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HomeMy WebLinkAboutRP22-017PERMIT # ��� �� / DATE: � �� EXP: � � s33 SECTION �' O BLOCK LOT TYPE OF WORK — a �,,I�/S .�4 ,�,1,//� /�q JOB LOCATION OWNE CONTRALTO F,ST. CO # �' nri �sS �9�7�7-0�5 L� � � r� �, TCO # FEE DATE,_______..____. _._ . INSPECTION RECORD 1 DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC C LOW -VOLT C� ALARM O AS BUILT C> FINAL G"rHEld APPROVALS AREc BOT PB ZBA GTHER 19 Am LLmi(wJ(/s aW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury ,wvaj. &brook.or TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE November 1,2022 Damian Sassower&Kori Sassower 5 Horseshoe Lane Rye Brook,New York 10573 Re: 5 Horseshoe Lane, Rye Brook,New York 10573 Parcel ID#: 135.50-1-50 Roof Permit#22-017 issued on 5/2/2022 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 E E ��E BUILDING DEPARTMENT For office use on! : PERMIT# -0/7 OCT 2 5 ZOZZ VILLAGE OF RYE BROOK ISSUED: ,S'D-aa 93H KING STREET RYE BROOK, PORK 10573 DATE:10-p15—r�� VILLAGE OF RYE BROOK 9 -06 0- FEE: W //p-- PAID 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 kkktiiiffifffi4kiittti►tilf4tiikk#i►tittti•itkf►►►iiitii►itiniiii\►t►\fit\fik!#if\\tf►it►i!!f►t!\►4►tftfttt►►►►t►lfiltt►►►►►it Address: `f, /libYe�P' > h Occupancy/Use: Parcel ID#: 13,'S, Zone: /c�- Owner:��Q �/ n f fL//i tJ�(r , r/ - Address: P.E./R.A. or Contractor:, 0a�7! J��OS D�k/C�-�Address: Person in responsible charge: GQ_ot' e 0pr, Address: 6 SouA Cedr t Avo- EH%2cd QY 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 YOM COUNTY OF WESTCHESTER as: O,�L 1 y , yi ,�� being duly sworn,deposes and says that he/she resides at �,L (Print NarAe of Applicant) (No.and Street) in � lw<� 1 t / ,in the County of 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:S C� , 1 , 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 1 Sworn to before me this �d day of ,20 day of 20 \/ Signa a of Property Owner Signature of Applicant G-(!�c C �, (iftnt Name of Property Owner Print Name of A icant ��L �K" ao OA Notary Public Notary Mlic SHARI MELILLO ANpp:ENELD i RE Notary Public,State of New York NOTARy PUBLIC,STATE OF NEW VOW 9/12/2021 No.01NIE6160063 pplstreuon No.OIEU1402943 Quallfled in Westchester County,/-, jwwwy13.=4 Commission Expires January 29,2�� �yE DRO '9a2 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: `_ 1(��Jam_ ` \UE� P DATE: PERMIT# ISSUED: SECT: I3� 'BLOCK: LOT: LOCATION: `'� " "'«" �\�W OCCUPANCY: �� V ❑ 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 ■ 6 ■ © N N � � � z ►n v y L W ■ a LO f s W v G sa ~ x 0 O z c o v a x aWy W C ° -au A, O Ln u ^a N F� too f L; et R O a Lei L a Ad M CD o v © U O .r _ Q F--i et O Gz7 cs, o. y Q a th Oa CN f �y Q In F�+-i W N ►� d o O r a H (r ` Q w 'o OZ QLnA Q " 6 &0 R� f UZ � v O 16 �j eM (Q yq y cl►) �W�.eo 0.�i O � � � v D w Q �i = W ►`i Q C '" H v b O u u w 0 z P. 3LL U H � � g O a vv !.�. Z. 0! 00 0 O v p,'J -4 V s (n W 0 i s Z Q ;-, O H to g O � ouuz °` �a x a � 4 c� A Z o a BUILDING DEPARTMENT APR 2 l 2022 VILLAGE OF RYE BROOK 938 KfNG STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT FOR OFFICE USE ONLY: ll� ']► Approval Date: R 2�22 mit# 4�-0/ / Application# ti Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: = Date: BOT Approval Date: ase# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:' 5' ,b PermitFees: ROOF PERMIT APPLICATION Application dated: /�b+ c��T 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: _ L 1 SBL: r'5r'50—/—S0 Zone: Property Owner: X_ ,p r, �('� QW Address: car e���e.Lrt � t 3 ctrsl� lam{ Phone#: �1 1� "-)2-1 - O t kxell#:r71�-5--121 -bt 1c:C1 email: t..--) C Qom Ss C.or�'1 2. Applicant: c" ; Address: ��,,S. ,-i+ea_J AV2, EImS{vtC� Phone#: C)t"-1—�4 -c3Z S-'k Cell#: `agq- email:Qkk �s ( I (r fafr 3. Roofing Contractof""�-� W ° �i�hr.Q�S tr CS�. Address: �{�_S.(PrfT&f Pw nMS17,tr� Phone#�ll�-� {�� Cell#: 'sc-Lyv`:fi` email:(I CD ,, gr�00..�•Cry`'` 4. Job Description,list all Methods&Materials: `v\-p y ) Ec>uk 5. Estimated Cost of Job: $ Q>Q OCC) . O(D (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment.professional fees,and material and labor which may be donated ■ratis.) 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: ( )Attac ed No:O•Yes: O Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: . e 11. Estimated date of completion: 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. r►rrrrrrrryrrrrrrrrr+•r++rrrrrararrraarra+rrrrr+aarrrrrrrrtu rrrrrrrrrr then arnica arr+rrrrrrrrrr►rrar ST �,917 NEW YO�C,COUNTY OF WESTCHESTER ) as- being duly swam,deposes and slates that he/she is the applicant above lamed, ta+nt o+me twa ha+w dw as IN and further slat ,that appticaot) s)he is a 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. Clete ardtiseCR mntnettsr, ,C wo+^ry.er That all statements r,}contained herein arc true to the best ofhis/hcr 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 m any accompanYhsg approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevrntioa&Building Cod�e/,ljtlte Code oCthe Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me}hisday !/lV ' Y Sworn to before ale this °f,/� 20_21/ day of SSnatueofProp()e�n'S 4wntt 1 SS6 v V 1 v ssg—nature ofApplicant Print Nana of Pmpaty Owner nr' t ameofApp' ant Notary tic m'� 0- 0i, Notary Public SHARI MELILLO Julie E.,Lcoaud Notary Public, State of New York �arn►wpuatacsTATEort4 wY" 11,10.01ViE6160063 i itcptruioo No-02LE6400058 Qualified in Westchester County, Qd,lifieA io WCWACtrn county C'omrnis>ionExpLmNo,cmba4,20D Commission Expires January 29,20�, -2- Yt�IJDY1 Docusign Envelope ID:9895862D-9BD2-4DF4-AF1 3-1 DC2AF25FD6A PROPOSAL DATE: 3/28/22 76 S.Central Ave Elmsford, NY 10523 Phone: 914-447-0254 Fax: 914-347-2561 TO: KORI 5 Horseshoe Ln Rye Brook,NY Kori.sassower(aDcom pass.com Comments or Special Instructions OR Job Location: DESCRIPTION OF SERVICES ESTIMATED TOTAL AMOUNT 1. Rip off existing roof shingles and flashing membranes to sheathing on Main House 2. Dumpster will be onsite to haul debris 3. Supply and Install new plywood at an additional$120 a sheet 4. Supply and Install new copper chimney flashing as needed 5. Supply and install ice and water shield 3 feet up the gutter line. 6. Supply and install new White aluminum drip edge. 7. Supply and install of new GAF Timberline HD,laminated,architectural-style algae resistant shingles. Shingles will be installed in strict accordance with the $20,000.00 $20,000.00 manufacturer's specification.Color Charcoal S. Optional-Supply and Install new black metal valley 9. Supply and install new ridge vent. 10. Supply and Install new Tiger Paw felt paper 11. Keep existing skylight 12. Supply and Install new 6" k-style gutters with 3x4 leaders in white or Black aluminum all around home Terms of Agreement: $5000.00 Deposit needed prior to start of work. Price is valid for 2 weeks from the proposal date above. Final Payment needed upon completion of work NYS Capital Improvement Form must be signed upon receiving Invoice SUBTOTAL $20,000.00 Permit Included TOTAL DUE $20,000.00 Make all checks payable to:The Roofing Pros If you have any questions concerning this estimate or Invoice, please feel free to contact George at 914.447.0254. iwm- Pilo- i of ^ rn - J A n n�lk� <(MU) h+ Id: :il N� . i 1 I+i`_ h Id x :hhHli►.. ' -Y:.+NId ,_: �,Il �o»� 0. CIO '•r'�• _y '.7r1 � ki �J' i, w CO C) =. ice• > Ip+ 04 0 ttM; � V U o Q •= too 4-+ ekes � C I � Js'. L O Y •� w F l 7r V/ CALL. O w N E ; : ^ V p c a . w w � � w = N >, z In Q 00 Qy ctlon / +� I ��'L-- a ,,,,• ,'yl i�M } U OU 0"' �[� �1/�/1 !=® '1 LL A64, • :f:.i z 1<(�S)>/fIIl1 '✓A � � � O � � N .p FF•1-iYl � � � �I71Uf a 5 �-' k .- �y O ml «o)s LL (41 C.0 yy <c0)D LZy y cacu nvN C N O N 09 I ♦ a V 'fir N p rn U U PIP-,r 11 1 "ya "r�5 ►1 1► a< "{ . . 1 /►�1 Ig h" z 11►11 11h1 a Ille�/llhl 'd1e1/�11111111 j Pj� Ij1il 1 s. ► A Ie�IcN A ►e�yN ►eeN ►e+e`� ►e e/ e f �' 'y \X,�rY� sLo r/ - ;i�+O --\: � �r.-.� - "ao '� vo3✓ ��y' r�!,f ' 1 DATE(MMIDD/YYYY) ACORL® CERTIFICATE OF LIABILITY INSURANCE `�- 04127/2022 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). PRODUCER CONTACT LuAnn Silano NAME: BNC Insurance Agency PHONE (914)937-1230 FAX (914)937-1124 A/C No Ext: A/Q No: 90 S Ridge St Ste UL-2 E-MAIL ADDRESS: Isilano@bncagency.conl INSURER(S)AFFORDING COVERAGE NAIC p Rye Brook NY 10573-2836 INSURER A: Admiral Insurance Co INSURED INSURER B The Roofing Pros of Westchester Inc. INSURER C: 76 South Central Avenue INSURER D INSURER E Elmsford NY 10523 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2211904334 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 ADULISU13KI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1 OCCUR PREMISES Es occurrence $ 300.000 MED EXP(Any one person) $ 5,000 A Y CA000039786 12/3112021 12/31/2022 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ®PRO- ❑ 2.000,000 JEC7 LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED IMCLAIMSWADF LED BODILY INJURY(Per accident) $ AUTOS ONLY HIRED NED PROPERTY DAMAGE $ AUTOS ONLY ONLY Per accident $ UMBRELLA LIABUR EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N/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) Village of Rye Brook is included as an additional insured when required under written Contract or Agreement. 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 ACCORDANCE WITH THE POLICY PROVISIONS. 938 Kings St AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) 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 ^^^ ^^^ 842424178 BNC INSURANCE AGENCYy� �■, 90 S RIDGE ST 3� �•ay. RYE BROOK NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER THE ROOFING PROS OF WESTCHESTER INC VILLAGE OF RYE BROOK 76 S CENTRAL AVE 938 KING STREET ELMSFORD NY 10523 PORT CHESTER NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2480 955-0 855329 03/08/2022 TO 03/08/2023 4/27/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2480 955-0, 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://WWW.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 GEORGE CURI THE ROOFING PROS OF WESTCHESTER INC 1 OF 1 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 SUR NCE FUND STATE �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 241129532 U-26.3