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HomeMy WebLinkAboutRP20-010PERMIT # fir, SECTION TYPE OF WORK JOB LOCATION . OWNER ) 1 CONTRACTOR_ EST. COST vcO # rdy TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C1 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC F1 LOW -VOLT 0 ALARM F1 AS BUILT 0 FINAL BLOC r FEES FEES �lU"�p� DATE a CX FEE DATE INSPECTION RECORD DATE I NSP OTHER APPROVALS ARB BQT P8 ZBA OTHER BRnv� u ti /� 19t12•`� 40A Qnniam axj 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 June 29,2022 Adam Morelli&Alexandra Licurse 19 Ridge Boulevard Rye Brook,New York 10573 Re: 19 Ridge Boulevard, Rye Brook,New York 10573 Parcel ID#: 135.60-1-20 Roof Permit#20-010 issued on 6/8/2020 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 p E C EN E BUILDING DEPARTMENT For office use oniv: DD PERMIT# � ��)� VILLAGE OF RYE NOOK ISSUED: - JUN 2 7 2022 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: &,—A7—,4�0- (9,1�4)9 -0668 FEE: sd /)O — PAIDk( VILLAGE OF RYE BROOK N,N ,. id .a Ic:ar BUILDING DEPARTMENT 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 *****»s*sssss*ss»s»*sss*ss*ss»»»***»»»ssssss****»»s*ss*ss*»sass*ss*»ss»ss**s**ss»s»*s***s»*sss***»*s»»s**»*s*ss*s*»»**sss***» Address: Occupancy /Use: -)C,4 M Pia el ID Z /ne:: Owner: ft /l/ /YI'jt7/� G � Address:AA G [/ P.E./R.A. or Contractor: 1� L� X� Address: Person in responsible charge: —Address: 1 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: being duly sworn,deposes and says that he/she resides at lq G6 (� (Print Name of Applicant) Ole ^I1•J[ oo k � 1 (No.and Street) / in ,in the County of W � � �1�S 1�� in the State of 1,�V )( ,that (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 eqwpment,profe"s�al fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ `� for the construction or alteration of: p 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 2, Sworn to before me this 44-1 day of 0 , 20 Z Z day of u--4— 20 a' St ature of Property Owner Signature of Applicanj Print Name of Property Owner Print Name of Applicant D ... 1 G--- tM Not Public JANINE M CARPINELLO JANINE M CARPINELLO Notary Public,State of New York Notary Public,State of New York No.01 CA6069735 No.01 CA6059735 Qualified In Westchester County Qualified in Westchester County Commission Expires June 04,20 - 3 Commission Expires June 04,20 QyE BRC�j�. 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 :— ` � �\ v � J DATE: PERMIT# ISSUED!. $ECT: c—(ISLOCK: t LOT: "" LOCATION: e�- U� �7�J 2 OCCUPANCY: - 2— \Q ❑ 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 ❑ FINAL PLUMBING ❑ ,CROSS CONNECTION ❑" FINAL ❑ OTHER C Proposal Sergio General Contracting PROPOSAL#68457 DATE:MAY 29,2020 "No job is too small or too big" 22 Norias Rd, Greenwich, CT 06830 Phone 203.532.5264 Cell 914.804.2022 Sergiocontracting@hotmaiI.com Licensed in NY&CT To: Adam & Alexandra Morelli JOB LOCATION: JOB TYPE 19 Ridge Blvd, Rye Brook NY Front house and right side of garage roof replacement JOB DESCRIPTION • Remove the singles including the cedar roof • Install new 5/8 plywood • Install the water shield paper • Install synthetic underlayment for roof • Install new ridge vent • Remove the existing copper flash around the chimney and install a new one • Install new Timberline shingles to match the back of the house • Dumps for debris • Labor and materials included TOTAL $7,000.00 Signature:X _ Signature:X Thank you for your business! •zSl,fl'i ��>; u� ,X .'.O ` O T" .� r�Ltl M{'�t¢ •llf� 0.�.:�•m tlti::;�, ! ...y f+r Zi+, ,1 rdl'i,v �. 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NI�► j y vj a F}�� \5k�_` \ T j r t 1,�'jti>- "��.s' /le'lli SERGGEN-01 Ak.-- CERTIFICATE OF LIABILITY INSURANCE DA41TE 13/2020 ) 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(les)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 endorsenwrtt(s). PRODUCER --- --- NIACT - - NAME: _ Joyce Insurance Agency IPHONE C NMo.E:D (845)942-7200N,L��45)429.1591 2 Joyce Plaza ------ Stony Point.NY 10980 1 ff;service@j0yceins.COm INSURER(S)AFFORDING COVERAGE NAIL e INSURER A:Metllfe INSURED ,INSURER B: _ SERGIO GENERAL CONTRACTING CORP !INSURERC: 22 Nonas Road '4 INSURER D: Greenwich,CT 06830 INSURER E INSURERF: -- - - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POL i.k I .JF 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 DISR --- -- -_-_ ADOL SUER' -- --_ - - POLICY EFF POLICY EXP LTRTYPE OF INSURANCE -IN POLICY NUMBER TTl IYYiDD/YYYT1 LIMITS A X cowAmAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X i6PO2236OP2020 3/22/2020 3122/2021 .DAMAGE TO RENTED ----- 60.000 PREMISES(Ea RENTED ncej $ _ MED EXP(Arey we person) {.. - 5,000 _ PERSONAL$ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER ---i I GENERAL AGGREGATE f 4,000,000 X POLICY jp&Qr LOC i PRODUCTS-COMP�OP AGG S 4,000,000 OTHER_ $ AUTOMOBILE LIABILITY COMBINED LIMIT (Ea accident) $ANY AUTO __ g ED I BODILY INJURY(Per person f .AU�OT ppS ONLY AUTO$UL�.E��Dpp BODILY INJURY(Per ecd_� 6_..— — .AUTOS ONLY A YONLY Q�w ac DAMI�GE $ _ -- ----- ------- $ UMBRELLA LIAO OLCIIR .EACH OCCURRENCE S-- -----__-- EXCESSLIAB `iCIAMISMADE AGGREGATE S _ DED RETENTION$ pER $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY -- ANY ICPERROaPrREIEMTBOERp)PARTNEE�D'rXECUTIVE MIA .E L EACH ACCIDENT �iYrg.RIM N Ml) N �ult0e I ,E L DISEASE-EA EMPLOYE _- _ _ E L DISEASE I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$IACORD 101,Adilmoml Remarks Schedule,may be attached If more space is required) ViNage of Rye Brook named as additional Insured. TIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 0 y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St Rye Brook,NY 10573 -- --- -- AUTHORIZED REPRESENTATIVE ACORD 25(201SM3) ?1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New vark State 1ns—o— r—d WESTCHESTER ONE,44 SOUTH BROADWAY,LOTH FLOOR,WHITE PLAINS,NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) a A A A"A A 522454246 ~ ' JOYCE INSURANCE , d� 2 JOYCE PLAZA � ••- STONY POINT NY 10980 iy SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SERGIO GENERAL CONTRACTING CORP. VILLAGE OF RYE BROOK 22 NORIAS ROAD 938 KING STREET GREENWICH CT 06830 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2275 662-1 156698 04/20/2020 TO 04/20/2021 4/21/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2275 662-1. 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:'IWW V.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 SERGIO ARAUJO SERGIO GENERAL CONTRACTING CORP. 1 OF 1 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER. THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 5 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:25562571 U-26 3