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Home My WebLink AboutMP16-121 C DR(�4 O 44 VVJ�� <� G VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.;yebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE April 10,2024 John Landes&Laurie Landes 9 Dorchester Drive Rye Brook,New York 10573 Re: 9 Dorchester Drive, Rye Brook,New York 10573 Parcel ID#: 129.67-1-4 This document certifies that the work done under Mechanical Permit #16-121 issued on 9/21/2016 for the installation of two air handlers, two condensers, gas boiler (since replaced under MP# 24-034) and a water heater has been satisfactorily completed. Sincerely, A9 Steven E. Fews Building&Fire Inspector /to �yE BRC��. O� 2m 1. 1932 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 : / O2C�eS }(/, Ve ►✓� DATE: �- y Zb PERMIT# In P 16- 1z l ISSUED: SECT: /• 6 1-7 BLOCK: / LOT: LOCATION: ` 540 "1 �� 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 ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ,FINAL ❑ OTHER /z s N h 04 it ai r o Poo v w v a z V z x Q = o .� AS oo v00i a v U z ONO V%*ft 0 WW vim ;D F � w .. o. fs7 U •, U �• _ G7 4 0 00 BR Bum Eukl y MENT VIL OF RYE K 938 KIN ET RYE B NY 10573 (914)9 939-5801 .or ELECTRICAL PERmiT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY Z ' `+r I I EP#: Approval Date: 0 C T — 5 ZOL, Application Fee: $ Approval Signature: Permit Fee: S. Disapproved: Other: (fees are non-refundable) Application dated, 5 ��`i7 (o is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: � )D SC 1 es�r Q!U V1101 SBL: Zone: 2.Property Owner: L a m<-i e L a n A e S Address: (T Do c-c kes e r- b c t U e Ry e R roo 1( Phone#: q 14 R3 9-�y gj Cell#: of 1 K -7ci'4 i email: k°' LPL T.IL 3.Master Electrician: qR C R L Address: 17 2 C ti r-L k S 4 W� , }e t�I rG i n S Lic.#: 1.Z 5 9 Phone#: C1 I `{ 761 4_7 6/Cell#: email: — Company Name: 1' 2QC ft L 15—1 e c.+ri G Address: C-C'k' S t 4.Proposed Electrical Work/Fixture Count: 40()k tAp RC * I+e(,.,i sust�rn STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: LG Lt (- i e L a Y,cI&S ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the �ytprtQp/L �fitlmall for the legal owner and is duly authorized to make and file this application. (indicite architect.co actor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,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. Sworn to before me this 1Z01 Sworn to before me this e day of 20__L_�,_ day f 201_, Signs re of Propel Owner gignature of Applicant L- a u r i e L a r,d es '12 CO i(z lz r Print N operty Owner e p cant R01 P I: CARNACAO otary �C" ' ' • tiTntli of NEW YORK IC MICHELLE L SIMON K - W OIEN63/0312 NOTARY PUBLIC-STATE OF NEW YORKCVJMY No. 01 S16230488 ! Wires W/182(►20 Qualified In Westchester County MY Commission Expires November 01, 20W 1/5/16 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347- -95 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue �� Fax: 914-347-3596 4 r - in Elmsford, NY 10523 � G PERMR NO. TEMP# DATE �� f CITY OR VILLAGE ? ZIP DOPE TOWNSHIP STREET AND NO.OR RO a POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY g OWNER'S NAME AND ADDRESS f s HOME TELEPHONE NUMBER CURRENT SUPPLIED BY Co FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT I"FL. 2'FL. 3-FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: ,) ff 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 LJ ADDITIONAL f 1 EXPOSED L7 CONCEALED❑ l MUST ENTER APPLICANTS f IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD L 1 UNDERGROUND iJ J AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF CCAIPANY DATE OF APPLICATION SIG TORE APPLICANT x STREET I DR SS U TELEPHONE NO. /'1 � n 1' r� CITY OR i \ Il LICENSE NO.WHEN APPLICABLE I�. r 3S \ L ` • U) H 00 s P� 14 CIA ow all "Opp C4) tn CN cc)) W z 1-1 P" 9% ON z 00 �; W Z � � Z � � •� Q a � � f z ■ okk 00 r- z q� oil* LTJ 00 rn > x � u O Z r 91. tn t < P" ZA > ;16 00 Z IF A p EC EHE BUILDING DEPA MENT y VILLAGE OF RYE K Z ��''tj 938 KINd FREET RYE BRJ e ,NY 10573 VILLAGE OF RYE BROOK (914)939-0668,1*Ax(914)939-5801 BUILDING DEPARTMENT NN wvw.rwbrook.oro PLUMBING PERMIT APPLICATION Westchester County Master Plumbers License Required FOR OFFICE USE ONLY 'Vt4- lb - a- f PP#: 2 Approval Date: SEP 2 Application Fee: $ Approval Signature: Permit Fee: Disapproved: Other: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: ��JY(0kv&` 7�G e&W� �7 SBL: / Zone: 2.Property Owner: '�/O11 N GL[!�l �S Address: �/ ��G�floela-.I�/e bfVz"'4-'A-q 103-73 Phone#: �/7 �� Cell #: email: 3.Master Plumber: 5r4lAkT W. s'&A W Address: /5-77-681 Ts /IV—r,t WH/7E fZ}lA5 Alyl I66Co Lic.#: `27F Phone#: ` 9�9�o0/�j" Cell#:4?/4- 44-7•524/ /o/YI��o email: �71UM�o ,a1.7CV e-4W1 Company Name: LG� G `o' 1"C Address: /5-7—,bbiVj Ave WAft4w4j-1AA1/0&CC, INDICATE FIXTURES& LINES TO BE INSTALLED AS PER 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 3 1st Floor 2nd Floor 3` Floor T Floor 5' Floor Exterior 4.* List Other Equipment/Provide Details: PLtAIMf�j111�. FoC- 140N 5011-M 1 MDlQ*;C-r N1AaIU )AVIBC. )k)tT" 1/5/16 l. � •,1;0 °� /1 - •ti, ,} taI►1'" Y°rr ' �,_,yi,._f .9s' ^.� ,. sr� n� :� l� 9. ,�'�Np � O p �• � �•,. �' s' .:� o .: •1 i %1•• ar r .,& rBJ �1... •11• s r N v \ ,• �1 ♦N• fps`• �4u @"U �1• I ! ...• �� 111/11f1111, '�"_�4 1 11/111 1 1 ��h � 1111 I � � • � • • v � ,fn � m 111111 � i j1101 � 11� ��to) �� 41Nd.=,s��' ;,.INIId...,3� 5,�t�:.411/d :.4111/f11i1��•�s �,��14111/f11i11�" '` yNf,�l(1 ,S� I s3. N = ' Cc rA Its U1W ca OLLJ LLI h, /•� (1) N a) �only r! 1_ got ctlool 4ti• I ��✓• 1>* s~ \ O p /per : i O N al �ml O O O c N1„,�„► LL w Cc « n�„v .� � '`;11,�•.0 :a `�• '` ' : W III/ CdCD CN • 'O O y:�� U 01)> .may yCA cu p Cd _ w L rn N i. 00 00 /w C I = Q y co U , •�� : I 07 L N t"- rr O S t ! 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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). PRCDUCER CONTACT NAME: Clifton H. Rosenberry McCartney& Rosenberry Group PHONE 914$93�500 FAX 477 Ashford Ave. AIC No Eal: I tAIc,No):914-693-3980 Ardsley, NY 10502 E-MAIL Clifton H. Rosenberry ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC_I_ INSURER A:Merchants Mutual Ins.Co. 23329 INSURED Airtemp Conditioning INSURER B:Merchants Preferred Insurance 12901 Service Inc. - 200 Clearbrook Road Ste 140 INsuRERc: Elmsford, NY 10523 INSURERD: -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 POLICY NUMBER MMIDDIYYYY MMDIYLICY Y LTR D YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTEG CLAIMS-MADE a OCCUR X BOP9091982 04101/2016 04/0112017 PREMISES Eeoccurrance S 500,00 MED EXP(Any one person) $ 15,00 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO- JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,00 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accd S 1,000,00 ent B X ANY AUTO CAP1045016 04/01/2016 04101/2017 BODILY INJURY(Pe(person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per ecddent) S HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident S X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAS CLAIMS-MADE CUP9146667 04/01/2016 04/01/2017 AGGREGATE S 1,000.00 DIED I X I RETENTIONS 10,000 S WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY YIN STATUTE I JER ANY PROPRIETORIPARTNER/ENECUTIVE ❑ NIA E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Scnedule,may be attached if more space is required) The certificate holder is included as additional insured with respect to general liability per form number MU8277(attached). CERTIFICATE HOLDER CANCELLATION VILLAI9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Ryebrook ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATVE 938 King Street Rye Brook, NY 10573 �Cj. O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD From: 914-381-1134 To: 1914592-7499 Page: 2/2 Date: 9/13/2016 5:41:48 PM New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK, N.Y.10007-1100 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 131694704 MR . KEEVILY,SPERO-WHITELAW INC. 500 MAMARONECK AVENUE HARRISON NY 10528 Scan to Validate POLICYHOLDER CERTIFICATE HOLDER AIRTEMP CONDITIONING SERVICE INC INC VILLAGE OF RYE BROOK 200 CLEARBROOK ROAD SUITE 140 BUILDING DEPARTMENT ELMSFORD NY 10523 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G 787 638-6 647533 11/012015 TO 11/01/2016 9/13/2016 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 787 638-6, 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS./NWWV.NYSIF.CCM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 VALIDATION NUMBER: 518350693 This fax was sent with GFI FaxMaker fax server. For more information,visit: http://www.gfi.com