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HomeMy WebLinkAboutRP20-047�x /�P� �� �,�, f p b PERMIT# /�/ ""D� / DATE: flJ19JI&O EXP: /%9aC (::e, 00 �btv la)'I SECTION /09/9 93 BLOCK OT / SF� TYPE OF WORK JOB LOCATION OO SV OWNER Q&rs z/ / COA //l/ o�'%105�1% CONTRACTOR /) tI / 2✓70YQ7olS .T,/lC - a 46on /VO,<)wa 7 EST. COST 0�0 &OCJ FEE �CO # C FEEl4 %8J7 i�,C� DATE TCO # FEE.. DATE@_------- o FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC I� LOW -VOLT 71 ALARM O AS BUILT F7 FINAL (?4Q INSPECTION RECORD DATE INSP 1- 12- 202�1 OTHER APPROVALS ARB t w J J J v QR 190 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 Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 16,2024 James Bogucki&Nicole Zillitto 300 South Ridge Street Rye Brook,New York 10573 Re: 300 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.43-1-1 Roof Permit#20-047 issued on 11/19/2020 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to ' �3I� For office use only: D CCU L� U L� BUILDIN TMENT PERMIT#�/°�0-0�7 DD VILLAGE OF RYE BROOK ISSUED: %/ —/ ?-ace DEC - 7 2023 08KING STREET,RYE BROOK,NEw YORK 10573 DATE: /a- 7-Q 3 (914)939-0668 FEE: S /$S PAID it VILLAGE OF RYE BROOK www,ry#j_oQ!Mrg BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION t►►it►itittt►tt►t►►tt•tti►t►ttttttttitf►ttttt►►t►iiit►■►tttttttt►f►itttttttittttttt►ttf►ititttt♦►►t•ftfiiititiittt•►ttiitiiti Address: —�00 Sci&t*I . 10 Si- Occupancy/Use: Res i cloyl 4- Parcel ID#: 14/ y 3 /-j Zone: Owner: f j ,co[e Z., 11 i i- o Address: '2,00 �� k� „�,,c S�- P.E./R.A. or Contractor: Ny R I Ir A PPL,6 REN0VRToj6Address: 210 SteiriwgT S+ A slar;0" rvy it lD� Person in responsible charge: inn«tkan &)Uf 4,A)cLn Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YOM COUNTY OF WESTCHESTER as: tJ l Co(,P Z i(l d:b2 being duly sworn,deposes and says that he/she resides at '300 S o,+1' 12,a'wa 2 St (Print Name of Applicant) (No.and S t) in RUC— Arne 1L ,in the County of I eS--cC in the State of N that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 2.0.(oU0 , for the construction or alteration of: Ran 2 2,0 t2 I a c P ya f Yl-' 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��a Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this 54� day of �P,C�YI��'�'� , 20 day of 0fttY- Ib()r , 20T; Signature f Owner Sign pplicant Print Name of Pr Owner Print Name of Applicant I Notary 1pblic No NOTARY RAW STATE OFIOWYM SAW�� C ���� 8/12/2021 WESTCHEM OOIM o1Y LIC. UC./01 cow ptp COW E� = QyE BRC��, O�` tim FO cu � BUILDING DEPARTMENT ❑I BUILDING INSPECTOR B 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 : ,3L� DATE: 12 - ZOZ PERMIT# �0- `V-/ 7 ISSUED: - '?v SECT: / 7 BLOCK: / LOT: / LOCATION: '1`co OCCUPANCY: 21 V ❑ Violation Noted THE WORK IS... [PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas - 'I ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER Invoice #009 6 72 DATE: 11/10/2020 NAME: Nicole and James BIG APPLE ADDRESS: 300 S Ridge Street R E N O V A T O R S — 2109 Steinway St Rye Brook, NY 10573 Astoria, NY 11105 PHONE: 914 217 - 6564 (718)521-2121 info@bigapplerenovators.com EMAIL: nzollifto@gmaii.com www.big��lerenovators.com 9 NYC Lic#2079881 DCA#2069846 WC#33305-H2O Assigned Rep Project Jon Shingle/Flat Roof Option Job Description Price Asphalt Shingle Roof Replacement-GAF Weather Stopper Roof System(Area: Main House) -Preparation of worksite area - Sweep and clean of worksite area -Full tearoff and removal of all existing roof layers down to plywood deck up to 3 layers* -Supply and Install F-Style Drip Edge Aluminum capping along eaves of roof -Supply and Install GAF Ice and Water Shield Leak Barrier Protection(24 inch pass the exterior wall) -Supply and Install GAF Pro-starter Strip for 130mph wind protection 8t warranty 1 -Supply and install Tiger PawTm Premium Permeable Roof Deck Protection $�' '� -Supply and Install Architectural GAF Timberline HD Shingles(Color:TBD) -Supply and Install GAF Timbertex Ridge Cap Shingles over peak of roof - Supply and Install GAF Snow Country Ridge Ventilation -Proper roof flashing at chimney,pipes,and all intersecting points on roof -Cleanup,haul away,and disposal of all project related debris -Project includes 25 year Non-Prorated Labor Big Apple Warranty and 50 year Non-Prorated GAF Materials Warranty. Flat Roof Repair(Area:Back of Main House) - Preparation of worksite area 2 - Sweep roof surface clean and remove all debris $1 200.00 - Supply and apply Karnak 66 roofing cement across areas specified ' Supply and install Firestone SBS Granulated Cap Sheet over specified area Cleanup,haul away,and disposal of all project related debris Total: $8,800.00 Deposit: $2,950.00 Balance: $5,850.00 Notes: This proposal price is valid for 30 days.The above total is for the services described.Any additional services will be billed as a change order to this invoice. 1.Job site will be cleaned up daily at the end of each work day 2.Work days will begin no earlier than Sam and go no later than 5pm unless given authorization by owner 3.3 Day Right of Recision after contract is accepted,with fully refundable deposit Payment Terms:33%Deposit due to accept job,33%upon arrival of manpower and materials and the remaining balance due upon completion. • ,acoRoa CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) 7/2/20 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 CNAME:ONTACT --Pamela Radin . _ Pamela Radin (PAcmd.E&,):_516-783-3484 � 516-783-3487 E-MAIL 914 Atlantic Ave SS;_ elaradin allstate.com - - m�--- � Baldwin, NY 11510 __ INSURERS)AFFORDING COVERAGE NAIC0 INSURER A: Atlantic Casualty Ins Co INSURED INSURER-B. NY Big Apple Renovators Inc -- — " - -"-- - 215 California Ave INSURER _ Uniondale, NY 11553 INSURERD: _ t r INSURER E: 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 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 'ADDL SU POLICY IMF '— POLICY EICP -----------------—- LTR TYPE OF INSURANCE POLICY NUMBER M M LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE __ S _1 000,000_ A CLAIMS-MADE X OCCUR X X AMA aZ�E TO RENTED Q190306-001 3/06/20 3/06/21 PREMISES(Ea occurrece $ N/A -_ MED EXP(Ark one Person) S 5,?0)000t PERSONAL&ADVINJ_URY $ 1�,II00,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE_ S POLICY r f—� - - 000,000 -- .�( L _JECTPRO- l LOIC PRODUCTS-COMP/OPAGG $_-2t000,O00 OTHER: - ----- --- S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S I Ea accident I ANY AUTO BODILY INJURY(Per person) $ ! OWNED f l SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ --_ l � J HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY -CPer agidentl_ $ $ UMBRELLALIAB OCCUR _EACH OCCURRENCE_ S _ EXCESS LM& CLAIMS-MADE AGGREGATE S_. ----- DED RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STAT E ANYPROPRIE TOR/PARTNER/EXECUTIVE EL EACH ACCIDENT = OFFICER/MEMBER EXCLUDED? (Mandatory In NH) j [E. DISEASE-EA EMPLOYEES If yes,describe under L. "-"-"-- — -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT i S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is Listed As Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK NY 10573 AUTHORIZED -REPRESENTATIVE , � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORDs provided by Forms Boss.www.FormsBoss.com;(c)Impressive Publishing 800-208-1977 Certificate of Attestation of Exemption W*n from New York State Workers' Compensation and/or Disability and Paid Family Leave Benefits Insurance Coverage **This form cannot be used to waive the workers'compensation rights or obligations of any party.** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Home Improvement NY Big Apple Renovators inc From Village of Rye Brook DBA:NY Big Apple Renovators a g Y 215 California Ave 938 King Street Uniondale,NY 11553 Rye Brook NY 10573 PHONE:718-521-2121 FEIN:XXXXX3231 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a one person owned corporation,with that individual owning all of the stock and holding all offices of the corporation. Other than the corporate owner,there are no employees,day labor,leased employees,borrowed employees,part-time employees,other stockholders,unpaid volunteers(including family members)or subcontractors. Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) I,Jonathan Noruman,am the President with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately famish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. SIGN Signature: J Date: l)llo�� HERE Exemption. . I Icate Number Received 20 � 83 October 19, 2020 },+ NYS Workelis' Compensation Board I CE-200 01/2018