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HomeMy WebLinkAboutRP22-030400 PERMIT # / DATE: 'EXP: SECTION Z ,a ,76 BLOCK LOT .. TYPE OF WORK Boa LOCATIOn �``u11� of OWNER) .L.l�c I %53/ 1~ r / 3� �y CONTRACTORg�OZE�� GIr /JS G/CT/O/7 OS�'t' �L EST. COST FEE c� V*/CO # FEEd//�A i DATE /W,11093 TCO # FEE DATE INSPECTION RECORD DATE FOOTING I NSP OTHER APPROVALb DA ti`w.WY 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 January 4,2023 159 BHC LLC 159 Brush Hollow Crescent Rye Brook,New York 10573 Re: 159 Brush. Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-101 Roof Permit#22-030 issued on 7/20/2022 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 p E C IE M EI ID _ BUILDIl b El-�aMENT For office use only: DEC Z 9 2022 PERMIT VILLAGE OF RYE BROOK ISSUED:#,�C-c)') VILLAGE OF RYE BROOK 938 KING STREZT,RYE BROOK,.NEw YoRK 10573 DATE: /,)-a 9-,43 BUILDING DEPARTMENT (914)939-0668 FEE: A //d-- PAMIR ------ ------ wvrw,ry eokert=_ 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 ssrsrrrrssprrrssssssrrssssesrrrssrssssrrr»asss■rssrrrsssssrrss■rssrrrsrsssrrrrsssrssrrrsrrrsrsrsrsrrrrrrsssssrss►►sssssss■ Address: 6 e 14 - n Occupancy/Use: --� f� Parcel ID#: A)9- 7 (o —J O / Zone: /" Owner:-)02 d✓ l 5 e GG Address: fq nG 1� P.E./R.A. or Contractor: v1� Address: - V •/� �X 02 Person in responsible charge: d/ Address: l � it 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: e e n V,'-- being duly sworn,deposes and says that he/she resides at (PAnt Name of Applicant) ,,// / (No.and eet) in �—k fj/, 'm f in the County of lNe SIrA, in the State of V ,that (Cityfrown/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:$ q190 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.coif the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of &02b ,20 day of jO V CL�l n Yl / , 20 l Sign�autrre of Property Owner Signature of Applicants 1 / ! Z IJ I' Print Name of Property Owner 0-6�— „ Print Name of ApplicantZ&an�/ P" �' Notary Pubfi6 Notary Pub GREGORY AL RNERA GREGORY NL RIVERA NdNV Pubk State of New York Notary Public,State of NOW yOW2/2021 No.01 R"I398 No.01 R16441398 Quflffbd In Westchester County Q4a#bd In Westchester County E><pl"September 26,2Q Conanissobir EJVres September 26, �E BRC��• 04 to � '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR E,SSIST`�pi3 BUILDING INSPECTOR VILLAGE OF RYE BROOK t�t7DE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: I� 1 Ckus-\A , �\` cir-g�-DATE: 1 1c) PERMIT# l -4i� ISSUED:, �--�4;-�CT: ` LOCK: ` LOT: b ' LOCATION: aQ- OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ElREJECTED/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 s a a = O w M N 1 ` N N a a � � � y W v G� A a b [� O eq cc y _ ,40 o En u� q o `n � tinON o 00 a :4 N ' u a� b C1 11 W H C WA b w � CA ° � " � ;Doo O p „ o CL «; MMC�II E-� psO z V FBI U5 o w _ V] w W Z O o © v r✓ y H O O y ca v� U o U U z W °' o + ' G1 C� A z O a rn Awd . � � � .. a 0. x s gggggg������ L�, C L� � `V IC BUILD*6 A RTMENT ----- VII,LACiE OF RYFJ` OK JUL 1 4 2G�2z 938 KING STREET RYE BR ;!€ANY 10573 ° ?' VILLAGE OF RYE BROOK { BUILDING DEF'/-1,R T MENT FOR OFFICE USE ONLY: Approval Date: V e it# �C')-4f) Application# Approval Signature: : ARCHITECTURAL REVIEW ARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# Other: Application Fee•,9 Permit Fees: f 3 r )� ROOF PERMIT APPLICATION Application dated: f"7 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: / (J S't �IP- SBL:r= /,7 6--/—f 0/ Zone: 14OZY6 Properly Owner: '�(D f F /!/L V\r Address: Phone#: nT (4 —53 g O�/5/ Cell#: email: 2. Applicant: Address: Phone#: Cell#: email: 3. Roofing Contractor: QW r� �]U I��(�� 'S' Address: Phone#:c-7403 3C1/ ?d- Cell#: email: 4. Job Description,list all Me ods&Materials: G'�`� �- �&6- ,S'rJ Of yr 111; 01' —77/7 /56?L(ti-?-7 5. Estimated Cost of Job: V (NOTE.The estimated cost shall include all site improvements,labor,material,scaffolding,fixed eqCu'pinent,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: $f 'AZ NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:O•Yes:O Attached No:( }•Yes:O Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: art2rzort 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)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 day of ,2 day of , 20 Siga�ture of Property Owner Signature of Applicant � � 11tr Print Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.O1ME6160063 Qualified in Westchester County Commission Expires January 29,2023 -2- 811212021 - DOD JU7L 14 2022 I VILLAGE OF RYE BROOK l BUILDING DEPARTMENT 173'/z Ivy Hill Crescent Rye Brook, NY 10573 914-939-2440 J July 13, 2022 Daniel Berger 159 Brush Hollow Crescent Rye Brook, NY 10573 Re: Entire Roof Replacement Dear Daniel Berger, The Architecture and Grounds Committee (A&G) has reviewed your application for the above named work. This project requires a permit from The Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G for final review and consideration. Work on the project may not begin until you receive written notice of acceptance from A&G. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction, the Committee must be notified in writing. Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Property Manager. Ashlee Pasquale Property Manager At IV. v IV JIA­ erg"*. 4(ma)b ce) 04 X OP OM dItttl Omk 4<MKM)t, OM Aa, sitttt Or 0 UI) Lc) rin 0 n U) x 00 Lm LL LU Aft 4.0 A I CN N to A. JOZEF•2 ACORU" OP ID- DAT2(OWDO/YYYYI CERTIFICATE OF LIABILITY INSURANCE 05125/2022 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(*). PRODUCER 845-225-4100 ACT Ivan E.Cohen CRM,CIC,AAI,CPIA The Cohen-Putnam Agency,Ltd PHONE 845.2254100 — J FAX �.225-1975 Ivan E.Cohen A/C,No,Ede. _ (AIC,NoI: 72 Glenelds Ave ys: Co en co en-putnam.com Carmel,NY 10512 Ivan E.Cohen CRM,CIC,AAI,CPIA _ INSURffKlil RF QCOv€RAGE __ A:Utica First Insurance Company _ 15325 INSU D JOzefthur Construction Inc P O Box 402 INSURERC: Valhalla,NY 10595 INSURERD: INSURER E: INSURER P: COVERAGES CERTIFICATE NUMBER: __UVISJON NUM ER* 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.LMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. „'T TYPE OF INSURANCE -- ��SUM I POLICY NUMBER POLICY ErP POLICY EXP UWTS A j( COMMERCIAL GENERAL LIABILIT EACH YE 8 1,000,000 CLMAS++wDE ❑X OCCUR RT1124639-23 09/01/2021 09101/M22 qfF TO RENTED SO,000 D EXP one R QNAL&ADV IN 110w100 L LIWT S PER ENERA1 AGGREGATE 2,000'000 POLICY LOC PRODUCTS- MP/OP A 2t000t000 OTHFR AUTONONLE WaWTY C NED SINGLE LIMIT ANY AUTO IL Y INJURY Per OWNED SCHEDULED AIU�TEOpS ONLY AUTOS BODILY IN RY1Per AUTOS ONLY AUTOS ONLY Pj20PERTYI AMAGE UMeRlLLA LIAe OCCUR rerEACH CUR RENCE 5 Ae EXCESS LI CLAIMS-MADE AWREGATE DED RETENTIONS WORKERS COMPENSATION PER OTH- AND EMPLOYERS LIAEIUTYSTATUTE ANY PROPRIETORPARTNER/EXECUTN El EACH ACCIDENT 11 %FIC:R NIA II w,desvibe under P I DESCRI►TXM OF O►ERATIOIS I LOCATIONS I VEHICLES (ACORD 101,Addidenal Remrkd Schedule,r y be etfachad If mwe epee*Id roWired) Carpentry Roofing operations excluded per Form UFRA (7-11) CERTIFICATE HOLDER CANCELLATION RYEBR-1 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 Rye Brook, NY 10573 AUTHORt2ED REPRESENTATIVE ACORD 26(201WO3) 01988-2015 ACORD CORPORATION. All rights reserved. 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 ^^^A^^ 300475318 JOZEF THUR CONSTRUCTION INC 107 ROLLING HILLS ROAD Q THORNWOOD NY 10594 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JOZEF THUR CONSTRUCTION INC VILLAGE OF RYE BROOK 107 ROLLING HILLS ROAD 938 KING ST THORNWOOD NY 10594 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 1303 093-7 948760 08/31/2021 TO 08131/2022 5/25/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMFD ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO 1303 093-7, 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. JOZEF THUR PRESIDENT "JOZEF THUR CONSTRUCTION INC." 1 OF 1 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 TT r�/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 842278044 U-26.3