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Home My WebLink AboutRP21-041PERMIT # !' �177o J DATEm EXP: 9j, �a- SECTION, BLOCK LOT TYPE OF WORK /S �� JOB LOCATION Q� �li s to OWNER CONTRACTOR r��P S QAQ EST. COST FEE / FEE 0 QN, DATE J a VCO * TCO ! FEE DATE - -- INSPEc'TION RECORD FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL DATE ro -- I NSP OTHER APPROVALS ARB BOT PB ZBA OTHER U1 4�4G"r r r� QA��C,c,vyWy �. . 19 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& PYRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael j. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE January 19,2022 Joshua Shaw&Melissa Shaw 12 Birch Lane Rye Brook, New York 10573 Re: 12 Birch Lane, Rye Brook,New York 10573 Parcel ID#: 135.43-1-5.40 Roof Permit#21-041 issued on 8/19/2021 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 RI E C E�� 1" For office use only: B.ImId DEPARTMENT PERMIT#� 041 NOV 2 2 2021 VILLAGE OF RYE BROOK ISSUED: / -200/ 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: / -c�U,�/ VILLAGE OF RYE BROOK (914)939-0668 FEE: //D PA1nQ-'� BUILDING DEPARTMENT wwW. vOk.erg 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 ##ttttttttttttttf if tffttf iffiif t##i#rtfi#rt#rttf###rt##4####tt##rtiittii#tiii#itt#tiiiii#iiiitt iipiii ii#ii iii#iii#iii###•##tii##i / ,7 Address: / L I ��I e A nQ y v y U /6 S 7 Occupancy/UseJ'FCLrnl'/y Parcel ID M /�J� 3 -- /- 5, �fJ ! _ Zone: 9-15 Owner: / I i S 6 '7� .l J�j�7Ss L /�L.� Address: �� 3/ ✓�' /� �4 n f P.E./R.A. or Contractor: Address: Person in responsible charge: 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 YOM COUNTY OF WESTCHESTER as: 5S t' ! I t•j� ` Sk &c,being duly sworn,deposes and says that he/she resides at ! .,? /�ti"✓�/7 r-Lj/ t Name of Applicant) (No.and Street) in ,in the County of {S f Cr f 5 f t v in the State of /y�/ ,that (city/Town/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:$ G for the construction or alteration of 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 Sworn to before me this day of +t v M f_ ,20aL day of , 20 'x/' Signature of Property Own Signature of Applicant )(1'-7/ li � L� Name of Property Owner Print Name of Applicant No Public Notary Public SHARI MELILLO Notary Public, State of New York 8n2/2021 O1Pflc6, n33 a. .7t�,, . O,falified in Westctl�-..ter County Commission Exoires January 29,20� Q� 2� BR w � 1982 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 :— Q ( DATE: �' I PERMIT# - 1 6-\ ISSUE SECT: BLOCK: LOT: LOCATION: C (-'C- (L-�)C:& OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION Cl 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 Flores General Repair,INC P.O. BOX 1902 OSSINING NY, 10562 WC-21297-ho8 insured (203) 814-6632 To: Josh & Melissa Shaw 12 Birch Lane Rye Brook,NY Contract 1. SCOPE OF WORK: The description is to replace the main roof on your house.We have to remove the entire roof,install new ice and water shield around the edge of the balice, new tiger fiber paper (waterproof), new metal drip edge around the edge and new starters.We will install charcoal color shingles (lifetime guarantee provided by the manufacturer), new boots for the vent pipes, new ridge vent and new hips. The total amount for labor and materials is $16,000.00. The total amount for this contract is $16,000.00 • Location for parking of Contractor vehicles and access to the premises to be provided by the owner. • Owner is responsible for the permit. WARRANTY. NOTE: All work to be guaranteed for a period of one year after completion and as Required by New York State Laws. a claims and expenses arising out of performance of his obligations hereunder. The contractor is responsible for and will supervise the completion of the work in accordance with this contract in a professional manner and to the satisfaction of the owner. b The owner shall be entitled to the benefit of manufacturer's warranties and as required by the laws of New York State. c Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders and will be invoiced as such. d Additional work("changes"or"orders"), delays in making required CONSTRUCTION SCHEDULE: a Work to begin(to be discussed). All work to be completed in approx.60 days. b Extra work or specialty items may affect the construction schedule and the original date may need to be extended. c Any delays due construction material shortages will make the construction schedule move. PAYMENT SCHEDULE: *For ordering materials * 50 % completion * 100 % complete AFTER 30 DAYS OF COMPLETED WORK IF TOTAL AMOUNT IS NOT PAID 5% INTEREST WILL BE CHARGED. SIGNATURE PAGE ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are hereby authorized to do the work as specified, payment will be made as outlined above. Sergio Flores August ,2021 Melissa Shaw August ,2021 Josh Shaw August ,2021 wl�dd u=N107 in13 i Al - �� V 1••/1 � iF�y�J r 7 T �s o u C sc ° .r .6.y O v LO er It— U _TAW 0 Of 0 Z t0 b: W p 3 �- .-a r e • W o . u U_ lu co 8 r. lob .A . aM . . . - . . .. . . . . . .. .. . . . . . . . . . --. . . ..1 � �,1�1+�� _�t�..4,{'{N'y�-�-�.'�-��-F�1�-�•�., 3,x.��,+{Il�lh�b ��{ 1�' �,�r�{�Ih�'�'=.' �'i..i.- "r r All � N o f i ��r�� - ; 0 . _ L A1r c�K1r� CERTIFICATE OF UABIUW INSURANCE TES CERTIFICATE IS ISSUED AS A EA"010 DP 0110110�71DM f31EY AND PDWERS NO roGgTE UPON T1E CERTIFICATE HOLUER 1441S CERTIFICATE DOES NOT AFFIRISATIN[LY OR NEGATIVELY AIM&EXMW OR ALTER TI•E COVVtA(E All UNDID•Y NEE POULIES BELOW VMS CIATIF)CATE OF M/EIMIANCE DOES NOT COEETTTIITI A COIITTlAC7 wrovELm IHE 1551.1I006 M3URLP43r. A11T11Of &LD 11E1W 3EAIFATIYE OR PRDDUCER.AID THE CERTIFICATE MLOW IMPOR I ANY: IN On oEMei ESlalda►s in ADINTIOINIAL IIKIIAED.OW P@"*1 INUM h m ANA I i(AAL 0014K AED Ftevot•M[s tar Na wdWasa It SUEROGATtOk IS WANED uubj ct to eM Enna and cOndn.oms of em policy cetb.l Vol.clot may require wt sdwOO11M[A A 60MMOd Ilse Orts ce11•TKie eee■AOI OOrdM n M1 b Erie osaTalKle+bider-Imu o1 such-Mara rvl s' Dav—)Lss'. alna EV6 FITZPATRICK URIIM NT CE CEER i110ot�s t.e y1�714olt7 w 91/7»ISS1 Sa VXLCEER AVENUC ao u aanlell•�I{TpoltdlrlRaewae corn PEEKSKILL,%Y 105ft 11fEr1rfllUarPEd1EN1)flreewaae IstIKs NINinA TMN Late fitpggl EtleailFrQ Carlrpww S521I +NSL4= FI win l3etta-1el Reea1 t ITtr «RIK11a P O Ems 1902 sluvwx c Ow w .W 10562 ■1t1eAe D «atllts E COVERAGES CERnFlGTE VRAEER. a _ I�IEEraE1 rRMrll __ 11•' 1< • .=t Pt IFY T►MT TIC POL IC IE 5 J MSJRKY'E USTED wLAW-Ave KEh III&AD TO TEE W40-OM NAMED ABDO PON TM POLICY PplgC - 14Dh.ATEC %0TW1T1+3TAAd)M ANY RE0411RE1AENT TERN'OA COPORION OF AM CONTRACT OR OT%M OOCIAIENT YMTH S91ECT TO YMOCM TWS LERTFILATE MAY ESE S aIiED OR 1AA�.PERTAIN THE P{S.RML.1 AFRCIE'7E'D By TIE POLICES DEOCRiO E111E11 IS TdifCT TO ALL THE TERMS FXCLU10y1 A►1OCCIYC",7NE as SX-.RACFS LAIITS SNOYNs MA+-WA EEN'REDULS0 EY PACCLAYE NAMLIM r"CIO esfaaeArci[ m RIR11 A cr>AsrlrnaL tapserAt/1ARRY SKR2011157 1046YO20 10"Q021 t„c ........ I 1.000.000 01MIr2 1U1t FVtL 1�1 itYrA.fJ uaulrA. f .A'De1F.M, 5000 Itincom sAIAK&MV f 1.000 OK •iV'.Ia.l /.'r.YlArTIRl RR �.settat.AsulsuR 2A00.000 i,A �U .... rTei'LC r7 COPi7"AGG ! 2 AeapL tIAYr1'. 'L'f1YAr�Sa.u. [Ae f f a M rr.11 Mt aUTG KI:L'f41./r• •R 1�1r'�' f OVA= Iur pa atLT tl•. IRI[If`a.AAr.:h v4.+1 a 'ef.0 ».•. •.1 1RTOt!w DAaIA.a f eYrO tyrlt V' .� Y��Rtt. f e�Wllri .,pl _ - ;.A`.•:iaQJdlaVCt ! rmcm Lae ..VISAMLI 4.jft An f ��f Cif'a/fRsee N AMMOevnvvveYL.MmILne T 9 ATYit rn lta/wr'1rr•tanRwe.t.m.t [�RAM-ALT:f1r V' I ' Orik RietB�[a-.lL�� N �rMt+Y AA t.DISLJet to Ere1 'Tu t f a•aw rar DWWOTIMOrCPWKIp 'LOCAr 'MIW401AC4RD101"M di —ftltf.d.a.OVAe.MsfRasl rrs�sw gAarware [e Me tsArit-�I+eldar as adelYottsl l[gRea Jab mca6an I1 Oect.Lime AMR bloom Wr 10571 — ----- CANCELLATION SWARD AW Of I1E AdOYE.OEM:RiED I.QL1C 15 1f.LAikfrr.ED®EF:.«E ME ESPNA7I6N DATE TIEAEOF %OTILE *#L OF DE[1vERED « VLLAGE OF RYE BROOK BU-D*jG DEPARTMENT AC C ORDAW E 1NRN TIE PC"Y Po0Yi0AA KING STREET RYE - - - -----{ RYETNgO(.NY 10573 t 19"201 S ACORD CON/IR'ATION M.q0 reserved ALOROascu%" Tt1 ACr-4W name and Iepo are teq.ateteo rrnrtts of ACORD D ECC PY E JAN — 6 2021 a _ VILLAGE OF RYE BROOK BUILDING DEPARTMENT I HYSIIF "Wroth V&or msm� I F, WESTC"ESTER ONE i/SOUTH BROADWAY t:-ol FL:IOR.WMTE PLAINS NY iwi 4411 I NIysm.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE FrTZPATRK;K INSURAWCE CEFI'T F'. SN VVELC HER AVE PEEKSKEI NY10S" SCAN TO VALIDATE AND SUBSCRIBE I'UL�Lrr-ULLttR CERI*K;AIE HULDER r LORES UENEHAL REPAIR INS: VILLAGE OF RYE BROOK PO BOX T902 BUILDING DEPARTMENT OSSINW#G NY ICi 2 y013 KING STREET RYE BROOK NY IOS73 POLICY NUMBER CERTIFICATE NUMBER I'OLK:Y PERIOD DATE W2226 223-7 953596 08( D92412020 TO &2021 114r2021 THIS 15 TO CERTIFY THAT THE POLICYtfOLDER NAMED ABOVE 15 NSURED WITH THE NEW YORK STATE PISURANCE FUND UNDER POLICY NO 2296223-7, COVERING THE ENTIRE OBLIGATION OF THE POLICYHOLDER FOR VVORKERV COMPENSATION UND[R THE NEW YORK WORKERS COMPENSA"W LAW VWTH IEWECT TO ALL OPERATIONS IN THE STATE OF NEW YORK EXCEPT AS INDICATED BELOW. AND, WITH REWECT TO OPERATIONS OUTSIDE OF NEW YORK TO THE POLICYHOLDER'S REGULAR NEV! 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..'M"NYSIF COWCERTICERTVAL ASP THE NEW YORK STATE IISURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIMATIONS T/MS POLICY DOES NOT COVER CLArMS OR SUITS THAT ARISE FROM BODILY INJURY SUFTERED BY THE OFFICERS OF THE INSURED CORPORATION PRES SERGK7 FLOQES F.ORES GENERA,.REPAIR INC THIS CERTIFICATE IS ISSUED AS A MATTER OF MdORNMTION ONLY AND CO%FERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER THS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY NEW YORK STATE INSURANCE FUND PIRECTOR.INSLIRANCE FUND UNDERWRITING VALIDATION Nu►IBr:R 923492444 V. 7 I JAN - 6 2021 C L� VILLAGE OF RYE BROOK BUILDING DEPARTMENT