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HomeMy WebLinkAboutBP22-195PERMIT # Q2 SECTION TYPE OF WOR JOB LOCATIQN CONTRACTOf EST. COST i X/CO # LOT i�e175 d rii/ TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS CO SPRINKLER ELECTRIC LOW -VOLT O ALARM O AS BUILT FINAL INSPECTION RECORQ DATE I NSP UweAN" �)/ te/72/Ql 14A e�a�h6< OTHER APPROVALS I_rt: BOT PB ZBA OTHER Ar (�Z�AJ(A &* tt I � [z L3 VILLAGE OF RYE BROOK WESTCHESTER C013N-TY, NEW YORK NO: 23-011 Certificate of ®ccupaucp Eli Is is to certify that P'p-4e-e— of, 9vBr-co having duly filed an application on �Uaku /Q ! 20-,:,,25 requesting a Certificate of Occupancy for the premises known as, 5Ql , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: 94 Block: Lot: �. and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. — �, issued G 7 20 o2Q, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: K.' n& f r /• , Construction:_ for the following purposes: Leon wz le / pl e p-l6 T� s Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has been obtained from the Buildin Spector. J AN 2. 4 ?023 Acting Building Inspector,Village of Rye Brook: Date: BUILD11' + &k-iA'TMENT For office use only: DDPERMIT# �-I9S JAN 10 2023 VILLAGE OF RYE BROOK ISSUED:/047--@�4 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:/- o VILLAGE OF RYE BROOK (914)939-0668 FEE: �'�,Q,S- PAIDX BUILDING DEPARTMENT -......_._..__.- _ wwyv,rygbzookkorg 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 •rwwwr•wps♦s►s►sswwwrrwwp►►►►•♦►rsrrwwrwrwwr■w/►►►►•■swwwwwgrwpwwwr►ws►rsewwrwwwwww•s►►ss►►►rrwwrwwa►►►►ss►swwsswuwrw►r Address: j 7c�24,--4C Occupancy/Use: Parcel ID#: Zone: Owner: �T� C ��� <<- Address: P.E./R.A. or Contractor: /� Address: Person in responsible charge: Address: 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: /Erb Z- 5 1 4o,44L being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) _ 'Ze (No.and Street) , in /y o o ,in the County of vr/ ! S in the State of / ',/ I ,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:$ .ui <7 {'`,- o for the construction or alteration of: <</ n e 4!c '' /"r '2 l 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.AJ O.A.of the Code of the Village of Rye Brook. Sworn to before me this f Sworn to before me this day Qr,, day of , 20 C Si a of Property Owner i� Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public' Notary Public -10"pu01k,81at of Nwv York 8/12/2021 Na MIUM13st YVukf>ostet CouMlr - .n. QyE DR(�� cu � t7 BUILDING DEPARTMENT UILDINGINSPECTOR 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 - - - - - - - - - - - - - - - - - - - - INSPECTIO REPORT - - - - - - - - - - - - - - - - - - - - C"' ADDRESS : DATE. 1 2o6� I PERMIT# `� P _ ISSUED:Alr-kSECT: 2'%LOCK: ` LOT b f LOCATION: C`Q 6OV .�C 6 �CJOCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... /ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ��� C '3 ct� r')C�`� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER L , s a to ° CrN O O 0, ■ W C � (Sl a N o •a �� o c p �..i = u )CD HI) a O 0 y O [ J 1_' L U 04 Z O Q � agd , b O rodcc) � W x a Wo � o � G � can : aS F . -� ❑ ti :� C� w z °° W v o . - x L o W w c�% o N c' Uzro v o. o C) b �n LE Hz ~ A g4 (�) 4 C, LO Lin 103 �p o a t I u : a0 a W 9 � � 11 11 � 'cn 9 w -Z' V Q V W O ad o � -d a cn9 � O Gzl A y3 � ., �-2 g yy LO v p. u z ,� y - � LO o .. v o. BUILDING DEPARTMENT VILLAGE OF RYE BROOK 0CT !5 2022 938 KING STREET RYE BnooK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK m2M.rveftook.org BUILDING_DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: OCT Iermit#: J� `-3�Application Fee: $ 7�`�� Approval Signature: Permit Fees:$ Disapproved: Other: LX--4&L 17 A-R r � Z Application dated: /� / 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 bellow. 1. Job Address: S 1 Qo C.i SBL:f 7 r r� ��'��•tr Zone: aJ6 2. Proposed Improvement.(Describe in detail): k/���" 'fe pG'�4A /�'�� /�'OVr'�"r�f 3 �f/✓Q C/J��NC�.%S �/.r'/f•.Ao O��f7� /<</till t� //'�1 N /f/C S� jd/L c"%J ,/Jl✓D 5'yJOG�/G�d r /✓��v /7—va /vrtl7�d rQj1iL ir/C� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exis!�&tutomatic fire suppression system(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...):No: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam. fam.,comet,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: /E' �D���L 4 Address; Phone# F// �S a Cell# /�� email: �ls A�18c� /'lit G C o 8. Applicant: Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ a `7 y�'� Oar (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,'professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: (1) 8/1 212 02 1 BUILDING DEPARTMENT ECENE VILLAGE OF RYE BROOK OCT 2022 ID 938 KING STREET RYE BROOX,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rye il�epl m� - BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: lde_"l � ,residing at, ��° (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; sr) °ram"- y �rr�r 'eR , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. Si lure of Property Owner(s)) (Print Narne of Property Owner(s)) Sworn to before me this day of , 20_eL_)R�-' (Notary Public) SHARI MELILLO YotarY PUbliC State of No.01ME6160063w York Qualified In Westchester County ,) (2) ^nrnmission Expires January 8/12/2021 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: /�r-7-2—A !�R✓J e e c- ,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. By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this o ,2012 day of , 20 S' ature of Property Owner Signature of Applicant VA t ante of Property Owner Print Name of Applicant lh Notary Public Notary Public SHARI MELILLO ?Votary public,State of New York No.o1ME6160063 Qualified In Westchester County,, commission Expires January 29,20 (4) 8/12/2021 CPA 6. N 2 Lin IV Ln • N � � � a + w � • .-j O� h a � l .f a ^ 2 z A w 00 O0-1 Z cw7 F� 0 } O z � Z �o z w a 00 en qIn a � e W ' o � z � O G Vg A U W z c� a 0 c� a c ,. H `n Q z w z a U. C) U N w � i BUILDING DEPARTMENT D VILLAGE OF RYE BROOK ID 938 KING STREET RYE BROOK,NY 10573 NOV 15 2022 (914)939-0668 www.ryebrook.org I VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION -- - - - Westchester County Master Electricians License Required Q FOR OFFICE USE ONLY BP#: 'zD Q—/ EP Approval Date: 202� Permit Fee: $ Approval Signature: 1W7 Other: Application dated, —����� is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes.s., 1.Address: S'� Do��C ��<<'✓ s D/ Lv SBL:f ) /�C)6 9L Zone 149a6- 2.Property Owner: /�F1'�.� �/l�a'EC Address: S.t 'Oox -1,- G'<«i" s 06/ ti Phone#: 9/7 1p 5-3 90,?.2 Cell#: email: 3.Master Electrician: J /t1�4 .a-e—GA r K N h o /Address: G J-.v Arnt r C 4. n k� � Lic.#:d9 Phone#: Cell#: 2 7 'e -a,5TL/5 email:jjjj ' Yv Company Name: S A Address: 4.Proposed Electrical Work/Fixture Count: / , J cc/�J�1✓ ���� dg i ca 09,"120 1--S di '.-q- ,T3�e�v� ��/L1►•i/ 5.31 Party Electrical Inspection Agency: S Gt/ /"S ********************************************************************************************************* ]TATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �fi ,2)Q" 4 ft JQ 4"0 being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) #� state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is th p vl </✓�G�L��hi✓c� for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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 efore me this day of ,20 Signature of Property Owner S- ature of Applicant v De Coyr'1 >- o Print Nam of Property Owner Print Name of Applicant c MICHAEL ANTHONY DECAIRANO No blic Notary Public - State of New York NO. 01DE6257499 Qualified in Westchester County E y Commission Expires '-t —Z 6/23/2022 STATEWIDE INSPECTION SERVICES, INC. Service With haeqril-1, 1:1 Main Street,Fishkill, NY 12524 1 emod:• • JOB APPLICATION tel :4 1 • fax 914.219.1062 1 SWISNY.com • SWIS Office Use Elect.Permit#�� n \ �` ��� Date// r� 1 1 Bldg Permit# t Utility ID# Final Certificate# City/Village IX.-" e/10 o f Zip / S Township/ . - County Address �o ^ Z_ L� �l ,d i .Gross Street Section Block Lot Owner Name/Address(If different than above) s n Contact Number ❑Basement ❑1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ®Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE ' Amperage Voltage 1 P 3F' #Meters #Disconnect ❑Underground ❑New ^❑ econnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information i e- J:� ,Ij %y p ECEME E 15 2 222 VILLAGE OF RYE BROOK i BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is Intended to cover the above listed items to be inspected,If at arry time of Inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there Is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name ; ` `, y V Date Signature'Le I Address k, City/State Zip Code License# Phone# p DState Wide Inspection Services 1080 Main Street DEC 19 2022 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Paul DeCairano Electric Peter Grabel Paul DeCairano 52 Doral Greens Drive West 69 Lawrence Avenue Rye Brook, NY 10573 Tuckahoe, NY 10707 Located at: 52 Doral Greens Drive West, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-279 129.26 9.1 Certificate Number: 2022-8027 Building Permit Number: BP 22-195 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 52 Doral Greens Drive West, Rye Brook, NY 10573 The First Floor Kitchen and Bathroom were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 8th day of December 2022. Name Quantity Rating Circuit Type Kitchen LED Luminaires 14 Switches 02 Dimmers 02 GFCI Receptacles 06 Dishwasher 01 Disposal 01 Exhaust/Hood 01 Gas Range 01 Refrigerator 01 Name Quantity Rating Circuit Type Bathroom Dimmer 01 Ceiling Luminaire 01 GFCI 01 LED Vanity Mirror 01 Exhaust Fan 01 A Visual Inspection of existing conditions was performed on December 8`h,2022, of the First Floor Kitchen and Bathroom and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Page 12 L9) N N F o W 6d 110 V • �.. Gj � .i. N O x O. , z N v "Co � w O Z w -_� z o - A1 ts W Z N w wJ F z o W x F " � o o O A a3 f w w ri) A w z " Z 000 z Q " d,0 V i y O � 000 w v i ` z V A c) MCI CY e O z � CT �-j M l - OC ►-4 a aN , F-� . , Cy < cwa F w Z � Q w z $ o v� O a w M V F. , A v a s 6a � " x • N z H w z A oa a Q 0 w o � s a4144;9aaaaaaaaaaaaa414aa4141V,44iUt$:t414UU4;4;U4-44(1to41, ✓„a r� tc R D BUILDING DEPARTMENT VILLAGE OF RYE$ROOK DEC 1 6 2022 938 KING STREET RYE BR60K,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK %krWW.!ycbrook.org BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION 1 I OR OFFICE USE ONLY BP#: d — PP#: C:�>CJ—/59 Approval Date: DEC 1 6 2022 Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) OttttORttttttOOtttittt tttOttttttttttOtittttt0ttttttOttRttttttittfttOtttttttttttittttfOttttttOtttt Application dated, /°/5�� z is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install andior remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,\Co/unty and Local Codes. ].Address: ,51 avfnt G!FFt) Qof 4,' SBL: �� , r�(�i "��rl,� Zone: 2.Proposed Work: cyi_ 3.Property Owner: Address: j D 0/t'f c Phones: 9/7 e(5 3 Cell#: f/7 `s 3 90 ' ) email: 4.Master Plumber: Les Q v G e- ✓ 4 Address: (ZO SC-►4 eS A v Lic.#: ILlbS Phone#: &N(o- 2s/-23`11Cell#: email: T-/o Plumh/r)q L.LC, �C­n% Company Name ii (a P/L"k n q 0,1 c (Iecd,wi /�Address: (ZG se-4-vs- INDICATE FIXTURES&LLNES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural Other• Total Closets Fountains Tubs Tubs Scrvicc Service Scwer LP Gas Bas;rnent i t st f}oor i nd Floor 31�Roor I I 41h teor Sin jioor --- - Exterior 5.•List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- k STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Ce5a1 1?10 Tv 1 a ,being duly sworn,deposes and states that ho'she is the applicant above named, (print name of indit idual 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 Y6m3j to Y for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor,agent,attome),etc.) That all statements contained herein arc 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 s Swom to before me this day o f 0 20 OQ day of e�e►v�be Y 20 _. j.. Gor.tore of Property Owner ignattue of Applicant P (A e V 6'"'A 6d tnescit Y ern r Print 'ame of Property Owner Print Name of Applicant ALMA D PUBtTGOF NEW YORK Votary Public Notan I ubReqistrabon No.01 TU6425696 SHARI MELILLO Qualrfied In Westchester County County ^aar)Public,State of New York Commission Expires Nov. 29, 2025 No.OIME6160063 ;uallfled In Westchester County h3 '$ 4t> �fistg�$r� Fry 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. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. tvt2r_oz 1 D CLEWF D BUILDING DEPARTMENT DEC 16 2022 VILLAGE OF RYF. BROOK 938 KING&rRFF r R)!F BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668/ BUILDING DEPARTMENT W�V.rYcbrool *****t*kk***k******tk***t#***t**kkk**k**********t********#***#*k*****#*************t**#*************RR* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL. PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 1, ,residing at, c�rvJ Q/ (i✓ (Pnnt name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; rec=i►' t Dl c_.' ,Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains,sump pumps,or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ISigna a Property Owner(s)) — ----------- ----- (Pnni Name of Property Ownerl s)i --— -- Sworn to before me this day of 20 a� (Notary Pubhi) SHARI MELILLO Notary Public.State of New York No.O1ME6160063 --iIltied In WeStchestel county 3 3- Commisslon Expires lanuavr 29.202 8/12/2021 GEICO GOVERNMENT EMPLOYEES INSURANCE COMPANY GEICO'S PERSONAL ONE GEICO PLAZA, WASHINGTON, D.C. 20076 UMBRELLA POLICY Tel: 1-866-272-5192 Amended Declarations POLICY NO P 8443856 Policy Period From 05/14/22 To 05/14/23 PHC EN-CT- 10/06/22 INSURED NAME AND ADDRESS PETER C GRABEL AND MARYANN GRABEL 52 DORAL GREENS DR W RYE BROOK NY 10573 THIS POLICY IS EFFECTIVE AT 12:01 A.M. STANDARD TIME AT THE RESIDENCE OF THE INSURED. INSURANCE IS PROVIDED WITH RESPECT TO THE FOLLOWING COVERAGES AND LIMITS SPECIFIED WHERE A PREMIUM IS STATED, SUBJECT TO ALL CONDITIONS OF THIS POLICY. I. LIMIT OF LIABILITY $1,000,000 II. RETAINED LIMIT $500 III. RATING INFORMATION IV. PREMIUM V. MINIMUM REQUIRED LIMITS OF PRIMARY INSURANCE AUTOMOBILE $ 99.00 $ 250,000/500,000/100,000 2018 BMW AUTOMOBILE $ 99.00 $ 250,000/500,000/100,000 2018 A ROMEO AUTOMOBILE $ 99.00 $ 250,000/500,000/100,000 2012 HYUNDAI PRIMARY RESIDENCE $ 62.00 $ 300,000 59 LE GRANDE AVEAPT10 GREENWICH CT 06830-6727 SECONDARY RESIDENCE $ 8.00 $ 300,000 33 WILDWOOD DR GREENWICH CT 06830-6727 WATERCRAFT 26FT OR MORE -OR- OVER 50HP $ 25.00 $ 300,000 1987 GRAYWHITE 125HP 19FT N YOUTHFUL OPERATOR(S) $ 510.00 $ 2 YOUTHFUL OPERATOR(S) b TOTAL PREMIUM $ 902.00 HU1 (10-19) (P1) GOVERNMENT EMPLOYEES INSURANCE COMPANY ONE GEICO PLAZA, WASHINGTON, D.C. 20076 POLICY NO P 8443856 Tel: 1-866-272-5192 PHC EN-CT- 10/06/22 FORMS AND ENDORSEMENTS PPA1CT (01-16) Personal Umbrella Liability PPE1CT (07-18) Policy Amendment IMPORTANT MESSAGES If your payment isn't honored by your financial institution, you'll be charged a service fee up to$20.00, depending on your state. Amended declaration effective 08/10/22 supersedes any previous declaration bearing the same number for this policy period. The mailing address on your policy was updated. OFFICE USE ONLY M 0 0 0 0 0 a 0 0 0 0 0 M a0 HU1 (10-19) (B1) 0 0 0 0 0 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence **This form cannot be used to waive the workers'compensation rights or obligations of any party.** Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): I am performing all the work for which the building permit was issued. L� I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the proj ect takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the j obsite)for ork ind' ate on the building permit. (Signature of Homeowner) (Date Signed) /ter.7n Home Telephone Number ��J �v (Homeowner's Name Printed) r, E before me this S day of Property Address that requires the building permit:�,C�2� r �A 4/{�o� �� /O ��� lerk or Notary Public) SHARI MELILLO Public,State of New York No.01MEU60063 ed In Westchester County n Expires January 29,20�3 Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB Building Permit Check List&Zoning Analysis Address: S —22' t, C,-rZr�NS SBL• l Zone: Use: Zl Const.Type: Other. (,e4 AL Submittal Date: 4 4> L-f-t Z= Revisions Submittal Dates: Applicant: G-rz- A 3f.l- Nature of Work: L•EG ALn-Z- 1 nNTqZiZ-c o CL— � t�F N '3rrt�.1 4- ,'P��1� c Reviews:ZBA: OCT - 5 2022 PB: BOT: Other. tv�F� OK S•W ,o, SOo. FEES:Filing. 7 S!3zt� BP. ` C/O: Flood Plane: Legalization: 3 - ( ) (J1 APP: Dated: ✓ Notarized: ✓ SBL: --�' Ttvss 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: tither. ( ) ( ) SURVEY:Dated: Current Archival• Sealed: Unacceptable: (� ( ) PLANS:Date Stamped Sealed Copies: Electronic. Other. ( ) (Jf License: Workers Comp: Liability: �mp.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. PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Pemut: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 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 EXISITNG PROPOSED NOTES APPROVED Am- OCT 1 1 2622 Cirde: v. mpW Front: Front. Main Cov Accs.Cov FL H/Sb: S Sb: Tot,Img: Ft.Imp HHig /Stories: notes m 0 v at W i M o0 • IL qo lop L� r•� � Q w � � C � v Q� s h t� d z3 goo ON w a � w H � z x O M � O � ` x P"+ID v� W jv 96 z � ' A E IE! A C9 v W � W � � o �I W w w 0 0 z � v w � O o , a w � w r w Z Fr G BR(�k• �7 1982 • BUILDING DEPARTMENT ❑BUILDING INSPECTOR P.A§SISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS . (' J\ QrQZt�.DATE:- PERMIT# J ISSUED: SECT: BLOCK: LOT: LOCATION: \ OCCUPANCY: Z J /VIOLATION NOTED THE WORK IS... ❑ ACCEP D ❑/ EJECTED/ REINSPECTION SITE INSPECTION / REQUIRED FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS `�-�J U 1 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING 'Al ❑ CROSS CONNECTION ❑ FINAL p� ❑ OTHER C � � pus � � 1 DR Q tll y;' J`V G JUSTICE COURT OF THE TOWN OF RYE STATE OF NEW YORK:COUNTY OF WESTCHESTER ---��_���----------------------—--------------------------------—------X '9 PEOPLE OF THE STATE OF NEW YORK, -against- NO. BC 3103 e-i C�Tli N �r,:j Defendant. ------------------------------------------------------------------------------X Be it known that complainant herein ,4P T I C �- ) , , duly authorized Code Enforcement Officer of the Village of Rye Brook, accuses the defendant(s) named above, residing at J, L%-, (,of the following offense(s)committed at ��1 )(< � 4 q�(�S , in the Village of Rye Brook,State of New York on the day of �t ,20 2,L at or about 2 ' LlC) o'clock. COUNT ONE: �-'G7 f +� 1 , C� ` 1� — I tlelf To WIT: {nQ CX ((-,Usk COUNT Two: <`To W rr• c i ;4-- 1 QDN c, IUDS i All of the above is contraryto the provisions of the statute in such case made and 'p provided for. The above allegations of fact are made by the complainant herein on direct knowledge(and upon information and belief), with the sources of which being an inspection(s)on, Any false statements made herein are punishable as a Iass"A" Misd 0�23 f the Y Penal Law. Dated Code Enforcement Officer APPEARANCE TICKET You are hereby directed to appear before the Town of Rye Court, 350 North Main Street,Port Chester,New York 10573 (Phone#914-939-3305)at `� w' o'clock on the day of v`t ,20 Z in connection with your alleged commission of the above-described offense(s). NOTE; UPON FAILURE TO APPEAR I A WARRANT MAY-B U FO UR ARREST Dated Code#nforcement O — DR �A JUSTICE COURT OF THE TOWN OF RYE STATE OF NEW YORK: COUNTY OF WESTCHESTER ----------—----—-------------------—--------------------------------------X . 19 PEOPLE OF THE STATE OF NEW YORK, -against- No. BC 3104 e r,—�t l p �, n 'r- ') Defendant. - ------------------------------------------------`--------------- X Be it known that complainant herein yD —�- duly authorized Code Enforcement Officer of the Village of Rye Brook, accuses the defendant(s) named above, residing at < {" h— �L : C►3� 0p1L N' �y of the following offense(s)committed at �ja, �(� -{��� �� , in the Village of Rye Brook, State of New York on the—Z':� day of A A ,20-2Zat or about v0 ,k6bIclock. COUNT ONE: `1 G &� '�� k\ I �� V► To WIT: \tJ c 0 ya \-I n13% \c \Z, lot t i-o m COUNT WO: Q To WIT: Y-n C �L7p C�< 1 �c�l C' U1 CQ dal h �-k 1 e&L-k t j All of the above is contrary to the provisions of the statute in such case made and provided for. The love allegations of fact are made by the complainant herein on direct knowledge(and upon information and belief),with the sources of which being an inspection(s)on, -n Z- Any false statements made herein are punishable as a Class"A"Misdeme or to§ .25 o enal Law. Dated Code E orcement Officer APPEARANCE TICKET You are hereby directed to appear before the Town of Rye Court,350 North Main Street, Port Chester,New York 10573 (Phone#914-939-3305)at f o'clock on the 7 kl' y of �-� � ,20 2 in connection with your alleged commission of the above-described offense(s). NOTE: UP N FAILURE TO APPEAR A WARRANT MAY BE IS FOR YMMIREST 2-�J A 4 Dated Code Enforc en fftcer -re i r. s ..- � 4 . ���r � ®���\^§ ®^��26< . . . . ] � \\�/» � < . �z�. :����/ \:� ; z ;� © �w�2< < : a >� � �'v` ^ � J ���<:d�\ . . tea . ?�«�v�v : .���:§�\ \� �� - x \����: � � � _:���. . . - �»�/\ . «� » � »��'�\\� ; K >����\.y«� . a>��\�2�m© . � i��»» ' . �: �y . . «wmy�y a � \ . � � �: <����\\ ^ ^� � �+`?p`�G �. . . . . + � y � � �� Vim:«%°® ^ � . . -�� .���% 2 ±- , �x . »�© °� . §� �/' - � .�«w�� � � ©�� . � ° w � © �� �~ ®w� . ,�v�. . - ���^^ \ � �? © � � � � � ^� � � � . > � \� ■�:� � :�d��` � x x � � ` ? � yd�^ � .© ��: \ _��d� . ��� . � . � � ^ �. � ���� , s\» ~ m� z� � � , « �^ * .: . \y d �x __ ^ �� \\ »� �af����\ ^ �~ 2/ t , : x �� >��« < '�..�. A _ . . vt 35jc� M 9n W I 'r uy 1. "'a Mike Izzo From: Mike Izzo Sent: Thursday,October 6,2022 2.44 PM To: pgrabel@mac.com Cc: Steven Fews;Tara Orlando; Laura Petersen Subject: FW:Grabel Building Permit Doral - 52 Doral Greens Drive West Dear Mr. Grabel, Your email was forwarded to my attention for response. Your court date is tomorrow, 10/7/22 at 9:30am at, 350 North Main Street, Port Chester, NY 10573. You must appear at that time or request an adjournment from the Rye Town Court Clerk at, (914)939-3305. Regarding your permit application, we expect that your permit will be issued either Friday, or early next week depending on our workload. The new upper landing clear guard rail can be inspected as part of our regular inspections. Thank you. Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Tara Orlando<torlando@ryebrook.org> Sent:Thursday,October 6,2022 12:40 PM To: Mike Izzo<Mlzzo@ryebrook.org>;Steven Fews<Steve Fews@ ryebrook.org> Subject:FW:Grabel Building Permit Doral 7'ara .A. Orlando Planning Board& Zoning Board of.Appeals Secretary `Village of Rye Brook 938 Xing Street Rye Brook, New York 10573 Office (914) 939-0668 i From: peter grabel<pgrabel@mac.com> Sent:Thursday, October 6,202211:25 AM To: Laura Petersen<LPetersen@ryebrook.org>;Tara Orlando<torlando@rvebrook.org> Subject:Grabel Building Permit Doral Laura &Tara Thank you for your help yesterday with my building permit application. I am hoping to have Electrician & Plumber submit the forms to you shortly. I also received a call from Mike Izzo asking for plans for"new stairs" . I explained to him we repaired and painted the stairs and put in a new railing but did not remove or replace the staircase. He mentioned something about a photo of a ladder. We used a ladder to paint but not to go upstairs so I'm confused about that. Can you please let me know if I still need to go to court tomorrow to respond to the notice that Steve Fews issued? Thankyou Peter Peter Grabel Pgrabel@mac.com 917-653-9082 Cell 2