No preview available
HomeMy WebLinkAboutRP21-061PERMIT # SECTION TYPE OF WORI JOB LOCH ON OWNER CONTRACTOR, E . 0# TCO # / DATE: EXP: / o oilo a 4 BLOCK LOT /r INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING [] RGH PLUMBING GAS [� SPRINKLER ELECTRIC CJ LOW -VOLT F1 ALARM (� AS BUILT CJ FINAL r� �Q�a 74 ofrP rZ1 )3Al 30S3 ZBA OTHER APPROVALS ARB BOT PB OTHER t ry��c. +LU �w„ 4014 anniueuaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Ave Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrookor� TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 26,2022 Charles Parker&Dawn Lapiana 94 Grant Street Rye Brook,New York 10573 Re: 94 Grant Street,Rye Brook,New York 10573 Parcel ID#: 141.43-1-29 Roof Permit#21-061 issued on 10/26/2021 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 E `V� E N E BUILD R ENT For office use onI PERMIT# VIL OF,RYE OK ISSUED: /n_9^, MAR 18 20223D 38 KING STRE YKRoom YoRK 10573 DATE: VILLAGE OF RYE BROOK FEE: PAID G BUILDING DEPARTMENT 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 rrrrrwrt►►►■►►►rrrwwwrrr■t►►►►►►r►rrrrwrrw►wrt►■r►r►t►►►♦r►rrrwrrrwwwtrr►►•►r►t►►►tr►►•►►r►rrrrrrrw►wrr►r►►►r►►►►►►►►►►►t►►►► Address: ? qt Occupancy/Use:R r*1 JV Parcel lD#: 101 - 14 5-1--2 9 Zone: Rap- fr- Owner: 1111 I i )j 1 Address:a", �►� :�,7(, l -- P.E./R.A. or Contractor:,--�Ia k'l fl6a( k=c�C);6 Address: ' ALA `c� 1r1,n kr rC'['n m Lj-1 Person in responsible charge: And r ,, Address: .i�~ 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: . 1 Ig Q j ru being duly swom,deposes and says that he/she resides at', (Print N'ame of Applicant) (No.and Street) in r'4'r_ \ l ,in the County of in the State of ,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 / 1 15 0 for the construction or alteration of jU C u , r 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 lv\rrt� ,20ZZ day of , 20 Signature of Pfoperty Owner Signature of Applicant Print Nam of rop ex Print Name of Applicant Notary Public Notary Public CHRISTOPHER J.BRADBURY Notary Public,State of New York 8/12/2021 No.01 BR6159985 Qualified in Westchester County Commission Expires January 29,20 23 QyE BRC�v� o`` tim 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 : ( G 1 l? l .1 1 DATE: tI b L-Z Z PERMIT# 322 2 JCS ISSUED: o "L ?SECT: BLOCK: I LOT:2T LOCATION: 1� OCCUPANCY: z� ❑ 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 C C ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ ROSS CONNECTION FINAL OTHER e e a � e = 0 N °� s s p � s r. N N 47 OC cC as CIA W r W)i V o o -o Gzl W CZ p f� 11 T yy s V-4 ►�/I r e o -� c ° w e �7 'gunaj m co a 0 C� to o si � � � r� � �,n OQ M �X C � �s G = ►.� = O M a TThh H00 �+ 3 '� a n "c � � � v a. o° z o va en Q Q eq ® W Q s O aCV a1 O VA ^ OC1 Grp I�+' W� v ;,-,- 0 $, o o ® z < b o Q O C w 14 gT � � iBUILDING DEPARTMENT 2 � 2O'1VILLAGE OF RYE BROOK OF RYEZ BROOK 938 KING STREET RYE BRoox,NY 10573 BUILDING DEPARTM"NT (914)939-0668 FAx(914)939-5801 - -- — - - www.ryebrook.org. sssrtssrtssssssartsassrssss**sans*ssssssssssssssrtsssrtrt»»sssrt»artrt»sa»rts*»s»*»»s»»»»s»***aa*****aa»a****a»***asa FOR OFFICE USE ONLY: Approval Date:O+T 2 5 2021 I-0 / Application# Approval Signature: = ARCMTECTURAL REVIE OARD: Disapproved: Date: BOT Approval Date: Case Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: 'L Application Fee: Permit Fees: ssssa*ssaasaassassssssssssssrsssssssrtrtsssssrtrtrtrtrtssrtsrtrtrtsrtrtrtrtrtrtrtrtrtrt#*a*ss*****sssrtrtssssrtss*rtss*assssssssssrs 1 ROOF PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,MY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed staterrz d�nite���w 1. Job Address: 94 Grant Street, �K ffjj NY 10573 SBL: 141.43-1-29 Zone: ( )_F-7 Property Owner: Michelle Salvatore, Palma Carlucci Trust Address: 94 Grant Street, Port Chester, NY 10573 Phone#:9142168158 Cell#: email: dawn@mpalumbolaw.eom 2. Applicant: Andrew Prchal Address: 194 S Water Street, Greenwich, CT 06830 Phone#: 203 347 3083 cell#: 2033217735 mil: becky@gunnerroofing.com 3. Roofing Contractor: Home Energy Repair DBA Gunner Address: 194 S Water Street, Greenwich, CT 06830 Phone#: 203 347 3083 Cell* 203 321 7735 email: becky@gunnerroofing.com 4. lob Description,list all Methods&Materials: Removal of existing roof. Inspect roof deck to verify that all sheathing is suitable. Install water and Ice barrier, undellayment, asphalt shingles, and proper ventilation. 5. Estimated Cost of Job:S 11,500 (NOTE. Fhe estimated cost shall include all site impro4ement�,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: Roof Replacement NYS Construction Class: S. Number of stories: 2 Height: 9. Is garage being re-roofed:No:( }+Yes:( )Attached No:O•Yes:( }Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: Pitched 5/12 11. Estimated date of completion: 11/30/21 -t- 61112= Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Andrew Prchal ,being duly sworn,deposes and states that he/she is the applicant above named, (prtint name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,connector,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. �.6N ' S r- Swom to before me this I Sworn to before me this L-� day of (5'C , 20_IL day of ()CTD 4 G Q_— ,20 Z` Signature of Property Owner Signa a of Applicant Michelle Salvatore Andrew Prchal Prirb erne of Property er Print Name of Applicant NdYwy Public Notary Public ,, ,'j,111111IIII,III,r'I ',,11111/1 Opp ry,II SEC CA B� �IB E C Cq-',•, %O TA,Q to = �'�' p1 O T h o - - t o10 ?� � : = n • LIG N�ti: ,b z , '••,��'o •,FXP. o •• :4,�,cry o- •. NNECT IG Ti CUB •'�•• 'IIIIIIili11111f►��` 11111/i1111111``'','. -2- 61112020 AFFIDAVIT IN SUPPORT OF FEE WAIVER RELATED TO HURRICANE IDA ST TE OF C(hndlt'.CA"l� COUNTY OF eIPI Q.. 1 G T) r L. (insert name), being duly sworn,deposes and says 1. 1 am the applicant for a 0 wild=Permi /Certificate of Occupancy/Demolition Permit Electrical Permit/Plumbing Permit/Fence& Wall Permit Mechanical Permit/Pod Permit(circle all that apply) 2. 1 am the legal owner of property located at Rye Brook,New York(insert street address)OR I am the (Architec ,ontracto ngineer/Attorney)(circle one)for the legal owner of property located at 17� G rA(,JT 5+ff-e+ ,Rye Brook,New York and I am duly authorized by property owner to make and file the accompanying application. 3. The following is a description of(1)the work to be performed under the permit for which I am applying;and(2)how the work arose as a direct result of Hurricane Ida: Removal of existing roof. Inspect roof deck to verify that all sheathing is suitable. Install water and Ice barrier, underlayment, asphalt shingles, and proper ventilation. Roof Damage Caused by Hurricane Ida. 4. The work described herein arose as a direct result of Hurricane Ida and does not include Work which was not caused by Hurricane Ida. Sworn to before me this ?-Is r- D f&13,� 2 ZtI off_ Porr Notary Pu lic BE C Cq Y N O Tq ',R` —•—�`- �� _ ocT � � zoa� 0 �'A�gL IG ,�� , VILLAGE OF RYE BROOK �,�•Fkp p3�,�•' BUILDING DEPARTMENT ��.L �'��� ..gam T�"��--� n'� �T "�"'•M 'f\�t•�� K��°%�` •-��� F. `'��)e `/ 3 t_� � ,�1� la.''a' c`����w�� _ •j�d -tj''� t� /(• kS7y 1`4• a7 George lsttoer � Jtes Matsao WestclestetComety L+ieeutj�e 11.. "i Wm . "abr,Consamer, Proteewn «. . Department of Consumer Protection 'I Home Improvement License HOME ENERGY REPAIR LLC = 6639 E JEAN DRIVE SCOTTSDALE,AZ-85254 I j 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 department seal. ,Y License Number A Date of Expiration _ a •a'°''' WC-32180-H19 0 0 09/13/2023 E P ('seer Co ��' )�� ;w I,.�i3 � ,'nr��� L s a•P �/.p • ai` ♦` h. _) $�w�:+ 1r yl� °WEB w, Llilq H U6A DATE ACOR" CERTIFICATE OF LIABILITY INSURANCE 10/21/2021 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 CONTACT. Elden Oamtab Capital 8 Co Insurance Services PHONE FAX 287 S Robertson Blvd.#207 310 492-2007 1 AIC Not: 310 525-W92 Beverly Hills,CA 90211 ADDRRE : EldanQCepcoinsurence.corn Ucense#:6002332 INSURE AFFORDING COVERAGE NAIL/ INSURED NsualaR E Home Energy Repair DBA Gunner Roofing NW E C: 194 South Water Stree "W �D: Greenwich,CT 06830 MUMIts: -. INWRERF: 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 MAYBE 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. owlTYPEOFINSURANCE POLICY NUMBER POLICY EFF POLICY EXP LMM A X COWAROAL GENERAL LIABILITY SIZGLO703A249604 W/2612021 04/26/2022 EAcH occuRRENcE $ 1 00 000 CLAIMS-MADE X OCCUR $ 50 000 �j MID EW am pervorri S 5,000 PERSONAL S ADV INJURY S 1,000.00 GE_N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ ❑LOC PRODUCTS-COMP/OP AGG 1,000.00 HER: $ B AUTOMOBILE LIABILITY NXTOGMED-00-CA 05/0712021 05/0712022 COMBINED SINGLE LIMIT s 00 ANY AUTO BODILY INJURY Per person) f OWNED SCHEDULED BODILY INJURY(Per adCWenQ = AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY - f- UMBRELLA I M OCCUR EACH OCCURRENCE $ EXCESS LIAR CLNMS4AADE AGGREGATE WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY YIN - ANY PRDPRIFTOR(PARTNER/EXrCU-nVE EL FJICH ACCIDENT $ OFFICER/MFMBER EXCLUDED? NIA - (Mandatory In NH) EL DISEASE-EA EMPLOYE $ If yea,deacre nd'OPERATIONS - - ----- DE IMlb Nu F er PERATI N F-L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be atreehad N more epee IS required) Certificate Holder Is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All CerthIcate Holder prMleges apply only d required by written agreement between the Certlticate 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 VIL VIL KING STREET THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 938 ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK,NY 10573 AUTHORIZED REPRESENTATIVE GIA ©1988-2015 AC RD 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 06 01-44 1 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE �. HOME ENERGY REPAIR LLC D/B/A GUNNER ROOFING 194 S WATER ST Al. 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://1MWW.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