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TYPE OF WORK
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CONTRACTOR
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INSULATION
PLUMBING C7
RGH PLUMBING
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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.ryebtook.oM
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
Janet Donoghue
25 Longledge Drive
Rye Brook,New York 10573
Re: 25 Longledge Drive, Rye Brook,New York 1.0573
Parcel ID#: 135.67-1-17
Roof Permit#21-034 issued on 7/22/2021 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
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BUILDING DEPARTMENT PERMIT#
VILLAGE OF RYE BROOK ISSUED:
FMAR 3 0 2022
938 KING STREET,RYE BROOK,NEw YORK 10573 DATE: 3 3(y-
`—---- (914)939-0668 FEE: PAID 21
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT www.ryebrook.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
Address: 25 Longiedge Drive, Rye Brook, NY 10573
Occupancy/Use: SF H Parcel ID#: /35, 6 7— 1-17 Zone: Z40
Owner: Janet Donoghue Address: 25 Longledge Drive, Rye Brook, NY 10573
P.E./R.A.or Contractor: Home Energy Repair DBA Gunner Address: 194 S Water Street, Greenwich, CT 06830
Person in responsible charge: Andrew Prchal Address: 194 S Water Street, Greenwich, CT 06830
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:
Andrew Prchal being duly sworn,,do-poscs and says that he/she resides at 194 S Water St
(Print Name of Applicant) (No.and Street)
in Greenwich ,in the County of Fairfield in the State of CT ,that
(City/rows/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 23,600
for thc construction 3r alteration of: Re-Roof Existing Building
Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of
Occupancv/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 unlawtW for an
name.r to nap.nr nrrmit thr nvr of slnv hnildino nr n_rrmigeq nr nart tho.renf hrrraftPr rre.sltPri 1~rertr+i rhanoM rnnyrrteA nr e.nlaroPri whnlly
or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have beenduly issued by the Building
Inspector as per§250-10.A.of the Code of the Village of Rye Brook.
Sworn to before me this 30 Sworn to before me this O4A
day of A, rAa , 20 2 2— day of ����� ,20
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Prim eofPropertyOwner �����. - �.9 '� Print Nam Applicant 1►+��i��
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1982 BUILDING DEPARTMENT
XOAssiSTANT
UILDING INSPECTOR
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 :_ L-�✓/V!n ? ��- l� E�-- DATE: Z
PERMIT#t ?e' �''- ( ISSUED:-7 -2-Z Z(SECT: 1%S"6 BLOCK: LOT: /
LOCATION: '--�%�'' — �� OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... ,ACCEPTED ❑ REJECTED/REINSPECTION
❑ SITE INSPECTION (` REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
i
❑ INSULATION
❑ NATURAL GAS
❑ L.P. GAS
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
OTHER
DocuSign Envelope ID:2C58531B-5E80-4927-AB61-20F9D763288A _LC d/b/a GUNNER ROOFING LLC �y �
194 South Water Street,Greenwich,CT06830
Phone:203-347-3368
License No.:CT-0653672 NY-WC3218OH19
PROPOSAL/CONTRACT
Date of Transaction: 7/13/21
This construction agreement(the"Agreement")is made and entered into by and between Home Energy Repair LLC d/b/a Gunner Roofing LLC.
(hereinafter referred to as"Gunner Roofing"or"Contractor")and James Otness (hereinafter the
"Owner"or"Customer"or"Buyer")whose address is 25 Longledge Drive,Port Chester 10573 (the"Project").
Contractor and Owner hereby agree as follows:
Contract Documents:The contract documents consist of this Agreement,and any exhibits attached hereto,Terms and Conditions,Notice of
Cancellation,Statutory Warnings,and limited workmanship warranty(if any)and all modifications and change orders issued after execution
of the Agreement(the"Contract Documents").Owner represents that it has read,reviewed,analyzed and become familiar with all of the Contract
Documents and has identified and included costs in the Contract Price(as defined below)as could be expected,associated with any errors,
inconsistencies,omissions,or discrepancies.These contract documents represent the entire agreement of both parties and supersede any
prior oral or written agreement.
Scope of Work:The scope of work is contained and limited to the work contained on Exhibit"A"Scope of Work.The scope of work does not
include any engineering or design professional work.All work shall be performed by Contractor in a workmanlike manner and shall meet or
exceed all state and local building codes.Contractor shall remove all construction debris and leave the project in a broom clean condition.
Contract Price:The materials required for this job will be furnished by Gunner Roofing,including necessary equipment,and the services
performed fora total of $23,605.26 (the"Contract Price").Ownershall pay Contractor the Contract Price in accordance with
Exhibit"B"-Schedule of Progress Payments.Customer shall remit payment to Contractor within thirty(30)days of receipt of Contractors invoice.
Estimated Date of CommencemenVCompletion:The estimated start date of the Work is 8/4/21 and the estimated completion
date is 8/11/21 these dates are subject to change due to delays caused by weather,shortage of materials or labor,Acts of God,
riots,revolutions,strikes,pandemics,medical emergencies that have resulted in a local,state,or federal state of emergency,
COVI D-19 or viruses/illnesses requiring quarantine,or other causes or factors beyond Gunner Roofing's reasonable control.Time is
of the essence for all purposes of this Agreement unless expressly provided to the contrary.Unless otherwise specified,there is no
specific completion date for Contractors work.Contractor shall complete all work in a reasonable amount of time.
Chance Orders:All changes to the plans,specifications or selection of finished materials which maybe requested in writing
by Owner("Change Orders"),shall be submitted to Contractor using Exhibit"C'—Change Order and are subject to Contractors.
approval.A Change Order is any change in work from the original,permit set,plans and specifications.Each Change Order shall only be
incorporated into the Agreement if signed by both Owner and Contractor prior to the commencement of any work covered by said Change
Order.In the absence of an express lump sum agreement with respect to any Change Order,changed work shall be billed to the Owner at
the direct cost to the Contractor plus twenty percent(20%).Additional time needed to complete change orders shall increase the time
needed for Project completion.
Disclosure: No owner of the Contractor is or has been a shareholder,member,partner,or owner of any corporation,limited liability
company,partnership,sole proprietorship or other legal entity,which is or has been a home improvement contractor pursuant to the
provisions of Chapter 400 of the Connecticut General Statutes or anew home construction contractor pursuant to the provisions of Chapter
399a of the Connecticut General Statutes,during the previous five years.
I HAVE READ AND UNDERSTAND THIS CONTRACT,THE TERMS AND CONDITIONS,AND ALL
APPLICABLE CONTRACT DOCUMENTS AND AGREE TO BE BOUND BY THNEIR TERMS.
ACCEPTANCE OF CONTRACT:The above prices,specifications Home Energy Repair LLC d,fbj,�Gunner Roofing LLC:
and conditions are satisfactory and are hereby accepted. Authorized Signature: _�_,•_,: _�
Contractor is authorized to clothe work as specified.By signing By:
below,Customer acknowledges that Customer is the owner(or Date: r :. .,...• ..,
authorized agent of t he owner)of t he property where the work Cust+)fn3a:: ;
isto be performed.Contractorwill provide Customer with acopy Custom �t"yje:
Date:
CONSUMER'S RIGHT TO CANCELLATION. YOU,THE CUSTOMER(BUYER)MAY CANCEL THIS CONTRACT WITHOUT ANY PENALTY OR FURTHER
OBLIGATION ATANY TIME PROR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEETHE ATTACHED
NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
DocuSign Envelope ID:2C5853113-5E80-4927-AB81-20F9D763288A :..,
EXHIBIT A—SCOPE OF WORK
Install GAF Timberline HDZ - COLOR TBD
Install GAF Weather Blocker(10 OLF) WeatherBlocker
Install GAF Timbertex Hip & Ridge
Install GAF Cobra Snow Country Advanced
Install Standard Aluminum Drip Edge—F51/2 - 1.0 "(10 ')—White
Install Aluminum Pipe Flashing Combo 3'- 4"
Install Copper Flat Sheet Metal - 16 oz - 3 x10'
Install GAF Tiger Paw Underlayment (10 sq)
Use T50 Staples - 3 8" (50 0 (Ent)
Use Roofing Coil Nails - 1 1/4" (72D 0 Cnt)
Install Elastomeric/Caulk (Clear) (10 3 oz)
Install GAF Weather Watch Ice and Water Shield - Unboxed (2 SQ) along eaves, valleys,
and rake edges.
Provide Dumpster
Dynamoic Caulk (Limestone)
Inspect plywood and replace damaged Plywood as needed (3 sheets included,
additional sheets $110 per sheet)
Tear off and Install Shingles
Gunner will pull permit for owner and provide receipt for reimbursement (If needed).
Provide GAF Golden Pledge Warranty (50 Years on materials and 25 years on labor)
Custom Products:
EXHIBIT B - Schedule of Progress Payments
Schedule of Payments
% of Contract Est Date $ -Amt
10% Immediate 0 7/132D 21 $ 2,350 .53
40 % Start Date 0 80 49D 21 $ 9,44210
50% Est Completion Date 0 8111/21)21 1 $ 11,80 263
Total $ 2$ 60 52l6
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i AA •
- George Latimer K'.���r James Maisano
o" Westchester County Executive " �1.:�� ,'•u�m Director,Consumer Protection
•ceSp I �
Department of Consumer Protection
Home Improvement License
HOME ENERGY REPAIR LLC
a
E 6639 E JEAN DRIVE
SCOTTSDALE,AZ-85254
y� This license is issued in accordance with Article XVI of the Westchester County
Consumer Protection Code and is valid only upon presence of the official department seal. Y�
' t Consy�
p I ece.o e�.o
License NumberR A Date of Expiration
WC-32180 H19 c 09/13/2021
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OOOE91Nt UTHO NUM
16.� 1
ACOR CERTIFICATE OF LIABILITY INSURANCE FDATE(MWDWYYYY)
07/21/2021
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(les)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
Capital&Co Insurance Services PHo a Elden Gamely FAX
287 S Robertson Blvd.#207 310 92-2007 ('VC,No): 310 525�292
Beverly Hills,CA 90211
L Eldan@Capoolnsurence.com
License#: 6002332 INSURERO)AFFORDING COVEROM - Will
NWRERA: AD(Speclalty Insurance Company
INSURED Si{Wmn B: Insurance
Home Energy Repair
DBA Gunner Roofing KWRERC:
194 South Water Stree NWRERD: - �
Greenwich,CT 06830 INSURERE: IL -
NaURERP:
COVERAGES CERTIFICATE NUMBER: 00000331-19781 REVISION NUMBER: 2
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 MAYBE 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.
1NSR TYPE OF INSURANCEPOLICY POLICY NUMBER OF POLICY f� Lam
A X COMMERCIAL GENERAL LIABILITY SIZGLO703A249604 0/I2OMI 042612022 EACH OCCURRENCE __S_____ 1 000 000
DAMAdETOIRENTED cA
CLAIMS-MADE X OCCUR $ 5O
NED EV Ww me $_ 5,000
_ PERSONALS ADV 1N UIRY S _ 11,000.0m
BEN'L AGGREGATE LIMIT APPLES PER: GENERAL AGGREGATE $ Z 000 OOO
X POLICY[:] ,& LOC PRODUCTS-COMPIOPAGO $ 1,000,000
OTHER: S A�
B AUTOMOBILE LIABILITYNXTOGMED-00-CA 06107=1 05107f2022 pMBINED SNGLE LIMIT : 1,000y
ANY AUTO BODILYINJURYMWPWW) S
OWNED SCHEDULED BODILY INJURY(PW raiddent) $
AUTOS ONLY X AUTOS _.
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY
S
UMBRELLA Li OCCUR EACH OCCURRENCE
EXCESS LIAR C AR*aMDE AGGREGATE
WORKERS CoMpENaAT1oN PER OTH•
AND EMPLOYERS'LIABILITY STATUTEANY PROPRIETORIPARTNERIEXECIlT1VE E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? NIA - -
MandatorylnNH) EL DISEASE-EA EMPLOYEE$
_.
If ,deacdbe under
RIPTI N OF OPERATIONS pol, I E.L.DISEASE-POLICY LIMB 13
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space In required)
Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder prMleges apply only if required
by written agreement between the Certificate Holder and the Insured,and are subject to the policy terms and condittions.
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
938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS.
RYE BROOK,NY 10573
AUTHORIZED REPRESENTATIVE
(�� GIA
®148-2015 AC RD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Printed by GIA on May 07,2021 at 11:49AM
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
^A^^^^ 832024199
HOME ENERGY REPAIR LLC D/B/A
GUNNER ROOFING �F�tt i
194 S WATER ST
GREENWICH CT 06830 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
HOME ENERGY REPAIR LLC D/B/A VILLAGE OF RYE BROOK
GUNNER ROOFING 938 KING STREET
194 S WATER ST RYE BROOK NY 10573
GREENWICH CT 06830
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2485 011-7 934157 09/12/2020 TO 09/12/2021 12/23/2120
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2485011-7, 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 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: 244455163
U-26.3