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HomeMy WebLinkAboutRP23-011PERMIT # SECTION TYPE OF WORK JOB LOCAT OWNS CONTRALTO EST. COST qv/CO # C TCO # FEE DATE INSPECTION RECORD I DATE , INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT F7 ALARM O AS BUILT FINAL i� Cgrt/) Ycfa 789 OTHER APPROVALS QyE DR tLu ti j JV V l�•VV V yyi 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 May 1,2023 Richard Bowman&Kristen Bowman 287 North Ridge Street Rye Brook,New York 10573 Re: 287 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.27-1-16 Roof Permit#23-011 issued on 3/13/2023 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 D BUILDINd1iEYkTMENT For-office use only PERMTI'# -- J/ VILLAGE OF RYE BROOK ISSUED: APR 13 2023 0938 KING STRE � YE BROOK,l IV YORK 10573 DATE: 9 _Q Off' FEE: O-- PAID At VILLAGE OF RYE BROOK W 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 •ii#titiiiiiiitiittiitiiiiiiili#t!itfff##t#ffiitiltt#tfiiiiiftiiii!##tf!!f#t##ttitiiitiiiitttiiiif!#f!###iii###iii►t#fif#►!!! Address: 1 Occupancy/Use: /r—/�l�/I Parcel ID#: %3�i 7 "—/—�� Zone: Owner: Address: 2`�'� Q.�\e Ski - P.E./R.A. or Contractor: 5 e ndue pr y INC. Address: I 3 C hi e r ^ Pop. W h������ Ny J Person in responsible charge: 5C-5u n�. Qr- e� o� 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: kL�,w, &-'N\" being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) (No.and Street) in 1—Xe &�,d�-- ,in the County of 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:$ 1 j 1 /C":' , for the construction or alteration o£ A C c-) Apo 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. Swom to before me this 3,/S)' Sworn to before me this day of XAel/tl , 20,* day of 920 Signature of Property Owner Signature of Applicant et�tic-j-3 �o v-s k Print Name of yroperty r Print Name of Applicant Notary Public Notary Public SCOTT J.GOWE NOTARY PUBLIC OF NEW YORK I.D.#01GOg35718 MY COMMISSION EXPIRES I/-1 9i12;2021 E 4Rnuk Q) /�• 19812� BUILDING DEPARTMENT ❑BUILDING INSPECTOR v❑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: PERMIT# ` ' ISSUED: CT.E 5 ` ` / ' $ BLOCK: LOT: LOCATION: 1lTJ-`� OCCUPANCY• ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas p L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CkOSS CONNECTION FINAL ❑ OTHER a x ' _ cr O 1 H A O x T (4 0 1 w cn cn Gn cn z ° rl N 'aCU cu � M a � � � s �- � •� H �+ s O Z O o _ cn ' C�. � A OW F--I Ln L 0 b _ Z 00 Cc, XL21 W WLn0 ,5 co 00 �+ o ° "., bwE V W 00 Hz u z 010*4 rT ' W ~ cn C', O "' � zw V4 y o Q IVAN*. Z a �1 V w a� OW-1 I O A O o v' d� � 's cn W c wA k E M ' jz z ury O o v o �A � � NI . M MI O En F o P3 z z � O ° ° U �.4 U ti A z o 00 6 4 UQQ4G goo GIG 4;Qa6999aaa agog.6414144419419414944444a BUIL ENT V :ET OF RYOK MAR - 7 2023 jD 938 K1Nc RYE BNY 10573 X01 ! VILLAGE_ OF RYE BROOK !, BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: MAR 1 L2eai it Application# Approval Signature: = ARCHITECTURAL REVIEW BOARD: Disapproved: % Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application FeeA ' Permit Fees:.,e ROOF PERMIT APPLICATION Application dated: 7~.->a 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. , / Q 1. Job Address: �-�, 2 t a y p S I+ SBL: /3J��/ 017 -/- & Zone:/1-1 15- Property Owner: 7'o't'� & K r,A B o W tin ova Address: Phone#: cA 1 A S S1 2-0 Sol Cell#: G\1 q1-0 ci fJ 1 () email: -"1e6 W 01-n S 2 t37 Q 01MCA,Le N► 2. Applicant: 2-%chw� 8- kt�5\4UN goomt-'A Address: Phone#: Cell#: email: ` 3. Roofing Contractor: t+it ©rlP1,r1 _Address: Ir<, _jL r �,a i6xi i ��ti n�Aly Phone#:�11 L-S I 1 l _Cell#:Jq_I4TS�$ Al •COMA email: 4. Job Description,list all Methods&Materials:_ .art.. VOZ / t f L rf(/le4 D1G (41 g&L.CS &n To , TRIG L 0 e t,,/ ar e L I P40.e,- t? i V"PP>FQL J 61 c etkv 6w-eSpts- 5. Estimated Cost of Job:S I ,1 d o (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 corner property,indicate street frontage: P✓/Q 7. Construction Type: NYS Construction Class: 8. Number of stories: Z Height: 9. Is garage being re-roofed:No:( )•Yes:(>j Attached No:O•Yes:(jNumber of Cats: t)nE 10. Is roof peaked,hip,mansard,flat,etc: gn4 /L )VD< 11. Estimated date of completion: ` -9 D on PQrM�� pptu,'- eb Ld Il -I- 8/12021 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: P,ck e.C� -S u-. ,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 before me this 2_--7 Sworn to before me this dayof , 20� day of a'( f A3& Signature of Property Owner Signs&&e of Applicant �_) , C't-� � w M Print Name of Prop rty Owner PriltNa&of Ap6licant Notary Public Nota SCO17 W. CRAIG NOTARY PUBLIC STATE OF NEW YORK Notary INGRID MARTINEZ REG. NO.01CR6390567 yNa 01MA62472 New York COMMISSION EXPIRES APRIL 15, 2023 QuAliffed in VVoslchoslorcounty MV Conlhmissfon Expires August 22,2rZ -2- 8112I21}21 p EC ENE MAR 13 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Roofing—Siding—Home Improvement 161 Chatterton Ave White Plains NY 10606 Cell(914)882-5789 Office: (914)682-5111 SEGUNDO ORTEGA INC. Fax:(914)373-4868 WC License#WC-22113-1109 CT License#HIC.06337 Yonkers License#6376 Date: 3/12/23 For:Mr.Bowman Address:287 North Ridge St. Rye Brook,NY 10573 Description: New Roofing On All Elevations 1. Remove all existing roofing down to the wood decking.During this,the existing decking shall be inspected for any damage.Repairs will be done at a different time and material basis.All remaining scraps will be removed and discarded away from the job site. 2. New ice&snow shield membrane will be installed 6'on all eaves and all penetrations. 3. The metal edging will be installed onto the entire roof perimeter. 4. New GAF Tiger Paw underlayment will be installed on the remaining area of the deck. 5. GAF Timberline shingles(color to be chosen by owner) will be installed onto the entire roof area.We will install the shingles according to the manufacturer's recommendations. 6. The new copper will be field measured,shop fabricated and installed onto all the plumbing vents. All seams will be locked and soldered for water tightness. 7. In addition,the ventilation will be installed at the ridgethighest point of the roof. 8. Clean up the area and discard all waste materials.Completely finished. THE PRICE FOR THE WORK S 15,100 INCLUDING LABOR AND IMATERIAL If you agree with this price for all the work done,it would be$ 15.000.This price would include all material and garbage removal.This means that you do not have to worry about the garbage that comes out during this work.The payment would be divided into three,50%when I start,25%more in the middle of the work,and the final payment when the job is complete. �;47 Z.". Customer signature Contractor signature • � A A A A A A � � A '�.�i t&'``°�i�'$ '' .s. A ,.. '- +•;4 ^ tt+:,;. .esls � :+. .c� A!1!(I•.: A�� `���:" •Ai �'► 'ii er' A ,��—.,';. <ioi� '��'•�i,=' ��1��1si � �i��1�� ����yc��� 'i�c�•�RS. � ��ih��iS��� �1�j��� . ( >► -- ------ '��/�S -------'►'N+�: --- -- t-�� ��:,-+---� ,�N i..--- ---- -- «ems «o) Nne o04 <css)) E C O N c� o , /. �f. •�r � o Py O ^d V - Ursi� �I 000D • as � zCD bow El O 7 O W J o ❑lp o °' Z Q W O f'Z' C� U = �- •� � wee ap � - `� i ►-� � W M � ° � F F� . ( ) o ig z c., 0 CO 'A 00 .. U w cn CN rA y cOi U : g y CA \.' «o�s� vv �c� M'j ip�' P��p•4�h . oft; AC" " CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD YYYY) 3/6/2023 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 CONTACT Ingrid Martinez NAME:GENESIS INSURANCE AGENCY Ian"o (914)468-6400 ac No: (866)780-5006 171 Grand Street ADDRESS: insurance158@aol.com White Plains, NY 10601 INSURE S AFFORDING COVERAGE NAICN BR 1151253 INSURERA: Atlantic Casualty Insurance Company 42846 INSURED INSURER B: Segundo Ortega Inc. INSURER C: 163 Chatterton Ave INSURERD: NY 10606 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. INSR ADDLTYPE OF INSURANCE INgQ WVD SUER POLICY NUMBER MMIDD/YYYY POLICY EFF POLICY MID YD� LIMITS L X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTE15__PREMISES Ea occurrence) $ 50,006 MED EXP(Any one person) $ 5,000 A LY L259002770-2 2/5/2023 2/5/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY❑PRO OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N STATUTE I ERH ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OF EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is listed as additionally insured, Job Location: 287 N Ridge St, Rye Brook NY 10573 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET AUTHORIZED REPRESENTATIVE RYE BROOK NY 10573 ©1988-2 1 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE Al 77. 21 A A A A A A 811082146 GENESIS INSURANCE AGENCY 171 GRAND ST WHITE PLAINS NY 10601 K`�� SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SEGUNDO ORTEGA INC. VILLAGE OF RYE BROOK 163 CHATTERTON AVE BUILDING DEPT WHITE PLAINS NY 10606 938 KING ST RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2212 325-1 942838 06/01/2022 TO 06/01/2023 3/6/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2212 325-1, 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:/IWWW.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 CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT SEGUNDO ORTEGA VICE PRESIDENT MARIA ZHUNIO SEGUNDO ORTEGA INC. 20F2 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 STAT SUR NCE FUND T4 �V DI RECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 715284684 U-26.3