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RB25-0011
� O N } u Lr) D• • g » � Os (U 0 lu I \ , _� 3 \ / 0 L y3 / f \ \ % / � uE / w � L: \e ( ° ƒ ®O a § 0 X \ � Lij $ \ LL W 4 � � Z m \ = may > w ® �OL § q k w / \ -a / -0o w \ eCo O CL) \ m 2 k \ \ / o N 2 O 2 2 ) � \ Z � _ q q o01 / \ % p / w k ) 1 z 0o \ m $ G0C \ � � � q 2 Lu } 2 \ / Jk -j w 3 � � o 0E2 $ Z) 2 k t D z O m , > qo « - Y w w / 6 % 2 $ � % ~ \ Owo . � «� U < < _ E , 0 0 � ) e E _ § ° 2 E E w e Ll >, L Y - o , \ , ± \ / � 02 LU % \ ± { , _�_ ƒ 7 E � { � O ƒ / \ { c \ o = o LL 0 % � \ D q U ƒ / k / / '0 � � � � < 0 c Q)c: co / - § ƒ \ > « o �= - = \ / q \ � O \ \ / b a ° ° Lu > � � Zy ® 5 y2 s- m O E02E ±g 4 / 0 GC ? \§ § \ / / r q « 0r « $ \ 2 / / ® r q % q � G 2E00 r Ca)0 0ca: \\ - Uj \ ( > / o , o © 7 m ® e , f R 2S� E G � D \ ƒ ± / g V V) k / ƒ ® / LU co4- u U \ � 02 = 0 Q ~ D = t a/ 77� gg��� < a a } / \ \ / ( E 13Rnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W � Phone:(914)939-0668 1 www.ryebrook.gov 1982 Building Department INSTRUCTIONS THE PERMIT HOLDERAND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONSARE SCHEDULED AND THAT THE PERMIT IS COMPLETE REQUIRED INSPECTIONS Name Description Final Inspection Completion of all required items under the permit. Rough plumbing Installation of all plumbing including drains,waste,vents and water supply lines.A test for this portion is required including a 100 psi test on all water supply lines. Insulation Installation of the insulating material and vapour barrier.Blown-in insulation can be installed after the ceiling drywall is applied and confirmed at the Occupancy inspection. Rough Electric Rough Electric Final Electric Final Electric O��yE bRC,U�'G VILLAGE OF RYE BROOK ■ ■ 938 King St Rye Brook,NY 10573 W rr Phone:(914)939-0668 1 www.ryebrook.gov 198 Building Department ❑ Residential/Interior(Remodel/Renovation) Permit Permit Set 31 BAYBERRY LN P#RB25-0011 R#129.84-2-20 PERMIT INFORMATION Address Permit number Date issued 31 BAYBERRY LN RB25-0011 09/15/2025 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 Coverpage 1 Building Permit 2 Required Inspections 3 Westchester Home Improvement License 4-6 Interior Building Permit Application 7 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 i S a �3 i[��?Jr,�'l. �'" •=y' 5'4„}r 'rCs���N ��" �r���� -:��.: �, ¢ O � �� � _� � .,�.. � t �f: �$�y°¢_�(...�'�f1i�` k�Y� ��ti` 4{��r# A♦ Y Y +f-r v,F f♦ �r !« ��y � _ .1f1�r, ��. - �f;�'4(j{i{j!l�S�3s-.- -�� �I�i�iflf �-� >�afl+i{�1 ,_ _w- II'/iitll�-�`��°l. iliif{i�{j = c� �'r-- ►};i,�1 �,.. , T• V� x. > e.. 0.. N �— O LO ]i( u).� 'j- � v�i Gi � .�+ C) +;iGi�ttfss)1 In CD :(90 s F— LU o Q © E ,fig' �,� _`•• o C 4a C J y s`- W TQ O O f; W C d O U a z q>q c� .d r � •�'� c u y„ N T 1 r co LO + « y yy LA . m G raj U �(am^4�)�-s., -7! i ♦ 4 non. �t41R�)1 � NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o. :m a "^^^^^ 133624798 D 8 D WOODWORKING INC TIA CROSS COUNTY WOODWORKING 20 MIDWAY RD CHESTNUT RIDGE NY 109777013 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER KITCHFN AND BATH D & D WOODWORKING INC T(A VILLAGE OF RYE BROOK CROSS COUNTY WOODWORKING 938 KING STREET 20 MIDWAY RD RYE BROOK NY 10573 CHESTNUT RIDGE NY 109777013 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1015100-9 758314 07/10/2025 TO 07/10/2026 9/8/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1015100-9, 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:IlWWW.NYSIF.COMICERTICERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. DAVID N. HALPERIN -PRESIDENT DIANE HALPERIN-VICE-PRESIDENT D&D WOODWORKING INC 2OF2 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 STATEANSU NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 354854852 U-26.3 NEW Workers' CERTIFICATE OF INSURANCE COVERAGE sTATE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1 a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured D&D WOODWORKING INC DBA CROSS COUNTY WOODWORKING 914447-4671 20 MIDWAY ROAD CHESTNUT RIDGE,NY 10977 1c. Federal Empioyer Identification Number of Insured Worts Location of Insured(Only required it coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 133624798 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company VILLAGE OF RYE BROOK 938 KINGS STREET 3b. Policy Number of Entity Listed in Box"fa" RYE BROOK, NY 10573 DBL126903 3c.Policy effective period 03/01/2025 to 02/28/2027 4. Policy provides the following benefits: R1 A. Both disability and paid family leave benefits. R.Disability benefits only. ❑ C. Paid family leave benefits only. 5. Policy covers: O A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ® B.Only the following class or classes of employer's employees: 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 NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 9/812025 By (Signature of insurance carrier's authorized representative or NYS Licensed insurance Agent of that insurance carrier) Telephone Number 51 6-829-8100 Name and Title Wade Harrison, President IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder, If Box 4B, 4C or 5B is checked, this certificate is NOT COMPLETE for purposes of Section 220, Subd. B of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers' Compensation Board (only if sox 4B,4c or 513 have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board, the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) �II����ll�ih �lll}I4€��IIII�II - ( 2-21) �I� Interior Building Permit Application Village of Rye Brook �'79b2 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL Zone Address Line 2 Kaplan PUD 31 Bayberry Lane Rye Brook, NY 10573 Proposed Improvement Legalization Of Kitchen & Bathroom Renovations Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? ❑ Yes © No Will the proposed project require the installation of a new, or an extension/modification to an existing automatic fire suppression system? (Fire Sprinkler,ANSL System, FM-200 System, Type I Hood,etc...) ❑ Yes © No N.Y.State Construction Classification N.Y. State Use Classification Occupancy Pre-Construction VB R-3 i Fam Occupancy Post-Construction 0 fam., 2 fam.,comm.,etc...) 1 Fam What is the total estimated cost of construction: (NOTE: The estimated cost shall include all labor, material, 35000 USD scaffolding,fixed equipment, professional fees, and material and labor which may be donated gratis.) Interior Building Permit Application,page 1/1 r LO r' z o 1 ` o Y ca z z Ji U M Cr Mil W CU � ¢ w o cr o r- Nw � o o O o ( � U cc o Z , (� o O o O > J a� U) w • Mil `° — p — (' Z ° � CL 1 Q; 3 ) m .. H 0 W 661 (71 04 O = lm Qy U =co G> Z n a z a a co o -U z f c p y = O � d CD 40 °' W 3 ' oLL ` o w ai CL w � U rx CL w 5"C pq F" O IA `' oow w x A � ° OQn o L E o O � sW A O N o W `� " J . �. ZLO = a 0 L- " zzw - ►�' W O ,w 0 m s co crz z O O ° o � w p., Q = o . M 4. 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