Loading...
HomeMy WebLinkAboutRP22-026PERMIT # � ��eo DATE: S a� EXP:L5 X a 3 SECTION 9,CO 7 BLOCK LOT'`' TYPE OF WORK 00,4C �I�i L/// %/il JOB LOCATION OWNER oJC CONTRACTOR B�EST. COST � 1/CO # n c.i ///7 42� TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT O INSPECTION RECORD DATE INSP girmilawro, WW 7 OTHER APPROVALS ARB BOT PB ZBA OTHER Qy� DR tt�4.�\aJJ V Ltt � Q 1�444 Vv� 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 July 17,2023 John Marino&Katherine Mario 6 Boxwood Place Rye Brook,New York 10573 Re: 6 Boxwood Place,Rye Brook,New York 10573 Parcel ID#: 129.67-1-23 Roof Permit#22-026 issued on 7/5/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D EC IEN17 BUILD `flER`ACRTMENT For office use onl PERMIT# c�- JUN 2 9 2023 vII, OF RYE$ 4OK ISSUED: - 938 KING SIRE YE HROOK,��iE YORK 10573 DATE: •- 9-mi VILLAGE OF RYE BROOK 4),939-466;�7c_3 FEE: f/(� PAID BUILDING DEPARTMENT bro 1e.t 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 tilt ttilltt ttt`tt/ttlttthill ttl t/lit ... ...........................titl..i.......tttttttttlt//lit//l/tt/t/tttlt lift ililt/ Address: I w 0 k Le- Occupancy/Use: kQ t AC��� Parcel ID#: Zone: Owner: t•� xq�1 I�t p Address: P.E./R.A. or Contractor: ��V�`_V ctx, '-C�k o i�,"J Ate Address: 1l2 57 ft c r Hill Ilk 1` a�f^�(�- C1 Pelson in responsible charge. o�t,gv I ,o�-�2 Address: o 17 fly RAC Act, MDR t,-.( C7- 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 N '_W ORK, COUNTY OF WESTCHESTER as: 3�k _ t/I h.o being duly sworn,deposes and says that he/she resides at W kW lc,ce- (Print Name of Applicant) (No.and Street) in yQ 6 0-00 k ,in the County of -lY e�h(l,2(�e✓- in the State of that (Cityrrown/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:$ for the construction or alteration Of.. 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 28th Sworn to before me this dayof June 20 23 day of , 20 Signature of Property Owner Signature of Applicant John F. Marino Print �Name Qof Property Owner Print Name of Appl icant rT N•i.s �./iK� Notary Public Notarizea oninne a ication Notary Public w•"`—'".a�Oi A—hd Abael Rlchburg \ N� 8/12/2021 REGISTRATION NUMBER COMMISSION EXPIRES - ApN 30.2025 State of:VA, Prince William County QyE BRC��• o`` tim • �9°2 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 - - - - - - - - - - - - - - - - - - - - Q0"X 'a Vic, ADDRESS : i DATE: 1 PERMIT# l�a 1� ISSUED: rSECT: BLOCK: LOT: i LOCATION: �'"'ti" OCCUPANCY: �? ❑ Violation Noted THE WORK IS... KPASSED ❑ FAILED 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 N � � O qqq N Ln a '© w � A z � � o l � ■ �d N °CA ogg , M = `C O CL w O 00 s r � �+ W W Linen a ON Cx; w N o v 0- co � z � A A U � � �U V O O o� o c.. �1 o (� OS G1 �] z > A N104 Imo( 2 -5r O A Lam `. (j a V a o U w W z O W A b v O V Q+ O z Z 0 . A z Ln um, A U p�Q 0QC � °3a� Chi U ,* o to Q C o opt cqQ �� � 1^ O V o H o w bp g �v N O v u z � I' Iwo x (� A z O a cn y z c1! W [� W V A a z � �o •• a � w w H .N � v _ D t�, BUILDTMENT 1 V E OF R' OK I JUN 2 9 2022 938 KiNo ET RYE.BR ' ��NY 10573 L_ 4 r VILLAGE OF RYE BROOK '� BULDiNG PFPARTMENT **ww*ww*w*wwwwwww*wwwwwwwwwwww**ww*www**ww*ww*w*ww******w*www*ww*www*ww**w*w*w*****wwwwwwww*******w****w*** FOR OFFICE USE ONLY: l Approval Date: J UN 2 9 20122\je"4at# Application# Approval Signature: 04A ARCHITECTURAL REVIEW B Disapproved: : Date: BOT Approval Date: ase# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee n ' n PP � /��r,A Permit Fees: wwwwwwwww**wwwwwwwww**wwwwww*wwwwww***ww***ww*****w*wwwwwww*www�******wwwwww*wwwwwwwwww**wwwwwwwwwwwwwwwwww I�ROOF PERMIT APPLICATION Application dated:U�l^� -1 A's 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. J C 1. Job Address: { C X I c o(f� P1 Gt(� SBL: D9. 6 7—/c)S Zone://J Property Owner: �a F ov,+ `- v Address: Phone#: cI S 1 (1 Cell#: email; () h 6'QA✓I l~p fir. LO V— 2. Applicant: Address: Phone#: Cell#: email: 3. _ 3. Roofing Contractor: y ;�t c1/''� �;►-t ; r Address: J P' c1h I I Rd, I\(D✓wat C Phone#: I' -c 3�- b 6 7' / 6 Cell#: email: 0 G $S 7 4. Job Description,list all Methods&Materials: i fl oc . tit L- v c.,e-Fr l 1,S+G I I ' [tcU < v c+ 1 s JA Rv 1-r-� rat 4 ��r GVC •-� � t< 1t in (1 S y'<_� t 5. Estimated Cost of Job:$ o (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: 0i,� f,)v c V ewe,_j-::, NYS Construction Class: S. Number of stories: Height: 9. Is garage being re-roofed:No:, •Yes:C)Attacherdo: O•Yes: O Number of Cars: 10. Is roof peaked,hip,mansard,,flat,etc: 11. Estimated date of completion: A 4 r,L -1- 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 WESTCHESTER ) as: ,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)hc 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.d Sworn to before me this 1 Sworn to before me this 20 day of , 2© 7Si a e of Property Owner Signature of Applicant So�"I ACAJIU. c) Print Name of Property Owner PrintPrint Name of Applicant �& L` \=A LL Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.O1M E6160063 Qualified In Westchester County Commission Expires January 29,20�� -2- 8/12/2021 Laura Petersen From: Laura Petersen Sent: Wednesday,June 29, 2022 3:19 PM To: john@marinopr.com Subject: Roof Permit Application - 6 Boxwood Place Good afternoon, Per our conversation earlier, please submit the following items from your roof contractor; V 1 General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) �Z General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ipetersen(&rvebrook.org 1 Nor \ Pt_ �tN%._..� _ �. .gas, � I _ o y `1 e L co �, ca VIA` a O a � is E �+ U '° , . - }+ C U E n 000 o oiection .-a G rZA � '�"�" 1�• ELL z N s✓ i V � } y b Ln i ih to � r 44 ) e v o C f) T "i 0 v Z ch . �• 3 � C t � )(• �Rl�' 7n7ii oaa- �17Tir_. -1� /lq- p��� � 1 DATE Ml /DDIYYYY) ACORO� CERTIFICATE OF LIABILITY INSURANCE 8/4/2021 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 John M. Glover Agency PHONE Sarah G idoda FAX Insurance Services •203-956 2458 ,ram Ne:203-857-7848 P.O. Box 700 ADDRESS: sgjidodaj@jmg.com Norwalk CT 06852 INSURE S AFFORDING COVERAGE NAICS INSURER A:Arbella Insurance Group 41360 INSURED MAGAROO-01 INSURER B:Clear Spring Property and Casuatty Company 15563 Magana Roofing d Siding LLC 257 Flax Hill Road INSURERC:Atlantic Casual Companies 42846 257 Flax Norwalk CT 06854 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:588210949 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 LTR TYPE OF INSURANCE Wyn POLICY NUMBER MM/DD/YYYY) IMMIDONYYY1 LIMITS C X COMMERCIAL GENERALLIABRn'Y L311000059-0 7/29/2021 7/29/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE [X1 OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JE Q LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ r AUTOMOBILE LIABILITY 1020109661 7/22/2021 7/22/2022 COMBINED SINGLE LIMIT $1,000,000 accident ANY AUTO BODILY INJURY(Per person) S OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident IL E UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS I" CLAIMS-MADE AGGREGATE $ DIED RETENTIONS S WORKERS COMPENSATION CS-WK 000011782-0 7/29/2021 7/29/2022 X I PER OTH ~ AND EMPLOYERS'LIABILITY Y/N STATUTE ER 3A:CT/NY ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1.000,000 OFFICER/MEMBER EXCLUDED? Y I NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Magana Roofing & Siding LLC (203) 667-4836 257 Flax Hill Road 1c.NYS Unemployment Insurance Employer Registration Number of Norwalk CT 06854 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 45-3706395 2.Name and Address of Entity RequestiA Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Clear Spring Property and Casualty Company p BUILDING DEPARTMENT VILLAGE OF RYE BROOK 3b.Policy Number of Entity Listed in Box 1a" 938 KING STREET CS-WK-000011782-0 RYE BROOK, NY 10573 3c.Policy effective period 7/29/2021 to 7/29/2022 3d.The Proprietor,Partners or Executive Officers are ❑ Included.(Only check box if all partners/officers included) X all excluded or certain partnerstofficers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year aftir this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: John M Glover Agency (Print name of authorized representative or licensed agent of insurance carrier) Approved by: %a V. -k� 8/4/2021 1 (Signature) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: (800) 275-2766 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov