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HomeMy WebLinkAboutRP22-0290 all al PERMIT # � D - � %DmammalATE: c3o a%a EXP:, SECTION a- BLOCK LpOT _ TYPE OF WORK e � X OO �X/S _ � (? J08 LOCATION a , OWNER %lm Os/?uc�� CONTRACTOR-Aot EST. v/ul Tf# ma C� r FEE DATE all INwammll SPECTION RECO I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 13 RGH PLUMBING GAS SPRINKLER ELECTRIC LON/-VOLT ALARM AS BUILT FINAL L01 4YI9_5530 iwel e aso/aro 6 /`�)�ioaal �o 3 .OTHER � � y CSC a V GG 19 VILLAGE OF RYE BROOD MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 +Christopher J. Bradbury www.ty ebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE September 30,2022 Joshua Hartman&Bryn Hartman 4 Birch Lane Rye Brook,New York 10573 Re. 4 Birch Lane, Rye Brook,New York 10573 Parcel ID#: 135.42-1-5.36 Roof Permit#22-029 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, f Michael J. Izzo Building&Fire Inspector /to C E N E E f,Rr' For office use onl BUILDING DEPARTMENT PERMIT# �-od9 VILL:AgE OF RYE BROOK ISSUED: AUG 19 2022R938 KING STREET`(RYE BROOK,'*E V YORK 10573 DATE: (914)939-06680:' FEE: sj /)0-- PAID)X VILLAGE OF RYE BROOK www' ook?or� BUILDING DEPARTMENT ry _ lUL_ 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 ■►iiiiiiiii!►il►kii►#►tit■i##ti###ktii►iittii#i##iti kktiii itkiii#4tii#iiiktk kittiliii►ii►#►#i##t►i►ttii#iiiiiiit#tii►#itlkti! Address: 4 Birch Lane, Rye Brook NY 10573 Occupancy/Use: I F41Y Parcel ID#: 135.42-1-5.36 Zone: — Owner: Joshua Hartman Address: 4 Birch Lane, Rye Brook NY 10573 P.E./R.A. or Contractor: MCAS Roofing & Contracting Address: 2006 Albany Post Road, Croton-on-Hudson, NY Person in responsible charge: Michael Casolaro, MCAS Address: 2006 Albany Post Road, Croton-on-Hudson, NY 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/aIteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: hen!94 6 r T"1 i1a►n being duly sworn,deposes and says that he/she resides at 4 Birch Lane (Print Name of Applicant) (No.and Street) in Rye Brook in the County of Westchester in the State of NY 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 equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 18,000.00 for the construction or alteration of: Roof Replacement 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 I ! Sworn to before me this day of /fW_,- I- , 20 2 2- day of AA -J , 20 2.Z Signatu Prop rty Owner Signat �e, f plica tt J ��U ► �v �1`t-I U/- IZ�i Print Name of P ty wner Print Name of A cant otary Publ' IROMAS J.BURROWS otary THOMAS J.BURROWS Notary Public,State of New York Notary Public,State of New York No.02BU6132078 No.02BU6132078 Qualified in Kings County / Qualified in Kingl l Commission Expires Aug.22,207 Commission Expires Aug 20.'- �yE[3RC�j�• uJ � l7� � 1982. BUILDING DEPARTMENT ❑BUILDING INSPECTOR /A SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK f ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ( � ISSUED ')L "SECT: (3 LOCK: LOT: a LOCATION: OCCUPANCY' ❑ VIOLATION NOTED THE WORK IS.—0 ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED 0 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 ❑ ROSS CONNECTION ;PFINAL OTHER H O it s � N N u y ■ 0 f W W M ©00 � A. ad v v O lW� o4) 75 p v Ln E 0.fti A Li L.1 z O Ln C R.�•LJ-7 O O � a u ��ljj d bA N CQ �1+ O a ON IL �1 O t (n Ln Co [r�T 76 z o . v 00 CYN V ` ICIlommo CN fn ylu O _ f a GIN W U a ILn1 'C 4J a f ^, w 0 !S �. �C- Q,' W z 08 , 0 d' �, U * C z v eA W w ° ¢., G'J U x w ZO � z2aq °, V 1 ZO V o 08 s BUILDING DEPARTMENT V 114'46-OF R Y I:' B'ROOK [JUL 14­2022 938 KrNci STREET Ryr..Bizook,NY 10573 VILLAGE OF RYE BROOK (914)939-066,9 F�, ' (914)9 3 9-5 801 BUILDING DEPARTMENT FOR OFFICE LTSr ONLY: Approval Date: JUL 1 9 2022 mit oc�9 Application 4 Approval Signature: ------ ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case ft Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case#-- Other: hh Application Fee:,A 7,1�'PZ>Permit Fees: 77— 0- ROOF PERMIT APPLICATION Application dated: 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: 4 Birch Lane, Rye Brook NY 10573 SBI,: 135.42-1-5.36 Zonc:je—js— PropertyOwner: Joshua Hartman Address: 4 Birch Lane, Rye Brook NY 10573 Phone#: 914-419-5530 Cell#: 914-419-5530 email:- hartman_il&gmail.com 2. Applicant: Joshua Hartman Address: Phone#: 914-419-5530 Cell#: 914-419-5530 email: hartmanjl@gmaii.com 3. Roofing Contractor: MCAS Roofing & Contracting, Inc. Address: 2006 Albany Post Road, Croton-on-Hudson, NY 105 Phone#: 914-455-0976 Cell#: 914-610-6663 email: mike@mcasroofing.com 4. Job Description,list all Methods& Materials. Remove & replace asphalt shingle roof system. 5. Estiimiled Cost of Job:$ 18,000.00 kNo I I.: Hiccstirnatcd costliall include all>itc itut -i. matcrial.scoll-oldint!, fixr-d' fccs—md inuiicrial and labor wIfidi riialn he doilited 6. If comer property,indicate street frontage: N/A 7. Construction Type: Roof Replacement- Residential House NYS Construction Class: 8. Number of stories: 2 Height: 9. Is garage being re-roofed:No: •Yes: Attached No: Yes: Number of Cars: 10. Is roof peaked,hip,mansard, flat, ,,:. Peaked 11. Estimated date of completion:06/30/22 Wi/2020 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 WESTCHESTFR ) as: Joshua Hartman , 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 /10 Sworn to before me this 16 day of 20 �a Z day of j 0,N 67 20 �Z at re o pe Owner Si a re A plicant Joshua artman Joshua Hart an Prints Name ofProperty Owner Print Name of Applicant Notary Public Notary Public ALEXANDRA MATTA(QUINONES Notary Public,State of New York ALEXANDRA MATTA QUINONES No.01 MA61934m Notary Public,State of New York Quolified in my No.01 MA619 Comm.Expires . Qualified in ou, ty Comm.Ex ires srv2020 U i JUL 14 2022 VILLAGE OF RYE BROOK Home Improvement License Nos.: BUILDING DEPARTMENT WC-25259-H12; PC6349; Yonkers 5500; Rockland H-18053 E1N: 45-5449449 Mike@MCASRoofing.com June 15, 2022 Joshua & Bryn Hartman 4 Birch Lane Rye Brook, NY 10573 SCOPE OF WORK: Roof Replacement • Remove all existing roof membrane down to the wood substrate on the entire roof area. • All of the existing roof sheathing will be inspected and will be replaced with new plywood if needed. If any plywood is needed, it will be replaced at an additional cost. • GAF Weather Watch Ice Shield will be installed on all specified areas. • Breathable synthetic underlayment will be installed on the remaining exposed roof sheathing. • Alum. drip edge will be installed on all rake edges. • GAF Starter Course will be installed on all eave and rake edges. • GAF Timberline HDZ Lifetime roof shingles will be installed on entire roof. Color to be (standard color selected by homeowner). • New vent pipe boots will be installed. • GAF Cobra Ridge vent will be installed on the main ridge. • GAF TimberTex Ridge caps will be installed on all ridges. • A new copper chimney flashing and copper cricket will be installed on the base of the chimney. • A GAF System Plus Warranty will be supplied to the owner when the job is completed. • The job-related debris will be removed, and the job will be left broom clean. MCAS Roofing&Contracting, Inc. 2006 Albany Post Road Croton-on-Hudson, NY 10520 914-455-0976 5 rSC#i" ` Ct Fri:- ..�. ,„�• y tg ��1 ��r` t /:_ i _ �..'!?• i t• �e 1{ `6 i ®.9° r.f'h"? ;s'" , Y t'4 .a'Y>, v si sa. # ° =.fit s: Y°�L4 ar ls�s OTM98zp �, 8@$ '' � ia3. Ifs#t irk 3 Frio yY�, t �$=• !{{# ��� r x. t ?, trxi d' d a t { { �•.o-a ♦�r $1 n$` i;,f ,sd i4;> # _..s"#�eti •� �9Sj4, `�S� �� A; :�. �*„r •< 'dne.°., ¢.3aA#! a ;t�Pi r m { T�6{ tsi to r`z`5 .Ti..#t3 3�tT#�&, t� bD' .. 76 \ Y yy s N I iy N I CDt« ,'tee OW 1 1r�►, J .... f� �.. •^i con 2 //--yy too —' J Ito f h' i fir (♦y .y Lp tx r 11 5 i y t�1k� ag `Y�a .Xu t at a 2 yJ5 i 1 }}I2,, neSnhh3L =MUMMA i, -�i;#a{{ ` � r s zF { q�4}{{ty i '{b{ #tilt x'at!## #ttt $ #t 4 is ! w�fi w ' a lair far �°# `w'c{rx; y+i#iy�.� ;��a�f� ��♦'w+ w6 �: � ". -� li ` o: iY,*a#i�" K 8 di iF .> }t t�..?16�f' t "u t �m 0 -,a1 ,. •,z a+ W a v f 'r�{r-v dd s' r S'. '" N.4 +v<Pk -•'t er y r?I } �r' :v„ �r 'e+' i.'.' " � '. ACORO0 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/14/2022 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 NAME: Patrick Kohlman 7tR FAX Kohlman Agency LLC Alt No,E, : (914)259-8988 888 Route 6 ADDRESS: patrick@kohimanagency.com INSURER(S)AFFORDING COVERAGE NAIL N Mahopac NY 10541 INSURER A: ADMIRAL INS CO 24856 INSURED INSURER B: ERIE INS CO 26263 MCAS ROOFING&CONTRACTING INC INSURER C: CENTURY SURETY CO 36951 2006 Albany Post Road INSURER D: INSURER E: Croton on Hudson NY 10520-1561 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY) (MM/DD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F)CI OCCUR PREMISES(Ea occurrence) $ 300,E MED EXP(Any one person) $ 5,000 A Y Y CA000031499-03 07/27/2021 07/27/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PPOLICY a JECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea accident) $ 1,000,0()0 X ANY AUTO BODILY INJURY(Per person) $ B ONE SCHEDULED Y Y 2-6530247 02/15/2022 02/15/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS Q0 HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LAB x OCCUR EACH OCCURRENCE $ 1,000,000 C X EXCESS LIAR CLAIMS-MADE Y Y CCP 997664 07/27/2021 07/27/2022 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ iI ORKERS COMPENSATION -ND EMPLOYERS'LIABILITY YINSTATUTE ER NY PROPRIETOR/PARTNER/EXECUTIVE❑ N/AE.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? andatory In NH) E.L.DISEASE-EA EMPLOYEE $ yes,describe under ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $500 Ded 50,0()0 B Business Contents/Equipment Y Y Q37-5530022 01/05/2022 01/05/2023 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) BLANKET ADDITIONAL INSURED WHERE REQUIRED BY A WRITTEN CONSTRUCTION CONTRACT ON A PRIMARY AND NON-CONTRIBUTORY BASIS WITH A WAIVER OF SUBROGATION. 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. BUILDING DEPARTMENT AUTHORIZED REPRESENTATIVE 938 KING STREET Pdrw*B KnI lam« RYE BROOK,NY 10573 ©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 (RENEWED) ^^^^^ 455449449 MCAS ROOFING&CONTRACTING INC 2006 Albany Post Road r6vzz Croton On Hudson NY 10520 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MCAS ROOFING &CONTRACTING INC VILLAGE OF RYE BROOK 2006 Albany Post Road BUILDING DEPARTMENT Croton On Hudson NY 10520 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2221567-7 14452 06/29/2022 TO 06/29/2023 6/15/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2221567-7, 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 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 4 41/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 80868591