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HomeMy WebLinkAboutBP21-331zg'o PERMIT# d�- 33j_DATE: �4 )� �1 EXP;� SECTION 7S BLOCK `_/ _ LOT TYPE OF WORK �i3ict 1i►y� r5ld/nq Uvei Arrfi JOB LOCATION cz OWN ER,A7l ae /u cc ! -I qe q4 e.4 // CCi CONTRALTO T. COST S. :Hr INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT C] ALARM M AS BUILT F7 FINAL A� (CU Hor e -1%Y(oly /7v/a (9111V Y3- 3389 OTHER APPROVALS BOT PB ZBA OTHER ,C4 t a yVV 4. c4'tr�`w�YYa+� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (9144) 939-0668 Christopher J. Bradbury www.iyebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE March 25,2022 Michael Tucci&Margherita Tucci 226 South Ridge Street Rye Brook,New York 10573 Re: 226 South Ridge Street, Rye Brook, New York 10573 Parcel I D#: 141.35-2-34 Building Permit#21-331 issued on 12/27/2021 to Install Vinyl Siding This certifies that the new vinyl siding,installed under the above captioned pertnit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector Ag D E C E � " E y, For office use onl BUILD ENT PERMIT It MAR 2 4 2022 VIL r� T r ox ISSUED: - - � 9 H KING STRE RRODK, YoRK 10573 DATE: 'J VILLAGE OF RYE BROOK FEE: R I I 1 PAID 1 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 !!\!t\tttt\t►\t■►ttittt►t►tt►tttt!■►•■t►►►t►ltttilttttt!■►►!!!\!!t!!!!!!!!\\\t!!ttlt\!•\tt!•t■tttt\\t\\\tttt\tt\\\tt■\■\\■tt\ Address: a'��o r-'U� 1�� _ � rack NY /d 5 �3 Occupancy/Use: I- Fame I Y Parcel ID#: I y1- 35 - -3y Zone: 2" F Owner: 82�.i Ck\ae� Yz'b Ayd� yess: P.E./R.A. or Contractor: Person in responsible charge: �10 e- 1_Q�o n'Jo. Address: OS!Z- il 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: ^^ r (� M► C�� -TUC C 1 being duly swom,deposes and says that he/she resides at d L(? S� Q J U \T (Print Name of Applicant) (No.L I,, (No.and S t) in R e � - -)O —____,in the County of Uj S�T d l eSk r in the State of ,that --r(City/fown/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:$ 150 Q for the construction or alteration of V I n V/ 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 (�' �(�h ,20 day of , 20 Signature ofProperty Owner Signature of Applicant ]3*4arne of Property Owner Print Name of Applicant \&)" ��l - Notary Public Notary Public SHARI MELILLO Notary Public, State of New York 8/12/2021 No. 01,;i 6160063 Cualified in Westch=:ter County Commission Expires January 29,20 1-f QyE BRC��, cu � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK f ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - PERMIT# ilU r ISSUED: , � ` SECT: BLOCK: (SLOT: T LOCATION: 4 OCCUPANCY: \C) ❑ VIOLATION NOTED THE WORK IS....�O 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 !f ❑ OTHER rl N ow w ■ � A � O w � i� � � y •+- W UtA en ¢ � � w C o air Mil Z �O W M oo fU�l N NP 23 cop ; w h U Q, a c ° o U 00 W � � W w,� b oOn w � o o "' - o en ■ `/ ICI Q N Q pC ^' a O E [ IY1 OC V C 4 ; O U gmLF f� O w w N w BUILDING DEPARTMENT R VILLAGE OF RYE BROOK [ECIEV IED 938 KING STREET RYE BRooK,NY 10573 (914)939-0668 FAX(914)'939-5801 AUG r 2 2021 www.ryobrook.ore VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: AUG 1 8 it ! -/p�/'3 3 I Application# Ts-ox"16 Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: C # Cha' PB Approval Date: Case# Secre ZBA Approval Date: Case# Other: /� Application Fee. ,--Pb Permit Fees: Z2�' EXTERIOR BUILDING PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: -2'Z d4 -er-L - Rif l,� 2. Parcel ID#: 141. 3 S- Q 3 / Zone: &Otv 3. Proposed Improvement(Describe in detail): r>7 5/v r/ a cw L/ 4. Property Owner: Address: Phone 11v e/9 G 4 Cell# e-mail ,. -r 14,c+'!e q o/.c�,•,y List All Other Properties Owned in Rye Brook: Applicant:_ /'�%G +� I 7Z-Gt' Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: ,�C� O/hQ, ,O10✓eA�e/!f Cpt o �dS2 1,aL Address: '01) 460.tz /1,l/pl QSZi/`71-179. /+V y2 /OS&c) Phone# Cell# 9/�/1+�O- 33Cl9 e-mail (t) 3/21/19 5. Occupancy, -Fam., Fam.,Commercial,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: t22 i lira Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1"fl: 2"d fl: Yd fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 1"fl: 2"d fl: 3'd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Number of stories: Z n Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: ��s li ay/ 16. What material is the exterior finish: n y S i 4' 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: G ,S 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...) Yes: No:1 (tf yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervio coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 22. Will the proposed project r . e a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (tfyes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) f 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: / (ifyes,the area and elevations of theflood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TIER II: TIER III: (ifyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property. 29. What is the total estimated cost of construction: S �% 6 CI y Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fired equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: (2) 3/21/19 BUILD1,[NG DEPARTMENT VIL E OF Ryt 09POK AUG - 2 2021 938 KING ET RYE BR NY 10573 (914)9 39-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 35, , residing at,_ o?a (Print name) (Address where you live) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; -2(. �� t;,l-�$ - , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this day of \-k S , 20_cl� (Notary Public) SHARI MELILLO Notary Public, State of New York No. 01 ME6160063 0,oalified in Westchester County (6) Commission Exoires J,,ml 1p"9Q Pn C 3 3/21/19 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where Indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. 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. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Q Sworn to before me this day of S , 20,a day of , 20 Si ature of Property Owner Signature of Applicant X � �e 1 7 %mac Print Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 ME616JC63 Qualified in Westchester County Commission Exnires Janupn ?q 2r 3 (8) 3121119 Building Permit Check List&Zoning Analysis r Address: 7i7, S ��cJ F �T SBL: -�- ti 3 Zone:2Z-F Use: Z l Const.Type: �7� Other. Submittal Date: �2 Z I Revisions Submittal Dates: Applicant `� GG Nature of Work [ -S L C_ C- S (-:b ,4Q�R Reviews:ZBA.A U G - 3 2021 PB: BOT: Other: OK ( ( ) ES:Filing. 7 S• BP: Z Z� C/O. Legalization ( ) ( P: Dated ✓ Notarized ✓SBL: ✓Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening- ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan. Other. ( ) ( ) SURVEY:Dated: Current Archival• Sealed: Unacceptable: ( ), PLANS:Date Ped: Sealed: Copies: Electronic Other. License: V Workers Comp: �ty: Electronic: Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: � Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK Plans: Permit Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. (4ARB mtg.date Z- approval otes: ( )ZBA mtg.date: approvaL• notes: ( )PB mtg.date: approvaL notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Amlull ^-`- Circic F ont Ste: &W. Main Cov Accs.Cov Ft.H/Sb: Sd.H/Sb: CPA- Tot. P HciWg/Stories notes: BUILDIN6:DPARTMENT R E C IE 0 VILLAGE OF RYE BROOK AUG ' Z 2021 938 Ki NG STET RYE BROOK,NY 10573 (914)93 94#�39-5801 VILLAGE OF RYE BROOK w td`dr BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: Q(-. (o S 1,1 f /���� S/,nn4,,,,/— Date of Submission: Parcel ID#:IAJI. 36-D-3J1 Zone: RQ-` Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. 1. ( L)-eo-mpleted Application ,_2.4-}��vo'(2)sets of sealed plans. (one full size{maximum Property Owner: /s7/e 4it el ',�G Ge_ allowable plan size=36"x 42"}and one I 1"xl7') L .-I-(--)-Two vo(2)copies of the property survey. Address: a-? G Sv F� /�� s! f two(2)copies of the proposed site plan. Phone# 91-7' yo - y 9G 6 5. (L�. electronic/disc copy of the complete Applicant appearing before the Board: application materials.6. (L�4 iTmg Fee. 7. ( 4-019y-supporting documentation. 8. ( )HOA approval letter.(ifapplicable) Address: -Z.?(. �o� j �?.�fv -uL 9. (—)41fo phs. Phone# 19/v .7 y96 l+ 10.( )Samples of finishes/color chart.(a sample board or Architect/Engineer: model may be presented the night of the meeting) Phone# — By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures,and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this o' Sworn to before me this day of o , 200-\ day of , 20 Si tune of Propertylowner Signature of Applicant Print Name of Property Owner Print Name of Applicant '�� , V-\ , b-�- Notary Pu lic Notary Public SHARI MELILLO Notary Public,State of New York M No.01 ME6160063 Qualified in Westchester county- Commission ExDireS January 29 2p� S 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Tuesday, August 17, 2021 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 2 Old Orchard Rd Expand Existing Patio Consent 5 U4 (Zaino/Schinfield) Agenda 44 Country Ridge Dr Amendment to Prior Consent 5205 (Wechsler) Approval, (Outdoor Agenda Kitchen Countertop Change), 226 S. Ridge St Change Exterior Brick Consent 5236 (Tucci) Facade To Vinyl Siding Agenda 1 Maplewood Lane Replace Existing Wood Consent 5237 (Balanoff) Decking w/Timber-tech Agenda Peakon, Existing Masonry Patio & Wall w/Westchester Blend Pavers 31 Talcott Road New Windows,New Patio Consent 5238 (Frank/Israel) Doors; & Replace Siding Agenda In-Kind 121 Country Ridge New Windows& Doors 5239 Drive (Novick) For Interior/Exterior Changes 2 Old Oak Road New Deck& Patio In Rear 5240 (Wexler) Yard 19 Beacon Lane Re-Appearance Exterior 5241 (Nebauer) Changes. New Front Porch & 2nd Floor Terrace 78 Tamarack Road Legalize Rear Deck 5242 (Zahl) Remodel 52 Valley Terrace Re-Do Driveway, 5243 (Uzzo) Retaining Wall & Walkway ML NM MR SE JM SF AC MI KC . ' VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Tuesday, August 17, 2021 NAME&LOCATION TYPE OF APLLICATION MOTION SECOND APPROVED REJECTED 22 Highview Ave One Story Side Addition 5244 (Saunders/Del- w/Finished Basement Rosario) 90 S. Ridge St(RSP) New Illuminated Sign 5245 Group "Walk In Care Center" 6 Jacqueline Lane New Rear Deck, Patio, 5246 (Gasparino) Windows, Siding& Front Door 108 S. Ridge St New Sign& Awning For 5247 (Win-Ridge) (City M.D.) 9 Charles Lane Legalize 2nd Fl Bedroom, 5248 (Straus) & Install 2 New Casement Egress Windows 2 Jennifer Lane 2nd Floor Addition,New 5245 (Bien LCC) Rear Patio & Renovations 33 Talcott Road Rebuild Rear Deck 5249 (Selzer) 11 Whippoorwill Rd 2nd Floor Dormer 5250 (Aspis) Addition 68 Windsor Road Replace Rear Exterior 5251 (Perry) Stairway 134 S. Ridge St(Win New Sign 'Buff City 5252 Ridge) Soap" ML NM MR SE JM SF AC MI -- KC � � » � E � � . _■ . � CL 2 . § 2 � / -- � _ \ a ƒ / / / 2 $ $ � { ) ° ( 1 � © 7 £ | % ` � ! , , \ & \ \ } | ; � u em { % ± � 4-j u $ } ƒ } / ) \ } � \ 2 \ / f ) bak ! § o r, f f $ E)| 24 £ z ! � A !\ Q k �v+ A •6 a f e � e \t ;. , - f .___� __` � . _ _ � �tr, � `,�.3 �" � � -ry 7, > .fit� _ _ � �,, �f, � � / ~y~ }r / ` R •c � � �� r k 1 ` r IS r,w .. : x � f Tati"'' I•.�r:,�iy�<c�!'f,M S� C .�L s `2 4 ',fy..,�.•,/+y..J a'�!.'f u.; �4 � +"' .r � bk, r .*4 ~+ : -. �P' L. Rom; d(F'�","—' 4p {; .i.�# �.,+t. � L �;' �. {y + ; A7 :hY .�, 4\—" ," R{i ��"✓.�`}tt�'!r � �� � 1 I lb +Y' �4•.\.•'1' '�� � but• ~ � y� '✓� fi�? FA T h Laura Petersen From: Laura Petersen Sent: Wednesday, August 18, 2021 4:08 PM To: mjatucci@aol.com Subject: Building Permit Application - 226 South Ridge Street Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number052 L�i 9/J1- hp�3- 3 3 5 V2. Copy of general contractor's valid Westchester County Home Improvement License. V3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) ,//4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $225.00 (due once permit is issued and ready for pick-up) This information can be emailed to me Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ioetersen(&rvebrook.or4 1 Laura Petersen From: My Gmail <mjatucci@gmail.com> Sent: Wednesday, December 22, 2021 8:04 PM To: Laura Petersen Subject: Fwd: CERTIFICATES Attachments: 12.20.2021.pdf; 12.20.2021 RYE.pdf Hi Laura Please let me know if this completes everything. It is the same contractor who did the roof. BRJ Home Improvement. Thankyou Michael Tucci Sent from Michael's iPhone Begin forwarded message: From: BRJ HOME IMPROVEMENT<brjhomeimprov@hotmail.com> Date: December 22, 2021 at 7:14:51 PM EST To: mjatucci@gmail.com Subject: Fwd: CERTIFICATES General contractor: Jose Labanda Phone number 914 843 3389 Sent from my iPhone Begin forwarded message: From: Lisbeth Wiesner<eservice@falconesinsurance.com> Date: December 20, 2021 at 11:48:54 AM EST To: BRJ HOME IMPROVEMENT<brjhomeimprov@hotmail.com> Subject: RE: CERTIFICATES Thank You Falcones Insurance Agency 1 George LatimerCj� Jemes Maisano Westchester County Executive �.(i��m Director,Consumer Protection i Department of Consumer Protection Home Improvement License i \ BRJ HOME IMPROVEMENT CORP J • I PO BOX 1412 OSSINING,NY-10562 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. ec`o,Cansu�e�A F °• Date of Expiration \ License Number " n e• 02/28/2022 WC-32636-H20 c �' I P 1 - j °'ester coo° A�R" CERTIFICATE OF LIABILITY INSURANCE DATE 12020(Y1 I,,,(I"112 I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY FALCONES INSURANCE AGENCY INC AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1 138 MAIN ST CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE PEEKSKILL NY 10566 AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC III INSURED INSURER A PRI[I LRRP.0('ON I RAC`I OR INS 12497 BRJ IIOME IMPROVEMEN I CORP INSURER B PO BOX 1412 INSURER C OSSINING NY 10562 INSURER D INSURER E COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS SR 'L POLICY EFFECTIVE POLICY EXPIRATION TR V RD TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MWDDIYY LIMITS A ® GENERAL LIABILITY PC346339 02/I9/2021 OI EACH OCCURENCE S I.000,W0.00 'JR'2U22 ®COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence S5()•000 ❑❑CIAIMS MAO( ®OCCUR MED EXP(Any one parson) E5.0(X).00 ElPERSONAL d ADV INJURY 51,M)AX).00 -, GE NERAL AUUHE(-iA IE $20)0,000.00 GENT AGGREGATE LIMIT APPLIES PER ®POLICY❑PROJECT❑L(X; PRODUCTS-COMP�OP AGG S 1000,0(X)00 E A ❑ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ANY AU I U (Each Occurrence) ❑ALL OWNED AUTOS BODILY INJURY $ ❑SCHEDULED AUTOS (Per person) ❑HIRED AUTOS BODILY INJURY ❑NUN OWNED AUTOS (Per accident) S ❑ _. PROPERTY DAMAGE S (Per accident) A ❑ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ❑ANY AUTO OTHER THAN EA ACC $ �El AUTO ONLY AGG S A E] EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S ❑OCCUR ❑CLAIMS MADE AGGREGATE EI ❑DEDUCTIBLE S S ❑RFTENTION S S A ❑ WORKERS COMPENSATION AND ❑ WC STATU- ❑OTH- EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECU- F L FACH ACCIDENT S TIVE OFFICERIMEMBER EXCLUDED? X yes.descnbe under E L. DISEASE-EA FMPLOYEE $ SPECIAL PROVISIONS below - E L DISEASE-POLICY LIMIT $ ❑ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ROOI ING.CARPI N IRY AND PAIN I ING WORK(C OMMI.RCIAI SNOIV Ill RI MOVAI ('ON I ROL ARE EXCLUDED) VII I AGL UI RYI HR( ()K IS HFRFRY NAMI[1)AS ADDI IIONA] INSI,Rl D CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE.BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 938 KING S I EXPIRATION DATE THEREOF.THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO RYE BROOK.NY 10573 MAIL__I DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 S�SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AG NTS OR REPRESENTATIVES. AUTHORIZED .5filM.TIVE t' n grant ACORD 25(2001/08) {� !,IV,AO I;gWORATION 1988 Peekskic! 10566 9147377093 4 \\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE Q. * n AAn AA 844539718 FALCONES INSURANCE AGENCY 1138 MAIN ST PEEKSKILL NY 10566 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BRJ HOME IMPROVEMENT CORP VILLAGE OF RYE BROOK PO BOX 1412 938 KING ST OSSINING NY 10562 RYE NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2508 206-6 702104 02/20/2021 TO 02/20/2022 12/20/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2508 206-6, 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:/NVWW.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 CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT BIELKA D SAN MARTIN VICE PRESIDENT JOSE E LABANDA-BRITO BRJ HOME IMPROVEMENT CORP 2OF2 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STAT SU NCE FUND T 4/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:916208734 U-26.3