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HomeMy WebLinkAboutRB25-0053 � o 7❑� 0 N QED a c 'vi f i N O. n •D v IL j E ° (u c C, v E o w L L C m a~ 2 v a 3 a u.i v E v X > & > ui W N i L 0 cL O co > O. > O � m 0)(Ua+ • �1 w u Ln 'O L N y w L Y 7 0 LLJ� N 2 N Y o v N H 3 a, o >-aZ� O CL °o M a > oc o0 Y W w O o n 0v m" m m Y a cuu - 25 0 0 Wc -j } L O m � 3 N � cn � oQ (uu c ao m � 00 c c a O u O cn ' 1, Q Y w — W v = ' D Z -u (A 0 o O LLJ � \ c O M +- U Q Q c o a E a � cNi� ° � a�i as ° � 7 � _ y N w mUO, a LOB` Z0 w v o c c� 4-� — p w 3 � Yo� a` LL -0 > U > of � v rn w 0 oo u o v (v w 00 � Q) f� m o w v E O M O, d w Z v, • N Lf)J �O 2 c Q O = O a/ F U C) c0 v - Nou S t+ac'i cV O = U d' O �, c2S v a� oc N (1J } c n 3 Y L c Q C`7 lB N C w >- a+ O �' 'O � C� � � o cu vai 0 a o ° � � Q u7 C O a) u w � O a°', � 3 m O Un � c O a� 2 U 'c Z) X a, v 00 M n O O Q 4� u H Q w N O a L r l(1 �O r-1 Q > N 14 N o ' + o o N E o F o 0 m uo-0 v Q' o o a� Q E W o o a U - m a) > V omo � l = co - 000, ~C14 NLLI W o} " ate a co CD U H O o v u �yp�9y1� a Q a CL 0N � �Q l BR(�v� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 0 W � O.� Phone:(914)939-06681 www.ryebrook.gov �• f b2• Building Department Residential/(Solar) Permit Permit Set 68 TAMARACK RD P#RB25-0053 R#135.52-3-2 PERMIT INFORMATION Address Permit number Date issued 68 TAMARACK RD RB25-0053 12/30/2025 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 Application Materials,Engineered Plans 4 Building Inspector Stamped&Signed Set of Plans 5-23 Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 24 Copy of Electrical License,Electrical License-Photo-Westchester County 25 Engineered Plans 26-51 Building Inspector Stamped&Signed Set of Plans 52-67 Structural drawings 68-86 Contractor's Liability Insurance 87 Solar Permit Application 88-89 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 4p r• ° Solar Permit Application Village of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Solar Permit Application,page 1 12 Project Information What is the total estimated cost of construction: (NOTE:The estimated cost of construction shall include all site 61279 USD improvements, labor, material, scaffolding,fixed equipment, professional fees, including any material and labor which may be donated gratis. If the final cost exceeds the estimated cost, an additional fee will be required prior to issuance of the C/O.) SBL: Zone: N.Y. State Construction N.Y. State Use Classification 13505200030020000000 R-7 Classification Type, kW&Location of Array: Installation of 14.02kW DC PV roof mounted solar with 32 panels and 32 microinverters. Occupancy; (1-Fam, 2-Fam,Commercial, Pre Construction: Post Construction: etc...) 1 Family Same If building is located on a corner lot,which street does it front on: Construction Type Located: Number of stories Roof Style (hip,shed,mansard, etc...) Gable style roof Will a New Roof Be Installed: (a separate roofing permit is required to re-roof an existing wilding.) ❑ No 0 Yes Roofing Material&Number of Layers 1 layer and GAF Timebrline HDZ shingles Will the proposed project disturb 400 sq.ft. or more of land, or create 400 sq.ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? 0 No ❑ Yes Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? 0 No ❑ Yes Will the proposed project require a Tree Removal Permit as per §235 of Village Code? 0 No ❑ Yes Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? 0 No ❑ Yes Solar Permit Application,page 2/2 0 ❑� N c O � v � Y N ov ? o 0 Q E n T1 i c c 00 v f9 0 N v LL j � � 0)E ° -O c CL W LU C n o n. Lil vEv F- > w W Ul) a a a 0y M L > Z Q cu v O aJ In w In W F—_ L Y 7 0 N tin 3 0 � � � 0 � } •� O QQ v' roM Q L � y a Z O of � O a o 00 w Y Y O w w E o Y a c O N V) Y 8 0 a E O P c-q N O W uu Z ma M D_ CO o 3 8 L c °a O -j w i in v E o c o E o p v1 c� c 8 8 C ai m N } G ; o n 3 O > Q 0 W 00 N W a` �C U Z U N L o Q N L 0 CC 1O N 3 0 Q ap c o E m W 7 • C C wu �` O LU Q a s � Y � X o• w0 cov ° a > CoLL m Q' Ln o w v E 0 a 0` L 0 � � Z -- X ft O N Ln V1 c o a Y O Ic w U Q E o c ac O c Y L4 O t N S J Q' � O = �_ E ao E ZQ tp C_ H E 0 < fV N = U p w } C LA G Y E m Q M p c0 V C d d v Q v O >'a Q UN C v u v cn Q a C E 3 m rl F- + E O C U ZO'D " Q, a v U �i 00 M a 0) D m U HQ wA o c Ln `� a-1 Q a-� V7 J N C o O •L N .. Eon 4-j 0o i o -0 Q a P ULY W u° � OQ � � � � w V v O � C�EWYC .2a � cE a` q j -0 a 7� H vj aL ? �L ccO: Q w W w O pQ 'E a : c0 � ( ° a v Yd W Q Q Z = � °L Q a a 0 C- v i t 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 135.52-3-2 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Roof mounted solar installation-14.02kW DC with 32 panels& SWIS 32 microinverters. Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Cell# Company Name Jason Sampogna 1403 1 Dock St. Suite 310 860-967-0783 718-644-9956 Venture Home Solar Company Address 1 Dock St. Suite 310 Stamford, CT 06902 Address of Work? Homeowner Information 68 Tamarack Rd. Port Chester, NY 10573 Electrical Permit Application,page 1 1 3Fnuk VILLAGE OF RYE BROOK 2 938 King St Rye Brook,NY 10573 W Q Phone:(914)939-0668 1 www.ryebrook.gov �a0 ❑� p2 - Building Department Electrical/New Fixtures And Wiring(New) Permit Permit Set 68 TAMARACK RD P#RB25-0141 R# 135.52-3-2 PERMIT INFORMATION Address Permit rumber Date issued 68 TAMARACK RD RB25-0141 12/01/2025 REVIEWED BY If you have anyquestions regarding the rev ew of these drawing,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 Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 4 Contractor's Liability Insurance 5 Copy of Electrical License.Electrical License-Photo-Westchester County 6 3rd Party Electrical Inspection Form 7 Engineered Plans,Photograph 8-33 Electrical Permit Application 34 Building Department.938 King St Rye Brook.NY 10573/Phone:(914)939.0668 BRnv� VILLAGE OF RYE BROOK O 93B King St Rye Brook.NY 10573 W C}� Phone:(914)939-06681 www.ryebrook.gov p2 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 [MINIM a 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. Certificate of Occupancy Completion of ALL Work.All fees Paid and Final Survey in if required) STATE WIDE INSPECTION SERVICES, IN 080 • • SWIS JOB APPLICATION0. • Elect.Permit# Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate At City/Village Port Chester Zip 10573 Building Dept. Rye Brook County Westchester Address 68 Tamarack Rd. Cross Street Section Bloc< Lot Owner Name i Address flf different than above) Fernando Rosales Contact Number (203)400-5265 ❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑✓ Outside ✓❑Residential []commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Ref❑cerator Disposal Microwave Lumina res Generator Transfer switch SERVICE Amperage #Panels Ip 3P # Meters # Disconnect ❑underground ❑ New ❑Reconnect ❑ Repair 200A 1 X 1 1 ❑✓ overhead ❑ Upgrade ❑ Disconnect Utility ID# 68873100009 ❑✓ Con Ed ❑NYSFG ❑Central Hudson El orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect ]unction Box Combiner Box Load Lenter PV Monitor Energy Storage System DC Disconnect 32 32 micro 1 1 1 ❑Legalization ❑ Safety Inspection ❑Consultation Scope of Work Installation of 14.08kW DC PV roof mounted solar with 32 panels and 32 Enphase microinverters. 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 rtsspeaed it at any time 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(of the above address wrath any other inspection company The applicant.owner or authorized agent agrees to all the above terms and conditions as set forth for the applicaton Email Address permittingct@venturesolar.com Name Jason Sampogna License# 1403 Date 11/25/25 Signature Address 1 Dock St. Suite 310 City/State Stamford lip Code 06902 Phone # 718-644-9956 Company Venture Home Solar State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 Lj 845 202-7224 Phone 914-2194-219-1062 Fax STATE WIDE I NSVECTION SERVICES - _ Email: office@swisny.com VILLAGt- OF RY`r BROOK Website: www.swisny.com Service Wtrh Integrity BUILDING DEPAR rmENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Venture Home Solar Fernando Rosales 327 Captain Lewis Drive 68 Tamarack Road Southington,CT 10804 Rye Brook, NY 10573 Located at: 68 Tamarack Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: RB25-0141 135.52 3 2 Certificate Number: 2025-9025 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:68 Tamarack Road,Rye Brook,NY 10573 The Photovoltaic System 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 22nd day of December 2025. Name Quantity Rating Circuit Type PV Modules 32 Microinverters 32 AC Disconnect 01 Junction Box 01 Combiner Box 01 Officer: Frank J.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. VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W Q Phone:(914)939-0668 1 www.ryebrGok.gov > �O . 1 b2• Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURI NG THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE ❑� ' Qi ` 1 0 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. Certificate of Occupancy Completion of ALL Work,All fees Paid and Final Survey in if required) venture solar 9/16/2025 Fernando Rosales 68 Tamarack Road Port Chester,New York, 10573 Re:Solar Panel Installation To Whom It May Concern, At your request, Patrick Bussett of Venture Solar LLC(NY license#105278),has carefully reviewed the existing roof framing and the proposed connection of the panels to the roof for the building referenced above. The following building codes were used in conjunction with the 2020 Residential Code of New York State to generate pertinent design criteria: ASCE 7-16—Minimum Design Loads for Buildings and Other Structures National Design Specification for Wood Construction 2018 Edition(NDS) Design Criteria Design Gravity Load: Snow/Live Load=30 Ibs/ft2, Dead Load=12 psf Design Wind Load: Vult=116 mph; Exposure B Risk Category II *Wind loads exceed seismic loads and therefore govern the design Field observations identified the following conditions: The new solar panels will impose an additional dead load of approximately 3 psf.Array#1,#2,and#3 roofs consist of asphalt shingles over plywood sheathing supported by 2x8 rafters at 16"o.c.The rafters are sloped at a 24°pitch and have a maximum projected horizontal span of 16'-0"(±).The framing is assumed to be Douglas Fir#2 graded or better. The calculations determined that the existing framing has adequate capacity to support the PV panels as shown in our PV panel layout plan with no structural upgrades required. I therefore certify that this installation complies with the applicable codes and is acceptable for approval. Please feel free to contact me if you have any questions or concerns. 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H V cc� y '-00 • �'N � N •Z{ � �� C- p�O c 0 3 'aE c _ > cc E O `pLnu -15 4,2 E o L o a a, lp N:EN c C O > - 3o ° o > ° m c E m -SLaaL `m ooa a'xv c3yEErn> m > PcL= W d o f0'm c d >o: m m'�_ x =Z m U U L� u �� u Q m N • F = O O st c0 ix > > • • • • 0 v) • .cc U ' > • O • N O i O • • U 7 �' • • j • .21 C d 0 • O L O • • E E E • V U V c Y UO fUp N O i i W C C O. . Q • C C C ii N N N som • • • v 0 m ra w O O F �C •— fu 4jw V • W • • _ G D ZOL a� v c Ac" CERTIFICATE OF LIABILITY INSURANCE FDATE /15/2025 Y) �,� 08;15/2025 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 Katerina Cole NAME: Provident Protection Plus Incorporated PHONE (g73)579-6776 FAX (973)579-0111 AIC No Ext: A/C,No 96 US Highway 206 E-MAIL katerina.cole@ProvidentProtectionPlus.com ADDRESS: PO Box 4 INSURER(S)AFFORDING COVERAGE NAIC# Augusta NJ 07822 INSURERA: Southwest Marine&General Ins Cc 12294 INSURED INSURER B: P yan Oxford Insurance Company NC LLC 16817 Venture Home Solar LLC INSURER C: Selective Insurance Company 12572 1 Dock Street INSURER D: NJ Manufacturing 12122 Suite 310 INSURER E Stamford CT 06902 INSURER F: COVERAGES CERTIFICATE NUMBER: 24/25&25/26 Master#1 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 AUDLISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y GL202400012768 11/15/2024 11/15/2025 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY FX PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 4,000,000 JECT OTHER: Per Proj capped agg limit $ 5,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ C OWNED SCHEDULED Y Y S2467549 08/22/2025 08/22/2026 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 B X1 EXCESS LIAB CLAIMS-MADE Y Y 1022-24 11/15/2024 11/15/2025 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Commercial Auto Combined Single Limit $1,000,000 D Any Auto(Symbol 1) 1104694823 08/22/2025 08/22/2026 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Description of Operations:Solar Panel Installation Certificate holder is included as an Additional Insured to the above captioned General Liability Policy for on-going&completed operations on a primary& non-contributory basis and Additional Insured to the Automobile Policy for work the insured is performing provided a written contract exists requiring such a status. Per the terms of the policy,coverage for an additional insured is contingent upon an underlying written contract with the named insured requiring such coverage. There is a Waiver of Subrogation included in the General Liability,Business Auto,&Umbrella if required by written contract. Umbrella follows form.30 day notice of cancellation except 10 for non payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE n Rye Brook NY 10573 I ��ta (? `x @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NEW Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Progressive Employer Management Company III,LLC Labor Contractor,for (718) 398-2259 leased workers to: Venture Home Solar,LLC dba:venture Solar Electric 1c.NYS Unemployment Insurance Employer Registration Number of insured 100 Charlotte Ave Hicksville,NY 11801 1d.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to certain Number locations in New York State,i.e.,a Wrap-Up Policy) 47-4266827 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being 3a.Name of Insurance Carrier Listed as the Certificate Holder) American Zurich Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street WC 10-18-880-06 Rye Brook, NY 10573 3c.Policy effective period 4/1/2025 to 4/1/2026 3d.The Proprietor,Partners,or Executive Officers are X included.(Only check box if all padners/oificers indued) 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"la'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 7. 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 3c, 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,licese 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 refemced above and that the named insured has the coverage as depicted on this form. Approved by: Douglas Jones (Print name of authorized representative or licensed agent of insurance carrier) Approved bv: 2/20/2025 (Signature) (Date) Tile: Vice President Telephone number of authorized representative or licensed agent of insurance carrier. (480)9514177 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 C-105.2 (9-17) ww.wcb.ny.gov