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HomeMy WebLinkAboutBP23-026PERMIT #A6240 D DATE: % c) SECTION 4.BLOCK TYPE OF WORK �� Q�'P7/7 ly JOB LOCATION S -ep S OWNER jLL C 9�5 CONTRACTOR EST. v/cO # TGO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C� RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT C7 ALARM AS BUILT 0 FINAL FEE DATE INSPECTION RECORD DATE INSP OTHER APPROVALS OTHER Qy� DR J A . 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.iyebrook.org TRUSTEES ACTING BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE March 13,2023 159 BHC LLC 159 Brush Hollow Crescent Rye Brook,New York 10573 Re: 159 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-101 Building Permit#23-026 issued on 3/7/2023 to Replace Existing Fence This certifies that the new fence,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building&Fire Inspector /to DD ' M BUILD R ENT For office ust 9ply. MAR - 1 2023 PERMIT# 0 3-©a& VIL OF RYE` OK ISSUED: .3-7 a3 38 KING STRE YE BROOK YORK 10573 DATE: 3-7-a 3 VILLAGE OF RYE BROOK 9 ,0 }O�c FEE: PAID19 BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ******r********r***trt***trttrww+t trtrtr**r+rtr**rrr*rrrtrt+rts+rtrtwwtrrt*t+twt+srs+wrts+Q+rrww+wwwwt+*wwr++*nw l+*+wwr++*tt*trrt*sttt Address: 1S 1 6vc,� 40H p_0 1.1�N tJ-I; f�`/0 640t f'Uy Occupancy/Use: /F, k4' // Parcel 1D#: t�,9 7 — O 1 I Zone: P u T-) Owner: I S 1 N H C L.I.C — &rk I M,ptl f d Address: 406 K A C� At' CYa-A,Ny/�� 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: n e( M&-(lei being duly sworn,deposes and says that he/she resides' �. Q, (Print Name of licant) (No. Street) in rcy( bT.0�_ ,in the County of � I ..0 (- in the State of ,that ( ity/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:$ for the construction or alteration of: fir= 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 7' Sworn to before me this day of , 20 ZOQ day of ,20 Signature of Property Owne Signature of Applicant IS1 Print a of Property Owner Print Name of Applicant Notary Public Notary Public GREGORY M.RIVERA S/12 202I No"Public,State of New York No.01 RI6441398 Qualified In Westchester County Commission Expires September 26,20 QyE BRa? O� tim uJ � BUILDING DEPARTMENT ,WBUILDING 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 : l 7�) ( � C '1 DATE: PERMIT# � - " ISSUED: �\ r SECT: BLOCK: \ LOT: LOCATION: ` � �L� oo 1�� ✓&CUPANCY: !� `y ❑ VIOLATION NOTED THE WORK IS... p 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 ❑ ,,tROSS CONNECTION �F FINAL ❑ OTHER Y w = Q M N w N `w � 44 Q v _ cn F A O z � U! O ti C .r L14 W r•� A f l �O z fW 72 s e•-( 0 = V a+ U O r Q ,�/ = W O fl rT� F w � W V C n, "" _ V w a A _ 7 �f ►i4 o O A Uj � F� Y � k : W a W w vo � .. ,� a C� cn co Op v c 0 ,9 V = O� o z w Z - a '� a ~ C 0 dd v ►+I W ,� v �, U M qtt w °� x �, Wx V x 0�� fl .� � 126 r xzb `p V O �;y ur� � - © Z x o p O [CaJr � O � •C v a [-� O c •n a '&o O F a •f —,u u W : v G� t7 z O '04.> � x BUILDING DEPARTMENT VILLAGE OF RYE ]BROOK FEB 16 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ********t**tt**ttsw*w**t******tt*t*ttttttttttt******tttttttttttttwttwtwwwwwwwwwwww+++****+*++****ttt*tttt*t FOR OFFICE USE ONLY:, Approval Date: Te Q Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:4' —tob Permit Fees dr FENCE / WALL / GATE PEIMT APPLICATION Application dated: �) -/&—Q�:� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address: I l 1f acovv coe-f ' 2. Occupancy/Use: , S.B.L.#: /,:� 9i 7& —/—A,,/ Zone:Pub 3. Proposed Fence/Wall/Gate(describe in detail): /t!EW f''crG[ 4. Property Owner: Address:-6-1 ZZ'Ck, 12—06-6 lei I� Phone# 1(q "S6S'© (,5— Cell# email: Applicant: JcTZ ,r Address: (Q A- Phone# 03lrf Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: Address&Phone: 5. If building is located on a comer lot,which street does it front on: 6. What is the estimated cost of construction (NOTE:The estimated cost shall include all site improvements,l r,material,scaffolding,fixed equipment,professional fees,and material and labor which maybe donated gratis.)- D9A;-r 7. Estimated date of completion: s/12r2021 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,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.d4 Sworn to before me this b Sworn to before me this day of ,20 day of , 20 SigAature Hof}Prro�perty Owner Signature of Applicant V I ame of Property Owner Print Name of Applicant Notairy—Tublic Notary Public SHARI MEULLO Notary Public,State of New York No.01ME616M63 Qualified in Westchester County Commission Expires January 29,20o 2 8112/2021 Building \Permit Check List&Zoning Analysis G Address: \ 50 � 1� �'�C)�11�,�, ��L'� SBL Zone: l Use: 2. Const.Type: V Other. Submittal Date: 221 AD 1 12:73 Revisions Submittal Dates: Applicant: Nature of Work_ l `— I'l S \ �-� �2l1�Q C�� L�E�25l �i�P�C qc(T o . Reviews:ZBA: PB: BOT: Other. NEED OK P FEES:Filing. BP-,9 C/O: Flood Plane: Legalization: ( ) ( ) APP: Dated: r/ Notarized. SBL: Truss 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:Date Stamped Sealed Copies: Electronic Other. ( ) ( ) License Workers Comp: Liability Comp.Waiver. 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: 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. O O 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 REQUIRED EXISTING PROPOSED NOTES � —( Date: AN: Fs� F� Sids�: R Main Cov Accs,Cov Ft.H/Sb: Sd.H SFB: Tot. I : Ft.I : Pz Hcight/Stories: notes: 173'/z Ivy Hill Crescent I Rye Brook, NY 10573 914-939-2440 D IE � V1 EE jD ,nil! ijl4fl;„fE. February 14, 2023 FEB 16 2023 Daniel Berger VILLAGE OF RYE BROOK i 159 Brush Hollow Crescent BUILDING DEPARTMENT Rye Brook, NY 10573 Re: Replacement of the Privacy Fence Dear Mr. Berger: This letter serves as confirmation that the Architecture & Grounds (A&G) Committee has reviewed and accepted your application for the above named work. This approval is valid for six (6) months from today's date. A&G is approving the replacement of privacy fence. However, it must be noted that that your original application was only for replacing a few boards. Your acceptance letter clearly stated that you had to apply for a permit, and it also stated that ANY changes to the original application would require a revised application and would need a separate approval before any work could be done. You did not follow the procedure and the AHOA has fined you for that. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. You are required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, contact me at: Property Manager. Ada Caruso Interim Property Manager = r 1 -�i-� y� . _ __ _____ __v __ _� 4 � � ;�} ` �� �, � - - 1 _ i " - -� -- _ r ...- _ � � "� . i A � 'j,.� � � ' ! r i � 4 � I _ r . . . .. � � � �: - ., �� w.I �- y R StateFanr, State Farm Fire and Casualty Company A Stock Company Wrth Home Offices in Bloomington, Illinois DECLARATIONS PAGE GA 20 PO 8or 9&CY-L770S Adana GA 356-9fl01 Pot"Number Named Insured policy Period Effective Date Expiration Date H 28.9D66FB0D R F 12 Months MAY 19 2022 MAY 19 2023 j The policyy period begins and ends at 12 01 am 159ROCK RIDGE DR at andardtime at the residence premises. PORT CHESTER NY 10573-1215 —A RENTAL DWELLING POLICY- SPECIAL FORM 3 Automatic Renewal - If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the MortgageeAjenholder written notice in compliance with the policy provisions or as required by law. Location of Premises 159 BRUSH HOLLOW CRES RYE BROOK NY 10573-1622 0 m Named Insured, Limited Liability Company Zone 12 Protection Class 10 Construction Frame s Coverages &Property Limits of Liability Inflation Coverage Index:398.4 Section I Deductibles-Section I A Dwelling S 448,000 Basic 1/o $ 4,480 Dwelling Extension S 44,800 Hurricane 5.00°ro $ 22,400 B Personal Property 5 22 400 C Loss of Rents Actual Loss Section II L Business Liability (Each Occurrence) S },QQQ,Q00 In case of loss under this policy,the deductibles will be applied Annual ARgregete $ ,00000,0000 per occurrence and will be deducted from the amount of the M Medical syments foss.Other deductibles may apply•refer to policy. (Each Person) S 10,000 Forms,Options,&Endorsements Policy Premium $ 2,347.00 Special Form 3 FP-81103.3 Discount Applied: Amendatory Endorsement FE-8232.2 Horne Alert Rental Dwelling Endorsement FE-5610 Terrorism Insurance Gov Notice FE-6999.3 Extra Replacement Cost Cov FE-9702 Arson Reward Delete FE_5303 Hurricane Deductible FFEE 5533 Losses Not Insured Amendatory FE-gg777 Actual Cash Value Endorsement FE-3650 Debris Removal Endorsement FE-7540 Mandatory Reportng Endorsement FE_5101 Notice in Eventt of Liab Claim F 1 9 Bldg Ordinance or Law Covg 10% FE-75 0 Other limits and exclusions may apply-refer to your policy Your policy consists of this page. arty endorsements and the policy form. Please keep these together. FP-8006 3C Continued on Reverse DALILA D NAMY 0707 251 1 914.481.8989 N 1S,G,J,01 Prepared JUN 10 2022 UON77101 ,Mr IeYPOt:{O1N71rq CONTINUED FROM FRONT SIDE Forms, Options, & Endorsements Real Property Endorsement FE-5401 Lead Poisoning Exclusion FE-8499 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 waive the workers'compensation 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): LVJ 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. ❑ 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 wor dic don the building pe t. 3 � (Signature of Hom er (bat Signed) fiJal2i' l 0 6e(-,Pr— Home Telephone Number (Homeowner's Name Printed) Sworn to before wee this day of Property Address that requires the building permit: G,,t_Z _ S�a :Votary Public,State of New York No.01ME6160063 Qualified In Westchester county, -ommission Expires January 29,20�� Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benents insurance coverage. BP-1 (12/08) NY-WCB