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HomeMy WebLinkAboutRP21-009PERMIT # jef'v)l � OCR 9 DATE:, (SECTION J f :50 BLOCK TYPE OF WORK kle QO YC� X/S JOB LOCATION a C OWNER 100/ /)e 10 CONTRACTOR EST. Y/cO# 0 �,O # FEE DATE INSPE ION RECORD DATE FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING F1 RGH PLUMBING GAS SPRINKLER 0 ELECTRIC LOW -VOLT ALARM Cl AS BUILT FINAL INSP l,C1I/��1 OTHER APPROVALS ARB BOT PS _ ZBA OTHER O yCV VJ ry1 � c tLc �Ja��VrY �O VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914)939-0668 Christopher J. Bradbury w-.w-wayebrook.org TRUSTEES BUILDING&FIRE Susan R. Epstein INSPECTOR Stephanie J.Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE March 29, 2022 Joanne DiMaggio 27 Talcott Road Rye Brook, New York 10573 Re: 27 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-75 Roof Permit#21-009 issued on 3/18/2021 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 /tg BUILDING-DEPARTMENT For office use only: DD D PERMIT# �/Gbg VILLAGE OF RYE BROOK ISSUED: 3•/ -a/ FMAR2 3 2022 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: 3-cD3 a c-�I- BROOK (914)939-0668 FEE: //Q-- PAtDV VILLAGE OF RYE BUILDING DEPARTMENT 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 sssss,::assssssasssss::asssssssssassssas:ass::ass:/sass':'.aa:as:aass:a:::::ass::as::::aassssssssss:::::aass:: Address: c� Occupancy/Use: / ilr Parcel ID#: 3 S, 45 — — 7 S Zone: �- Owner: ��Q �I!>! l/(iJ/ d Address: o� P.E./R.A.or Contractor:�� —A4bA-- Address: Person in responsible charge- �r� �a�� Address:c :- c 'N 1 � 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: ZI-0'O being duly sworn,deposes and says that he/she resides at (Print Na a of Appli n (No.and Street) in ,in the County of in the State of ,that ff (City/Town/Vivag he/she has supervised the w at the location indicated above,and that the actual total cost of the work,including all site im ovements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S for the construction or alteration of: t 6 /I 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 Q 3 Sworn to before me this day of \' \Q,sC,\ , 20 day of , 20 L e of Property Owner Signature of Applicant ame of Property Owner Print Name of Applicant Notary Public SHARI MELILLO Notary Public Notary Public, State of New York No. 01 IME6160063 Qualified in Westchester County Commission Expires January 2.9.202a QyE BR(��, cu � '9a2 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 aebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - — — — — — — — - - - - - - - ADDRESS :—, 1 A L Le3� � (3 r:�-2 DATE: PERMIT#1�? ` ` 0(: l ISSUED: SECT: ( !S BLOCK: LOT:—' LOCATION: �� OCCUPANCY: A ❑ VIOLATION NOTED THE WORK IS... ❑f ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.R GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ ,,CROSS CONNECTION FINAL OTHER Reclaimed State,LLC 3 Fowlerhouse rd Wappingers Falls, NY 12590 US 914-557-2762 ReclaimedState@optimum.net Estimate ADDRESS ESTIMATE# 1046 Joanna Di Maggio DATE 01/23/2021 27 Talcott Rd Rye Brook, NY DATE ACTIVITY DESCRIPTION OTY RATE AMOUNT Rip Remove existing layers of roof down to 1 0.00 0.00 sheathing Ice and Snow Install Ice and snow guard on bottom 6 1 0.00 0.00 ft of roof and cricket area Paper Install synthetic roofing felt 1 0.00 0.00 F 5 1/2Edging Install F 5 1/2 drip edge on perimeter of 1 0.00 0.00 roof Shingle Install GAF Timberline HD shingles on 1 0.00 0.00 entire roof area Ridge vent Install ridge vent on peak of roof 1 0.00 0.00 Pipe Flange install new vent pipe flanges as 1 0.00 0.00 needed Flirtlastic Flat Install Flintlastic roofing system in 1 0.00 0.00 roof cricket area Garbage Remove all job related debris 1 0.00 0.00 Sales 15,000.00 1 0.00 1 0.00 0.00 Thank you for working with Reclaimed State! TOTAL $15,000.00 Accepted By Accepted Date fqi,1� t.-�'*Sjg- ;",it POO,, M, #el C14 .3 CN C-4 C14 LO CD LO CN C6. W uj cr ction n t UJ _j 0 cu 0 > LU LIJ 0 2Uj 0 LU LL CIO ad F: 15 C14 00 ce) Alm '41 -N c lul ,acoKL� CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDYVYY) 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 Jim KOCChiu NAME: JOHN M BROWN INSURANCE AGENCY INC PHONENo, 773-453-8381 FAX No: 773-6i57-2010 750 N FRANKLIN ST STE 208 ADDRESS, jim@farrnerbrown.com INSUR S AFFORDING COVERAGE NAIC N CHICAGO IL 60654-3545 INSURERA: Interstate Fire&Casualty Company 22829 INSURED INSURER B: Reclaimed State LLC INSURERC: 3 Fowlerhouse Road, INSURERD: _ Wappingers Falls,NY 12590 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 TYPE OF INSURANCE AD L SU POLICY NUMBER POLICY EFF POLICY EXP LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X. OCCUR PREMISEE occurrence) S $ 50,000 MED EXP(Any one person) $ 5,000 A Y N MXC07027364 06/19/2020 06/19/2021 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT POLICY PRI LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Es accMent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Par accident UMBRELLA I" OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-AMDE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY Y/N STER ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St AUTHORIZED REPRESENTATIVE _ C Rye Brook NY 10573 --� V� ✓4 ^"-. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund 1 WATERVLIET AVENUE ALBANY,NEW YORK 12206-1649 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE %K,:-*9* ^^^^^^ 260498859 RECLAIMED STATE LLC 3 FOWLERHOUSE RD WAPPINGERS FALLS NY 12590 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RECLAIMED STATE LLC VILLAGE OF RYE BROOK 3 FOWLERHOUSE RD 938 KING STREET WAPPINGERS FALLS NY 12590 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE A2446 590-8 213323 06/07/2020 TO 06/07/2021 3/11/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2446 590-8, 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:/M/WW.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 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:210752678 U-26.3