HomeMy WebLinkAboutBP20-053TCO # FEE DATE
INSPECTION RECORD
DATE
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING 0
RGH PLUMBING
GAS FD
SPRINKLER
ELECTRIC
LOW -VOLT 0
ALARM 0
AS BUILT O
FINAL
INSP
�S
763-73a-30`/
� 7� 5 480
OTHER APPROVALS
ARB
BOT
Ps
ZBA
OTHER
BR
.t Lbt4,D•
it
.wy;
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.gov
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E. Fews
Stephanie J. Fischer
David M.Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
December 23,2024
Jonathan Bartlett&Wilma Bartlett
994 King Street
Rye Brook,New York 10573
Re: 994 King Street,Rye Brook,New York 10573
Parcel ID#: 129.52-1-26
Building Permit#20-053 issued on 5/15/2020 for Replacement Windows
This certifies that the twelve new windows,installed under the above captioned permit have been
satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
BUILDING DEPARTMENT For office use nh-:
DRMIT
E [E��� VILLAGE OF RYE BROOK I SUED #_S—/_S—a0 �`�
938 KING STREET,RYE BROOK,NEW PORK 10573 DATE:
DEC 1 1 2024 (914)939-0668 FEE: PAID
ssw%,rtiebrookm.P_os
VILLAGE�B* R CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE,
L.BUILDIN AND CERTIFICATION OF FINAL COSTS
TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION
araa rrrsrrsaastssssrsrrtsrarsrasr rrs•qas•rasatst tssrrsrsr r•tssrss•ssssp•r•ttrttrsttsatrrasr♦♦sarttrtrtssssssssstssssrtstsat
Address: �l t to q -�
Occupancy/Use: rt y r 1 -I c Parcel ID#:1 c� c/, Jr -- — c��p "Zone: /S
Owner: �C-� I�--t--- Address: gOj e%� S�P2
P.E./R.A. or Contractor: C, e�'e..�w (1�. Address: y/ 4�/"l„ �•-� /��r
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 y OF NEW YORK, COUNTY OF WESTCHESTER as:
zk�?`` LA r►r6s N I being duly sworn,deposes and says that he/she resides at
(Prmt Name of Applicant) _r (No.and Street)
in /-I A( r)Son in the County of in the State of AN that
Witc hmn Villaee)
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:C 00 C-=N,O
for the construction or alteration of:
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 -o Sworn to before me this �0
day of, _ 20 day of //CCBIY// ,1 , 20.6
Sigma e o Applicant
�n �� CHRISTOPHER J.BRADBURY
Z (A !'� $ Notary Public,State of New York
No.01 BR6159985e,��
Print ame mperty Ow r� c'
— Qualified Westchester County Print Na t Bf Applicant
Commission Expires January 29,20j4
i
tary No- / N ry thli
JACLYN M PINO
NOTARY PUBLIC-STATE OF NEW YORK
No.01LA6186161
Qualified In Westchester County
My Commission Expires 04-28-42
Q�E BR2jk.
cu �
0�
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 : 1 / y i (v r I/LD d DATE: j 7
PERMIT# ISSUED: ` �� ZJ SECT: (Z7' BLOCK: LOT:
LOCATION: OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... D' 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 1 V!
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
OTHER yi is 1 o v�
!-i
RR
rivi
2
VILLAGE OF RYE BROOK
BUILD!NG DEPARTMENT
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 ryeuroor, orq
TRUSTEES BUILDING & FIRE
Susan R. Epstein INSPECTOR
Stephanie J Fischer Michael J Izzo
David M. Heiser
Jason A Klein
CONTRACTOR SINGLE WORKER CERTIFICATION
Please neck the appropriate box.complete&s,yn this form and return it to the Building Department for processing
do not wish to continue/commence work r--1,
I wish to continue/commence work ;/
I HEREBY CERTIFY, that I am the fcIR/1 contractor for the job
listed at the address below, and that 1 am aware of the Governor's Executive Orders 202.6 and 202.8 and
subsequent Guidance issued by NYS Empire State Devd-,pnu•nt (ESD) on March 27, 2020 with respect to
essential businesses and services, available at https: : cscl.rn-.,go \-;"�,quidancc-exrcuti\-e-()rdt:r-2()20, issued
in response to the COVID-19 pandemic,and that I \gill maintain full compliance with such Executive Orders
and ESD Guidance including but not limited to the follo"ying requirements related to construction;
(i) social distancing and best practices for cleaning/disinfection a-ill be maintained at all times, and (ii)
no more than
� one employee/worker will be on the job site located at
1 91 LkIG/l'"% S� Rye Brook, NY at any
given time while such restrictions remain in place by New York State, Westchester County or the Village of
Rye Brook.
I further acknowledge and understand that violation of these requirements may result in the issuance
of a Stop Work Order and/or Police enforcement.
Dated: �3 // Ga v 3U_ Signed: �p
Print I'amc: �� >P
Permit #:
Company: ��G ar=n /
:Address: ��
p 11MW E
ti
`y�Yy JJ V���J C�Ctla '•.
VILLAGE OF RYE bRUOK
�UILG!NG f�EPr:RTNIENT >>�-l. .,�-�
19
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 ryeDrooi< org
TRUSTEES BUILDING & FIRE
Susan R. Epstein INSPECTOR
Stephanie J Fischer Michael J Izzo
David M. Heiser
Jason A Klein
PROPERTY OWNER SINGLE WORKER CERTIFICATION
Please I-neci,the appropr,ate box 'ofrp,e,,e a sign tn.s fo. m and return it to the Building Department for processing
1 do not wish to continue/commence work
I wish to continur/commence-%vork
I HEREBY CERTIFY• that I am the owner of the propem listed below,and that I am aware
of the Governor's Executive Orders 202.E and 202.8 and subsequent Guidance issued by NI'S Empire
State Development (1-.51)) on March _-, 2021)with respect to essential businesses and services,available
at httl)S:; e:�l.nt.yr>� l+ttidancc ����ctiti�t-�,t�1er _'I►2h, issued in response to the CO VID-19
pandemic, and that I will not allow work to proceed at the propem except in compliance with such
Executive Orders and F:SD Guidance including but not limited to the following requirements related to
construction;
(i) social distancing and best practices for cleaning/disinfection shall be maintained at all times,
and (ii) no more than one employee/worker «ill be allowed on the job site located at
C19 '
4 IN& Vw-kT , Rye Brook, NY at
any given time while such restrictions remain in place by New York State, Westchester County or the
Village of Rye Brook
I further acknowledge and understand that violation of these requirements may result in the
issuance of a Stop Work Order and/or Police enforcement.
Dated: /,l f�y �) ,20.20 Signed:
Print ame:
.lddress:
Permit »:
We(Propose hereby to famish material and labor—complete in accordance with above specifications for
the sum of:
Payment to be made as follows: Five Thousand Eight Hundred and Twenty Dollars
"You the buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction."
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.
Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become
an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner
to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
Note: This proposal may be withdrawn by us if not accepted within days.
Acceptance of ftOPOSal-The above prices,specifications and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified as outlined above.
Date of Acceptance:
Signature
D CCIE �ML
=GEOF
020
VILE BROOK
BUILDING DEF,&P-r%LENT
GIG General Contracting LLC ��Y 1 1 2020
0
r ✓ ✓ ✓ V
=iEPA 41 Adelphi Ave Harrison, NY 10528 BUILDING c PAp YE BM �T
914-447-5480 FAX 914-931-1686
NAT-53293-1 raC [Wurni ri@me.com
FULLY INSURED WC18718-H07
Mark Bartlett May 11, 2020
994 King St jmark.bartlett9@gmail.com
Pt Chester NY 703-732-3024
Scope of work
Replace 12 windows
All windows to be Low E glass,Argon gas and fully welded vinyl
Install 1 picture window and 1 double hung window in kitchen.
$1,150.00
Install 1 picture window and 3 double hung window in dining room.
$1,770.00
Install 1 picture window and 2 double hung window in living room.
$1,450.00
Install 1 picture window and 2 double hung window in TV room.
$1,450.00
Any additional windows capped on exterior $100.00@
Any additional windows caulked $25.00@
no-
.. oo
�&:� .�';;�,�t r. ,-:r�rl ter, ' .€ K�rtl/ir�i�tt' �``� urrltttli'�1� � , ar��r ,r/0 r '�•*!•c/j ,� /,
�J •FC�.i�. ,fc
.1 •Yr Y
�t'
O
to d 0. N • ..
� I•W = � Li N I WO
c an
Ei
UJ co
�� LI In V �(aaN►�
{wi. • r QC e
ol
Q Q W 3 C I' • TY
W
Qtj
« .
U v r
,• C
f rFa�yy rA
x
z
Go
All
<c A
i
Mai
j •- - -•-�.� ---rR- "'§--r- -.. ..
sQ dartltri' ' ss :rlrttltr�4
U ltlrr,?{ F 3cia��; •trr•!t!r `i <,'yrrltttl�r�1 - i'tht r- °��4tlljtl4� ...,rtrt/trtrr Ltd
`F ./♦• ? FAA1f3d"., ••d A ��_ `\•iy �� •!! r11�145 � f $i�rllltd
hy�s,�'' A �'`1ii' /� � ^ Si •• A� • -A �!••1.. a�A �F u� k>•' A l
qtF' Y
2029
VILLAGE OF RYE BROOK
BUILUNG DEPARTMENT
I Reset1
ACORD DATE(MNVDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 04/14/2020
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
THE LANZA INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
18 HALSTEAD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
HARRISON NY 10528 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
QPHONE:914-835-6000 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: 25143
GJG GENERAL CONTRACTING LLC
41 ADELPHI AVENUE INsuaeae:
HARRISON NY 10528 INSURERC:
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.
INSR DD' TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMtD[YYYILIMITS
A X NARrGENERAL LIABILITY 98-C,H-A221-9F 03/05/2019 03/05/2021 DAMAGETORRENCE $ 1000000.00
R
X COMMERCIAL GENERAL LIABILITY PREMI E (Ea occurence)O E $ 300000.00
CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000.00
PERSONAL 8 ADV INJURY $ 1,000,000.00
GENERAL AGGREGATE $ 2,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00
X POLICY PRO LOG
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
PROPERTYDAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
�/
AUTO ONLY: AGG $
A X EXCESSIUMBRELLA LIABILITY 98-BV-D135-3 F 08/28/2019 08/28/2020 EACH OCCURRENCE $ 2,000,000.00
X OCCUR I CLAIMS MADE AGGREGATE $ 2,000,000.00
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WC STATU- O R
EMPLOYERS'LIABILITY
ANY P ROPR IETORiPARTNE R/E XECUTI VE E.L.EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ['
CERTIFICATE HOLDER AS ADDITIONAL INSURED
MAY 11 1 2029
VILLAGE OF RYE BROOK
1 r�'cOn 1�'yFr;t..Y
CERTIFICATE HOLDER CANCELLATION
VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
BUILDING DEPARTMENT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _N_ 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 REPRESENTATIVE
STELLA DIDOMIZIO
ACORD 25(2001)08) C ACORD CORPORATION 1988
132849.1 04-16-2008
NYSIF
New York state Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 1 OTH FLOOR,WHITE PLAINS, NY 10601-4411
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
o a
^^^^^^ 050624313
GJG GENERAL CONTRACTING LLC
ATT: GINA GUERRIERI 0
41 ADELPHI AVENUE
HARRISON NY 10528 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
GJG GENERAL CONTRACTING LLC VILLAGE OF RYE BROOK
ATT: GINA GUERRIERI 938 KING ST
41 ADELPHI AVENUE VILLAGE OF RYE BROO NY 10573
HARRISON NY 10528
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W1476 494-8 142488 03/07/2020 TO 03/07/2021 5/9/2020
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1476 494-8, 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:I/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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY.
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.
MAY 11 229 NEW YORK STATE INSURANCE FUND
VILLAGE OF RYE BROOK
BULL G:NG DEPAR !0ciM"F
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 691763862
U-26.3