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HomeMy WebLinkAboutRP21-069PERMIT # /" Q (J. DATE. lZh i I EXP: SECTION /���) i TYPE OF WORK JOB LOCATT IN/ nWNFR l ,!i// s74" CONTRALTO T. of TCO # C /4 • FEE DATE _ INSPECTION RECORD DATE FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT Cl ALARM AS BUILT C� FINAL INSP �rHER APPROVALS ass BOT PB ZBA OTHER i . 19 Am tbutawmaW VILLAGE OF RYE BROOK MAYOR 938 Ding 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 May 3,2022 Christy Mutino 80 Tamarack Road Rye Brook,New York 10573 Re: 80 Tamarack Road, Rye Brook,New York 10573 Parcel ID#: 135.52-3-8 Roof Permit#21-069 issued on 11/15/2021 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 �E BR(��. 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 DATE• J Z PERMIT# ISSUED: SECTYS���"iLOCK: � LOT: LOCATION:--Tz.lr-1 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 ❑ ROSS CONNECTION FINAL v�❑ OTHER _ ,0% W O � - N a N ~ b e ■ .� .., E G o s a WfA ... -.:_ O No � ° QI IZ.i 6J � NN 00tn rn In co a CL . tn 00 0 0*404 � ICI d C z ep 1� �d 4r V� W � � a o .. qV woo oc 0 wzb -� •� V] a O o C p v c Vww CA V U U d V p c0 x G4 4 zoow .am -o o of a W � vQ, J° o 44;4449Q4;44;-64;4;44 4 44;99444;444414;-04141 1444141414;44944 BUILDING DEPARTMENT IE C IE W VI4 AGE OF RYE BROOK NOV - 5 2'021 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 VILLAGE OF RYE BROOK V/-%y.Ey%brook_...m. , BUILDING DEPARTMENT FOR OI H( IL USE QNLN': �1 Approval Date: NOV - 8 2021 'c tit t / o �� Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# _ Secretary: ZBA Approval Date: Case# Other: c AU/� Application Feeh� J' Permit Fees: ROOF PERMIT APPLICATION Application dated: 44 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below, p 1. Job Address: CA O SBL:/, ���3�d Zone: /?— 7 Property Owner: 4m0k_f_,IAI Ad reSL)S+t N^� Phone#: Cell#:2-o3 -5'3 6 — 211�4- email: l 2. Applicant: ) i S 77 H u✓ti () © _ Address:1j1S61K; t f) 4 PO 1 1' Phone#: I I S 6 S- 5 1. Cell#: email: 3. Roofing Contractor: L, (Lenvo, Orne i tnRp(I�MAddress:2-6'S lr`i rn4 /rSk. 0P - A 4 R t>,�ckes toy- Phone#: Cell#: ! - 56 S-S(, email: .L4i zhu v $7f9 ,,, 4. Job Description, list all Methods&Materials: 1 a4dto-co yv% A2 �+oC)V F6oF Pof Fen, ns wa n tt PoL) ctoscatrouAr� Ine i20o F, c+ J i e S . 5. Estimated Cost of Job: S J 0, C)0 0 (NOTL:The estimated cast shall include all site improvements,labor.material,.,,caffOldimg, lixcd equipment,professional tees,and material and labor%vhich may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height:�/)_ o F� _ 9. Is garage being re-roofed:No:X•Yes: O Attached No: O••}-Yes: O Number of Cars: 10. Is roof peaked, hip,mansard,flat,etc: CAD IC `C t I 11. Estimated date of completion: C 'L ef-I .��t Xw eA V4, t Sco V'V -t- 8112/2021 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: ,being duly sworn,deposes and states that he/she is the applicant above named, (print 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 for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,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. Sworn to before me this Sworn to before me this day of N Q E'er ' , 20a�__ day of , 20 SiThature of Pr erty Owner Signature of Applicant AV, ,, HLAV10 Pl�lt Name of Pro6erfy tygl�Owlner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 IME616^C63 Q,.lali;oed in Westchester County Commission Ex0ires January 29,20 - -2- 8/1212021 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: ( ' S ? 'I! N ubeing duly sworn,deposes and states that he/she is the applicant above named, (print 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 l S t M q vx rm Q (o C' for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,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. Sworn to before me this 44j Sworn to before me this day of 1\�OW , 20 a' day of 20_2� L Signature of Property Owner r Signature of Applicant / S Z�n r f t'7�l d Print Nam f Property Owner Print Name of Applicant Notary Public Notary Public ALEXANDRA H.MARSHAL! hatary Public,State of Na-,& -f No.01FR636371i ±;,:311fied In Westchester t r. .• , t"I rtmisslon Expires August 26,2u_ ALEXANDRA H.MARSHALL 3� (_3 Notary Public,State of New York No.01FR6363711 Qualified In Westchester Count+L r- Commission Expires August 28,2Q__,_ 8/12/2021 BUILDING DEPARTMENT For office use only: PERMITD E� E � v M E VILLAGE OF RYE BROOK ISSUED:# /—/ —Z 8 KING STREET,RYE BROOK,NEW YORK 10573 DATE: APR 2 0 2022 (914)939-0668 FEE: PAID wwwxyeb rook.ort; VILLAGE OF RYE BROOK BUIL ING D -P MWW ERTIFICATE 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 irtrt*ttrt######rtrt###ki#iiiiiiktrt#t#########t#######ktk#irtiii+ik*ii#rt####*##i#i#####4iiii#4rtiii#t*i#trt*rtk####+i+k#kii##rt#rt#i###4 Address: a fY\'4 f Q C R cl Occupancy/Use:I—FL'M Parcel ID#: 5�9-3 r 8 Zone-:: /� K�}� Owner: h r I� l l U Address:�n o� M(:C .� P.E./R.A. or Contractor: L.:2 AopE;r\q .24 orn a 1.Al gd_0r•Address: .26 t K;oA S+. R PA -A 4 Pc e S CA 1N S/• Person in responsible charge: Luis 0-10,rt,I —Address: 26b f{•jq% Qo A dae Is N 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: otnY l�ttily sworn,deposes and says that he/she resides at O A QVIA a Y OL I L 2 A - (Print Name if Applicant) 1 (No.and Street) in R y Q d rook ,in the County of "k•,``(t N_S k I-I/ in the State of NY ,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:$ for the construction or alteration of: of) r Q LC,vIy'k,G yX4_ 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 k1�) Sworn to before me this day of QC-Q Mac , 20 _ day of�_ L-8; j , 20,9�L ZGGIS �urcj a Sie!�WP $4 rttyry Signature of Applicant ChA I s 7 g �J-f/ Al CD 1- c a,s Z 1141 nc Name of Property O ner nn ame of Applicant ti LkL=, Notary ublic SHARI MELILLO No�ry P SHARI MELILL O Notary Public, State of New York Notary Public, State of hjewYork No. 01^`.-6160^_3 i�r, (,,• :'�i_ v3 s.,,;zu_I Oualified in Westch:ster County edin Wc:,tch:ster County 117 Commission Expires January 29,202_ Commission Expires January 29,20 L.Z. ROOFING & HOME IMPROVEMENT LLC PROPOSAL 268 KING ST APT. A4 PORT CHESTER NY. 10573 DATE 11/3/2021 (914) 565-5688 PROPOSAL 177 EMAIL: Izroofinghomeimprovementllc@gmail.com FULL INSURED M2 as]'0� ANN & CHRISTY MUTINO 80 TAMARACK ROAD RYE BROOK NY. 10573 e. T " EXTERIOR WORK. $ 10,000.00 (ROOF WORK: REMOVE THE ROOF OF THE WHOLE HOUSE INSTALL NEW ICE AND WATER SHIELD. INSTALL NEW ROOF SYNTETIC WATHER PROOF PAPER. INSTALL NEW ROOF RIP EDGES AROUND THE ROOF. INSTALL NEW ROOF SHINGLES-MISSION BROWN(GAF TIMBERLINE) INSTALL NEW ROOF RIDGE CAPS. MATERIALS WARRANTY(35 YEARS) LABOR WARRANTY(5 YEARS) LABOR AND MATERIALS INCLUDED BUMPSTER INCLUDED Subtotal Tax rate $ 837.50 Subtotal Terms: Payment received 50%to start the job and 50%when the job is done. TOTAL $ 10,837.50 Make all checks payable to: L.Z.ROOFING&HOME IMPROVEMENT LLC If you have any questions about this estimate,please contact: LUIS ZHUNGO Thank You For Your Business! " ; `� .y.' C'.�"tU�r3'' ..`'�,d§'^�+r��---fir�W/•r 'knit+c�, ��r +x�- N Pp "'�+v s,T�yC"�. A'- �.� � }A..• ff3h Ar �'+hfrP^ L+.' ,.qr nY �:''tttr,.- Ar 3�' tit A+ MY t�r1 ..,T`. � rq'. 4 ':lr,�v; +t� k ti .max A a n. tt . •i+ � P � !. o-()�� u i i r�rr. r vtiltlti , r '�!y�a "$ ..q+ ��a r �raq; '�' :� {�,sa'�:� '�' t••.,.,i b,�19? 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M) t r ,rh w rt e � �.•r't"5 .� r. ��� '�`' �DSG ��f1 y(., `'tkla�''� }may �' arV+,. � p�.� � �{r�[5�;�i �., r+,�'tritt p � ��•j�Y�}k� � �'� � r 'S'� V� X+:�'NF' �• �:^ t T.V� Yt r"•r .X':�. - 4 LL ... yvQQ�. <' w Y.r `Y,j n .. ytl,.• t ,X. V,; t r ..yj„• ^LM.S :V: • CRO® DATE(MM/DD/YYYY) AO CERTIFICATE OF LIABILITY INSURANCE 11/03/2021 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(ies)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 endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc. PWHC.11NEo. (888)202-3007 11FAXa No 5 Concourse Parkway E-MAIL-ADDRESS: contact@hiscox.com Suite 2150 Atlanta GA,30328 INSURERS AFFORDING COVERAGE NAIC• INSURER A: Hiscox Insurance Company Inc 10200 INSURED INSURER B: L.Z.ROOFING 8 HOME IMPROVEMENT LLC 268 KING ST INSURERC: A4 INSURER D: Port Chester,NY 10573 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. POLICY INSR rypE OF INSURANCE ADDL SUER POLICY NUMBER MMLICY EFF MMIDOt EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADEFx OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) S 5,000 A N UDC-4534533-CGL-21 07/06/2021 07/06/2022 PERSONAL aADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY❑JEC7 LOC PRODUCTS-COMP/OP AGG s 2,000,000 rl OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Me accident ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE S AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STAT TE ER ANYPROPRIETORIPARTNER/EXECUTIVE Y❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDEDI (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK 938 KING STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RYE BROOK NY 10573 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A' 1\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 In ^^^^^ 428645619 V L.Z. ROOFING&HOME IMPROVEMENT LLC 268 KING ST APT A4L PORT CHESTER NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER L.Z. ROOFING& HOME IMPROVEMENT LLC VILLAGE OF RYE BROOK 268 KING ST APT A4 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2517 732-0 959490 07/07/2021 TO 07/07/2022 11/3/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2517 732-0, 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 STAT SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 654703483