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HomeMy WebLinkAboutMP13-043 Qy� BRnuk ic4Co°a t " VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.ryebrookny rgoov TRUSTEES BUILDING&FIRE INSPECTOR Susan R.Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE May 6,2025 John Leigh&Madeleine Leigh 32 Rock Ridge Drive Rye Brook,New York 10573 Re: 32 Rock Ridge Drive, Rye Brook,New York 10573 Parcel I D#: 135.35-1-23 This document certifies that the work done under Mechanical Permit #13-043 issued on 4/22/2013 for the installation of a new boiler and indirect hot water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BRC�k• 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.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ 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 O z c M M J b o oEd a N � o H ca 08 o n N V1 ,/ G UA r, Wes, a 2 o Au .b L� M o Ali C7 ;�. O a s w •M4 00 w Z Or c-�O p ono Fes- ( G� w w U w o y� z a s ° 46, tg ^ ca 00 W Q Z o z ' gz '04 TAW U .l W w Z U a o o a La o w C. 15 O scan ti ,t �ti U h a � V � z [� o 00 o �= .cam O d w 3 z � ` ow w y y a) o -o on - w z � aca o w = � H >mE ILA2VILLAGE OF RYE BROOK �`BUILDING DEPARTMENT � 6938 KING STREET,RYE BROOK,NY 10573GE pp RyE B(914)939-0668 FAX(914)1939-5801 ��w. ebrooIl_DING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT Permit#: 13 043 Building Inspector: Fee Paid: ''—� Date of Approval: APR 2 3 2013 Parcel ID#: 135 • 1 - Bldg/Use Class: Res. (Comm. ( ); REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly Completed&Signed Application. 2. Site/Staging Plan if required by the Building Inspector. 3. Copy of Licensed Contractor's Insurance including Liability&Workers Compensation naming the Village of Rye Brook as Certificate Holder. 4. Payment of Fees/Unit:Residential: $75.00;Commercial: $250.00. (fees are non-refundable) 5. Inspection by Building Department for removal and/or installation. (48 hour notice required) 6. Any electrical work requires a separate Electrical Permit and Electrical Inspection. 7. Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application is hereby made to the Building Inspector of the Village of Rye Brook for the approval of a permit for the installation and or removal of the HVAC equipment as listed below. The applicant, by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local, County, State& Federal laws,codes, rules and regulations. 1. Site Address: J-� �" L L 4� , p r L- , 2. Property Owner& Phone: -J 1 /ti �, i f J f- 0 �j 3. Applicant: A r-y 4. Contractor name,address,contact ph ne: �C i ,j A St-idly flVti,,S, 1{C f I-)'A s C o Iti ,3 ( ihmon ,groin Z f4c AU�rW41 k Cr Ob S S , r /y 5. Scope of Work:New Installation ( ); Replacement( ); Removal ( ); Other( ) 6. Type of Equipment: ��c rj �< t C 3 S 7� Z, S)z X5 y y 7. Location of Equipment: v 8.Applicant Signature: Date: 6.1.12 AC"R"" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) �i 04/12/2013 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,su bject 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 LoVullo Associates,Inc. NAME: McCartney&Rosenberry Group Inc PHC.ONE (914)693-3500 IC No):(914)6933980 6450 Transit Road E-Al ADDRESS: Depew,NY 14043 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:ESSEX INSURANCE COMPANY 39020 INSURED Kevin M Brady Plumbing And Heating Company Inc INSURER B: 3 Cannon Brook Lane Norwalk,CT 06851 INSURERC: INSURER D: 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. INLICY EXP TS LR TYPE OF INSURANCE POLICY NUMBER MM DIDIYYYY MM R /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A 3DN2341 03/15/2013 03/15/20141 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS-MADE Fx-1 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- AUTOMOBILE $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a.denl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS _ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per acradent 11 UMBRELLA I" H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED j I RETENTION$ $ WORKERS COMPENSATION WCRY STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TO LIMITS I I ER - - .. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ D?OFFICERIMEMBER EXCLUDE 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 I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more Space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. VILLAGE OF RYE BROOK AUTHORIZED REPRESENTATIVE KING STREET RYE RYE BROOK, NY 10573 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation& Disabilitj•Benefrbc Specialists Since 1914 199 CHURCH STREET,NEW YORK.N.Y.10007-110� Phone i888?99-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A AA 141715404 KEEVILY.SPERO-WHITELAW INC 500 MAMARONECK AVENUE HARRISON NY 10528 POLICYHOLDER CERTIFICATE HOLDER KEVIN M BRADY PLUMBING& VILLAGE OF RYE BROOK HEATING CO INC 938 KING STREET 9 MARK DRIVE RYE BROOK NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 994 512-2 50962 05/01/2009 TO 05/01/2013 2/27/2012 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 994 512-2 UNTIL 05i0112013, 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 SAID POLICY IS CANCELLED.OR CHANGED PRIOR TO 05/0 112 01 3 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN 10 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/cerUcertva1.asp or by calling (888)875-5790 VALIDATION NUMBER:757609027 U-26.3 423/CD41387-20/1920