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HomeMy WebLinkAboutBP22-075•+41 • •.��j INSPECTION RECORD DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 5f RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT m ALARM AS BUILT C> FINAL &/y)`o/7Aj 0/I'7 OTHER APPROVALS I ARB BOT P8 ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 22-131 Certificate of Occupaucp Jghis is to certify that �-�-� re� al COY of, Rye / v 7 having duly filed an application on 20 �l requesting a Certificate of Occupancy for the premises known as, )4 U t-� Rye Brook,NY, located in a 1♦LJ Zoning District and shown on the most current Tax Map as Section: 04. 40,E Block: / Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.00('���, issued 20 �g such authority and permission is hereby granted to the property owner to lawfully occupy or use id premises 1"oror building or part thereof listed under the following New York State Classifications, Use: R-3h e- /L Construction: for the following purposes:Mas- ,fr )?r-4Mro6M rff/70 yahi2�� Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the b ding or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in hei whit ll be m no shall the building be moved from one location to another until a permit to accomplish such change has a Ming Inspector. SEP 2 12022 Building Inspector,Village of Rye Brook: ate: BUILDING11�JEIrTMENT For office us only: �7 PERMIT AUG - 9 2022 VILLAGE OF RYE ,�dOK ISSUED: - -� 938 KING STREET ZYE BROOK,,t PORK 10573 DATE: --- VILLAGE O� RYE BROOK �(914)9 � 06 FEE: ����� PAIDU BUILDING DEPARTMFNT ,� . _ -- .... _ www.r47 rookA.- >? 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 *s*rssrrrrt**s*sssrrr**sssstrts**sssst►►**srsrt►*s*trrr►s►***rsrr►►*sssrsrs►***ssrrs►r*rssrrsr*ssssssr►*s*►srsrs*srrrr►t*s*ss Address: AL y-rV N i U N P—D-A-0 Occupancy/Use: lW\ Parcel ID#: , (p S - ._8 Zone: U6 Owner: ,� ( �v (242-- Address: P.E./R.A. or Contractor: C-&: "(GL4 tjUj 0Q I LD/tJ(v Address: �Zf) (7J�F(,� p ]). S yIERQ Person in responsible charge: (� Q(� ,. ZFo Address: t e rr , 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: 5a— being duly sworn,deposes and says that he/she resides at f(J Nl Or'� Au�- . (Print Name of Applicant) (No.and Street) in �-� �7�d�- ,in the County of 01E5 jX 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:$ UnC) for the construction or alteration of: I O 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 J , 20 day of , 20 / Tignaturpfrlkf wner Signature of Applicant fiF)Z STf F; Prtt,,Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qtlallfled In Westchester County . Commission Expires January 29,20-L3 QyE 4RO o`` tim 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: ` �j\ Y 1 V �A ---DATE: PERMIT# y 2 ISSUED: S �'�I-i CT: ' BLOCK: ` LOT: LOCATION: ^S � <� a3N �� OCCUPANCY: Z V ❑ VIOLATION NOTED THE WORK IS... Q 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 ly/FINAL OTHER dye 4ROvk. 0J- v ol BUILDING DEPARTMENT IjAUILDING 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: `�—'`J��C�1 y � DATE: � C� GZ-Z ( --) -L�l ,z PERMIT# V�C' � �� � ISSUED: SECT: ' BLOCK: � LO LOCATION: "'^� tii ' ` " �� 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 s in MO y ■ a 0 Q � \ w a�� ■ a N C9 cu �, ycn a W x T-� A a * N b u ■ wIn o ~f a aj W O ,.., O o o 'U a 00 O A v v D x - W � p� x ^ Ln i"i tad O ' x CIAz O � 0 O Wl ., V V W00 v 00 Q Uzi ti o [�] , q�tu �.uu.� Z h�l �--� A• A a � oa4 � x 1� Rai A /1 I-i `✓' O Q N V W a a 00 cn 9 w a ' Ln U v W W. O v „ FBI—) F7-i cn W � O �'' a,w'� s� � U A W Z a o �q ' o n e BUILD r. A W MENT MAY 16 1011 VEL 01 RY OOK 938 KING ET RXIE BRQ(��c,NY 10573 VILLAGE OF RYE BROOK '1 4 �0§6�-c BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: MAY 2 4 Permit#:a�A) pplication Fee: ,QcL $ Approval Signature: Permit Fees: $ 7 S- Disapproved: Other: Application dated: /�'_ I'� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: I,(�" zejmck'-� (zpp *p SBL: I Z�-�� ^� -g� Zone: T_�-\J 2. Proposed Improvement.(Describe in detail): Ott tV\ 3. Does the Proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:� Yes: If yes, indicate: TIER 1: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existin omatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) : No: too Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: %,L4 After Construction: 6. MY State Construction Classification: N.Y.State Use Classification: 7. Property Owner. �E S�Ct 'fL _Address:f 4 Phone# 1�) �p �td ^ Z�7icell# ��� � q 3 9-2 8�g email: JSSr�f,?' � UY11.s, S. Applicant: S f°'&(: A-S 0 L-�Isla�L_ _Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: QL( yAvtiy ICU I LO Address: 'ZC) 2-0_ ���WI Phone# `,O,3 - Sid�-�� 36 Cell# 9 t� — -7 '7 a�-`0� (k�email: SCI�"��^(G_ LC LO,-3 0 . 9: Al 12. Estimated cost of construction $_294 6 0 CI) (NOTE:The estimated cost shall include all labor,material,scaffolding fixed equipment,proli°ssional tics,and material and labor which may be donated gratis.) 13. Job Timetable: Start: 2-6 Z"L Finish: -1 L) t_ ( Zy (L) W12/2021 This form must be properly completed &notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: Subject Property: t4 N10 0 Q—OA-D SBL: Zone: P Please take notice that the subject; V`One or Two Family; ❑ Commercial, ❑ New Structure ❑ Addition to an Existing Structure ❑Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; dTyluss Type Construction(TT) ire-Engineered Wood Construction(PW) ❑Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders&Beams(F) ❑ Roof Framing(R) ❑Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. SW o Ime this Sworn to before me this YYda day of ,20 �S wner Signature of Design Professional >s`r' STC `Z--. Name of Propert wner Print Name of Design Professional N6tdfy Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20 t_'_ (; This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. 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 hire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this � Sworn to before me this r day i , 207a - day of , 20 Isigntr rty Signature of Applicant _)l — L%V__ Pr' Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20 23 (4) 8/12/2021 BUILD "';G-DEPA , MENT VILJET F RY '. OOK 938 KING RYE Bit NY 10573 68ebrook.or AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER } as: tJF7V-- S`T k residing at, o CS R_oA (Print name) (Ad(b-css wficic you live) being duly sworn, deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; N 1 d N qgi�!wc--> , Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. IQ 11-f A= {5it?nEunrn rf c pei v=rcr i Jl�_FFf�F ( STIC- F-1 (Print Nrune of Property C)ulner(s)) Sworn to before me this day of (N(r ary Public) SHARI MELILLO Notary Public,state of New York No.01ME616OO63 Qualified in Westchester County 3 Commission Expires January 29,20..t'__`> 8/12/2021 r f � N \ t4 \ w "' Ln Ln a M ? of x w - ao Oa� " a. en 00 C ,fl LA ";00 n V a r ! O �..� � \ OZ � Q .. z w = w Z z p4 O _ H .� POO a 0 a 0.4 Q z 04 00 w w oo � r z r � - A z H M c` w o� Ln a 6 o F w pq a Z g U ., w ►� u, c� Eo-c� U w o wa W � F c rr o W z a � W � x = v H q O 0 A 0. zW z a ° d _ w Q A w � a r Bum , E MENT MAY 2 7 2022 U VIL QF.RYE_ OK 938 IC1Nc TRYE: ,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County ter Electricians License Required FOR OFFICE USE ONLY BP#: 171�5_ EP#: Approval Date: Application Fee: $ Approval Signature: MAY Permit Fee: $ � �- Disapproved• Other: (fees are non-refundable) Application dated,la7� is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. I.Address:Tl� R P c ► >i e;v (Z o C� SBL:/02 Y•G r Zone: 2.Property Owner:SQ F f'(e,1 F u T I U2 Address: ( � (2�c� , p;U P,p 4Phone#:cj 1 Li r CI 3 L.�8 Cell#: ems: 3.Master Electrician: rJ �r{2 C i Address: �f, S CI N SeT �p Q (j re)d N�i OSZ Lic.#:E S 3q Phone#:gry:ij�- ? yd i Cell#:C/, Company Name:(ji Ps-fY)4-fn-c .5-7 IC c-ta,c_ Address: 6SLIk)$cT (o.P_l Q (ic ioJ IGS V3 4.Proposed Electrical Work/Fixture Count: /'c )l A jW r� Wq`S f c',, 11,4� 7t(9,nTC00-A- 1,3fy G d4„ �✓ L�. I c' t_ wa--t LiS K4, F_C.L 6 i L4S. 3 r4u S ; f LUd/ /1 / rlG_e_/ ./2 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: SO k � e-i C C being duly swom,deposes and states that/(i�/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the 0 � for the legal owner and is duly authorized to make and file this application (indicate architect, ntracto agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,an 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 �):I — day of 20 daM 0, 20� Signature of Property Owner Vnature of Applicant 640_-� 6,-(�'_cC' Print Name of Property Owner P ame of Applicant Notary Public No gHAf A&ILL0 Notary Public,state of New York No.01ME61.60063 Qualified In Westchester County Commission Expires January 29.20a3 115116 4/15 Westchester Rockland Electrical Inspection Services, Inc. Phone: 9 4-347-3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue OIJ 47-3596 Elmsford, NY 10523 MIT No. TEMP# DATE CITY OR VILLAGE ZIP CODE TOWNSHIP a COUNTY Q ` l l '-'L STREET AND NO.OR RO I POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT r OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH VWATFS INSPECTION OUTSIDE �-- - - BASEMENT 1"FL. I L I I 2-FL. 3'FL. VI L LAGE C F RYE BROOK REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: cu , 4 , ko ,vim � 1)r—-A � : ?, < f' 1�c.: 4e - THIS APPUCATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPUCATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC. IS NOT LISTING,LABELING.UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS '). In() !�7 f 4 t- CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD[] UNDERGROUND❑ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT l,i )QS� V�1 tnS1 z lC C,1 �f C j �.2 91.2 x J B'T�A � TELEPHONE No. �J c ��f cpy OR POBT /� ^/�� fJ3 LICENSE NO.WNEN APPLICABLE L S i r a r s Ln M t N CV O N W �i W � � .�. o H • oc u ►� _ k > / a. W U � ~ N w a ON 00 CN .n a W ,. On \ o z n _ A H O z o 00 o N CA I _ Ln z ell O W \..O . W � � � � � M N � O � � z ■, It °s ,.., .� CN 00 re) C6 x w x q an ae �, .� W a zZ CL ►-� � �i p w ►-� H per, ?; '. � W z a Z W z 0 o � 0 o N CA zz W o z 4 3 .Wa W o ° S b-4 z A ° z Q C) 5 o a a w Y �I a� A4 a 0 ca w , yE DRC�vDD BUILDi9G ISEP"TMENT JUL 19 2022 VILLAGE OF RYE BOOK 938 KING STREET RYE BRI**,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 77) EP#: Approval Date: JUL 19 2022 Permit Fee: $ /n_0/PZ� Approval Signature: Other: Application dated, — is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 19 R e u l,J I o rV (R c A tl'*� SBL:/o? y 6,1— 1 ._ ? 9 Zone• g-3 2.Property Owner,h Y rrk Q 1 5 I i Pn. Address:)`{ R '� uwi,u P-i:a J Phone#: 3 cI g�i$ Cell#: email: 3.Master Electrician: SOW &R4 e y Address:6 -Syysh'l A{' 6 Phone#:ql N•ti'5q-a Li i i Cell#:qy $7`7-S`y,2°I email: r Ig c • no 4 0 c, 0oln Company Name: li)Q_C t%M()A.12 f I c4j MC, Address: (b�U xu i �o,off 041-[ y/I)S13 4.Proposed Electrical Work/Fixture Count:rj)l L,�� ;� /'nA.5+c-L- /3J /3 47-•t'RN 45.Ju, /cA s C C-r 6 c_4te*S 3 t=A U S a et 140 aT j %o L_..� OL 5.31 Party Electrical Inspection Agency: -,),GU Is STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: k-�r,i ►i C C ,being duly swom,deposes and states tha(De she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the ar lc T c n 1_+Lh for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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. <I Sworn to before me this Sworn to before me this l day of ,20 day l.� ,20 _CZ_ Signature of Property Owner SigbAure of Applicant J Oh 4.1 &A- ec o Print Name of Property Owner Name of Applicant Notary Public Notary5WW_ bME ILL0 Notary Public,State of New York No.01ME6160063 Qualified in Westchester County - Commission Expires January 29,20—7�"�6/23/2022 f r STATEWIDE • Service Willi hilc.qriiY lit Main Street,Fishkill, NY 12524 1 email:office@swisny.coni SWIS JOB APPLICATION ;. 1 914.219.1062 SWISNY.com • Office Use Elect.Permit# —/ �'"' Date � /9 Bldg Permit# Utility ID# � r Final Certificate# City/Village Zip Township County, Address Cross Street Section Block Lot s ,k.,r , l i Owner Name/Address(If different than above) Contact Number ❑Basement 01 st Fl. ®2nd Fl. ❑3rd Fl. More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent ( > v is SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information r ,` , e M I RIECEME JUL 19 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(t)year from the date received by SWIS.This application is intended to cover the above listed Items to be inspected,If at any time of Inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection comparry.The applicant,ownw or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date / Signature ; .,. Address City/State Zip Code , License# C, Phone# State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Westmore Electric Jeffrey Stier 6 Sunset Road 14 Reunion Road Rye Brook, NY 10573 Rye Brook, NY 10573 Located at: 14 Reunion Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-145 12465 89 Certificate Number: 2022-4217 Building Permit Number: BP22-075 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 14 Reunion Road, Rye Brook, NY 10573 The First Floor Master Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 28th day of July 2022. Name Quantity Rating Circuit Type Receptacles 06 GFCI 02 Switches 07 Dimmers 02 Luminaires 12 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. a Ln r- N O W �o W y VI ' a ~ o c M N ' oz 8 � w o A Q tn w 00wi 8 , z ■ �-+ z Q j � v Z cjj ■ zM 0000 ti cW7 z ■ C,7eelcq V Le r C7 Cen a : ~ 00 � z A r N ? W s Ln w o 0-4 O z a z o, ` W g cn W oo c z H "' Ln o v� ' V a w c Cd � �I � � ►1 � w 0 < BUILD 6iPAARTMENT VIL S E OF RYE'940OK RJUN - 2 2022 938 KING ET RYE B OwK,NY 10573 VILLAGE OF RYE BROOK _ BUILDING DEPARTMENT w�vsy."Iy'oo .or g - PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP -0 75- PP#: Approval Date: JUN ,2 2022 Permit Fee: $ Approval Signature: Other: Disapproved (fees are non-refundable) Application dated, '—� o+�' is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: SBL: �� '" Zone: Pub 2.Proposed Work: H� � b�114"C-10� r jj n,. 3.Property Owner: ��E REY S-T1 � Address: t4yy tf-GUNS ID N Phone#:(914�I C Sr' �ZS Cell#: S- r�z�cytJ(mail: MUM � 4.Master Plumber: iLIQJ Address: �=o Lic.#:1.(7C=� _P one#: a;,Z�ell#: email: fn c o Company Name: Phil:In� 2� ��,���� Address: 6,1 g•• G Oaoj INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 31 Floor 41'Floor 5'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: c)Fp,ky 61 5(f0 ]� _,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 th legal owne 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 A ,20 00 day of �-m7sc� ,20_Q�;( Si pe er Signa Applican Cr- F�r�' STIrrz Print Name of Property Owner Print Name of Applicant - Notary P46ry Public,State of New York NOb1VOkWilb,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County Qualified In Westchester County Commission Expires January 29,20-23 Commission Expires January 29,20X3� This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 8/12i2o21 BUILDIN&6 TMENT VIL16k-qE OF RYE,BxooK JUN - 2 2022 ID 938 KING ET RYE BROOK,NY 10573 060 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ******************************************************************************************************* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §21 C • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 31, �! ff ST/� , residing at, ?Iew,1.04 24 (Print name) (Address whcrc you li%c) being duly sworn,deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 2 ' C LCL , Rye Brook,NY. (Job Addressl Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains; sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of P VINly(l ne sy✓ J E5 F (Print N,une of Property Owner(s)) Sworn to before me this '�)s wfzci�fl 0 N tary Public) SHARI MELILLO Notary Public,State of NOW York No.O1ME6160063 _3_ Qualified In Westchester Countyr�.L Commission Expires January 29,20 8/12/2021 Building Permit Check List&Zoning Analysis Address: �l �J o-j t oV-3 _ SAL: l Zone: Use: Z Const.Type: Other. Submittal Date: 5 1 Z Z Revisions Submittal Dates: Applicant S i Nature of Work tM Reviews ZBA: MAY 2 4 ZUZZ PB. BOT• Other: 1�1 OK ( ( ) FEES:Filing. 7_Q BP: C/O: Flood Plane: Legalization: ( ) (✓)' APP: Dated: ✓Notarized. ✓ SBL: ✓Truss I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan Other. ( ) ( ) SURVEY:Dated: Current Archival: Sealed Unacceptable ( ) ( PLANS:Date Stamped: Sealed Copies: `�Flectroni� Other. (• (. License:�LWorkers Comp: Liability ✓Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. PLUMBING:Plans: Permit: Nat. Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other ( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other: ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval: notes: ( )ZBA mtg.date: approval notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES PROVED Area: MA Y4 1022 cue: Fie Front: Front Sides Main Co Accs.Cov F H S Sd.H/Sb GGFA.• T- OL IMP: Ft.Im Par Height/Stories: notes: N C C .N O Ncli aE �� yr vc u O y O I cu C p u •� 44' +' e Cn u / ice.+ E ^ �- � T N Frl O l�itao. ;..� W o V1 .ri U r oC ar W CW u IL / m C o \ / Q 1 ACC)IIREY Is DATE(MMMD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03ro2r22 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 endoreemen a. PRODUCER CACT N"E. TONY CIRINO Anthony Cirino °([I/ No 90, (860)329-0103 FAx No: 860 620-0504 426 North Main Street EMAIL , InsguyAlsol.com Southington,CT 06489 INSURE S AFFORDING COVERAGE NAN:s INSURER A: FARM FAMILY CASUALTY INSURANCE OIOS•17aW INSURED INSURER B: OPTIMUM BUILDING CORP INSURERC: 70 PROSPECT STREET INSURER0: INSURER E: PORT CHESTER.NY 10573 NY 10573 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 LTR ME OF INSURANCEADDL sueR POLICY NUMBER POLICY EFF POLICY E0 LIAfTi --— - X I COMMERCIAL GENERALLIABILITY EACH OCCURRENCE f 1.000.000 C LAIMSadADE L/� OCCUR PREMISES occurrence) f 100,000 MED EXP(Any one person : 5,000 A _ _ Y Y 3101 L6417 02101/22 02/01123 PERSONAL i ADV INJURY t 1 000 000 GENLAGGREGATF LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 X POLICY PRO- JECT 7 LOC PRODUCTS-COMPIOP AGO $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLELI = Ee WcidmQ__ _ ANY AUTO BODILY INJURY(Per paaoo) _ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per aookklnt) >< _ HIRED NON-OWNED PROPERTY DAMAGE 6 AUTOS ONLY AUTOS ONLY (Per soddent) S UMBRELLA LU18 OCCUR EACH OCCURRENCE S —y EXCESS LIAB CLAIM64IADE AGGREGATE i DED RETENTION s WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN TA T ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT Z OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOY f If Yoe,deambe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-_POLICY LIMIT S I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,AddIIII Remarks Schedule,may be altaehad H more space Is required) 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) f 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:/NVWW.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 ST ATZCE FUND 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:918570676 U-26.3 V, N Q Cal e� O ® ; �' o V N �/1 O 1 � 2 �� W �..� lz Q ~ Q = U- W p a i° c CO .cam. o' U! s2 � Z ? Ld �- � cam '