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HomeMy WebLinkAboutRP22-008PERMIT #^/ SECTION TYPE OF WORK JOB LOCATI N _ OWNERh CONTRACTOR. `EST. CO'}ST� V CO # TCO # INSPECTION RECORD FEE DATE DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C] RGH PLUMBING GAS m SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT O FINAL 06/9 4j s79 a OTHER APPROVALS ARB BOT ZBA OTHER - DR . 19 u O VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbun 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 April 13,2023 Benjamin Rattner&Lauren Bousquet Rattner 7 Knollwood Drive Rye Brook,New York 10573 Re: 7 Knollwood Drive, Rye Brook,New York 10573 Parcel ID#: 135.44-1-65 Roof Permit#22-008 issued on 4/1/2022 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 D -- --= I R �L-'�`"� 1:._._ MI. BUILD MENT For office use onlPERMIT#VIL OF�M(EOK ISSUED:APR 18 2022 { 8 KING STRE YE BROOK, YORK 10573 DATE: VILLAGE OF RYEBROOK 9 �4 0 FEE: c //Q-- PAH)o 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 **r*srssrr+st+swrwsssrwwsswtr'w+t++++tw*rrs+srs+srttss+ss+tts*+wrsssssrs*rrtrss'+1*+w*rsrssrsrrs*srrsrssstrrsrrsst+srstsssrrst+r Address: 71 uollWco l DY. �CVQ. 6YML � �I�IM►V # y 0-)o- 00?j Occupancy/Use: I Parcel ID#: (AU`�Qrytl��l I��Id 0�}IC�� I I3J .yq - i-Vj Zone: Owner: J Vw aYwmI - Vein R6"r Address: 1 ty, ob Y_)O 1 t) %%nUe ' Vu e �V_ML P.EJR.A. or Contractor: Q Address: -e Y J. �Y�NW 4v i Person in responsible charge: qyvw �QY Vw Address: d Q Y l I 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: ` 41iy V 1i Q J Y G'L& being duly swom,deposes and says that he/she resides at Z l Q►+�P J S�, '4 (Print Name of Applicant) (No.and Street) in �l e4s�y\1-�l l�r, fb� ,in the County of 1►J csAc k�s�-e f in the State of 1��1 ,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:$ 1� U , 60 for the construction or alteration of. t 6& Y Q Ylnlj,)0,1 4 Y� %j m Q A 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. I Sworn to before me this 6 Sworn to before me this L day of , 20D y o ( , 20J_4 afore Property r signature of Applicant r ,//i r� ¢.Y� 1 11111 e of Pro O '� �. — Fil,�� P 'nt me of A icant \� I�q� /� STATE �` !OF NEW YORK\ /� STATE o blic z LIC j Public = ! NOTARYPUBL[C t\ 01 PA6N7502 /���\` .JL ' /��; ( i✓\` OIPA6347502 !t ld ` aRnv� BUILDING DEPARTMENT ❑BUMMING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - --- - ---- - - - - -- ADDRESS: DATE: (P. PERMIT# Z 2 ISSUED: BLOCK: LOT: LOCATION: ( OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 0 ROUGH FRAMING 0 INSULATION ❑ NATURAL GAS ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER 0 FINAL PLUMBING ❑ FNAL 0 OTHER �E BRC ?�.A 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 :- �'�'�0" %1 1 DATE: J 2 PERMIT# � 2 ` f D ISSUED: IZ Z SECT: �J/ ( BLOCK: I LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THY--WORK IS... ❑ ACCEPTED EJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ ROSS CONNECTION FINALSt OTHER . . iy O G�i .o vq .So N N N ca N � i 00 a v Fll pG q u ►a Cl) �' o o a ° C CA 4 v 00 _ M M � v w u Lf) 00 �p a y C O I� 1-4 W o iA "rn �; r- N H y Im z O 06 o oSO U a z ►^, _ W c z °' Oc � oa ' U0 W W z Q o Q o ,fir u a z " p O O p np � M Cn Z V w FBI E, w v hyi o w w N A W W W o Pu �o � .. a, O a 3 u �� as P. a w > � � � b BUIL MENT 2 V E OF RY OK MAR 29 2022 DD 938 KING ET RYE BR NY 10573 1 _0 `� VILLAGE_ OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Af��i Approval Date: APR — L `� er 't# g Application# Approval Signature: ARCHITECTURAL REVIEWBOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:+ Permit Fees: ROOF PERMIT APPLICATION Application dated:4Bil( is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existining,as per detailed statement described below. 1. Job Address: 1 �.�L'� ilJC7C'� r«�X j SBL: -�� Zone:R 1-0 Property Owner: Address: -1 09� Phone#: Cell#: —(`),p email: �Ablh �y FY1k ,r Q MQ�l (0 M 2. Applicant: �l L �Address: I Pvr+er 1'4 Wenia 1 Phone* Cell#: - UAL email: 3. Roofing Contractor: f U Address: I Z-CQ►4C(51,D/lL"A1l11. iq 11Ci� Phone#:��l�y �yl I(IL1 Cell#: 1� - PuL email: yQe 04rYllUC�U1'Uy1� 1Ylrr yl,� 4. Job Description,list all Methods&Materials: VfrY e n fakd wtv yd +1 ah QAH�er C r'f ,�r r � I i:[ t I lu i 5. Estimated Cost of Job:$ I I,boo ,Cb (NOTE:The estimated cost shall include all site improvements,labor,material,sdaffolding,fixed equipment,professional fees,and material and labor which may 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: O•Yes: ( )Number of Cars: NjA 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: + y llrtarsoat 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. ST. TE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ._Y 2:�( )c2 rdUl uZ/ ,being duly sworn, deposes and states that he/she is the applicant above named, (print name ofiikividual 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 eWrL-Ewe 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 mar 1 , 20_V, ��` ,ram•p�'% t Lure of Property Ownekl\\` , Signature of Applicadt OF NEW YORK-\\ ` - i NOTAR�Y pi7BL1C i r .� _ b TATE i �' W YORK� T { !✓ �w° t7 tc���'a r c.,r l rrnt c roperty_ w4 OTARYtIjBL4C P 'nt ame Notary Public �'., fit•"--',g�`���`� 2 No ry Public ., �rsfpgl IEQ 8/12/2021 Perry Verrone, LLC 12 Center Street Pleasantville, NY 10570 info@.perryyerrone roofing,com Office:(914)747-7663 Fax:(914)747-7665 License WC 21701 H09 Ben Rattner 3/21/2022 Revised 7 Knollwood Drive 3/14/2022 Rye Brook NY 10573 (781) 608-0619 beniamin.rattnerCfgmail.com Prepared by Perry PROPOSAL ROOF REMOVAL AND REPLACEMENT • All existing asphalt roofing removed and carted from job site • All rotted plywood replaced at$110.00 per sheet • GAF Weather Watch Ice and Snow barrier installed on all gutter edges,valleys and around skylights (6 feet up) • GAF TIGER PAW paper installed on the entire field of roof • GAF LIFETIME Timberline Architectural HDZ shingles installed on entire field of roof • GAF Cobra Ridge vent installed on all ridges of roof for attic ventilation • GAF TimberTex hip and ridge shingles installed on all ridges • Aluminum vent pipe boots installed over all vent pipes • Aluminum drip edge flashing installed around entire perimeter of roof • GAF Weather Blocker starters installed on all perimeter edges • Special attention to re-flashing leaking skylights • Special attention to wall flashing fabricated and installed on backside of house • Copper chimney flashing fabricated and installed • GAF GOLDEN PLEDGE WARRANTY INCLUDED (25 Year Workmanship Warranty/ 50 Year Material Warranty) • Village of Rye Brook Building Permit for an additional cost TBD Page 1 of 5 Initial & Date: The price for the aforementioned work,which includes labor and material (excluding any additional plywood),totals to the sum of. $11,000.00 PRICE EXPIRES 90 DAYS AFTER ESTIMATE DATE ADDITIONAL WORK OPTIONS Please check appropriate box for desired extra work ❑ Carpentry/handyman work calculated on a time and material basis,said work performed at $120.00 per man hour plus material ❑ Miscellaneous repairs on backside as discussed with homeowner for an additional $975.00 *These superficial repairs ARE NOT RECOMMEDED Payment schedule is as follows: 50% 3 Days Prior to Start 45% Due the day of substantial completion 5% Retention may be held for resolution of unresolved issues Any monies not paid as specified above will be subject to accrue interest at a rate of 1.5% monthly,and 18%per annum. All material is guaranteed to be as specified above. All work to be completed in a workmanlike manner according to the standard practices.Any alteration or deviation from the above specification involving extra costs will be executed upon a written change order and will become an extra charge over and above the proposal.All agreements are contingent upon strikes accidents or delays beyond our control. Roof Replacement Instructions for Homeowner INSIDE THE HOME: 1. Any precious items in the attic can be either moved to a secure place within the attic or covered and secured to protect from the vibration of the roof removal process. 2. Dust and/or sawdust may be generated in the attic due to the roof removal process,securely covering belongings is advised. Clean-up of debris in attic is outside the purview of this contract. 3. If your home has high hat lights located in the cathedral ceiling,you may want to tape the fixture to the ceiling (construction activity on the roof may cause these to come loose). 4. If you have cathedral ceilings,although it is not common,on occasion,some nails may be prone to "pop"-thus exposing the head of the nail through the sheetrock. This is unfortunate but is not the responsibility of Perry's Roofing. S. Perry's Roofing is not responsible for any necessary electrical work required for powered products installed,a licensed electrician must be consulted. SKYLIGHTS: 1. If you have opted for a skylight replacement, please consider that the skylight manufacturer dimensions have changed over the course of the years which may alter interior placement of your new skylight. There may be interior trim work required to remedy this condition. This is not part of the roofing contract. 2. Items below the area of skylight replacement should be moved or covered during this work. Page 2 of 5 Initial& Date: Timberline"HDI,I.,; . Definition' • GAF LAYERLOCK America's #1 -selling shingle just got better! The TECHNOL06Y • '�/ ". � '�y. _ _ N,.a ..� .��• �-=� 'i'�=�`=�' - ' t ■ same shingleyou • • • love, now • • Technology which powers the industry'swidest nailing area. 2 to Timberline® HDZTM Shingles Benefits: Product details: ■ LayerLock"Technology—Proprietary durability,strength,and exceptional Product/System Specifics technology mechanically fuses the wind uplift performance. ■ Fiberglass asphalt construction • Dimensions(approx.):13'/;x 39'/e" common bond between overlapping Is StalnGuarde Algae Protection— (337 x 1,000 mm) shingle layers. Helps protect the beauty of your ■ Exposure:5%*(143 mm) ■ Bundles/Squore:3 ■ Up to 99.9%nailing accuracy— roof against unsightly blue-green ■ Pieces/Square:64 The StrikeZone" nailing area is so algae discoloration. ■ StainGuard•Algae Protection' easy to hit that a roofer placed 999 ■ Hip/Ridge:TimberTex•;TimberCrest-,- ■ High Performance—Designed Seal-A-i T•Ridge;Ridglass• out of 1,000 nails correctly in our test. ■ Starter:Pro-start®;suickstart®; with Advanced Protection®Shingle WeatherBlocker" ■ WindProven-Limited Wind Technology. Applicable Standards&Protocols: Warranty—When installed with is Seamless compatibility—The new ■ UL Listed to ANSI/UL 790 Class A the required combination of GAF ■ State of Florida approved ® Timberline®HDZ""Shingles are cam- ■ Classified b Accessories,Timberline HDZ"' y UL in accordance with Shingles are eligible for an industry patible with traditional Timberline HD® ICC-ES AC438 Shingles for the same look and feel ■ Meets ASTM D7158,Class H first:a wind warranty with no ■ Meets ASTM D3161,Class F maximum wind speed limitation.2 homeowners and contractors rely ■ Meets ASTM D3018,Type 1 on for beauty and endurance. • Meets ASTM D3462S ■ Our legendary Dural Grip'"sealant • ICC-ES Evaluation Reports Is Perfect Finishing Touch—For the ESR-1475 and ESR-3267 pairs with the smooth microgranule best look,use TimberTex®Premium • Meets Texas Department of Insurance surface of the StrikeZone'nailing Ridge Cap Shingles or TimberCrest- Requirements area for fast tack.Then,an asphalt-to- ■ ENERGY STARO Certified(White Only) asphalt monolithic bond cures for Premium SBS-Modified Ridge (U.S.Only);Rated by the CRRC;Can Cap Shingles. be used to comply with Title 24 cool roof requirements Colors & Availability. Results based an study conducted by Home Innovation Research Lobs. an independent research lab,comparing installation of Timberline HD" Shingles to Timbedine"HDZ'Shingles on a 16-square roof deck using standard 4-nail nailing pattern under controlled laboratory conditions. Actual results may wry. '15-year WindProven"limited wind warranty on Timberline"HDZ" Shingles requires the use of GAF starter strips,roof deck protection, ridge cap shingles,and leak barrier or attic ventilation.See GAF Roofing Birchwood Biscayne Blue Copper Canyon System limbed Warranty for complete coverage and restrictions.Visit gaLcorrARS for qualifying GAF products. StainGuord"algae protection is available only on shingles sold in packages bearing the StainGuord"logo.Products with StoinGuard" algae protection are covered by a 10-year limited warranty against blue-green algae discoloration.See GAF Shingle&Accessory limited M Warmntyfor complete coverage and restrictions. p 'To be mixed on one roof.Timberline"HDZ"Shingles and Timberline HD" • ••• • . ., ., . Hunter GreenShingles must have matching 6-digit codes found on the end of the bundle. When mixed,always use Timberline HD"installation instructions. Periodically tested by independent and internal lobs to ensure compliance with ASTM D3462 at time of manufacture. 6 Lifetime refers to the length of warranty coverage provided and means as long as the original individual owners)of a single-family detached residence[or eligible second owner(s))owns the property where the Oyster qualifying GAF products are installed.For other owners/structures,lifetime issirown o, coverage is not applicable,Lifetime coverage on shingles requires use of GAF Lifetime shingles only.See GAF Shingle&Accessory limited Warranty o for complete coverage and restrictions.Lifetime coverage on shingles and accessories requires use of any GAF Lifetime Shingle and any 3 qualifying GAF accessories.See 34F Roofing System Limited Warranty for complete o coverage and restrictions.Visit gof.cmVLRS for qualifying GAF products. z Note:R is difficult to reproduce the color clarity and actual color blends ... . - of these products.Before selecting your color,please ask to see several Slate Sunset Brick Weathered WfulFsize shingles. s AAENMAN ovvrv® CHOIaMaw yr. 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' 7 Knollwood Dr, Rye Brook, NY 10573 QuickMeasure March 9, 2022 Roof Reports in Under an Hour Prepared For: Perry's Roofing A N CD El 0 x Contents Measurements Overview 1 Roof Area 2,138 sq ft Top View 2 Roof Facets 10 Side Views 3 Predominant Pitch 12 / 12 Lengths 4 Ridges/Hips 69 ft Pitches 5 Valleys 20 ft Areas 6 Rakes 198 ft Summary 7 Eaves 137 ft Materials 8 Bends 0 ft QuickMeasure Top view Roof Reports in Under an Hour -ems yy � s rf" ~ *W, IA Y° A � 4 Prepared For: Perry's Roofing © 7 Knollwood Dr, Rye Brook, NY 10573 QuickMeasure Side Views Roof Reports in Under an Hour , ; i f 1 1 -14 1161 it Ell , ''• y ,� �, #• � �? .a�. ,'two V .s3, �'' .�. .! ./• '~'� ti,.p' 7 '�� tl Prepared For: Perry's Roofing 7 Knollwood Dr, Rye Brook, NY 10573 QuickMeasure Lengths Roof Reports in Under an Hour A Flash Step Drip N LD 0 1 a i Eave Rake Ridge Valley 137 198 `Q Lengths in feet Prepared For: Perry's Roofing 7 Knollwood Dr, Rye Brook, NY 10573 QuickMeasure Pitches Roof Reports in Under an Hour A N Cl 12 1 11 12 7 1 11 12 12 0 Pitches in inches per foot Prepared For: Perry's Roofing © 7 Knollwood Dr, Rye Brook, NY 10573 QuickMeasure Areas Roof Reports in Under an Hour A N 248 cl 371 8 28 564 421 8 28 170 253[j Areas in square feet Prepared For: Perry's Roofing 7 Knollwood Dr, Rye Brook, NY 10573 QuickMeasure Summary Roof Reports in Under an Hour Pitch 7 11 12 Area 421 111 1,606 - - Percent 20% 5% 75% Suggested Waste 0% 3% 6% 8% 10% 13% 18% Area 2,138 2,203 2,267 2,309 2,352 2,416 2,523 Squares 22 23 23 24 24 25 26 Roof Area 2,138 sq ft ARoof Facets 10 N Predominant Pitch 12 / 12 ❑ Bends Oft ❑ Eaves 137ft Hips 0 ft Rakes 198ft Ridges 69 ft Valleys 20 ft Flash 44 ft Step 133 ft Drip Edge 334 ft Leak Barrier 532 ft a Ridge Cap 69 ft Starter 334 ft Parapets 0 ft Notes:1)Measurements are rounded to the nearest whole number.2)Rakes are defined as sloped roof edges.3)Eaves are defined as level roof edges.4)Flashing pertains to level roof edges and excludes valleys.5)Step flashing pertains to sloped roof edges and excludes areas around penetrations.6)Drip edge=eaves+rakes.7)Waste table excludes additional materials needed for ridges,hips,valleys,etc.8)Suggested waste factor is based on the roof complexity and is provided for guidance purposes only. You should confirm the appropriate waste factor prior to ordering. Prepared For: Perry's Roofing 7 Knollwood Dr, Rye Brook, NY 10573 • QuickMeasure Roofing Materials Roof Reports in Under an Hour Suggested Waste 0% 3% 8% 13% Timberline Products HDZ, HD, Natural Shadow, American bundle 66 68 71 74 Harvest, Reflector, Royal Sovereign, and Cool Series Low-Slope Roofing System Liberty Base/Ply Sheet roll 0 0 0 0 Liberty Cap Sheet roll 0 0 0 0 Starter WeatherBlocker bundle 4 4 4 4 Pro-Start bundle 3 3 4 4 Buick-Start roll 11 11 11 12 Roof Deck Protection Deck-Armor, Tiger Paw, FeltBuster 10 sq roll 3 3 3 3 Shingle-Mate roll 6 6 6 7 VersaShield roll 7 7 7 7 Leak Barrier StormGuard, WeatherWatch 2 sq roll 8 9 9 10 WeatherWatch 1.5 sq roll 11 11 12 13 Ridge Cap Seal-A-Ridge bundle 3 3 3 4 TimberTex bundle 4 4 4 4 Z-Ridge bundle 3 3 3 3 TimberCrest box 4 4 4 4 Attic Ventilation Cobra 4' Plastic Ridge Vents foot 29 Master Flow SSB960 Metal Slant-Black vent 9 Master Flow High-Capacity Dome Vent vent 4 Cobra IntakePro Rooftop Intake foot 58 Notes,1)These approximate quantities are based on estimated measurements and are for guidance purposes only. you should always confirm quantities prior to ordering and ensure you are following local building code requirements. 2)For Timberline,3 bundles=0.984 squares. 3)Starter=eaves+rakes. 4)Leak barrier=bends+eaves+flashing+hips+rakes+step+ valleys. 5)Ridge cap=hips+ridges.6)Estimated quantity of attic ventilation products based solely on exterior roof area and intended for estimating purposes only. Installer must verify attic floor square footage,roof design,local code requirements,quantity/type/approved roof pitch of recommended vent products,and conditioned space under the roof. Always have a balanced attic ventilation system. In no case should the amount of exhaust ventilation exceed the amount of intake ventilation.For more into,visit gaf.com/ventcalculotor.7)Low-slope products applied to 1/12 pitch areas.8)Timberline products applied to 2/12 pitch areas and above. Installed coverage will be less and depend on quantity and width of side and end laps. Prepared For: Perry's Roofing U 7 Knollwood Dr, Rye Brook, NY 10573 y y S 0 O t- �- ONLO z� _ O LO 0 c b r_ W 0 \ E V C w „% � C � ❑ .���--'fir-, -�€�I, � G /� v RLn W Y / r�: G� i•� J Z LLJ } p .LliZ 0k0CtI0p LL Co Lli ui > } Z W LL1 Q •.- tZ. Lu N Q w N a / cam::; ►.. d a W o u. flap e(] `2J�► �.\. v F- A X cn N O En Off'Vi V r y y ►1 � to.,.,; 3 V1 a' `•; �w�„ t_ i � Q 7 DATE(MM/DD/YYYY) AcoR" CERTIFICATE OF LIABILITY INSURANCE 8/5/2021 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 Erich Courant&Company PHONE FAX 25 East Spring Valley Ave Suite 270 ,201-226-1200 ac Ne:201-226-1201 Maywood NJ 07607 ADDRIESS, INSURERS AFFORDING COVERAGE NAIC# License#:BR525310 INSURER A:Evanston Insurance Co 35378 INSURED PERRVER-01 INSURER B Perry Verrone LLC 12 Center St INSURER C: Pleasantville NY 10570 INSURERD: INSURER E: INSURER F., Ell COVERAGES CERTIFICATE NUMBER:1679233067 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. INTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY NUMBER MMIDD/YYYY MWDD�YY LIMITS A X COMMERCIAL GENERAL LIABILITY 3AA409339 7/1/2021 7/1/2022 EACH OCCURRENCE $4,000,000 DAMAGE TO RENTE17 CLAIMS-MADE FxI OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY JEST LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea.cadent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per a.ZI E 1 1 $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATURE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? --- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King Street Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE �.IJ 13 6_` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured 914-867-1747 Perry Verrone LLC DBA Perry's Roofing 1c.NYS Unemployment Insurance Employer Registration Number of 12 Center Street Pleasantville, NY 10570 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 26-2754386 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Continental Indemnity Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street 46-884191-16 Rye Brook,NY 10573 3c.Policy effective period 03/01/2022 to 03/01/2023 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) QX all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box '3"insures the business referenced above in box"1 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: Steven Diamond(President) (Print name of authorized representative or licensed aqent of insurance carrier) Approved by: _ 02/28/2022 (Signature) (Date) Title: Licensed Insurance Broker Telephone Number of authorized representative or licensed agent of insurance carrier: 516-488-3040 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