879-6945 PO Box 145 Rye,NY 10580 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 81-4341423 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being Listed as the Certificate Holder) 3a Name of Insurance Carrier Selective Insurance Company of America 3b.Policy Number of Entity Listed in Box"1 a." Village of Rye Brook WC 9126526 938 King Street Rye Brook,NY 10573 3c.Policy effective period to 1/13/2025-1/13/2026 3a The Proprietor,Partners,or Executive Officers are _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"3"insures the business referenced above in box 1 a"for workers'compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2'. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box 113c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend,or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved By: Ronald Brunell AA (Print name of authorized representative or licensed agent of insurance carrier) Approved By: 06/24/2025 (Signature) (Date) Title: Partner Telephone Number of authorized representative or licensed agent of insurance carrier: 914-937-1230 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. C105.2(9-17) www.wcb.ny.gov Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday,June 18, 2025 12:57 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/18/2025 12:56 To: VIL RYE BROOK PRIMARY Transmitted: 06/18/2025 12:56 00007 Ticket: 06185-001-858-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 5 To: Name: ELM HILL DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE FRONT OF PROPERTY NearSt: OLD OAK RD & BONWIT RD Means of Excavation: MINI EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: POOL FILL IN Estimated Work Complete Date: 07/08/2025 Depth of excavation: 6 INCHES Site dimensions Length 30 FEET Width 12 FEET Start Date and Time: 06/24/2025 07:00 Must Start By: 07/09/2025 ------------------------------------------------------------------------------ Contact Name: FRANK SANTORO Company: EARTHTEK EXCAVATING Addr1: PO BOX 145 Addr2 City: RYE State: NY Zip: 10580 Phone: 914-879-6945 Fax: Email: earthtekexc@gmail.com Field Contact: FRANK SANTORO Alt Phone: 914-879-6945 Email: earthtekexc@gmail.com Working for: KNOPF ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i 10 0 20 FOR MUNICIPAL PURPOSES ONLY ��rr SURVEYED FOR DANIELLE MCCANN ' - !ll' AND CNl r FOR T!IE PLPSDIIS FG4 A ICM 'T WAS PREPASEC I' >K VAIIC ORIGINAL SCALE: 1 FDi,A•I'I UThER LIss1-1-7-It}E-AfN11AN.owc MAP OF PROPERTY SITUATED AT INCORPORATED VILLAGE OF RYE©ROOK—WESTCHHESTER COUNTY,N.Y. TOWN OF RYE TAX SECTION:135.51 TAX BLOCK:1 TAX LOT:7 E PO LOT ND 112 iE NYC rt. S 82'01'20' E wr R RrH YARD 100.00' we rc. I.I'NDKm —V V PVC FFNCF PVC FEI`CF 0_T KKMTH -V. O D R' C.LI' CHAIN LINK FEVCE ZNmI CRkI UNK FENCE - \ C.LF MT GL.r J O.4'wum 0.T IIDRTN 0.4'NORTH 4.5 OD YiEST FRAME O I 0 5tim � I 1 YARD O O i _ o In Ar J� U Ar I 10.4'1R BRICK MALL 90 YARD *DOD DECK - yy��� ROOF PATIO q 4 ,MCU221 FOOL _ O 20.9 24.3 p YARD e 232 3,2.r m C.Lr RgTI I z� RID LOT O.0 EAST- Nw 64 R Nw fu v _ YARD 11/2 TO 2 STORY FRAMEHVAc Lli W ,c DWEUJNG No.5 Dwrr ll I rm8 R z • s L-J GGIBATpT `o 2 O -zb sraRr wcRrMxcD — L j r — x— x— � 267 CHAIN INK FENCE LLBJC C�l OI.y WE51 En Z ob' I STORY FRAME h yRq z - GARAGE AT GRADE - S —20.9 21.I, rc4 1 O JSSO� L�.YL_ YARD `- YARD v� 1 �v 85.00' _Y.O I ,=84. 51 59 �- n N 82'01'20' W � p,1.1GLE=2r I r� V I 20.31' D -- - - - -- _- SEP 2 8 2022 FILED MAP ELM HILL D I LAGE OF RYE BROOK SEMM No' ZELMHW BUILDING DEPARTMENT KNOWN AS LOT No. 64 HLED FEBRUARY 14th, 1956 AS MAP No. 10374 TOTAL LOT AREA- 13,855.44 50.Ff. ••crLS: DATE DESCRIPTION r.GUARANTEES OR CERTIFICATIONS INDICATED HEREON SNAIL RUN ONUY TO THE PERSON FOR WHOM THE SURVEY LS PRIPARED --- --AND DN HIS RF�ATF TO THE 7ME COMPANY,CAVERIPUNTAI AGEM:Y AND IENDNG NSDTUIKIN LISTED MINION.AI)TO THE JULY2M,2022 TITLE SURVEY ASSIGNEE5 OF TIE LENDING INSTITUTION.GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE 10 ADDIfIONN INSIIIUTIONS OR SU13SEOUEM CWNERS. 3 UUNOFT14ORIZED ALTERATION ION ENTS WERE TO THIS SURVEYS�VKLATION OF SECTION 7209 OF THE NEW YORK STATE N S LU"TION LAW. 1.ONLT COPIES FRCU TI,E OWONAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS NKFU-_-A t:N H'S FMROSSFD SFAO SHAII RF(yMSIOFRFD TO OF VALIO TRIIF C,OPIFS. 5.EASEVENTS OF RECCRI ARE ONLY DUARANIEEO IF AN ABSTRACT OF TIRE IS FURNISHED TO PIE SURVPNA. GUARANTEED T0: LALSA LAND SURVEYING PLLC {'~+ E/J I.VIUAGE OF RYE.BROOK UlHWiTA1ENT OF BUILDINGS S. IAISA orNGS NEW YORK LICENSE No. 0S0936 'I 112-24 93rA AVENUE R9 Cr tr' - f10 JAMAICA, N.Y. 11433 AP "r TH EPHONF (917)882-7394 �lr �• 0 509 FAX (718)206-2814 T:'LL No. FMAII. COPAUt.A SA®GMAR_COM ©µ 2022 10 0 20 40 FOR MUNICIPAL PURPOSES ONLY A.L. SURVEYED FOR SAMUEL KNOPF ORIGINAL SCALE: 1 2 0$ AND ONLY FOR THE PERSONS FOR WHOM IT WAS PREPARED. IT IS NOT VALID FOR ANY OTHER PURPOSES OR FOR ANYONE ELSE 135.51-1-7-RYE-ADRIAN-FINALDWG MAP OF PROPERTY SITUATED AT INCORPORATED VILLAGE OF RYE BROOK-WESTCH HESTER COUNTY, N.Y. TOWN OF RYE TAX SECTION: 135.51 TAX BLOCK: 1 TAX LOT:7 FILED LOT No.62 PVC FE, S 82*01'20m E rvcFF YARD 100.00, 1.I'NORTH PVC FENCE 12 NORTH PVC FE. WOOD FE. —V V —'y —Z PVC FENCE 03NORTH V 02NORTH C-L.F CHAIN LINK FENCE Lf 13 EAST CHAIN LINK FENCE ;;r C. O-5'NOF,TH C.L.F ui 0.4'5OUTti x 0.4'NORTH 4.5 0.6 WEST cv FRAME 5HED 5.2' X YARD x c) w to z 11.6 U W z LL. uj LLJ LA- :D z 10.40 0 BRICK WALL 0 -KZ z A. .3r' ui I YARD z C) WOOD DECK n 53 33 in n ROOF PATIO w ui 20 5' -24-31. b YARD c\i. . . . .23.2' 32.7 ri . . . . . . . . . . 6 C.L.F FILED LOT z O.G'EA5T No.64 z FILED LOT V V . . . . . . . . . . . . . . . . YARD No.63 1 1 12 TO 2 5TOKY FRAME 0 cn . . . . . . C5 uj AWNING ® DWELLING No. 5' . . . cn HVAC UNIT c) 93 . . . . . . . . . . It GENERATOR 8 kD L.Ll nd STORY OVERHANG. co z X X 0 f2 2G2 . . . . CHAIN LINK FENCE 0 C.L.F I.&WE5T V) 0 z o I 5TOKY FRAME-c� z En Ex GARAGE AT GRADE 0 20.9' 21.11 cy- (D YARD YARD cn > A —j c6 �5 -BUIL cn 0 -NT cs 85.00' IF.0.8 L....84,05 ............ 9,59 R=20 G\-E=22!5640! IN 82 O1 20 W GEt,9BAl-AN 20,31' ........................ ............................................. FILED MAP ELM HILL D,Rl AUG 18 2025 "SECTION No.2,ELM HILL' VILLAGE OFRYE BROOK KNOWN AS LOT No. 64 BUILDING DE FILED FEBRUARY 14th, 1956 PARTIVIENT AS MAP No. 10374 TOTAL LOT AREA= 13,855.44 5Q.FT. NOTES: DATE DESCRIPTION I. GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE AUGUST 1 St,2025 FINAL SURVEY ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. st))y 2. PROPERTY CORNER MONUMENTS WERE NOT PLACED AS PART OF THIS SURVEY. I 3. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. 4. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S INKED SEAL OR 0 HIS EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. ALA 4Q% 5. EASEMENTS OF RECORD ARE ONLY GUARANTEED IF AN ABSTRACT OF TITLE IS FURNISHED TO THE SURVEYOR. Ne- GUARANTEED TO: LALSA LAND SURVEYING PLLC cc 0 1. VILLAGE OF RYE BROOK DEPARTMENT OF BUILDINGS ADRIAN S. LALSA >-. NEW PORK LICENSE No. 050936 172-24 93rd AVENUE JAMAICA, N.Y. 11433 10 TELEPHONE (917)882-7394 TITLE No. FAX (718)206-2814 ALL P T tRf n ED 2025 EMAIL GOPAULLALSA@GMAIL-COM