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HomeMy WebLinkAboutRP22-043PERMIT #A r SECTION TYPE OF WORK JOB LOCTION _ i. EST. COST \,Xc0 #.f.:Lc DQ- C/DATE:%© c O(P: :7�.S % BLOCK LOT TCO # FEE DATE DATE F�OTI NG FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT O FINAL I NSP �- al4e/ ZVa ( �� 68 � DI 93 q/73- Pv a OTHER APPROVALS 4016 anni iewa W 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,or TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 5,2022 Maodong Zheng&Rita Fuller 4 Talcott Road Rye Brook,New York 10573 Re: 4 Talcott Road,Rye Brook,New York 10573 Parcel ID#: 135.57-1-11 Roof Permit#22-043 issued on 10/24/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to D BUILDING DEYAkTMENT For office use only. 7 D 3 PERMIT VILLAGE OF RYE BROOK ISSUED:/ —�a- NOV - 9 20221 938 KING STREET,RYE BROOK,NEW YORK 105573 DATE: -ate (914)939-0668 FEE:.9 PAID It VILLAGE OF RYE BROOK BUILDING DEPARTMENT wwa.rylrook.orzr 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 •+r+ss+sss++++sr+•rs++••rssrssrs+•srsrs +++ursssrssrr+r+rsss++sssss+s+rr+s++r+rrrs++s++srr+►+sr+trsrss+t++rrr++srsrrrr+++++♦ Address: 4 TALCOTT Occupancy/Use: r, Parcel ID#: ( �.� "' S� — i Zone: Y Owner: �A 0�O/� Z�-f � Address: 4- T A L C OT I 12 , P.E./R.A.or Contractor: N� .y R o t:�n �c Address: t y �J 14 t_c'D at s� Person in responsible charge: Address: 1--7 � 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: F Ae-k t-k \�, c,k being duly sworn,deposes and says that he/she resides at tk T a l. colT � (Print Name of Applicant) (No.and Street) in o ,in the County of w e<j( N\P s e," in the State of IV y ,that City/Town/Village) T� 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:S 2-2.1 for the construction or alteration of: i n e -Ak o v e ('1k r � sZ CA-k1 iN C- 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 Fode of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of NP Ve� 6��, 20-7Z- , day of , 20 Signature of Property Owner Signature of Applicant X �4 o D om 2- 1 Print NWne of Pro rty Own Print Name of Applicant Notary Public Notary Public SCOTT GOWE NOTARY PUBLIC OF NEW YORK I.D.#01 G06357188 MY COMMISSION EXPIRES 17 Zda S ,kE BRC��• 0 . 1982. 2 BUILDING DEPARTMENT /AssiSTANT ILDING INSPECTOR BUILDING INSPECTOR VILLAGE OF RYE BROOK DE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 f www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - �j -� ADDRESS: �/` (\'_��C/� DATE: 1acop PERMIT# v ISSUED: SECT:J_BLOCK: LOT: 2 LOCATION: V OCCUPANCY: Z ❑ 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ZL PLUMBING SS CONNECTION L ❑ OTHER _ w ■ M N N W a s Q N cV PG + sa s � a W rA ■ O o � add p. GT.I W N i z A p « ++ godv o w H 00 N U rn .o A w y p ,o a �) � +n M--I L7 0 O W 9 O " " A ■ W O ^ O u a Itt 0.4 en O � A p QC c% v� � � u �.� � ■ 1� � W V a � O 0 ►fir w o � o � 3c .� , rv-)� 11 r� W � © t�4i z W V' ~ j ►7 M 6 Q a v p � 0 en LI)00 WQtb 000 Qrw Q 00 Z a 0� - U �...� M V W (� a' �n a v Q ■ N z a o Wcy o V Iz V.O Z A n ►� � k " o H rA v U H O CG 'd a u -g W O Ey f o a VV a Q y3 z c © © p8 , + �' vy G7 E" k„ 4 •" v a Sib i BUIL ( � TMENT OCT 18 2022 VILL E OF RYE') `OOK 938 KING�1ET RYE BROQ ,INY 10573 VILLAGE OF RYE BROOK \ 914)939-066 '� ! BUILDING DEPARTMENT ►ww xvebt;o&l.or. FOR OFFICE USE ONLY: Approval Date: OCT 2 Vf erm t# Application# Approval Signature: : ARCHITECTURAL REVIEW BOARD: Disapproved: % Date: BOT Approval Date: Case# % Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: `` \ Application Fee: U Permit Fees: �� f r ROOF IT APPLICATION �� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Application dated: J�}'/ Re-Roof an Existing Building as per detailed statement described below. t /,+ 1. Job Address: � (- ( oC 1 C lo� iz A- SBL: -5, 5 /�7— Zone:/Q--/4 Property Owner. x 46 U 0 o/1i��' z H EL16F Address: 4- r�LC�" l,--r/l- i� Phone#;CJ 17 - d 91- cl--1 Cell#: (� - �� Z-U y email: TL�1+`tt )K Etc�1CC 2, Applicant. rt ,� L o ak Address: Z y- tcA,l;;cL -� Phone#: Cell T,¢1.5 �5�` -u i�7 email: 0j L- L71 4L 3. Roofing Contractor: Address: -,2 tc-c�,tc L j Phone#: Cell#:;fat,_S �c►'3 email: 4. Job Description,list all Methods&Materials: el ;[tt4 CZcx�'T= 16 11n2i RCS fll� t"- L ol L\lipkP t-A' a c' ci. Wifcc''x c' -o:(a1 CS) %r yti e r�t 1-iti i raV' n--�Qe: ir—` 5. Estimated Cost of Job:$ to, .o _ (NOTE:The estimated cost shall include all site improvements. lahcv.material,scaffolding.fixed equipment,professional fees.and material and labor which may he donated grrtis.) 6. If comer property,indicate street frontage: 7. Construction Type; t2 t; ('>-T �2-a-�l C'e k"Le t+1 NYS Construction Class: 8. Number of stories: - Height: 9. Is garage being re-roofed:No:{ )•Yes:(dAttached No:O•Yes: ( j Number of Cars: 2�- 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: ? ���a y.j -t- 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 WESTCHESTER ) as: � l 1, b q� k I Z-H V L, being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the appliew) 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. (indicat architect,contrac ,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 he 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 Sworn to before me this c day of .4- 20-2-~ day of n & (- 20�2 Sign— atdit of Property Owner Signature of Applicant Print Name of er Print Name of App ' t 7 :7� _C .� "04 off'P Notary Pub t i�W�IIJLEiE/�QER No"Noc.6fNewyo* NEIL F.AGYIRI LE .OfAtW646 Notary Public-State of New York OOWAS Mft]MM03/01/20M NO. 01AG6324731 Qualified in Rockland County My Commission Expires May 11,2023 -z- LOCT 19 2022 Talcon Woods Home Owners Association OFFICE USE VILLAGE OF RYE BROOK Rec'd B D BUILDING DEPART f�9 ^dT t Y ate REQUEST FOR ARCHITECTURAL COMMITTEE REVIEW Document Check List Request From Survey/Plot Plan Specifications Date Bldg. Plans Permit Mr./Mrs.: Elevations Photos James Zheng, Rita Fuller Details Other(noted) Address: 4 Talcott Rd, Rye Brook, NY 10573 Phone No.: 91 7_ss2-0051 Brief description of addition, alteration, improvements, etc.: t r 3 e17�=� T��Slccll.41�u�1 - 1tiSiill tri (�\• uttiour L7t^rD !:Asa= iT uo atAJ-7 WeGxV%C-i`k'Z T et^ ��4 `l t`- .�e�_ ,_ u i�LS� l i tl ti c�^ lc`✓l l T;.tier 5 i� a,lrs GLr-�1`cc- Contractor. I_ ,\f. ;T�r 2„ n4 G , n HOMEOWNERS AFFIDAVIT Address: LL t S.i I have read the covenants and restrictions N�vx0gn- ,L' G of my Associations and agree to abide by such covenants and restrictions. No work Cert. of Insurance Attached — will be commenced without the approval of my Association. ---- --- Date: Signed:, �w> Please check with Village of Rye Brook for Building Department Approvals FOR ASSOCIAT ON USE O Y Approved by Homeowners Association 9l 501 Z022 Preliminary Approval Subject to Review 9 Insufficient Information Submitted - Resubmit Not Approved App ved with th ollow' g Condi p.pP P�D Vf�'LS I P E R M t-r �2�au��p -t.. $It g N tsslol�1 p+F' ►►a�l N tT�' Chai person, Architectural ev' o d 1N SJ (Zp N GEC F C.h-T Date: g 3 0 2 D From: James Zheng <james.x.zheng@gmail.com> OCT 19 2022 Subject: Re: Roofing Project VILLAGE OF RYE BROOK Date: September 30, 2022 at 4:56:39 PM EDT BUILDING DEPARTMENT To: Mike Despojado <mikedespojado@gmail.com> Cc: Infinity Loja <infinityroofny@gmail.com>, Richard Mast <richardmast100@gmail.com> Thank you! On Sep 30, 2022, at 4.29 PM, Mike Despojado <mikedespojado@gmail.com> wrote: Luis and James. I am pleased to inform you that your roof repair and replacement with the shingle color Pewter Grey has been approved by the Board and Architectural committee. See attached approved request form for your records. Thank you both and have a good weekend! mike s � � f U S ll 1 i20b ZOZ/81/01 gdf jooipZ%asuaaTl/sammaidOZ%XW/sluaumaoQ/uasialadl/siasn/Zpdj3loozgafaA//:al ,� + h'• n,r "%:I11 " irr,. „Hh.,, „ v.11 1�1'NM 41r' 4► "p a► ��j/Iy 1 ►1�/1 1 1 11 li,l 11 1 k1 1 1 1 1 �� 1 �AL,"1 11' �s�1',L 1.ri 11 I r Jl 44=:�::" It..."� 1+ II'r ,3`f Y`,',► la' ��..r.J� t4a1 Ir:� I l ��1 �/tt lPt S tir 1 C) ` C,4 x I- � C 6 6 L. M ut LU OJI CD Ot NF LL -,�• ,,mac ,.` � � 1^ � "+k �' N Q �•.� F �✓ _ ;w LL z :' .; tj CO • �ej� � � tom`.. Cl. � •�?i j.��'•� 'R+`��"� � .. . . - :. -- =zY'^y�ps�.t�`:► 1 �t�tasa�`a y 1 11 *t� '..�(� j((ts�+►�9�;�•gls�h..1 �I�s.'�''•��lrjda Il��t'�/ r {{ •���� �`iSl fl►1`-�(paCfi � ,� j�� `i .I, . .►►,• �1 ♦ j • .n���"�i ,; �: t�.�d.'e!1��11�;,�}�tF���1�,�^t�;y�� °,�� ��,• �'�.i7'�t' 1• ►.�t�}i�rrll��l�,���(� n'h��itn��4 ,�p�,jp� .e�t�, ,A►,{''�"1J;;��r{{jj11,,,, � � _:'r 1 � tf ♦•1�. A 1: w 'Iit��W;t'Y�� A' 11.�. ..rJ7F•�d. A' i!i. f(Aw...B ..ttS S: �'f{Mbn:,•n7M�•�i � r�Xt9v �_ • 3 3o 1 a210d INFIN-3 OP ID: DANI ACORO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F04/21/2022 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 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 CNAAME: EIDMAN AGENCY INC. EIDMAN AGENCY INC. PHONE 845-353-4940 aC N,;845-358-8205 145 ROUTE 303 SOUTH Alc No Est: WEST NYACK,NY 10994 E-MAJL ADDRESS: INSURE S AFFORDING COVERAGE NAIL/ INSURER A:ATLANTIC CASUALTY INS.CO. INSURED INFINITY ROOFING 8r INSURERB: CONSTRUCTION CORP. INSURERC: 49 OLD MIDDLETOWN ROAD NANUET, NY 10954 INSURERD: INSURER E: 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. IN R TYPE OF INSURANCE POLICY NUMBER MM�D EFF MOLIC EXP LIMITS A X COMMERCIAL GENERAL LLABILn'Y CURRENCE $ 1,000,00 EACH OC CLAIMS-MADE Ix I OCCUR L068026724-1 04/16/2022 04/16/2023 PREMISES Eaocc ,ce E 100,00 MED EXP(Any one person) $ 5,00 PERSONAL 3 ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY JET LOC PRODUCTS-COMP/OPAGG S 2,000,00 OTHER: _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT = Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION E f WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION VILLRYE 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 RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) 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 -TV 0 ^^^^^^ 824785046 EIDMAN AGENCY INC 145 ROUTE 303 SO. m WEST NYACK NY 10994 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INFINITY ROOFING& VILLAGE OF RYE BROOK CONSTRUCTION CORP 938 KING ST 12 FREDRIC ST RYE BROOK NY 10573 NANUET NY 10954 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2568 752-6 857429 04/24/2022 TO 04/24/2023 4/27/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2568 752-6, 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 POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT FIDEL LOJA OF INFINITY ROOFING&CONSTRUCTION CORP ONE OF ONE 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: 1062721361 U-26.3