HomeMy WebLinkAboutRP19-005PERM CT
SECTION
TYPE OF WORK
JOB LOCATION
CONTi3ACT0
COST
CO N.0
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING O
RGH PLUMBING
GAS O
SPRINKLER
ELECTRIC O
LOW -VOLT
ALARM 0
AS BUILT
FINAL
INSPECTION RECORD
DATE INSP
oe I N4u 1 4or) 201-538-059-q
GTHER APPROVALS
OTHER
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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
March 8,2024
Miguel Cuyatti&Lidia Cuyatti
48 Hillcrest Avenue
Rye Brook,New York 10573
Re: 48 Hillcrest Avenue, Rye Brook,New York 10573
Parcel ID#: 135.76-1-10
Roof Permit#19-005 issued on 3/22/2019 to Re-Roof Existing Building
This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
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BUILDING DEPARTMENT For office use onI ^�
MAR — 1 2024 11 VILLAGE OF RYE BROOK PERMIT# / —C
ISSUED: _aa-
938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:
VILLAGE OF RYE BROOK (914)939-0668 FEE: ,$ PAID
BUILDING DEPARTMENT www.ryebrook.org
APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE,
AND CERTIFICATION OF FINAL COSTS
TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION
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Address: 4 "I LLC/O&S-1 /N V '
Occupancy/Use: 07 X_-A-M Parcel ID#: S, 76 /U Zone: ,�'�
Owner: Address: 419 9 Al-0.
P.E./R.A. or Contractor: LG�7F Fai5E6&77-C—? Address: ///
Person in responsible charge: A/Oe-/ A,1q uqb 7'y,,-) Address: f
Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a
Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance
with law:
STATE OF NEW YORK, COUNTY OF WESTCHESTER as:
AOL) _ C-u V4 777' being duly swom,deposes and says that he/she resides at 46 H/i_LC(ee�gr A tJ
(Print Name of Applicant) (No.and Street)
in y�e Be oc re ,in the County of i.0 in the State of K y ,that
(Cityrrown/Village)
he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,
labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may
have been donated gratis was:$ ILI f 040
for the construction or alteration of NCJ 260
Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of
Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in
accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and
as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an
owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly
or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building
Inspector as per§250-10.A.of the Code of the Village of Rye Brook.
Sworn to before me this Sworn to before me this
U day of air h , 20)�j day of , 20
/OL! �7
S �a �eof Property/91vner Signature of Applicant
ame of Property Owner Print Name of Applicant
No Wry Public Notary Public
SHARI MELILLO
Notary Public,State of New York s;12,2-021
No.01ME6160063
Qualified In Westchester County
Commission Expires January 29,2011
QyE BRC�k
1982 BUILDING DEPARTMENT
❑ UILDING INSPECTOR
{d 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 : ! 9 /`//L l rfF S DATE: .3 - 2 z O L`1
PERMIT# IR I I -O(0J ISSUED:3-Z Z-/ SECT: -s-, BLOCK: / LOT: 16)
LOCATION: i `�� t OCCUPANCY:
❑ Violation Noted THE WORK IS... 2 YASSED ❑ FAILED /REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION ((��
❑ Natural Gas -rl v /,S U < <�
❑ L.P.Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
2-IINAL
$OTHER ���
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR
Paul S. Rosenberg (914)939-0668 Fax (914) 939-5801 Christopher J. Bradbury
www.ryebrook.org
TRUSTEES BUILDING S FIRE
Susan R. Epstein INSPECTOR
Stephanie J. Fischer Michael J. Izzo
David M. Heiser
Jason A. Klein
January 6, 2020
Via II Class Certified Mail
Miguel Cuyatti & Lidia Cuyatti
48 Hillcrest Avenue
Rye Brook,New York 10573
Re: 48 Hillcrest Avenue, Rye Brook,New York 10573
Notice of$500.00 Fee for Expired Permits
Open Roof Permit#19-005 Issued: 3/22/2019 - Expiration Date: 3/22/2020
Dear Property Owner,
Please allow this letter to serve as a reminder that your open permit(s) noted above, as is the case with all
Building Permits issued by the Building Department must be closed out with a Certificate of Occupancy
or Certificate of Compliance in accordance with §250-10.A. of the Code of the Village of Rye Brook.
Building Permits have a life of twelve (12) months and the expiration date is noted on the front of the
permit.
Please be advised that should you fail to properly close out your permit(s) in accordance with the law,
effective November 1, 2009 the Village will be imposing a $500.00 Administrative Fee in connection
with all open expired Building Permits issued after January 1, 2003. Please note that this Administrative
Fee applies to each individual permit and must be remitted in addition to any other required fees
associated with closing the permit(s), as well as any court imposed fines should a summons(es)be issued.
Thank you for your attention in this matter, and please feel free to contact this office should you require
any further information.
Michael J. Izzo
Building& Fire Inspector
mizzo(@rvebrook.org
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cc: Steven E. Fews, Assistant Building Inspector
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ACo® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY)
11/02/2018
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 have ADDITIONAL INSURED provisions or 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 John Conlin
NAME:
Cupo Insurance Agency PHONE
E:t: (973)778-7770 FAX
lAia/c,No): (973)471-9630
50 Mt.Prospect Avenue ADDRESS: john.c@cupo.com
Suite 100
INSURERS)AFFORDING COVERAGE j NAIC 0
Clifton NJ 07013 INSURER A: Atlantic Casualty Insurance CO I
INSURED INSURER B:
Leaf Free Gutter Systems,Inc. INSURER C:
111 Kinderkamack Rd INSURER D:
INSURER E:
Emerson NJ 07630 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL1811203075 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 CCNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFIIS
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.
LTR TYPE OF INSURANCE INSD yyyD POLICY NUMBER
MMIDD MlDO LIMITS
x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $I 1,000,000
CLAIMS-MADE �OCCUR PREMISES Ea occurrence $� 100,000
MED EXP(Any one person) s 5,000
A L261001342-1 04/08/2018 04/08/2019 PERSONAL 3 ADV INJURY s'1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 12,000,000
X POLICY JECOT- ❑LOC PRODUCTS-COMP/OP AGG s 12.000.000
OTHER: Property damage Single S
AUTOMOBILE LIABILITY COMBINED SINGLE L S
Ea accident
ANY AUTO BODILY INJURY(Per person) S
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) s 1
HIRED NON-OWNED
AUTOS ONLY AUTOS ONLY PeraEccident)RTY DAMAGE S.
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MADE AGGREGATE s
DEO I I RETENTION S $
WORKERS COMPENSATION I PER OTLF
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED?
(Mandatory in
If yes,describe under E.L.DISEASE-EA EMPLOYEE $
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Rernarks Schedule,may be attached N mom space Is railuired)
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.
938 King St.
AUTHORIZED REPRESENTATIVE
Rye Brook NY 10573 J
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
WESTCHESTER ONE,44 SOUTH BROADWAY,10TH FLOOR,WHITE PLAINS,NY 10601-4411
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
A^A A A A 223386144
ANTHONY CUPO INSURANCE AGENCY
50 MT PROSPECT AVE a '
CLIFTON NJ 07013
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
LEAF FREE GUTTER SYSTEMS, INC. VILLAGE OF RYE BROOK j
111 KINDERKAMACK RD. 938 KING STREET i
EMERSON NJ 07630 RYE BROOK NY 10573
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2215452-0 185792 06/14/2018 TO 06/14/2019 11/2/2018
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSU NCE
FUND UNDER POLICY NO. 2215 452-0, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/NVWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
NOEL NAUGHTON-PRESIDENT
1 OF 1
LEAF FREE GUTTER SYSTEMS INC
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:632334066
U-26.3