Loading...
HomeMy WebLinkAboutRP23-003PERMIT #,.L SECTION TYPE OF WORK JOB LOCATIO OWNER CONTRACTOR EST. COj/SST 1. N/CO # TCO # 3 DATE: / / q3 E11(P: BLOCK_ OT, ��4!Xl.S7logef ui r� FEE DATE INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER F1 ELECTRIC LOW -VOLT 0 ALARM 13 AS BUILT FINAL �S -moo ti�,SoAe 1a (g1q)937- y479 OTHER APPROVALS ARB BOT P8 ZBA OTHER �lr BR t4 dye+aJv C�`tCy'Y' 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.org TRUSTEES ACTING BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 21,2023 Rehana Ali 196 Ivy Hill Crescent Rye Brook,New York 10573 Re: 196 Ivy Hill Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-17 Roof Permit#23-003 issued on 1/19/2023 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building&Fire Inspector /to ��VV 1-n-1 For office use onl : FEB - 6 2023UU BUILCYEBROOK,' ARTMENT PERMIT# -Gb3 VILE BROOK ISSUED: 9—a3 VILLAGE OF RYE BROOK 38 KING STREPORK 10573 DATE:BUILDING DEPARTMENT O FEE: '4 //O— PAIDJ* 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: MJ yen + Aye (3(-U,) N k� 1 5 3 Occupancy/Use: Parcel ID#: I 9,fi7 6— I — I I Zone: Owner: AIo>7ie Ab' Address: Ig671vy I))'11 C1,,.scm kee I§a,>1 S� P.E./R.A. or Contractor: 00"We— � PQS II Address: 1/31 WiileIf Ay\-.. Po Py/bS73 Person in responsible charge: �54 h S a r bE. Address: K3 9 w)`1 ie j k A✓L P6(4-J-c- 4 �J LA/V/cS,) 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: An n;e- AI being duly Swom,deposes and says that he/she resides at I q 6 -I U y H%o C reSC-en+ Print Name of Applicant) (No.and Street) in_ y rv� in the County of w(, 1+Ji-5+W_ in the State of �j 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:5 % 9"1 d, D O for the construction or alteration of: N pi�-'j ( d ,� 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 Y, Sworn to before me this day of I1 4-uLA/�, 20a3 day of 20 'D 3 J4IRMAQUEZADA Signature of Property Owner NOTARY PUBLIC,STATE OF NEW YORK Registration No.01QU6186064 Signa ure of Applicant Qualified in WESTCHESTER COUNTY n rn`c. Commission Expires AD61 28.2024 Print Name of Property Owner Print Name of Ap licant Not ub�c Nota li QyE BkjC . 932 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.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :_ � �� �--DATE: 1 ohs PERMIT# Q� ISSUED: 1 SECT: , �tLOCK:_ LOT: —I LOCATION: v (2_Q)Q--L ��-) OCCUPANCY: 1�Fi ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION w,r 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 ■ a a ' a N a M N \ W v ■ -o� o ■ a' QI .� w E wL� ■ Chi x � �' ■ ° Z �aLim Cn ■ A4 InO U ■ `O �..� �' ■"i y v a0 W CQ a Ln l� O a o0-4 Who [ AuV3 ■ co Zo V u W v H C) a e ~J G4 O O M R. Z zLn � Ca Cn c� O� W 1CIS oc o Q `1 �\ L� Qj M �+ xN �p � � O M ■ _ W u oa H 1�1 b V O �^ O ✓ 1 Q .� '�^ b v V Z C A R � w z � � p o � a�'� °�' � can ■ / ��S�a. •�oc�bl��� .�r���"I ,horn BuIL DEPARTMENT JAN 18 2023 ViE or RYE BIOOK VILLAGE OF RYE BROOK 938 KING '-FT RYE BROOK,NY 10573 BUILDING DEPARTMENT 914.)9 9-0668 FOR OFFICE USE ONLY: p �v-� Approval Date:. 1 4 91199 mit# / `�'�� Application# cvc� Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fe L.,Permit Fees:,N/z�-1b U& �7 ROOF PERMIT APPLICATION Application dated: /'�C]-`� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below. �j �J nn(Os93// �] t. Job Address: 196 Ivy Rill C rf scein�' (�`7� ��oSBL: / {oe'1.�t>J ` { "�?zone: PU6 Property Owner: An h j`L A)I' Address: r�0 _T U- H 1��) 'Cyt CCeO+ }AYa'6�k!a Y Phone#: 3"[ 9-t46 9,,rr�� �s�f Cell#: email: (e an►'� 8 9 D l"_', n h dv,1-,,, 2. Applicant: 06"bi.p, rf� P&y Address: H3 WjI lip >~'}- 4vv-- Pu,- Phone#: "!1q ` -I 3 / y-{a� t nS. a�+ Cell#: email: )°hbl ouh), r 1`,�p p <v�+, 3. Roofing Contractor: PO b b)e � I �J� Al ddress: �3 9 iv,)l e+� Po f� t-�'� �y Phone#: 1�"l - IL _ga?cj cell#: e►"�01'► " �ehns, ;;)e'�mA(00;1.Go—A'11 4a. da�,bJ�r� 10S9' 4. Job Description,list all Methods&Materials: kemoVe- EKIIOi n�) n.; 5u�njT gn. /3, 5� owe�ylS C-orn;0A hqse, AgA, F-5- gIL'y—q, U v---�ens cornrly) p h'61) i Jhc Y-b a I.' rIs?�t I �as>7 wt c ✓+r✓ . 5. Estimated Cost of Job:$ �, /y 0, U C) (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If comer property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:(v�•Yes:( )Attached No:(4-Yes: O Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: -t- are�r�m� 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,COUN OF E'STCHESTER ) as: �Yli4' 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 AM C-0 t)ty- ,(40 r 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 before me this ' Sworn to before me this I day of 5 L�vj , 24'J3 day of t'l n J , 20,13 Signature of Property Owner Sign a of Applicant IRMA QUEZADA + NOTARY PUBLIC,STATE OF NEW YORK nn '�- I' Registration No.01OU6186064oPfint ^ ti Print Name of Prope ner Quallfied in WESTCHESTER COUNTY of Applicant Cornttission Expires ApH128.2024 ota Public blic -2- 811 2)2 0 2 1 JAN 18 2023 -DD VILLAGE OF RYE BROOK 173'/2 Ivy Hill Crescent BUILDING DEPARTMENT Rye Brook NY 10573 914-939-2440 January 13, 2023 Rehana Ali 196 Ivy Hill Crescent Rye Brook, NY 10573 Re: Emergency Entire Roof Replacement Dear Rehana Ali, The Architecture and Grounds Committee (A&G) has reviewed and approved your application for the above named work. This project requires a permit from The Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G. Work on the project may not begin until you receive written notice of receipt of your permit from A&G. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction, the Committee must be notified in writing. Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Property Manager. Ashlee Adragna Property Manager LICENSE NUMBER "THE OR/G/NAL" Westchester WC319241­119 ppUBLE Family Owned And Connecticut 00556256 Operated Since 1960 All Home Improvements EST. 1960 439 Willett Ave. Port Chester, N.Y. 10573 Tel#(914)937-4279 Fax(914)937-4172 http://www.DoubleRwindows.com Annic Ali January 10, 2023 196 Ivy Hill Crescent Rye Brook NY 10573 347-469-5957 reann8979(a-)yahoo.com Insurance: All work involved within the following proposal is covered by Workmen's compensation,Public Liability,and Completed Operations Insurance. Roof Contract Labor and material for the following • Remove existing roof from entire house down to the deck. • If any additional rotted plywood is found it will be an additional cost. Cost to be determined. • Supply and install two rolls of ice and water shield over the eaves and one on the valleys. • Install an Owens Corning Pro armor synthetic Base sheet on remainder of roof in place of tar paper. • Install all new F- 5 white aluminum drip edge around the entire perimeter edge of roof. • Install the new Owens Corning Duration lifetime architectural asphalt roofing system with the sure nail technology system in the color of your choice • Supply and install new copper flashing on the chimney. • Supply a container to cart away job related debris. • I am a preferred certified Owens Corning Dealer you will get the extended 10 year labor warranty. Terms: Painting,and windows cleaning to be done by others.Hidden rotten wood not included. Standard industry cash term,one half with the order,balance due upon completion. Terms may be modified to meet special conditions. Past due balances are subject to a monthly service charge of 1 1/2%(18%per annum). If the account becomes delinquent,we agree to pay any legal or collection fees expended by Double"It"arising from collection of the account.Permit&Application fees not included.Due to the fluctuating prices in plywood,we reserve the right to adjust price. Double"R"is not responsible for reconnecting existing alarm systems on windows and doors. You the owner may cancel this transaction at any time prior to midnight of the third business day. After the date of this transaction,such Cancellation must be made in person,at the offices of community improvements,or in writing postmarked prior to the fourth business day.We accept VISA or Mastercard with a 3%convenience surcharge on total amount being charged. Acceptance: The above prices,specifications and conditions are satisfactory and are accepted. Double"R"is authorized to do the work as specified. Contractor Performance Warranty: Double"R"proposes to furnish and install labor and material in accordance with above specifications in order that the above qualifies for the Manufacturer's Long-Term Warranty. In addition,all labor provided by Double"R"is unconditionally warranted for a period of Two years from the date of installation. Approximate Start Date: Approximate Completion Date: Customer: $7,940.00 (Amount) Date: 6% (Sales Tax)0 Double"R': $7,940.00 (Total Amount) Date: $3,970.00 (Deposit) $3,970.00 (Balance Due Upon Completion) Return original contract to Double"R", retain a copy for your records. Visit Our Showroom Located At 439 Willett Avenue Port Chester, N.Y. 10573 ► VIP C . ' z? _ Cl) - o `o u W Ot s» pa of CD 40 - C L — L z U D O Z section : g z > z L Z. �Qt°Q - w � ..� > w w = Go pr ■i J via Joft U) Q d O J w ai CS.4 C�.. ►rr w o LLJ o J Z �c ),; E E Q OD �+ O o rn CyO y F.L�J U Jw cc • DATE(MM/DD/YYYY) ACOKO® CERTIFICATE OF LIABILITY INSURANCE 64. / I/17/2023 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 NAME: Belly Reyes 1 he Willett Insurance Agency PHO FAX AIC NNo Ext: 914 491-5599 (A/C,No): 888 371-9783 138 Willet Ave ADDRESS: bettyreyes(a_)thewillettinsurance.us INSURER(S)AFFORDING COVERAGE NAIC# Port Chester NY 10573 INSURER A: Westchester Insurance Company INSURED INSURER 8 Double R PBJ,LLC INSURER C 439 Willett Ave INSURER D INSURER E: fort ChcstcT NY 10573-3179 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 INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_v�OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A BP4904585Q2022 12/13/2022 12/13/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 FIOTHER: $ AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ A U TOS ONLY AUTOS HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ ORKERS COMPENSATION - ND EMPLOYERS'LUIBILRY STATUTE ER %NY PROPRIETOR/PARTNER/EXECUTIVE Y I N FFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ f yes, SC describe under RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 939 King Street AUTHORIZED REPRESENTATIVE Rve Brook NY 10573 Cc;1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' YORK CERTIFICATE OF Board STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Double R PBJ,LLC 914 937-2237 439 Willett Ave Port Chester,NY 10573 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 92-1106938 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NYSIF The Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"la" Rye Brook,NY 10573 8910587 3c.Policy effective period 19i9cwro? to 19r9onms 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"l a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? ZYES ENO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Betty Reyes (Print name uthorized representative or licensed agent of insurance carrier) Approved by: (Sign ure) (Date) Title: Insurance representative Telephone Number of authorized representative or licensed agent of insurance carrier: 914 481-5599 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-15) www.wcb,nygov