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HomeMy WebLinkAboutBP22-150PERMIT # "/Jo 150 DATE SECTION ___.. BLOCK_ LOT a TYPE OF WORK /l w Q Qi / . JOB LOCA ION r� uS �� esC OWNER r S i�/O�ym�1 Q � (9/7)7 7Sy/ CONTRACTOR1 �° i8�-I33% EST. COST FEE z% �p # _ FEE DATE a0�� TCO # FEE DATE INgPECT10N REit DATE FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS ,PPINKLER E.ECTRIC 0 LOW( -VOLT L ALARM 0 A5 BUILT FINAL will I NSP OTHER APPROVALS OTHER tC4/°;Jw aSK+ 401A annc wwaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.!yebrook.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J.Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 20,2022 Cory Nesser,Karen Nesser&Olympia Lopatin 128& 129 Brush Hollow Crescent Rye Brook,New York 10573 Re: 128&129 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-132& 129.76-1-131 Building Permit#22-150 issued on 8/18/2022 to Repair Party Retaining Wall This certifies that the party retaining wall,repaired under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to IE C E W E BUILD R MENT For office use on1 : DPERMIT# +So VIL OF RYE OK ISSUED:�P— -ol a► SEP - 9 2022 938 KING STRE YE BROOK, YORK 10573 DATE: 9 -06 , FEE: 4 1/0— PAID' VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAI. COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION t#itiiiik###ii;►;♦;i###tiiii;;;i###4//##/■RR;t###k#ttiiiii■ik#####44#4#i#■;k#######Riit►R#R#ik##t4#RiiRiii##iik#####kiR#it#44 Address: . 2 g d (� f_?/11rff Q��c7I FJ C Qy& y4 y Ct 1()-C 73 Occupancy/Use: F Parcel ID#: ��9, 7(0 —�— �3c� QUA/�3 Zone: Owner:Q jq(n0IPt d/fife M 01 V Me-f- °,r' Address: ag r-L/IG( t2 et a NC 6r*o k-. P.E./R.A. or Contractor: /�/"add St.r��ClUo Address: k3 rf'&44 MY-, Fry ' r Ny xg; Person in responsible charge:0�/Yf 14 �Qfth� Address: 2 SCUSN H0117 W cr 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,1COUNTY OF WESTCIIESTER as: �} 61 V/r11,01 A- t71Tl1j being duly swom,deposes and says that he/she resides at 1 2--( i3ri/ `/ ! tj®d#yj 0joen . �(Pfint Name of Applicant) (No.and Street) in i 11ma ,in the County of_ f in the State of that t— (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:$ 1 , 3 6 a for the construction or alteration of.� (� ,14 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 V� Sworn to before me this day of , 20;Q day of , 20 na rc Property Owner Signature of Applicant i Namzeb ro rty Owner Print Name of Applicant Notary Public SHARI MEULLO Notary Public Note,Y Public,State of New York No.01ME6160063 ,Qualified In Westchester County ) 8 12/2t1'-1 Commission Expires January 29,20 00C BRCv,,s cu � 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 : DATE: �A PERMIT# 1 ' '� ISSUED: V I v ECT: V2( 1 , 4LOCK: LOT: 3 � r LOCATION: 1 r 1 `�u CUY PANCY: ❑ VIOLATION NOTED THE WORK IS... ;E� ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION } ❑ NATURAL GAS � 'CQ q-n eC\ r1 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING CROSS CONNECTION FINAL ❑ OTHER ■ e y M y Ln N O W ■` 1 N N ` 000 .� v ■ �--+00 : \C n w10 C� p„ � a 0. 0.4 ■ `/ C Syv O■ v v W >-4 o cl� a � v b 00 LO F�1CO w U Q " o r w I l ZO p m Z -if80 Z v -tu o Nftftft a CA Z cn en to ell 0-4 ° v 0W fl cn � W w av, ' O U O VI C O � vw U cn z © Z o O o E� Z a 1 9 z p q pLCS., v v �+ uo 007 � 6 Q v z U 00 C7 O A z O" ,. a w00 �I as 04 a 44 ac BUILDGt1,RTMENT D fl �/7 , ­-T VIL OF R ROOK lJ �/ 938 KIN 4 EET RYE B ,NY 10573 AUG 7 2022 �j+ 14 9- r VILLAGE OF RYE BROOK —�'` BUILDING DEPARTMEi�T FOR OFFICE USE ONLY: ` l Approval Date: AUG 1 8 ermit# r�l50 Application# Approval Signature: NX ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee. ;5—_ Permit Fees: FENCE / WALL J GATE PERMIT APPLICATION Application dated: ' is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Cate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address:118 anA I2q &-ost1 t4ouoj) a-mceeA+ eUe_ sy'0pk.P`1 )()S�- �t3 2. Occupancy/Use: / r4M S.B.L.#: g•�4�/'/3� ��d �3� Zone: 101410 3. Proposed Fence 10/Gate(describe in detail): OPM I' 9 E,ci cii 04 RR -ti -9 1"J00a( et-0hok at.n d re alai L Oi+h y W10 R 4. Property Owner: ljwmoia +►a an I`Q)0-u n]�S$G Q Address: 2 12 cg &jffi t u) +- Phone# 91 '1_ 3z 71-7 Sql Cell# 14- 2-5--13 email:0 WAA 0 a ,o�fihpp.0 Deh Applicant: 0 t?SSE IL Address: lix 1511 14 IIcon'i) OACC'LA+ Phone# Cell# QI4-S-L 9"- 13 4�r email: cp n- Architect/Engineer: Address: Phone# Cell# I email: Contractor: !Se JCCnNO 6 Uw qf fa-0ri Address&Phone:34 w+ (--)3 1— Ll f q- 13. ( 5. If building is located on a corner lot,which street does it front on: 6. What is the estimated cost of construction � u (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.) 7. Estimated date of completion: ] e 11A rn"�. l I 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. *t***:�*�r**�r*****,�,�*�**�***xt*�r:�**�**�******�,r**��***�;•r.*�:*�xc�A****�**t t****,r�*:rx�*x*+*,�:�*:r***:r*,r***�,r*:e�tx STATE OF NEW YORK,COUNTY OF WESTCH]ESTER ) 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 11or the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,ctc.) 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 I b Sworn to before me this day of �k 6S , 20 a day of V , 20�c Vtur of Property Owner Signature of Applicant ��Ilr?_ C esSi KNWt_ o operty Owner Print Nam of Applicant v)� 'A�_ �116 Notary Public Notary Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No.01ME6160063 No.OIME6160063 Qualified In Westchester County Z� Qualified In Westchester County, Commission Expires January 29,20T Commission Expires January 29,2 2 8/1 W021 +4Q - - .9„ 3 e 173'/2 Ivy Hill Crescent Rye Brook, NY 10573 914-939-2440 August 11 2022 R S E ll L r Olympia Lopatin AUG 17 2022 129 Brush Hollow Crescent I VILLAGE OF DEPARTMENT BROOK T Rye Brook, NY 10573 Re: Retaining Wall Repair with 128 Dear Olympia Lopatin, This letter serves as confirmation that the Architecture & Grounds (A&G) Committee has reviewed and accepted your application for the above named work. This approval is valid for six (6) months from today's date. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. You are required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well. Failure to comply with these procedures will result in fines and/or work stoppage. If for any reason you have to replace 50% or more of the retaining wall, you will need to go to the Village to get a permit. If you have any questions, contact me at: Property Manager. Ashlee Pasquale Property Manager 7/31/22,2:32 PM (83 unread)-olympialopatin@yahoo.com-Yahoo Mail • y Serrano Fence-Westchester License.jpeg r �;ten }' �4i rrh�trr t'9aen t:.rnni.. >4.C.Y)tn K�� 4o yyt r.vf<i(r/,taMPaBllf t"YatiftltlA Department of Consumer Protection Home Improvement License � SERRANO FENCE&SON INC 36 FRANKED.AVENUE FREEPORT.NY-11520 ; F 1 ht,licence rx Issued it,aCC vdjr=wikh Ant le Al i affix A'c.40i Ater C tstntyCtomsunm r"mi-m C le ad it"hd enty up,- - rivw c t,t the nfrral depantncnt-At I raw-[':i oti?mOiT c,r tmmiMnm stahts is not rvV—d(m[s"me of thi%twerde Ni .FOR ffD,WALPt!."RPOSES �a e I 1 wensc Number ��° �, a pate of EVirasirm ' WC-34634-H21 11108f2ff23 a � n � �c4tslerco", � u A, All 1 L' N fs https://maii.yahoo.com/d/folders/1/messages/87723/AJzh 14cGerOSYtg RMAkzeGmcb8c:2?fullscreen=1 1/1 ----MON ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) '1111111 07/20/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO P:GHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER'HE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETI,.EEN 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 endorsements. PRODUCER Grapeville Agency Associates CONTACT LISA BEN VAY PO Box 460 PHONE (518)966-4466 FAX 518 966-9797 (A/C.No,E>tt�� (Atc..r :( ) 4821 State Route 81 E-MAIL s LBENWAY@GRAPEVILLEAGENCY.COM ADDREGreenville NY 12083- INSUREr:BS)AFFORDING COVERAGE NAIC N INSURER Ape Insuranca Company 26263 INSURED I sN URER 8 Traveiers Insl:rance Co of America 12432 Serrano Fence&Son Inc INSURERC: 36 Frankel Ave INSURER D Freeport NY 11520- INSURERE: 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. INSR TYPE OF INSURANCE ADDL;SUBR TPOLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY 036-5120070 12/01/202112/01/2022 EACH OCCURRENCE 1,000,000 CLAIMS-MADE �' OCCUR ncaDAMAGE TO RENTED 1,000,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY[JECTPRO- LOC PRODUCTS-COMP/OP AGG 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY f Fs - — A UMBRELLA LIAB ' X OCCUR Q36-5170194 12/01/2021 �12/01/2022 5,000,000 EACH OCCURRENCE $ X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 QED I X N 10,000 B WORKERS COMPENSATION UB-3N231891-22-42-G 2/22/2022 IO2/22/2023 X PER OTH- AND EMPLOYERS'LIABILITY YIN TLITE FIR ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 11000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1,000,000 If yes,describe under DESCRIPTION E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION AI 043763 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 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 STATE OF NEW YORK • WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb. Business Tei(phone Number of Insured SERRANO FENCE & SON INC. 631-484-1 337 36 FRANKEL AVE. lc.NYS Unemp:oyment Insurance Employer FREEPORT, NY 11520 Registration:Number of Insured Work Location of insured(Only required if coverage is specifically 1 d. Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Se_urity Number Policy) 47-47926E 1 2.Name and Address of the Entity Requesting Proof of 3a. Name of Ins-arance Carrier Coverage(Entity Being Listed as the Certificate Holder) TRAVELEK;S CASUALTY INSURANCE VILLAGE OF RYE BROOK 3b.Policy Number of entity listed in box"la" BUILDING DEPARTMENT UB-3N231891-22-42-G 938 KING STREET RYE BROOK NY 10573 3c. Policy effective period 2-22-22 to 2-22-23 3d. The Proprietor,Partners or Executive Officers are Elincluded.,(Only check box if all partners/officers included) ✓� all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "1a" 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"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums 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 after 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. Please Note: Upon the 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: LISA BENWAY of authorized representative or licensed agent of irsuranec carrier) Approved by: 7—2 0—2 0 2 2 (Signature) (Date) Title: Licensed Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 518-9664466 ext 28 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(9-07) www.wcb.state.ny.us • N� h 03 a cob? � r N0 s p1r) �6 a N � ^ W \ CN� '- N CZ) CV O Q N N Z / o- Z OCR �j � �-� i m� � +I Ovry v C Q Qr o. h C) H h s � y� ` ev o r- o �` ID AUG 17 2022 0 1q o r - 00 Lo 'n O VILLAGE OF RYE BROOK 0I1 !; o BUILDING DEPARTMENT a ��