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Home My WebLink AboutRP21-020PERMIT # )ODATEQEXP:l4).N SECTION BLOCK LOT TYPE OF WORK :S 10B LOCATION r OWNER li/ S // �� .� Q// �� 94 CONTRACTOR TO # t� FEE DATE_ TCO # FEE DATE INSPECTION RECOR�2 FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL DATE \va, INSP OTHER APPROVALS BOTmalmoomm P8mommodma ZBA OTHER t�4 y°j VV V Gt� � V . 1q VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.aebrook.org TRUSTEES ACTING BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 27,2023 Louis Larizza&Santa Larizza 16 Wyman Street North Rye Brook,New York 10573 Re: 16 Wyman Street North, Rye Brook,New York 10573 Parcel ID#: 141.35-1-4.6 Roof Permit#21-020 issued on 5/14/2021 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 Acting Building&Fire Inspector /to �yE BRC��. cu � t7 �'• �9F32 �' 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 : ' % ^-� ' J 0 V�� f' DATE: � PERMIT# ( ISSUED: .-JI SECT: I i BLOCK: 1 LOT: i l� LOCATION: ��\, OCCUPANCY: G_ 1 ❑ Violation Noted THE WORK IS.elPASSED ❑ FAILED 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 ❑/�ROSS CONNECTION INAL OTHER U EVENE FEB -8 2023 FZ For office use only: B UILD ENT PERMIT# 2/"UZO VILLAGE OF RYE BROOK VIL OF R.vt OK ISSUED: r l BUILDING DEPARTMENT KING STRE Pi~13Rbotc; v YORK 10573 DATE: I `9 �06 O FEE: J1 110PAID 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 ••rssrssssssssssssstsasstssttssssrsasssststssrtrtsrrrsssssrtsssssrsssssssssrrrsrrssrssssssssssssssssrrrsrrrssrssatsasssssssrs Address: 16 Wyman Street North Occupancy/Use:1-Family Parcel ID#: 141.35-1-4.6 Zone: R2-F owner: Louis Larizza & Santa Larizza Address: 25 South Regent Street, Port Chester P.E./R.A.or Contractor: Pawling Holdings Address: 25 South Regent Street, Port Chester Person in responsible charge: Louis Larizza Address: 25 South Regent Street, Port Chester 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: Louis Larizza being duly sworn,deposes and says that he/she resides at 25 South Regent Street (Print Name of Applicant) (No.and Street) in Port Chester ,in the county of Westchester in the State of NY ,that (citylrown/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:s 3,000.00 for the construction or alteration of: New ROOF 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 unlawfid 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. Sworn to before me this Z� Sworn to before me this day of A-0 ,20A4J_ day of ,20110— Vl Ec/ Signatu a of ropert Own Signature pplicant Louis rizza I e�dS I-- y I - Print Name of Property Owner Pri tt Name of Applicant Rotary ublic Notary Pu is01 HOPE B.VESPIA HOPE B.VESPIA Notary Public,State of New York Notary Public,State of New Yorl� No. OlVE5084028 No. OIVE5084028 /1212,21 Qualified in Westchester Count / Qualified in Westchester County Commission Expires August 25,20 Commission Expires August 25,20 \1/{�e . `#�� '► t1 ��1�1 �y't►'+tiS t/ �y14"II h.C`J/i�'1'�'�� t(��` t a�)'•1•,,i '(+��"4��.4M 1►�►•/ 1,, „{ �}4 `' fi _�.�111 1'' � Ill/+ll�! 1{ra r�1F\11�1 y�1/il�S i '�111►�►I jll�! i �(F`,'�1 1'1(n�#��f� l/ ' '�)�1, ' O 04 \ w E c� x U C CD a L: O U «1•h ' � O Q .f`r• \ L U F ca i o aj 5..1 ch 1�+�1 U') cam. O y i 1 rn aLU o ole�tton A/V.1 O N '�';. �• _. ♦..t MCI Q > U,.�U OW3.S), ISM a a y 0y G� a '° Gawllede0 ,+o O �• o.. O N N — r • K.. ,,1 at �.till:'. 1 11 i!�, r.•;ii, , c ,�. ...'1•s 'T.�,... ...-] .t� } ►�j �►► 1 yy►Irjl -', ,y��F,% .u, y,�,�, , u■ .. fig •1` j N ,► Nr.$�y 4.s'' {�rr�l�tft ly,�� {� 1►'k yy'•`,�}tt j� �` INS, ,`LCih Ls•S'teW Fy ^rI. L 't�,�u,�iYr .'l+F3u�('S\N.:, p��}` _�`•Hf': � � <;��'' � .r��y�. � i ' " -� .,, :,- 'v..... �; • :�- / � '� ". Win{ 1 DATE(MM/DDIYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 1111. / 04/13/2021 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 Joseph E.Salvatore,AAI NAME BNC Insurance Agency PHONE (914)937-1230 FAX (914)937-1124 A/C No Ext: A/C,No 90 South Ridge Street E-MAIL jalvatore@bncagency.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC N Rye Brook NY 10573 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B: NGM Insurance Company 14788 Pawling Holdings,LLC INSURER C: 25 South Regent Street(REAR) INSURER D: INSURER E: Port Chester NY 10573 INSURER F COVERAGES CERTIFICATE NUMBER: CL20112599002 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 AUUL15Ut3K POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 X Contractual Liability MED EXP(Any one person) $ EXCLUDED A X $10,000Ded-PerOcc Y MKLVlPBC001345 11/17/2020 11/17/2021 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 T ❑ LOC PRODUCTS $POLICY ❑PE 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED B1V40294 09/11/2020 09/11/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident EPLUS $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESS LIAB CLAIMS-MADE MKLVlEUL102614 11/17/2020 11/17/2021 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? F—] NIA N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as an additional insured when required under written Contract or Agreement. 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 Kings Street AUTHORIZED REPRESENTATIVE Rye Rye Brook NY 10573 1\ c� L 1988-2220�1155 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE N �� m A A A A A A 451481271 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD, 2ND FL ■ ' '`�� TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PAWLING HOLDINGS LLC VILLAGE OF RYE BROOK 25 South Regent Street(REAR) 938 KINGS STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2146 860-8 436679 06/29/2020 TO 06/29/2021 4/13/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2146 860-8, 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. 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 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: 947891683 U-26.3