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HomeMy WebLinkAboutRP21-050PERMIT # I" ®, 0 aP07 /& as SECTION . (S TYPE OF WORK JOB LOCATION OWNER / Q/0) CONTRACTOR%Y=Zt 2 EST. COST %S C; •,000r CO * TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC 0 Low -VOLT Q ALARM AS BUILT 0 FINAL OTHER APPROVALS ARB ✓�- BOT ao a/s l- <%Y/ PB ZBA e" L.C. �_/ / : G%GZ/G3o�3V 7 30493 OTHER FEE — 1- FEESi6p5 J06 DATE 141111I FEE DATE INSPECTION RECORD DATE INSP �a� 1 Q ys4G.,�,.yy ` 0A anfEkwmaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org 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 Aidan Walsh&Mary Walsh 17 Longledge Drive Rye Brook,New York 10573 Re; 17 Longledge Drive, Rye Brook,New York 10573 Parcel ID#: 135.67-1-21 Roof Permit#21-050 issued on 9/16/2021 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 i BUILDING DEPARTMENT For office use ool PERMIT# MAR 3 0 2022 VILLAGE OF RYE BROOK ISSUED: L 1 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: U--� VILLAGE OF RYE BROOK (914)9394"8 FEE: vs/ / �,5- PAIDK BUILDING r) rtARTMENT wwwxyebrookxre 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:17 Longiedge Drive, Rye Brook, NY 10573 Occupancy/Use: 5f H Parcel ID#: 1 3b.b1-1-21 Zone Owner: Aidan Walsh Address: 17 Longiedge 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,dcposcsandsaysthathc/shc- id;sat194 S Water Street (Print Name of Applicant) (No.and Street) in Greenwich ,in the County of Fairfield in the State of CT ,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:S 24,000 for the construction or 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 turther understands that it shall be unlawful for an nwner to Ilse nr nermit the nsr of anv hnildino nr nremises nr nart therenf hereafter created erected chanverl rnnverted nr enlaroed whnlly 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-IO.A.of the Code of the Village of Rye Brook. k"L Sworn to before me this U Sworn to before me this day of M (-{ ,20 2 Z day of A; �A 20 2'Z_ ,,1111111111111///' nn //11111111 I11 Ida V�a S GCA E e of Property Owner ��!'�`.--- �q�., 7te of Applicant �OTARr N1 _ � _ - I � N1 - -�— 1 N ' O 1 = _ 'n N ' A� G o --- .-' O�NEICIT�G��`'�� �,,,oi�/v CT�GJ`'��, ,1 11 �/I�IJI/l11111111 �yE BRC��. 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 : , N'7 V C 5f - IZ- DATE: 6LZ,.?- PERMIT#�� - �-� ISSUED:-1 z�SECT:t5S, BLOCK: LOT: 2 LOCATION: �v - �� 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 ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER OF ^&' • l�^ �� -a�11- �R _.s \ � � ft� f1ta'"a�-!1 ,! A 4.' -A'.-.✓` 'N".�-.ir�J- r.>' a ' ¢; George Latimer A f rS 1M w James Maisano 1 Westchester County Executive •Wm Director,Consumer Protection .� Department of Consumer Protection Home Improvement License ' '•�� tom,; F HOME ENERGY REPAIR LLC 1_AE 6639 E JEAN DRIVE •__ I t '- SCOTTSDALE,AZ-85254 7y : This license is issued in accordance with Article XVI of the Westchester County ti Consumer Protection Code and is valid only upon presence of the official department seal. ,`•�= :I `cam° License Number °A Date of Expiration WC-32180-H19 o a 09/13/2021 slchester CON) t h `• ti �'A ►1 i '�� ►•�` 'fir',.+ a ii ! ,� •e� 1 iA •�.. L iY ,v �41' ' C00"Nel l7ilq NU AC"J?o® CERTIFICATE OF LIABILITY INSURANCE DATE(MNYDDnvrY) 14%.� 1 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 endorsemen s. PRODUCER NONE; ETACT idan Gamely Capital 8t Co Insurance Services PHONE FAx 287 S Robertson Blvd.#207 310 2.2007 MCI; 310 525-5292 Beverly Hills, CA 90211 ADDRE : Eidan@Capcoinsurance.com License#:6002332 INSURE M)AFFORDING COVERAGE NAcs _ IN3URERA: AM Specialty Insurance Company INSURED INSURER S Home Energy Repair DBA Gunner Roofing INSURERC: 194 South Water Stree INSURERD: Greenwich,CT 06830 INSURER E: INSURER F: 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 CONTRACTOR 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE - --N DL SUER POLICY NUMBER POLICY EFF POLICY E%P �,R LTRNYY A X COMMERCIAL GENERAL UAaalTY SIZGLO703A249604 04126=21 04126=22 EACH OCCURRENCE f 1,000,0W DAMAGE TO RENTED CLAIMS-MADE I X OCCUR MEMI $ .SO BOO MED EXP ON eM /nW $ 5,000 PERSONA.&ADV NIJURY f 1,000,000 aENL AGGREGATE LIMIT APPLES PER: GENERA-AGGREGATE $ 2,000,000 X POLICY❑PRO- CT ElLOC PRODUCTS-COMPlCIP AGG S 1,000,000 s B AUTOMOBILE LIABILITY CO NXTOGMED-00-CA 05/07/2021 05/07/2022 COMBINarlu_ LELTMR $ 1 000 000 _ aBIN n ANY AUTO BODILY INJURY OWperson) III OWNED SCHEDULED BODILY INJURY OW saddert) f AUTOS ONLY X AUTOS _ HIRED NON-OWNED PROPERTYD/1MAOE f AUTOS ONLY AUTOS ONLY -. f UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED I I RETENTION WoRKEM COMPENSATION PER OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIE7XECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A ---___ $ - — — (Mandatory In NH) E.L.DISEASE-E_A EMPLOYEE_$ It ,describe urxJer DE RIPTI F PERA 1 w E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedote,maybe attached if more space Is required) Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured,and are subject to the policy terms and conditions. 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 G b4 ®198S-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) 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 R.. 4* ^^^"^^ 832024199 HOME ENERGY REPAIR LLC D/B/A GUNNER ROOFING 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 834408 09/12/2021 TO 09/12/2022 9/13/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2485 011-7, 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:/[WWW.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:497710530 U-26.3