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Home My WebLink AboutMP20-190 LtJ . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury vvww.ryebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE February 10,2022 The Bianchi Income Only Trust Joan Tursi,Trustee 60 Rock Ridge Drive Rye Brook,New York 10573 Re: 60 Rock Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 135.36-1-15 This document certifies that the work done under Mechanical Permit#20-190 issued on 12/14/2020 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector Ag �E BRC�j�, O� 2� cu � 2 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 : I �\ DATE: 11 n c !� I PERMIT# "`t✓ _ ` ISSUED: r� �(/ CT: BLOCK: LOT: LOCATION: 10) - J OCCUPANCY: ❑ VIOLATION NOTED �\ THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED FOOTING '\ C� ❑ 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 2 VOLUME STEEL 7 1K, A 8 C D E }{ 1 PRODUCT 3 K (US GAL) (IN/gauge) (IN) (IN) (IN) (IN) (IN) (IN) (IN) (IN) SIDE VIEW K 241201 275 0,12 //10 10'/z 12 12 12 54+/z 60 48 242201 240 0,093/12 -"�l 101/z 12 12 12 54% 60 y1 2 244201 275 0.093/12 10'/2 12 12 12 54'1 60 98 3 245201 330 0,093/12 •12 •12 12 1 •12 .661/1- 72 48 1 247101 1 220 0,093/12 6 12 20 43V: 48'/e 39 1 ' 248101 138 0,093/12 4 7'/z 7'/1 24Y¢ 30 20 1 249101 120 0.093/12 7 4 7'h 1 71/1 24% 30 20 1 1 3 D C B A-�� s DETAIL C SCALE .2 B DETAILS OF FLOAT ALARM SYSTEM ON S10059 4 2"NPT MP,) E - UL LABEL AS0035 AS0004 AS0035 26 7/8 27 1/4 23 1/8 s —- —————— 44 1/4 44 3/8 46 1/4 187/8� 20 20 1/4 Bo H SIDE VIEW 1 SIDE VIEW 2 SIDE VIEW 3 AS0001 AS0031 DOUBLE BOTTOM ENO CAP R NPT DEC 1 1 2020 A ----DOUBLE BOTTOM A VILLAGE OF RYE BROOK �3MAX BUILDING DEPARTMENT e dessingst to proprjeJ6 exclusive Be indUsines Granby,S0.Aucune panto do ce dessin no pout tire utilistle ou repro u+a sans so permission derfle. This drawing Is the exclusive properly of Granby Indusirles LP,No part of this drowIng gay be used ar re r6duced In any manner wllhout Its written permlsslon. TOLERANCES LINOAIRES,LINEAR STO TOLERANCES Dasrrlpllon do Is rA+Aslon!Revlslon detrrlpllon R6serveirs d'Acler Granby, 0 OR FRAC.(M) a.0.5" 0,00 -.0.125• Granby Steel Tanks �:v 0.0 ->.0,25" 0.0D0->.0.0625" 02009 Indusbins Granby.SEC.Grsn Iridusidss LP f=111S4111,10deleplicerPsdao. w1 TO LERACANGULIRES, ANGAR STO T RANN s Int per I Drawn by A S 10056 A 0OO ,tia° 'o : .sDE; 0.00 0.1 Do. a �ourasSa ?1fi 2009-10-09 DearrlpllonITitle Les soudures dolvent respecter Is spAchIcaltan SI-0039. ApprouvA par lApprovad by: Tank welds must respect 510039spaelarauons, E Bourassa 2010-08-08 GENERIC DRAWING FOR US DOUBLE BOTTOM MalAdau r Matenal; Unitds Unit s Echelle/scale Feulle 1 ! 1 TANK INCHES 1 0.05 ; 1 5heel 2 1 b-TANK TMPLT-C R[E C E ME DEC 11 2020 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT l V s-0 Rce-ka.) S M ACORD® DATE IMMlDD1YYfY) k._� CERTIFICATE OF LIABILITY INSURANCE 04>2= 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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. I} 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 endorsements. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O.BOX 328 A/CNNo ExI 888 333-4949 FAX o N* 5D7-446A664 OWATONNA, MN 55060 EtAILss• C CE E E S,COM INSURERIS AFFORDING COVERACE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 330.130.6 INSURER BI WESTMORE FUEL COMPANY INCORPORATED INSURER C: 86 N WATER ST GREENWICH,CT 06830.5886 INSURER D: INSURER E: INSURER FI COVERAGES CERTIFICATE NUMBER:36 REVISION NUMBER:0 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 TYPE OF INSURANCE DL SUOR POLICY NUMBER POLICY EFF POLICY EXP LIMITS L NS WVD M DO! Y MIDD! X COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE $1,000,000 PI CLAIMS-MADE Fx1 OCCUR DMA Sf TO.ENTNEO a $100,000 MED EXP(Any ono parson) $5,000 A N N 9062815 06101/2020 06/01/2021 PERSONAL S ADV INJURY 51,000,000 CE 'L AOOR D E LIMIT APPLIES PER; CENERAL AOOREOATE $2,000,000 POLICY dPECROT• X 7 LOC PRODUCTS•COMPIOP A00 $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT LESacclaleni, s1,000,0D0 X ANY AUTO BODILY INJURY(For person) OWNE0 AUTOS ONLY SCHEDULED — A AUTOS N N 9062815 06/01/2020 06/01/2021 BODILY INJURY(Far accidenQ HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE r X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S7,000,000 A EXCESS LIAR CLAIMS-MADE N N 9062816 06/01/2020 06101/2021 AOOREOATE $7.000,000 DED I I RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY X PER STATUTE ER ANY PROPRIETORIPARTNERrEXECUTIVE E.L.EACH ACCIDENT 5500,000 A OFFtCERIMEMBER EXCLUDED? NIA N 9917568 06/01/2020 06/01/2021 (MOndatory In HH) E.L.DISEASE•EA EMPLOYEE $500,000 It yea,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101.Addldonsl Remarm Schedule,may to ammea It mar*spew In requfrea) CERTIFICATE HOLDER CANCELLATION 330.130.6 35 0 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK, NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �> 4� 0 1988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <NTWWorkers' K Compensation CERTIFICATE OF Board NYS WORKERS' .COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(use street address only) 1b, Business Telephone Number of Insured WESTMOREFUELCOMPANY INCORPORATED (203) 531-5656 330_130-6 86 NORTH WATER STREET 1 a. NYS Unemployment Insurance Employer Reglstratlon Number of GREENWICH, CT 06830-5886 Insured Work Location of Insured(Only required if coverage tsspeciffcalfy limfred to 1 d, Federal Employer Identlflcalion Number of Insured or social Security certain loeatlonsln New York State,Le„ a Wrap-Up Policy) Number 06-0739367 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certfffcate Holder) Federated Mutual Insurance Company Village Of Rye Brook 938 }ling St 3b.Pollcy Number of Entity Listed in Box'l a" Rye Brook, NY 10573-1226 9917566 3c.Policy effective period 06/01/2020 to 06/01/2021 3d.The Proprietor, Partners or Executive Officers are included.(Only chock box If alt pannarslofricars Included) ® all.excluded or certain partners/officers excluded. This certifies that the Insurance carrier Indicated above In box"3"Insures the business referenced above in box'I a'for workers' compensation under the New York State Workers'Compensation Law, (To use this form, New York(NY)must be listed under ltern_ZA on the INFORMATION PAGE of the workers'compensation insurance policy), The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder In box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days If cancelled for any other reason or if the Insured Is etherwlse eliminated from the coverage Indicated on this certificate prior to the end of the policy effective period? ®YES []NO This certificate Is.issued as a matter of Information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is In effect, Please Note.Upon cancellation of the workers'compensation policy Indicated on this form, if the business continues to be named on a penult,license or contract Issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business Is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the Insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Amber Madrid (Print namo of outhorixad raprosonta6vo or Ilcanaad agent of Inaunanco carraar) Approved by: 4M--L4- 4/20/20 (Slgnaluru) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier. (888) 333-4949 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to Issue it. C-105,2 (9-15) www.wcb.ny.gov