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HomeMy WebLinkAboutRP22-002OTHER APPROVALS PERMIT #�/ �7`c�' Q DATE: �C� �� EXP: SECTION . 441 `BLOCK OT�'�----- TYPE OF WORK d0 � 1 /7 Aw//Q/� /I JOB LOCATION C© vg/7 Zoe OWNER Ol%S �' GrQ cS1�IO.N�/S �J� 71�`JDO CONTRACTOR �TL 7yaft?lbl�2 S C ^ r4171 c9/x/go&0 ©j �l El%f. COSTaely4pFEE z O#—fllj LSW FEEA 5"* wpmmm DATE 6724 TCO #-- - _..- - _ FttF _-- DATE INSPECTION RECORD I DATE INS P FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT [] ALARM F1 AS BUILT r7 FINAL 1L• Zq-2ot3 ARB BOT PB ZBA DTHER ___ �yE BR(� . 190 ti VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.r):ebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 5,2024 Seth Solomons&Laura Solomons 54 Lincoln Avenue Rye Brook,New York 10573 Re: 54 Lincoln Avenue, Rye Brook,New York 10573 Parcel ID#: 135.49-1-5 Roof Permit#22-002 issued on 1/20/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to F'RECENED BUILDING DEPARTMENT For office use only: PERMIT# RP o� MAR - 7 2022 VILLAGE OF RYE,BROOK ISSUED: 38 KING STREET;RYE BROOK,`NEW YORK 10573 DATE: - — a0 VILLAGE OF RYE BROOK (914)939-0668 FEE: �rj PAID BUILDING DEPARTMENT wwwxyebrook.org 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 ttt##RR#iti Rtikttitttt#R3 Rii iti tfititttiitR inks##Rhin#i ttii#tit#tRR#4'i`#iiit#RRRk#R#t#itRR#i#iRt#i iRR#ti RR#t######Ri RR##Rt RRRR Address: 5y Z1,ic o k Aje- 2le- Ckoo V_ N y Occupancy/Use: Parcel li #: /3�j .Lj Q f 5 Zone: Owner:SCk Solomons Address:P.E./R.A. or Contractor: SG2�✓C�LocC d� S:�•�5 Address: ll&7 61#115 14W— &LlerS Person in responsible charge: Address: 3110j'Fr de (Id � GCnencolok 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: AtV, QGO'f/G being duly sworn,deposes and says that he/she resides at C�1� le Cd (Print Name of Applicant) r -I (No and Street) in G�e en cj K.- in the County of f C'K �(p lot in the State of C/ 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:$ �66( t?00 .00 for the construction or alteration of: Is�&j R 0 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§250-1 O.A.of the Code of the Village of Rye Brook. l Sworn to before me this L i Sworn to before me this L) day of MC r C « , 20 '�)Q day of 20 Signature of Property Owner Signature of Applicant I ja2pc'� S�1ce� G " �G Print Name of Property O er Print Name of tc t Not Public N lic AMI a .Palrtlbi�o George G PalmWm i. ,�•�pIt _ Notary Public-State of Neiir York- - No.01PA6089211 Y Qualified in.Wostchetter CWrlty Commission Expires Match 24,20 a 3 ^,ommission Expires March 24r 20 a 3 QyE BR(��• '9a2 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 :- S C O'IJ A - DATE: 12 - Z 9- Z O L3 PERMIT# �� 1 2-2- OZ ISSUED: I- Z G-ZZ SECT: > BLOCK: I LOT: -s LOCATION: Rao * • OCCUPANCY: ❑ Violation Noted THE WORK IS... L7 PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas WA 0, S-e �co o S O. ❑ L.P. Gas 11 ❑ FUEL TANK ^'1 1 C.C" Act • I I q i l l U p +iu ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ■ ■ ■ M 4 ■ = N �.,� cV w v ■ N O C Cq N N a � 0 _ VJ Ck ■ \ O y Q $ A E a a. oSoIr 10, co .0 b ° V W00 Qv v vU ICI '� C7 rfi � v F-a ■ \10 0*04 oo M )NINOG� f O H r� III' Z Z `� o oo-, a x :: 2 � 9 W O g '03 0 p a; �° O © � o. o 4 U op c to9rQ v� -19 V o z a W H W. '4- A W z Q oA N' 19 o, o � �I a a w xcu �H !1 L'/ E BULCEF MENT ` .__=.� � `�-'' VE OK JAN 14 2022 938 KINROO NY 10573 669 VILLAGE OF RYE BROOK k.or,. BUILDING DEPARTMENT FOR OFFICE USE ONLY': ll \\ Approval Date: `�AN 1 $ Pa mit# d c -00 c Application# Approval Signature: ARCHITECTURAL RE BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: rmit Fees: ' I ROOF PERMIT APPLICATION Application dated: �`i _ 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: 5Y Lincoln Age- SBL: /,35.149-I Zone: 12-1 a Property Owner: 1_QuCtL SdoMon S Address: .Sy L/na©/rt .4r iP_. Aj!e "W_ A1_Y 10573 Phone#: Cell#: qIN• &IV/• //00 email: IOUr4 5o 1014 4P ya/ioo,GnH 2. Applicant:Att„1L =Caniffo Address: //4?7 Yonlce,S Aueo yT_% tJli o7014 Phone#: Cell#: Qw. 90&ow6N email: 1)r c k @ham' er. c,oM 3. Roofing Contractor: *.,57 flue-Tate I,. ScA5 Address: /I4'7 yanr#15 Aue. yyAscorS , ulr 10701&I Phone#: 414. 73h. 0623 Cell#: email: 4. Job Description,list all Methods&Materials: .-to .A ewe a aealace Atom* , ice- 341eol � 3016 Ire/t f 6".ny,K LX,p GOB& , 14ry aR 1• doe- c,&p Na 04 uL-rf . i4o ehatreog 1 lPS 5. Estimated Cost of Job:$�/��800.00 (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.) 6. If corner property,indicate street frontage: 7. Construction Type: R.S. NYS Construction Class: 8. Number of stories: a Height: 9. Is garage being re-roofed:No:( )•Yes:( )Attached No:{ )•Yes:Vf Number of Cars: C2 10. Is roof peaked,hip,mansard,flat,etc: gd&V.td 11. Estimated date of completion:Mpttk .1090 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: NI[ C-,,,arb ,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 ConTi f�e'�QQ for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attomey,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—_ 3n Sworn to before me this /3 n- day of cnu , 20 2Z day of _;�QnuoC� 2022.. Signature of Property Owner Signature oLyr— PP IJS Ala- Gm;t1G Print Name of ProapKy Owner Print Name of A ' ant V Pub ' N ary P lic George C Palmiero George C Palmiero , Notary Public-State of New York Notary Punic-State of New York No,01 PA6089211 No.01 PA130892i i QualifiedNo. in Westchester County in Westchester Cpl,lrlty ,o �3 Commission Expires March 24,2t) mmission Expires March 24,20 811212021 \1 1� George Latimer ?VG T� James Maisano Westchester County Executive Director,Consumer Protection Department of Consumer Protection Home Improvement License I J. SALVATORE&SONS INC. 1187 YONKERS AVENUE YONKERS,NY-10704 i 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.Proof of citizenship or immigration status is not required for issuance of this license. NOT FOR FEDERAL PURPOSES License Number mFe� �O Date of Expiration WC-16065-H05 v 0 01/26/2023 ester CO�� I i I --T,'�F'W-�W PWIMEM IMP- OaoE6>flCf Ln"O N U.S A AcoR" CERTIFICATE OF LIABILITY INSURANCE DATE)MM/DD/YYYY) �4 � 1 01/12/2022 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). CONTPRODUCER 914-600-6222 800-860-1151 NAME: Philip Christe Philip Christe Insurance ,C. 914-600-6222 a No: 800-860-1151 1 New King Street,#101 ADDRESS: Phil@christeins.com INSURERS AFFORDING COVERAGE NAIC# West Harrison, NY 10604 INSURERA: Evanston Insurance Company 35378 INSURED 914-237-0683 914-2370937 INSURERS: Progressive Casualty Insurance 24260 J. Salvatore &Sons, Inc. INSURERC: 1187 Yonkers Avenue INSURER D: INSURER E: Yonkers NY 10704 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MWDD MM/DD/YYYY �I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE �✓ OCCUR PREMISES Ea occurrence $ 100 000 3AA470458 04/20/2021 04/20/2022 MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea INE d D SINGLE LIMIT ecci $50O 000 ANY AUTO 040010160 09/02/2021 09/02/2022 BODILY INJURY(Per person) $ B `/ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS t/ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I I I L E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 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. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD yORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured J Salvatore&Sons Inc. 914.237.0683 1187 Yonkers Ave., 1c.NYS Unemployment Insurance Employer Registration Number of Yonkers, NY 10704 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) 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 Building Department 3b.Policy Number of Entity Listed in Box"la" Village of Rye Brook 14579296 938 King Street, Rye Brook, NY 10573 3c.Policy effective period 01/01/2022 to 01/01/2023 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) x❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"T'insures the business referenced above in box"I a"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 authorized representative or licensed agent of insurance carrier) Approved by: 01/12/2022 (Signature) (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