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HomeMy WebLinkAboutRP22-013PERMIT #�`C/ SECTION / �� TYPE OF WORK JOB LOCATION CONTRACTOR_ EST. COST �8` ✓CO # t�►� TCO # c�+c�—' Q� � DATE• � � D(P J ►�� �a -,�� ��in7�9�a--379� poi � ��u1 -� r/r` qS�Q.-) �82i5�'�i��- ��lo = �� � a{X�-- FEE��" � �bl ��i-pA FEE � � � DATE _ FEE DATE BLOCK LOT -T��---� Sor ?/ � !�i INSPECTION RECORD I DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT C� ALARM AS BUILT C� FINAL ��' OTHER APPROVALS ARR BOA" PB - ZBA '.OTHER '6 t��trp4a�.py L' "a+4 M . 19 406 any awoaW 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 BUILDING& FIRE INSPECTOR Susan R Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 8,2022 Benjamin Alper&Dilrukshi Ekanayake-Alper 60 Windsor Road. Rye Brook,New York 10573 Re: 60 Windsor Road,Rye Brook,New York 10573 Parcel ID#: 135.60-1-22 Roof Permit#22-013 issued on 4/12/2022 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 /to �� - For office use onl .2NOV 8 2022 BUILDIl� EA�tTMENT 0 PERMIT# -v/3 VILLAGE OF RYE BROOK ISSUED. -/a-as VILLAGE OF RYE BROOK 938 KING STREET,RYE BRooK,NEw YORK 10573 DATE: BUILDING DEPARTMENT (914)939-0668 FEE: //p - PAHAt --- www.ry jbrook.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 t!ltttttltt►iiiiitf■ftt■t►■ttt►►tt►t►►tl►ttli!!!!tlttttttfttt►liffill►ittifi►►►►►►►f►►ittt►►►!!!!!!t!!ttltttttttt►ii■►►fitfi► Address: L O %,j 17 S a�` �� aZ�r aye l✓ I vS 3 Occupancy/Use: ,cuh. r t A- Parcel ID#: 1.3 S a ID O I - 22 Zone: Owner: 3C_�raAw�t 1E�P�2 ? e�AjA-e<--AteCo.Address: G-0 .jilJKm 0-9, Xic 4,"a- rry try�3 P.E./R.A.or Contractor:S,e4W---r-+-AN SSA-J `L-c- Address: %3 7 3 &-Wo ST- 5,,-q_ 20 fo (-`-►&OtJ rJT Person in responsible charge:oAy ra �( SSA Address: „ `�y t t o 3 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: 41j sw k`1rCX-1L- being duly sworn,deposes and says that he/she resides at (1-O W i fJ O5'L rZ-O- (Print Name of Applicant) / (No.and Street) in �-`l'= 19 in the County of LJ T4—e— in the State of 111 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:$ r r- Y� ZOO. 00 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 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 ,20 day of , 20 t ignature of Pro erty O er Signature of Applicant Ert TA e-Ai�'j A-c-tL Print Name of Property Owner Print Name of Applicant 1//I ' otary P4ac Notary Public GREGORY M.RIVERA Notary Public,State of New York 8i12/2021 No.01 R16Mi 398 Qualified in VVestche ember i6,20 Commission Expires Sept Q e Bkjj . 1932• BUILDING DEPARTMENT ;UILDINGINSPECTOR 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.orr - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - -- - -- - - - - ADDRESS : O �S v ( ATE: b PERMIT# � ISSUED: -JECT:' J BLOCK: / LOT: LOCATION: `'� ' ��\�X OCCUPANCY: �� v NIk� ❑ VIOLATION NOTED THE WORK IS... I�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 ❑ OTHER 0 ° x � s 0 N N w ■ ll 14 ti cn rA 00 A b ~ ■ a c-, f'�/J1 tiC V- O n, o 7 W � M M a � v C � V \ ■ PQ �. o " o ° ,o14 (� ■ s W /v � �.r � N � A � .ti � ■ rl Ac7 C � `Ln00 � w y A '� � � o � V ■ a o m W W vi a. 14 cy a z w A zzb � va � O 0� r.i W 00 cal -p u C o Ln Ln s tj ■ H w O cn w O o � av A W H O D3 z w H v e V O Z A W cn 0. CU �W. Q W W A a ". g x � � e a ��%a414999a&U4Q64Q64-64;4;16 4;4 4;a.6 414464410 4.9 D � � � BULL MENT VI E OF RYE OK APR 12 2022 938 RING FAT RYE, BR. � NY 10573 VILLAGE OF RYE BROOK (914)9 � 39-5801 BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval bate: APR 22077 A Aermtt4!� e Application # Approval Signature: - ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: / T'r/1t6 Permit Fees: z ROOF PERMIT APPLICATION Application dated: y f 1 Z/2 Z 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. Jab Address: 60 W,41D5 or- A r> SK:43 , Zone: Property Owner: 3r,J7A/wl4 ALP•- Address: 60 1J,N050A r=0 Phone#: 907 `i?- 3,1C Cell#: 718 email: 2. Applicant: BfW-JAA1iN *roc Address: Go 0,FJw5ehe ru> Phone#: 901 9 Zo -3 7g B Cell #: `�07 9W -;79 1& email: L &,—All c ora 3. Roofing Contractor: S06ti-+k/b-J Address: 13-73 6K-a,4 ra Sr 4✓,rs IJ07 (p,�J10 O 7013 Phone#: `1/V 87 y //q 7 ,!�#: �'-� ZZ 2o�vte email:IACOf- a-e I`ts Leo ,cam. 4. Job Description,list all Methods&Materials: Koc+� K 4o-*-t4,Jr GAF Woz 5. Estimated Cost of Job: $ /�/ �$S v (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: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed: No: ( )•Yes: W Attached No: ( }• Yes: O Number of Cars: I 10. Is roof peaked,hip,mansard,flat,etc:: 0)40> 11. Estimated date of completion: 7- -1- 6/112020 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: , 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. Sworn to before me this Va Sworn to before me this day of �� 20�Q day of , 20 1 Sign e-of e Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant A4� V\ . Lo, Notary Public Notary Public SHARI MELILLO 14otary Public, State of New York I'qo. 01 MiE6160063 Ouaiified in Westchester County Commission Exnires January 29, 20� -2- 1i/1/1020 DocuSign Envelope ID 2FF3944B-E237-4C81-BECE-61 D730299434 '——', g Proposal# FEG:E PROPOSAL - Roofin David SLMAN Segelman Shaw LLC Date o4 /o_/22 JAHROOFIN G 1373 Broad St Suite 206 Clifton NJ 07013 • Clifton NJ 07013 oOTa, Lie.&Ins.-Rockland#H-09609-23-NJ#13001677400•WC#23380-H10 ,; 2018 2ir�t SIDING & GUTTERSxE 845.364-8200 846-364-8200 . 201-630-9600 . 914-874-1197 email:TheOffice(aLetsroof.com visit us at www.Letsroof.com ✓ Roof —Repair _Flashing _Fascia _Roof Cleaning _Skylight _Roof Inspection Name Benjamin Alper Phone 407 920 3798 5,71 Address 60 Windsor Road Phone Town Rye Brook NY 10573 E-Mail ben]aminal er 1 p @gmail.com GAF Underlayments / -- GAF Cobra Ridge Vent 1 -- GAF Pro-Start Starter Strip GAF Timber Tex/Caps (4x Thicker Than Standard Caps) -- 6 Nails Per Shingles as required GAF WeatherWatch®Leak Barrier Ice/Water Shield to go-- 6' Foot up from Roof Edges sNm...,,.w• and Covering the Fascias to Help Prevent Ice Dam Golden Pledge Warranty >>> INCLUDED <<< >>> INCLUDED <<< >>> INCLUDED <<< WEeINER 870►/W! 1 Repointing of chimney included Remove 1 Layer of Asphalt Shingles over a ` ' `Y p g Plywood Deck _ Repair Price includes all ✓labor, ✓materials, cleanup ✓ carting of debris caused by work. Area _Warranty of(see below)_No Warranty Rip-off roof and inspect plywood _ Re-Roof _New Const. ✓Entire house —Areas Access ✓ Install GAF Timberline®HDZTM Shingles ✓Architectural shingle (color) ✓ Replaced wood as needed at an additional charge of: Plywood $ 105 a sheet • Fascia Wood $95 per 8ft Install Ice &Water Shield a ft. up on all roof edges &valleys Plank$95 per 8ft board Install Tiger Paw underlayment on all exposed wood Flash chimney _New Construction with _Aluminum ✓Copper _Cap _Crickit _No Warranty Replace all pipe collars with self sealed aluminum collars —Flashing cement repair _No Warranty Install or replace attic ventilation on all applicable ridges Install roof vent(s) _Install soffit vent(s) — Power ventilation fan _Flash all _Re-install —New Installation _Replace —Remove (Electrical not included) ✓ Reseal all existing flashing _Flashing cement repair _No Warranty _ Skylight Skylights _Reinove —New _Re-inst. _Warranty of _No interior work intl Gutters _Wht_Ben_Add to cost below$ Leaders Incl._yes _No _Entire House _Areas ✓Secure Existing — Roll-Down _ Glue-Down _ Torch-Down _ Insulation _ EPDM Drip Edge _Wht—Brn Cost of Job - in addition to any of the above options $ 15,585.00 Dep. ($500) Upon start$ 1/4 Upon arrival$ 1/4 i-Ialfway$ 1/4 Upon completion $Balance Work Disclosure.(See back for additional terms). —Sales tag charged on repairs The customer understands that roofing;siding and related installation involves manual hammering that causes unavoidable vibrations in the structure.In these cases, interior wallboard,tile,lighting and ceiling nails may pop or come loose and if in substandard condition may actually fall down.We do not provide any interior work for inside damage or cosmetic issues.Customer is advised to remove wall objects and move items that may be damaged by falling debris inside and outside of the work area customer should cover any items that would be damaged by debris.The customer exempts Segehnan Shaw LLC and any subcontractors from any claim of damage caused by hidden pipes,wiring,vibration,falling debris or dust.Segebnan Shaw LLC is not responsible for removal,reinstallation or complications of reinstallation of satellite dishes,antennas,fans or any other items in work area.No painting of any installed materials. v Customer is responsible for all permits,fees,penalties and collection costs including court and attorney fees. Permit Fee$550.00 iC Customer must move any objects,vehicles or items in the work area.We take no responsibility for items in the work area. V Area will be left broom clean.Customer may need to make a final light cleaning or powerwashing. >L No protrusions or skylights should be within 4 foot of vallevs and 10 foot from gutter line. V Customer has been made aware of areas of concern regarding the structure. ***Price is good for 15 days"' V Satellite Dishes will need to be re-installed by your service company.Check with them for additional costs Work stoppages surcharge. [Surcharge for Additional layers found.LNot responsible for minor leak damage on flat roofs in rain. Work Warranty Segehnan Shaw LLC stands behind its craftsmanship and warranties all installed labor for Golden Pledge Warranty years. Re-roof warranty is years,excluding any flashing areas,valleys,and providing roof is not currently leaking. Material guarantees from the manufacturer are specific to each manufacturer and their warranties.Alterations to job may void warranty. DocuSigned by: Accepted by Contractor 41 Date Accepted by Customer/homeowner tl 4/6/ Date _%/ Cancellation fees apply.Balance due day of completion.Price subiect to change withnat nntive r,ntit nrrnntnA by DocuSign Envelope ID:2FF3944B-E237-4C81-BECE-61 D730299434 DISCLOSURES, TERMS AND CONDITIONS "NOTICE TO CONSUMER " 1) See Work Warranty for Details 2)No painting of any installed materials 3)Not responsible for any driveway damage due to the container placement 4)We take no responsibility for items in the work area 5) Customer must move any objects, vehicles or items in the work area. 6) All open balances will be charged to credit card on file after 7 days. 7) 20%Rescheduling fee for under 24 hour notice(weekends& holidays not included). 8) Work shall begin within 14 days of signing contract(or securing required permits). Work is estimated to be finished within 30 days Non roofing work 90 days. This estimation is contingent upon multiple factors including but not limited to weather, back order and delays. 9) 3-day cancellation notice. You have until midnight of 3rd business day from signing contract to cancel this contract. Cancellation must be in writing. 10)Any contractor, subcontractor, or material man who provides home improvement good or services pursuant to your home improvement contract and who is not paid may have a valid legal claim against your property known as a mechanic's lien. Any mechanic's lien filed against your property may be discharged. Payment of the agreed upon price under the home improvement contract prior to filing of a mechanic's lien may invalidate such lien. The owner may contact an attorney to determine his rights to discharge a mechanic's lien. 10-NJ) YOU MAY CANCEL THIS CONTRACT AT ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER RECEIVING A COPY OF THIS CONTRACT. IF YOU WISH TO CANCEL THIS CONTRACT, YOU MUST EITHER: 1. SEND A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION BY REGISTERED OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED; OR 2. PERSONALLY DELIVER A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION TO: (Segelman Shaw)(1373 Broad St Suite 206 Clifton NJ 07013) (845-364-8200) If you cancel this contract within the three-day period, you are entitled to a full refund of your money. Refunds must be made within 30 days of the contractor's receipt of the cancellation notice. 11)If installments not made, rebilling fee of 1-1/2%applied to unpaid bills after 30 days 12) Cancellation fees apply. Balance due day of completion. All work dates and completion times are weather contingent. Price subject to change without notice until accepted by customer. 13)All escrow funds are held at TD Bank, 61 Route 59, Suffern, NY 10901 14) 3.5% Convenience fee applied to all credit card charges unless specifically agreed upon. 11/15/21, 12:28 PM GAF I TimberlineCR)HDZTM Shingles Specifications Timberline° HDZTM Specs ABOUT SPECS DOCS VIDEOS (HTTPS://WWW.GAF.COM/EN- (HTTPS://WWW.GAF.COM/EN- (HTTPS://WWW.GAF.COM/EN- (HTTPS://WWW.GAF.COM/EN- US/PRODUCTS/TIMBERLINE- US/PRODUCTS/TIMBERLINE- US/PRODUCTS/TIMBERLINE- US/PRODUCTS/TIMBERLINE- HDZ) HDZ/SPECIFICATIONS) HDZ/DOCUMENTS) HDZ/VIDEOS) SPECIFICATIONS (ALL DIMENSIONS ARE NOMINAL) AWARDS & Good Housekeeping Rated RECOGNITION ALGAE STAIN StainGuard®Protection PROTECTION S - SSSS SS DURABILITY & Advanced Protection Shingle with GAF TOUGHNESS Dura Grip Adhesive EXPOSURE 5.625" (144 mm) EXTREME WEATHER No IMPACT RATED FIRE RATING Highest Rating-Class A MATERIAL Fiberglass Asphalt Construction WIND WARRANTY 130 mph WIND RATING 130 mph SHINGLE STYLE Wood-Shake Look SHINGLE TYPE Architectural Shingles APPROX. NAILS/SQ 256 AWARDS & RECOGNITION: Good Housekeeping Rated ALGAE STAIN PROTECTION:StainGuard®Protection s-ssss: ss DURABILITY &TOUGHNESS:Advanced Protection Shingle with GAF Dura Grip Adhesive EXPOSURE:5.625' (144 mm) httncllwww naf cnmien-us/nroducts/timberline-hdz/specifications 1/3 11/15/21, 12:28 PM GAF I Timberline@)HDZ'm Shingles Specifications SPECIFICATIONS (ALL DIMENSIONS ARE NOMINAL) EXTREME WEATHER IMPACT RATED: No FIRE RATING: Highest Rating-Class A MATERIAL: Fiberglass Asphalt Construction WIND WARRANTY: 130 mph WIND RATING: 130 mph SHINGLE STYLE:Wood-Shake Look SHINGLE TYPE:Architectural Shingles APPROX. NAILS/SA: 256 CODES FBC State of Florida Approved ICC ESR-1475 ICC AC438 ESR-3267 MIAMI-DADE COUNTY Miarni-Dade County Product Control Approved TDI Meets requirements of the Texas Department of Insurance FBC: State of Florida Approved ICC : ESR-1475 ICC AC438: LSR-3267 MIAMI-DADE COUNTY: Miami-Dade County Product Control Approved TDI: Meets requirements of the Texas Department of Insurance TESTING METHODS & APPLICABLE STANDARDS TAS 100-95 Yes TAS 100-95: Yes ENERGY RATING COOL ROOF RATINGS CRRC-rated (White only) COUNCIL (CRRC) MIAMI 21 (FLORIDA Yes (White only) BUILDING CODE) httDs://www.aaf.com/en-us/Droducts/timberline-hdz/sDecifications 2/3 11/15121, 12:28 PM GAF I Timberline®HDZT4 Shingles Specifications ENERGY RATING TITLE 24 (CALIFORNIA ENERGY COMMISSION) Yes (White only) COOL ROOF RATINGS COUNCIL (CRRC): CRRC-rated (White only) MIAMI 21 (FLORIDA BUILDING CODE): Yes(White only) TITLE 24 (CALIFORNIA ENERGY COMMISSION): Yes(White only) SHIPPING AND PACKAGING APPROX. PIECES/SA 64 APPROX. BUNDLES/SQ 3 APPROX. PIECES/SQ: 64 APPROX. BUNDLES/SQ: 3 https://www.gaf.com/en-us/products/timberline-hdz/specifications 313 5/12/2021 GAF j WeatherWatchS WeatherWatch° Mineral-surfaced Leak Barrier Self-sealing protection for vulnerable areas of the roof against wind-driven rain and ice dams. r ` 1,5` ABOUT SPECS(HTTPS://WWW,GAF.COM/EN- DOCS(HTTPS://WWW.GAF.COM/EN- VIDI (HTTPS://WWW.GAF.COM/EN- US/ROOFING-PRODUCTS/RESIDENTIAL- US/ROOFING-PRODUCTS/RESIDENTIAL- (HTTPS://WWW US/ROOFING- ROOFING-PRODUCTS/LEAK- ROOFING-PRODUCTS/LEAK- US/RO( PRODUCTS/RESIDENTIAL- BARRIERS/MINERAL- BARRIERS/MINERAL- PRODUCTS/RESID ROOFING-PRODUCTS/LEAK- SURFACED/WEATHERWATCH/SPECIFICATIONS) SURFACED/WEATHERWATCH/DOCUMENTS) PRODUCTS/LEAK-B, BARRIERS/MINERAL- SURFACED/WEATHE SURFACED/WEATHERWATCH) By creating a barrier at the most vulnerable areas of your asphalt shingle roof(at the eaves and rakes,in valleys,around chimneys, etc.),WeatherWatch®Minerol-Surfaced Leak Barrier helps prevent leaks due to water backing up in your gutters,wind-driven rain,and in the North,damaging Ice dams. It will also help protect your home from expensive wall and ceiling staining from leaks. WeatherWatch(!) MinerokSurfaced Leak Barrier is a key part of the GAF Lifetime Roofing System.' It's eligible for Lifetime limited warranty when used on Lifetime Shingle roofs'and it's an eligible component of GAF residential enhanced warranties. We use cookies to operate our website,enhance site navigation,analyze site usage,and Cookie Preferences assist in our ling efforts.By clicking'Accept Cookies,'you o�this use.For more informotbn I visit our Cookie Notice. � Accept Cookies ��` https:/Avww.gaf.com/en-us/roofing-products/residential-rooflng-productsAeak-barriers/mineraksurfaced/weatherwatch 1/4 5/12/2021 OAF I WeatherWatchO Specifications WeatherWatch® Specs ABOUT SPECS(KTTPS://WWW.GAF.COM/M DOCS(HTTPS://WWW.GAF.COM/EN- VIDI (HTTPS://WWW.GAF.COM/EN- US/ROOFING-PRODUCTS/RESIDENTIAL- US/ROOFING-PRODUCTS/RESIDENTIAL- (HTTPS://WWW US/ROOFING- ROOFING-PRODUCTS/LEAK- ROOFING-PRODUCTS/LEAK- US/RO( PRODUCTS/RESIDENTIAL- BARRIERS/MINERAL- BARRIERS/MINERAL- PRODUCTS/RESIDr ROOFIN(>PRODUCTS/LEAK• SURFACED/WEATHERWATCH/SPECIFICATIONS) SURFACED/WEATHERWATCH/DOCUMENTS) PRODUCTS/LEAK-& BARRIERS/MENERAL- SURFACED/WEATHE SURFACED/WEATHERWATCH) SPECIFICATIONS (ALL DIMENSIONS ARE NOMINAL) COMPOUND Asphalt EXPOSURE Up to 60 days REINFORCEMENT Fiberglass mat SURFACING Mineral COMPOUND:Asphalt EXPOSURE:Up to 60 days _ REINFORCEMENT:Fiberglass mat SURFACING:Mineral CODES MIAMI-DADE COUNTY MiomaDade County Product Control Approved FBC State of Florida Approved ICC ESR-1322 MIAMI-DADE COUNTY:Miami-Dade County Product Control Approved FBC:State of Florida Approved ICC:ESR-1322 We u},e cookies o 0��oYr webslte, harce sit nav,l Qotion,analyze site usage,and Cookie Preferences Get GIililQr)i a ,g1�%Fne' , a�ial,Ty00gree to this use.For more YoUrrenTire!onpi��rl'roVstem Accept Cookies https:/twww.gaf.cam/erwshooflng-products/residenUakmfing-productsAeak-barriers/mineral-surfaced/weatherwatchtsI>ecificaUons 112 �y x fk � OR 0 ,Q�Jtr"' x..,J AJ' Rli 6 ^Jy, V .t^$ntY \ ,O �5�f4�i •fi1C �' "5�1't'"}1 fr(p � ,�r�5{11pr Y c !'y�hrSV r �JtA? - titi �• ^ -.,' •• 7 ti - A hC /. to «�va i v au, LL i �r 4f ? v`w f � O � u n ' ?I f11111//f11r y �11<I.41 ,., v4 i'1<I<f�l €��d�tj�� 11<I>I�:r ���! �h <> {;' •♦ v ♦ '.1 O/ r «1�)>. a vE: fll�/l� a _ix�:���1�111��11j11�/ �t '- 111/�1� h'�'+!�AS— I , .�.. _ Q wl�ls l.f(r�ry }• •r .._ ' .. .... .. .... �7Zjl�j..4 � � I .=..fa_e s:�l�, �:f:Y'i�c•\.�J, �� \111�1i'!3 �F .sn�'i� 7 O t, AN CD V n G) O QO ••\ C) j _ �s , . CD UJ o Qj LL i�co)wi+'��' r— Qy `••Uli W ( ey"a W a�' /, && p F— O-WJr F.... /ti w O cz .v.» � •� � .ma's ! c t • �� u cc r A u CD �•��• CCi ai t1 ` ,111111111 114 , ° I f� &i""''�3 1h. H11 1 IIS/IYfIS . ' § �ttT'f^+o)i A r► vy A •• ,fir A .A ♦• A +,, ���s}�ti -J �!.• .r� `, VM SEGESHA-01 GBLISKO ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) C 4i7i2022 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 NAME: LHB Insurance Brokerage, Inc. 176 N Main Street (AH/C, o,EXt: 845 352-4000 FAX No: 845 352�5002 Spring Valley, NY 10977 EAI -ML INSURERS AFFORDING COVERAGE NAIC II INSURER A:Northfield Insurance Company INSURED INSURER B: Segelman Shaw LLC DBA Everything Backyards INSURERC: _ 1373 Broad Street Suite 206 INSURER D: Clifton,NJ 07013 INSURER E: 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE [X]OCCUR WS474666 9/26/2021 9/26/2022 DAMAGE TO RENTED $ 100,000 MED EXP(Any oneperson) PERSONAL 8 ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY E JPERCO-- LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED Pr :aR�dent AMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/NSTATUTE FR OANY FFICER/MEMBER EXCLUDED?ECUTIVE ❑ NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Insured is in business of roofing&siding CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS, NY 1 0601-441 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o a �n n n n n 522422767 SEGELMAN SHAW LLC D/B/A l ' rr}Y. EVERYTHING BACKYARDS ❑ 1373 BROAD STREET, SUITE 206 CLIFTON NJ 07013 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SEGELMAN SHAW LLC D/B/A VILLAGE OF RYE BROOK BLDG DEPT EVERYTHING BACKYARDS 938 KING STREET 1373 BROAD STREET, SUITE 206 RYE BROOK NY 10573 CLIFTON NJ 07013 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1406144-4 759277 06/29/2021 TO 06/29/2022 8/10/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1406144-4, 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:/MIWW.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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 134503794