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Home My WebLink AboutMP21-123 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.;Tebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 1,2021 Donald De Andrea&Rose De Andrea 47 Woodland Avenue Rye Brook,New York 10573 Re: 47 Woodland Avenue, Rye Brook,New York 10573 Parcel ID#: 135.75-1-57 This document certifies that the work done under Mechanical Permit #21-123 issued on 8/27/2021 for the removal of an above-ground oil tank and the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Michael J. Izzo Building& Fire Inspector /tg �E BRCuk O� Zm w � ,l �O BUILDING DEPARTMENT ,"[I UILDING INSPECTOR SSISTANT 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.ore - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - -- - - - - - - - - - ADDRESS : DATE: PERMIT# f Y \f 1 � ISSUED: SECT: BLOCK: LOT: LOCATION: C's'pjn-�o ) --?T � OCCUPANCY: ? t�) ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION !� REQUIRED ❑ FOOTING -A [I FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: p ROUGH PLUMBING ❑ ROUGH FRAMING p INSULATION ❑ NATURAL GAS p L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING p CROSS CONNECTION ❑ FINAL OTHER z PRODUCT y VOLUME STEEL THK, A 8 C D E N 201 1 (U5 GAL) ((IN/3/1 a) SIDE VIEW(IN) (IN) (IN) (IN) (IN) (IN) (IN) (IN) K 24 275 0,123 10 10, 12 12 12 541/1 60 48 242201 290 0,093/12 10, 12 12 12 S4'/, — /, 2 244201 275 0,093/12 101/1 12 12 12 54'1 60 1 48 3 245201 330 0,093/12 42 •12 11 12 ,66'/:• 72 98 1 217101 220 0,093/12 6 12 20 I q 1 3/, 48/i 34 1 248101 138 0.093/12 4 71/2 7Va 29'/i 30 20 1 249101 120 0,093/12 1 4 1 7V, I 7Vs 29'/1 30 20 g D c B A� B DETAIL C l SCALE .2 B V DETAILS OF FLOAT ALARM SYSTEM ON S10059 0 Q 2"NPT(TYP,) E UL LABEL A50035 26 7/B 27 1/9 A50004 P50035 111 23 44 1/4 44 319 q6 1/4 rl 20 20 1/4 18 7/8 H SIDE VIEW 1 SIDE VIEW 2 SIDE VIEW 3 AS0001 AS0031 DOUBLE BOTTOM END CAP NPT A OUBLE BOTTOM A �3MAX e dessin.esl la propriflA exc usrve de Indusines ran y,SEC,Aucune panle de ce dessin no peul&e u I Is a ou repro uI a sans sa permission ecrile, This drawing fs the exclusive properly of Granby IndusWes LP,No paq of Ihls drawIng may be used or reproduced In any manner wllhoul Its wrillen ermissfon. TOLERANCES LIN@AIRES,LINEAR STO TOLERANCES DeeNpllon de le rdvlslcn/Rovlelen deeurpllcn Rdservolrs d'Acler Granby, 4ggf; 0 ORFAAC,(Xntl .>.o.S" 0.00 .>.0.125. Granby Steel Tanks y 0,000•>.0,D625" m 2091 Indu.ld.0 Cron 1-9 LP ` NcEg mnrl a�No dr la pllnlPaq do, 9, 6 TOLERANCES ANGULAIRES, ANGULAR STD oOL RANCEES eslnlpar/Orownby A S10056 A, '„ r1F >�2 0 0.00 .>.o,1 DEG. IT, aSS3 2009-10-09 D.,�,pll9n rnu.0,0 •>t 0,5 G G. Lei soudures ddvonl respeuer Is spicTcallon SI-0039, APprduvd perlAppmved by; T9nk welds mull rospeciSl.0039speclncaU9ns, E Bourassa 2010-06-08 GENERIC DRAWING FOR US DOUBLE BOTTOM maiddlu1MalerRsl; nil s nIs ErlloileIScaIs Fev 1 1 TANK INCHES 0,05 2 1 D-TANK TMPLT-C p [E C [E ME AUG 2 6 2021 Tl_ VILLAGE OF RYE B OK BUILDING DEPART ENT r ti` s l/ _ z `\ fo r �� V u1n I k�►�, r 2—� Lo � 1 ' P A�I lly III q 4. Ira?' *To-% WI pill 01411 1,41 fill ........... o.IN ,;IO,eN c u �:rj M Aw Q. N 00 fd cc 10A P as L 0 u N,��Iz ,F i. 0 cr LU CL 4-� CL Cc 0 P- col U a LU Lu 0 rot m Z, CD a — ..�Paction u -0 uj 10 LLJ LU LLJ Cc; do z It LU CA x z 00 U) LU Cc Rr- 0 L) CA H >1 gyIN ............. 09 , 1lli 11 0 I iot _ � , 1ip"; AII 1. �4 1"0f P 1— O OR, '4u CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIOHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINO 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. It SUBROGATION IS WAIVED, subject to the terns 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 CONTNAMFACT CONTACTCLIENT FEDERATED MUTUAL INSURANCE COMPANY HONE HOME OFFICE:P.O.BOX 328 PN. cot 8-333.4949 LACENTER IC No):507-446-4664 OWATONNA,MN 55060 AobRL •CLIENTCONTACTC NT R FEDINS COM INSURERS AFFORDING COVERAGE HAIC R INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13MS INSURED 330-130-6 INSURER a: WESTMORE FUEL COMPANY INCORPORATED INSURER C: 86 N WATER ST GREENWICH,CT 06830-5686 INSURER D: INSURER 1: INSURER F: COVERAGES CERTIFICATE NUMBER:35 REVISION NUMBER:D 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 THIe CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EKCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INS MMIDDIYYYV MMf X COMMENCIAL OENERA.LIABILITY EACH OCCURRENCE $1,000,000 CLAMS-MADE �OCCUR DAMAGE TO RENTED PREMISES IE, 5100,000. MED EKP(Any ore person) $5,000 A N N 9062815 06/01/2021 D6101/2022 PERSONALS ADV INJURY $1,000,000 gX 'L AQOR E LIMIT APPLIES PER: GENERAL AGGREGATE S2,000,ODO POUCY JECT PRO. LOC PRODUCTS.COMPIOP AOG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per pdndnl A bWNEO AUTOS ONLY AUTOSU�D N N 9DB2815 05/01/2021 06/01/2022 BODILY INJURY(Per wddenl) NON-OWNED HIRED AJT08 ONLY AUTOS ONLY ROPERTY AMAGE X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $7,000,000 A EXCESS LIAR CLAMS-MADE N N 9D02816 08/01/2021 06/01/2022 AGGREGATE ST,000,OW DED I IRETENTION WORKERS COMPENSATION X PHR STATUTE FH- AND EMPLOYERS'LIABILITY ANY PROPRIETORWARTNERfEXECUTIVE E.L EACH ACCIDENT S500 O00 A OFFICERIMEMBER EXCLUDED? NfA N 9917566 06/01/2021 06/01/2022 JMendelory in NH) E.L DISEASE•EA EMPLOYEE $500 DDO If?d,dnul be under DESCRIPTION OF OPERATIONS Ediow E.L DISEASE-POLICY LIMIT 5500000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Addloerrel Remerta Sdwdule,mey be emened II mere speed I.requlmd) CERTIFICATE HOLDER CANCELLATION 330-130-6 350 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN RYE BROOK,NY 10573-1228 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 26(201IMM) The ACORD name and logo are registered marks of ACORD YORKEw I Workers' CERTIFICATE OF ~, ; STATE j compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la,Legal Name&Address of Insured(use street address only) 11 8usirndss Telephone Nurr,ber of Insured WESTMORE FUEL COMPANY INCORPORATED 203-531-5656 86 N WATER ST GREENaiICH,CT 0883D-5886 tc.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required n covarage is speciically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in Now Ya1c Stafa,I.e.,a Wrap-Up Policy) Number 06-07399367 2.Name and Address or Entity Requesting Proof of Coverage 3a.Name of Insurance Garner (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company I;F; Village Of Rye Brook #35 3b.Policy Number of Entity Listed in Box'I a' L �� 936 King St Rye Brook, NY 10573-1226 9917566 3c.Policy effective period 06/0112021 to 06i0112022 3d.The Proprietor,Partners or Execrative Offrcars are included.(cx,ry rharh Lox if all partneWnfnrws induripd) ® ale excluded or certain pannersloffcars excluded. This certifies that the insurance carrier indicated above in box'T'insures the business referenced above in box'1a"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 must notify the above Certificate holder and the Workers'Compensation Board 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 nn this Certificate.(These nollces 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. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon 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 certlficate 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,1 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: April Myer (Print name ur authorized rupreseinalive ar licensed agent ur insurance wi oier) Approved by: 49L)I %/iu/_Rir o---Ice/cx Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier. 888-333-4949 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(9-17) ww•w.wcb.ny,gov