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Home My WebLink AboutBP21-158PERMIT # Q1-' DATI SECTION / 35'i %T BLO j / J. TYPE OF WORK I K/ JOB LOCATION ZP3 2 > 4vol Awti9:0 1 _I SQ /^ f co EST. COST �CO # TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS CI SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL OTHER APPROVALS I ARB p(p: BOT LOT 3 7. a PB ZBA 0274o/OT ) OTHER FEE DA INSPECTION RECORD v DATE INSP > — D VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 22-130 Certificate of ®ccupacucp This is to certify that of, E)y w �� y having duly filed an application on 20Qa requesting a Certificate of Occupancy for the premises known as, Co3 D Avon C 1 rc i e , Rye Brook,NY, located in a�Zoning District and shown on the most current Tax Map as Section: '5.-75 Block: c-.? Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. _ 5U, issued / 20 0� , such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: �� ' /1 Construction: If for the following purposes: T�Y/(.� k/ hP� reJ-70 V01/Cj rI Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the bish&abe or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in heig made,nor shall the building be moved from one location to another until a permit to accomplish such change has be Inspector. Building Inspector,Village of Rye Brook: Date: SEP 2 1 2022 D `-� �-� For office use nl : DBUILD U, . NT PERMIT# '" 5g JUL — � 2022 VIL OF RYE OK ISSUED: — — / 938 KING STRE YE BROOKS YORK 10573 DATE: a a VILLAGE OF RYE BROOK ,c FEE:,a I /Q— PAIIA BUILDING DEPARTMENT 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 ###4t;##Riitk####ttttii#Rfi4t###;ti#t Ri Rtitt#####i##i##kR#iki Rik RR#;t;;tii RRfi###t;t####;i#t#i#k#tt titR;ii4tfi##t#Rt#rtfitttt#;kiR Address:. 0 Avow C� - }�� B rz- Q j l C<7� 2 Occupancy/Use: F,410 Parcel ID Zone: Owner: (PQ��R Address: �� Q�tNrJ �J 2L� ��K P.E./R.A.or Contractor: -PPG Lt l (Z i✓(J �/. dress: Person in responsible charge:G[jga� Prr 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 YORK,COUNTY OF WESTCHESTER as: LSAY P- 4 Q.1� being duly sworn,deposes and says that he/she resides at — (print Name of Applicant) (No.and Street) ,� ) in C� C�;T (?A3D t -,in the County of in the State of ( that (Citvfl owni villzge) 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:$ 1%?�O p , Ug for the construction or alteration of: k 1 z�(a/J 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 S r Sworn to before me this l day of ��/ S/ , 20-a' day of , 20 - — SIpPref Property Owner Signa a of Applicant (�✓�e� C�� P p e� Print Name of Prop /ty Owner Print e of Appli nl Notary Pub is No Cry Public DOUGLAS P KRISTENSEN IWAKY PMLIG ST,�O>:NEWYt7Rt DOUGLAS P KRISTENSEII . Reps—No.0lKRfiW60 NOZ }'PUBI3C,STA1�OF NEWYt�[ Qmt�cd is WESrCF ESTERC-dY egisaatio0 No.O1bL610p760 Comtms>oo0 E:yues I lRS/20T3 fied is WFSfCflE gt kf COMMUS p Ezpoea 1 v2y2w ,oE BRO 198,2. 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.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - Q� CJADDRESS:— � DATE.. PERMIT# , ISSUED: '�1SECT: ��LOCK: LOT: ' Z LOCATION: �� ` Ca� Z � OCCUPANCY: ❑ VIOLATION NOTED 1 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 Con cIq 54 51, 43 IR owl ;z CGr. cc im I Z z ;0- t) X w < C w 06 LTJ co �i p L� Q p x W ,, Q F6 o 014 IZ vfltmr z 00 Cn )IM IWO%* gz .49 '4 07 z Zo z 0. 62 99 ;;o F- �E DRC� R E C E� V E BUIL G SSE MENTID VIL 4 E OF RYE �OK J U L 2 3 2021 938 K1N ET RYE B NY 10573 (914)9 Ax;M439-5801 VILLAGE OF RYE BROOK ok.or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required �f FOR OFFICE USE ONLY BP#: �� '�� EP#: Approval Date: JUL 2 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 7-2 3— 2_02I is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. i 1.Address: b .3 D A y'D A) CIA C L 9 SBL: ��r 7F5"�37i a'Zone.•)` 4-1 2.Property Owner: 1. I S A Pap,-T f 2 Address: Phone#: !/Lf -- 3 76 7 Cell#: email: 3.Master Electrician: C IO f'n n sp my-c t(G`, Address: 0 L_(`n(J✓1 d a Lic.#: 5'�3 Phone#:q)+73g d So r7 Cell#: q/oF- T57S3 email: hmeo,,,lvters eleclv,�c 67e4ryt i f..� ► Company Name:Aftmws Serlerc k,,.6.vc, ( ecA,,c, Address:(o 7 Lincoln A e. Pg�6z. �N`f I oeo3 4.Proposed Electrical Work/Fixture Count: M-PLA c L C.( A (,u 17 P�;4k f_K ��. wt'1 I C t Q uc r i vvqv L IAI,, Z C'occN OG(Z f4T, lr Uti A � �N — � lt,"(S, G✓�nC S Nc0 Gu �� C.o u N; 13 �rA L STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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 b re a this 3 Sworn to this day of 20 Z day of ore a 20 c Signature Wofer S' a ure of Applicant Print Nam Print Name of A ;740ual iin Not is G.KAPUSH STEPHEN G.KApUSH State of New York Notary Public,State of Ne�y York 642599 Qualified N .t�h99 estchest�Courny Commission Expire$ } AI r County �I �� Commission Expires :7/3� 2/ STATEWIDE • Service With hitegrity 1:1 Main Street,Fishkill, NY 12524 1 emoil:office@swisny.com SWIS JOB APPLICATION ;. 1 914.219.1062 • • • Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑ 1 st Fl. ❑-2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑'Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact a Amt Amps 3 i Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information 1 D CfEFME JUL 2 3 2021 1 ID VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date Signature .�. Address City/State Zip Code License# Phone# State Wide Inspection Services co" 1080 Main Street Fishkill, NY 12524 0 S 845 202-7224 Phone X0 WhV914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Homeowners-Senerchia-Bosco El Lisa Porter 67 Lincoln Ave 63D Avon Circle Pelham, NY 10803 Rye Brook, NY 10573 Located at: 63D Avon Circle, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP21-184 135.75 37.2 Certificate Number: 2021-4800 Building Permit Number: BP21-158 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at:63D Avon Circle, Rye Brook, NY 10573 The Second Floor Kitchen, Hallways,and Bedrooms were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 8th day of October 2021. Name Quantity Rating Circuit Type Receptacles 02 Circuit Breaker Box 01 Smoke Detectors 03 C/O Smoke Detector 01 Microwave Receptacle 01 Counter Receptacles 03 LED Undercabinet Luminaires 06 AFCI Breakers 03 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. i� i ■ it ■ ■ 4w N v W OC O 00 cz Ln en 0.4 ■ � o a � � A s M 0.0.CN cn .� ■, Q a. F� �r G" "'� V `Z ■ F � g MM"� z -t4 11 i' < � J ■ � � W x �2 V ICI c°� z A4 ~ ci�l,C1 ~ Z CYi M `/ ~ $ 00 > V 00 00 Ln W V F ° Z 44 in a o-a Z o v a w � � ° x A0. � o �I CC L'. *4 GL� ur Z 6 ■ BUILDING DEPARTMENT SEP - 8 2022 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (9�4) -0668 wwwv fia dole-org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: �/ �� PP #: Approval Date: \ Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) **************** *** ***************************************************************************** Application dated, —Q'_4 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove 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. 1.Address: A U SBL: 7 —3_3 7Lo' : 2.Proposed Work: a�ZQ Kb VOAA &4'AU 4MM�0 3.Property Owner:/��• pp �� Address: C4 Phone#: L ell#: email: 4.Master Plumber: Address: Lic.#:�1q Phon) #: Cell#: of — email: • •ty Company Name: L- 13 JQA Ole . Address: Q U& 17A4 Lvs� INDICATE FIXTUR S& 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 Ist Floor Cc 2nd Floor / cv 3 3`d Floor 4'Floor 5'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 8/12/2o21 F NEW YOM COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (p name F div' ual signing as the applicant) and states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the TC 4,0 for the legal owner and is duly authorized to make and file this application. (indica 'test,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 t before me this day of ,20 da of ,20ITD- ` Signature of Property Owner Si r ature o pplt t Print Name of Property Owner Print Nam of licant �� —, V,�I—LL Act, NTOL 6L enuef saildx3 uotsslwwo0 Notary Public "v ,kuno0 jelseyoisam ul paulleno SHARI MELILLO £9009T93Wi0'ON Notary Public,State of New York WOA MON jo ale15'oli4nd AeloN No.O1ME6160063 011113W Ill11Ms Qualified In Westchester County This application must be properly completed in its entirety and must i0arhreiisston ExpiretglmO"i�11, $) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications 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- an 2/2021 FDN BUILDING DEPARTMENT L_, VIL E OF RYE OOK Fs EP - 8 2022 938 KING ET RYE BR ' NY 10573 14)9 ,9`066rj VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - 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 WESTCHESTER ) as: er �f�� , residing at, (Print name) (Address w tere you Inr) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s a is e legal owner of the property to which this Affidavit of Compliance pertains at; 12 Vl , Rye Brook,NY. (Job Addre.() 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. (Signature of Property On ner(s)� (Print Name of Property ONvner(s)i Sworn to before me this da ofe , 20 � (Notary Public) SHARI MEULLO Notary Public,State of New York No.01MEM60063 Quallfled In Westchester County . "3- Commission Expires January 29,20?—q 8/12/2021 Laura Petersen From: Lisa Porter <Ilrporter3@yahoo.com> Sent: Tuesday, September 6, 2022 5:47 PM To: Laura Petersen Subject: Re: Attachments: Plumbing Permit Full 8.2021.pdf Hi Laura i asked i think he refused can i just pay the fee and u have invoice ? Dont want penalties of any kind please advise ty for your response kindly lisa porter leve -�a'vpj 40 Sent from my iPhone 1 f-7-- ,S) S PP � 44AP- On On Sep 6, 2022, at 10:57 AM, Laura Petersen<LPetersen@ryebrook.org>wrote: A Good morning Ms. Porter, Thank you for the email. Please see attached plumbing permit application. The master plumber will need to file for the permit for the work that was done in the kitchen. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 IoetersenCa)[yebrook.org From: Lisa Porter<Ilrporter3@yahoo.com> Sent:Tuesday,August 23,2022 6:21 AM To: Laura Petersen<LPetersen@ryebrook.org> Subject: Fwd: Morning Laura below see invoice from plumber during bldg permit so we can close this out please advise next step thank you good day-lisa porter 63 d avon circle ty Sent from my iPhone Begin forwarded message: From: "Lisa Porter.Ballchain" <Lisa@ballchain.com> Date:August 22, 2022 at 2:07:00 PM EDT To: Ilrporter3@yahoo.com 1 0 c s c,- WIN - M_ MME MOM IN gum 1mm0� '� �� ' liIM MOMMMIUMM =MMMmW=WMIWM OOM lam ®® "MME now �® MMOi ilk � t �� •�• - ; ..,., WNW ON mmm i �i ® 1� �� Laura Petersen From: Lisa Porter <Ilrporter3@yahoo.com> Sent: Friday, June 24, 2022 10:12 AM To: Laura Petersen Subject: Re: Building Permit for 63D Avon Circle Hi Laura getting form filled out check ready plumber eork done when i moved in approved by the mgt co appliances installed before construction all they did after was connect sink drain and dishwasher hoses back up how late u there during week?Ty have a great day lisa porter 63 abon circle unit d ty Sent from my iPhone On Jun 1, 2022, at 1:43 PM, Lisa Porter<Ilrporter3@yahoo.com>wrote: Hi ty for update Sent from my iPhone On May 31, 2022, at 2:03 PM, Laura Petersen<LPetersen@ryebrook.org>wrote: Good afternoon, The fee for the C/O application is $110.00 (check made payable to the Village of Rye Brook). Please note if there was plumbing work done, the plumber never filed for a permit. Please advise. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ioetersenarvebrook.org From: Lisa Porter<Ilrporter3@yahoo.com> Sent:Tuesday, May 31, 2022 1:55 PM To: Laura Petersen <LPetersen@ryebrook.org> Subject: Re: Building Permit for 63D Avon Circle Hi Laura was hope kitchens going to check bill same as what i told in the beginning no more do i have to pay another fee?Thought that was determined when i got bldg permit please advise ty lisa Building Permit Check List&Zoning Analysis Address C► SBL Zoned—A — 1 use: zi Const Type: Other. Submittal Date: (D 2) 2 Revisions Submittal Dates: Applicant: I Nature of Work t"—ICf-n-t ncU 'k4—k-7 0V-1 Reviews:ZBA: J UN 2 j 2021 pB. BOT: Other. hTLP OK ( ( ) FEES:Filing: .�'2�:j BP: 1 3 Z - ' c/o: Legalization: ( ) ( ) APP: Dated: Notarized: SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short: Fees: N/A; ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current Archival: Sealed Unacceptable: ( ) ( ) PLANS:Dar Stamped Sealed Copies: Electronic Other. (�( ) License: ✓ Workers Comp:J,�-- Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (•� ( ) PLUMBING Plans: Permit: Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION.Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval notes: ( )PB mtg.date: approval• notes: REOLMED ExrsriivG PROPOSED NOTES JU"NY 1 20 1 OatFromg s: Cir Front: Front: P.=. Main Cov Accs,Cov Ft.H/S Sd.H/Sb: Tot,imp: parking Hight/Stories: notes: Hope Kitchen Cabinets&Stone Supply,LLC 831 Main Street New Rochelle, NY 10801 PINS ' +1 9143651222 �PPLY, LLC Benny@hopekitchen.com Hopekitchen.com Estimate ADDRESS SHIP TO ESTIMATE# 5082 Lisa Porter Lisa Porter DATE 05/29/2021 63 Avon Cricle 63 Avon Circle Rye Brook, NY 10573 Rye Brook, NY 10573 914-548-3767 914-548-3767 / `(ten DESIGNER DESIGNERS EMAL, Shgipe Loshi shgipe@hopekitchen.com DATE ACTIVITY �,A4�111uL_ Ptocraft CabinetsL1dierty Shaker Nfte 10tchen /5,249.00T Kitchen Cabinets -36" H Wall Cabinets with Crown Molding, Base Cabinets, Pantry As Per Drawing & Unit List. (Material only) - Birch/Alder wood species- 3/4"thick recessed center panel solid wood door -3/4"thick face frame- 1/2" plywood box - Soft Close Concealed hinges- Full overlay door style -3/4"thick wood recessed panel drawer fronts- 5/8" Dovetail wood drawer box - Under mount full extension soft close drawer glides-3/4 adjustable shelves - Natural Exterior& Interior RemovaLCAB1NET&C-TOP REMOVAL 6_00.00 Removal Of Cabinet& C-Top and cook top and oven ` Installat`ionCAB1NET 114STALLATION _ 1,600.00 Installation of Cabinets Asper Drawings & Unit List , nkSQUARE 220.00T SINGLE UNDER MOUNT SQUARE SINK-Regular Sales;Countertop 1,225.00T Hk Stone Crystal White 25sgft ($49) ..........._..............__... . ....__ ..... -- _.......... ................__. -- --......- - - PLEASE NOTE:THIS ESTIMATE IS ONLY VALID WITH-IN 30 DAYS SUBTOTAL 8,894.00 FROM ISSUES DATE.ALSO THIS ESTIMATE IS NOT A CONTRACT TAX (8.375%) 5 OR BILL.THIS IS SIMPLY OUR BEST GUESS OF WHAT THE DISCOUNT -804.62 WORK STATED ABOVE WILL COST TO COMPLETE BASED ON SHIPPING 150.00 THE INFORMATION PROVIDED FROM THE CLIENT.IF PRICES TOTAL CHANGE OR ADDITIONAL MATERIAL OR LABOR IS NEEDED,WE $800 00 WILL CONTACT YOU BEFORE PROCEEDING. "'WE DO NOT PERFORM PLUMBING OR ELECTRICAL WORK. ALSO,ONLY THE RENOVATIONS SERVICES SPECIFIED ABOVE HOPE KITCHEN CABINETS&STONE,LLC LICENSE NUMBER#WC-24925-H12 831 MAIN STREET,NEW ROCHELLE,NY 10801 T:(914)-365-1222 F:(914)-365-1223 HOPEKITCHEN.COM Laura Petersen From: Laura Petersen Sent: Tuesday,June 22, 2021 8:40 AM To: benny@hopekitchen.com;shgipe@hopekitchen.com Cc: Lisa Porter Subject: Building Permit Application - 63D Avon Circle Good morning, The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, ✓1. General contractor's contact name (first and last)Shf1,c11e I C0.SA */2. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) v/3. General contractor's valid workers compensation on a NY State Board form W105-2 or U26.3) 4. Building permit fee $132.00 (due once permit is issued and ready for pick-up) This information can be emailed to me. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ipetersen(E ryeb rook.ora i Laura Petersen From: Laura Petersen Sent: Friday, June 18, 2021 1:21 PM To: LLRPORTER3@YAHOO.COM Subject: Building Permit Application - 63D Avon Circle Good afternoon, At your earliest convenience, please send the following items needed for your Interior Building Permit Application; 1. General contractor's contact name 2. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 3. General contractor's valid workers compensation on a NY State Board form W105-2 or U26.3) This information can be emailed to me. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 1petersen aaryebrook.or4 1 \ 1 u rfCz 04 y C a N k \ •CQ .D U w � C` u O L J ICI y ''* I••ry •�I W do :J U3 cr O O C a I �- w >- o '� cc o�ection LLJ (A co (1) v v1. y Z W L c 1 U L c 3 � � o Z M � o � O dki'�e as e5 W W Z 0 � Q - W ecCL r cl •/ L Gi7 O •G• •V 2 III' �'.' -- a 9: U o o CAz . C co Go v ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 06/30/2021 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Wimperis Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O.Box 1715 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Milford,CT 06776 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Main Street America Group At 11066 Hope Kitchen Cabinets&Stone Supply,LLC INSURER B AmTrust North America Group A 25011 831 Main Street INSURER C ShelterPoint Life Insurance Company A+ 81434 New Rochelle,NY 10801 INSURER D INSURER E. COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $1 000,000 A Y X COMMERCIAL GENERAL LIABILITY BPT9443D 12/17/2020 12/17/2021 DAMAGE TO RENTED $500 000 CLAIMS MADE 7 OCCUR MED EXP(Any oneperson) $10,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I WC STATU- OTH- B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE WWC3347309 04/10/2021 04/10/2022 E.L.EACH ACCIDENT $500,000 OFFICER(MEMBER EXCLUDED? YeE E L.DISEASE-EA EMPLOYEE $5OO OOO S ye describe underI N E L DISEASE-POLICY LIMIT $500,000 F s,IA PR VI OTHER C NY Disability(DBL) DBL365077 02/28/2021 02/28/2022 Statutory Benefits DESCRIP71ON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Job location: Residence of Lisa Porter,63 Avon Circle,Unit D,Rye Brook,NY 10573. Additional Insureds/Liability: Village of Rye Brook and Lisa Porter. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Village of Rye Brook DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 938 King Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Rye Brook,NY 10573 REPRESENTATIVES. AUTHORIZED p pSENTATIV �L-^-�z C.-J ACORD 25(2001/08) ®XORD CORPORATION 1988 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of insured(Use street address only) lb.Business Telephone Number of Insured 914-365-1222 Hope Kitchen Cabinets& Stone Supply, LLC 831 Main Street lc.NYS Unemployment Insurance Employer New Rochelle, NY 10801 Registration Number of Insured Work Location of Insured(Only required if coverage is specifically Id.Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 203839385 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) AmTrust North America Group Village of Rye Brook 938 King Street 3b.Policy Number of entity listed In box 4618" Rye Brook, NY 10573 WWC3347309 3c. Policy effective period 04/10/2021 to 04/10/2022 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/oMcers included) Xatl excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c", whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract Issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: The Wimperis Agency, Inc. (Prim n me of authorized representative or licensed agent of insurance carrier) Approved by: �--� 06/30/2021 (signature) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: (860) 355-7336 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Q Z V N O V1 Q W � d y ' o � z N 00 F- J o c �o b o �� [if Wl C N i a = _ 0•` G lui�l U-0 rn00wwco (6w (.0Lmr` (J) UMU. � O V- McnT- c' encnL'M N M O �� l ip OZ � MNMMe- N V) C14 N Qo � � 33 � � 3 � � omomm V+1 JJ J NMReLOWf� 000) e- e- � � � O M L�J >m O ce 83 ,. Q e0 Q ul iLU €n$ a 13 70.- 0. V! 0 p C 0 14 s : om o Cl) 2 t) -� cn s m , ; e.o � O � a U�CMD owlgi .y ouwj c3 _ e ao 0 `MLJ _ +� N `er�fa N o N co c j C 0S> * o.' C,4 n d�0 L� O > M � > � 00 N O .� eg— f; coi .a ++ M C � Ln O d � co 0 C p M m > o le N Q m Lf) J M 4 V. 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