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HomeMy WebLinkAboutRP22-020PERMIT #� c�ci' QQ)0 DATE: SECTION TYPE OF WORK JOB LOC ION _ OWNER CONTRACTOR._ E,%T. COST �/ Vco #.C,(,L TCO # INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT m ALARM CI AS BUILT 171 FINAL �•"1.-�t- paJ�r)C9/4/), &s 9993 bYHER APPROVALS ARB - 'PB zBA OWNER UR(i tc�4°J JJ V . 190 C�Gt G 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 January 5,2024 Daniel Triglia 48 Country Ridge Drive Rye Brook,New York 10573 Re: 48 Country Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 129.59-1-16 Roof Permit#22-020 issued on 5/25/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, / a; Steven E. Fews Building& Fire Inspector /to MID D ECENED BUILDU46'&?kkTMENT For office use on PERM � TT# C> VILLAGE OF RYE BROOK ISSUED: S�a JUN - 3 2022 38 KING STREET,RYE BROOK,N>EW YoRK 10573 DATE: (v _3 - a a (914)939-0005 FEE: , (( 10 PAID VILLAGE OF RYE BROOK ww�; eo .erg BUILDING DEPARTMENT APPLICATION F67R 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 twssswwssssr►►►►►►►rrt►•rtrrrrrrwrs►srs►trrrrrrrtrrrrwsrrr►►►►■►rr■rwrratrss►w►►►►►■r►t►trrttrtts•►s►rrr►►rr+ttrrr►►►►rtrrrrw Address: Ya Cu � Occupancy/Use: Parcel ID#: 11:�267•.5-9- (.0 Zone: Owner: Address: K P.E./R.A.or Contractor: rl Address: 1614 ailr, Person in responsible charge: 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: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: n '\ns'cm v� being duly swom,deposes and says that he/she resides at 16 4 in 2((��(Print Name of Applicant) y (No.an treet) ,r - 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:$ 13,WO p , for the construction or alteration of: cro 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-IO.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 Signature o Properly Owier Signature o pplicant Print Name of Property Owner P%iatTiame of Applicant L11- Notary Public 4Pujblic SHARI MELILLO Notary Public,State of New York No.01ME6160063 8/12/2021 Qualified In Westchester County Commission Expires January 29,202� �yE BRC�k. 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: y uAl le- DATE: /2-2 9- ZQ?- PERMIT# NP22 -02 V ISSUED: -Z '21$ECT: / BLOCK: LOT: 16 LOCATION: Roo P. OCCUPANCY: 210 ❑ 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 r a ❑ L.P. Gas — ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [�FINAL ❑ OTHER u ■ Q N N w v ■ o N ad' �� ■ N p u = Q o k A cl _ aq0 W CA W o f LL O y �� ■ a ° a . N W ai oG o \ L a °� C' z U � d � P- a. o �a P4 W z o u o N ■ CO!)- 'O O w WCo Ny G1 O � M a, ,� LO W o F� CN oa ¢. � o� � � A W oCn ti ° a H w a Z o o o O p V p 2s CF = V C7 A C) 00 C4 w W [� � C .� � Ch W04 WpA� 'Oo ■ BUILDING DEPARTMENT MAY 2 3 2O2Z VILLAGE OF R. OK 938 KING STREET RYE BRZ,NY 10573 VILLAGE OF RYE BROOK 1 -,Q BUILDING DEPARTMENT +***+*****+++tttt+++*tt++ttttt++++++++*+*+*++++***t+++t+t++t+tt+++*++++++*wwwwwwww*wwwttt*ttt*****ttttttttw FOR OFFICE USE ONLY: 11 \\ Approval DRAY 2 5 2022 Permit# dam"'Q+ Application# Approval Signature: X ARCHITECTURAL REVIEW BQ. Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# 1 Other: Application Feeid Permit Fees: 1 ROOF PERMIT APPLICATION Application dated: a-3 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 ilding,as per detailed statement described below. 1. Job Address: He G} ,br! e' SBL: AN•Sg ��� Zone:je- Property Owner: n� l i C t Address: 8 Co<: Phone#: cm R r, WA( Cell#: email: of\,\ 2. Applicant: )0-,P P, l I P Address: 1'i 4+ A-u �L— Phone#:Q(U 5G 5 g4c(3 Cell#: atij 56 5 ctg2 3 email: L (l t o� C Q.Ccr°✓ 3. Roofing Contractor: 5c Address: pai Phone#:E11q SGS CW(A'3 Cell#: email: _ 4. Job Description,list all Methods&Materials: G_yy10'j koa o tv $ 5. Estimated Cost of Job: $ r 3`�c� (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 comer property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:O+Yes:O Attached No:O•Yes Number of Cars: Z 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: -t- 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. STATE OF NEW' IC OF WES TCHES 1 ER ) as: �C6 c- 1 ,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 tom, oho r 4tw­ 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. Z;I1j Sworn to befo me this 11166 Sworn to before me this � day o , 20 0,0?, day of fi,4Ao 2/f WIA L: tgnature of Pr erty OW#r Signature of Applicant Print Name of Prop Print Name of Applicant erty jNo ?blic Notary u HOPE B. VESPIA INGRID MARTINEZ NotaryPublic, State of New York NotaryPublic-StateofNowYork No.01 MA6247265 No. 01 VE5084028 Qualified in wostchnstorCount Qualified in Westchester County My Commission Fxpires August 22.20Z3 Commission Expires August 25,20aM -2- 811212021 • l _ ^f '�' � �Fj Vri�� 1(""' \S�A�. i�W�xY �.� 9AY.i...��/ ` �� �_� \1\ gm— t er vi, 4� �Yif•;i' 0 yt� ; O L \ a �j *� :! � .z. � v •1�♦ v f; 1}:�w � �y�ISM � kb� �°'�!��� v . v,_ �4�'�'- i►111111 � �1�1�1� � v.e, �I�►�1 vaf° r•1t�1� g; � cCq��f�� v y11 r �� ,sl yet -. � ►► ► �.y►11►►t�- t N I►► g ►►1 ►t t►►IS t -►► � ��, Nf1► �('����',: I�<co»�;� t1 �i_ r��.�_►NI►..�-�.- .�--z-�'-4►i►► �= :.4h/�►i►_=- - :4► ►t,� y►+11114��� yN1►tt_ ,m.. �: ,� 41 r.• . .. .: . . . ... . . . . . . -i-sv ♦►111_?-� - sera�( ,' G a3.� L � r.�' \ ',,,I_ �:'• Rca .p ,��•- 'ate. � � y � w;.�i��'•" rY }��1 p •zl m �.r�.•. __ .. tt�^,,`'vJ•„ O � Z w LLJ LU O� F- O o p XI ca ca olden «p)> ^'mot 0 CD Ix L � a ca O c1q N O - �� �♦2 - r�- .d'W'�-.:,.fit►► ►1► -�. -_3�-�v_: 1► ►1 ��4..t� t _ •-\..`..t / 1._ •� ' +.1+1 1,.-ins �.►.. .1. ► .. � ../�:: / e- !111/1► �y�`g t►►111111►�1i �fF1►II+IjI;�d y ~��►j11/1h1 t►►Iy1/�►t t�f1/��t is �1N 11 t tij"� m / �• s'�w��-. •N• t*t�{•`I'�I���� •IN t�- !�N i { • ♦ �{ • y� �*k �IN J 1 - � �, t�i,"� t�i►at�lr ♦�,� 1 ��•�i� �d♦ y�fl��4!$� . • � yg��� / ^ `+d'`S�.g ^' l.l)},• Ri.'',S; ^ -,,,4,':s• y�;S\ds. �• , �.e� t - ^ S3'! ti,u ^ �j��[ C3. 7^ -�• _ _,A�.{1b.. l J,���� ���"���`� ������:?��1�•�Q� s ,a :e�v���',.� ��. 1 • ACORO® DATE(MM/DD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 5/23/2022 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 Ingrid Martinez _ ____ _ GENESIS INSURANCE AGENCY a°NN.Eft (914)468-6400 ac,No): (866)780-5006 171 Grand Street ADDRESS: insurance158@aol.com White Plains, NY 10601 INSURERS AFFORDING COVERAGE NAIL_N _ INSURERA: Atlantic Casualty Insurance Company INSURED INSURER B: JJP Contracting Unlimited Corp INSURER C: 164 Poningo Street INSURERD: NY 10573 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS TR TYPE OF INSURANCE POLICY NUMBER MM/D D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE OCCUR PREMISES EaE occurrence) $ 50,000 MED EXP(Any one person) $ 5,000 A Y L259003513-0 11/12/2021 11/12/2022 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY t DAMAGE $ AUTOS ONLY AUTOS ONLY Per acciden $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED 1 .RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) i E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONALLY INSURED 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 King St AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 44!�� ©1988-2 1 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 0�',tw '� ^^^^^^ 462794042 J4& ' GENESIS INSURANCE AGENCY 171 GRAND ST WHITE PLAINS NY 10601 ••`�i1 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JJP CONTRACTING UNLIMITED INC VILLAGE OF RYE BROOK 164 PONINGO ST 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2537 763-1 1 938476 11/15/2021 TO 11/15/2022 5/23/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2537 763-1, 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://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 SEGUNDO J PALTIN JJP CONTRACTING UNLIMITED 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 ST ATEZCE FUND 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 629616849 U-26.3