HomeMy WebLinkAboutMP09-54 G t�C�oo odi i�
c BR
. 19
VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A.Klein (914)939-0668 Christopher J. Bradbury
www.!yebrookny.gov
TRUSTEES BUILDING&FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M.Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
January 21,2025
Jeffrey Horowitz&Sari Horowitz
36 Talcott Road
Rye Brook,New York 10573
Re: 36 Talcott Road, Rye Brook,New York 10573
Parcel ID#: 135.50-1-7
This document certifies that the work done under Mechanical Permit#09-54 issued on 12/22/2009 for the
installation of a new furnace has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
QyE BRcb,
F:i
>> �O
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 1� (
❑ OTHER
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT G [ CGL���I�D
938 KING STREET,RYE BROOK,NY 10573
(914)939-0668 FAX(914)939-5801 www.r ebrook.iorg DEC 18 2009
APPLICATION TO INSTALL AND/OR ]REM2y4lAGE OF RYE BROOK
IL DING DIEPARTMENT
FUEL BURNER BOILER OR HOT WATER HEATER
Permit#: OCI J Building Inspector:
Fee Paid: 4Date of Approval: 2 2009
(fees are non-refundable)
***************** 0.********************************************************
REOUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE:
1. Properly Completed & Signed Application.
2. Copy of Licensed Contractor's Insurance including Liability & Workers
Compensation naming the Village of Rye Brook as Certificate Holder.
3. Fees: $75 per unit.
4. Inspection by Building Department for removal and/or installation.
5. Certificate of Compliance will be provided when all requirements are fulfilled.
6. Any electrical work requires an Electrical Permit and Electrical Inspection.
7. Any gas/plumbing work requires a 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 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. Property Owner's Name: Le rav llyeo a, fz Phone#:(9iy) 937
2. Job Address: 3G ?1,ro Phone#:
3. Parcel I.D #: Zone:
4. Contractor: C�¢,� ,.v✓e /v�/ Coo I,r� Phone#: 19,g,
5. Contractor Address: S16/j w��« ST Gjreo yw•t� ( i��Fax:s�o�l s3/- s7�3
6. Scope of Work: Install ®; Remove V; Fuel Burner e; Boiler ❑; Water Heater ❑
7. Type of Equipment & Fuel: LIEN-7 Sy G✓A., , 4,,,- /Cur ly q
Flwme- k lmllow
8. Location of Equipment: /vy
Signature of Applicant: �-. Date: /T//, D s
Printed Name of Applicant: 9/0,r„V/y,0a.,✓/4$1~eebil Phone#:(9,v)91y- •ZV73
. -IY WESIFLIE
ACORD. CERTIFICATE OF LIABILITY INSURANCE 0 DATE 6/011090nrvrl
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis of Connecticut, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
185 Asylum Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
25th Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Hartford, GT 06103-3708 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA StarNet Insurance Company 40045
86 North
re Fuel Street
Inc. INSURER B Crum &Forster Insurance 31348
86 North Water Street
Greenwich, CT 06830 INSURERC Crum &Forster Insurance Group 31348
INSURER D.
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I N S R ZD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M EFFECTIVE
DATE EXPIRATION
LIMITS
A GENERAL LIABILITY OSP000002502 06/01/09 06/01/10 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED n $100 000
CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000
PERSONAL&ADV INJURY $1 000 000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2 000 000
POLICY PRO-
JECT 171 LOC
A AUTOMOBILE LIABILITY OSA000002502 06/01109 06/01/10
COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY(Per
(Per person)
X HIRED AUTOS
BODILY INJURY X NON-OWNED AUTOS (Per accident) $
X Drive Other Car
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY AGG $
B EXCESSIUMBRELLA LIABILITY 5530924152 06/01/09 06/01/10 EACH OCCURRENCE s5,000,000
X OCCUR ❑CLAIMS MADE AGGREGATE $5 000 000
XI
$
X RETENTION $10000
8
C WORKERS COMPENSATION AND 4086980334 06/24/09 06/24/10 X WCSTATU-EMPLOYERS'LIABILITY I
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000
OFFICER/MEMBER EXCLUDED?
If yes,describe under E.L.DISEASE-EA EMPLOYEE s500,000
SPECIAL PROVISIONS below
OTHER E.L.DISEASE-POLICY LIMIT $500,000
7:1 -
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Automobile policy contains endorsements CA9948 and MCS90.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Village of Rye Brook DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
938 King Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Rye Brook , NY 10573 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPR ENTA TIV�
ACORD 25(2001/08) 1 of 2 #S256511/M256437 ]�7��N�/Y Jam\{ �•40 VBK O ACORD CORPORATION 1988
E QAR
`y 1a���� y
w�a aJw
1.w4 yuaJv
J�
7. �9t1 �•'1-�
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
December 4,2024
First Notice
Via Mail.
Dear Rye Brook Permittee,
Mr.Horowitz
36 Talcott Road.
Rye Brook,New York 10573
It has come to the attention of the Building Department that your Mechanical Permit MP 09-54 has not been closed out in
accordance with Village Code and is now expired.All Permits have a twelve(12)month lifespan starting from the date of
issuance,and the permit expiration date is noted on the front of the permit.
Please note that we are trying to clean up old files which are open and stagnant.Clearing up the permit will benefit you as the
homeowner in two ways. (1)getting the final inspection of the work. (2) for in the future should you sell your home you will
not have any open permits in your file.Please contact us so we can schedule a site visit to take care of this matter.
Please be advised that it is a violation of Village Code to fail to close out a permit,and that a court summons could be issued.
Thank you for your attention in this matter,and please feel free to contact this office should you require any further
information.
Steven E. Fews
Building&Fire Inspector
sfews@ryebrookny.gov
cc:Alfredo DiVitto,Assistant Building&Fire Inspector
Tara A. Orlando,Planning&Zoning Secretary
Laura Petersen,Office Assistant