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HomeMy WebLinkAboutMP16-074 J �I tt . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christophcr 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 April 23,2024 David Low&Amy Low 59 Country Ridge Drive Rye Brook,New York 10573 Re: 59 Country Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 129.59-1-8 This document certifies that the work done under Mechanical Permit #16-074 issued on 6/15/2016 for the installation of a new furnace,condenser and coil has been satisfactorily completed. Sincerely, 199; Steven E. Fews Building&Fire Inspector /to �E BR(��, '9a2 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:.5� C0611V �� )U7 ' VP DATE: / / /- PERMIT# m� - L �SISUED:-Z'/"'-/5-/�SECT:%I/.5- BLOCK: /` LOT: U LOCATION: 'J OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / �J n ❑ Natural Gas I/ /f ❑ L.P. Gas VIA, / ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION .FINAL '/ �t n BOTHER /7 //C- �yE BRnuk o`` y 19(12 BUILDING DEPARTMENT Cl BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VH.LAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 0 ASSISTANT BUH.DING INSPECTOR (914)939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - -- - - - - - - - - - - - ADDRESS: 5 Cj / _C�J r�-�\�-�• 1 1 .� L1 t DATE: [ PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: �� ` FZ► -1 E p 1 t S IMF �/ �- OCCUPANCY: r VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING 0 FOOTING DRAINAGE 0 FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: 0 ROUGH PLUMBING Cl)ROUGH FRAMING '� / M-L&1 0 INSULATION 0 NATURAL GAS fu (-t—j A�G F l N S ALL A:vi 9 fy O L.P.GAs ���-✓�'t \ 0 FUEL TANK U ti��Ffl— N��7 IN cl�f-' 0 Fm SPRWKI.ER 0 FINAL PLUMBING 0 FINAL ❑ OTHER ro" > k-h H 1 %i ALLFi� w \Top L/I F� vSty� � s°j•�„,A �n �' A ACI, � a i' � ���Y \ f�i 41 t� S`�F �4 ^� .�A ��i�4 r NAf � �1�,. I \ i1111� i1111� -} k �,Illi �Ill,t �111 � 11111 � Ill,i \ / ` � �,, :h� 11'.'r a s:.hNb'�'r.;, . �?..4N�1'::. .:..yl�l,':.a ;4, �i'.:r•a s !:hNu'.. 41 11' �( � 1�• 1 � 1, '. i 04 cV w 3 ^~ 6l ^y C •pow O U t: , r..► 6 Poo v =� Rot d Y. �.• C7 � 4� O Q } � a Q� � r ��F f�i _ � U A. CD � w � C •� •yU i w {5 �: C Dom.•'. � � � 1�=.� Al 3:Q j a = Q cnIq � co . N�`� •.1 0 � may: •'Fj. \1 �/11' � fill /�1'• ' I� A V, ti�AN A '.A y�EA,Ip� 1l.. A toyyR¢I(IA x Client#:767494 COTTAHEA2 DATE(MM/DD'YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 1 6/06/2016 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(les)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 NAME: Amerisc/USI-Construction PHONE 516 419-4000 333 Earle Ovington Blvd.,Suite 800 E MAI�o Ea: ac,No: 877 727-5171 ADDRESS: Uniondale, NY 11553 INSURER(S)AFFORDING COVERAGE NAIC# _ INSURER A:Harleysville Worcester Ins Co 26182 INSURED Cottam Heating &Air Conditioning Inc INSURER B:Harleysville Preferred Ins Co 35696 INSURER C: 492 City Island Avenue INSURER D Bronx, NY 10464 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER MI VLDD�YY MM/DDNYYP LIMITS A X I COMMERCIAL GENERAL LIABILITY MPA00000079390J 6/01/2016 06/01/2017 EACH OCCURRENCE $1 000 000 CLAIMS-MADE �OCCUR PR�MISES Ea occurrence $100 000 X' Contractual Liab. MED EXP(Any one person) $5 000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY I vI JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BA00000088575M 6/01/2016 06/01/201 COMBINED SINGLE LIMB Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $' ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ A X UMBRELLA LIAB X OCCUR CMB00000088576M 6/01/2016 06/01/2017 EACH OCCURRENCE s5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5 OOO O_OO DIED X RETENTION$10000 _ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECU IVE Y/N E.L.EACH ACCIDENT $Certificate OFFICER/MEMBER EXCLUDED? N/A - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $tO fOIIOW _ If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $from NYSIF DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space is required) Re:Work Performed by the Named Insured for the Certificate Holder. Verification of Insurance Coverage. CERTIFICATE HOLDER CANCELLATION Village Of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573-0000 AUTHORIZED REPRESENTATIVE 10 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S17978391/M17929469 KXVZP