HomeMy WebLinkAboutRP21-013PERMIT #/1Pai-oi3 DATE
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FRAMING
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INSULATION
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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
April 29,2024
Stuart Penan& Debra Penan
15 Pine Ridge Road
Rye Brook,New York 10573
Re: 15 Pine Ridge Road, Rye Brook,New York 10573
Parcel ID#: 135.41-1-51
Roof Permit#21-013 issued on 4/7/2021 to Re-Roof Existing Building
This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building& Fire Inspector
/to
BUILD MENT For office use onl :
PERMIT# — Qi 3
A FR 19 2024 VIL OF RYE OK ISSUED:i-; ' -
938 KING STRE YE BROOK, YORK 10573 DATE:C4, i eF Z L
VILLAGE OF RYE BROOK 4)939-066 J FEE: ' PAID
BUILDING DEPARTMENT wWw.ryebro k.or
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
lttfffff#tf#it!!lififtttt#fttR#if#f4Rttff#t4f#f#frtR#lifflR!#t##!lrtrti#RRrtRlf#4ttift4###t#####444##fi4#ts4#!###rt#i######ti##i#i
Address: /S P tia RiJi P Re+�
Occupancy/Use: I)CAM Parcel ID#: /35, y!-/'S Zone: X-/Z
Owner: +o ar4 Q DAr— %^ Address: 1.0 P it 2i,'duo /IQ.ort J/ /
P.E./R.A. or Contractor: &)6,-0 u -M C Address: //O
Person in responsible charge:Z/4 4 u�Ju/S�C� 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 YOR/�K,COUNTY OF WESTCHESTER as:
V+ 4 04 anti A N4 N being duly swom,deposes and says that he/she resides at
(Print Name of Applicant) (No.and Street)
in 6e s roo k ,in the County of L4ee J4rjAAt4V" in the State off,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:$ LS Do 0 ,
for the construction or alteration of 51A tt Rs- R-ea4
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
qe Code of the Village of Rye Brook.
Sworn to before me this \ \ Sworn to before me this , `
day of 2Q� day of R��^� , 20.a,*-A
A, jO f&M, i (ins--
Signature of Property Owner Sigiature of A li ant
""�4 M S -�e -"UL V--c -�' - � A 0-�
Name of Property\Owner P . ame of App icant I -
Notary Public Notary Public
SHARI MELILLO
Notary Public,State of New York SHARI MELILLO
No.OIME6160063 Notary Public,State of New York 8/12,20 1
Qualified In Westchester County No.01ME6160063
Commission Expires January 29,20LI Qualified In Westchester County,
Commission Expires January 29,20Z�
QyE BRC�k.
o`` tim
1.
19 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 : / 1" /.l e- 1` I AL2. R ac...� DATE' / z
PERMIT# 1\� Z 1 - O I-S ISSUED: 2/ SECT: BLOCK: / LOT: --�/
LOCATION: OCCUPANCY:
❑ Violation Noted THE WORK IS... I!7 PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION n I
❑ Natural Gas - OJ ( 'J U d '�
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
Ef OTHER ?1m�-
�E 4Rc'q'
O� Zm
cD
�'• �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 ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : ` ?i V °e-. Il l � 4 c0c, DATE: i L
PERMIT# I Z - 3 ISSUED: y "Z / SECT: I3 `l BLOCK: LOT:
LOCATION: Oct � OCCUPANCY:
❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION
Z SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION /
❑ Natural Gas �e L ✓ ,C F f t 2 �x/'� �f &4
❑ L.P. Gas /JPPL���
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
ELITE
/:i :` CONTRACTC717
B&W Group ire . �, 'ROOFING • SOLMM*Shceo, r.,E11t
Stuart Penan
15 Pine Ridge Rd March 11, 2021
Rye Brook, NY 10573
Proposal for Roof Replacement at:
15 Pine Ridge Rd
Rye Brook, NY 10573
We propose to furnish the necessary labor, material and equipment required to do the roofing above
named project as follows:
DEMOLITION
Remove existing asphalt shingles and underlayment to the roof deck sheeting and dispose of the
material off site
Inspect existing roof deck sheeting ( Note: Any replacement of existing sheeting will be an
additional charge of$75 per 4'x8'sheet. Customer will be notified of damage.)
Furnish dumpster
Complete job clean up
ASPHALT ROOFING REPLACEMENT
Furnish material and install white aluminum drip edge for entire roof perimeter
Furnish material and install GAF Weather Watch membrane at all eaves and valleys ( Note:
Membrane shall be installed along all eaves and shall extend past the interior wall line minimum of
24 inches to provide protection against damage from ice dams. B & W Group Inc.will install 6 feet
of membrane at all eaves.)
Furnish material and install GAF Felt Buster roofing underlayment for roof area not covered by
Weather Watch membrane
Furnish material and install GAF Pro-start shingles at all eaves and rakes
Furnish material and install GAF Timberline HDZ architectural style asphalt shingles for entire steep
slope roof area (Note:Shingles will be installed in strict accordance with the manufacturer's
specifications and shall be fastened using six nails per shingle.)
Furnish material and install GAF Cobra ridge vent
Furnish material and install GAF Timbertex hip and ridge shingles at all hips and ridges
Furnish material and install new aluminum pipe boots on all external vent pipes
Inspect existing step and wall flashing by all roof to wall transitions ( Note: any replacement of the
flashing may require removal of the siding or exterior trim and will be performed at additional
charge.)
Furnish material and install new copper counter flashing on the chimney
Furnish material and install 3" round soffit intake vents to all overhangs
Protect foundation plantings throughout install ( Note: Customer must be aware that some
damage may occur to plants during removal and installation process.)
Clean up and inspect existing gutters
All the above,for the sum of: Fifteen Thousand Eight Hundred Dollars -$ 15,800.00
222 PURCHASE ST SUITE 201 RYE, NY 10580 TEL:914-403-6752 FAX:845-356-8509
ALTERNATIVES
ice to install GAF Snow Country Ridge vent ADD$300
X Price to replace the skylight using new fixed Supreme skylight with 1 piece flashing ADD$ 1,500.00
,each
!/Price to repoint the chimney$600 �
r3, 9vo
NOTES
B & W Group Inc.will provide GAF Golden Pledge Limited Warranty backed by GAF
(25 year workmanship coverage and lifetime material coverage. )
Price does not include gutter replacement
Price does not include removal and replacement of any siding or exterior trim
B & W Group Inc.will meet all insurance requirements for general liability, automobile liability and
workers compensation with adequate limits .
Pricing is good for 60 days
PAYMENT SCHEDULE:
5,000 151 payment ( de deposit) -$5,000 paid before ordering the material °
� �dr ovs
;-45 2nd payment-75%when 75%of job is completed
yi y zS 3'n payment-balance when job\ is completed(/er, #Sdo/E,le►IQ..k) �/ O
Soo V-ph
l 4,�00 1
Thank you for the opportunity to provide you with this estimate.
Ziggy Bobrowski
President
Approv d by: B & W Group Inc.
67
Date:3/2/z" Date
222 PURCHASE ST SUITE 201 '' RYE. NY 10580 TEL:914-403-6752 FAX:845-356-8509
BR(�v�
tc�C4.°u o`7 J
. 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
April 15,2024
2nd&Final Notice
Via Mail/ Hand Delivered
Dear Rye Brook Building Permittee,
Mr.&Mrs.Penan
15 Pine Ridge Road
Rye Brook,New York 10573
It has come to the attention of the Building Department that your Building Permit has not been closed out in accordance with
Village Code and is now expired.All Building Permits have a twelve(12)month lifespan starting from the date of issuance,
and the permit expiration date is noted on the front of the permit.
Please note that there is a non-waivable Expired Permit Fee of$500.00 now due in connection with your expired permit.Once
payment is received,your permit will be reinstated for a period of six(6)months.
Please be advised that it is a violation of Village Code to fail to close out a permit,and that a court summons could be issued,
and fines may be imposed on the permit holder and/or property owner for failure to apply for and obtain a Certificate of
Occupancy(C/O)or Certificate of Compliance(C/C),in accordance with Village Code section 250-10A.
Please note that Temporary C/Os&C/Cs are available in accordance with Village Code section 250-10B should you require
more time to perform whatever work remains in order to complete your project.
Thank you for your attention in this matter,and please feel free to contact this office should you require any further
information.
Steven E. Fews
Building&Fire Inspector
stevefews(@Iyebrook.org
cc:Alfredo DiVitto,Assistant Building&Fire Inspector
Tara A.Orlando,Planning&Zoning Secretary
Laura Petersen,Office Assistant
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ACC>R"® 7103/31/2021
E(MM/DD/YYYY)
11111.1 CERTIFICATE OF LIABILITY INSURANCE
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 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:
Cameron Group,Inc. PAH/CONro E>R: FAX(AJC No
55 Old Turnpike Road ADDRESS:
INSURERS)AFFORDING COVERAGE NAIC S
Nanuet NY 10954 INSURERA: Mesa Underwriters Specialty Insurance Company 36838
INSURED INSURER B:
B&W Group,Inc. INSURER C:
110 Chestnut Ridge Road INSURER D:
Suite 106 INSURER E:
Montvale NJ 07645 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,
LTR TYPE OF INSURANCE INSD rV91D POLICY NUMBER MM/DD MM/DD LIMITS
x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
�OCCUR DAMAGE T RENTED-
CLAIMS-MADE
PREMISES Ea occurrence E 100,000
MED EXP(Any one erson $ 5,000
A Y N MP0031002001473 03/22/2021 03/22/2022 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000
x POLICY ECT LOC
PRODUCTS-COMP/OP AGG E 2,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
nt
ANYAUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY Per accident E
AUTOS AUTOS ( )
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS Per accident $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STAT T R
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N IA E.L.EACH ACCIDENT $
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Siding Installation, Roofing The certificate holder is listed as additional insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Village Of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS.
938 King Street AUTHORIZED REPRESENTATIVE
r�
Rye Brook NY 10573 ��•_�.� Y�, �f��
n 1988-2014 AC CARD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
NYSIF
New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 10601-4411
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
ft�.39"
A A A A A A 045011684
B&W GROUP INC(NJ CORP)
110 CHESTNUT RIDGE RD#106
MONTVALE NJ 07645
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
B&W GROUP INC(NJ CORP) VILLAGE OF RYE BROOK
110 CHESTNUT RIDGE RD#106 938 KING ST
MONTVALE NJ 07645 RYE BROOK NY 10573
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2495 650-0 407447 03/22/2021 TO 03/22/2022 4/1/2021
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2495 650-0, 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://WWW.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 CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
WOJCIECH BOBROWSKI
SOLE OFFICER/SHAREHOLDER OF
B&W GROUP INC
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.
BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES
TO PROVIDE THE CERTIFICATE HOLDER 5 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 544136644
U-26.3