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HomeMy WebLinkAboutBP20-015PERMIT # �Jf D-O I5 DATE: / C EXP* SECTION _ f`o� �. %`J BLOCK I LOT / TYPE OF WORK MICY16K k140j7Co D1r21r?q room rer?c)✓Q/70h JOB LOCATION cD?Qb CQUi Yt l zf OWNER k-E'Yll'lif4, l 5 CL" Lel FKr n ryc-v�y e l (.41 CONTRACTOR �pvrae ►►rr��rnverr>Prrl+- i�ai 4coa-�i �� EST. COAS�T�1 FEE VCO # i�f OC - C� &c: FEE 4 s �ib TCO # FEE DATE INSPECTION RECORD DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING L L2 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC � 77 Low -VOLT 0 e ALARM AS BUILT 0 FINAL v Z �P a0- v5ta �andciZ20 �1�G��G OT}1ER APPROVALS ARB BOT PB ZBA BOTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 22-062 Certificate of Occupancy This is to certify thatf�1�1 of, &o0o IC , N 7 having duly filed an application on A2K J C 20 o?o2requesting a Certificate of Occupancy for the premises known as, C>?06 01 ou�Oh u R/00if Dr] �'e, Rye Brook,NY, located in a R'/5 Zoning District and shown on the most current Tax Map as Section: 1<94 75 Block: l Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. o?0-0I , issued / q 20 �,Q, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use:za17-e-Faw Construction: for the following purposes: 66612-2 Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height sha4 be made,nor shall the building be moved from one location to another until a permit to accomplish such change has be bt i m t e . ding Inspector. Building Inspector,Village of Rye Brook: Date: MAY - 2 2022 R[APR BUILD RNT For office use only-:3PERMIT# � DjS' 8 2022 VIL OF RYE K ISSUED:,—a 5-20 938 KING STRE VE BROOK, YoRK 10573 DATE: 'y— O-ate VILLAGE OF RYE BROOK 9 -U6 OY FEE: c9 �S� PAID if BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION sssssssssrassssassssss►aasas►►►rsssrassrrrsessaass►aassaassa►a►►asssaasrssasayrsssssssssssssrssrssssssrsssrasars►s►sasss►►►ss Address: Oij COJn}ry Occupancy/Use: Q e SJt-.+"J Parcel ID#: ��q - I - Zone: R- I Owner: K k n n z. Address: D_6� Co j,-fi` N P, P.E./R.A.or Contractor: IAQ,z 't—proi k, t 43 Address: 1011 I+v-t S 4 i'd y1 2J . IJ Person in responsible charge: Address: 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: KQ r1 n q_4 F f Q\A being duly swom,deposes and says that he/she resides at Q W J^�r (Print Name of Applicant) (No.and Street) in V y-k �'V'ok ,in the County of We S+ C �t Rs in the State of N\/ ,that (City/Town]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:$ —' 3, �o O for the construction or alteration of: K 1+c f`t' t^_) 1�o 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 theCode of the Village of Rye Brook. Sworn to before me this O Sworn to before me this day of 20 day of ,20 Sigdature of Property Owner Signature of Applicant KenAPi� Fr&'Ke l MProperty Owner Print Name of Applicant Notary Public SHARI tAELILLO Notary Public Notary Public, State of New York No. 01 i1_S1E�,063 x 1 _loll Qualified in Westch-_ter County, Commission Expires,lama",29 20 �yE Bkj( _ BUILDING DEPARTMENT UILDING 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:- O ( D J r`+ Z 1-� 1��(� r'2 DATE: 1 -Z PERMIT# 2-o O i ISSUED: Z� Z�SECT: -25 -'?.!:-BLOCK: ` LOT: l LOCATION: 1-T'� �`, �Z- V OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q//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 10 ' in c O N N M M M OC � � O f� In 4 M = . O� Z96c _ i•�i W o O e 0 < < G Z u '.N 8 r M■�1 � Z o �r C7 G .� � a �' � v� z a• CPSz co A F �Tw Z u O U U O a �W z A OS as w„y oo H W u z z o x ^ f w ' a z z z o � V c Q tn = s J C J a. N z f F z AA° < •• � �r Z �1 '� 1� l WWI Q I m 0. J z Gz. 2 ri 41v1totef4aaa44444to4;t4i$4PA444eAaem 4 44a4a444�i����� -�E[3Rnv LS BUILDII�U''�l�EFARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOD,NY 10573 MAR 12 2020 (914)939-0668 FAX(914)939-5801 www.ryebrook.org VILLAGE OF RYE BROOK ��EARTf.9ENT ELECTRICAL PERMIT APPLICATI Westchester County Master Electricians License Required!!,, /,�(� FOR OFFICE USE ONLY BP#: C�o _0l LP#: aV-Cap Approval Date: MAR 1 3 2020 Permit Fee: $ �0� Approval Signature: Other: Disapproved: (fees are non-refundable) **************** *** ***************************************************************************** Application dated, IXgV is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or r6move 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. ) I.Address: '08 Co ')'tT r �t��Q 'bT. Ry4 �ro�K lJY /'US?3 SBL: as 75-/ - —Zone: 2.Property Owner: 4 f A nk e` Address: Zo;,7 coyn+r r kQ 13 rflaK NY /��7 3 Phone#: � )`� �13�- �6g1 Cell#: email: KQ, C01. C-3, 3.Master Electrician: FY'Gr1 y �7Ro nj az_zo Address: 23 Gbficlon ��ee t Lic.#:�NA Phone#:q 14" / 7&-//J (;ell#: email: Company Name: Qid a zw D ccty (. I Y) Address: a3 670!-C/O K) (Sfi6f(f 4.Proposed Electrical Work/Fixture Count: W I C1 VJQ tn1/ 14-4 hen 1 d in 1 ► q I com eje-no _,STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: r --t"C t"g"��Z�,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of indi�ideal 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 L Q.L(-VL c A\i\J for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor.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 Sworn to before me this Mcwtk day of a� � 20 1 y day of �oL ,202�O St ature of Property Owner Sign�e of Applicant CPr' t Name of PropertyO�r Print Name of Applicant Tt1 Notary PublicgHARI.,4ELILLO 1 Iotary tc Notary Public, State of New York ALEXANDRA H.FRANK lMcx1 , No.01 ME6160063 Notary Public,State of New York OvaVied in Westchester County No.01FR6363711 Commission Exoires I Muar\t 29. 20 Qualified In Westchester County Commission Expires August 28,20 3/21/19 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY VIII � �, tV, V. fc 4sfi �( STREET AND NO-OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER S S , 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 7 t BASEMENT 1s FL. C t 2-FL. /� 3-FL. VIL GE OF RYE IDIN'G F) �. KID +�rpA� ^,ENr REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: FT. ✓1 C )L F- cX 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 A Ew❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD L] UNDERGROUND❑ LLA I I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT _STREET ADDRESS TELEPHONE NO. GAR D uyJ J CRY OR LICENSE NO.WHEN APPLICABLE / WESTCHESTER ROCKLAND ELECTRICAL INSPECTION IRElaSERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Randazzo Electric Kenneth & Fran Frankel 23 Gordon Street NY,Yonkers 10701 Located at:208 Country Ridge Dr Rye Brook, NY 10573 Certificate Number: 1034033 Section: 129.75 Block: 1 Lot: 1 BDC: Permit Number:EP:20-056-BP:20-015 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 208 Country Ridge Dr Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 04/06/22 Name Type Quantity Receptacle GFCI ------- 6 Refrigerator ------- 1 Dishwasher ------- 1 Microwave ------- 1 Switch Wall ------- 6 Fixture-Luminaire Recessed ------- 6 Fixtures Pendant ------- 2 Wine Chiller ------- 1 Panel Single Phase 100 Amp ------- 1 AFCI Circuit Breaker ------- 7 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. I `/�G AL This certificate is valid for work performed before date of inspection only. YYY O cr1 O I N a M M to z O U 3t � tn � r.i LL � r ti, J tb r 0000 x 000 M WAN or am LLJ e C Q CO 0 Q Z � w p ^� � :. U w , =mom V AM ►•••I Q > c m 01, \40 o w o o ° E� 3 � d N c8 .. 9 � N Z w .. a � t3RC� . BUILQAt DEPjA�RTMENT VILLAGE OF RYE BROOK D E C E �� E 938 KINGsTREET RYE B900K,NY 10573 (914)939 0668� Ax-(914)939-5801 MAR — 2 2020 www��A1•oak.org PLUMBING PERMIT APPLICATIO VILLAGE OF RYE BROOK A Bf.1tl?.` " r�� - T FOR OFFICE USE ONLY BP#: C/►O O PP Approval Date: MAR — 3 k020 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) ************************************************************************************************** Application dated, 119 W 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: Co y n4Yl y (1•�dce,, pM��-- SBL: IOC"J• 76—1-1 Zone: 2.Proposed Work: 3.Property Owner: K�rleh�'� i � nk�Address: 14 C,0'Jv1b 1 Phone#: Cell#: ql1 V{1 1160 email: 4.Master Plumber: K %^L Address: Wy Lic.#: 914 Phone#: 455 78LY Cell#: 124 1701 email: �v"^�i^ 253'1 c�t7 Fa���°�-•'Act Company Name: pees + plv"b%A tW*A61 Co jN`Address: 7-S31 &,Oy, 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 1st Floor 2nd Floor 3'Floor 4th Floor 5'Floor Exterior 5.* List Other EquipmenVProvide Details: r1lM� V 1�r1v�R�,t.Vl. nUa Shut.- (Notarized Signatures Required Next 2 Pages) 4- 3/2l/19 STATE O;r O C,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual si Wing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) 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 ��`� Sworn to before me this day ofl" 4v,� � ,20-4--li day of V(N 0.K-6, ,20a2 Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary PuISMARi MELILLO Notary Mi MELILLO Notary Public,State of New York Notary Public, State of New York No.01 ME6160063 No.01 IIAE6160063 Qualified in Westchester County Qualified in Westchester County Commission Expires January 29.20 Commission Expires Januan,29. 20 C3 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/21/19 BUILDING DEPARTMENT U VILLAGE OF RYE BROOK MAR - 2 202� 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAx(914)939-5801 VILLAGE OF RYE BROOK www.rvebrook.ore BiJILDING DEDARPIAENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §21 E • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: Kt nn eke Fcr, nk e, , residing at, 9O$ C" �fy ?-,d9 by . (Print name) (Address where you liVC) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Co'J'A-c bL 'k�' - , Rye Brook, NY. (Jon Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this fi day of -e , 20 , (Notary Public) SHARI ,AEL1LL0 Notary Public, State of New York No.01 NIE6160063 Qualified in Westchester County Commission Expires Jamuary 29.20 _3_ 3/21/19 JOHN G. SCARLATO JR. ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO @ GMAI L.COM 5/7/20 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook,NY 10573 Dear Mike: RE: 208 Country Ridge Drive Building Permit# BP 20-015 I went out to 208 County Ridge Drive on May 6, 2020 to inspect the new beam and posts that was installed between the kitchen and dining room. It was done in accordance to my drawings . If you have any questions or need anything else,please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. r �9�OF NO y�� ! Building Permit Check List&Zoning Analysis Address.. C'P—::> Cow•. 7,7—��� �n— SBL: Zone:i 2 L l-S 1Use: 1 2 t Const.Type: �� Other. Submittal Date: i Z 1 f_l 1 1 c7 Revisions Submittal Dates: Applicant: t— c 1 A t-' H-R- V Nature of Work I"-,�- , E2 c 4 r-9'y Reviews:ZBA: O E C 2 6 2019PB BOT: Other. OK (••� ( ) FEES:Filing. BP: 4A C/O: Legalization: ( ) (L)/APP: Dated ✓Notarized ✓ SBL: ✓`f russ I.D. gross Connection: LS O A ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening- ) ENVIRO: Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current: Archival• Sealed: Unacceptable: ( ) (vYPLANS:D Stamped Seal ecj `� Copies:�— Electronic Other. (L ( ) License: I Workers Comp: Liability: Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL.•Plans: Permit N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (� ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 20I7 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mrg.date: approval• notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area mate. DEC 2 6 2019 Circle: Fron�ta¢e Front: Front: Sides: Rear. Main Cov Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot 1W. Fc Irv: Rarki Height/Stories: notes: Check List For Release of Building Permits Address: Dri'vem- Owner/Applicant: )=, Phone Ws: 917-84i—mn Dates Attempted To Contact Owner / Applicant: Comments: a(1CL. � 'r + Comments: Comments: NEED: ` Due (wilding Permit Fee ( )Z, T T PO # ense ( Y ( ' Contact Information ( ) Fire Sprinkler Plans (2) ( ) Fire Sprinkler Application ( ) Fire Sprinkler Permit Fee (Estimated Cost $ a3, ( ) SWO Fee $ P O Legalization Fee $ ( ) Other Liz Caruso From: Liz Caruso Sent: Thursday, December 26, 2019 1:35 PM To: 'fransjems@yahoo.com' Cc: 'jgscarlato@gmail.com' Subject: Building Permit Application for 208 Country Ridge Drive Good Afternoon, The building permit application for 208 Country Ridge Drive has been approved by the Building Inspector. Before we can issue the permit,the following items must be submitted to our office: 1. General contractor's name & phone number 2. General contractor's valid Westchester County Home Improvement license 3. General contractor's valid liability insurance (Village of Rye Brook must be the certificate holder) 4. General contractor's valid workers' compensation on a NY State Board form (C105.2 or U26.3) 5. Estimated cost of construction (to determine the building permit fee) Thank you. Liz CARUSO OFFICE ASSISTANT BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NEW YORK 10573 OFFICE (914) 939-0668 FAx (91 4) 939-5801 i �+fy�'� .�'„t�A�j`." x..AA> t -�iA t. +'.`�.AlGt�P:• _ _ 6� A t.•. :Tii;�A 1 •'��'� � �4 � .�K- ALL�: .� /��<yd 1 r 0 (p, Syr o _ L1 N \ , CCN — 1� �•�` + � = OWAOICI - :" A 4 logo LJJ NZ O Z Y 3 c En �.,ti..'�,� ++ to •� -4'.'''-) •°'¢ Kt. ci cn Y C y N +_Vt Lc) C y U ti ti i• .. .. . . r /' 0 ' NO", I t w t'� 1$ w l,.yi t���t „'''?sew ♦�1 w f•- 1�w9 1�; t A 1t '�i• A Y'r,W✓ A IY f A .b? A A ..3 $}� ���,t TV .LV I�.v..�y_ "Jiv "tV� '�v P`' v:'^e.�� �✓ +�':� R'1Y �.NI�r\�. � ;t; • n,�- .l�,ti- .qyy,, Y Tjh Y .r Y\ Yt ,+ply,._ Y\\ ..;..,••. �:: _ '' "S?F!�:.i-0P�" e. "�f�6. r�'u7Pr lYkw�t �"'* �. """�:��.,. it�- '���y�2? A��® DATE(MMIDDrcYYY) CERTIFICATE OF LIABILITY INSURANCE 01/28/2020 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 Stern Agency Stern Agency Inc PHONE 1 FAX 254 South Main Si 845-354-8000 ac No):B45-354-8688 Suite 308 ADDRESS: New City,NY 10956 INSURER(S)AFFORDING COVERAGE I NAIC M INSURER A: OHIO SECURITY INSURANCE CO 24082 INSURED BUNA HOME IMPROVEMENT INC. INSURER B: UNITED STATES LIABILITY INS CO ! 25895 1047 HUNTSBRIDGE RD. — ----------—'-- "`-- YONKERS,NY 10704 INSURER C INSURER D: INSURER E� l 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 ADDL;SUBR. POLICYEFF POLICYEXP ^--------- "­--" .___._.._..._._ TR TYPE OF INSURANCE I POLICY NUMBER MM OK MMIDDIYYY i LIMITS A I COMMERCIAL GENERAL LIABILITY Y i I BKS(20)60028812 06/26/2019 16/26/2020 EACH OCCURRENCE S 1.000.000 RE CLAIMS-MADE �OCCUR I I PREMISES IEa o urrente -- 5 300,000 I i I � �.__�_._mot ___ MED EXP(Any one person) I S 15,000 PERSONAL&ADV INJURY S 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER j GENERAL AGGREGATE S 3,000.000 l i POLICY C; IRO-E LOC i PRODUCTS AGG S 3,000,000 I OTHER. I S AUTOMOBILE LIABILITY I I COMBINED IN l LIMI I S Ea amdent ANY AUTO I I BODILY INJURY(Per person) I S OWNED SCHEDULED AUTOSAUTOS AUTOS n-"I y I..111P" -er xaC S t11REU v ~�NON-LIWNEU I I I �NHOPtHIY OAMAGI:— AUTOS ONLY AUTOS ONLY I I I I (Per a en S B j UMBRELLA LIAS OCCUR Y XL1579792B 106/26/2G19 106/26/2020 EACH OCCURRENCE is 3,000,000 EXCESS LIAB ! 3,000,000 CLAIMS-MADE ( AGGREGATE S i ---- DED RETENTION S i S WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN I LL.TATUT ER A NY PROPRIETOR,PARTNER/EXECUTIVE I I OFFICER/MEMBER EXCLUDED4 ❑ N/A i ' E.L.EACH ACCIDENT $� _ (Mandatory In NH) I I I E L DISEASE-EA EMPLOYEE S if es,describe under - DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK 938 KING STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RYE BROOK,NY 10573 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY /yPROVISIONS. AUTHORIZED REPRESENTATIVE I �i��r ✓ V ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSI F New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 10601A411 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0. •'T •0 ^^^^^^ 472111546 THE B&G GROUP INC 55 W AMES CT STE 400 PLAINVIEW NY 11803 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BUNA HOME IMPROVEMENT INC VILLAGE OF RYE BROOK 1047 HUNTS BRIDGE RD#2 938 KING STREET YONKERS NY 10704 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2389 517-0 762159 05/12/2019 TO 05/12/2020 1/28/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2389 517-0, 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.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. PRESIDENT MARSEL SITYTANI VICE PRESIDENT LUIGJ SITYTANI BUNA HOME IMPROVEMENT INC 20F2 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: 942821868 U-26.3