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HomeMy WebLinkAboutRP22-015PERMIT # SECTION TYPE OF WORK JOB LOCATION . OWNER CONTRACTOR C EST. COST VCO #�� TCO # DATE: r� / c EXP. % BLOCK LOT 7 �G7 "r) vim. ?fn r S I?Qe✓Il`7"IY INSPECTION RECORD i DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT 0 ALARM AS BUILT FINAL �4o? Y/49 �ryi (9/Y7740I/7 OTHER APPROVALS I Aye �oT PS ZBA -- -J�V iL ' w �9 Am C.lnnft may* VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.n ebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE October 19, 2022 William Schaenman&Audrey Schaenman 13 Magnolia Drive Rye Brook,New York 10573 Re: 13 Magnolia Drive, Rye Brook,New York 10573 Parcel ID#: 130.78-1-2 Roof Permit#22-015 issued on 4/21/2022 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 D EC IEWF BUILCYEBROOK, MENT For office use only.SEP 2022 PEFMT VILROOK SSUED:#VILLAGE OF RYE BROOK 938 KING STRE NE YoRK 10573 DATE: — —�BUILDING DEPARTMENT 0� FEE: aj Jf1LPAIDfi' 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 aarassrrrarurssrreassesass rs a►ss ss ss s sssnQsssssssss►►►s►s►s►a►►►►es►►s►►►s►►ss►srss♦ssssrasarsaasasssassaataaaaasas►rsasaa Address: 13 M A -DU Occupancy/Use: Parcel ID#: .7 — N�� {Zone: F--15 Owner: -`�1 Address: 13 M A&P b U Q O F- • �s�+ P.E./R.A.or Contractor: A/r 1—W Address: 40, � , '1"--eQ y I Person in responsible charge:( sgro Address: if it 11 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 nO,�F�'NEW YOR��KIl,COUNTY OF WESTCHESTER as: 7�n A{M aAA44IA Il being duly swom,deposes and says that he/she resides at_ - �d� D� (Print eofApplicant) ����pp��►► (1 ndStreet) in ,in the County of w�fi __ in the State of ,that City/'R wn/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 7i 06D . for the construction or alteration of: QMIPS 1 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 ode of the Village of Rye Brook. Sworn to fore me this If Sworn to before me this day of 20 a day of , 20 S*oture of Property Owner ,1' a Signature of Applicant ante of Property er Print Name of Applicant of Public Notary Public JUUE HARRISON NOWy Ptd*,State of New York No.02HiA4956574 s 1]2021 CKWA ed In Westchester County Coelmisslm Expires September 25,2qz— 0E[3ROv�. 1982 BUILDING DEPARTMENT ❑ UILDING 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: , �t D C� V DATE: PERMIT# ^0 1 ISSUED: SECT: BLOCK: LOT LOCATION: 0,00( OCCUPANCY: 21) ❑ 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 ❑ CROSS CONNECTION FINAL ❑ OTHER _ M Ln P] N w v ry y v N � QI � FBI ~ O 099 G p. � s o = a 04 COC L N �+ 00 0 T v O v b H ate ° v, [� O v v r� s b � L E p rT , A 'Lno lo� col oo wQ 50 o Uzv ° CN O .� 04 � 0.4 W z a � � w ' a o zz uou _ z Ao � � v � w0 Q © � � b o o N ] � H s zo a w = C7 A z 0 rl Q U ] a. 3 � � x � 124 .0 a + BUILDING DEPARTMENT � EQE11 V LEAPR 2 0 2022 VILLAGE OF RYE BROOK A I 938 KING,STRE E'r RYE BROOK,NY 10573 VILLAGE OF RYE BROOK {914) 70668 BUILDING DEPARTMENT FOR OFFICE. USE ONLY: Approval DatePR 2 0 2022 c)—Q)S Application# Approval Signature: ARCHITECTURAL VIEW BOARD: Disapproved: Date: BOT Approval Date: Case : Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# Other: CN Application Fee: r✓ rmit Fees: ROOF PERMIT APPLICATION Application dated; 7-0 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 Bui din ,as per detailed statement described below. 1. Job Address: I 3 KAUXL4 at M SBL:�l�.�� ' � ^2�0 Zone: Property Owner:U2l 1�`?t+W xyy,l u,,, -,1 Address:B tka- vt o\\ & Phone OR k 4 q 39 — 1 4j cell#:Rk(�olJoO-js'1 6 email:W)5r'� C00A 2. Applicant: QMIF Address: Phone#: Cell#: email: 3. Roofing Contractor: t*fMdh1 W(,&p& 43gp Address: ¢Z9 A lam,0 Phone#: 9/4--7* 0117 Cell#: !;*MC C email: 5e.&,F,ffl t 0AVj9 z4M 4. Job Description,list all Methods&Materials: 6.)JOW69 AOF S_;Vn4&C76 _kQ I�L1{(�l87S� . R�l7Gf}�r. G>M'1 m r.JtSy Jrl11Et HIN( �, / AS f�'77•YLL� 5. Estimated Cost of Job:$. I Q` bey b (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:__FgamE' NYS Construction Class: ~✓ b S. Number of stories: 2- Height: 2- 9. Is garage being re-roofed:No:(%)oe`�es:h( )Attached No:( )•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: t dayc It. Estimated date of completion: M CW 70`2---7, -t- 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 OF NEW YORK,COUNTY OF WESTCHESTER ) as: � lG lh S�Gh�l�l1 AqI ,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 j2&W_aa=of the property to which this application pertains, or that (s,9e s 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 5i-- Sworn to before me this day of ✓j 120 l-1— day of 920 Signature of Property 1Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Cw� Notary ublic Notary Public CARYN DERLIPPO Notary Public,State of New York No. 4813496 Qualified in Westchester County Commission Expires November 30.20 2�"' -2- 8/12/2021 N C C �,• '• i 'ram• ' �j♦ �� � �� V/ ` U co Y 72 H O N 0 o a \ A a O in j ; : U p o c o cu U 6� Vi E c � C O N co ° 'uL'� w o l g inn i+ O w o, � �acuo4 r UJ E y ZLo z Q J E Vf 1r rC� 7 m N w " a !� �J y >. I o Q X ° Z u o u C r A a 0 c u 7� ; 'C m o zCID L V h LO E r � U j l ♦� H o N c F- Q3 ACo L® CERTIFICATE OF LIABILITY INSURANCE DATE(MYIDDIYYYY) 03/02/22 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 terma 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 endorsemen s. PRODUCER ACT MA E. TONY CIRINO Anthony Cirino PMONE 860 329-0103 FAx Ne: (860)620.0504 426 North Main Street �1AIL Ins u a01.Com Southington,CT 06489 INS AFFORDNO COVERAGE NAIL e INSURERA: FARM FAMILY CASUALTY INSURANCE OM-laaw INSURED INSURER e: OPTIMUM BUILDING CORP INSURER C: 70 PROSPECT STREET INSURER0: INSURER E: PORT CHESTER,NY 10573 NY 10573 1 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. NISR LTRTYPE OF INSURANCE ADOL',SUBR � �� - -POLICY EFF POLICY EXP —LINK! ---- X COMMERCIAL GENERAL LUUNLI Y EACH OCCURRENCE _ f 11000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrengel f 100,000 MED EXP(Any ora person : 5,000 A _ Y Y 3101 L6417 02/01/22 021101/23 PERSONAL A ADV INJURY 1 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE It 2 000 000 X POLICY JT FI LOC PRODUCTS-COMPIOP AGO S 2,000,000 PRO- OTHER f AUTOMOBILE LIABILITY COMBINED SINGLE = jE�aocidsnq __ ANY AUTO BODILY INJURY Per( penon) _ OWNED SCHEDULED BODILY INJURY(Per sodderM) f AUTOS ONLY _ AUTOS _ HIRED - NON-OWNED PROPERTY DAMAGE : AUTOS ONLY AUTOS ONLYfp.r s WIaR s LIAB OCCUR EACH OCCURRENCE f _ EXCESS LIAR CUUMS•AMDE AGGREGATE f DED RETENTION j WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN TA T ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT f IM OFFICEREMBER EXCLUDED? ❑ MIA (Mandetory In NN) E.L.DISEASE-EA EMPLOY S It yss,describe under DESCRIPTION OF OPERATIONS bMow E.L.DISEASE-POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addltlonsl Remarks Schedule,may be attached N more space Is repulrsd) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED ON GENERAL LIABILITY 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 938 KING STREET 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 NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 0 ^^^^^^ 133887956 OPTIMUM BUILDING CORP 429 DEN RD 0 429 DEN ROAD STAMFORD CT 069033811 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER OPTIMUM BUILDING CORP VILLAGE OF RYE BROOK 5 BEECHWOOD BLVD 938 KING ST RYE BROOK NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1478 260-1 814417 04/09/2022 TO 04/09/2023 4/12/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1478 260-1, 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:/IWWW.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. CHRISTOPHER SCELFO-PRESIDENT OPTIMUM BUILDING CORP ONE PERSON CORPORATION 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 SU NCE FUND Syr DI RECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:918570676 U-26.3