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HomeMy WebLinkAboutRP22-004PERMIT # e -00 DATE: �a EXp: SECTION BLOCK LOT TYPE OF WORK JOB LOCATION OWN co EST. ✓CO # TCO # INSPECTION RECORD DATE FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING I� RGH PLUMBING GAS m INSP SPRINKLER LECTRIC 0 E LOW-VOLT ALARM AS BUILT 0 FINAL Oho-o Af & / /yuaoo�o (9/y)7 74�s- OTHER APPROVALS ARB BOT PB ZL�A OTHER �y BR �. VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES ACTING BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 19,2023 Matthew Aronberg&Monica Mosquera 195 Neuton Avenue Rye Brook,New York 10573 Re: 195 Neuton Avenue, Rye Brook,New York 10573 Parcel ID#: 135.68-1-12 Roof Permit#22-004 issued on 2/16/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building&Fire Inspector /to p BUILDING DEPARTMENT For office use only: 1 FAIN - 5 2023 VILLAGE OF RYE BROOK PERMIT#op 1 ISSUED: — of 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: — — VILLAGE OF RYE BROOK (914)939-0668 FEE: ,b; —PAMM BUILDING DEPARTMENT www.rygbrookkorg 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 ##tt■t##ttttt►#tt►t!#ttttitillRRttitti\►itt\t\•t\tit\titii\itii\tt\ii\iit\\\##tiff#i#t#t\tttttttt#####\t###tttt#ttttt#tttt### Address: 1c�5 1\)Q,U t 0n vNK' I RAe bfOUk t j q �05-3r'�) Occupancy/Use: Parcel ID#: (o3—' -� ce;L Zone: F5 Owner: 90Address: P.E./R.A. or Contractor: Address: CozO N,toy� �u�5 V,Iy �O 1 Person in responsible charge: Address: 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: MO W 6A ,i, being duly swom,deposes and says that he/she resides at l l S k eC VI "P ee- (Print Name of Applica ) ` —� (NO.and Street) in � ,in the County of �.1f� �� (� 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:$ y, OCR , for the construction or alteration of: 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 partiy,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 k'�,C'ce,n�qt: ,20 day of 6 c t f vn bt(L- , 204,) v a,'(��"w Signature of Property 0 er Skffatiirrof Applica buot kuxj Print Name of Prop caner Print Name of Applicant �Gt Ldt�•_< Notary Public Notary Public �) VERONICA TRODIGUEZ VERONICA A RODRIGUEZ gnzi2ozl Notary Public,State of New York Notary Public,State of New York No.01 R06323216 No.01 R06323216 Qualified in Newyork County Qualified in New York County�3 Commission Expires April 20,2023 Commission Expires April 20,20_ �E 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 :_ 1`�V DATE: PERMIT# \� ISSUED: Z)1 bVi�ECT: � BLOCK:LOT: LOCATION: l' �� \ yy ` OCCUPANCY:-2-,U ❑ 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 ❑ OSS CONNECTION FINAL ❑ OTHER : � ldi it'laf�����111s��A�NI�I!■� �■ Wi�����7N1�■41.��■�1111N 'il. P���I.I� w�� 1.■� �■�� N a : : ■ � t C v lu {rl p '�" 4.4 1�1 w p •/1 w Wy UVry�/ 0 .��.+ v /M�1 y _ 4 Ln00 i co cw ` n ■ LIB F--I W H coo' O e cn v w 4 ~ Ln lot rl\ 1 Qi y w � OZ O V' �" 00 f. M-� z W Q; A W U v 4 F.y U z " w 4 z // �p 4uu V BA94 N W ■ M WA � -d t zZdvOu ' ■ 00 avi u 0 `'C Ci ■ �) Z V Q� Q ell 7 1 a v o [ y u O z 4 U ,* o w ' Q u W H O a o b x U �." ty v a 1� • QV, O $ tc) c7 © A z O � � x ON W F, © d ." p w z 0al M U BUILDING DEPARTMENT FEB 15 2022 VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)939-0668 FOR OFFICE USE ONLY-: Approval Date: FEB 1 5 2 ermit# C -�'f Application if Approval Signature: V�sARCHITECTURAL REVIEW-BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: z� Application Fee: Permi4Feea: ROOF PERMIT APPLICATION Application dated: 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 B ildin ,as per detailed statement described`be`l�o�w. 1. Job Address: IW5 NPR tQn f-1U�, lJt.l� ����� SBL: l09—/— e.� Zone: Property Owner: "Q)tCO- t 40-�3CZYQ Address: Phone#:9jg1 - 7(0(0- CH(A Cell#: n 1,email: r I).Wn 2. Applicant: �Cd f-D 5 0 is(/ rt '�5 � ""Address: T S • MCi t" 5 F/tcI- fit,t/'1c►. Phone#: Cell#: b b email:� � X r'���f 9trri��sQct 3. Roofing Contractor: Address: Phone#: Cell#: email: 4. Job Description,list all ethods 8r.Materials: D c �cernr,) , bl✓ ,, 1 C c re rno J 01 all e x/S ro v rr►G rr e iLv er a e e- 5. Estimated Cost of Job: $ rz , -n5 (NOTI{: The estimated cost shall include all site improvements,labor,matcrijl. wallolding.tiscd equipment. professional fees.and material and labor which maN be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:( )•Yes: { )Attached No: ( )•Yes: ( )Number of Cars: 10. is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: -t- 8/122021 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: K10D CCW, N)PY ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual sighing as the applicant) mer s tes at (s)he is a le al o ner of the property to which this application pertains, or that (s)he is the t- r-�' 4A Q tb U� O}'1 for the legal owner and is duly authorized to make and file this application. (indicate archit 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. Swom to before me this I ` Sworn to before me this day of by t.G , 20 ZZ day of �2bKkj Y 20 Z-Z Si ature 4 Propejty Owner Signature of licant Ha�Qok)f 01 jr`) �� U lU✓F� Print Name of Property Owner Print Name of Applicant `_ - Not 'Public NORMA PERALTA NOTARY PUBLIC,STATE OF NM YORX Registration Na 01 ME6200492 VERONICA A RODRIGUEZ Qualified in (Votary Public, State of New York My Commission Expires t �� u 5 No.01 R0632321 B Qualified in New York County Commission Expires April 20,20 Z 3 -2- 8112/2021 r P / cn ais x N I l co u w Oo 1 / I ' O � Q� LO *.A W O 3 ° ction ;' %—� � � U � j � •� = Q�°fie ,�� I \ aco►► ` ^ �. 4� (n Q H v c c ► . LU 00 ui �<tss) � � � ides► / W L �/ - I •_ o v s Z � N a � % i ;, � to � y a .• .• . s \� i •`II 1 •. c_ '� .e"111 !11\-.a.,< - °._�:j 11 'Ilt;ii.<3T "�'�`.;"111��.a �o.�•,�.tlf,►►t��` ,'A!_�1 1!t'�5l FrJ lfl 11�``• fll, 11ft. 3 11) 1 +.c I ak 9 ) �c ''#i! !9 t��►c,� tf . .�►y ? I �iS��j},� :h.�► ;d .r� two.",��,►,. \; �•r> 3�,;r ti�ty.w � 1+'�i� "' � �"�`F��1 �� QQ�\ a� "+r � :t •�"�,•a -4 ���5 �V�5 :.�V� - - :w O•M11 3.: �V�j+5j3• �..LinW/•V Il.• / ' ��'8 DATE(MM/DDIYYYY) A C CERTIFICATE OF LIABILITY INSURANCE 02-01-2022 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 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: James GuerraO _ J & Y Associates of Brewster Inc ((A/CNo, - (845)282-5607 IAIIC No:(845)302-2254 86 Main Street ADDRESS: jamesdguerra_2921@yahoo.com Brewster NY 10509-1400 INSURER(S)AFFORDING COVERAGE NAIC9 INSURER A: Third Coast Insurance Company 10713 INSURED INSURER B: Pedro Salguero Construction Corp INSURER c: _- 648 North Main Street INSURERD: Brewster NY 10509-1238 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LMRS LTR POLICY NUMBER JMMIDDIYYYYI (MMA)DIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 F-yl DAMCLAIMS-MADE OCCUR PR A gGE g R�rrrrenCe $ 5,000.00 MED EXP(Any oneperson) $ 10,000.00 X x GLSISTC000555221 05/06=21 05/062022 PERSONAL 8 ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000•00 POLICY 0 JECOT- LOC PRODUCTS-COMP/OP AGG $ 2.000.000•00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SI NGLE LIMIT $ Ea aca=S' ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accidenQ S AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA❑ EL.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL.DISEASE-EA EMPLOY $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder(s)are named as additional insured as respects to the general liability policy,written contract and/or permits.Certificate holder is hereby added as an additional insured as respects to the job location listed below. The policy contains a blanket additional insured endorsement on form CG 2033 10 01 &CG 2404 05 09.Village of Rye Brook Building Department is automatically listed as an additional insured(s)on a primary and non-contributory basis and are included in a waiver of subrogation endorsement.Job location: 195 Neuton Ave Rye Brook NY 10573. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDA/7 WITH THE POLICY PROVISIONS. Building Department 938 King Street Rye Brook,NY 10573 AUTHORIZED EP ESENTPJI E 1988-2 CORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registere marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o o T = A A A A A A 471136529 J&Y ASSOCIATES OF BREWSTER 86 MAIN ST Ott BREWSTER NY 10509 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER 195 NEUTON AVE PEDRO SALGUERO CONSTRUCTION CORP VILLAGE OF RYE BROOK 648 N. MAIN STREET BUILDING DEPARTMENT BREWSTER NY 10509 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2074 098-1 385106 05/01/2021 TO 05/01/2022 2/1/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2074 098-1, 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 PEDRO SALGUERO 1 OF 1 PEDRO SALGUERO CONSTRUCTION CORPORA 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 S7NCE FUND V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 392762406 U-26.3