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HomeMy WebLinkAboutRP23-017PERMIT # c;)3 - O 7 DATE: 3 )9-: 41 ap: 3 c� c�Ll SECTION Lc� y. (o LOCK LOT TYPE OF WORK OCR /S JOB LOCH 10 Q / rlIr OWNER 0/7/OC9 5ZO7A J /G / L?aJ / CONTRACTO RA&e// c a r O� C) / U►� - EST. COST "`� a FE � zCO # e C� FEE DATE I TCO # FEE DATE_ �lSPECTION RECORQ t DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS ,;PPINKLER F t.exrRIC 13 c)Wd VOLT 13 Avy-kRM 0 AS BUILT FINAL E,Jana��?6 9y 9990 OTHER APPROVALS ARB BOT PS ZBA OTHER =�,� DR �. . 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 May 10,2023 Monroe Haas&Rickie Haas 15 Lawridge Drive Rye Brook,New York 10573 Re: 15 Lawridge Drive,Rye Brook,New York 10573 Parcel ID#: 129.67-1-35 Roof Permit#23-017 issued on 3/28/2023 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 Building&Fire Inspector /to � R�� � For office use onl BUILDINiG EYARTMENT PERMIT# c9l :0 7 VILLAGE OF RYE BROOK ISSUED: APR 19 2023 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: W = PAIDAF BUILDING DEPARTMENT www,rygb>rook.org 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 !\►tfttfttiitiit//itttititiitiit(rt•►►\ititltlt\titfl►►tittt!\tkt•ttftlt�ff,►_t,\�►Q\tikf►fit►(,.t/ti►fiki•it►i\ifititiiiii►tttiiiiittiiti Address: , ,f I�QJyJl�I G� e- b/`t J k- E " ° �c l Occupancy/Use: t Parcel ID#: /F"3 L 7 f- �J Zone: Owner: Ak ll n v-JL 4- /�� �C-,f� -4 a-a-S Address: P (,')I , b /C),] _3 P.E./R.A. or Contractor.#Mz.^1 La-.1 $6al. (&-AP Address: Q-U k.' /: - Person in responsible charge: Address: ?Y7 Plo�c&t- A�t Application is hereby made and submitted potte Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YOM COUNTY OF WESTCHESTER as: being duly swom,deposes and says that he/she resides at tS ZO,W/-, ��.P— br-1(J`Q, (Print Name of Applicant) /I (No.and Street) in�P_ �/'Q&JC— ,in the County of (�2S F-C I>`���2/� in the State of that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ `Ll L Z , for the construction or alteration of.. 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. C: Sworn to before me this 1 1 Sworn to before me this day of \ , 20�4 day of , 20 Si ature of Property Owner Signature of Applicant 2� C- ass t me of Property Owner Print Name of Applicant ti Notary Public SHARI MEULLO Notary Public Notary Public,State of New York No.OIME6160063 Qualified in Westchester County,- 8/12/2021 Commission ExPires January 29,2 ,yE DRX�. cu � '9b2 BUILDING DEPARTMENT BUILDING INSPECTOR j ❑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 :— �--1� �/� DATE: PERMIT# _ ISSUED: EtT: BLOCK: LOT: ( All . LOCATION: �J �U�G \� 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 ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING VIICROSS CONNECTION FINAL ❑ OTHER ■ rl N p -d 1' 1 M M v 1d a Ad -In to 4-4 O cv 0 �4 oR � ~G O 11 A d O A/ s a 4� d Cy 5 s ya � J : � o M o ° "Co' V 00 �..I Z .j i. A A UO - U Q _ bA v iS O C� �i W cV �+ Qw opr� z O '-7 o e v A z W N O � , yao `� v u aVvV W W� p 1-4 � Z T p o c7 A Z © w" 9Q P-4 _ BUILDING DEPARTMENT QECEMED MAR 21 2023 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www�r�; rQt�lcgr>;. FOR OFFICE USE ONLY: Approval Date: AA i -J`� � Application# Approval Signature: ARCHITECTURAL RE W BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: 3-�D �!] 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. 1. Job Address: 15 LOWi r'j d� t✓ J yrj it� (b4 o_I�l2 ml SBL: I c)9,&7—/`3-T Zone V 1� Property Owner: `Vtko,nis�r W,dc.1-, 4 -'2- S Address: l 9- jaw rid.5,R— Or. ery'�LL N 71v.;'7� Phone#: 1 i `-i Cell#: 0111 email: 1 4, t'c' , (� 2. Applicant: A-+3 D tf Address: Phone#: Cell#: email: 3. Roofing Contractor: �''t��� her t-c% rac*t- (-ZtP Address: v Phone#: 7 Cell#: e� 2- )-'1`-I - Q`�O email: 64uf rrr a -k—r 7s k, .',i p.L., T 4. Job Description,list all Methods&Materials: D(�G C oo �l v�� &2tD �e a-I��cenQa� 5. Estimated Cost of Job:$ ,Z.? (NOTE:The estimated cost shall include all site improvements,labor,material, 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: dt. Height: 9. Is garage being re-roofed:No:O•Yes: (l/(Attached No:O•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 0-c q-4L C -( 11. Estimated date of completion: / `t, 7) -1- 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. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: _fLI Lk , -,,- 0 4-G y ,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 Swom to before me this day of�'� r`G , 20_1:�, day of ,20 Signature of Property Owner Signature of Applicant t Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01MM60063 Quallfted In Westchester County ;;ommisslon Expires January 29,20 2 -2- 8112/2021 SHINGLE ROOF REPLACEN(ENT 24 HR EMERGENCY SERVICES AMERICAN STAR Eel kINt[+l to]: • DATE:03/27/23 COSTUMER NUMBER# Addmn:77 Lafnvette Ave White Plains Nv 10603 Fml:AmericanShr7attaboo.can Cell:962-294-9990 etI1eI1fatlStarconUalm.com Licence N—bcr WC-3019i-H IS ESTIMATE DONE BY: AS C —'TO: ( C��C ( QCl� 5 SHINGLE ROOF TOTAL S 22,800 TEL Q, 1 ` r / ADDRESS;15 LAWRIDG DR TEL 2: RYE BROOK NY 10573 REMOVE THE EXISTING ASPHALT SHINGLE ROOF THE WHOLE HOUSE WHERE IS THE SHINGLE INSTALL NEW ROOF ASPHALT SHINGLE ROOF(GAF HDZ TIMBERLINE LIFETIME SHINGLE) -PROVIDE AND INSTALL NEW UNDERLAYMENT GAF TIGER PAW -PROVIDE AND INSTALL 3-6 FEET ICE SHIELD WEATHERWATCH GAF TO ALL LEADING EDGES OF ROOFING,PROVIDE AND INSTALL DRIP EDGE ALONG PERIMETER OF THE ROOF TO ALLVALLEYS AROUND ANY PARAPETS,TO ANY CHRvINEY OR PENETRATION BASE PER CODE. -PROVIDE AND INSTALL STARTERS STRIP TO ALL LEADING EDGES OF SLOED ROOFING. -PROVIDE AND INSTALL NEW ALUMINUM BASE PIPE FLASHG MILL IPS 1-3 IPS 3-4 -CUT RIDGE OF ROOFING APROX 2"TO 3"TO ALLOW FOR PROPER VENTILATION -PROVIDE AND INSTALL A NEW GAF LIFETIME HDZ TIMBERLINE SHINGLE TO ENTIRE AREA OF ROOFING. (COLOR BASE ON COSTUMER) -PROVIDE AND INSTALL COBRA AND RIDGE CAPS GAF TA�IBERTEX(COLOR TO MATCH) TYPE OF ROOF PITCHED RATIO 4/12 ROOF COVERING MANUFACTURE MAKE GAF SERIES TYPY TIMBERLINE. UNDERLAYMEND MANUFACTURE MAKE GAF MODEL SPECIFICATION TIGER PAW ICE BARRIER MANUFACTURE MAKE GAF MODEL SPECIFICATION WEATHERWATCH ICE SHIELD. ROOF PENETRATIONS:VENT PIPE METHOD USED METAL FLASHING ALUNIINIUM. ALSO IF IT NEEDS TO CHANGE ANY DAMAGE PLYWOOD THERE WILL BE AN ADDITIONAL CHARGE FOR SHEETS THICNESS OF THE PLYWOOD 518 GRADE A RATING FIRE RATE PLYWOOD.ALL GROUND TO BE CLEANED UP,ALL,BUSHES,SHRUBS AND FLOWERS TO PROTECTED. LABORS MATERIALS GARBAGE INLUDED IN THE PRICE NOTE; HOMEOWNER IS ASKED TO SUPPLY ELECTRICAL PAWER IF NEEDED ALL MATERIALS THEY GOING TO BE DELIVERED FROM ABC SUPPLY CO INC. RECEIVE GAF SYSTEM GOLDEN PLEDGE WARRANTY LIFE TIME(50 YERS)WARRANTY ONE SHINGLE. AND 25 YEARS ON LABORS Skirt Date Completion Date Cum.n<r .a i mo cmtruy a a awrlu me 1"a...f •mow taro� S SUB TOTAL TAX COSTUMER SIGNATURE / ? NTRACTORS IGNA STT ON c2?/Z / Z y MATERIALS ORDERED,NON-REFUNDALE DEPOSIT C 111 ,�_ BALANCE RECEIVED ON THE JOB IS COMPLETE `5c \ti."" t .� '-A � _. 1'fY A�t\ ,. t�A+� �1-•_P-� ^� --- ,{'.",`.Y,ty� �^�epy\T' jai �titiw`'"` i .�'.A���' +.�3� 1 e .A .v.�< I Y,d:. y. p��'s w'� ,�3ea;• y .4I,'�W^''v���, y s.�Q��tti%vV}{t:_ y. a,� '� l}fY�sS p, ytI O'. ��. 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Policy Number: I—Bclov, Date Entered: 3/24/2023 ACOROO 73/24/2(MMIDDIYYYY) ` CERTIFICATE OF LIABILITY INSURANCE 023 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(les) 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 endorsementls). PRODUCER CONTACT TRI-NORTHERN ASSOCIATES,IN('. NAME: Steven titockfeder PHo E><t: (516)466-6333 (A/c.No: (516)466-9854 I11 GREAT NECK RD-STE#303 E'"Aa . chris�a.trinorthern.com GREAT NECK,NY 11021 ADDREss. INSURERS)AFFORDING COVERAGE NAIL 0 INSURERA. ROekini•ham Insurance Company 42595 INSURED American Star Contractor,Corp. INSURER B: INSURER C 77 Lafayette Ave INSURER D NN hite Plains,NY 10603 INSURERE: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER M/DD/YYYY NI/DD/VYVY LIMITS A COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS—DE ®OCCUR X X RNYA311355444.13 10/4rz022 IB/4/'2u23 PREMISES Eaocarrrenoe $ 100,000 MED EXP(Arty one person) $ 5,0110 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY R PE, LOC PRODUCTS-COMPIOP AGG $ 2,000 000 OTHER $ AUTOMOBILE LIABILITY d $ Ea accent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NONOWNED $ AUTOS ONLY AUTOS ONLY Per accdent UMBRELLA 1 L— $ LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED' ( Y in NH1 E.L DISEASE-EA EMPLOYEE $ H yes describe underDESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be ane ched d more space is required) Additional Insured: Village of Rye Brook,938 King Street, Rce Brook Nl' 10573 CERTIFICATE HOLDER CANCELLATION Village of Rye Brook 938 King Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE titecen titockfeder Oc 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(201G/03) The ACORD name and logo are registered marks of ACORD N YS I F New York State Insurance Fund PO Box 66699,Albany. NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 O A A A A AA 810684599 INTREPID INSURANCE BROKERAGE GROUPING 566 E 187TH ST BRONX NY 10458 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER AMERICAN STAR CONTRACTOR CORP VILLAGE OF RYE BROOK 77 LAFAYETTE AVE 938 KING STREET WHITE PLAINS NY 10603 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2583109-0 68620 01/04/2023 TO 01/04/2024 3/24/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2583109-0, 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://WWW.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 BETIM GJANA 1-OF-I-AMERICAN STAR CONTRACTOR CORP 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 SU NCE FUND 7 �V DIRECTOR.INSURANCE FUND UNDERWRITING VALIDATION NUMBER 1025880037 U-26.3