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HomeMy WebLinkAboutRP22-036PERMIT #/- SECTION . A TYPE OF WORK JOB LOCATI N OWNEM CONTRACTOR. T. to it TCO # 1 �� 3 DATE c� c� E)(P%4 > BLOCK T _y DATE] FEE DATE DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING CI RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT CJ ALARM O AS BUILT O 7 FINAL 3 9i4q) 9afo- 36 3& jy1 y) 4/ 9o- &/30 OTHER APPROVALS �ARB i BUT Pa zaA I OTHER DR �7. 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.iyebrook.org TRUSTEES ACTING BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 27, 2023 Michael Goldstein&Joy Goldstein 11 Holly Lane Rye Brook,New York 10573 Re: 11 Holly Lane, Rye Brook,New York 10573 Parcel ID#: 129.59-1-36 Roof Permit#22-036 issued on 9/2/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building& Fire Inspector /to ECEHED BUILDING DEPARTMENT For office use onl ',�/ - PERMIT# -6--Xo MAR 2 2 2023 VILLAGE OF RYE BROOK ISSUED:_ 9. 8 KINC S'1 REET,RYE BROOK,NEW YORK 10573 I DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: PAID BUILDING DEPARTMENT www.ryebrook.org APPLICATION FOR CE''RTIFICATE 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 tsss►ssssssssssssLss1sass1ssasssasasasts►t«s«►as+sstass«taa assassata«ssasssa«sasaaa•ass+ssa«sssssssawsasssastssssssssssaasassts Address: ! r� \ ri Occupancy/Use: Parcel [D#: f. - I"V(LJ Zone: _ —15 Owner: Q�,(. MK4Adtil l Vr Address: -je—, ___ P.E./R.A.or Contractor: 20eLAj L-L L Address: HAo W, Person in responsible charge: 'F-LtPw L LL _ Address:41 b WA AA 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 I'or the structure/construction/alteration herein mentioned in accordance with law. STATE OF NEW YORK,COUNTY OF WESTCHESTER as:-CW61e—a,'� // I In �, Lbeing duly sworn,deposes and says that he/she resides at l-A2 l lQ (Print Name of pplic•m) (1o.and Street) in ��� .k S in the County of >< C!—t� _�_? in the State of that (City/Towtv 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 ofany materials and labor which may have been donated gratis was:S 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 solar as variations therefore have been legally authorized,and as erectedicompleted complies with the laws governing building construction.Deponent further understands that it shall be unlawful loran owner to use or permit the use of any building or premises or part thereof herea Iter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certil icate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-1 O.A. of the Code of the Village of Rye Brook. Sworn to betore me this ) Sworn to before me this day of to ✓tt , 20 22 day , 20_1-�_ Signature of Property Owner Signature o Applicant PrintNano of Property Owner P' N:unc of Applicant CLc4 Notary Public v — Notary I'uhlic Notary Publle,State of No waYYork SHARI MELILLO No.OIPA6171212 Notary Public,State of New York Qualified In Westchester County No.01ME6160063 COmmisslon Explres July 23,20,-;r Qualified In Westchester County Commission Expires January 29,20 2 �yE BRC�� • 1982 BUILDING DEPARTMENT f ?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 : ( �T) ` 1 DATE: c r PERMIT# Ve✓ 0��7 ISSUED: �ECT: �_111. �BLOCK: LOT: h LOCATION: �� OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ 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 a z 0 C N W & ++ ° eq O = N N u ■ I�■�"� �"r � r-� .N-{ $ � v � ,,moo, y '� ��I' Lq � � � A ' 0f v -o a W o A00 �. o P/ Y q 1�-1 �'7 'J•t 'J' W z T2 o 00 q " ' r H Fj C� w A a, o v C,) ■ o o rg ■ GIN 00 WA � � n W _y a � D z W p b aR. o a o go, Ho d U Q V _ c7 A z O aw, v' m • b z EVIL \ TMENT p [E C I M W IE VI E OF RYE OK 938 DING ET RYE BR NY 10573 SEP - 2�22 -0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: SEP - 1 2022 \\ Approval Date: mit# �d'0 Application# Approval Signature: ARCHITECTURAL RFWEW BOARD: Disapproved: Date: BOT Approval Date: ase# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: ROOF PERMIT APPLICATION Application dated: 2 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. p 1. Job Address: �! yprfdV14Ne. SBL: 39, j 1 J 1-36 Zone:4/-S Property Owner: r'.I � Address: UolI V 4NA. Phone#: Cell#: 2/L/- 900 '3'53A email: 2. Applicant: FGPk/ LL C. Address: Phone#: z0-6d 30 C-e": �ry email•rharll e� ACCh4S 3. Roofing Contractor:F.Aa C, Cc 4( f v Po��X ��g l vy.� , j u.� ..�y�r Address: �r�eu�L� C-r rCyn/t1 VCl4r'O✓1S. C,;:)/n Phone#: Cell#: /-2 e 3:62 91/- (�� mail: 4. Job Description,list all Methods&Materials: De In o o\6, I-UO-C G/7(A J11 oy1 5. Estimated Cost of Job: $ / & � • c-'c> (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.) 6. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: -�� Height: 9. Is garage being re-roofed:No: O•Yes:LyAff5ched No:( )•Yes: ( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: pQ_4 KCD 11. Estimated date of completion: e- at 1 , �- -1- 8112021 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. 9kR'A**i:*#**i#xk*AxRlcxxR**R kk Ark k#A•M4r*%-#**h*14`fisk#:kK•R'kye##%bd'e•'xr.•k**i:#hikkR*i:#Ai*R1.it if*•l:A::k k•hr•*i::k+.:tifo-kt****:k 4'R:t NxR ST,#TE OF NEW YORK,COUNTY OF WESTC.'HESTER ) as. L.hG�kuf 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 i1 /Y' __ __ __ for the legal owner and is duly authorized to snake anti file this application. (indicate architect,contractor,agent.nitnrncy.etc.) That all statements contained herein are true to[lit hest of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned properly will be in conformance with the de[ails as set tbrth 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 R Building Code. the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me'this 3 ! f Sworn to before the this 1 day of �,l , 20 LL day of Ss 20 zZ Signarurc of Property Owner ) Signaturc JI(L)pkant M i Ck" ( (� J C116/le-j- 1?_Z1,,e_1A_1_k-_ Print Name of Property Owner Print Nar of Applic t IVotdry Public i Notary Public CHRIS-rOPHER J.BRADBURY Notary Public,State of New York No.01 BR61599t35 HOSE PAULA PATAFtp aualified in Westchester County Notary PubAe,State of New Yprk Commission Expires January 29,20-13r QW-fteNo.d In Westcchoste County Commisslon Expires July 23,20 8I1212021 Fairfield County Roofing & Siding LLC P.O Box 5181 CT License#11IC.0639627 Greenwich,CT 06831 Tel:(203)627-8847 Fax:(203)516-2188 Name: Mr.Michael Goldstein Address: 11 Holly Ln Date: 08/25/22 City: Rye Brook State: NY Zip: 10573 Proposal: Roof Replacement Job Site: Same Phone:(914)980-3536 Insurance: All work involved within the following proposal is covered by Worker's Compensation and General Liability. Preparations: I first propose to protect all plants,flowers,grass,patios and walkways from falling debris.Next,I propose to remove the existing shingles from the roof.Next,I propose to inspect the underlying sheathing for rot or damage.Next,I propose to install water&ice shield to all roof eaves and centered in valleys.Next,I propose to install synthetic roofing underlayment to the entire roof deck.I propose to secure the underlayment to the roof deck utilizing 11/2"cap nails.Next,l propose to install GAF Pro Start shingles to all roof eaves and rake edges.Next,I propose to install GAF Timberline HDZ shingles to the roof deck.Each shingle will be secured to the roof deck utilizing(6)1 V2"coil roofing nails.Lastly,I propose to install GAF Timbertex cap shingles to all hips&ridges.I propose to secure these cap shingles to the roof deck utilizing 1 34"coil roofing nails. Perimeter Edge Flashing:Drip edge provides efficient water shedding at the perimeter edges and protects the underlying wood from rotting.I propose to fabricate and install Aluminum Roof Flashing to rake edges where required,vent pipe flashing,and copper step flashing as needed. Double Valley Flashing:The valley is exposed to maximum water erosion and foot traffic damage.For extra protection a double lining system is recommended.I propose to install 36"wide mineral surfaced roll centered in valley.Next install shingles onto adjoining deck at least 12".Opposite side to be cut in straight line forming valley lines. Slope Roof Ventilation Systems:To prevent super heating,as trapped air during the summer and harmful condensation during the winter air must circulate freely under the roof deck.The roofing industry and the FHA Minimum Property Standards requirements is 1 Sq.foot of total net free ventilation area for each 150 sq. foot of ceiling area.I propose to cut a one-and-a-half-inch opening through the roof deck at the ridgepole.Next install Ridge Vent System to the ridge for exhaust ventilation. Brand Name: C.A.F Color: Customers Choice Edge: Aluminum Drip Edge Fairfield County Roofing to cart away all job-related debris. Rotted Wood: Fairfield County Roofing will remove and replace any rotted plywood at a billable rate of$70.00 per sheet installed.In the event that rotted fascia board is found it will be replaced at a billable rate of$1 1.00 per linear ft installed. Contract 22-809 Long Term Manufacturer's Limited Warranty:Certificate of warranty from the Manufacturer will be issued upon completion. Contractor Performance Warranty:Fairfield County Roofing proposes to furnish and install labor and material in accordance with above specifications in order that the above work qualifies for the manufacturer's Long-Term Warranty.In addition,all labor provided by Fairfield County Roofing&Siding LLC is unconditionally warranted for a period of five years from the date of installation. Remarks: I propose to remove the existing chimney flashing and install new 16oz hard copper flashing free of charge with this signed contract. _ This Contract includes the filing of the municipal building permit. You the owner may cancel this transaction at any time prior to midnight of the third business day. After the date of this transaction,such cancellation must be made in person,at the office of Fairfield County Roofing& Siding LLC or in writing,postmarked prior to the fourth business day. Terms: Standard industry cash terms,one half with the order,balance due upon completion. Terms may be modified to meet special conditions. Acceptance: The above prices,specifications and conditions are satisfactory and are accepted. You are authorized to the work as specified. Payment will be made as follows: Approximate Start Date: Approximate Completion Date: By: '— Date: By: Date: (� S Representative: Ryan Roberto(Business Owner) Date: Total Order aid with Orller I Due Upon Completion S 9,610.00 $4,805.00 $4 805.00 Contract 22-809 I � t � :•S s :_\� 'A•r�, ti�x � l�A�'7�, sue[, x ♦ r � h.( -kt � Sr C gag i W y o ..' CZ 0 in P.4 •� i x / • l. Li 0 section / ", R �,• � y U � Z U 6o a Quo .( .^ � ' ui a J W �i a A V ~� 'cl, ceo►»/ w 2 � U 3 � w ,.•o ray ��..�, Kit co z i / �,�•' av q V Cd t' a xrn c0 O co <ft C) O u .~ N / �� � `'��� •:fig. / f!s--; .'+£ P '4� .a3)r,1.1►, .tt ._r>...•:, ►!�1 - + ,'V►1♦V 1 ►c+ll1/��, a+�►I+i►►+j / +1. ��T 4 yti, ►, '�j d �� �pe` ti �„r.q�lr�nt� :yp..1•� �A.a IA►(; � �@y�� A t UA+i�Hr t``C�..,,y�y�� .�"jSl��Ai�t�' �1Y+mv�' t• ,� � .•,y-,�,tC 7 ..-�, ktl, •a�', 7 ke .t ��I�� �i���,n S. '� I IS`k k r�r � �i�":. ' ATE(MM/DD/YYYY) ACORN° CERTIFICATE OF LIABILITY INSURANCE F7 �i 8/30/2022 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: Belt),Reyes The Willett Insurance Agency PHONE 914481-5599 RRR 371-9783 g y A/C.No,Ext: (AICFAX,No): 338 Willet Ave ADDRESS: beityreyes(c�thewillettinsurance.us INSURER(S)AFFORDING COVERAGE NAIC# Pon Chester NY 10573 INSURER A: Westchester Insurance Conip INSURED INSURER B FLPW,LLC INSURER C 436 WILLETT AVE INSURER D: INSURER E: PORT CHESTER NY 105733176 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 K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000.000 CLAIMS-MADE F—KI OCCUR PREMISES(Ea occurrence) S 100,000 MED EXP(Any one person) S 5,000 A Y CONNYFI61721334 0,-30;2022 06'302023 PERSONAL&ADV INJURY 5 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 �OTHER PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 S AUTOMOBILE LIABILITY UUMbINtO tlenNULL LIMFF l) S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED FF<U MAUL S AUTOS ONLY AUTOS ONLY (Per accident) S x UMBRELLA LIAR OCCUR EACH OCCURRENCE S 1,000.000 A EXCESS LIAB CLAIMS-MADE UMBNYF161723761 06/30/2022 06/30/2023 AGGREGATE S 1,000.000 DED I )(RETENTIONS 10.000 $ ORKERS COMPENSATION PER U H- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROP RI ETOR/PARTN E R/EXEC UT IVE E.L.EACH ACCIDENT 5 FFICER/MEMBER EXCLUDED? ❑ N/A Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. 938 King St AUTHORIZED REPRESENTATIVE r3eth/ Reye.g 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 DocuSign Envelope ID:80D02F96-89B2-4268-AE94-A3C7CC5918B8 �YYORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1b Business Telephone Number of Insured FLPW LLC (914)937-2237 436 willet Ave Port Chester, NY 10573-3176 1c.NYS Unemployment Irsurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,r e.,a Wrap-Up Policy) 1 d.Federal Employer Identification Number of Insured or Social Securry Number 20-5611509 2 Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Cartier (Entity Being Listed as the Certificate Holder) SiriusPoint America Insurance Company village of Rye Brook 938 King St. 3b.Policy Number of Entity Listed in Box"ia" Rye Brook, NY 10573 WC 103316 3c Policy effective period 07/25/2022 to 07/25/2023 3d.The Proprietor.Partners or Executive Officers are Cl included (Only check box if all partners/officers Incuded) all excluded or certain partnerslofficers excluded This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"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"2" The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or e'iminate the inSLred 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. This certificate Is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon 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: G'(�C(LSO,J clot name 6f au',, zed rep,esentative or licensed agent of insurance carrier) Approved by: - 8/30/2022 Title: L 2EC77�/Lr, Jf7L�5 Telephone Number of authorized representative or licensed agent of insurance carrier (855)-880-0204 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(9-17) www.wcb.ny.gov