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HomeMy WebLinkAboutRP21-008PERMIT # A!_' SECTION _/ TYPE OF WORK JOB LOCATION CONTRACT EST. COST moo# ( DJ- 009 DATE: dl/ cqN) pip.I I old • 6 % 13LOCK % LOT� � n .Sdij yetormal) i Z zinn ,5; TCO # FEE DATE INSPECTION RECORD DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING LD RGH PLUMBING GAS SPRINKLER ELECTRIC LOWV VOLT ALARM AS BUILT FINAL INU ?jrq)939-7/741 OTHER APPROVALS aR6 BOT PB ZBA -- OTHER aR �. 1q is a V G�'4 hr`L i7 t9 J,� Am anniumaW 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 Jon Silverman&Lynn Silverman 13 Longledge Drive Rye Brook,New York 10573 Re: 13 Longledge Drive, Rye Brook,New York 10573 Parcel ID#: 135.67-1-24 Roof Permit#21-008 issued on 4/1/2021 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to For office use onl : �, (� �,� E" I BUILDING DEPARTMENT PER1vnT VILLAGE OF RYE BROOK ISSUED: 4_1_a MAR 3 O 2 0 2 2 38 KING STREET,RYE BROOK,NEw YORK 10573 DATE: --.3" -r3 (914)939-0668 FEE: dal ` = PAID$ VILLAGE OF RYE BROOK �t www.ryebrook.org 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 tfi►titti►/t/►/ttiftf//►t►►►•ft■tt►►►♦f//t►►►►fiRiiitttttttt•►f///►►►♦/■t//■t►►••/►►►t►►//ffi►►►►►►►►►►►►►ttt►►►fttt•►►t►►t/► Address: 13 Longledge Dr, Rye Brook, NY 10573 Occupancy/Use: SFH Parcel ID#: 135,67-1-24 Zone: -/O Owner: Jon Silverman Address: 13 Longledge Dr, Rye Brook, NY 10573 P.E./R.A. or Contractor: Home Energy Repair DBA Gunner Address: 194 S Water Street, Greenwich, CT 06830 Person in responsible charge: Andrew Prchal Address: 194 S Water Street, Greenwich, CT 06830 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: Andrew Prchal being duly sworn,deposes and says that he/she resides at 194 S Water Street (Print Name of Applicant) (No.and Street) in Greenwich ,in the county of Fairfield in the State of CT ,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:$ 25,000 for the construction oralterationof. Re-Roof Existing Building 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 3 C) � Sworn to before me this /3 0 day of 4,-NyZ C-h 20 2- 2— day of N\(� , 20 Signature of P4erty Owner ``,`,111111111 I Signature of Applicant GCS', { ``,`,11111111111/III/// Print of Property Owner .' Print Nam Applicant SOT Of 1 - = ' N `'Liy - 013 L\G Al GJ `�C'p'' �E BRnuk cu � • �9r�2 BUILDING DEPARTMENT BUILDING INSPECTOR z❑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.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : NGJC� L �- DATE: PERMIT# ISSUED:y/) Zl SECT: BLOCK: t LOT: Z ` LOCATION: l'— �'Yi�`��� OCCUPANCY• Z ❑ 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 V v❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING CROSS CONNECTION FINAL ❑ OTHER Laura Petersen From: Becky Blake <becky@gunnerroofing.com> Sent: Thursday, April 1, 2021 9:46 AM To: Laura Petersen Subject: 13 Longledge Drive Estimated Cost of the project is: $25,000 Thank you Laura! Best, Becky Becky Blake Gunner Roofing (203) 321-7735 www.GunnerRoofing.com X 1 Laura Petersen From: Jon Silverman <jondavidsilverman@gmail.com> Sent: Wednesday, March 31, 2021 4:06 PM To: Laura Petersen Subject: Roof Permit for 13 Longledge Drive Dear Laura, It was a delight talking to you today. Thanks for being you. This is to confirm that, for the reasons mentioned to you, I have decided to switch roofers from Danny Mustacato, Carpentry Plus, to Andrew Prchal, Gunner Roofing. Gunner recently completed two roofing jobs at hidden Falls in Rye Brook where I live. One is at number 27 and the other is number 41 on Longledge Drive. My residence number is 13 Longledge Drive. You already have prepared the renovation permit for my residence, but as you described, the supplier details need to be changed. Someone from Gunner will be contacting you shortly about switching the supplier side details for the building permit. Most likely, Gunner will be paying for the permit. Thanks a lot for looking after this. If you need me for anything, please don't hesitate to contact me. Thanks and warmest regards. Jon Silverman 914-939-7174 Cell 914-527-5858. Sent from my iPad Begin forwarded message: From:Jon Silverman <jondavidsilverman@gmail.com> Date: March 31, 2021 at 3:07:33 PM EDT To:JDS GMAIL<jondavidsilverman@gmail.com> Subject: Fwd: Roof Permit for 13 Longledge Drive Sent from my iPad Begin forwarded message: From: Laura Petersen <LPetersen@ryebrook.org> Date: March 11, 2021 at 1:07:51 PM EST To:Jon Silverman <jondavidsilverman@gmail.com> Subject: RE: Roof Permit for 13 Longledge Drive Thank you for the email Mr. Silverman, 1 C y� �Pow, to -- -- -- C ' a �( ` George Wime► - WstC�1CS'tC1" Jams Maisano — Wetchester County Executive v.(X)m Director,Consumer Protection a+ � i F Department of Consumer Protection F Home Improvement License HOME ENERGY REPAIR LLC --� 6639 E JEAN DRIVE r SCOTTSDALE,AZ-85254 This license is issued in acwrdance with Article XVI of the Westchester County I ` z. Cowsu ner Protection Code and is valid only upon presence of the official department seal. ! ct Consume e hcenx Nsunher Date of Expiration SL •"►' WC-32180-1-119 0 ; 09/13/2021 •f l P C chesrer Co') t.. — I ph �' lITO N J�A .a11*. o CERTIFICATE OF LIABILITY INSURANCE DATE8/2021 YYYY) 02(18/2021 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 CONTACT NAME: Next First Insurance Agency.Inc. PHONE (g55)222-5919 FAX PO Box 60787 C AIC No Palo Alto,CA 94306 E-MAIL ADDRESS: support@neXtlnsurence.com INSURERS AFFORDING COVERAGE NAIC a INSURERA: Next Insurance US Company 16285 INSURED INSURERB: State National Insurance Company,Inc. 12831 Edward Prchal Gunner LLC INSURER C: 194 S Water St INSURER D: Greenwich,CT 06830 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:3357152 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 TYPE OF INSURANCE ADDL.SUSR _ POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDfYYYY) 1MM/DDNYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 CLAIMS-MADE OCCUR PREMISES Ea occurrence i 100,000.00 MED EXP(Any one person) $15,000.00 A X NXTIKF2MOP-00-GL 10/05/2020 10/05/2021 PERSONAL 8 ADV INJURY $1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 X POLICY JE C LOC PRODUCTS-COMP/OP AGO $2,000,000.00 OTHER: $ AUTOMOBILEUABILRY COMBINED SINGLE LIMIT Ea accident t 1,000,000.00 ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED X NXTPP4CJ3H-00-CA 02/18/2021 02/18/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS lP ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per.accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LUIBILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNERID(ECUTWE 7 E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE i If yes,describ un der nder E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OPERATIONS below Each Occurrence: $25,D00.00 A Contractors Errors and Omissions X NXTIKF2MOP-00-GL 11105/1020 10/05/2021 Aggregate: $50,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured,and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION 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 Port Chester,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSIF New volF St.ite Inr-1—v f—, WESTCHESTER ONE.44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 10601441' 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ado ^A^^A A 832024199 HOME ENERGY REPAIR LLC D/B/A ty GUNNER ROOFINGl� ff- klif 194 S WATER ST GREENWICH CT 06830 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER HOME ENERGY REPAIR LLC D/B/A VILLAGE OF RYE BROOK GUNNER ROOFING 938 KING STREET 194 S WATER ST RYE BROOK NY 10573 GREENWICH CT 06830 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2485 011-7 934157 09/12/2020 TO 09/12/2021 12/23/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2485011-7. 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/CERTICERTVAL.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. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:244455163 U-26.3