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HomeMy WebLinkAboutMP12-008 DR JJ aCR.t/'W Y 0 VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE January 16,2024 Walter Janeczko&Antoinette Vitolo Janeczko 35 Argyle Road Rye Brook,New York 10573 Re: 35 Argyle Road, Rye Brook, New York 10573 Parcel ID#: 135.52-3-20 This document certifies that the work done under Mechanical Permit #12-008 issued on 2/2/2012 for the installation of a new gas fired furnace has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to E BRC�� O Zm l7 �O 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.or - - - - - - - - - - - - - - - - -- - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : -- --� DATE:_ Z O L-1 PERMIT# m P I Z O�C7 ISSUED: 2"Z SECT: S G BLOCK:�_ 3 LOT: 02 LOCATION: ►J r� A OCCUPANCY: % J ❑ Violation Noted THE WORK IS... G PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I ❑ Natural Gas �q� � ,u I ►. c-Cq ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER s a Crl = r"� a � W : O W a _ ^- N a 94 ►�/� � `.J N � rV. a -� � W s O3 -1 H 00 E„r PLO0-0 00 W a 0001, W Q zo a 50 w z c o H '�'� ••� � V vat W W j � s �i I C� a r•� � w � x � s s : p EC ENE BUILDING DEPARTMENT FEB - 2 2012 ID VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668"'jP&X(914.)939-5801 BUILDING DEPARTMENT www.Uebrook.org ELECTRICAL PERMIT APPLICATION This application must be filed in person at the Building Department by the Licensed Electrician of Record and must be accompanied by the completed Electrical Inspection Agency application form. Office Use Only: Date: ('� /,2//� Approval Signature: - Inspection Agency: L 4� Electrical Permit#: tp Fees: paid 0 due( Building Permit#: Application is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit for the installation/removal/repair of Electrical Equipment as per detailed statement described below,and in accordance with the Code of the Village of Rye Brook,NYSUFP&BC,NEC,NFPA and all other applicable State,County and Local Laws. Address: C)R(D V&2 2�2 Phone#: J:�q Owner: (AJ f 1 -7f�W-eL-z-11c-> Address&Phone: Scz �-- Use/Occupancy: - FA m Parcel I.D.#: Zone: Proposed Electrical Work: (,/,)AVt �� ��_P/� I ``I1 r W ni Q C'4- C1� �� t�r.oM`fi yfNAC� LICENSED ELECTRICIAN'S INFORMATION: Name(Please Print): fAY 12 Oro -p^fz i C�4 Phone# RI C/ y9� °a Signature: ►'r'►-/47^ Westchester County License#: 3�- Company Name: IC�> � Company Address:�� C�tz 0 of- S I City/Town: 7 c ,-J e/z State:-Zip Code: y Phone#: 14 q b�-7 7 kj � Field Contact&Phone: 19� Oa Revised 9/6/11 Westchester Rockland Electrical Inspection Services, Inc. 1 � Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347 3596 Elmsford, NY 10523 BU LDINGPERMIT NO. TEMP p DATES CITY OR VILLAGE n �Q �/ �DE TOWNSHIP COUNTY; �5/STREET AND NO.OR RO 1V` ��C , i/ �a POLE NUMBER / BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED?(-, SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS , �"'"" \/ HOME TELEPHONE NUT CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LAMP RECEPTACLES ONLY LOCATION SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO, WATTS EACH INSPECTION OUTSIDE BASEMENT 7. 1"FL. 2" FL. 3'FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: G L THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF 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 AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED CI CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑ I 0 (i_? AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NW.E OF C PANY DATE OF APPLICATION SIGNATURE OF APPLICANT M SMEETAWRESS TELEPHONE 37_ CITY OR POST OFFICE Jf� LP CODE_ _ LICENSE NO.WHEN APPLICABLE V� BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 Office 914-347-3596 Fax CERTIFIES THAT Upon the application of: Upon premises owned by: MYCO Electric Inc (E) - Myron Perich Walter Janer Zko - 51 Gordon Street 35 Argyle Road Yonkers, NY 10701 Rye Brook, NY 10573 Located at: 35 Argyle Road, Rye Brook, NY 10573 Application Number: 2021704 Certificate Number: 2021704 Section: Block: Lot: BDC: 003 Permit Number: EP 12-013 A visual inspection of the electrical system at this premise described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 35 Argyle Road, Rye Brook, NY 10573 Basement and Outside was inspected in accordance with the NYS and NFPA 70-02 and the detail of the installation, as set forth below, was found to be in compliance therewith on the 19 Day of March 2012. Name Date Quantity Rating Circuit Type Furnace I Gas or Oil A/C Condenser This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. This certificate is valid for work preformed before date of inspection only. sfellin 10 I iidm.March 23,2012 Page 1 of 1 a s i i �JJ �1 N � r-1 o � a W n s. 0 all O c s 00 � O O V Iwo �V a _ 00M W a00 w w A O z F z w ° a x a z o 0-4 ow a F W d o9 1w,'i: S BUILDjN:c7DEPAR,TMENT D VILLA& OF RYE'VROOK 1� V 938 KING�6ET RYE BRf, NY 1057 ► FEB - 2 2012 (914)93 q �91?�)939-5801 wwv�!9l<ypk.org VILLAGE OF RYE BROOK BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION *MUST BE FILED B Y A LICENSEDj� n MASTER PLUMBER ONLY* Date: Plumbing Permit#: I )(2q—O/ l BIIriMR Permit#: Fee: Approval Signature: (fees are non-refund ble) Application is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install Plumbing as per detailed statement described below, and in accordance with all applicable Federal, State, County and Local Codes,at the following location: Address: .�.+5 L Phone#: Owner: 'V 1N 0-'�<22 Address &Phone: n bbWX Use/Occupancy:AeB&W,& Parcel I.D.#: -zo Zone: i fig-3�t3 LICENSED MASTER PLUMBER'S INFORMATION: Name(please print): ..4.s Phone#: SY3 -a Signature: Westchester County License#: Company Name: ✓,s�/� — �p- � Company Address: YY"6'�' 'T"%'k City/Town: AiG1���/ - State: Zip Code .....L.... :■ [�,�b( ,...........................................................Phone � FIXTURES&LINES ARE TO BE INSTALLED ACCORDING TO 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 1 st Floor 2nd Floor Outside II�� p� *Other: 1 �t J'M dam- /'tG�ite.•-- �- � f�61�. 014 /'49— Detailed Description of Appliances etc...: A�CORO® CERTIFICATE OF LIABILITY INSURANCE 1�31/2o 2 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sarah Hein NAME: W. E. Barrett, Inc. PHONE No Exit, (914)345-3636 n/c No: (916)381-1134 c/o Keevily Spero Whitelaw Inc AMRIES:shein@keevily.com 500 Mamaroneck Avenue INSURERS AFFORDING COVERAGE NAIC# Harrison NY 10528 INSURER A:Harle sville Ins Co of NY 10674 INSURED INSURER B Merchants Preferred Insurance 12901 Taconic Heating & Cooling Corp. INSURER CNational Casualty Co. 11991 9 Dogwood Road INSURER D: INSURER E: Cortlandt Manor NY 10567 INSURER F: COVERAGES CERTIFICATE NUMBER:12-13 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 INS D L R TYPE OF INSURANCE POLICY NUMBER MMIDDYIYYYY MM LICY EXP R DtYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 -ffA—MA=?5 RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,00 A CLAIMS-MADE [-X� OCCUR X MPA00000092524H /28/2012 1/28/2013 ME EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 2,000,000 X Contractual Liability GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CAP9266860 /28/2012 /28/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION$ 00019639 /28/2012 /28/2013 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N TORY LIMITS ER ANY PROPRI ETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) All operations of the insured 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. Building Department 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook, NY 10573 Joseph Lasagna/SJH ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IN917I75 union,.,of Thn Af'rlAn n­nnrl Innn nrn rnnictnrnrl mor4c of Arnpn New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100 Phone:(888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAA n AA 61428356 LOVELL SAFETY MGMT CO., LLC 110 WILLIAM STREET 12FLR NEW YORK NY 10038 POLICYHOLDER CERTIFICATE HOLDER TACONIC HEATING&COOLING CORP VILLAGE OF RYE BROOK 9 DOGWOOD ROAD BLDG DEPT CORTLANDT MANOR NY 10567 938 KING ST RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 1288 366-6 879296 01/01/2012 TO 01/01/2013 1/31/2012 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1288 366-6 UNTIL 01/01/2013, 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. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 01/01/2013 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. 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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling (888)875-5790 VALIDATION NUMBER: 827948450 U-26.3