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HomeMy WebLinkAboutRP22-021PERMIT # SECTION TYPE OF WORK JOB LOCAT ON _ OWNER/y EST. COST LOCO #.Cz FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS C� SPRINKLER ELECTRIC O LOW -VOLT CI ALARM C1 AS BUILT C1 FINAL oqlz / DATE 3 / d EXP: L,31&3 .0 � FE FEE DATE INSPECTION RECORD DATE INSP (�31 o09- Y9/ 7 piHER APPROVALS ARB BbT P� ZBA OTHER 19 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. Morhno CERTIFICATE OF COMPLIANCE September 15,2023 Aamani Property Holdings LLC 221 Betsy Brown Road Rye Brook,New York 10573 Re: 221 Betsy Brown Road,Rye Brook,New York 10573 Parcel ID#: 135.44-1-12 Roof Permit#22-021 issued on 5/31/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to DBUILDING DEPARTMENT FForffice use onl JU L 1 1 2023 VILLAGE OF RYE BROOK IT# D: 1938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0669 FEE: // PAm,- BUILDING DEPARTMENT www.arbreok.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 /itt►f##k►tk##i►ti#t►#i►#kitk►#ki#if#kttittftk►►kt#ittk►ti#kitkt#kitkl#kt#ktkltkltk#tf#k►►ki►►■►kiti#i##i#kf►k►ki►tttk►►kit►f Address: 221 I�e�c �,. �De^r� �o.V i�f�yGC 1 Ny 10S �3 Occupancy/Use: SitpkjParcel ID#: , �/-y_ Zone: Owner: Aknp 1 _Address:—Asir Cipi f ►h��' c� y JSSe+ N� P.E./R.A. or Contractor: 0,*r 1 L I A Address: 2 o E F,i) S��ee + ut to vl�. t/e r h; Person in responsible charge: AdcAl 1, Ah ek Address: q I� F I N S 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: r )4S Pr v` ofA`�pplicant) being (Pent Name of A duly sworn,deposes and says that he/she resides at 2 2 (� k S y r 17 15 /l Y� r 0 Pl< ,in the County of �✓2 v� (No.and Street) 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:$ ], 2,0 a. p D for the construction or alteration of: /l k l 1 Y1 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 'I Swom to before me this day of , 20 a 3 day of (U , 20 ),-3 Signature of Owner Signature of Applicant �St /v Print Name of Prope Owner R Print Name of Applicant Notary Public 40P7.b'li&. SCOTT W.CRAIG MOwy Pubft of New York 8/12/2021 O MMM IMRSS O411512027 SCOTT W. Nm Nobly Public off New York REG NO. 01CR63905U COMMISSION WMIRES O4/15/2027 �yE BRC��• �7 BUILDING DEPARTMENT 0 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 : V .- \ j V ])ATE' PERMIT# ISSUED: SECT: BLOCK. LOT. LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING [I INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING 0 _�eROSS CONNECTION -{'] FINAL ❑ OTHER s ■ a . . : . w a N N O � °' ■ N _ Ln � \ Y W O ++ OU ■ rn a, a ° x _ e 'n ova Y © W � � `� � y � � .� rW. ■ FBI w L••� z 45 ° � o ~ A y. 2a w s Cc' a a o v , o adv P MM W Y � FBI Q cn O 8 O - . ° V.. QI O U' Q` t� z � �- ° p a W W z ° y n � � 00 ku en a oa 44 w ou 1-�1 Q 2va U p/ z o oo � H z Uovv s (� w� w z 0 p v o. • u G O Z W U p oQo 14 - v z WTI 0-4 N w � ° a a D IE L' V E BUILDING DEPARTMENT I 3D VILLAGE OF RYE BROOK MAY 17 2022 938 KING STREET RYE BROOK,NY 10573 (914}939-Obb8 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: ^^�� Approval Data. MAY 2C22 nti It Pc�a-a�i Application# Approval Signalure: V ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Vase# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee Pb Permit Feces: © ' ROOF PERMIT APPLICATION Application dated: 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. .lob Address: 221 BETSY BROWN RD SBt 3sr� ����t� Zone: R-10 Property Owner: ASIF AHMED Address. 25-13 27th ST APT#8A ASTORIA NY 11102 Phone#: Cell#: 347-6098917 email: ASIF@MEPLBD.COM 2. Applicant: OWNER Address: Phone#: Cell#: email: 3. Roofing Contractor: OWNER Address: Phone#: Cell#: email: 4. Job Description, list all Methods&Materials: EXISTING SHINGLES TO BE REPLACED,PROVIDE GAF TIMBERLINE HDZ CHARCOAL ALGAE RESISTANT LAMINATED HIGH DEFINITION SHINGLE MODEL 0489180(AFECTED COMPONETS TO BE REPLACED AS NEEDED) 5. Estimated Cost of Job:S 7,000.00 (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: V-B NYS Construction Class: R-10 8. Number of stories: 2 Height: 9. Is garage being re-roofed:No:( )•Yes: ()o Attached No:( )•Yes:(N Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: PEAKED 11. Estimated date of completion: 06/15/2022 -I- 8/12/2021 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 YORK,COUNTY OF WESTCBESTER ) as: ASIF AHMED ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further state that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the 5a1� I-tr.�6t� o w user ©f L—� for the legal owner and is duly authorized to make and file this application. (indicate arciiitect,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 6 Sworn to before me this day of 7 , 20_ day of , 20 Signature of Prop weer f / Signature of Applicant Print Name of Proper der So �`f Print Name of Applicant Notary Public Notary Public $ABBIR AHMCl3 Notary Public, State of New York No. 02AH6I$9405 Qualified in Queens County Commission Expires June 23, 20Zq -2- 8M212021 Laura Petersen From: ibon anderson <ibon_nyc@yahoo.com> Sent: Wednesday, May 18, 2022 2:24 PM To: Laura Petersen;Asif Ahmed Subject: Roof application-221 Betsy Brown road. Good afternoon Laura. Thanks for sending over the information you needed. We are working with the insurance broker for the homeowner insurance. By this week we should have the insurance ready for the property.Soon as I receive the policy will send the decoration page.As you requested information of the roof installation. Here's information. The contractor will inspect entire roof. Change the existing shingles. Using Venture soffit or inflow intake ventilation products. weather lock self-sealing ice &water barrier products. Owens Corning brand underlayment products. Owens Corning brand starter shingle products. For the entire roof be using GAF Timberline HDZ Charcoal Algae Resistant Laminated High Definition Shingle. MODEL: 0489180 Entire roof. Closing the roof with venture exhaust ventilation products and ownen Corning brand hip&ridge shingles. Thank you i r DATE(MM/DDNYYY) ,acvRn INSURANCE BINDER 05/25/2022 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM. AGENCY COMPANY MINDORO usu B11999 GNU BROKERAGE,CORP. DATE EFFECTIVE TIME DATE EXPIRATION 2609 East 14th Street Ste 301 05/20/2022 12:01 X AM 05/20/2023 P(j IY:07AM Brooklyn New York 11235 PM NOON VH—NEwcD Eat; (212)671-2562 ext. FAX No; (718)878-3619 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE SUB COOS PER EXPIRING POLICY k: DP 1565023 AGENCY DESCRIPn0N OF OPERATIONS/VEHICLES l PROPERTY(Including Locadon) CUSTOMER Do INSURED AND MAILING ADDRESS 221 Betsy Brown Rd.,Rye Brook,NY 10573 Asif Ahmed,Nora Ahmed Dwelling. 1 family.Vacant,under renovations. 2513 27th St,Apt 8 A Astoria New York 11102 COVERAGES LIMITS TYPE OF INSURANCE COVERAGE I FORMS _- - DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS Dwelling.Vacant.Under reoovations.ReplacementCnst S2 S00 5521,000 BASIC BROAD�SPEC Building Improvement&Replacement Cost. S2¢00 S100,000 Spec><al GENERAL LIABILITY EACH OCCURRENCE i 500,000 X COMMERCIAL GENERAL LIABILITY RENTED PREMISES S CLAIMS MADE OCCUR MED EXP am puaon) S 5,000 PERSONAL ILAOV INJURY S GENERAL AGGREGATE >< 500,000 RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG S VEHICLELIABSJTY COMBINED SINGLE LIMIT S ANY AUTO BODILY INJURY parson i OWNED AUTOS ONLY BODILY INJURY r so ddeni S SCHEDULED AUTOS PROPERTYOAMAGE $ HIRED AUTOS ONLY MEDICAL PAYMENTS S NON-OWNED AUTOS ONLY PERSONAL INJURY PROT S UNINSURED MOTORIST i S VEHICLE PHYSICAL DAMAGE DED ALLVEHICLES SCHEDULEDVEHICL.ES ACTUAL CASH VALUE COLLISION: STATED AMOUNT S OTHER THAN COL: GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: I SELF-INSURED RETENTION S PER STATUTE WORKER'S COMPENSATION E.L.EACH ACCIDENT S AND EMPLOYERS LIABILITY E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ SPECIAL Premium hu been paid in full. FEES S CONDITIONS I TAXES _ S OTHER 207E COVERAGES ESTIMATED TOTAL PREMIUM S NAME S ADDRESS Westchester County X ADDITIONAL INSURED LOSS PAYEE MORTGAGEE 148 Martine Avenuc LBNpEWS LOSS PAYABLE White Plains New York 10601 LOAN M AUTHONBIED REPRESENTATIVE Page 1 of 2 ©1993-2016 ACORD CORPORATION. AllAghts rved. ACORD 75(2016103) The ACORD name and logo are registered marks of ACORD I USD Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ❑ I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way, the individual(s) that is(are) performing all the work for which the building permit was issued or helping me perform such work. ® I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week (aggregate hours for all paid individuals on the jobsite) for work indicated on the building permit; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, provide appropriate proof of workers' compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week (aggregate hours for all paid individuals on the jobsite) for work indicated on the building permit. (Signature of Homeowner ) (Date Signed) ASIF AHMED Home Telephone Number 347-609-8917 (Homeowner's Name Printed ) Property Address that requires the building permit: 'Sworn to before me this day of 221 BETSY BROWN RD C;)e (County Clerk or Notary Public) WANDA TORRES Notary PubNc, State of New York N0.01 TO63goaSg BP-1 3/99 Qualified' ( ) i" Rich mood County Commissi