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HomeMy WebLinkAboutBP22-093PERMIT # / �� - 1 � DATE: � �� FJtP. SECTION � i 7 BLO K LOT � TYPE OF WORK 2n �P�O/ JOB LOCATION � !� OWNER .�! d /� �' Q - �' l/ _. __.. � 3 CONTRACTOR /Q,l.�/Lt O/J1 �OI/e�%1 -' � T. VCO# TCO # FEE DATE _ _ INSPECTION RECORD DATE INSP 3�s3 �� iy� g8a-l��a lie/ �/� a �9 OT�1ER APPROVALS AI�B BOT PB IZER i OTHER ----- FOOTING FOUNDATION FRAMING RGH FRAMING ,Q/ / Q INSULATION O Q����o1 //�Q/CO��I /� / 17/lI //� /,J `��� PLUMBING � P � RGH PLUMBING ...._--.------ GAS ,C� �_.-_'.T.__ '�' rIS�, �/.�c�/cal Co�SI[/��S ELECTRIC R Ll� �c��o�l � �/�� / 7 �/���2�� LOW -VOLT C7 ALARM C� �------- AS BUILT � � FINAL VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 22-173 Certificate of Occup ucp This is to certify that Mon IV) P) s b( n 1 1 ) 1' of, R Y C &MV—1 W , having duly filed an application on OEILbel— u 20 4Q requesting a Certificate of Occupancy for the premises known as, V bto Y Yy 063e , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: hA Block: Lot: 90 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. ' "I' Lqf, issued 20 ao), such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: k We- F" m i I Construction: for the following purposes: J -}`�j� )U r lE'r7 Ker)oya r] 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 building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height sh 1 be made I the_building be moved from one location to another until a permit to accomplish such change has b e o in 'ng Iiis ector. Building Inspector,Village of Rye Brook: ate: NOV ` 7 2022 BUILDING DEPARTMENT For office use nl : PERMIT# � EOCT2 4 2022 3D VILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEw YORK 10573 DATE: yea VILLAGE OF RYE BROOK (914)939-0668 FEE: — PAMM BUILDING DEPARTMENT MM.ry Keo1Lorg 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 ttflt!►■►►►!!tlttftiti/►f►t►l►►ft►I►!l►t►►!!!i!t!ltttttltttitftft►i►/t■►►f■t►►lt►it!!!►!!►t!ltttttttttttttflflff►►►ffttt►►►►► Address: 3 $21 >ev C I o5v Occupancy/Use: '/ )C476 Parcel ID#: /a9, 7(0 " 90 Zone: Owner: A I a h W 1 1 I I Address: 3 B 21LI? y a 1065 P.E./R.A. or Contractor:TOPI'A H OM6 Z?1 Md4T"4Address: 159 H 19h I and Slye,&, Foy*(,�)esfer Person in responsible charge: 1qU 1 -rapla 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: AI o rl YV 1 I 11 v) being duly sworn,deposes and says that he/she resides at (Print Name of Applican �v� (No. Street) v in e $rao k ,in the County of Wes tGh 2et) 1 , in the State of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ q Ol 000 , for the construction or alteration of: K 1"f'G h e,+l )Ze h off/a'i O h 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 Z4)"= Sworn to before me this day of ��+ ,20 day of , 20 1 Signature of Property Owner Signature of Applicant Print Name Prop Owner Print Name of Applicant Notary Public Notary Public CHRISTOPHER J.BRADBURY Notary Public,State of New York 8/12/2021 No.01 BR6159985 t]ualified in Westchester County Commission Expires January 29,20 t-3 �E 4RO 1982 BUILDING DEPARTMENT ❑.,/BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK i�JQ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS ' ,,,b2s ` �` J DATE' �022- I "PERMIT# � ISSUED: 3&Tlz5- BLOCK: , LOT: LOCATION: Qc, i L Y�U -� OCCUPANCY: ❑ 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 �E 4RCv�. cu � 0 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 ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:— DATE: L- PERMIT#� CSUED:al� ECT: BLOCK: LOT: LOCATION: `C'� ( C (' ate_-rwq 11 I,( 1 OCCUPANCY: ❑ 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 1 v ❑ L.P. GAS ` , ❑ FUEL TANK `'� ❑ FIRE SPRINKLER V nu( -j\ � "'J i W W l (e N U ❑ FINAL PLUMBING © CROSS CONNECTION /' ❑ FINAL `❑ OTHER ■ s ■ M N • � N W� O a •� ao, o � ■ o b eo V b � ° HLr) \ A $ $ N 1 ° 4 zo00 W ■ M pp >. 5 IV, w0 � o cn 00 N � z o - a o N '� AO O b w ■ ti.l00 N p 7J M� M � V n U (� v v a O C �I W �? x H a< 13 tr!-�� W pp t °' Z FD ' ° r , o■ rx H O o0 *I., yv Fe "•, � .y av, �I w � H. v w � 0 a� . a a� BUILD NG DEPAR MENT D Q VIL �E OF RY14*00K 938 KING ET RV E BROOD,NY 10573 JUN - 7 2022 (914) 939-0668 ���v�Fryet��tlo VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: JUN 13 1 2 Permit w:.&�- Application Fee: S 7751-)6L Approval Signature: Permit Fees: S ' Disapproved: Other: Application dated: w+&oa Q 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. ) p 1. Job Address: 3 �2lJ>erty C-LOSd Z BL: /0�/f�f0 !�' / Zone: u 2. Proposed Improvement. (Describe in detail): r` C a /�C a e_ Z,'IcA e LgaL rt d 5,, 9Ctsfcle /��� /�Ga� r �©OV brt 5 IaZ4 1r`-,1,c.4erl Cs�&4,''.,r F T 5 n/L.1le /'7/0 / S�A, S e A" o r!-c �i [ y/7�L ////f c),K e e r3 - 12C O!/pEfe—L(I d4 e ( e j�4• Y6-A e Yl 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X, Yes: If yes, indicate: TIER I: TIER 1I: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existiig automatic fire suppression system(Dire Sprinkler,ANSI,System.FR4-200 System,Type I Hood,etc...) :No: Yes: (If yes, please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property nOwner: ,� / • Address: 8 r Phone#1 Cell# email:,37 8. Applicant: rl Ol Address: I CicL W'Qkt a 1A ds U Y 105 Phone# Cell#``'}/Y- 8 6 -z a Z- email: cr/'a t, e-;:m rt?0P/M e sr 1,64 9. Architect: Address: maa Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: / 11. General Contractor: 0. CM Address: q �r `1,G o e' y 10613 Phone# Cell#{j�- 1«I-6 Z a Z- email: i'ot /'/Off e /�v i;le-p cof 12. Estimated cost of construction $ LG 6� r (NOTE:The cstimatcd cost shall include all lalxmr,material,scaffolding.fixed egUiprnent,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: {I) 8/12/2021 BUILPING DEPARTMENT D E C IE VILLAGE OF RYE BROOK J� JUN _ 7 2022 938 KING STREET R),E BROOK,IVY 10573 (914)939-0668 VILLAGE OF RYE BROOK vv,Nvw.r,.ebrook.or2 BUILDING DEPARTMENT 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,rCOUNTY OF WESTCHESTER ) as: 31, — /A l : h WIN� 1�) , residing at, � 0 lX r (:�;j 0_�e, (}Tint name} address A l re 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; 3 Daybew)x G 10Sa- , Rye Brook,NY. r otl A.ddvess) 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. 111A 1&vA_­—� /)A �FA071 iSi��naturc a �ruj�crly f)w� ,r(sfj Man Will' (Pririi 'Name ofFroperty Ot+�iLrls�; Sworn to before me this O 12- day o 20 2 Z hlir) YURIQO CABTIKO NAK mum NOTARY PUBLIC OF CONNECTICUT Commission#179265 My Commission Expires 6/30/2o24 Q6- V? - 2", z2- 8/I2/2021 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. STAX21ri NEW YO K U,]VTY OF WESTCHESTER ) as: C 1 , being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing as th plicant) and further states th (s)he is the legal owner of the property to which this application pertains, or that (s)he is the ° u 0; c+w, Tr,,Pqoe4r the legal owner and is duly authorized to make and file this application. ff (indicate architec 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. 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. Swom to before me this 07 Sworn to before me this O day of Tull, , 20 day of wy1 e- , 20 Zfay M/I Z T ��f Sigyature o rope r Signature of Applicant W) Print Name of Property Owner Print Name of Applicant jc:��<' Notary Public N Public U 0 CASTIt40 NAKAMUFtA ONPUBLIC CASTIttO NAKAMUiZA N ARY PUBLIC OF CONNECTICUT OF CONNECTICUTCommission#179265 mission#179265 My Commission Expires 6/30/2024mIWIon Expires 6/30/2o24 OG--c> /� -z�z Z (4) 9/12/2021 M MCI \ \ 00 00 ^ a rA uCN ►.� i ~ G F o a U x [ `a zcn N 0 a W G S w r h Gh a CC z 8 d let c � o w Ln M 7 U � Z „ w W M a $ � C W .- n �r U �n n 00 ON U ZGIN a oc 0-0 oz z z 0 W ►n M z W N z a c z w � � BUILDING DEPARTMENT ECENED VILLAGE OF RYE BROOK AUG - 4 2022 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914}939-0668 BUILDING DEPARTMENT www.tvebrook.orjz ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 22-093 EP#: cD Q) C 73 Approval Date: AUG 4 '2 22 Permit Fee: $ I� : _ Approval Signature: Other: Application dated, 8-04-22 is Thb*v*n ade 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. I.Address:_ 3 Bayberry Close SBL: 129.76-1-90 zone: PUD 2.Property Owner: Robin Willig & Alan Willig Address: 3 Bayberry Close Phone#: 914-937-3853 Cell#: email: 3.Master Electrician: Denis M. Fortino Address: PO Box 713 Rye, NY 10580 Lie.#: E-51 Phone#: 914-760-5226 Cell#: 914-760-5226 email: dfortino(_enterpriseelec.eom Company Name: Enterprise Electrical Consulting Address: PO Box 713 Rye, NY 10580 4.Proposed Electrical Work/Fixture Count: Wiring for Kitchen Alteration 5.3'Party Electrical Inspection Agency: State Wide Inspection Services, Inc. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Denis M. Fortino being duly sworn,deposes and states that he/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 Electrical Contractor 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. Sworn to before me this Sworn to ore m s day of ,20 day of /0 Signature of Property Owner Signature of Applicant Denis M. Fortino Print Name of Property Owner lz:lrlican Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.O1ME6160063 Qualified In Westchester County 623/2022 commission Expires January 29,20;3� • STATEWIDE INSPECTION Service With bilegrity 1:1 Main Street,Fishkill, NY 12524 1 email:• • SWIS • • • 19916 • • •: Office Use Elect. Permit# Date Bldg Per 7$# Utility ID# Final Certificate# City/Village Zip /0 Township County Address n v�'` Cross Street Section Block/ Lot Owner q� Owner Name/Address of different than abcigbllk) �, I + �. Contact Number + /- ^/5 ` ❑Basement �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 SERVICE Amperage Voltage 1P 13P #Meters I#Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information (.� � R �rr,L rG� k.iT�I�GN AL7G�f�Tlo� DD D IEC EC yF AUG - 4 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)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 company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name j CI` OAT Nr' Date J � — a - Signature Address j� / 3 City/State Q L J Zip Code ✓�� License# /_v, 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 Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Enterprise Electric Corp. Robin&Alan Willig PO Box 713 3 Bayberry Close Rye, NY 10580 Rye Brook, NY 10573 Located at: 3 Bayberry Close, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-173 129.76 90 Certificate Number: 2022-7076 Building Permit Number: BP22-093 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:3 Bayberry Close, Rye Brook, NY 10573 The First Floor Kitchen 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 25th day of October 2022. Name Quantity Rating Circuit Type Refrigerator 01 Range/Hood 01 Dishwasher 01 Microwave 01 Disposal 01 GFCI Counter Receptacles 02 Undercabinet LED Lights 04 J f jp' 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. ~ N N 0 N O 'j N 00 W a \ 00 N W 00 - F - et w 5 A a Q: x y CA CN zC) a ° G > a N W A � v M 0,0 00 0 ono v z Q' CN F-� ^ M U r z x CNZ 0.4 ►-y _ 1 c U W c z Z a Oa • V ZO 0 owG z a � g N(09, �.VI c� A c7 A 4 O � z z a � < ,. BUILDING DEPARTMENT AUG - 4 2022] D VILLAGE OF RYE BROOK `-`=� VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)939-0668 www.ryt brook.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: 3 PP#: ����1 Approval Date: AUG 4 2022 Permit Fee: $� J-✓�� Approval Signature: Other: Disapproved: Ij (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: '3 .8 a"$.e.r1-4A_ Cle6 Q-> SBL: /01pp1r 7-L "/—20 Zone: e 2.Proposed Work: �2 „p ��. rU A. K. K ,17►�� 1 3.Property Owner: At1.G2-11 JV r if 1 #1 Address: 3 841�fY-LAM C'IO Phone#:�/�-93'7-3�53 Cell#: email: 4.Master Plumber: lnpuco im R T I/i/3S Address: 5 (5r,�d44e A Uw_ m-r Vgrgpo A, Lic.#: :31V Phone#: 9/ 9a/ G Cell#: C��� �2 " email: dZ ��f ma- Lonj Company Name: &kkdm 1/. My 426 Address: j 9 "rrwAy4 1-1�< /4vC. INT- (1-QFI7ayi 1 0-44 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 / I 2nd Floor 3'Floor 4's Floor 5s'Floor Exterior 5.*List Other Equipment/Provide Details: (�91 c •e ��l pd s (Notarized Signatures Required Next 2 Pages) -1- 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: #14jG.v 1 rn R. Op h i 11 i A26 being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the plicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the 101u ht& 4)2t Co nr%c- T <-& for the legal owner and is duly authorized to make and file this application. 0 (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 3 Sworn to before me this / day of ,20 D, day of C S ,20 .Signature o ProAer'ryOwn Signature of Applicant AlAri Print Name of Property Ow Print Name of Applicant %-;� vN l—& 1?1'�� - n Notary PGtl MELILIU Notary Publi Notary Public,State of New York Notary$ublic,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County Qualified In Westchester County Commission Expires January 29,20� Commission Expires January 29,1023 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- 8/12/2021 BUILDING DEPARTMENT �'— --'- VILLAGE OF RYE BROOK ! AUG - 4 2022 938 KING STREET RYEBRom,NY 10573 1 (914)939-0668 VILLAGE OF RYE BROOK www,rye- ookorg BUILDING DEPARTMENT ******************************************************************************************************* 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: 311 / �1 An W ,residing at, S C l O!�-e (Print name) Address wh re 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; ���erjy Gl o-�-e, , 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. (Signs a of PropIe Owne s)) AlZin \W11g (Print Name of Property Owner(s) Sworn to before me this day of ,201a- (No Public) SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County -3- Commisslon Expires January 29,2023�- 8/12/2021 TAPIA HOME IMPROVEMENT LLC PROPOSAL 159 Highland St Port ChesterNY10573 DATE 5/23/2022.. Phone:(914)882-6202 PROPOSAL 96 email:tapiahomeimprovementllcfgmall.com uw.v.t,h.aw n�nnprovemen(Ilc.com Home Improvement License:WC-30262-HIS Fully Insured �.� MIIII ALAN WILLING alanwilling9@gmail.com AMOUNTDEWRiPlION Price KITCHEN RENOVATION 40,000.00 DEMOLITION NOTES: 1.REMOVE KITCHEN CABINETS&COUNTER TOPS IN THEIR ENTIRETY.DISPOSE OF ALL DEMOLITION OFF SITE(TYPICAL) 2.REMOVE KITCHEN FLOORING TILE IN ITS ENTIRETY-TO CONCRETE SLAB. 3.REMOVE HARDWOOD FLOORING IN ENTRY IN ITS ENTIRETY AS INDICATED ON DRAWING. 4.REMOVE AND DISPOSE OFF-SITE ALL KITCHEN APPLIANCES. GENERAL NOTES: 1.FURNISH KITCHEN CABILETS(ALT BID"3) 2.INSTALL KITCHEN CABINETS. 3.INSTALL ALL NEW KITCHEN APPLIANCES 4.INSTALL KITCHEN ENTRY FLOOR TILE&BACKSPLASH. ALTERNATE BID k3 NEW KITCHEN CABINET SPECIFICATION 1.FRAMELESS CABINET CONSTRUCTION 2.CABINET DOOR STYLE:SHAKER 3.ALL SOLID WOOD CONSTRUCTION 4.POVETAIL JOINERY 5.FULL HEIGH BACK PANELS 6.SOFT-CLOSE HINGES 7.ADIUSTABLESHELVING &UNDERMOUNT SOFTCLOSE DRAWER GLIDES 9.FACTORY FINISHED(LACQUER) ALTERNATE BIDe4 FURNISH&INSTALL UNDERCABINET LED LIGHTING ALTERNATE BID NS FURNISH&INSTALL EXHAUST SYSTEM FOR MICROWAVE ALTERNATE BID p6 FURNISH&INSTALL DEDICATED ELECTRICAL OUTLET FOR EXISTING REFRIGERATOR TO BE RELOCATED TO GARAGE GENERAL NOTES: 1.KITCHEN/ENTRY FLOOR TILE,KITCHEN BACKSPLASH TILE TO BE PROVIDED BY OWNER. 2.STONE COUNTERTOP BY OTHERS 3.PLUMBER TO INSTALL DISHWASHER 4.PLUMBER TO INSTALL NEW UNDERMOUNT SINK/GARAGE DISPOSAL 5.PLUMBER TO INSTALL WATER LINE TO REFRIGERATOR(ICE MAKER) (ALT BID N 7) 6.PAINT KITCHEN CUSTOM KITCHEN CABINETS KITCHEN CABINETS INSTALLATION CUSTOM KITCHEN BENTCH ELECTRICAL WORK,PLUMBING,DEMOLITION,TILE INSTALLATION AND PAINTING LABOR AND MATERIALS INCLUDED Subtotal Taxable Ta%rate Taz due TAX Terms: othe, - 50%to start the job and 50%when the lob is done. TOTAL Make all checks payable to: Tapia Home Improvement LLC MIGUEL A TAPIA If you have any questions about this estimate,please contact Miguel A Tapia,(914)882-6202,tapiahomeimprovementllc@gmall.com Thank You For Your Business! Building Permit Check List&Zoning Analysis Address: 5 SBL 7&.—�� C : Zone: Use: Co t.Type Other. Submittal Date: (D Revisions Submittal Dates: Applicant: 11I l—l.- L C--� Nature of Work t7 \Z_! �j _ti1 C Q �-Z O 11� Reviews:ZBA: J U N 13 2072 PB: BOT: Other. OK ( ( ) FEES:Filing. BP: —�C/(�: Flood Plane: Legalization: ( ) ( ) APP: Dated otarized: ✓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: ( ) ( ) LANS:Date Stamped Sealed Copies: Electronic: Other. ( ) ( License: Workers Comp: iabL�ility '-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 ExrsnrrG PROPOSED NOTES APPROVED Ar Ik,le Fie: Front: Front: Sim: fir. Main Cow. Accs.Coy- Ft.HS : S .H Sb: S�Fa Tot,In : Ft.Im Par Hight/Stories notes: N7r; 1 ��(i�a)# 6 � i,. `� - a', ���'�rs >���i�i fi��.i�Lr?Y at�':t����!. 1i'✓� � �'�'1. � `` 1 � «��� qw L u le f ►^^+ J w w o c a >i�i�pi# ,> w •ice w s OklleciiotiLO C C� Z Q to ti c ii► w o L o r y <irs>k O W � a C a x CD � W i i • tC y � � -� � D AC"Ro CERTIFICATE OF LIABILITY INSURANCE ATE(MMIDD/YYYY) `..i 06/07/2022 THIS CERTIFICATE I SS ED AS MATTER OF IN OR A 10 NL N CONFERS NO RIGHTSUP-ON TREE 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 NAME: HISCOxInc. PHONE (888)202-3007 NC No: 520 Madison Avenue -MAIL - - 32nd Floor ADDR contact@hiscox.com New York.New York 10022 INSURERS AFFORDING COVERAGE NAICM INSURERA: HISCOX Insurance Company Inc 10200 INSURED INSURER B: _ TAPIA HOME IMPROVEMENT LLC INSURERC: 159 HIGHLAND ST. 1 INSURER D: PORT CHESTER,NY 10573 INSURERE: 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 TYPE OF INSURANCE AD L S POLICY EFF POLICY EXP LTR POLICY NUMBER M MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 CLAIMS-MADE �OCCUR DAMAGE TO NT D PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A P100.023.273.3 01/02/2022 01/02/2023 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,000 X POLICY PRO- ❑LOC PRODUCTS-COMP/OP AGG E 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Par accident E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION E WORKERS COMPENSATION STAT TE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION VILAGE OF RYE BROOK 938 KING STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RYE BROOK.NY 10573 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©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 0 0 ^^^^^ 352610426 TAPIA HOME IMPROVEMENT LLC 159 HIGHLAND ST APT 1 PORT CHESTER NY 10573 � %% ZA SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER TAPIA HOME IMPROVEMENT LLC VILLAGE OF RYE BROOK 159 HIGHLAND ST APT 1 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2438 582-5 984581 03/01/2022 TO 03/01/2023 6/7/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2438 582-5, 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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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 T4 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:416472831 T�s1m *�n � mzTIM -4 W Z M< -i m x z �.t `i � N D Q� ZnNr� vOVmn� 7- p 17 COO? _ ` �j Zvi jrLL- N f TVI r N � i FZID Trt i tfit 0,X .n� —4' )L—J d � N 0 ---- t <r,i l �� fN A T m � I , ' ' , < - -{--- --� c- b m m zm Fc v' es �! \c�a t z 0 . . 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