HomeMy WebLinkAboutDP22-005PERMIT #L)8
sc>�oc DATE: 77 )4 as p(p; .L,/ 43
SECTION o� 9. �'z/ BLOCK LOT
TYPE OF WORK !1is iQ QC!e � vl 'Tv 2k7///1/ Y7ec/r S ptooraye
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EST. COST 49 FEEwZ
VCO # Cie Y FEE`��O�D DATE
TCO # FEE DATE
INSPECTION RECORD
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FOUNDATION
FRAMING
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INSULATION
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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
July 26,2022
Beth Liebmann
43 Greenway Lane
Rye Brook,New York 10573
Re: 43 Greenway Lane, Rye Brook,New York 10573
Parcel ID#: 129.84-2-32
Demolition Permit#22-005 issued on 7/14/2022 to Demolish Finished Storage Space &
Return to Unfinished Storage
This certifies that the finished storage space,demolished under the above captioned permit has been
satisfactorily completed.
Sincerely,
Michael J. Izzo
Building,&Fire Inspector
/to
D IDi ���33 For office
BUILDIN64&E -tTMENT PERMIT# use onl oa5--
JUL 2 5 2022 VILLAGE OF RYE BROOK ISSUED: -
938 KING STRE]CT,RYE BROOKS NEW PORK 10573 DATE: -a, -da
VILLAGE OF RYE BROOK (914)939-0668 FEE: ,& //0 - PA JI
BUILDING DEr?,RT1�_. ! MM,rX*br991Lorg
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
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Address: �J l/
Occupancy/Use: C G�}� arcel ID#: A)9 r 7 �— c�- Zone: PIAL
Owner: ��� C"Y a o Address:
P.E./R.A. or Contractor: I7 e- j?-e— Address:
Person in responsible charge: ('D Ab2 -L-> 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: -1 ��-' �� 0 z �-
{�� L""�0 MQ n 0 being duly swom,deposes and says that he/she resides at L -4 &cam ct � cti�
(Print Name of Applicant) (No.and Str t)
in 1Z c tS AQ,UC ,in the County of in the State of V ,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 equipmentprofessional fees,and including the monetary value of any materials and labor which may
p
have been donated gratis was:$ /L0 0
for the construction or alteration of: C .Sf C
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 9 S Sworn to before me this
day of ,20'),a day of , 20
Signature of roperty Owner Signature of Applicant
t Name of Property Owner Print Name of Applicant
Notky Public Notary Public
SHARI MELILLO
Notary Public,State of New York
No.OiME6160063 8/12/2021
Qualified In Westchester County
Commission Expires January 29,20�
�yE BR(Zj�.
O� Z�
1982 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: q
"�J v`, L� DATE: O�Oi
PERMIT# ISSUED: 7 I SECT: BLOCK: LOT:
LOCATION: , OCCUPANCY: Z
❑ 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 I e\• ''
❑ NATURAL GAS (L�r�V V y i \-
❑ L.P. GAS �--
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL y V `�C_ C'-�'�� �QaC1�V fn
•"❑ OTHER
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BUILDING DEPARTMENT D � l �'� Du`TILLAGE OF RYE BROOK
J�938 KjNG STREET RYE BROOK,NY 10573 1 3 2Q22
(914)939-066$ VILLAGE OF RYE BROOK
www.ryebrook.orQ. BUILDING DEPARTMENT
DEMOLITION PERMIT APPLICATION
FOR OFFICE USE ONLY:
Approval Date:JUL 13 2027 #• Application Fee: $
Approval Signature: Permit Fees:$ 1400 `+blJ&-
Disapproved: Other:
Alz
Application dated: 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 sting building,or for a change in use,as per detailed statement described below.
1. Job Address: q,3 _ t`Q_ I�$�L SBL: /�7i Q 7 o zone: Pub
2. Proposed Demolition.(Describe in detail): roe_YYlpye-- Q-44�e
WCJA
i 1 crap cx L 15 Qk ((�' ; rsQ Cac� VCts 1 r't 0� ►cal �,�'
3. Property Owner:F�\ L i e bCDoA n Address:
Phone# •2 (0 C5"7 Cell# SC-jt M.AL-- email: . nk*-
Applicant: �j6e L,E'` r, lAryO Address: ? 15vD�a
Phone# -4( , Cell# Qf+hQ Qj" -, QbOkg- email:
Architect/Engineer: _ Address:
Phone# Cell# email:
General Contractor:scu- el Ig 1MS (:Pd%tss: P-vl-;�, eam
Phone# Cell# yj173 ` email: k 1-'--' � Q
cw
4. Estimated cost of construction $ � �P4
(NOTE:The estimated cost shall include all laborl0material,scaffolding,fixed equipment,professional fees,and matenal and labor which may be donated
gratis)
5. Type of construction:(wood frame,masonry,steel,etc...)
6. Method(s)of Demolition: IA-
7. Number&Location of Fuel Oil
Tanks to be Removed:
8. Number of Stories: P 1 A- Height to Hi hest Rid I To Highest Chimney:
9. Estimated date of completion:
I
8/12t2021
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.
STATE OF NEW Y M COUNTY OF WESTCHESTER ) as:
Dew 1,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
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.
Swom to before me this i 7 Swom to before me this
day of t u� ,2027, �aay of 20
Signature of Property er Signature of Applicant
-58A-, L t cb rn,�r-Y1
Print Name of Property Ciwy� Prins Name of Applicant
No ary Public Notary Public
SHERIS PADERMACHT
"0VM PUBLIC,s7ATE OF NEW YOM
Mo.01PA5035809
Oualifiad in Westchester
My Comtniasion Laps No+r.1�. -
sn2)2021
BR(��
193
VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR
Joan L. Feinstein (914)939-0668 • Fax (914) 939-5801 Christopher J. Bradbury
www.ryebrook.or4
TRUSTEES BUILDING& FIRE
David M. Heiser INSPECTOR
Toby S. Marrow Michael J. Izzo
Jeffrey B. Rednick Paul S. Rosenberg V10LA T ` "{I 'r- 0
' f� .a r R" I ED
bys June 7, 12
Beth Liebman Via Certified U.S. Mail
43 Greenway Lane
Rye Brook,NY 10573
Parcel ID#:129.84-2-32
Re: Finished Third Floor
Dear Rye Brook Property Owner,
It has come to the attention of the Building Department that your single family dwelling located at the
above captioned address may contain a finished third floor. After conducting an exhaustive search of
Village of Rye Brook and Town of Rye files,we can find no record of a permit or certificate of
occupancy for this improvement.The Building Department considers this condition a potential life-safety
hazard that requires your immediate attention.
Please note that the building records on file show that none of the units in the Arbors Development were
originally approved for or constructed with a finished third floor As a result,permits are required for such
work. Whether the third floor was finished by you or by a previous owner,the legalization process must
be completed by the current owner of record.
Please contact the Building Department immediately at, (914) 939-0668, Monday through Friday, 8:30am
to 4:00pm to schedule an inspection of the premises to confirm or refute the existence of the finished third
floor, and to initiate the legalization process if applicable.
Be advised that failure to contact the Building Department within ten(10) days of receipt of this notice
will result in legal action.
Thank you for your cooperation.
v l
Mic Izzo
Building&Fire Inspector
mi zzoCa)ryebrook.org
cc: Christopher J. Bradbury, Village Administrator
Steven E. Fews,Assistant Building Inspector
l 1 Building Permit Check List&Zoning Analysis
Address `� ` `' L a N SBL: 1
Zone: Q. .n Use: z Const.Type: -_V_4S Other.
Submittal Date: --I`\ Ll Revisions Submittal Dates:
Applicant: L
Nature of Work: V--N N \S� C, Q �jC�_ (LQ- �Cl
v`l NN\,-�ne _ QIe�oye & W�11S
�- ( 0 1
Reviews 23A \z-Z PB BOT• Other.
NEED OK
( ) ( ) FEES:Filing. BP �� '� '/O Flood Plane: Legalization:
O ( )--APP: Dated: Notarized: SBL: — Truss I.D. Cross Connection H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone 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.
( ) ( ) PLANS:Date Stamped: Sealed Copies: Electronic Other.
( ) ( ) License Workers Comp: Liability Comp.Waiver. Other.
( ) ( ) CODE 7S3#: Dated. N/A;
( ) ( ) HUGH-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:
REOLTUD EXISTING PROPOSED NOTES
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KMICONT-01
ACORO CERTIFICATE OF LIABILITY INSURANCE 4/412 DATE OA"IY1)
_ _ _ ara�2oz2
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(les)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 endorsements .
PRODUCER MIACT Jennifer Rosenberry
McCartney&Rosenberry,Group Inc. PHONE 014 693.3500 2201 PAtt !14 003.3080
477 Ashford Ave (EA./MC�,No.ftA.( ) _ IAIC,N*(
Ardsley,NY 10502 ADDREsjm n�y& 'ry• _--_—
BOINIEROI APPORDBW COVERAGE _ yg 0 _
INSURER A:SOuSnmd Marine A General
INSURED INSURER B:
KMI Contractors Inc INSURER C
1511 Rt 22 Suite 161
Brewster,NY 10509 INSURERQi_____
I NSU RER E
INSURER F:
COVERAGES C MBER: 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.
ILTR NSR TYPE OF INSURANCE POLICY NINOBR POLICY�f LMtna
A X COMMERCIAL GENERAL LIAIILITY 1,000,000
CLAIMS-MADE X OCCUR X GL2022RLHOO141 Y3011= 3==n TORENt>D 1001000
MED EXP Wiv Dee omm 51000
PERSONAL&ADV INJURY 8 100000000
GGEEINL AGGREGATE LIMITAPPLIEA PER: GENERAL AGGREGATE 2'000'000
H POLICY❑Jar ❑LOC - -- 2,000.000
PRODUCTS-C011fa/OP
WHIR, 6
AUTOMOBILE LlA@aJ Y COMBINED
iBINE rDiU SINGLE LIMIT I ANY AUTO BODILY INJURY r a
OWNED SCHEDULED BODILY MLRJRY
AIU�NE ONLY AUTOSSCHEDULED
Ep p
!AUTOS ONLY AUTOS ONNIY POrO�
UMBRELLA LAB OCCUR
EACH OCCURRENCE
EXCESS L1AB _jCCWMS-MADE CRATE
DIED RETENTIONS
WORKERS COMPENSATION
AND EMPLOYERS'LWILITY YIN
ANY PROPREIETgO�RqMARTNER/EXECUTNE I E.L.EACH ACCIDENT
OFinCdiMry 1n NH)EXCLUDED? NIA —
,HMy n d>ct urea' E.L.DISEASE-EA EMPLO
DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101 AddKlonal Remark.Schedule, be artaehed N more apace Is required
The certiflcate holder is Included as additional insured;Ah-respect to general Ilabill per form number CG2012(attached),
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Village of Ryebrook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
938 King Street ACCORDANCE WITH THE POLICY PROVISIONS.
Rye Brook,NY 10573
AUTHORIZED REPRESENTATIVE
ACORD 25(2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NYSIF
New Yo.k state nsurance Fu-o PO Box 66699,Albany,NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ftI'bw
^^"^^ 562512764
MCCARTNEY 8 ROSENBERRY GROUP
DBA MVR AGENCY
477 ASHFORD AVE
ARDSLEY NY 10502 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
KMI CONTRACTORS INC VILLAGE OF RYEBROOK
1511 RT 22 SUITE 161 938 KING STREET
BREWSTER NY 10509 RYEBROOK NY 10573
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2341865-0 776475 08/15/2021 TO 08/15/2022 4/4/2022
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2341865-0, 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.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
SALVATORE PEPE
1 OF 1
KMICONTRACTORSINC
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.
THIS POLICY IS CANCELLED EFFECTIVE 04/13/2022.
NEW YORK STAT SU NCE FUND
T �V
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER:294844517
U-26.3