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HomeMy WebLinkAboutDP22-007PERMIT N SECTION /,; TYPE OF WORK JOB LOCATION . wnlnAcwn i-u wni.y ric�ioi�iwT �— EST. CO$j�� v FEE CO M � 1 FEE 1 TCO N FEE I vFtT10N RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATIO PLUM G 0 RGH PLUMBING GAS 0 S PRIN R ELE RIC O LOW -VOLT Ej ALARM 0 BUILT FINAL 1 — FINAL a� pcP: LOT 9�C& I iOW NA i AN OTH=,ROVALS ARB BOT PB ZBA �yE BR(�v� Q jo GCS Vy�J 193 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 CLARIFICATION OF RECORD April 26,2024 Pawling Holdings LLC 261 North Ridge Street Rye Brook,New York 10573 Re: 261 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.35-1-11.2 Demolition Permit#22-007 issued on 9/9/2022 for Interior Demolition This certifies that the above captioned permit has been closed out by Building Permit#22-221 issued on 11/10/2022 for new stone& clapboard siding&interior renovation with Certificate of Occupancy#24-040 issued on 4/26/2024. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BRC��. 1932 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 - - - - - - - - - - - - - - - - - - - - C. ADDRESS :— ti DATE: � PERMIT# ISSUED. SECT: BLOCK: LOT: LOCATION: \ `' Q-� t� OCCUPANCY: ❑ Violation Noted THE WORK IS... Q;IePASSED ❑ 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 a O w N © N cr ■ N \ �+ W a Cti H 'y u 0 a.r O. by U PLO ■ 0 Q1 N W � Q to u 40 W ,�] C a 0 O lz ` C rl 4-4 d � o ° � a.� ° x � zc a en "S co o V WW � O V w 44 0 044% vz ■ ICI G1 M �p t7 b a e'-a _ ■ A O en o H z q yA o � V � a = a �, 00 �' (n V W � p z c wA � � � � � � ■ R+ �i zz u � U �3 P. N z c °a °. b v ! ^ 0 a a ro r-+ 0 H A z o o N vo N A Rwi W W O v a00 v O BUILDJNG DEPARTMENT © [E C IE ��IE VILLAGE OF RYE BROOK AUG 17 2022 DD 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org. BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: A U G 1 8 2 it#:`21Y� —yy ) Application Fee:$ Approval Signature: Permit Fees:$ 100—4. EE Disapproved: Other: Application dated: c7'/7"--44 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 existing building,or for a change in use,as per detailed statement described below. 1. Job Address" ��T��s SBL:,��;.t_r5��Zone: 2. Proposed Demolition.(Describe'in detail): !j2cYrid jtA-i p jc1 a�lmur t o r 3. Property Owner; GGLS Address: email:Phone# Cell# ���J/1}� � to � Applicant: Address; Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: General Contractor: Address: Phone# Cell# email: 4. Estimated cost of construction $ �J (NOTE:The estimated cost shall include all labor,material,scaff6lding,fixed equipment,professional fees,and material and labor which may be donated gratis.) S. Type of construction:(wood frame,masonry,steel,etc...) ..V OC,-A �ieba,,t 6. Method(s)of Demolition: t 7. Number&Location of Fuel Oil Tanks to be Removed: 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: t 8112rzo21 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 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 7 Sworn to before me this 17 day of , 20 z Z day of ,20 z L signat 15,vaer h�yyt,, Signatur ppli (/ 4 If Print Name of Property Owner 6F Print Name of Applicant 7t",9,/ I - Notary 1'uh Notary Public tQ:ua2iod B.COLANGELO ic,State of NSWyGI( JOHN S.COLAN©ELO o.470t3604 Notary Public,State of New lbrk Westchester Cotmty No.47 Expires July 31,262- Quallfied in Westchester County Commission Expires July 31,201 2 8/12/2021 Building Permit Check List&Zoning Analysis • Address: mil" SBL Zone: Use: Z Const.Type: Other Submittal Date: l Z Z2 Revisions Submittal Dates: Applicant 2 t Z Z ►� Nature of Work 1 "—VZ4-L_1 Reviews•ZBA: A U G 1 8 2022 PB• BOT• Other: OK ( ( ) FEES:Filing. 7S ""—BP: C/O: Flood Plane:_�Legalization: APP: Dated: �/ Notarized SBL: ✓Tnus I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm 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: ( GuLANS: S�Dates Stamped Seale Copies- Electronic:Electronic: Other ( ( License: �1/ Workers Comp: Liability ✓ Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: (� ( ) HIGH-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. PLUM G:BIN 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. O O 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: REQUIRED EXISTING PROPOSED NOTES APPROVED- Aux Dates- AUG 1 8 2022 Fromg Front Front Sides: &r Main Cov Accs.Cov. F S S .HS Tom: Ft.Imv Parking Hgg_ht/Stories: notes: 40 �, N as Qr N C 04 4-4 N a q93 ti Y O rA 0 A �7r nl I � O 0 � I o y M y r. o ~ T >' ection .tb I ^ O LLI o W u, �.w t� O > _ ° A 0 m m ° 1�r p � w Wa� N '� g z a � 1 � � I 1. I y R ca04 ` CN Cv j a. I d I) e. " \ DATE(MMIDD/YYYY) A� Ukv CERTIFICATE OF LIABILITY INSURANCE 04/1 2/2022 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 Susan Garfinkel NAME: BNC Insurance Agency PHONE (914)937.1230 PAX (914)937-1124 A/C No Est. A/C No 90 S Ridge St Ste UL-2 I,MAIL sgarfinkel bnca en com ADDRESS g INSURER(S)AFFORDING COVERAGE NAIC e Rye Brook NY 10573-2836 INSURER A Evanston Insurance Co 35378 INSURED INSURER B. NGM Insurance Company14788 Pawling Holdings,LLC INSURER 25 South Regent Street(REAR) INSURER D INSURER E Port Chester NY 10573 INSUHLR F COVERAGES CERTIFICATE NUMBER: CL2221004746 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 CONTRACTOR 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 EXCLUSIONSANO CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000.000 D�AIMS-MADE ©OCCUR PREMISES Ea occ ED Gel $ 100,000 Contractual Liability Excluded MED EXP(Any one person) $ A Y MKLVlPBC002143 11/17/2021 11/17/2022 PERSONAL&ADV INJURY S 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000000 POLICY ❑JE O 71 LOC 2,000.000 PRODUCTS-COMP/OPAGG $ OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT c 1,000.000 Ea accident) ANY AUTO BODILY INJURY(Per person) S g OWNED SCHEDULED BIV40294 09/11/2021 09/11;2022 BODILY INJURY(Per acc,dent) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGES AUTOS ONLY AUTOS ONLY IPer accident 4 *DED BRELLA LIAR X OCCUR EACH OCCURRENCE S 5.000.000 ACESSLIAs CLAIMS-MADE MKLVIEUL103135 11/17/2021 11,117,12022 AGGREGATE S 5,000.000 RETENTION S g WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA n/a EL EACHACCIDENT $ OFFICER/MEMBER EXCLUDED?(Mandatory in NH) E L DISEASE EA EMPLOYEE S It yes describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY OMIT $ n/a DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The Certificate Holder is Included as an additional insured when required underwritten Contract or Agreement 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 Dept of Building ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 Y�`y ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) 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 [E T A A AAA 451481271 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PAWLING HOLDINGS LLC VILLAGE OF RYE BROOK 25 South Regent Street(REAR) 938 KINGS STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2146 860-8 188483 06/29/2022 TO 06/29/2023 8/29/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2146 860-8, 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, 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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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 T 4/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 950511623 U-26.3