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HomeMy WebLinkAboutRP23-005to� PERMIT # A- r�3 SECTION /�,ff TYPE OF WORK JOB LOCATION 'L OWNER (3e0e-4 CONTRACTOR E . COST 'ffi 0 ita, TCO # C� DATE. , & cM) , gyp; / c)10 c) BLOCK _ L T ��- i 1 > p% 099 0 a/►�� � :�s is �rQ�i p (9/y)90&ozl6ll O ' FEE S 03 FEE DATE FEE DATE INSPECTION RECO D DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM a AS BUILT FINAL I NSP OTHER APPROVALS OTHER o i4 Stiff�Jy L��Ec v Vi•V�.J 19 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 27,2023 George Weltman&Deborah Weltman 46 Talcott Road Rye Brook,New York 10573 Re: 46 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-12 Roof Permit#23-005 issued on 1/26/2023 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 IING BUILD T NT For office use onlPERMIT# R GbS 0 VIL bIF RYE OK ISSUED: I--cNa'.23 FEB 1 4 2023 938 KING STRE YE BRQOK YORK 10573 DATE: / -FEE: PAIDGE OF RYE BROOK DEPARTMENT APPLICATIO 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 ##if4#tiff/##i##f##ffff#ffft####fttk##fttktit###f#fiitftffttffff##tft#fif4f4f#ifff#ftfrtf#ff#trt#rtfrti#kttik4fttf4rttk#tkitfftfii Address: yI0 T k o tt rot Occupancy/Use: gtSIdedl'q( Parcel ID#: /3;6_SO — 1 — /a Zone: _ Owner: Grto%g. & Oe6oirn4 W e I ZMQ& Address: y6 T zear Id I QVe g(ootc . All. lost P.E./R.A. or Contractor: S.SQIV4TdCG &SPIS Address: /� 4 ypnkorS AOe- Yonrrts fJY /OTCy Person in responsible charge: �Icy. a rgm;r0 Address: 3y Cl a fidW a Ccl. Gr'Ct.44.oc4 C31 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: _/ being duly sworn,deposes and says that he/she resides at 3y CI�(-a Td (Print Name of Applicant) (No.and Street) in GC-0♦/I q'k tk ,in the County of Crq�r p C ld in the State of C / ,that (City/To%Nn/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:$ 1Q 01 .00 for the construction or alteration of: Iq �I�Q. O 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-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this fin Sworn to before me this day of f03( , 20 aj day of A�8444 ,20 a 3 Signature o(Pr per''ty/Owner Signature of plicant t U GCCrc - Aw JJIC(' Print Name rope Owner Print Name of Applicant C / No Si Pub' Nota bli George C Palmiero or Notary Public-State of New York s/12/2021 No.OIPA6089211 Qualified in Westchester County Commission Expires March 24,20 �3 �QyE 4RC�� O Zm ' - 1932 BUILDING DEPARTMENT BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : H V 1 j ��0 � �� T . E. PERMIT# ISSUED: t�� ECT: 6 I3LOCK: LOT: t LOCATION: ` 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 ❑;CROSS CONNECTION ❑ FINAL ❑ OTHER Ln w O N N O � �i 'C ■ cV eq N � o W N Ra ad'fA � aw Ln q b i .c p - W ■ -d 0 1'Lr) y C s~ do : O Svc ®4-4 L � � Q ,^ I H ce b rp cry W oCO � o � � vs = W N x 4 "1 00 � O VQvo � V © W O V p H o o v (> m V.. RI rx o O Z z 'b 01 o [/) �..� � CT � I "1 M � c!� ^ w � � /' a � Qen a�i I l — ■ C -Q � � c� o ■ oc cy zzy Dd 0Dti ego = V H p Z zs� ,� Yd a 0 � � �� LD � ; ;A MENT BUI JNq' bi] ITT vll� %_.E OF RYE�OkOOK JAN 2 4 2023 938 KING�T, ET RYE BR(46' NY 10573 VILLAGE OF WE BROOK ,acing. BUILDING DEPARTMENT FOR OFFICE USE ONLN': /�� Approval Date: AAN 2 e m' _?q _-0 J s— ; Application # Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fe J Permit Fees: A 3DO"f ROOF PERMIT APPLICATION Application dated: 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. �i 1. Job Address: �C o� rd , Rye 6j 00 k /SBL:!3�'1J Zone-,e Property Owner: Geoff _ (je/ZMa r Address: Phone#: Cell#: p03.300-o49© email:�rilelr,--oc a ;1,C0M 2. Applicant: ,A//CK Ofan itr05 Address: Ila' Von VerS AVe , y 'F�5 I�� t070'j Phone#: Cell#: '//q- F66.O-Yi6 { email: f)/c-IL Aty t-aoFee. COM 3. Roofing Contractor: Address: /cef IlLoetkecssJc7 Ok, 16x`( Phone#: ,qjq/ ,13 7 • 06&3 Cell#: email: 4. Job Description,list all Methods&Materials: k e,(oye- d. Aeplac'e Aaap '4 F 141� LC S41e14 > 3o /6 Fein . Or,© £alce 0L_ C4aDge 41.H,ley 5. Estimated Cost of Job:S �9, 60 r (NOTE:The estimated cost shall include all site improvements,labor,material,scat2©Iding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage:7. Construction Type: LJ 00 FCG,rK P p/ NYS Construction Class: S. Number of stories: j Height: SG/ 9. Is garage being re-roofed:No:( )•Yes:( )Attached No:( )• Yes:(v<umber of Cars: Z 10. Is roof peaked,hip,mansard,flat,etc: r?4 11. Estimated date of completion: I IAoA TI-L qeFtt OVA. -I- 8/1212021 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. STAT OF NEORK,COUNTY OF WESTCHESTER ) as: A��� , 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 6":;,f*k�eQ 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 98 rA Sworn to before me this day of 2{7<,2�_ day of �c,�ua2� , 20a-S Sigma of Property Owner Signature o nt GCL,rCI( W_J n Alle-k rr Print Nato f Property Owner Print Name of Applicant No :—Not Pu c George C Palmiero George C PalmieTo Notary Public-State of New York Notary Public-State of New York No.01PA6089211 No.01 PA6089211 Qualified in Westchester County. Dualitied in Westchester County Commission Expires March 24,202S Commission Expires March 24,20 023 -2- 8/12/2021 Talcott Woods Home Owners Association OFFICE USE Rec'd By Date REQUEST FOR ARCHITECTURAL COMMITTEE REVIEW Document Check List Request From Survey/Plot Plan Specifications Date Bldg. Plans Permit Mr./Mrs.: Elevations Photos L U: Details Other(noted) Address: Phone No.: t M `/37-220 Brief description of addition, alteration, improvements, etc.: _ t Contractor: } `7:, y,.I ;z , ,�_;�i HOMEOWNERS AFFIDAVIT Address: 3 107 ycnkct) AVc I have read the covenants and restrictions �l•�k�r• ti' of my Associations and agree to abide by such covenants and restrictions. No work Cert. of Insurance Tc h� H+cylclyd will be commenced without the approval of my Association. Date: Signed: Please check with Village of Rye Brook for Building Department Approvals FOR ASSOCIATIC USE ONLY Approved by Homeowners Association Jun Preliminary Approval Subject to Review Zr7 Insufficient Information Submitted- Resubmit V 7_7 Not proved ppr ved with the bllow' Cond ions ��,� -50 gµ C6 G[)tj—tCl� -Op,'S C-y Atlp �CzoM Chai person, Arc ectur I Revie Bard t �. f• s o Date: I 1 •�+ M C L •= � c�C cOa O ems•- i ee � c w w W Vr. / Z > CD '� `okection O Y ° LQ AA Q o d a�sNP O O Z Y v a W v 3 :c W. ` L OZ O 0Ga ��� co } o w �" wee a s ... L ` a.+ � �1 / s t: u C f a� U Ln Y. RS CG C !V_ O40 Y •� o � O 3 tp ad � v U V 0 StaticCortSry' https://www.cap-dat-acord.com/acord/srv/StaticCertSrv?scfids=127... A��® DATE(MMIDDIYYYY) 166.� r CERTIFICATE OF LIABILITY INSURANCE 01/19/2023 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). CONT CT PRODUCER 914-600-6222 800-860-1151 NAME. Philip Christe Philip Christe Insurance PHONE 914-600-6222 a No:800-860-1151 1 New King Street,#101 AI DRLEss:phil@chdsteins.com INSURERS AFFORDING COVERAGE NAIC N West Harrison NY 10604 INSURER A: Evanston Insurance Company 35378 INSURED 914-237-0683 914-2370937 INSURERB:Selective Insurance Co.of South Carolina 19259 J. Salvatore&Sons, Inc. INSURERC: 1187 Yonkers Avenue INSURER D: INSURER E: Yonkers NY 10704 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. IPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE AD L POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS V COMMERCIAL GENERAL LIABILITY �/ �/ EACH OCCURRENCE $ 1,000,000 A DAMAGE TO RENTEIT__ CLAIMS-MADE �✓ OCCUR PREMISES Eaoccurrence) $ 100,000 3AA55945 04/20/2022 04/20/2023 MED EXP(Any oneperson) $5 000 PERSONAL d ADV INJURY $ 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE s2,000,000 POLICY ✓❑JECOT- LOC PRODUCTS-COMP/OP AGG $ 1 000 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accid $ 1 000 000 en ANY AUTO S2517257 09/02/2022 09/02/2023 BODILY INJURY(Per person) $ B �/ OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N TAT TE ER ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUE (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder is included as additional insured per written agreement subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King St. ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1 of 1 1/19/2023,4:41 PM YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured J Salvatore&Sons Inc 914.237.0683 1187 Yonkers Ave., 1c.NYS Unemployment Insurance Employer Registration Number of Yonkers, NY 10704 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 13-3872277 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund Village of Rye Brook 3b.Policy Number of Entity Listed in Box 1a" 938 King Street, 14579296 Rye Brook,New York 10573 3c.Policy effective period 01/01/2023 to 01/01/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) x❑ 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 1a"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". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. 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: Gary McCarthy (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 01/19/2023 (Signature) (Date) Title: Licensed Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 845-878-9293 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 (9-17) www.wcb.ny.gov