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HomeMy WebLinkAboutRP22-024PERMIT #t4C DATE: 4h3ho SECTION _/ cz TYPE OF WORK JOB LUUAIIU OWNER CONTRACTORZ INSPECTION RECORD 1 DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING E D RGH PLUMBING GAS SPRINKLER ELECTRIC ED LOW -VOLT 0 ALARM AS BUILT 0 FINAL OTHER APPROVALS OTHER ARB BOT PB ZBA ,- C`tiL�V� +yam CCU . 19 406 amdumaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbur,y www.lyebrook.or TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE June 28,2022 Polly Stella-Turner 197 Ivy Hill Crescent Rye Brook,New York 10573 Re: 197 Ivy Hill Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-16 Roof Permit#22-024 issued on 6/13/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to ED D E C E ' " R For office use only: BUILD ENT PERMIT# aa-oo J U N 21 2022 VIL OF RYE OK ISSUED: (o 3-aoaa 938 KING STRE YE BROOKi YoRK 10573 DATE: 'a ( -aa�a VILLAGE OF RYE BROOK ] 9 �0 O`c FEE: ( PAID BUILDING DEPARTMENT 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 kit►444t4rtik4k4k4444t►►►■4tttk444tk4tti•i►444iiiLiii44ii444t44iit►4itiiii4tFi►iii•ittittttt►iiiitii►i►►kits#44tt4i►t4i►►iiiii Address: (q'7 T VY H I Ij CrcaSce n 9VC_ ,9(,o K /A)y i 05D3 Occupancy/Use: Parcel ID#: — tl— 6 Zone: Owner: Po I V S 4e Ock TL t r oe" Address: I OI L TV I I CrtfQ A+ gve, Qt j:)K Py (uS jj P.E./R.A. or Contractor: Dot,tOe R All Nm-e 1-t►i)OWMess: y39 WiI1e4+ Avg Puf4- ChejJef NYt('j_�3 Person in responsible charge: h��y� C u.C C,o t-"O 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 YOM COUNTY OF WESTCHESTER as: 1)d((� Ly rye,/ being duly sworn,deposes and says that he/she resides at 197 --T 7 4i C(�je-f4 t- (Pri t Name of Applicant) I (No.and Street) in (ya d)< in the County of uUe�c1.e,.s4e-r in the State of ,that (City/Town/Vlllagc) 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:$ 9, D O d► U o for the construction or alteration of: t A 0 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 -5(-, 20;1�_ day of ��h , 20�� Signature of Property Owner Signature of Applicant I�� �fAe�i9�a- Pnn�t'Jdame £Property O�wnerr Print Name of Applicant N(Rgy Public NilPublic ANNA KIELBASA NA KIELBASA VOTARY PUBLIC-STATE OF NEW YORK 'VOTARY PUBLIC-STATE Cirji yDRK 8/12@021 No.01 K16378519 No.01 KI6378518 Qualified in Putnam County Qualified in Putnam Ay Commission Expires 07-30-2022 'Ay Commission Expires 0 30t2022 oe Bkjj '9n2 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 : , `� `�1 C �e ���-DATE: PERMIT# ISSUED: fo ECT: LOCK: I LOT: LOCATION: \ o OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... -e ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION W 1 REQUIRED ❑ FOOTING ►V ❑ 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 'Tr M �° = Nell O C eqCA L �0 • 0 O e 40 100 a p �i-71 Lr) QLn cq C7 N p ° 41 ecn 0 CN 00 CN ce r--� z � a � W x o �i � � •� a � C!� O W A - ° 41 e ��rt zZb1v Ecn - y 0 cO T a 1-1 ^ 0.4 c� a MTI P; z Q W a H o +� z a Q �, Q cn 0 Q U 0 o o an I o V U z W O O � :Y 7 a W m Q) o � BUILD MENT CM��E VI E OF RY OK D 938 KING ET RYE BR NY 1057 'uN " $ ZQ22 4) -0 .r VILLAGE OF RYE BROOK FOR OFFICE USE ONLY: Approval Date: J UN 2 Permit At Application# Approval Signature: ARCHITECTURAL REVIEW B Disapproved: : Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: / Application Fee: b� 4� ermit Fees: :j a ROOF PERMIT AP LIGATION Application dated: d a+ 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. r 1 ")3 ,r 1. Job Address: �-I� _! U 1 1 1 Cr cz m ��'S�uJ p l SBILv:ry I 0_1 .T�1� - Zone: Property Owner: v 11 ff ot -Tvlr✓7er Address: 1912 Tyx H;11 C►Men+ 'e Qruol<'/)k ro Phone#: s� f`� }} �� Cell#: email: i��I I y. n,1le �d r�7q��C.p�-' 2. Applicant: Po �j1/ 5-7G 1 CA 7L r ne"'­ Address: I91) 1 yy!j, 11 C W CeW 1t y-e l70,) R y Phone#: �J �� ' a —0 9�Cell#: ai: ;vt n a 9 ruin;� co f�9 3 3. Roofing Contractor: o o L,b 1,P. l? A 6 rnp. Address:g,9 W1 i kit 14ye- P�jr+ IS�/U y Phone#: '7o_�'r)9 Cell#: email:�T���1il1"f ���f'77L�_°llnct:/ 1 qs� -, 4. Job Description,list all Methods&Materials: R' oVy i2islintA rvA. nJ F-S °11�tir� r % (� OhJ Ct3rn�n 5�-►�'n �@. f-0u-V S�VC r� ��nrkpC,dcaf'.( �iO4_ �;oc on C, li'mjteV, UfiCe, int�t C�, �o(i� 0 srngt�517ey 5. Estimated Cost of Job:$ (/J 0 y'© (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.) b. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: C Height: 9. Is garage being re-roofed:No: Yes:( }Attached No:(4•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 1 aQ 11. Estimated date of completion: 4- 8/1212021 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 WESTCHESTER ) as: t"LI&L 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 GA j C n f 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. Sworn to before me this n4� / Sworn to before me this day of J �,ne, , 20� day of ��n 2. , 20 -Q Sigature of 10roperty Owner Signa a of A p cant Print Name Name of Property Owner Print Namb of Applicant lA6tary Public /Notary Public ANNA KIEL13ASA 'OTARv PURL K'F�$p5p !VCSTA'AY PUSLIC-STATE OF NEW YORK BL"7,SIAT E OF NrW YORK No.01 K183-78519 clfjalif4® Ul KtF'37g519 Qualified in Putnam County " r"mrn,G$j�h Putnam County My Commission�Expires 07-30-2022 Exp,re$07 30 2022 -2- 8/1212021 LICENSE NUMBER 1111111111111111F "THE ORIGINAL Family Owned And Westchester W H19 DO U B LE Connecticut 0055625556256 Operated Since 1960 All Home Improvements EST. 1960 ® 439 Willett Ave. Port Chester, N.Y.10573 Tel#(914)937-4279 Fax(914)937-4172 http://www.DoubleRwindows.com Polly Stella Turner May 16,2022 197 Ivy Hill Crescent Rye Brook NY 10573 516-287-0956 i)ollv.niven(�amail.com Insurance: All work involved within the following proposal is covered by Workmen's compensation,Public Liability,and Completed Operations Insurance. Roof Contract Labor and material for the following • Remove existing roof from entire house down to the deck. • If any additional rotted plywood is found it will be an additional cost. Cost to be determined. • Supply and install two rolls of ice and water shield over the eaves and one on the valleys. • Install an Owens Corning Pro armor synthetic Base sheet on remainder of roof in place of tar paper. • Install all new F- 5 white aluminum drip edge around the entire perimeter edge of roof. • Install the new Owens Corning Duration lifetime architectural asphalt roofing system with the sure nail technology system in the color of your choice • Supply and install new copper flashing on the chimney. • Price includes the roof on the shed. • Supply a container in driveway to cart away job related debris • I am a preferred certified Owens Corning Dealer you will get the extended 10 year labor warranty. Terms: Painting,and windows cleaning to be done by others.Hidden rotten wood not included. Standard industry cash term,one half with the order,balance due upon completion. Terms may be modified to meet special conditions. Past due balances are subject to a monthly service charge of 1 1/2%(18%per annum). If the account becomes delinquent,we agree to pay any legal or collection fees expended by Double"R"arising from collection of the account.Permit&Application fees not included.Due to the fluctuating prices in plywood,we reserve the right to adjust price. Double"R"is not responsible for reconnecting existing alarm systems on windows and doors. You the owner may cancel this transaction at anytime prior to midnight of the third business day. After the date of this transaction,such Cancellation must be made in person,at the offices of community improvements,or in writing postmarked prior to the fourth business day.We accept VISA or Mastercard with a 3%convenience surcharge on total amount being charged. Acceptance: The above prices,specifications and conditions are satisfactory and are accepted. Double"R"is authorized to do the work as specified. Contractor Performance Warranty: Double"R"proposes to famish and install labor and material in accordance with above specifications in order that the above qualifies for the Manufacturer's long-Term Warranty. In addition,all labor provided by Double"R"is unconditionally warranted for a period of Two years from the date of installation. Approximate Start Date:4 TO 8 WEEKS Approximate Completion Date: Customer: $9,800.00 (Amount) Date: 6% (Sales Tax)0 Double "R'% $9,800.00 (Total Amount) Date: $4,900.00 (Deposit) $4,900.00 (Balance Due Upon Completion) Return original contract to Double"R", retain a copy for your records. Visit Our Showroom Located At 439 Willett Avenue Port Chester, N.Y. 10573 t CV N i C O cz AM L O V/ � O IL 7 J � WC L L C w w � Z •• > Z Ll1 C.) a jwilli.r t� = w co X •X z S Q CQ Er offl cz L�, 3 f«.» c y z � v. I r� C v 3 ya 0 t A��® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/27/2022 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 Gerard Seward NAME Borrelli Partners Insurance Agency PHONE (914)939-7900 FAx (914)407-5088 A/C No Ext: A/C,No): 287 Bowman Avenue E-MAIL ADDRESS: Suite 406 INSURER(S)AFFORDING COVERAGE NAIC# Purchase NY 10577 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B ARC Home Improvements Corp. INSURER C: 439 Willett AVe INSURER D INSURER E: Port Chester NY 10573 INSURER F: COVERAGES CERTIFICATE NUMBER: 22-23 MSTR 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 AUUL15Ut3R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 1001000 MED EXP(Any one person) $ 5,000 A 3AA550197 04/01/2022 04/01/2023 PERSONAL&ACV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X PRO- POLICY ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 ❑JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOWPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 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 included as additional insured when required by written contract. 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 Street AUTHORIZED REPRESENTATIVE Port Chester NY 10573 ,_f �� — — ©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 ^^A^^^ 133940830 t MARENCO INSURANCE AGENCY INC �y ��•, 2525 PALMER AVE SUITE 1 F � r NEW ROCHELLE NY 10801 ❑ �aL SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ARC HOME IMPROVEMENTS CORP VILLAGE OF RYE BROOK DBA DOUBLE R ALL HOME IMPROVEMENTS 938 KING STREET 439 WILLETT AVE RYE BROOK NY 10573 PORT CHESTER NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2358 628-2 876874 04/16/2022 TO 04/16/2023 5/112122 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2358 628-2, 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 FRANK J VERRASTRO TREASURER RALPH CACCOMO ARC HOME IMPROVEMENTS CORP TWO 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 STAT SUR NCE FUND T DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 864645330 U-26.3