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HomeMy WebLinkAboutRP22-025PERMIT # �- C/� ".b `DCP4 SECTION BLOCK LOT TYPE OF WORK BUD OWNERS CONTRACTO TCO # FEE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING ClRGH PLUMBING GAS SPRINKLER 0 ELECTRIC LOW -VOLT ElALARM AS BUILT 0 FINAL INSP i OTHER APPROVALS AMU Er;0T 3 .LQ/ 8 Lo/93 PB Q ��%S I ZBA OTHER ©4�.1 BRS Lrj tGL y;s Jv V . 19 Am (butuaenoaW 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 Michael j. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 30,2022 Gary Wengrofsky&Lori Wengrofsky 32 Talcott Road Rye Brook,New York 10573 Re: 32 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-5 Roof Permit#22-025 issued on 6/14/2022 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&hire Inspector /to VLUG " E BUILDING DEPARTMENT For office use only: PERMIT# �S 2022 VILLAGE OF RYE BROOK ISSUED: _! — a3 38 KING STREET,RYE BROOK,N>Ew PORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: ��/ S 6 PAIDlyi BUILDING DEPARTMENT ��"K .rtiehrook.t>rt� 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 •sstssssrssssssrsssssssssssrss+rtsssts+sssstt+sst+ttts+ssst+stststsststtssst+�s+\ssssstsssstsCs�r+ss+ssrs+srsttsstsstsssssssts Address: Occupancy/Use:&S tU Y)CAQ.Earcel ID#: , !Z IS Zone: p►a Owner: OJfXl t(O Address: P.E./R.A. or Contractor Address: Nsq Person in responsible charge: cootfQ Address: 3a Ci Application is hereby made and submitted to the Building pector 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: �^ �G- � t.,�nc S being duly sworn,deposes and says that he/she resides at J��G'l.\C'(Y� not N,une of )licant) 1 (No-and Street) in �a Q�(��\L in the County of �Ne SAGc6(?S«Jl �`��, p in the State of ,that (C rtci fo��ni Villaeel 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:S O O y for the construction or alteration of 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 �ul�jJ, 20 GG day of 120 Signature Property Owner Signature of Applicant J ch Print N f/Property wrier U Print Name of Applicant v/ r' NetaryPublic L RI WENGROFSKY Notary Public NOTARY PUBLIC-STATE OF NEW YORK No.02WE6393042 �'12;-I"l-I Qualified in New York County My Commission Expires 06-10-2023 �yE BR(�� �m Q�i F o 1 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR / SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK 4"❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :- 7ci a4, �oa(--3 DATE: PERMIT# �� ISSUED: I4V-SECT: LOCK: LOT: LOCATION: e- �od� s 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 ,ply FINAL ob OTHER a a a M a N N N ° o Gry � o v A" tn N w LF) ON O a v v bA E O 00 O z Lr) H Ln Lr) O A =Q _ "Aas °Ln y v U Q+ O a� z AQv � di A / ICI I'~y V .t" •L E _ L-now° v f� o - Q ,. 1I M� V1 M o M O w � Q. u x o � .� � -; � V _ ^ Ln �L.y, ° ass. a U 'r ( x S N! e a d Z o00 v a c, W w a o o � aow0 z z x 2q o `nb .. : v e o z Cc: 0 6 41 0 a o CHI _ V z U w G o on H g w c cu C7 0 z O N c� W F, © C •� � z : BUIQOFRYE ENT VIOK JINN 13 2022 938 KINGNY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY:Approval Date: Ju� 3 �n72 rmi — Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Vase# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ^7 r / Application Fee: I Permit Fees: r ROOF PERMIT APPLICATION Application dated: dt�o_2 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. Job Address: 32 Talcott Road,Rye Brook,NY 10573 SBL: a'_35.5y- 1- 5 Zone: Property Owner: Gary Wengrofsky Address: 32 Talcott Road,Rye Brook,NY 10573 ' Phone#• 917-952-3235 Cell#: 917-952-3235 email: gwengrofsky@vedzon.net 2. Applicant: Gary Address: Wengrofsky 32 Talcott Road,Rye Brook,NY 10573 Phone#: 917-952-3235 Cell#: 917-952-3235 email. gwengrofsky@verizon.net 3. Roofing Contractor: Infinity Roofing and Construction Corp. Address: 12 Frederic Street,Nanuet,NY 10954 Phone#: 845-587-0193 Cell#: 845-587-0193 email: infinityroofingcorp@hotmail.com 4. Job Description,list all Methods&Materials: (1)Remove and replace roof,including all necessary underlayment(ice weather shield and Tiger Paw Felt),flashings(aluminum drip edge,ridge caps and ridge vent)and copper chimney flashing.New shingles will be Timberline GAF Algae resistant shingles in Pewter Gray.(2)Replace existing skylights with Velux brand,fixed skylights. 000 5. Estimated Cost of Job:$ $23, (NOTE:The estimated cost shall include all site improvements,labor.material,scaflolding,fixed equipment,prol'essional fees.and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: NIA 7. Construction Type: Exterior Roof NYS Construction Class: Roof 8. Number of stories: Two Height:30' 9. Is garage being re-roofed:No:{ )•Yes:(x)Attached No:( }•Yes: (x)Number of Cars: Two 10. Is roof peaked,hip,mansard,flat,etc: Peaked 11. Estimated date of completion:Week of July 11,2022 -i- 11/1212021 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: Gary Wengrofsky , 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 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 134 11) day of �V(�-� , 2022 day of�U Yl� , 2022 hz� 7v 1� Signatur f rope yOwner Signature eApplicant Gary Wengrofsky Gary Wengrofsky Print Name of Property Owner Print Name of Applicant k�� .Aa3 t ( Notary Public Notary Public LORI WENGROFSKY NOTARY PUBLIC-STATE OF NEW YORK No.02WE5393042 Qualified in New York County My Commisslon expires 06.10-2023 -2- 8/12/2021 Talcott Woods Home Owners Association OFFICE USE Rec'd By Date REQUEST FOR ARCHITECTURAL COMMITTEE REVIEW Document Check List Survey/Plot Plan Specifications Date June 8, 2022 Bldg. Plans Permit Mr./Mrs.: Elevations Photos Lori and Gary Wengrofsky Details Other (noted) Address: 32 Talcott Road, Rye Brook. NY 10573 Phone No.: 917-757-5702(Lori)/917-952-3235(Gary) Replace roof and skylights (including all necessary underlayment, flashing, etc.). New shingles will be Timberline GAF Algae resistant shingles in Pewter Gray. Skylights will be Velux brand, fixed skylights. Cpntractor: Infinity R ofing and Construction Corp. HOMEOWNERS AFFIDAVIT Address: _12 Fredric Street Nanu t NY 109 4 I have read the covenants and restrictions of my Associations and agree to abide by such covenants and restrictions. No work Cert. of Insurance certificates and license attached will be commenced without the approval of my Association. Date: June 8, 2022 Signed: Please check with Village of Rye Brook for Building Department Approvals FOR ASSOCIATION USONLY Approved by Homeowners Association Preliminary Approval Subject to Review Insufficient Information Submitted- Resubmit Not Ap roved pro d with the Ilo ConditionstJ`� �,P�n�IA �� �� I hairp rson, Architectura R iew ar _ Date: � +tee, _ � �' : tom" rYr L• A,fr' '.'hM i' no ''�.,� t;���t(t� � *4. — -- + • 1 F� I� � L �''T6 4am r/ U s,«iw) 04 LIP?� a .�✓ram% IW •1.., �- CJ r � I Ir .. •� �Cllor) Lo Pop, COL iAl ., d 2 edao 1 a• �' . c1� Syr } ,J pi Now sp Ai- _ _ `^ CIO LA �1) l Il -ram I .r :;i�Z...� Tli�n,w����i?\i•...I Ja' r. ,,,j,�.Iltl�J =fs-�ij+'j,�rst•� •'' A)► ,+,�ty'•4`,T�(�•�( /} t\1. tr �+�,�t��61 ��((1/ ',° fl+ti j /(� (��•�� t1�111�,1' {r (.`lti `{�,�!JJrll��,, � [♦ter ;lt // •J' ��� (�j���� �,i��ftA�t •t�l�j�����.,1r��f�Ai•. �����`,. A �f ,�,�,Y• Y`lAAl;t •(����. .`��{. .�� T.���A1jiT•,�^wry.'t I)lfw"r11 INFIN-3 OP ID: DANI CERTIFICATE OF LIABILITY INSURANCE DATE 04/21/2022 , �• oaizv2oz2 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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsements . NAM PRODUCER co". EIDMAN AGENCY INC. EIDMAN AGENCY INC. 146 ROUTE 303 SOUTH He no.E,m 845-353-4940 F N,:846-368-8205 WEST NYACK, NY 10994 E-DWL ADDRESS: -- _INSURER(S)AFFORDING COVERAGE NAIC f INSURER A:ATLANTIC CASUALTY INS.CO. INSURED INFINITY ROOFING& INSURER 8: CONSTRUCTION CORP. 49 OLD MIDDLETOWN ROAD INSURER C _ NANUET, NY 10954 INSURER 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. WSR I ADDL SUBAPOLICY EFF POLICY EXP LTR I TYPE OF INSURANCE POLICY NUMBER MIND LEM A X COMMERCIAL GENERAL LIABUTY EACH OCCURRENCE f 1,000,0001 cLAersMADE ToccuR L068026724-1 04H6/2022 041I6/2023 DEMISES E„a„rann f 100,00 MAD EXP(Any or*person) f 6,00 PERSONAL&ADV INJURY f 1,000,00 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,00 X POLICY❑JECT ❑LOC PRooucrs-COMPIOP AGG f 2,000,00 OTHER is AUTOMOBILELIABRJTY COMBINED SINGLE LIMIT f a goad ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per aocldeN) 3 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS f UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMSAIADE AGGREGATE f DED 1 RETENTION f S WORKERS COMPENSATKM AND EMPLOYERS'LIABILITY YIN STATUTE R ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA EL EACH ACCIDENT f CL OFFICERIMEMBER EXUOED? (Mandatory in NH) EL DISEASE-EA EMPLOYE S "yes dstrnbe Under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LINT 1 S DESCRPTION OF OPERATIONS I LOCATIONS I VEMCLES(ACORD 101,AdMonal Remark.Sdwdule,may be aMKt d If more space Is regWrW) CERTIFICATE HOLDER CANCELLATION VILLRYE 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 AUTHORIZEDREPRESENTATrvE RYE BROOK, NY 10673 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD NYSIF Now York State Insurance Fund PO Box 66699.Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 824785046 EIDMAN AGENCY INC 145 ROUTE 303 SO �' s "o WEST NYACK NY 10994 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INFINITY ROOFING & VILLAGE OF RYE BROOK CONSTRUCTION CORP 938 KING ST 12 FREDRIC ST RYE BROOK NY 10573 NANUET NY 10954 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2568 752-6 857429 04/24/2022 TO 04/24/2023 4/27/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO 2568 752-6, 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 FIDEL LOJA OF INFINITY ROOFING&CONSTRUCTION CORP ONE OF ONE 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 SU NCE FUND 7 41/ DIRECTOR.INSURANCE FUND UNDERWRITING VALIDATION NUMBER 1062721361 U-26.3