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HomeMy WebLinkAboutBP20-101PERMIT # SECTION TYPE OF WORK JOB LOCAT,tON OWNER`%GC�/ CONTRACTOR.! E COST4c O# 7C0 # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC F1 LOW -VOLT C7 ALARM C7 AS BUILT C� FINAL DATE,j(4& 0 Expa* • BLOCK LOT � 'off rr��ir� 1<Gf _ le �S%rrJa/7 5� 3 -5 33 7 e A// �nD- �zr/o y9 9aCo2 FEE DATE. INSPECTION RECORD DATE I NSP OTHER APPROVALS OTHER aR �44`a VJd 9 404 amtk mat* 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 Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 11,2022 Joshua Broitman&Rachelle Simon 192 Country Ridge Drive Rye Brook,New York 10573 Re: 192 Country Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 129.82-1-33 Building Permit#20-101 issued on 6/25/2020 to Replace Five Windows This certifies that the five new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to V BUILD. R ~ NT For office use only: D v PERMIT# O 45a VILIE� OF RYE K ISSUED: oZ S KING STREE YE BROOK, YORK 10573 DATE: o� �b AUG Z 5 2020 r914)9 � 939-5801 FEE: I PAID VILLAGE OF RYE BROOK o or BUILDING DEPARTMENT AFFLICAHON 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 srrsssstsssssstsssssssasassssrssrrrrrrrrsrssssssssassssssssssassssssstsssssssssasssasssssssssssssssssstttasstrrrrrssssrrarsss Address. 1 n +-V— k l `0 Occupancy/Use: —r .' Parcel ID#: 1 - 9 . 9- --A-- l — 3 3 Zone: — J Owner: TU SLwt-, &-c I Address: Il !cl 3. Ca L---+-y �,d,,e 0 rZ P.E./R.A. or Contractor:�C� � � �l) e /2 Address: 'jcj 1/p 14 /fc. Pd CA,,S�k, 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/altemtion herein mentioned in accordance with law: //STATE OF NEW YORK,,COUNTY OF WESTCHESTER as: rT L(J1 l ti LC4 G 1 �� 'being duly sworn,deposes and says that he/she resides at �� �� //e (Print Name of Applicant) (Nu.and Street) in 'lC� 'BPS`�,� ,in the County oC � J�S 7 .S' in the State of �y ,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:$ for the construction or alteration of Cf 3�U-0 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 ofany building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly, in its use or structure until a Certificate ofOccupancy 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 j G A Swom to before me this �2G day of livaU4 20 2 U day of , 20-ZC i Property Owner Signature of Applicant I'rinl Jame of Property(honer Print Nome of Applicant Xz'N✓c^^� /` W ry PttbGc A N N A K I E L B A S A [Vatary NOTARY PUBLIC-STATE OF NEW YORK �MNA K No.01 K16378519 NOTARY PUBLIC-STAATETE O OF W YORK A F NEW , No.01 K16378519 'I I" Qualified in Putnam County QLafified in Putnam County My Commission Expires 07-30-2022 My Commission Expires 07-30.2022 �yE BRC��. 1982 BUILDING DEPARTMENT ILDING 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.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- ��_L ro,) T-, --I-'>f2 DATE: z-2 PERMIT# ISSUED: SECT: BLOCK: .LOT: LOCATION: `r 1� 7 W I Jj 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 l j • A O 00dwrig' t (914) Double-Hung Replacement Windows Improve Your Home While Preserving Its Charm. If your windows are leaky, sticky, drafty or damaged, you can replace them while maintaining the timeless beauty of your home with Andersen` 400 Series Woodwright" double-hung windows. Rich wood interiors, thick profiles and milling detail worthy of fine furniture make them ideal for traditionally designed architecture. They are available as insert windows for quick, easy replacement that doesn't disrupt your interior or exter II-frame windows, which offer a variety of distinctive shapes and sizes. 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Tempered options are also available.A half insect screen option allows •... 0 o ventilation without affecting the view through the upper sash. And C JC^wi nr"o o^w s^�n s VtCheck for availability. ttAvailable on Woodwright double-hung full-frame standard size units only. -Andersen"and all other marks where denoted are trademarks of Andersen Corporation.0 2006 Andersen Corporation.All rights reserved.Reorder L-7 „ , ��°�����; \i�1ei' �= �” ��°i'�°•S� �+�°i'01t,: :,te1P1,; ,yytt°,�, �+�►�14°II, ' _ .-y� •ior) 11t�11tt fl t�_ y 1t•;�11'� .'.-srt,l�ll+.��a + 's-�lN 11+�•.:, s�. Ilt °� -, ct(o)'`Y o ' w ea u >t MIR oil s~ a� c O I •^I V O>7V LU i / a •�I LLJ LL! h� > > O ° a� t,ectioo <co)> ;m F°— O `" uj LLJ rA O J LLJJ-le so A r f 4w LLJco Q ., LLl d. ° 4.0 r ` 4u �. M I t• OD_ , fl tl • 4"":F; .{ 1i it Fyl a a 1 !max <C[s)5 j �►Il h ,+t+ t+i'; ,r�ol�jl�, —,�,y , �' ` hoed+.:. +ee4+ e e o/• ♦y♦ � ° e e•ee e •• 5a�i •♦ as • , •• , ,c. • pia •• N�,Y�•' c ,S • ,�� I � 0 � .q �::ivy �;�: � •� .,,,� � ' � y � :�:<: p•;,. � ,� DATE(MM/DD/YYYY) AcoR" CERTIFICATE OF LIABILITY INSURANCE �.� 04 30 2ozo 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 NAME. Laura Rodinelli Uarcnco Insurance Agency Inc. PHONE FAX AIc No,Eat: (914)235-3144 (Ale,No): (914)235-1571 36 Church Street ADDRESS: Law'aCa,,marellcoinstirance.com INSURER(S)AFFORDING COVERAGE NAIC R New Rochelle NY 10801 JINSURER A: [Mica First Insuranec Company 15326 INSURED INSURER B: _ ARC Home Improvements Corp DBA Double R ALL Home Improvem INSURER C 439 Willett Ave INSURER D: INSURER,E. Port Chester NY 10573 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 CON]TRACT 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 CLAIMSINSIR . LTR TYPE OF INSURANCE INgp yyyp POLICY NUMBER (MM/ODIYYYY) MM/DD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE FxOCCUR PREMISES(Ea occurrence) S 500,000 MED EXP(Any one person) $ 5,000 Y ART5129737 05%06/2020 05/06/2021 PERSONAL a ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 ,I POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 /� OTHER: S AUTOMOBILE LIABILITY (Ea accident) S ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED HHUPER I Y IJAM GE $ AUTOS ONLY AUTOS ONLY (Per accident) 11 S UMBRELLA LAB OCCUR EACH OCCURRENCE is EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION - ND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ FFICEWMEMBER EXCLUDED? Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S f yes,descnbe under ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S I I _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook are named as additional insured with respects to General Liability 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 Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY,10TH FLOOR,WHITE PLAINS,NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ".. 7 ^A A A^^ 133940830 MARENCO INSURANCE AGENCY INC36 CHURCH ST NEW ROCHELLE NY 10801 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ARC HOME IMPROVEMENTS CORP VILLAGE OF RYE BROOK DBA DOUBLE R ALL HOME IMPROVEMENTS 938 KING STREET 439 WILLETT AVE RYE BROOK NY 10573 PORT CHESTER NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2358 628-2 175479 04/16/2020 TO 04/16/2021 4/30/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2358 628-2, 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 FRANK J VERRASTRO TREASURER RALPH CACCOMO ARC HOME IMPROVEMENTS CORP TWO PERSON CORPORATION 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: 720064833 U-26.3