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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