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HomeMy WebLinkAboutRP21-054jr •• • i ,WA Zq:- - �i I ---/r o • �. ._ •: �)/ice .rl� � .. -IC- - � • 1 1. • # FEE • INSPD ECTION RECOR DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT Q ALARM O AS BUILT FINAL INSP OTHER APPROVALS ARB BOT PS ZBA OTHER l7 Vdt+i VJLw J V . 19 404 annim"aW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury w u.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 19,2022 Anthony Sabia&Amanda Sabia 7 Acker Drive Rye Brook,New York 10573 Re: 7 Acker Drive, Rye Brook,New York 10573 Parcel ID#: 135.44-1-36 Roof Permit#21-054 issued on 10/4/2021 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 D C E O V E BUILDING DEPARTMENT For office use o PERMIT# � J- 541 VILLAGE OF RYE BROOK ISSUED: O C T - 6 2022 1 aNG STREET,RYE BROOK,NEW YORK 10573 DATE: )- (914)939-0668-FAX(914)939-5801 FEE: PAID I3/ VILLAGE OF RYE BROOK www.aebrook.org BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION fgggqqqqqqqqqqqqqqqqq►tgggqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq Address: 7 Acker Drive, Rye Brook, NY 10573 Occupancy/Use: SFH Parcel ID#: ��3Jr" •`�'�'-� 3(o Zone: �_'^ Owner: Anthony Sabia Address: 7 Acker Drive, Rye Brook, NY 10573 P.E./R.A.or Contractor: Home Energy Repair Ads: 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 YOM COUNTY OF WESTCHESTER as: Andrew Prchal being duly sworn,deposes and says that he/she resides at 194 S Water Street (Prim Name of Applicant) (No.and Street) in Greenwich ,in the County of Fairfield in the State of CT 'that (Cityfrown/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 16,700 for the construction or alteration of Roof Replacement 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. Swom to before me this1 Sworn to before me this day of Y , 20 day of Si of Property Owner6E A ��i, Signature ofApplicant VV n \" 'f--, ' o :Q t1�Na of n RicavntPrmt .1 'N v otary CDr O 'Oo �?� BL ��� N ryPU QP. r A `� �yE BRC�vk. w � 1982 BUILDING DEPARTMENT ?ASSISTANT 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 rygbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : -P2 Qk\-4D DATE: I \ 12 J PERMIT#(2 ISSUED: kDI`f�2�ECT: IBLOCK:�_LOT: �Q LOCATION: '� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPLCTION ❑ SITE INSPECTION r 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 A",CROSS CONNECTION FINAL ❑ OTHER F gR pp PP j ,ram, f L, •• v • i v yr �r�P�_ • ��Y•f� i��i'/:•I��'.i George Latimer S 'r ;Isga Its" _r Westchester.County Executive I}�5 ' c �.WTIl Diretor,6u mtur Prouetbu a�►5.' Department of Consumer Protection Home Improvement License a . < HOME ENERGY REPAIR LLC E 6639 E JEAN DRIVE SCOTTSDALE,AZ-85254 aai�.' •�•s; �k 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 departaent seal. {- �,.� coo B•A � License Number A Date of Expiration WG32180-H19 0 09/132023 3 .i I �J'thOster Coo Wj .ti lw ' . . �".'✓,� 4 'K, �A'. i"� �y* '-Tr;;�±P. � '?. I. ��jl ��. ,+ y kf.• -• �... 't:r' +�{..:,. g� �„ys,��v`��� Yv��ys�Y�•��1..,-�l.'.;��y. � ve�. - ����' 'rS,~�!' �<.�"v.,v '„sa'� (` "v 0 Dots Ke, L111q N UlA ,acoKr�' CERTIFICATE OF LIABILITY INSURANCE DATEIMWDDNYM 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 al. PRODUCER CONTACT NONE_ EldsnGamtrty Capital &Co Insurance Services PHONE FAX 287 S Robertson Blvd. #207 310 2.2007 ; 310 525.5292 E-MAIL Beverly Hills,CA 90211 _ADDRESS_ Eidan@Capcoinsurance.com License M 6002332 _ _ __ INSURER(s)AFFORDING COVERAGE NAIC• INSURER A: AIX Specialty Insurance Company _ INSURED INSURER B: _$ Home Energy Repair urance Company,Inc. 12831 DBA Gunner Roofing INSURERC: 194 South Water Stree INSURERD: Greenwich,CT 06830 INSURERE: _ INSURERF: 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 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. Lam' TYPE OF INSURANCE ADDLSUBR WvD POLICY NUMBER FOLICYEFF MOLICYEXPillyporrim ---- ------ - L11 A X COAAAAERCIALGENERALLIAELntr SIZGLO703A249604 04/26/2021 D4126/2022 EACH OCCURRENCE $ 1000000 DAM 41 OCCUR AGE TO RENTED S .SO 000 MED EXP one peraonIl 5.00 PERSONAL&ADV INJURY fl 1 000 000 GENL AGGREGATE LIMB APPLES PER GENERAL AGGREGATE S 2,000,000 X PO ❑LICYJECT LOC PRODUCTS-COMP/OPAGG S 1,000,000 $ B AUTOMOBLEUABLf1r NXTOGMED-00-CA 05/07/2021 05/07/2022 COMBINED ccidrSINGLE LIMIT $ ' .00 ANY AUTO BODILY INJURY(PW pown) S OWNED SCHEDULED BODILY INJURY(PWaodd111t) S AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAAAAf s AUTOS ONLY AUTOS ONLY -For $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR HCIAR*PAADE AGGREGATE $ 7 ENTION DED RET $ WORKERS COMPENSATION PER I� AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y N E.L.EACH ACCIDENT = OFF ICER/MEMBER EXCLUDED? N/A (Mandatory In Nip E.L.DISEASE-EA EMPLOYEE S II D , u r PERATI I E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is requlred) Cartificate 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 REPRESENTATNE t�L G IA 9)1588-2015 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 1 0601-441 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 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 9/28/2021 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://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