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HomeMy WebLinkAboutBP20-190©ch: PERMIT # �/`" 0 / 90 DATE% 9 9 + SECTION BLOCK LOT , Q06n TYPE OF WORK e/YJO / FlAll-SHOP 6gSp&je j* t C.o4veo4 7�D &.1room 10B LOCATION OWNER CONTRACTOR_ EST. COST Is/co #_� TCO # �L�' /lee A2Oo✓�.i ,8a* — nil7%t`oc 1)iex)(9m)93�"AP .Lisp/� Slc.1�1 sys�e� amid: arrros 6'ly)3/� 7�Io FEE FEE& 35:- )Ott DATE oZa FEE DATE.. INSPECTION RECORD FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING COOF RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL DATE 2�2 1 P� qDi—a161HV r1lojoh ►may �%x ��-1eG�aanIKL Nwp OTHER APPROVALS ARB BOT PB _ ZBA OTHER FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 22-196 �a2 . Certificate of ®ccupaucp This is to certifythat`)mpph 7acroo)iIh6 o )McL Za6coanihx of, BVC�(�k� 1� / having duly filed an application on Cl'Ylr o� 20 requesting a Certificate of Occupancy for the premises known as, 1 -75 �Jo r4-h R J dC/e J ty-eP� , Rye Brook, NY, located in a Zonin-1 District and shown on the most current Tax Map as Section: ' Block: Lot: a 4 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.a li o�� "/o , issued % a C/ 20 �2.trJ ,such authority and permission is hereby granted to the property owner to lawfully occupy or use saidpremises or building or part thereof listed under the following New York State Classifications,Use: R- 1�U�O �ay"I Construction: for the following purposes: 9 M ) ( Q (,Z U+ n 6 fn 51�ed ha.5�vr�en� s C'o h y�Pr� f o r.�l rao�, �� � roo rn : ��_-� �, ro o,m . �► ►� s t�a.l � s w � s�s-�� Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: APPROVED FOR USE AS A DWELLING UNIT 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 mad 11 the building be moved from one location to another until a permit to accomplish such change has b n tai om the Buil ' g Inspector. DEC 1 6 20Z2 Building Inspector,Village of Rye Brook: Date: p [(� [� 0 w BUILD R ENT For office use onl PERMIT# -190 VIL OF RYE K ISSUED: -c3Cl-ol� DEC - 2 2022 8 KING STRE xE BROOK YORK 10573 DATEJCt)-Q-a":� FEE: c S- RUDit VILLAGE OF RYE BROOK w BUILDING D`PARTMFNT 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 Address: 11S �. ��dc e sf-. Q-+�e b0'(W N`t ( O S''7 3 Occupancy/User)C4I' Parcel ID#: 135 46-1 '2 f Zone: 0 Owner:,)QWh "6 y,otle�-10. ZciC vacant n0 Address: 1-IS N. G:jAef P.E./R.A. or Contractor: 4e(otao 12)Prc'toS- 1+e,. conai(,A,Address: I" Cen:�c ?r4p MflmFlconecic N`� lo�y3 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: `J 10 l-Q� being duly sworn,deposes and says that he/she resides at ri y N. V t t),cie S . (Print Name of Applicant) (No.and Street) , I in ►2 u-e 1 t,fc ,in the County of �1e��C(ne�t-a in the State of Iv�! ,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:S 6 7,5-00.0 O , for the construction or alteration of T wz�' 9,Q k crjaA t Qi� Ill �P 2z, 'Os'ye ff\ 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 / Sworn to before me this day of ice— , 20 day of , 20 Signature of Prop Owner Signature of Applicant Vlotr ETA ZACCAG/V��� Print Name of Property Owner Print Name of Applicant JOHN M SUOZZO Notary P i tioTARY ptjBuC.STATE OF NEW YCM Notary Public Registration No.01 SU6070919 oualifled In Westchester County My Commission Expires March 11,2026 8112;2021 �yE DRC�k. 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - -- - - - - ADDRESS N V C �'� 1 DATE: PERMIT � t # � _ 1.ISSUED. � SECT: LOT:' y LOCATION: r �l S1( / {C .1 ` �Y�' OCCUPANCY: ❑ 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 ❑ ,,C CONNECTION FINAL OTHER Steven Fews From: Haroldo Barrios <constructionhb@gmail.com> Sent: Tuesday, December 13, 2022 12:25 PM To: Steven Fews Subject: Fwd: paint pictures: 175 N ridge St. Hi Steve Hope all is well. Attached are the pictures of the painted soffit for the passing of the final inspection for the CO for the project at 175 N ridge st Rye Brook Anything else needed please let me know Regards Haroldo Barrios HB Construction Begin forwarded message: From: Haroldo Barrios<constructionInb@gmail.com> Date: December 13, 2022 at 12:20:58 PM EST To: Hb Construction <constructionhb@gmail.com> i i J f,l 2 - .�� w- - , a >2«� / Alk � �/ . y ? Fi11� j � d � c > `8 kxk ,J v �n •' 77777 7 f � �E aR�k w � �7 1982 BUILDING DEPARTMENT ❑IYILDING 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 _ IA - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:_ 00 V- � I � <71�DATE: I CU2Z PERMIT# 1�`D ISSUED IZ JECT: � $LOCK: I LOT: LOCATION: N S c C ( .SD OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... dAcCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS Can C S ❑ FUEL TANK ` a ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER QyE BRC�k. O� 2m 1 ��O-r • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK [I CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - ----- -- --- - - - - - ADDRESS: ' ' 1 6 } �ATE: Q PERMIT# ISSUED. SE6T: BLOCK: LOT: LOCATION: e OCCUPANCY: 2� \ ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING �1 \" ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 11-3 NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�k, w � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR PASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK �/U LODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : i�J u U DATE: PERMIT# GO `V�I ` ISSUED: ECT: BLOCK: LOT: Ll LOCATION: Cy OCCUPANCY: , ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ' �_ 1 / 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 �yE 6RC�k. 1982 BUILDING DEPARTMENT ❑ 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.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - --- - - - ADDRESS. `-'C \ 1s DATE: ��I PERMIT# v ISSUED: t vs, C'r: • BUCK: LOT: � 1 LOCATION: � '�s ` '1 �' F-y� OCCUPANCY: 7 ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING C ❑ FOOTING DRAINAGE ❑ FOUNDATION �1'UNDERGROUND PLUMBING NOTES ON INSPECTION: D. ROUGH PLUMBING /- ❑ ROUGH FRAMING ❑ INSULATION l �r ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRcb, O� Zm F o 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT 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 : , 5 1 v� �� DATE: ��� ' PERMIT# �0- O ISSUED. �\-2--I\ SECT: BLOCK: LOT: LOCATION: v v r `�C�. ��-�`��1 OCCUPANCY: -77-4b ❑ VIOLATION NOTED THE WO IS... �J ACCEPTED ElREJECTED/ REINSPECTION ❑ SITE INSPECTION o\ `^ KV REQUIRED FOOTING 'v FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER a a 0 a � � cl ,c a � M % y Q. ell OM w to ONO In z wl A � o o O �� o w E3- W a S W moo tn tn U c o � ♦�-+ z w � .. � a w D EC ENE NE BUILDING DEPARTMENT VIL1s;A�E OF RYE �OK FEB 19 2021 938 KING , ET RYE B ,NY 10573 (914)93t )939-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT .or T ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required [� FOR OFFICE USE ONLY BP#: 00"-1 % 0 EP#: C;)/'—O 1 Approval Date: FEB1021 Permit Fee: $ �— Approval Signature: Other: Disapproved: (fees are non-refundable) ***************** *** **************************************************************************** Application dated, � 1(Q is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/ r remove electrical equipment, wiring, fixtures ,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. V 1.Address: 1-7 5 / 1 9--r SBL: 13 S 43 --1 " A(r Zone:'e—I� 2.Property Owner:J V t 0(e _DAddress: Phone#: I q' a3q� Cell#: 6jl4- �L'�- q O I email lh 0 U .�yy\„ 3.Master Electrician: f YV.4 2-u c g u Si►�t n /� Address: ' Lic.#:�15 Phone#: i -3J- Cell#: 91 q-l Ub_M0 1'_' email: V1 l C Company Name: 2_-�A- CCGt t n Q C� t C Address: 4.Proposed Electrical Work/Fixture Count: ci -►tenReWVi STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: A.e8 L'a-J/IJ 414 4being duly sworn,deposes and states that he/she is the applicant above named,and does further ( int na e otindivi(Tal signing as�ant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the C_ for the legal owner and is duly authorized to make and file this application. (indicate architect, ntractor,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 Yor State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances an a lations. Sworn to befor me this Sworn to bef e is y of 'z 20 day of 0 / Si ro ty wrier Si ature an vItAll Pr' e o roper wrier in a e of App�ca SiEVEN j 6AGNON r,oraaY Puss ON Notary PAWRY PU811 W YORK Notary Public °10 YORK � J• No. 1 bl 38 Oualifj�j t at�r Gualiffe in County e for County My Comm sion Expires ctober 14, pp�� My Commission Expires octo of 14, 20_23 3/21/19 We9tchester Rockland Electrical Inspection Services, Inc. ��� Pno e:�i 7=� ' 15 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue L Fax: 914-347-3596 �n Elmsford, NY 10523 L20 PeR�xrtw.'TEMP N DATEICU CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER �IiY JU L4 _ BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES 8 MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH TT CTION OUTSIDE ' f BASEMENT 1"FL 021 FL. VIL GE O on 3'FL. G D pARTMEN REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED.YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW fJ ADDITIONAL I J EXPOSED[) CONCEALED O MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD L] UNDERGROUND O Al I I L—L AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT ( ill4 1 k1 STREET ADDRESS TELEPHONE NO. "I'A (.0— aZ CITY OR POST OFFICE MP CODE LICENSE NO.WHEN APPLICABLE IF WESTCHESTER ROCKLAND VRE 10)ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Zaccagnino Electric Joseph Zaccagnino 81 Maple Avenue NY, Rye 10580 Located at: 175 North Ridge St Rye Brook, NY 10573 Certificate Number: 1032967 Section: 135.43 Block: 1 Lot:26 BDC: Permit Number: EP:21-044-BP:20-190 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 175 North Ridge St Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 02/04/22 Name Type Quantity Receptacle Convenience ------- 13 Switch Single Pole ------- 8 Fixture-Luminaire Recessed ------- 17 Receptacle GFCI ------- 1 Shower Lights ------- 1 Circuit Breaker 20 amps 2 Fixture-Luminaire Closet ------- 1 Arc Fault Breakers 15 amps 2 Smoke Detector/Co2 Combo ------- 2 Smoke Detector ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. V This certificate is valid for work performed before date of inspection only. I i' Y i i 0 h s C4 at 96low 1-4 w a � � '� � o C6 fto A cy-O � � � CO. o� U O V W00Ono 6. o � x Qz z8 " U a C I m vim BUILDING DEPARTMENT JAN 2 2 2021 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668FAX(914)939-5801 www.ryook.org PLUMBING PERMIIT APPLICATION FOR OFFICE USE ONLY BP#: 00 l ! 0 PP#: C)/-013 Approval Date: JAN 2 5 Y21 Permit Fee: $ / Approval Signature: Other: Disapproved: ) (fees are non-refundable) 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 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: p f 4 5 SBL: 1315 13 —J—c)6 Zone: 2.Proposed Work: re 3.Property Owner: 4C • C /ti N G Address: Phone#: �1 1 Cell email: 4.Master Plumber: / 6NG ti Address: C� V AEG o ` act j 0 7 V Lj Lic.#: Pho1ne/#q�� '(G / 2 Gy� ,,CAell#: C�� �g�? email:Ay Vr►t /Ne✓7ec'7G..�/ee r/ Company Name: A �/ O,,I'►'l b/" C s� '"l C�� Address: - 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 I st Floor 2nd Floor Yd Floor 4 Floor 5 67loor Exterior 5.* List Other Equipment/Provide Details: �o� S'f C t e C /— / S!�G L✓C'r �G / , CL.J SS C /Y o� e�'�— c4 (Notarized Signatures Required Next 2 Pages) -t- 3/21/19 Avoj re) 6 wsm -fc_ qq c- Q SYV"e , 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. X Sworn to before me this J p-y", Sworn to before me this day of 2-t ,209-1 _ day of 120 �IDWt- ., )e C�=7 — Signature of Pfgperty O er Signature of Applicant ETA -Z, A c,&AGN1nly Wrl�.t- Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 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. 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- 3/21/19 r • BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JAN 2 2 2021 (914)939-0668 (914)939-5801 www.rvA*eok.oEg 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: 3J,V 101 Vt 0. n L ►W X , residing at, / 7 S DV6ro R,r/�L (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; f � S r-.)6 r �, roc/c S r< < C � , Rye Brook,NY. (Job 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. X U L0U�, (Signature of Property Ow r(s)) (Print Name of Property Owner(s)) Sworn to before me this day of , 20 (Notary Public) -3- 3/21/19 Building Permit Check List&Zoning Analysis Address: 1 '7 S Iv SBI_ l 3 S'143 ' ( "2 Zone:' Use: =-�' Const.Type: Other. Submittal Date: 'T —L 21:;> Revisions Submittal Dates: Applicants Nature of Work:'L&c ---D V rl h-e (S [�EZ.� ��S�tn�_N l t ��►.lV�CZ.i �a ��.��J�T Reviews:ZBA: A U G 2 0 1010 pB: BOT: Other. NfM COIL (� ( ) FEES:Filing. , / BP: C/O: Legalization: ( ) (-�'APP: Dated: ✓ Notarized: SBL -�Tnus 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: Other. ( ) ( ) ,SURVEY:Dated Current: Archival• Sealed Unacceptable: ( ) PLANS:Dat Ped Sealed '�Copies: Electronic: Other. ( ( ) License: V Workers Comp: Liabili Comp.Waiver. Other. CODE 753#: 0?o>'O�'OOl';— 73 Dated—al—aC7 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: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 20I7 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 EXISTING PROPOSED NOTES APPROVED Art& Dew AUG 2 0 7010 Circle: F nW Front E= 13W Main Cov Accs.Cov F S : Sd,H/Sb: Ste: Tot. Ft.In Padike. HHcj&/Stories notes: Laura Petersen From: Laura Petersen Sent: Thursday,August 20, 2020 3:20 PM To: 'JZ10573@YAHOO.COM' Subject: BUILDING PERMIT APPLICATION - 175 NORTH RIDGE STREET The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, General contractor's contact name & phone number. /I Copy of general contractor's valid Westchester County Home Improvement License. J 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $1,028.00 (due once permit is issued and ready for pick-up) 1./6. Contractor must call Dig Safe NY and get a 10 digit ticket number. Laura(Petersen Office Assistant j�I Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914) 939-5801 1 Ioetersen(Wryebrook.or4 0q0qqD O/mil , 73 e-) HB Construction "Ave . 01'a do Barrios 157 Center ____ar.Qneck NY, 10543 ,J!�i4)318-7610� l �" glrA`2�" h11/1/1/lilt Il/ll , �!11/11//11+� _ ! lNl//l//lll 111//1///11- Illijl//lll IIIIIiI//tl Al cr !SN CIO 04 , CA 40 Il/11/lll:?:'r -i•..Illlla� :�y;'�IIIIP��� -:%�:IIIIIP..�:.; '?.hl I/t. � ' -.h1111+..1•`�� - \ "�%' l' y Lk - o k Rt "J •= rib: - a i. cC N 19 - I o � O .� r- i'7 CO 40 Wn f` )> ^I LLI LLB ¢cn . / Z O 3 U �y�y;. •! � ram--.. \:.���`-`��'�__ CQ n WI/ `.,J ♦=-_� I u ��'� - TTTfffiiTfi/ l � i�•l {,y � `��:�\`��• � N All NI IF I �r. / s %. 's 11 ► r, Io)f , ,il 1l1► /h=�s°. rr�`PHIh `PI lh-• . •P h �P h Y� Il/lll/ll 1 111//11/111 111.1//�+► Il//l//fl ;// /1�11 r Ism CERTIFICATE OF LIABILITY INSURANCE DATE a9A17/2a;17/D20YY'"' 2a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME. PWC.HONN EY Phone:(914)713-720a No):Fag:(914)713-0572 Ecco Agency Inc E-MAIL t 1088 Central Park A-a ADDRESS: eccoagency@eccoagency.com Scarsdale NY 10583 INSURER(S)AFFORDING COVERAGE NAIL i INSURER A;Atlantic Casualty Insurance Company 2$q6 INSURED HAROLDO R BARRIOS INSURER B: DBA HB CONSTRUCTION 157 CENTER AVENUE INSURER C: MAMARONECK New York 10543 INSURER D: 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. LTR TYPE OF INSURANCE $ POLICYEFF POLICY EXP LTR POLICY NUMBER NIDD MIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE y 1,000,00 DAMAGE TO RENTED- CLAIMS-MADE F OCCUR PREMISES iEa occurrence E 50,00 X Blanket Addl Insured MED EXP(Any one person) $ 5,00 A Y N L044001860-05 06/10/2020 06/10/2021 PERSONAL a ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,00 X POLICY❑JET LOC PRODUCTS-COMPIOP AGG E 1,000,00 OTHER S AUTOMOBILE LIABILITY OIe�Dt SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) f OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ L"BRELLAL" HOCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MIADE AGGREGATE $ DIED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANYPROPRIETOPJPARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER IM EMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,descrihe under DESCRIPTION OF OPERATIONS belovi E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS.;LOCATIONS f VEHICLES fACORD 101,Addltiunal Remarks Schedule,maybe attached If more space is required) Job address 175 North Ridge St.Rye Brook NY 10573 Village of Rye Brook 938 King St,Rye Brook,NY 10573 named aqs Additional Insured. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook 938 Kin Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rve Brook New York 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Y :71988-201 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 17-OZZIN NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR.WHITE PLAINS, NY 10601-4411 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^^^^^ 473940357 HAROLDO R BARRIOS DBA H B CONSTRUCTION ! .��•- 157 CENTER AVE ❑F -y• MAMARONECK NY 10543 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER HAROLDO R BARRIOS VILLAGE OF RYE BROOK DBA H B CONSTRUCTION 938 KING ST 157 CENTER AVE RYE BROOK NY 10573 MAMARONECK NY 10543 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2336 453-2 523704 06/07/2020 TO 06/07/2021 9/17/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2336 453-2, 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 THE SOLE PROPRIETOR PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY 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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 963558481 Laura Petersen From: Mike Izzo Sent: Monday, January 4, 2021 9:55 AM To: Tara Gerardi; Laura Petersen Subject: FW: Message from Dig Safely New York, Inc. (DSNY) Michael J. Izzo Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 -----Original Message----- From: Dig Safely New York Exactix<tickets@exactix.digsafelynewyork.com> Sent: Monday, January 4, 2021 9:30 AM To: Mike Izzo <Mlzzo@ryebrook.org> Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 01/04/2021 09:28 To: VIL RYE BROOK PRIMARY Transmitted: 01/04/2021 09:29 00001 Ticket: 01041-000-348-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 175 To: Name: N RIDGE ST Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: LEFT SIDE OF THE HOUSE -AS FACING FROM RD NearSt: BETSY BROWN RD Means of Excavation: HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: FINISHED BASEMENT- EGRESS WINDOW- Estimated Work Complete Date: 01/28/2021 Depth of excavation: 4 FEET Site dimensions: Length 4 FEET Width 4 FEET Start Date and Time: 01/07/2021 07:00 Must Start By: 01/22/2021 ------------------------------------------------------------------------------ Contact Name: HORALDO BARRIOS Company: HB CONSTRUCTION, MAMARIONACK Addr1: 157 CENTER AVE Addr2: City: MAMARONECK State: NY Zip: 10543 Phone: 914-318-7610 Fax: Email: constructionhb@gmail.com Field Contact: HORALDO BARRIOS Alt Phone: 914-318-7610 Email: constructionhb@gmail.com Working for:JOSEPH NINO 1 r ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members:ALTICE USA BELL-VALHALLA/WSCHSTR CON-ED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 k, I LFue 17 c 202 I lk�«� ���E of k� I f( t a i_ 1 ql i ,s:a� - �dSxsfi ulu�oW t I MoD2f.SL176 or�— PP-&171DWL ?A f�=oFN�J 4t aFtPY.FIf i ! 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