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HomeMy WebLinkAboutRP23-012PERMIT # =J3' / c.4 DATE: ALIs �3 e(R SECTION, 01 BLOCK LOT S TYPE OF WORK e - On�rCX/ S7�irlra /� )14 JOB LOCA' CON I HACTOF BEST. COST � VCO# TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC O LOW -VOLT 0 ALARM 0 AS BUILT r7 FINAL 5, P "v is cP u FEE DATE INSPECTION RECORD DATE INSP (9/7) 7/0-/ 9v9 ,Qoss c/5t) L/90 OTHER APPROVALS ARB BOT Ps ZBA OTHER BR(� 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.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 8,2024 Lawrence Kaufman&Stacey Kaufman 35 Country Ridge Drive Rye Brook,New York 10573 Re: 35 Country Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 129.52-1-6 Roof Permit#23-012 issued on 3/15/2023 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to FID y E v IE�V Cq- For office use only: BUILD \TMENT PERMIT# -oh JAN -4 2024 U VIL OF RYE OK ISSUED:3 J'S—ol 3 L_ 938 KING STRE YE BROOK, uv YORK 10573 DATE: VILLAGE OF RYE BROOK > 9 -06 O-c FEE: A //Q— PAIDX 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 x«««tx«**w«w**«sasssss*s««s«w««s«ss«wsw**s*sw*«wwww«tts*stwtstattxx+x++x++x++++++++t+++*++++++**++++++++++*+x*++**x«xx«x*«t«« Address: 35 Countryr Ridge Drive Rye Brook NY 10573 Occupancy / Use: f T-4/I Parcel ID #: /49,,54 —/—& Zone: -J Owner: Larry Kaufman Address: 35 Country Ridge Drive Rye Brook NY 10573 P.E./R.A. or Contractor: Icon Remodeling Group Inc Address: 19 Washington ave, Pleasantville NY 10570 Person in responsible charge: Robert Ross Address: 21 Powederhorn Road Patterson NY 12563 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: LA T-1-1 �A L TM., being duly sworn,deposes and says that he/she resides at (Print N4 of Vw6i 12 Vx c DR (No. (No.and Street) in ��aJ r ,in the County of W#_5A y in the State of N l that (City/Tower 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 15,000 for the construction or alteration of: 12 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 7-1-1 Sworn to before me this 2A day of 3AN , 20 Zy day of ,JAO , 20 7 Signature ro Owner _ Signature of A can - Print Nam, e Owner Print Name of App nt tary Public Notary bl Joseph A Apuzzo Joseph p zzo NOTARY PUBLIC OF NEW JERSEY OTARY PUBLIC EW JERSEY My Commission Expires 317,2028 My Commissio pires 317,2028 #2430901 #2430901 �E BRQ)- .FO 1982 BUILDING DEPARTMENT ❑//BUILDING INSPECTOR IyASSISTANT 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 : 3 Co A j ✓e DATE: / - '5 - PERMIT# 1\P 1J - O 1 Z ISSUED:3 '/S- 23 SECT: to/•-2 BLOCK:LOT: 4� LOCATION: "e OO FXi 5 L d 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 7 1�2. - oo ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER - h� \ M v � � u (1�IJ•� y � m eq s Ch0-4 N y pq 2 W W a. w v Ln cn w L a, masy " u = FTC a, 14 j--I 44 CA cl� O WW W � � "o � � •v G/a " © x y a w U Fri V y Q Z 14 co V z q!t oo w z a zzb 0 u w c p r v � 4 c O ° p v bacy �_ H off S U PLO H 0 p3 z z � v d V } V tn � w � O a s F m DECEIV/ E BuEL MENT MAR 13 2023 ID VI E OF RYE OK 938 KING 6T RYE BR NY 10573 VILLAGE OF RYE BROOK -0 BUILDING DEPARTMENT FOR OUT]CF11SE ONLY- Approval Date: Lin t q0qg rmit# V�a►-; 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: Permit Fees: 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. p / 1. Job Address: 35 Country Ridge Drive Rye Brook,NY 10573 SBL:_��1 r��_/_�O Zone`S Property Owner: Larry Kaufman Address: 35 Country Ridge Drive Rye Brook,NY 10573 Phone#: 917-710-1999 Cell#: email: lkauf@aoLcom 2. Applicant: Icon Remodeling Group Inc. Address: 75b Maple Avenue Rye,NY 10580 Phone#: 914-305-3534 Cell#: 914-490-1704 email: admin@iconremodelinggroup.com 3. Roofing Contractor: Icon Remodeling Group Inc. Address: 75b Maple Avenue Rye,NY 10580 Phone#: 914-305-3534 Cell#: 914-490-1704 email: admin@iconremodelinggroup.com 4. Job Description,list all Methods&Materials: Remove existing asphalt shingles down to plywood sheathing. Install Y up Ice&Water Membrane&Synthetic Roof Underlayment Rest of Roof. Install GAF Timberline HDZ Barkwood Shingles on entire roof. Installation of all necessary flashing as needed. 5. Estimated Cost of Job:$ 15,000.00 (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: Wood Framed NYS Construction Class: Type V 8. Number of stories: 2 Height: 9. Is garage being re-roofed:No:( )•Yes:v Attached No:( )•Yes:V Number of Cars: 2 10. Is roof peaked,hip,mansard,flat,etc: Hip- 11. Estimated date of completion: By End of March 24th 2023 -i- 8112021 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. Sworn to before me this '8 Sworn to before me this 1 �s day of � , 20 Z3 day of �n GLrr-\_1 , 20 -3 �A� —A Poll Signature of p Signature of Ap scant Q 4 r -rtJ l7-4cs Print Name o Pr erty Owner Print Name of Applicant Notary 1 Notary Public SHARI MEULLO Joseph A Apuzzo Notary Public,state of New York )NOTARY PUBLIC OF NEW JERSEY No.01ME6160063 Qulified inester County My Commission Expires 317,2023 Commission Expirestch January 29,20 7- 7 #2430901 srl2 2021 3/13/23, 11:16 AM Timberline HDZ-America's best selling roof shingle I GAF Specifications Timberline HDZ° Specs ABOUT SPECS DOCS VIDEOS (HTTPS://WWW.GAF.COM/EN- (HrrPS://WWW.GAF.COM/EN- (HTTPS://WWW.GAF.COM/EN- (HTTPS://WWW.GAF.COM/EN- US/PRODUCTS/TIMBERLINE- US/PRODUCTS/TIMBERLINE- US/PRODUCTS/TIMBERLINE- US/PRODUCTS/TIMBERLINE- HDZ) HDZ/SPECIFICATIONS) HDZ/DOCUMENTS) HDZ/VIDEOS) SPECIFICATIONS (ALL DIMENSIONS ARE NOMINAL) AWARDS& RECOGNITION Good Housekeeping Rated 25-YEAR STAINGUARD PLUST"" ALGAE StainGuard PlusTm Algae Protection PROTECTION LIMITED Limited Warranty WARRANTY DURABILITY & Advanced Protection Shingle with GAF TOUGHNESS Dura Grip Adhesive EXPOSURE 5.625" (144 mm) EXTREME WEATHER No IMPACT RATED FIRE RATING Highest Rating-Class A MATERIAL Fiberglass Asphalt Construction WIND RATING Eligible for the WindProvenTm Limited Wind Warranty when installed with four required GAF accessory products SHINGLE STYLE Wood-Shake Look SHINGLE TYPE Architectural Shingles APPROX.NAILS/SA 256 AWARDS& RECOGNITION:Good Housekeeping Rated 25-YEAR STAINGUARD PLUSTm ALGAE PROTECTION LIMITED ly Manage Your Co okie u � a S$ o peu ru oe P { oi � arty,analyze site Preferencesae �rdtcon aiea us e nWang g siisanourmange a-ssas: ss https://www.gaf.com/en-us/products/timberline-hdz/specifiGations 13 3/13/28,11:16 AM Timberline HDZ-America's best selling roof shingle GAF Specifications SPECIFICATIONS (ALL DIMENSIONS ARE NOMINAL) DURABILITY&TOUGHNESB:Advanced Protection Shingle with GAF Dura Grip Adhesive EXPOSURE:5.625" (144 mm) EXTREME WEATHER IMPACT RATED: No FIRE RATING: Highest Rating-Class A MATERIAL: Fiberglass Asphalt Construction WIND RATING:Eligible for the WindProvenlm Limited Wind Warranty when installed with four required GAF accessory products SHINGLE STYLE:Wood-Shake Look SHINGLE TYPE:Architectural Shingles APPROX.NAILS/SA: 256 CODES FBC State of Florida Approved ICC ESR-1475 ICC AC438 ESR-3267 MIAMI-DADE COUNTY Miami-Dade County Product Control Approved TDI Meets requirements of the Texas Department of Insurance FBC: State of Florida Approved ICC : ESR-1475 ICC AC438:ESR-3267 MIAMI-DADE COUNTY:Miami-Dade County Product Control Approved TDI: Meets requirements of the Texas Department of Insurance TESTING METHODS & APPLICABLE STANDARDS TAS 100-95 Yes TAS 100-95:Yes We use cookies to operate our website,enhance site navigation and functionality,analyze site usage,and assist in our marketing efforts. https://www.gaf.comlen-us/products/timberline-hdz/specifications 2/3 3/13/23, 11:16 AM Timberline HDZ-America's best selling roof shingle GAF Specifications ENERGY RATING COOL ROOF RATINGS CRRC-rated (White only) COUNCIL(CRRC) MIAMI 21 (FLORIDA Yes (White only) BUILDING CODE) TITLE 24 (CALIFORNIA Yes (two colors only) ENERGY COMMISSION) COOL ROOF RATINGS COUNCIL(CRRC):CRRC-rated (White only) MIAMI 21 (FLORIDA BUILDING CODE):Yes (White only) TITLE 24 (CALIFORNIA ENERGY COMMISSION):Yes (two colors only) SHIPPING AND PACKAGING APPROX.PIECES/SA 64 APPROX.BUNDLES/SA 3 APPROX.PIECES/SA: 64 APPROX.BUNDLES/SA: 3 We use cookies to operate our website,enhance site navigation and functionality,analyze site usage,and assist in our marketing efforts. https://www.gaf.com/en-us/products/timberline-hdz/specifications 3/3 CO V C m cV C) a, > o k N ♦� a co h a� C) pW p1!a v Q !(�rJr)► 1 h Tr OQ r..' U � s.l v z o LQ L i a •� a u . » 1.. R z ° lion U > o L b° °" c ✓ :. rr�ll 17 W a y O QLO 4-1 a�> p ✓Ga fie`' %� � . e au 00 � . - u 00 w O C.0cn fj Q rs;•- a.. v 16.rA ' — r � Z C V U z�• <tss)>1 3 •� a 1 � •� p . . . . . . . . . .. . . . . . . . .. . .. q O GWO /� O ® DATE(MM/DD/YYYY) A ll..l "R" CERTIFICATE OF LIABILITY INSURANCE 2/16/2023 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: Kathy SUila Rivers Edge Insurance Agency,Inc. PH R45)729-642R A/C,NE No, FAX ( (A/C,No): 227 S Middletown Rd ADDRESS: riversedgeinsuranceagencyCa_gmail.com Suite I INSURER(S)AFFORDING COVERAGE NAIC If Nanuct NY 10954 INSURERA: ATLANTIC CASUALTY INSURANCE CO 42R46 INSURED INSURER B I CON REMODELING GROUP INC INSURER C 75 B MAPLE AVE INSURER D INSURER E RYE NY 10580 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 )C COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5.000 A Y M068002426-1 06/11/2022 06/11/2023 PERSONAL SADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x JPRO- POLICY LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ ORKERS COMPENSATION PER - ND EMPLOYERS'LIABILITY y/N STATUTE I JER %NY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? ❑ N/A Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) REMODELING INCLUDING ONLY THOSE CLASSES LISTED ON FORM AGL-REM 06-19/CARPENTRY/CONTRACTORS-SUBCONTRACTED WORK. THE CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED,IF REQUIRED BY WRITTEN CONTRACT,LICENSE OR PERMIT PURPOSES,SUBJECT TO THE TERMS,CONDITIONS AND EXCLUSIONS OF THE ACTUAL POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village Of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 king street AUTHORIZED REPRESENTATIVE Kalky 5�� Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD IN W Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Icon Remodeling Group Inc 914-305-3534 75B Maple Ave 1c.NYS Unemployment Insurance Employer Registration Number of Rye, NY 10580-1511 Insured N/A 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 75B Maple Ave, Rye, NY 10580-1511 82-4319347 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Village Of Rye Brook NorGUARD Insurance Company 938 King Street 3b. Policy Number of Entity Listed in Box"la" Rye Brook, NY 10573 ICWC488312 3c. Policy effective period 01/01/2023 to 01/01/2024 3d.The Proprietor.Partners or Executive Officers are 7 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 "la"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 Dave Simmons (Print name of authorized representative or licensed agent of insurance carrier) Approved by //Z .. /4 i 02/17/2023 __.._ `""ae (Date) Title Vice President of Sales Telephone Number of authorized representative or licensed agent of insurance carrier: 800-673-2465 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