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HomeMy WebLinkAboutRP22-018PERMIT # / told- CJ/ CI_ DATE:ys,�aa EXP SECTION BLOC14 LOT TYPE OF WORK P/-kb /, JOB LOCATION /' JQU //VP_ i53- 8661 �3)8/y-6634 /E�,T. COST IT6 - FEE, \COO # FEE l IO'Pp TCO # FEE DATE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT O ALARM 0 AS BUILT O FINAL OTHER APPROVALS ARB BOT PB ZBA OTHER DRY '�A 198 t.CC 4�UJJV G C Cy��Ci 4 J ice` 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 Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE June 11,2024 Joshua Nachman &Stephanie Nachman 14 Berkley Drive Rye Brook,New York 10573 Re: 14 Berkley Drive, Rye Brook,New York 10573 Parcel ID#: 135.34-1-49 Roof Permit#22-018 issued on 5/5/2022 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 Building& Fire Inspector /to DE C E '- ����' " For office use only: DBUILDING DEPARTMENT PERMIT MAY 3 0 202 VVILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: S- 30•-2 VILLAGE OF RYE BROOK (914)939-0668 FEE: t(' //0— PAID* BUILDING DEPARTMENT www.ryebrook.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 ►ii►i►►►ii#i####ttttt##it##44►#►►tifi#lilt►i►i►ii►►iit4►►i##i#i#t##t##it##►#i►lilt►tiiiii♦still#►###i##ktt#t#i►i►#►ii►►►i►i►i Address: I _1 �- Occupancy/Use: Parcel ID Ll9 Zone: Owner:�T �� CIS m Address: 1 P.E./R.A. or Contractor: 1 2 S Cc4e — Address: P.o •,��'/9 01 QSS�/piny �J f/ Person in responsible charge: o-N CC—1 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: STATF,OFF,N^EW /Y�O>RK, COUNTY OF WESTCHESTER as: n being duly swom,deposes and says that he/she resides at irle I J (Print Name of Applicant) (No.and Sttof et) in �; < L-% ,in the County of QC.s4C� "d-/ in the Stat ,that (City own/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:$ DL5 c) 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 3 V c� Sworn to before me this day of �Q , 20 /, day of , 20 Signatur f Property Owner Signature of Applicant Print NP of Property Owner Print Name of Applicant M Notary Public Notary Public GREGORY NI.RIVERA Ndry Public,State of New York 8;12/202 1 No.01R18M1398 QuWIlled In Wealthnter County Conunktlon Expires Upbmber 26,20 QyE BR(��. O� 2� 1982 BUILDING DEPARTMENT WBUILDING INSPECTOR b 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./� DATE: 1 / PERMIT# ISSUED: SECT: (+ BLOCK:LOT: LOCATION: \/ 4p ',�Z� V - OCCUPANCY: z ❑ Violation Noted THE WORK IS...PASSED ❑ FAILED 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 ❑ ROSS CONNECTION - FTNAL ❑ OTHER i s w ! 00 M W v N N v bb a QLn N O a Ln Ln : N ►� \ u W y S° a c L+ u" A a 4 ■ W [n W � � p � � L1 O r-i py \ G? I W Lr, � ,� � a � � 0 A © ~ io � W N ao � > -o �. O M o �i O # cn c c d a • �i Q oo z „ boo � .� a N O 1 O a -y �■/ Z 1, Z w 0. oo W >n w a ea � C y � au O ►4 � O `nC=q 00 a:a � a, va,c� V W ' 1 cM W -- •• Z o ao o rA P ° O 04 Z COS o � a W w 00 d1 a0 W W z OF �0 z V o wQ 4 0.4 o C) W d+ b o a 0 A z O a (n > ' x E- W W p a, Aa .5 �z � � , N' W W � a ° u a BULL TMENT R '=' V �E OF RYE MAY - 2OZ2 938 KIN .0 G ETA RYE BR NY 10573 -0668 VILLAGE OF RYE BROOK VAM. ok or BUILDING DEPARTMENT FOR OFFICE USE ONLY:Approval Date:MA Y - 5 20U Permit# c>c)� —oa Application# Approval Signature: ARCHITECTURAL REVIE OARD• Disapproved: Date: _- BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Zz� Application Fee%$ Permit Fees: L GEC Q Application dated: IZDZ:L_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 Ohildind,as per detailed statement described below. 1. Job Address: - SBL:_35 —1— Zone: Property Owner: Address: 19 btrhi-<4 Phone#: � ��� Cell#: Sze email: 2. Applicant:n-6-b% A bay- % Address: I t Phone#: Cell#: emat :T.�.���„s,a� Ca�yaw�.ra•r• 3. Roofing Contractor: Cra w c A ,ter.._,, t m Wr-Addresf' /7°� o s s en%i&%y/. t 0 C 6 2 Phone#: 7A�_ ri fe 22 Cell#:nn email: - 4. Job Description,list all Methods&Materials: 14�- 9 Gr< s��4�� r"t✓'_ram �j�.�vt Cafrtt ., 5. Estimated Cost of Job: $—Irk (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 Constriction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No: Yes:{ )Att�ach�J No:( )*Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: C V kk '' 11. Estimated date of completion: W _ -1- 6h214021 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 3ORK,COUNTY OF WESTCHESTER ) as: �o, � A gCkM� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of indi dual 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 1t0K4 rlC,,l Mn ` 1't4 ' IJI �. for the legal owner and is duly authorized to make and file this application. (indicate ah6ect,contractor,ligent,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. U�, vf�ti Sworn to before me this -1 Swom to before me this day of ,V , 20 Z L day of ,20 Z2 Signature Property r Sign of Applicant JD Prin awe o perry Owner Print N of Applicant 171 ry Public Not#y Public RANDIG PATERNO RANDiti PATERNO Notary Public,state of New York No.02PA6117023 //Rotary Public,state of New York Qualified in New York No.02PA61 17023 pommission Expires October 12,20 � Qualified in New Yn 1 qt/ t mm1stilon Expires Octut3er 12,20 d -2- 8112@021 • t!l,A e M1. f St ,11tY� i ` :}si A re+".• �'}'?�V,� en ti��q� f� t r�yq^�r OP.;. s y� ,^,� `�' � ro � Y'>' jr p ,..! � Y,.'.; !� `F •;•-. •� _!•\;i: �A' =P�� 0'Y.',., ie} -'Ir= Y ��•} A .. =S: P}t�yt�s�Y:. � ilfi= = I �yQ/'�1. .. �y�,,r ��I !', t�l i 1�1r ��• �:�•(�) .:. 0 '/��'111rtltilu•Yi� ;O. :L�llc�� .fo, � `N'� (O�;' �jl{'1{'1� (O� � IfN S',�� (V;...; ItIS.:�1,p,•@� �� u ♦• .� � � ---N/�'aYR� ,�,� t._N♦ � � d• �/� tr1' �i � ♦♦ "a-itt �� r N tt �� rf• N YII � �?�:� �� � `-h0/i/i/i;� 4 � <,��,yll/,�, ;•�� � ,;.fi1//1//19f. =� � '��,�I,il�l�l�,�� ,� 4'1/111�1�D•'� � �,:►;4'il�/l/�l'►I ::�e �� ',:'��li/l/iil�': ����,,_:;� <c::��' °-�' : NNI =aa a-:��:.INII ._ NI11 1 1 1 1 ( ► , . Wur �('y ac •" I •. €ter`+�': °x 1 � • i �_�•• �; t �r �••� air 4+ ,"'. i�•� ° CN CD a` Gj ;a rn r �s ? p . c0�11� •^I N ro,�1!:/" W Gn CN 0 Poo o o ' `a otiection . i, z p w �.r z cciz CAGO W p o O a��Uc, a� �e C X `p z acacseDr•; iU O LL U O •may _�.: � '. ®� - 't co ��f7rr ' /� � ^ � � a� rs• i W --- O •dam i. • a 5 �' a " N O \ a r CN •.a DMA y y c �y •i i I nt •::;: s•,: 1 iesi%'s Asa=e ,,Ilav llliC'1 1 -a'+' •;=gi•e:(• 1�: ;, c �«� is,1,111,'[Shs sF=y%,I,1,1,•\_ ¢..= 1�,1/1,4 '',1',IN14, :°d,�11V4., d1/1h 3 Yi► t .,1/////1 te\y /� .`t ♦♦ ` !. � a•' �• ��1.�tA�� p :. •♦ y��4�I►�``tf• � f ��j�ai f� ���� fs ^ tl '���� � i,)flAo� �0�t .,�tpev�tl� - YVa'di �I,tVa l; !f/O•�- t �O t '�-. F!{�y�1y h. u py� Jr .. <r.JSv.t s r 4 r '�` t.1 rr t r }'a qt }i'Sti'+:r�r +. f r t'tt� t•h� ;tiAt{+N�` ,._ _\'3?SY',.7�.. `-ti.ts�'S< �; _ v(tth� \ty—•.•jl�� L 1t StiY•.�{ }�' >...f.•{K`` �..�. ��`" '�+ \�`'. h,•..� � .ea+`• � u•,4;� t j4 l t `��� ���� 'r-��-\.-�� \\.��fd'rllY°l� CERTIFICATE OF LIABILITY INSURANCE DATE 1/05/20 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 John M Donohue FITZPATRICK INSURANCE CENTER NAME: 54 WELCHER AVENUE PHONE INC, 914.739.6117 FAX 914.739.1553 PEEKSKILL, NY 10566 E-MALDRESS: JOHND@FITZPATRICKINSURANCE.COM AFFOREIM COVERAGE NMC• INSURER A: EVANSTON INSURANCE COMPANY 35378 INSURED Flores General Repair Inc INSURER 8: P_O. Box 1902 INSURER C Ossning, NY 10562 INSURER D 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. NSR ADOTYPE OF INSURANCE L SUOR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A CwMERCLAL GENERAL UAButY Y 3AA474748 05/06/2021 D510612022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENrED CLAIMS-MADE � � � OCCUR PsEs(Ea $ 100,000 MED EXP(Any cne Prior,) $ 5,000 PERSCNALBADVINJURY $ 1,000,000 GE/NL AGGREGATE LIMIT APPUES PER GENERAL AGGREGATE $ 2,000,000 Y/ POLICY � LOG PRODUCTS-CC P/CPAGG s 2,000,000 OTHER $ AUTOMOBILE LU1BI.nY COMB(EaINED tle SINCIE UMT S ANY AUTO BODILY INJURY(Per person) $ O✓VNED SCHEDULED BODILY INJURY(Per accidert) b AUTOS ONLY AUTOS HIRED ONLY NON40WNED DAMAGEAUTOS 3 S AUTOIS ONLY UMBRELLA UAB OCCUR EACH OCCURRENCE b EXCESS LIAR HCLAIMSAVDE AGGREGATE b DED I I RETENTION S E WORKERS COMPENSATION PER DTIi AND EMPLOYERS LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE NIA EL EACHACCIDENT $ OFT-ICERIMEMBER EXCLUDED? (MsrxWory in NH) EL DISEASE-EA EMPLOYEE $ If yyes,desuilx nlndef DESCRIPTICNOF CPERATIONS below EL DISEASE-POLICY LIMIT E DESCRt?T10N OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additimal Remarks SGaduK nay be altachd it more apace is requred) LIST CERTIFICATE HOLDER AS ADDITIONAL INSURED JOB LOCATION: 14 BERKLEY DRIVE, RYE BROOK, NY 10573 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 983 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK, NY 10573 1 AUTHORED REPRESENTATIVE f� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSIF New York Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 40 AAAAAA 262545639 FITZPATRICK INSURANCE CENTER 54 WELCHER AVE PEEKSKILL NY 10566 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FLORES GENERAL REPAIR INC VILLAGE OF RYE BROOK PO BOX 1902 BUILDING DEPARTMENT OSSINING NY 10562 983 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2296 223-7 63058 08/24/2021 TO 08/24/2022 11/5/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2296 223-7, 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:IAMW.NYSIF.COM/CERTICERTVAL.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. PRIES SERGIO FLORES FLORES GENERAL REPAIR INC 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 SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 213601360 U-26.3