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Home My WebLink AboutRP21-014PERMIT # m&� SECTION TYPE OF WORK _ JOB LOCATION _ OWNER�� CONTRACTOR EST. COST ti%CO # TCO # /-o 1 o �f a/IL DATE: 7 01� EXP. lS*io / ri a)�. s C-7efPl)ce /Q•) C9/4/)�s 4C2)76a "! FEE 49 cD % A% DATE FEE DATE INSPECTION RECORD .Y DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC C� LOW -VOLT I� ALARM CI AS BUILT FINAL APPROVALS __ ESA f, t� v ' 19 ¢vim annivmaW 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 57 Talcott LLC 57 Talcott Road Rye Brook,New York 10573 Re: 57 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-69 Roof Permit#21-014 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, Michael J. Izzo Building&Fire Inspector /to p [EC IEVIR -FDD BUILDING DEPARTMENT For office use onl : APR 2 2 2021 PERMIT# :1 -O)LI VILLAGE OF RYE BROOK ISSUED: — 9 8 KING STREET RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK 914 939-0668-FAx 914 939-5801 FEE: —4J) p— PAID BUILDING DEPARTMENT � � � � www.ryebrook.or2 APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMIT-T7�TED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION r�ss.�rssrsssesssssssssssspts�sss^ssssssssssss/s�ss►s:srs►s►►sr►rsss»ss►sssssssssssssssssssssrssssssssssssssssssssssssssssss Address: /�Qke h' �IXJ,::2/ Occupancy/Use: 190tn e Parcel ID#: l 3.� —0 / l0 J Zone: Owner: U n /`I Address 70- P.E./R.A.or Contractor: Address: f )Y 1,25qc Person in responsible charge:��4121z_ — Address: /z_Q 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: 19 A/X ' J �06_� being duly sworn,deposes and says that he/she resides at� lC�� int Name of Applicant) / (No.and Street) in in the County in the State of ,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:$ for the construction or alteration of 4�2,f/,e 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 belied 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-I O.A.of the Code of the Village of Rye Brook. Swom to before me this DQ Sworn to before me this day of \ , 20,) day of , 20 Si ature of P perty Owner Signature of Applicant P ` . 71ame of Property Owner Print Name of Applicant Notary Public U Notary Public SHARI MELILLO Notary Public,State of New York No.01 ME6160063 Qualified in Westchester County , Commission Exoires Janus-29 20 4 �r I �yE BRC��. cu � 1982 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 : •! �AL Co� IC_ �� DATE: zZ PERMIT# 2�r l O l ISSUED: 7 Z SECT: BLOCK: LOT: e LOCATION---�- \ C)r> F=- OCCUPANCY: l' ❑ 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 ❑ NATURAL GAS ❑ L.P. 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# 1053 Alix Prince DATE 03/19/2021 57 Talcott Rd Rye Brook, NY DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT Rip Remove existing layers of roof down to 1 0.00 0.00 sheathing Plywood Repair Replace all damaged sheathing with 1 0.00 0.00 5/8 CDX plywood.1 sheet included in price,$80 each additional sheet Ice and Snow Install Ice and snow guard on bottom 6 1 0.00 0.00 ft of roof Paper Install synthetic roofing felt 1 0.00 0.00 F 51/2Edging 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 Garbage Remove all job related debris 1 0.00 0.00 Sales 13,300.00 Thank you for working with Reclaimed Statel TOTAL $13,300.00 Accepted By Accepted Date • 1 OF S�� 'N1• - \ 6 {iln t.A � � npt �,�'...;AR K �..1••t\A i ,. 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Ym i A ,id x� �I��'' � ��ps jy�•dl• �,,�{f t 4Y 9 � g n � •^ �Z �.v/.Ayf l� � 3�i "N, i"••�,7� �, t' yY�fE .,0� �li'r,,,;,yryY4•Rt' �� 'w,t 11,K � li'�4ti t O� � - :a:7F 'lt:. rs.. `{p`;,, ;�v { �: -. .St,�r .:: er�Sa.. •... •`-%/�, "'"hln�\'�'ky �rr�} trt H�? tiv r �7�• �� _. .� �� 'j�yL.� �+,35¢is / AC�tC DATE Mali 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 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 endorsements . PRODUCER CONTACT Jim Kocchiu NAME _ JOHN M BROWN INSURANCE AGENCY INC (AlC No,EJ*_7- -153 8381 _ __. _FAX Not: 773-657-2010 750 N FRANKLIN ST STE 208 E-MAIL 0rtlifrillrtROYYrI�OID ADDRESS: INSURER(S)AFFORDING COVERAGE _ _ NAIL e CHICAGO IL 606 54-3 54 5 INSURER A_ Interstate Flre&Casualty Company 22M INSURED NISURER S Reclaimed State LLC INSURER 3 Fowlerhouse Road, INSURER D_: Wappingers Falls,NY 12590 INSURERE 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 - _ POLICY Ito POLICY EXP POLICY HUMM rYYYr LIMITS X COMMERCIAL GENERALLIABLRY EACH OCCURRENCE 5 1.000,000 CLAIMS-MADE X OCCUR —PRE GE T LEREoNaTvrDenoel S 50,000 MED ExP Iny we Arson) s 5.000 A Y N MXC07027364 06/19/2020 06/19/2021 PERBONALSAOVp.AAtY S 1,000AW GENt AGGREGATE LIMIT APPLIES PER: ! GENERAL AGGREGATE S 2.000,000 POLICY JJECT LOC PRODUCTS-COMPIOPAGG S 2.000,000 OTHER S AUTOMOBILE LIABILITY ED N SLIM' S ANY AUTO BODILY INJURY Per person) S OWNED SCHEDULED I - AUTOS ONLY AUTOS BODILY INJURY(Per accident♦S HIRED -NON-OWNED I PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY rxdr 0 - - UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LMCLAIMS-MADE� CMS-MADE AGGREGATE s DIEDRFTF N?ION SS WORKERS COMPENSATION R OTH. AND EMPLOYERS LIABILITY YIN STATUTE - ER t ANYPROPRIETOR,PARTNER(EXECLTTIVE E.L.EACH ACCIDENT S OFFICERMEMSEREXCLUDEDI NIA - -- (Mandatory In MIN) E.L.DISEASE-EA EMPLOYEE S DF P'ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES ACORD 101.Additional Ramarlrs Schedule,may be attached d mwa sPaca ra quI d) 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 A UTHORIZED REPRE SENTA TIVE (\]� Rye Brook NY IOS73 ►� ci - n 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 17--kt\- NYSIF New York State Insurance Fund 1 WATERVLIET AVENUE ALBANY,NEW YORK 12206-1649 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 9. .,7 M r.t A^^A^A 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 4/6/2021 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:/IWWW.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