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HomeMy WebLinkAboutBP22-245PERMIT # �Q� Q!5 DATE,./ ems•:.. OK SECTION %�J�. �D % BLOCK LOT_ off/ TYPE OF WORK 74e#`i0r /C / eJi P/>40Vt?7/10/0 1 JOB LOCATION / CMQ/ P /�//E� Q' OWNER , 0.061k de 6zea u�14`SQc4-�au4•�U.� �PS,Ca/vdy Lal✓4y ��%/y��1o5- %30'� CONTRACTOR��_�„ , EST. UUZ51 VC0 # f�S L3 TCO # 1� FEE44ILO r""2 FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION J - PLUMBING ® RGH PLUMBING GAS 0 SPRINKLER - y ELECTRIC SRI/ �Y=- LOW-VOLT CI ALARM M AS BUILT 0 FINAL I NSP 6es44017& P/U.y 611y �� zj OTHEf2 APPROVALS ARB BOT PB ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK j NO: 23-135 Certificate of Occupaucp This is to certify that42aneLa/ C..a/ Q of, a-6 Al 7 having duly filed an application on �CJ 20 C�2'5 requesting a Certificate of Occupancy for the premises known as, ' Va&iew /4-,P Qa f ' , Rye Brook,NY, located in a R- 7 Zoning District and shown on the most current Tax Map as Section: / 5.�e Block: C;? Lot: c ? and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. -0?215 , issued /(:P-146 20 , such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises o building or part thereof listed under the following New York State Classifications,Use: - Af, // Construction: for the following purposes: l}� /D /t'—J T C."/ /fl-7 V Q h-tJ0 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 sh the building be moved from one location to another until a permit to accomplish such change has be obtaineWthelUInspector. Building Inspector,Village of Rye Brook: Date: AUG 2 2 1013 D [� �' For office use only: BUILDINa��E�ARTMENT VILLAGE OF RYE BROOK PERMIT# ISSUED: AUG 10 2023 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: A //Q-- PAID K rygbrook,org BUILDING DEPARTMENT www.rvebrook.org 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 ####itittftifift!!!lfiii►ifiittttitlt!!►!!!it#i#f#tittiitttfitt!!#4!#iiftittftflitiftli#lift#tiittft■!t!!ti##ititfttftiitltff Address: v �•�\� 0"kA q C Occupancy/Use: Parcel ID#: /35/&- 7 Zone: — 7 Owner: �,� \� "-C. Address: 7104 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: kbeing duly swom,deposes and says that he/she resides at (Print Nam of Applicant) I, ` (No.and Street) I in y - ,in the County of I'y�-S�cS in the State of �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 equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ j :;� c�Q — , for the construction or alteration of: V'+Q 1,O 1 Q!�-\IAoV e;- {� QYI 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 \.o Sworn to before me this day of — V� �' �S� , 20 a"� day of , 20 Signature of Property Owner Signature of Applicant G aCt41 u G�1 I�?Sa� t Name of Properly or Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 8/12/2021 Qualified In Westchester County Commission Expires January 29,20� �yE B R c F0 BUILDING DEPARTMENT r UILDING 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 : 1 ._� IG cp DATE: I 2-\ 1-L'Dz PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: ' "w �C OCCUPANCY: - ❑ Violation Noted THE WORK IS... �ASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ��� �� �E> 1 E� ❑ L.P. Gas ❑ A FUEL TANK 1 1 CA n �_ 1 ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER L �. N N c '° s N N .5 pn s N � W d ai N oo 00rr a. a Q., IV a = GQ C) 94 z84 W v d s We4 o V � io a ' O 0 Q ° 3� � Q) Q fZr ° ° bob A �+p Its rT, 00 En CA G" aj A Q � � � '~� ay �+ � moo �/ W z � o O wU � � � o ►� O Q V U Ln Z 10, ziy94B V • � � ~ tt 0 4 z W W C'7 cr'00 tj CN a4 � ov � a. 1h�1 V w w z a w c zb � o a? o � " " 0 ti w Z W o rg H H-�I Ey V z U 0 w P:; � H 14 s ICI a cn O 4 z v Q' Q o w J� v 110 z ' u 0. v p ECEN BUILD MENT VIL oIF RY , OOK DEC - 1 2022 938 KING ET RYE BR ,NY 10573 VILLAGE OF RYE BROOK d 70 BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICAT 1 O N FOR OFFICE USE ONLY: Approval Date: DEC — 5 2 Permit 4: J Application Fee:$ e75 Approval Signature: Permit Fees:$ Q� Disapproved: Other: Application dated: / is hereby made to the Building Inspector ofthe Village of Rye Brook,NY,for the issuance of a Pennit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. I. Job Address: 16 Valley Terrace Rye Brook,NY 10573 SBL: 135.67-2-21 Zone: R-7 2. Proposed Improvement.(Describe in detail):_Restore or replace kitchen cabinets. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X Yes: If yes,indicate: TIER I: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...):No: X Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application& 2 sets of detailed engineered plans) 5. Occupancy;(I fain.,2 fain.,comm.,etc...)Prior to Construction: I Fain After Construction: I Fam 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: Guayllasaca Guaman Guadalupe D. Address: _16 Valley Terrace Rye Brook,NY 10573 Phone# Cell# 914-565-7304 email: guayllasaca87@gmaiLcom 8. Applicant: Guayllasaca Guaman Guadalupe D. Address: 16 Valley Terrace Rye Brook,NY 10573 Phone# Cell# 914-565-7304 email:_guayllasaca87@gmaiLcom 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: I I. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ 700 (NOTE:The estimated cost shall include all labor,material,scatlolding,fixed equipment professional Fees,and material and labor wheel)ina) be donated gratis.) 13. Job Timetable:Start: 11/30/22 Finish: 01/30/23 (1) 8/12/2021 BUILD MENT R 0 v VIL E OF RY OOK 938 KING ur RYE B ,NY 10573 DEC ' 1 2022 DD -0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE $216 • STORM SEWERS AND SANITARY SEWERS "PHIS 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: 31, Guayllasaca Guaman Guadalupe D. , residing at, 16 Valley Terrace Rye Brook,NY 10573 (Print nauno (Addres vkhov you lire) 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; 16 Valley Terrace , Rye Brook,NY. (Joh Addres.) 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. Itii,'n;iiurL ,0 Properly 0kvi cr( )) Guayllasaca Guaman Guadalupe D. \ajri�.of I'ropi•rt% (hvnc'r(,O Sworn to before me this day of �()') � 20 _ GREGORY M.RIVERA Notary Public,State of New York �,) No.01 R16441398 Qualified in Westchester County Commission Expires September 26,21i���? 8/1 212 02 1 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: Guayllasaca Guaman Guadalupe D. , 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 Homeowner 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 r' Sworn to before me this day of 09�w'� �a�� 2011) day of , 20 Suture of Property Owner Signature of Applicant 05t Cgua�l Sn Print Name of Prope canerr/ '/ --t ,y Print Name of Applicant #'W I-uv f i Notary Pu is p Notary Public GREGORY M.RIVERA Notary Ptba,ftte of",ew York No,/1ftt6445 39; Quakfiedlb)QtW he&ter County QQ Caminksim EVIM%ptember 26,20r- (4) 8/12/2021 BjD UILrET PARTMENT pVILYE: OOK 938 KING BR(� ,NY 10573 FEB - 6 2023 -0668�`ook.or VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLI : Approval Dat d/ Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# `,�_ Chairman: PB Approval Date: Case# rJ Secretary: ZBA Approval Date: Case Other: I Amendment Fee:' %� Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: Q[G—Q12 is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: �� ) 1- ,z y iv Y f a L� �1 105 43 Existing Permit#: �l�- 2. Parcel ID#: / c� - Zone: X"21 7 Original Approval Date:l.)-5_a 3. Proposed Amendment(Describe in detail): vne►1 p ►'1 C u t 0 I K� chnev�,�.i QY� 4. PropertyOwner: a C O to"Q r?I G ✓At? '5'0 cU Address: 16 Va l A w' 4 t>r g m 1 y 1 1 0 5 4 3 Phone# Cell# ( q I YJ-5 6 S - 3 0 a-mail ce SQ 8�/mt, Applicant: _ Address: Phone# Cell# e-mail Architect/Engineer: Address: Phone# Cell# e-mail 5. Occupancy;(1-Fam.,2-Fam.,Comm.,etc...)Prior to construction: After construction: 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...)Yes: No:_(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No:_Area: t 8/12/2021 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? V, Yes: No: (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Ifyes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure,and if so,provide such additional footage here. (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ 5 , D © (0 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y. State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also 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,Aeposes.andstates 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 stotmwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 6 Sworn to before me this day of br7gUtO , 20_a day of , 20 Signature of Property Owner Signature of Applicant IV .t FfOccq Print Name of Prop rty Owner Print Name of Applicant &--a -AWP-U�11)9 Notary Pu is Notary Public 2 GREGORY M.RNERA Notary Public,State of New York No.WRI6441398 Qua9fied In Westchester County Commission Expires September 26,20 8/12/2021 U Ln et .. M o o wUr o cV u W N N a J v 0.4" z v� .. U x ti 40 rn N x H � c ° z � ° � o a W w A O a �, ^ w u z ~ H z a OC7wo Z ° 0 � 9) z Z i � z � � •• V W py �.:� V r � c`1r). ogLn uo OR � 8 w v Ln U ° g w z f ° z o oa i f BUILD`(1�6jEPARTMENT D R FEB 2 3 2023 VILLAGE OF RYE PgOOK 938 KING ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Mast- err[Electricians License Required j \ FOR OFFICE USE ONLY BP#: C= _ d /� EP#: D3- (J Approval Date: F t B Permit Fee: $ /6-0 Approval Signature: 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 conf, rmanc/e with all applicable Federal,State,County and Local Codes. 1.Address: �`/'� 2!�-tt/4 SBL: r 3 J� 6 7 'Z Zon: 2.Property Owner: V4 1- L,- Phone#: e S`7 i0 r0� Cell#: email: 3.Master Electrician: six}-� by/A!? S Address: U' 4 Lic.#: r Phone#: O 11#: email: 10 e/e 3 S V IC-Q2 9,*rwLc_. t.-._ Company Name: rL!C � (4- -Address: 4.Proposed Electrical Work/Fixture Count: .Gei w f d? .c. �[S 7 < e e 5.3`d Party Electrical Inspection Agency: Sw/ &S! ********************************************************************************************************* / STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ( � D✓1 (3/ being duly sworn,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 the 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 before me this ds day of ,20 day of 20 2 Signature of Property Owner pp scant //" � /), w rr3 (- Print Name of Property Owner m ame of Applicant Notary Public No ry Public SHARI MEULLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County 6/23/2022 Commission Expires January 29,20 2 STATE WIDE INSPECTION SERVICES, INC. 16*0 Service With Integrity 0•• • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# Date .» �- Bldg Permit# _�} � 7.. 7 Sq Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑1st Ff. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation WFJD ' EB23 2023 1 I VILLAGE OF RYE BROOK i BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SMS.This application is intended to cover the above listed items to be inspected,if at anytime 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. Email Address l (;, t Name License# ! '.�* Date Signature 71 Address City/State hone# Company P `' D EC [E11`\I � i State Wide Inspection Services 1080 Main Street AUG — 2 2023 jD Fishkill, NY 12524 _ 845 202-7224 Phone VILLAGE OF RYE BROOK 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES I 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: Citi-Wide Electric Guadalupe Guayllasaca-Guaman 37 Hunting Ridge Road 16 Valley Terrace White Plains NY 10605 Rye Brook, NY 10573 Located at: 16 Valley Terrace, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-045 135.67 21 Certificate Number: 2023-4278 Building Permit Number: BP 22-245 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: 16 Valley Terrace, Rye Brook, NY 10573 The First Floor Kitchen was 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 9th Day of June 2023. Name Quantity Rating Circuit Type GFCI 02 Luminaires 01 Receptacles 03 Refrigerator Circuit 01 20 Amp Exhaust Hood Circuit 01 20 Amp Dishwasher Circuit 01 20 Amp 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. s ai N o N of r N N N W 00 rLnW CA O n QG 0-4 oAc en O o " M� z .� S � s O W 0 u � Chi � � z ►�� a f Q w z in z co u0 4*4 �� 00CZ � ►- a w " � • W ' U Q all, Q ►, V R+ a �c z w z A W Z e f ee ■■ ffee _= _= et e p EC� IEN BUILDING DEPARTMENT FEB 17 2023[E 3D VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)939-0668 www.rycbrook.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: d`D )/�S" PP#: Approval Date: FEB Z 4 20 Permit Fee: $ / AL Approval Signature: Other: Disapproved: (fees are non-refundable) ************************************************************************************************** Application dated, C;>-/ 3 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 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,County and Local Codes. 1.Address: . y R'(-4,C t{ U�AA Kk SBL: 5i&7 31 Zone:/ 2.Proposed Work: ijk-FIVAt a C S PIPING ffMj /k / doe . 3.Property Owner: 6Uh of- Ell.Al 1,A.S C..7'r Address: 1� �ftL&E. j —j;trR ftCF Phone#: - -20 Z Cell#: 7-q20- gu yj email: 1,5411 GCG 27W-gr►'1au . 4.Master Plumber: asI Q Address: W -11.n Vci M 1•Jagw g gso Lic.#: rhone#: -3 �Cell#: 91.4 3 0 z email: desmorA � Company Name: S Address: S M . �S90 INDICATE FIXTURES&LINES 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 Service Service Sewer LP Gas Basement 1st Floor / oe 2nd Floor 31 Floor 4m Floor 5m Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 8/12/2021 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 befijre me this I Sworn to before me this 1, day of V Y� U �� V ,20 day of Fe ,20_aa Signature of Property Owner Signature of Applicant Print Name offProperty O ner Print Name of Applicant Notary Public N iM$ ILLO GREGORY NL RNERA Notary Public,State of New York Notary Public,State of New York No.OIME6160063 Qualified In Westchester County No.01 RI64d1398 Qualified In Westchester County Commission Expires January 29,201 Thies prapurl 41eted 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. -2- ail2no21 D [Ec[E`yF D BUILDING DEPARTMENT VILLAGE OF RYE BROOK F FEB 17 2023 938 KING STREET RYE BR4 NY 10573 (919 139-06tS V� VILLAGE OF RYE BROOK www a k.or 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: r— residing at, �I I L €r r aL+L ( Tint name) (Address wher4 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; i c�rruQq Q �tEu 1� �� i , Rye Brook,NY. ob 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. (Signature of Property Owner(s)) (Print Name of P operty Owner(s)) Sworn to be ore me this day of r��y` , 20 (Notary Pub GREGORY K RIVERA Newry Public,State of New York 3 No.01 R16441398 Qualified In Westchester County n Commission Expires September 26,20 (' snzizo21 Building Permit Check List&Zoning Analysis Address: t (o L r f SBL: 3_4, G-7 --Z -Z i Zone _Use 21 O Const.Type: Ode; Submittal Date: l Z � 1 Revisions Submittal Dates: S D\, L'3 Applicant v A✓` A.N Nature of Work Reviews:ZBA: DEC - 5 91 PB• BOT• Other; K ( ( ) FEES:Filing. BP: C/O: Flood Plane: Legalization ( ) (✓�APP: Dated�tarized ✓ SBL: / Truss I.D. Cross Co nnection: 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: ( ) ( ) PLANS:Date Stamped Sealed. Copies: Electronic. Other. ( ) (� License: Workers Comp: Liability: ✓ Comp.Waiver. —v7'- 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: Pen-nit 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: ( ) ( ) 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: REOL ZXD EXLSTING PROPOSED NOTES Circle: rMOVED rate: QE — j Fro=g� Front Front: Sides: R-01r. Main Cor Accs,Cor. Et,H Sb: S .HS • CE& Tot. �: Parkin HHc j& Stories:notes: ` � - _71vS LOG IN71,3: BUIL EPARTMENT /oo1- V 'AGE OF RYE BROOK COMPLETION DATE: 938 KIN EET RYE B ,NY 10573 4 ASSIGNED TO: 190 ASSIGNED BY: COMPLAINT#: COMPLAINT FORM DATE: RECEIVED BY: LOCATION:/ 42 V a Ae PARCEL I.D.#: /,36-i(p / c� Zone: _USE:/ �ho`► OWNER:6l aala ae -'-QIVQ-Lj Address& Phone: /4p Oyall (p c e SOURCE: pn /yj j4.S Phone etter/Other: Address&Phone: COMPLAINT: / '1 Ci�� S�PTOC/�X OIp hU'M/ 1�•?�' �C o !7i lid, lc,� �► POSSIBLE VIOLATION: INSPECTORS LOG DATE STATUS INSPECTOR -wNK `ems J �. !' *L w Aerial West 2009 Photo 8 of 12 Photo for 135.67-2-21 in Village of Rye Brook ry.�N aka. Property Description Report For: 16 Valley Ter, ;;. l Municipality of Village of Rye Brook Status: Active Roll Section: Taxable Swis: 554805 Tax Map ID #: 135.67-2-21 Property Class: 210 - 1 Family Res Site. RES 1 In Ag. District: No Site Property Class: 210 - 1 Family Res Zoning Code: 02 Neighborhood Code: 01001 - VPC/VRB/PCSD Total Acreage/Size: 0.14 School District: Port Chester-Rye Land Assessment: 2022 - $185,300 Total Assessment: 2022 - $371,700 Full Market Value: 2022 - $371,700 Equalization Rate: ---- Property Desc: Deed Book: 61140 Deed Page: 3986 Grid East: 718216 Grid North: 794635 Area Living Area: 1,218 sq. ft. First Story Area: 1,010 sq. ft. Second Story Area: 0 sq. ft. Half Story Area: 208 sq. ft. Additional Story Area: 0 sq. ft. 3/4 Story Area: 0 sq. ft. Finished Basement: 0 sq. ft. Number of Stories: 1.5 Finished Rec Room 0 sq. ft. Finished Area Over 0 sq. ft. Garage Structure Building Style: Cape cod Bathrooms (Full - Half): 1 - 0 Bedrooms: 2 Kitchens: 1 Fireplaces: 0 Basement Type: Full Porch Type: Porch-enclsd Porch Area: 98.00 Basement Garage Cap: 2 Attached Garage Cap: 0.00 sq. ft. Overall Condition: Fair Overall Grade: Average Year Built: 1939 Eff Year Built: 1980 Owners Guadalupe D Guayllasaca- Andres Lalvay Lalvay Guaman 16 Valley Ter 16 Valley Ter Rye Brook NY 10573 Rye Brook NY 10573 Sales Property Prior Value Arms Addl. Deed Book Sale Date Price Class Sale Type Owner Usable Length Parcels and Page 5/21/2021 $325,000 210 - 1 Land & Beaton, No No No 61140/3986 Family Building Ella Rose Res Princess 4/14/2016 $1 210 - 1 Land & Beaton, No No No 56189/3112 Family Building Jeri Res 2/21/2012 $1 210 - 1 Land & George, No No No 52051/3208 Family Building Wortley Res E Utilities Sewer Type: Comm/public Water Supply: Comm/public Utilities: Gas &elec Heat Type: Not wtr/stm Fuel Type: Natural Gas Central Air: No Improvements Structure Size Grade Condition Year Porch-enclsd 98.00 sq R Average Fair 1939 Special Districts for 2022 Description Units Percent Value CS481-VRB Sewer 0 0% $371,700 SW481-Solid Waste All 0 0% $371,700 Vlgs Exemptions Year Description Amount Exempt% Start Yr End Yr V Flag H Code Own % Taxes Year Description Amount 2021 County $1,503.49 * Taxes reflect exemptions, but may not include recent changes in assessment. Berkshire Hathaway HOMEOWNERS POLICY GUARD Companies DECLARATIONS ill" Companies AmGUARD Insurance Company— A Stock Company P.O. BOX AH • 39 Public Square • Wilkes-Barre, PA 18703-0020 Issued: 04/09/2022 Policy No.: GUHO305425 Renewal of: GUHO275704 POLICY INFORMATION PAGE [1] Named Insured and Address Named Insured: Guadalupe D Guayllasaca Guaman &Andres M Lalvay Lalvay Residence Premises: 16 Valley Ter, Rye Brook, NY 10573-2410 Mailing Address: same as residence premises [2] Agency MORSTAN GENERAL AGENCY, 1985 Marcus Avenue, Suite 201, New Hyde Park, NY 11042 [3] Policy Period From May 13, 2022 to May 13, 2023, 12:01 AM, standard time at the residence premises [4] Coverage This policy consists of the Coverage Forms listed on the Schedule of Forms and Endorsements. Coverage is provided where a premium or limit of liability is shown (below) for the coverage. Section I Limits of Liability A. Dwelling $424,048 B. Other Structures $42,404 C. Personal Property $ 212,025 D. Loss of Use $ 127,214 Section II E. Personal Liability $ 500,000 Each Occurrence F. Medical Payments to Others $ 5,000 Each Person [5] Premium Basic Policy Premium $ 1,585.00 Additional Premium Charges Related to Other $ 143.00 Coverages or Endorsements This amount is the total of the premium for all additional i optional charges;the individual coverages and charges are shown on the next page.) Total Premium $ 1,728.00 In return for your payment of premium, and subject to all terms of this policy, we agree with you to provide insurance as stated in this policy. HO DEC NY 07 18 Page 1 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 Deductible: Section I: $ 1000 Other: Same as All Peril Windstorm (All) Same as All Peril Catastrophe N/A ADDITIONAL PROTECTION ELECTED COVERAGE LIMIT PREMIUM Animal Liability Aggregate sublimit (exclusions still apply) 100,000 Business Property Off-Premises Limit 1,500 On-premises Limit 2,500 Coverage C -Other Residences Limit 21,203 Coverage C -Self-storage Facilities Limit 21,203 Coverage C -Special Limits of Liability Jewelry, Watches and Furs Limit 1,500 Money Limit 200 Securities Limit 1,500 Silverware, Goldware & Pewterware Limit 2,500 Firearms Limit 2,500 Portable Electronic Equipment in or upon a motor 1,500 Vehicle Limit Credit Card, Electronic Fund Transfer Card or Access Device, Forgery and Counterfeit Money Coverage Limit 1,000 Damage to Property of Others Limit 1,000 Debris Removal Limit 5%/1,000 Fire Department Service Charge Limit 500 Grave Markers Limit 5,000 Home Systems Protection Coverage 30.001, Limit 50,000 Landlord's Furnishings Limit 2,500 Service Line Coverage 30. Limit 10,000 Supplemental Loss Assessment Coverage Residence Premises Limit 1,000 Trees, Shrubs and Other Plants Limit 5%/500 Water Backup& Sump Overflow 83.00 HO DEC NY 07 18 Page 2 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 Limit 5,000 Workers' Compensation Endorsement Limit Included HO DEC NY 07 18 Page 3 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 SCHEDULE OF FORMS AND ENDORSEMENTS Form Number Title HO P 004 05 11 LIMITED HOME DAY CARE COVERAGE ADVISORY NOTICE TO POLICYHOLDERS HO P 063 10 15 ADVISORY NOTICE TO POLICYHOLDERS HO PRIV POL PRIVACY POLICY IL P 001 01 04 U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL ('OFAC') ADVISORY NOTICE TO POLICYHOLDERS HO DEC NY 07 18 HOME OWNERS POLICY DECLARATIONS - NEW YORK HO 00 03 05 11 HOMEOWNERS 3- SPECIAL FORM HO 131 01 03 20 New York Special Provisions HO 04 53 10 00 CREDIT CARD, FUND TRANSFER CARD, FORGERY AND COUNTERFEIT MONEY COVERAGE HO 04 90 05 11 PERSONAL PROPERTY REPLACEMENT COST LOSS SETTLEMENT HO 06 53 02 17 HOME-SHARING HOST ACTIVITIES AMENDATORY ENDORSEMENT HO 23 85 05 15 Limited Water Back-up and Sump Discharge or Overflow Coverage - New York HO 24 93 05 02 Workers' Compensation Endorsement HO 34 02 02 17 AIRCRAFT LIABILITY DEFINITION REVISED TO REMOVE EXCEPTION FOR MODEL OR HOBBY AIRCRAFT HO 99 83 08 17 PROTECTIVE DEVICES HO 99 89 06 17 SERVICE LINE COVERAGE HO 99 90 06 17 HOME SYSTEMS PROTECTION HO FCRA Notice of Consumer Rights Under the Fair Credit Report Act IL 99 00 08 13 Authorization and Attestation HO DEC NY 07 18 Page 4 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 SECTION II — LIABILITY COVERAGES (of the policy): OTHER INSURED LOCATIONS Address(es) MORTGAGEE(S)/LIENHOLDER(S) Name Address Loan Number ServiceMac, LLC PO Box 29411, Phoenix, AZ, 85038-9411 1486064155 I SAOA/AT I MA, LOSS PAYEE(S) — PERSONAL PROPERTY (Name and Address of Loss Payee and Personal Property Involved) Name Address Personal Property HO DEC NY 07 18 Page 5 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 PROTECTIVE DEVICES As a condition of this insurance, you MUST maintain the protective devices or services shown below and discussed on form HO 99 83 attached to your policy. You should also be prepared to supply proof of proper maintenance upon request. Name of Device Fire Alarm: Local/Smoke Detector HO DEC NY 07 18 Page 6 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 RATING CHARACTERISTICS Construction: Frame Year Built: 1939 Number of Stories: Square Footage: 1218 Roof Age: 9 Protection Class: 04 Roof Type:Composition -Architectural Shingle Number of Losses Last three years: 0 Burglar Alarm Type: none Fire Alarm Type: Local Sprinkler System: No Occupancy Type:Owner Occupied HO DEC NY 07 18 Page 7 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 RECAP OF UNDERLYING POLICY INFORMATION PROVIDED TO US Your coverage with us has been written based on the following information provided by you either directly or through your authorized representative.- Information about the Residence Year built 1939 Square footage 1218 Type occupancy Owner Occupied Number of families accommodated 1 Owner or tenant occupied Owner Type electrical box Circuit Breaker Most recent plumbing update 2013 Number of losses in last three years 0 New Home Buyers Only) Date of Inspection — N/A for Not Applicable N/A Roof Date of last update 2013 Shape Gable Primary covering used Composition -Architectural Shingle Hail resistance class Unknown Heating Primary Type Natural Gas Other Secondary T e s /A fiances Used N/A Pets Pets No Number of dos N/A Breed(s) includes one of the following -- pit bulls, Rottweilers, N/A Wolf Hybrids, or a mixed breed that includes one of these. History of Biting N/A Exotic N/A Description N/A Further Details Yes No N/A Purchased within the last six months X Primarily used for residential purposes X Seasonal/secondary dwelling X Dwelling will not be unoccupied for more than 30 days X Mobile home, trailer home, or house trailer X Underground oil tanks on property X Swimming pool X Swimming pool within area enclosed by a fence X Diving board for swimming pool X Trampoline X Trampoline in enclosed area X Use of drones X Any residents with a history of smoking X Used as a farm X Structure is a rowhouse/townhouse X Features log home constructions X HO DEC NY 07 18 Page 8 of 9 HOMEOWNERS POLICY DECLARATIONS Issued: 04/09/2022 Policy No.: GUH0305425 Effective Date: 05/13/2022 Policy Payment Terms Payment Option: Direct Bill Payment is due in our office on the dates shown below. Installment Plan (prepared 04-09-2022) Down Payment received- $0.00 Installment* Due Date $864.00 05/12/2022 $288.00 08/13/2022 $288.00 11/13/2022 $288.00 02/15/2023 *Includes surcharges and state fees, if any. Policies that are direct billed will be charged a fee of up to $7.00 per installment. There is no installment fee for policies set up with Direct Draft. Any checks returned or attempted bank drafts declined for insufficient funds or a closed account may be assessed a fee of up to $20.00. A late fee may be assessed of up to $10.00 for payments received after the due date. A convenience fee of up to $0.00 will be added to credit card payments. HO DEC NY 07 18 Page 9 of 9 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 valve the workers'compensadon 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): P� I am performing all the work for which the building permit was issued. ❑ 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. Er 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 project takes 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. (Signature of Homeowner) (Date Signed) I (;,)C Aq\V ag (;�0. 0- cal Home Telephone Number 65 �3 C q (Homeowner's Name Prin ed) Sworn to before me this day of Property Address that requires the building permit: y ;cm e oWnty' ler or Notary Public) GREGORY AL RIVERA Notary Public,State of New York No.01 RIW1398 Qualified In Westchester County 6 4f?+Q ce- Commission Ex ires mber 26,204 6 20 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