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HomeMy WebLinkAboutRP22-001PERMIT # /""I DATE: EXP S,EGTION � 'C7 BLOCK LOT .� . TYPE OF WORK JOB LOCATION l OWNER,406 /S _a✓'1 CO E%�T. 01/C0 # eo) TCO #. FEE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING CO RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT 0 FINAL INSP 0 D,4 DATE 90 �C ra ;�6b (9/1 OTHER APPROVALS ARB BOT PB ZBA -- OTHER L�+ VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www,ryebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer NLchael J. Izzo David M. Heiser Jason A. Klein. CERTIFICATE OF COMPLIANCE February 23, 2022 Adolfo Waisburg& Mariela Cohen Sabban 63 Talcott Road Rye Brook, New York 10573 Re: 63 Talcott Road Rye Brook,New York 10573 Parcel ID#: 135.50-1-66 Roof Permit#22-001 issued on 1/5/2022 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 /tg ri BUILD RMENT For office use onl : PERMIT# R �.fD) 4 21022 VIL OF RYE OK ISSUED:38 KING STRE YE$ROOK, YORK 10573 DATE: - _.PQ�oZ RYE BROOK 9 -06 OcFEE: PeroEPARTMENT 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: (0 /Q 1C o 77_ 0C1 Occupancy/Use: 9e5,c e L11—eti Parcel ID#: Zone: Owner: AaloJ62 LJctisbcr[ @L Pl ati, la t oheA .SabkQ2 Address: 63 P.E./R.A. or Contractor: }061SC-.9 vi- Soo S-,_-r&iC.. Address: //R'Y )6mk(-V' > Ae-, 110nktkS icy /om' Person in responsible charge: Address: //cV"7 Vb,14�ef S Ak' Wjka S 0),, /076q 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: l I / I ( t4 ni' being duly sworn,deposes and says that he/she resides at-91//CI,f rJC(0. (Print Name of Applicant) (No.and Street) in� C'P/a41�C� ,in the County of 11�q GL in the State of (?71" ,that (Cityrfown/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 g.000 >CIO , for the construction or alteration of: Aece1 AQ!2c 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. Swornto before me this f;6 Sworn to before me this day of , 209- day of Sa/X'nLw ,2072- Signature of Property Owner tgna o Ap�11iam s � re1C fz�n d Print Nam Property Owner Print Name o pplicant ��'� /I Z, '��----( Notary lic owrv e C Pahnieit e C Palmiero �ic-State of Nib Ytidt ,i •Mate d New York 8;1 2,20�1 f1b.01PA�9211 �•01 PAd0�211 Qua in W'ostcl 0A1iQ in, WQstd**r County _ 'ommission E*r'M itch a,2i Commission Expires March 24,20�3? �E BRC��1 IDA w � BUILD_ING 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:— `� 1_ �/ V� J DATE; 1 cw G_ PERMIT# �_ �•/- ISSUED: 4ECT:r � LOCK: �' LOT: ` 3 LOCATION: OCCUPANCY: U ❑ VIOLATION NOTED THE WORK IS... 0 ACCEPTED ® REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS c �' 2-12 r2-W- c, S ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER M ~ O O N \ ' a ,n� O ' a p O 0 r u 00 0-0iri �o 0 914 a W � W � O �a •G, � �'� Q- \O o .� Ac w : a Ln p a v O �•� rj O .M—+ CN� = s °' oty v a S o �y/ ^ o 66 a s F-1 a M V ALn 11 (M'y00 en a V W �,o ►..+ " 0 U C no O b v U0*4% z Vzvo Cl) en Cf) enq � „ Z co cn �C C7 O 0 C) u o W Z 0 Q C - gop OCJ 4 oo -o � Q v Gov W O w W z Q o H �, r +� Q Q 8 hog �' 0 Cl en z V A w ro-Au-� Get"-Ce,(+n BUILDING DEPARTMENT VILLAGE OF RYE BROOKV/ L� 938 KING STREET RYE BROOK,NY 10573 DEC 2 8 2021 (914)939-4668 www.ryebrook.org. VILLAGE OF RYE BROOK J T** FOR OFFICE USE ONLY: _ � Approval Date: `�AN 4 70 mit Application# Approval Signature: ARCHITECTURAL REVIEW—BOARD: Disapproved: cr— Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee 5 1F-..# Permit Fees: ti QJO, ROOF PERMIT APPLICATION Application dated: ,-yl 6-(�` 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. 1. Job Address: j { �� 1 l 1�- SBL: 13S, 50—1-66 Zone:R—/& Property Owner: Address: CC i Phone#: - � �V_Cell#: email: \ i 2S J Clef 2. pP li cant: `�1s�i�S� —� , ��, Address: N) �a�[�me CS C�U�C1+� Phone Cell#: y email: {� 3. Roofing Contractor: ��J�Address: QiL)t!_ l j CjjA vs N-f- t Phone#: Cell#: email: 4. Job Description,list all Methods&Materials: Vim. - Qc 5. Estimated Cost of Job: $ ,_/ronn C,,O (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) G. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:�j•Yes: ( )Attached No:( )•Yes: ( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: � . 11. Estimated date of completion: 811212021 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 OFNE3W YORK,COUNTY OF WESTCHESTER ) as: �I 0,g &d .,being duly sworn, deposes and states that fie/she is the applicant above named, (print name of individual signing as the applicant) and further states that ( )he is the legal owner of the property to which this application pertains, or that (s)he is the /A for the legal owner and is duly authorized to make and file this application. (indicate architeft,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. �D`4 day of 4v"Z __ 20—& day of 20�L L a C(ZL SI-1, Signature of Property Owner S' na e of Applicant Print Property Print Name Applicant Noy P61'_ NotarP lie George C Palmiero George C Palmiero Notary Public-State of New York Notary Public-State of New York No.01 PA6089211 No.01PA6089211 Qualified in Westchester County Qualified in Westchester County Commission Expires March 24,20_;L3 COMmissionE)Ores March 24,20 8/12021 . y/ 'a4FOf LFt�i? ,r .: ,�•�I�v��l���i'1}�/�1{ �lR�vl �ili'f l�}I�}1 � �M rrilil' . ,1e11}rn� "~ ir�l�r. '�%ve�i�. I'i/'��1� �.��6 o�r��. .����i .\; I • �. ... I�111 r !� � �11/1}I Y�S�•. "��tll I I t� R R r .a, r I I �"!III�' 11 ^ I � ' y Z t• �7' C r � r' Ply A)l�"�- � G •� G .K1fi�(0)���/�" a J�tc.cs)� e. v � ar O .� �ct�»)• `� ��,� .I � �� � •7c IE.0 faaM�ru� �' f. � ` ' � CJ Cj o � cn •eat rj / Z Q O u ' o�ectionj ,. I �S cp Z f,r v E O z Y v n wCO 0 cz ,may s �v o tj C u U T3 to t«!)) a ♦ 11} cli�'>►�1'I`11 . .1'}!�11�_ ! 1�1� ,��, �• •,��,�}}11� � :••�11j11 i1}� . � 1�l�jl�III \ � ���` � }a, Mid ,ti, +},1 , I•,al • i'/' Si� �. •• A r • 1 J A r `•• A I •• , A �+ R II A Al '��`��•��+ .��' �' .�t�� '�f .y`Y>� - .';1cr..�� r E,.��� yam`, r �`��� ? ���rI ACOR[7 CERTIFICATE OF LIABILITY INSURANCE P09/01/2021 ATE(MMIDDaYYYYI 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 914-600-6222 800.860-1151 NAMERCT PhilipChrlste Philip Christe Insurance PMONE,M. E.11; 914-600-6222 �:c.Na, 800-860-1151 1 New King Street, #101 Wln p ill@christeins.com INSURERS AFFORDING COVERAGE NAIC8 West Harrison, NY_10604 INSURER A; Evanston Insurance Company 35378 INSURED 914-237-0683 914-2370937 INSURERS: J. Salvatore 8 Sons, Inc. INSURERc: 1187 Yonkers Avenue INSURER0; INSURER E Yonkers, NY 10704 INSURERF: 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 RE'IUCED BY PAID CLAIMS. INSR' ADDL UBRI POLICY EFF POL1CYEltP -- '- -------- .. TR TYPE Of INSURANCE POLICY NUMBER M POLIC YE LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE _5 —1 000,000 A C IMS MA[4F OCCUR GE TO RENMy— PREMISES 9EIX ocnutenoe $ 100.000 _ 3AA470458 04120/2021 04rMO22 MEDEXP one pawrounj -S 5r000 PERSONAL d ADV INJURY S1,000000 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2.000.000 POLICY JET LOC PRODUCTS•COMP/ AGG 3 1 OOO OOO OTHER $ AUTOMOBILE LIABILITY I LI I : I nl ANY AUTO BODILY INJURY Par 1 Per '3 OWNED SCHEDULED BODILY INJURY_AUTOS ONLY �J AUTOS BODILY az+crdc++n 3 HIRED NON-OWNED I PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Y ,lent UMBRELLALIAB OCCUR i EACH OCCURRENCE f EXCESS LIAR CLAWS-MADE AGGREGATE { DED RETENTION IIf WORKERS COMPENSATION PER AND EMPLOYERS*LIABILITY YIN ANYPROP RIETORIPARTNE RIEXECUTIV E OFFICER/MEM11EREXCLUDED7 NIA El EACH ACCIDENT S _ (Man"Ory In MR) E-L DISEASE EA EMPLOYEO f If .aescnbe under CRIPTION OF OPERATIONS[IVIo» ' E.L.DISEASE•POLICY LIMIT ; DESCRIPTION OF OPERATIONS'LOCATIONS,VEHICLES (ACORD 101.Addltiona!Remark&Schedule may he ahached if more space is required) Certificate holder is included as additional insured per written agreement subject to policy terms and conditions. Certificate holder is included as additional insured per Written agreement subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King St. ACCORDANCE WITH THE POLICY PROVISIONS, Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE � � • _ (�)1988-2015 ACORD CORPORATION. Ali rights reserved ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name&Address of Insured(use street address only) lb. Business Telephone Number of Insured J Salvatore&Sons Inc. 914.237.0683 1187 Yonkers Ave. 1 c. NYS Unemployment Insurance Employer Registration Number of Yonkers, NY 10704 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Secun certain locations in New York State,i e, a Wrap-Up Policy) ry Number 13-3872277 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund Village of Rye Brook 3b. Policy Number of Entity Listed in Box"la' Building Department, 14579296 938 King Street, Rye Brook, NY 10573 3c. Policy effective penod 01/0112021 to 01/01/2022 3d.The Proprietor,Partners or Executive Officers are © included.(only check box if all partners/officers included) Q all excluded or certain partnerslofficers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by. Gary McCarthy (Print name of auttwrized representative or licensed agent of insurance carrier) i r '� Approved by. 09/02/2021 (Signatures (Date) Title Licensed Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 845-878-9293 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov