The URL can be used to link to this page

Home My WebLink AboutBP20-176PERMIT # �/" 00 "� %� DATE; 9 ok) EXP; ib,7/sal SECTION _1 BLOCK f LOT �olo TYPE OF WORK )eeOahe A O Hed >YP&4101rU1v1 dnd itPAS JOB LOCATION ja/70i Ve nli e OWNERZ;;�waI?kli n QWZ<2JQ A Ma02a LCee n�L�ISI)a79-97�10 .K�L`1G�S�iI�1i �T. COST � 00� EE � / 7J - CO # `7 FEES DATE a TCO # FEE DATE... INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT M ALARM m AS BUILT C1 FINAL OTHER APPROVALS ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 22-094 Certificate of ®ccupatup This is to certify that FYar>,-1/!2 Al Y10 3eYKaJ-7 0 of, 9NLf , BrO IC IVY having duly filed an application on 20 ;�2 1Q. requesting a Certificate of Occupancy for the premises known as, JVJ0 1 JQJ'7C( /'YV1`t?a(f , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: 1315.75 Block: I Lot: t4�41 . and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. o!(-) / 7&, issued 20 -Q6, 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: O - Construction: , for the following purposes: Repa/V (AQ 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 shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has been o tain d nrth�fui i nspector. Building Inspector, Village of Rye Brook: Date: JUN 2 3 2022 D E C E� V BUILDIl� T ME NT For office use onl :J PERMIT# 7 VILLAGE OF RYE BROOK ISSUED: — I — J U N - 8 2022 9 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: C� (914)939-0668 FEE: PAID VILLAGE OF RYE BROOK W1WW,ry4b_r9ok.0r2 BUILDING DEPARTMENT PPLICATION 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 ♦ru►►►►►►►►►►ree►►•re►►r►rr►rr►r►rrrrrrrrrr►■►rrrrrrrrarrrrrrr►►r►rrr►►►r►►►►►►►►►►p►♦t►♦►►►►r►►►r►►►►rr►r►►►►r►r►►rrrrrrr Address:�E, t.Q�v-,> c! &f_�" Occupancy/U))se: � Parcel ID#: �, 3� • 7 5- Zone: Owner: r/y.4_ f1 Address: P.E./R.A. or Contractor: kLIE• Address: 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: t ►�4�1 l/n �2a ck being duly sworn,deposes and says that he/she resides at C� t?XW141(4X- (Print Name of Applicant) /I__ (No.and Street) in��G g >("' ,in the County of � �GV�'J� ' '�'1 in the State of MY• 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:$ i v for the construction or alteration of: 4+,::! A 0 k• 4 C tr o'Q 4 n d 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. Swornto before me this 1 Sworn to before me this day of �� ,20'Z Z day of , 20 Signature of Property Owner -`J r Signature of Applicant 12-*4 et.r1 Do 0 Prizq Name of Property Own Print Name of Applicant No Public SHARI MEULLO Notary Public Notary Public,State of New York No.01ME6160063 8/12/2021 Qualified In Westchester County Commission Expires January 29,20-1 �Qy6 BR(�v,�. O Zm l7 -c 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: 6(o \� \ DATE: PERMIT# 20`\ ISSUED: `((l SECT: BLOCK: ` LOT: LOCATION: t , J� OCCUPANCY: 1 ❑ VIOLATION NOTED THE WORK IS... 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 Building Permit Check List&Zoning Analysis Address: rJ��[ A. SBL: Zone^.I Z' r U e: _Z—I ID Cont.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant: T-__ZA Nature of Work: At A, A,L=f> s us Reviews•ZBA: S E P 1 0 1010 PB• BOT: Other. 1`Il -QK (( ) ( ) ES:Filing. S. �BP: 1/UO 0U'Q CC O: Legalization: (�P: Dated:�tarized: -"SBL: -I-russ I.D. Cross Connection: ✓ H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current:_�Archival: Sealed Unacceptable: ( ) ( ) PLANS:Date Stamped: Seale' Copie Electronic Other. (� ( ) License: 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. O O 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 mtg.date: approval:- notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval;- notes: REQUIRED EXISTING PROPOSED NOTES Area: Gain' SEP I_n 7n�n Circle: FFr nth Front: Front: sidm. Rca Main Cow. Accs.Cov Ft.HS : S .HS : Q Tot.in: Ft.imp: P H�8 /Stories: notes: h ' �1 n r r i r. +... .,kr i ,, F_ .c.-,�"' x..;.. __ �,��a +,,�.o Wes:. r��" ��. � � `�.;. p� �-. �, ; '' �� .. f � �_� �� / i r�_ a'; ,. :! �-.ems- � �,�' ��, � ; y: ' ; .. \. y✓,�'. �, �, ,* '- _.�� • x b WO t r 4b � r S r s IP s e • • d '4 r s• j mow• ••• F �w ti 4 r[ `v n � 1 F 4 1 -�4r , j7, all A ' 1 ► "Aiwis installation .7 ,3n 1 lo. —11d this entire manual before you begin '-atety lntormation 1 .,)k A Vour railing. _ Use extreme caution when using poulet'toots. Read and understand this entire I your railing. : :�9 t;Please corlslrlt local zoning laws in of arms to load requirements and bottom space .jFAIaf,e.^?�gttil use extrem 1 s rit ,ti=ni�for rails.$w supporft Strur:tlnCS tnls¢t 1 requirements and bottom Pa0uh, by IMM arr'd es and coda stTuctures must be in accl _1 it „I opwce prior to Ration,Local ix ing eighborhood association e :so};iremerifs will always s4ersede any and aH 0 type,placement and abili local authorities and codes er=�r edurn and measurements in the building code requirement o wm%:%-Caumftl The fotlowing Moon procedures and measurers ,yyugo-a alp-iiiOnWeo as a gweral wXMm bewd installation instructions tip used in railing instadatiarl. i. common building pract Visit FIBERONDECKAG.'OM for fall warranty inforitr;:iion. Visit FIBERONDECKING.0 Pre-installatio!ri llOOLS REQUIRED ire-installabOT Rubber Safe PVC adhes n' mallet Safe es Pen, �+ i we C ++bit TOOLS REQUIRED Rubber Sai Power Tape Miter Speer U i ,,—,table mallet 90' drill measure a saw ° _- �, Poser Tape STAIR RAILING HARDWARE KiT part Drrscr '' ' ;�l �+#1i' �+ —EE _ rr EE #10 x 1 in. _J ,j¢ apti RAILING 1 _FF FF #10 x? +in. Laura Petersen From: Laura Petersen Sent: Thursday, September 10, 2020 3:56 PM To: 'FRANKLINBQT@MSN.COM' Subject: Building Permit Application - 66 Woodland Avenue The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the 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 ($15.00 per $1,000.00) (due once permit is issued and ready for pick-up) 0/000 Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ioetersenarvebrook.org C/Q e-a 11ke -)a a�o lJo.-k �jimszl • Continuation AW Declarations TRAVELERS J HOMESAVER POLICY Named Insured Your Agency's Name and Address ANGEL/B QUEZADA C QUICK INS AGENCY INC 66 WOODLAND AVE 13 W MAIN ST RYE BROOK NY 10573-2946 WASHINGTONVILLE NY 10992 Your Policy Number: 932308797 663 1 For Policy Service Call: (845) 497-1119 Your Account Number: 931098480 For Claim Service Call: 1-800-CLAIM33 Policy Period Location of Residence Premises FROM: 09-01-20 To: 09-01-21 12:01 A.M. 66 WOODLAND AVE STANDARD TIME AT THE RESIDENCE PREMISES RYE BROOK, NY 105732946 Section I -Property Coverages Limits of Premium Liability A - Dwelling $ 379,500 $ 2,243.00 B - Other Structures 37,950 INCL C - Household Furnishings 2,000 INCL D - Loss of Use 37,950 INCL Section II -Liability Coverages E - Premises Liability $ 500,000 $ 65.00 F - Medical Payments 5,000 INCL Policy Forms and Endorsements HS 663 09 99 Rental Dwelling Form HS 00 03 09 99 Special Coverage HS 01 31 05 14 Special Provisions - New York HS 04 16 09 99 Premises Alarm Or Fire Protection System HS 04 77 09 99 Ordinance Or Law - Increased Amount Of Coverage New Total Percentage - 25% HS 23 85 09 00 Water Back Up And Sump Overflow $ 60.00 Total Premium $ 2,368.00 Your Premium Reflects the Following Credits or State Surcharges Premises Alarm System-Fire 5.0% Continued on next page Insured Copy Page 1 of 3 PL-8651 1.97 577/OTG613 003155/00357 F3115AH5 9688 07/12/20 Policy Deductible: $ 1,000.00 All perils insured against In case of loss under section I, only that part of the loss over the stated deductible is covered. First Mortgagee Second Mortgagee SELECT PORTFOLIO SERVICING I RESIDENTIAL HOME FUNDING ISAOA ISAOA/ATIMA PO BOX 7277 NORTH STATE ROAD SPRINGFIELD, OH 45501 BRIARCLIFF MANOR, NY 10510 LOAN NUMBER: 0010191146 VourInsurer: The Automobile Insurance Company of Hartford, Connecticut One of The Travelers Property Casualty Companies One Tower Square, Hartford, CT 06183 For Your Information For information about how Travelers compensates independent agents and brokers, please visit www.Travelers.com or call our toll free telephone number 1-866-904-8348. You may also request a written copy from Marketing at One Tower Square, 2GSA, Hartford, Connecticut 06183. We have increased the coverage limit on your home by 2.4% to reflect the estimated cost to rebuild your home. This increase is based on information we received from CoreLogic, an independent firm specializing in construction costs. Each home is unique and you know your home best. Your coverage amount may need to be adjusted, higher or lower, based on your home's specific construction details, updates or upgrades. If you disagree with your coverage limit, please contact your Travelers representative or agent who can work with you to help you decide the appropriate amount of insurance for your home and process any necessary adjustments. It is important that the information we used to rate your policy is correct. It is your responsibility to make sure that the information on these Declarations is accurate and complete, including checking that you are receiving all the discounts for which you are eligible. To see a full list of discounts offered, including discounts for having multiple policies with us and protecting your home with safety devices, go to www.travelers.com/discounts. Once at the website, type in your policy number 9323087976631 and product code SV1 to view the discounts available. If any of the information on the Declarations has changed, appears incorrect, or is missing, please advise your Travelers agent or representative immediately. Your Travelers agent or representative is also available to review the information on the Declarations with you. Continued on next page Page 2 of 3 PL-8651 1-97 577/OTG613 Continuation ,W Declarations TRAVELERS .1 HOMESAVER POLICY Named Insured: ANGEL/B QUEZADA Policy Number: 932308797 663 1 Policy Period: 09-01-20 To: 09-01-21 Effective Date: 09-01-20 For Your Information (continued) IMPORTANT FLOOD INSURANCE NOTICE Your homeowners or dwelling policy does NOT provide coverage for loss caused by flood or mudslide, which is defined, in part by the National Flood Insurance Program as: A general and temporary condition of partial or complete inundation of normally dry land areas from overflow of inland or tidal waters or from the unusual and rapid accumulation or runoff of surface waters from any source. If you are required by your mortgage lender to have flood insurance on your property, or if you feel that your property is susceptible to flood damage, insurance covering damage from flood is available on most buildings and contents in participating communities through the National Flood Insurance Program. Information about flood insurance and whether your community participates in the program can be obtained from your insurance company,from your insurance agent/broker, or directly from the National Flood Insurance Program by calling 1-800-638-6620 or via their website at http://www.floodsmart.gov. Rating information only Dwelling Occupied By TENANT Territory 49 Construction FRAME Protection Class 0004 Yr Built 1935 Rate Tier STD Not more Than 50 Feet from Hydrant, 1.0 Miles from Fire Dept. Upon request, we will furnish you, or your representative, with a written estimate of damages to real property, specifying all deductions, provided such estimate has been prepared by us or has been prepared on our behalf for our own purposes. This estimate will be provided within thirty days after your request or its preparation, whichever is later. Thank you for insuring with Travelers. We appreciate your business. If you have any questions about your insurance, please contact your agent or representative. These declarations are part of your Homesaver Insurance Policy, Rental Dwelling Form 663. If a change number and effective date appear at the top of this page, these Declarations replace any previous Declarations on that date. Insured Copy Page 3 of 3 PL-8651 1.97 577/OTG613 003156/00357 F3115AH5 9688 07/12/20 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence **Thu form cannot be used to waive the workers'compensation rights or obligations of any party.** Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. PUI have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. a 6 20 (Sijrfaiture of Homeowner) ate Signed) T �x/ � Home Telephone Number / 2 (Homeowner's Name Printed) Sworn to before one this I _ day of Property Address that requires the building permit: • on" erk or`—Nothr5, Public) • ALEXANDRA H.FRANK inndv1hulll Notary Public,State of New York J No.01FR6363n1 l c> � � Qualified In Westchester County :ornmission Expires August 28,20 i\ o- -o Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB