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HomeMy WebLinkAboutMP21-073 y �.14 4°a rJw �s LL Jj LS�wJ VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE January 20,2022 Jonathan Samuels &Svetlana Samuels 72 BelleFair Road Rye Brook,New York 10573 Re: 72 BelleFair Road, Rye Brook,New York 10573 Parcel ID#: 124.57-1-2 This document certifies that the work done under Mechanical Permit #21-073 issued on 5/5/2021 for the installation of a new hot water heater has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fiore Inspector /tg BR(1V�. O� �m BUILDING DEPARTMENT ❑BUILDING INSPECTOR 'pjASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK 'r ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - -- - - - INSPECTION REPORT - - - - - - - - - - - - - - - - -- -- ADDRESS: `c 1` 1(� ATE: \�. `cli PERMIT# � / ISSUED: iECT: BLOCK: LOT: __ LOCATION: OCCUPANCY: G> 11 VIOLATION NOTED THE WORK IS... ,-❑ ACCEPTED L 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 Q FINAL ❑ OTHER rAOREREASONS TO CHOOSE NCB-H FOR YOUR NEXT APPLICATION Navifink. HotButton . Optional Wi-Fi control Optional DHW activation This add-on accessory enables At the push of a button,the HotButton hot remote access from smartphones or water system activates the domestic hot water tablets for temperature, usage data heat exchanger to heat water in the supply lines C and diagnostics on NCB-H models. '! to provide hot water only when it's needed. PBCM-AS-001 PZZZ-00046 PIN 'A dedicated recirculation line and external recirc pump are necessary and 0 not included.See installation manual for details. Navi-k;,'.,,','v1rc. Optional recirculation valve for NCB-H combi-boilers NaviCirc is a simple plumbing device that uses the existing hot and cold water lines to reduce the wait time for hot water at the faucet without the need for a dedicated recirculation return line. ** + � t t t , PFFW-SXX-001,NaviCirc Kit:30022965A. "External recirc pump and check valves not included. M 1 k 7➢F��ii���77i��lwt�w���P A��������11'�w�i�-�`l������.�������� ��R i' w � S C Njr, tro a! 00 0-4tn 06 V-4 Lu >' 3 < oc ., W © 3 Urz z � A O yy - r � Z �� � r• "Q � � � m Tr r P.-O CIO 16 v a v �po a cz w � og N Q ID BUILDING DEPARTMENT F MAY 4 2 221 VILLAGE OF RYE BROOK 938 KING STREET RYE BRK,NY 1 Q573 VILLAGE OF RYE BROOK (914)939-0668 FAX(914)939-5801 BUILDING DEPARTMENT wt�vN+ll�� 'Qak.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY Wd/—o PP#: 0&� Approval Date: MAY 0 QA21, Permit Fee: S !)"!;--ioz� Approval Signature: Other: Disapproved: (fees are nun-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/ r reniove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal, State,County and Local Codes. L Address: 72 Bellfair Road SBL:,/ � zone;P06 2.Proposed Work: Replace existing hot water heater with derect vent on demand unit 3.Property Owner: Jonathan Samuels Address: 72 Bellfair Road Phone#: 917-721-2518 Cell#: 917-721-2518 email: Jsamuels5555@gmail.com 4.Master Plumber: Salvatore Morlino Address: 1 Bonwit Road Rye Brook NY 10573 Lic.#: 725 Phone#: 914-260-1592 Cell#: 914-260-1592 email: salvatoreserious@gmail.com Company Name:Westchester Plumbing And Heating Address: 1 Bonwit Road Rye Brook NY 10573 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 1 st Floor 2nd Floor 3 Floor 41 Floor 51 Floor Exterior 5.* List other Equipment/Provide Details: Replace existing power vent hot water heater with derect vent on demand Navien. (Notarized Signatures Required Next 2 Pages) 3/21/19 I STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Salvatore W Morlino ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this '1 W day of /J 4.' 20 �2— day of^Y� 20_4 OF Signature ogProperty Owner Signature of Applicant Jonathan Samuels Salvatore W Morlino Print Name of Property Owner Print Name of Applicant Notary Public � \otary Public �` x This application must be properly comp«i��L, ji, its ciltirety and must include the notarized slonature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 6/I/2020 � LC� IEWE BUELDING DEPARTMENT MAY - 4 2021 VILLAGE OF RYE:$ROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 Fax(914)939-5801 BUILDING DEPARTMENT www.rUhrook.oru AFFIDAVIT OF COMPLIANCE VILLAGE CODE §21.6• STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTC1 ESTER ) as: 3f, Jonathan Samuels , residing at, 72 Bellfair Road (Print name) (Address%%here you liti being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 72 Bellfair Road , Rye Brook, NY. {,lob Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. x 4�"� (Signa(urc#llropert� O% n sll Jonathan Samuels (Print Nance of rorvrtN 0%%ner(s)) Sworn to before me this �A-v� s Ir at PIO� t*soAc No - �*L '9�.�►iplow day of , 20_ 1241 G::aat� o� �;r+trt!al►��Cjs,2 '?-� (Notar% Ptihlir) -3- 3/21/19 ACC? OR ® CERTIFICATE OF LIABILITY INSURANCE DAreiNMroolrvvYl 05/11/2020 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 pcllcy(les)muet have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 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 Ileu of such endorsements. PRODUCER CONTACT NAME! PHONE ,833 2609900 FAX L NortheastAgendes,Inc ss` 82D$IBM Or,Building 102,Charlotte,NC 2B282 INSURE 8 AFFORDING COVERAGE NAIC 1 INSURERA: Liberty k4uttial Insurance IN6UREO INSURERS: SPA Builders Inc dba Westchester Plumbing&Heating INSURER C: � 1 BONWIT RID,Port Chester,NY,10573 INSURER D: E INSURER E: NSURER F k 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 CONOITION 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, k EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.AIJOL l OLICY EXP ILIRNeR TYPEOFINBURANCE BR POLICY NUMBER MNIDDIYYYLICY F PIN DIY LWITS ✓ COMMERCIALOENERALLIABILITY EACH OCCURRENCE $I.ODO•mn NJA-a TO CLABt& UR MADE P]OCC _ 3 300,000 6 MED EXP one anon 16,000 A SKS61273032 El22*020 5.22=1 PERSONAL 6 ADV INJURY j 1"co'ow GEN'L AGGREGATE LIMITAPPUES PER: GENERAL AGGREGATE $?000,000 `---.-- �` POLICY .IECT LOC PRODUC73-00W#OPA(IG 3 2000400 PRO- OTHER; $ AUTOMOBILE LABILITY Ea - S ANY AUTO BODILY INJURY(Psi pemon) S & ALI.OWNco SCHf KXM 90OLY INJURY(Per aoddent) 3 )33 AU TUB AUTO$NON OWEDPROPERTY DAMAGE $ C HIRED ALTOS AUTOS .i�.arJt4S pt]II_ S UMBRELLALIAH OCCUREACH OCCURRENCE 3 EXCESS UA8 HOLANS4AADE AGGREGATE $ QED I I RETENT 3 S WORKERS COMPENSATION PETi O AND EJYPLOYERB'LIABIiM I N ANY PROPRIETORMARrNOVEXECURiE T E.L.EACH ACCIDE14T S OFFICERIMEMeER EXCLUDED? :NIA (ManddoryInNHl E.L,DISEASE-EAP.MPI.O S It yes,describe under Ot*S(:dtIV,ION OF IRERAI ION 3 bb. EL DISEASE.POLICY LWIT 3 09WMPTION OF OPERAMONS 1 LOCATIONS I VEHICLES(ACORD i01,AddlUonal Remv*v 3oheddo,may lie attoChed If Moro spa"Is,aquirad) CERTIFICATE HOLDER LISTED AS AN ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVRRED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK, NY 10573 AUTHORIZEOREPKSENTATIVE (D1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 9 z /?-—ONbN**- • 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 M. , ^A A^^A 133452720 S.M.BUILDERS, INCORPORATED T/A WESTCHESTER PLUMBING&HEATING7 TOWER HILL DRIVE PORT CHESTER NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER S.M. BUILDERS, INCORPORATED T!A VILLAGE OF RYE BROOK WESTCHESTER PLUMBING& HEATING 938 KING STREET 7 TOWER HILL DRIVE RYE BROOK NY 10573 PORT CHESTER NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1316 251-6 489325 03/02/2021 TO 03/02/2022 5/3/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1316 251-6, 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:IIWWW.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. SALVATORE MORLINO-PRESIDENT S M BUILDERS INC ONE PERSON CORP 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 z5f:724----Z� DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 888652965 U-26.3