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Home My WebLink AboutRP21-038a/ SECTION TYPE OF WORK JOB LOCATION OWNS EST. COST vco#s INSPECTION RECORD DATE FOOTING FO U N DATI O N FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER O ELECTRIC LOW4OLT 0 ALARM AS BUILT 0 FINAL INSP a� _ 41)96 7- 36ou —�o,3;e,p� nsG,7wlez (9 Jy�150 OTHER APPROVALS ARB BOT PS ZBA OTHER Vr CI��yut. . 1 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 November 2,2021 Joost Van Der Wateren &Renata Van Der Wateren 42 South Ridge Street Rye Brook, New York 10573 Re: 42 South Ridge Street, Rye Brook, New York 10573 Parcel ID#: 135.83-1-1 Roof Permit #21-038 issued on 8/10/2021 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 Ag 17 L� �� D � For office use only. BUILDING DEPARTMENT PERMIT Flo OCT 2 9 2021 VILLAGE OF RYE. BROOK ISSUED: _a 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:lt7-a 9-al VILLAGE OF RYc BROOK (914)939-0668 FEE: IS //O— PAUXX BUILDING DEPARTMENT_ rvww.ryebrook.orz 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 ••;f;;;;kk;kktiiittti#k#If#•iffifif•#i!!•iliiii#t#!#!###ffffff••;;;•;;;;•;i;ii#i#14#!#•##if#f##i#►i##ii#####liffi##!i#•f►###♦ Address: 1g2 5'oul-tf ,eji.34f Sj-xde<: Occupancy/Use: Red , Parcel ID#:-15183 -f 1 Zone: 08—a Owner. -7LRv1 rr- N�-�/�l�!' W+p r 2�n_ Address: IW. Se 44e J x-rtew P.E./R.A.or Contractor:P P 2 Q „o> Address: cue^ 69 X rtreye Person in responsible charge:kdhe-er v/?.y 4eg 4/4-Fk&y Address: 3 ra'.v 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: nSTATE OF NEW YOM COUNTY OF WESTCHESTER as: /�iogf,e being duly sworn,deposes and says that he/she resides at �v 1 r' (Print Name of Applicant) (No.and Streets in /?jC _,in the County of 4W 0 f eAferl rem in the State off / ,that (Ciry/fown!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: IQd v F 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 q Sworn to before me this day of_ , 202- day of ,20 Z f Signature of Property wner Signaattire of Applicant iA Perot unT T-,i Print N 6E� A A licant 7 ' '� :Z� Notary Pu is No Public BERNARD A.EDELSTEIN BERNARD A.EDELSTEIN Notary Public, State of New York Notary Public,State of New York No.02ED4667745 No.02ED4667746 Ouallfled In Rockland County�L Quafthed in Rockland County Commission Expires April 30,20 Commission Expires April 30,20 2 Bkjc k, 19,32' BUILDING DEPARTMENT ❑BUILDING INSPECTOR ,A"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 - - - - - - - - - - - - - - - - - - - - 1A ADDRESS :— I NIP— DATE: PERMIT# ^ " ISSUED: SECT: } BLOCK: LOT: LOCATION: � OCCUPANCY: Z1O ❑ 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 tI WAR 4 ate. C j CN 4C t��C 0 CN '3 i y Wuj f N low w 1 vi`u� N ua a ,' P+ CIO ♦i tl> Z LU N o is 4+1 O Z U ' �y � u ,..�.,,► f— U Z n.W O 1 0 un CL_ U) Ld 40 Lo y } n v � a � I � v _ . � •ram � � � I, w .. .-fir. ��1,t. ♦ A�,r,��l ile,r(A�J #fit'#WSI 1ta 4fill.4C,#.itf# 1�,�i►'�L�� ,_r v�Yu! - v�w�v .a Rw ias:� / i►w ,° f PESAN-1 ,4ikoRv CERTIFICATE OF LIABILITY INSURANCE DAM yW z°z"' 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 poilcy(les) must have ADDITIONAL INSURED provisions oT be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy, pertain policies may require an endorsement. A statement on this Certificate does not confer rkgft to the certificate holder in lieu of such endorsements. PAODUCER 91 4-761-8600 ACT NBW-Harrison Ma 914-761-85W P"IA 914T81-85T1 Katherine Jennings No 450 Mamaroneck Avenue Harrison,NY 10528 -- INSUMR A:Preferred Contractors Ins Co INSURED Pesantez Construction Corp.of Westchester C: 16 Lafayette Avenue Ossining,NY 10562 I Rcn D i rMSURER E: 1t1SURIXt F: EtCYISION 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 REOUIREIIAENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MkY 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 CI.AVAS. NSR TYPE OF INSURANCE HIM ADoL SU- POLICY RUM�iR POLICY EFF Mai-ICY F"ILTR LIMITS - - --- A X 001NINEIRCOL.GENERAL LiASILITY EACH OCCURRENCE �s 1,000,000 CLAIMS-MADE []�]OCCUR PCAS002-PC383110 01/11=21 01/11/2022 DAMAGE TO RENTED 50,000 MED EXP Any one pffw) 5,000 PERSON&a AM'LAMY S 1,0001000 •GENL AGGREGATE LIIN'T APPLIES PER 2,000,000 p�� GENERAL A RE TE 1 POUCY ECT Lac 1,000.000 J PRODUCTS-COMPJOP AGG s OTHER: 3 AtrtOR♦=Lf LIABILITY COMBINED SINGLE LIMIT !� ANYAUTO ELFQQDILY INJ Y Per SCHEDULED UTOS �O DRY IHJ RY(Per a A IO ONLY p EA Y - OPER AfYUIGS UMBRELLALIAB OCCUR.H-MCCM3 LAD CLAUS-MADE A GRE TE TIED ; RETENTION!I W40KKM COMPENSATION PER OTH- AND EMPLOYERS'LIAaILITY Y!N ,ANY PROPRIETDRIPARTNERM-MCUTINE r� �f1G4"ItMElue fl FJ(GLVDF33? I� N f A �ACI�gCQ NT (IRarwalory In NMI IS EAA-EA EMPLOY I! .deaaibe molder c� i DESCR"ON OF OPERATIONS r LOCATKONS I VEHICLES (ACORD 7e4,Atltlltlonal RrnmXs 9c 164E06,flvy be ahwhed If rram s{vaee Is requited) PROJECT:42 South Ridge Street, Rye Brook, NY 10573 CERTIFIQAJE HOLDER CANCELLATION VILLA10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAMCELLED BEFORE THE EXPIRATItMN DATE THEREOF, NOTICE VALL DE DELIVERED IN Village of Rye Brook ACCORDANCE NTH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTN4RQED RE - NTATNE ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4 NYSIF New York State Insurance Fund WESTCHESTER ONE,44 5OUTH BROADWAY, IOTH FLOOR,WHITE PLAINS, NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE O ""^""" 342042433 r ' ' NETWORK BROKERAGE OF WESTCHESTER INC k 214 MAMARONECK AVE WHITE PLAINS NY 10601 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PESANTEZ CONSTRUCTION CORP OF VILLAGE OF RYE BROOK WESTCHESTER 938 KING STREET 16 LAFEYETTE AVE RYE BROOK NY 10573 OSSINING NY 10562 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1435989-7 721798 11/01/2020 TO 11/01/2021 7122t2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED NTH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1435 989-7, 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 WESSITE AT HTTPS:INVWW.NYSIF.COMICERTIGERTVALASP.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. JORGE PESANTEZ-PRES PESANTEZ CONSTRUCTION CORP OF WESTCHESTER 1 OF 1 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:477870800 U-26.3