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HomeMy WebLinkAboutDP23-003PERMIT # SECTION TYPE OF WORK JOB LOCAT N OWNER; CONTRACTUri E.5T. COSTS� 4*04V #... TCO # DATE: i BLOCK FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 71 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT m ALARM M AS BUILT 71 FINAL I NSP �usi c9/y 5y OTHEf� APPROVALS ARB BOT PS ZBA OTHER �QyE D tc�Woo V lC V4 Vu`L�i . 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.otg TRUSTEES ACTING BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 8,2023 The Barbara D. Minnitte Living Trust Barbara D. Minnitte,Trustee 814 King Street Rye Brook,New York 10573 Re: 814 King Street, Rye Brook,New York 10573 Parcel ID#: 130.77-1-19 Demolition Permit#23-003 issued on 4/5/2023 to Demolish Shed This certifies that the rear yard shed,demolished under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building& Fire Inspector /to BR cu � '9a2 BUILDING DEPARTMENT J ISUILDING 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 :- s �- b� -� E 1C)r `� DATE• �j PERMIT# � � ISSUED:\ SECT: � �LOCK:�LOT: � 1 f - -D -( `<z`__OCCUPANCY: LOCATION: lJ 1 `�❑ Violation Noted THE WORK IS... [ PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION (�{�1p S� REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas �cc- y; \3'l S ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER _ ■ C' 7 +" en 104 nn O `D `" iLnLn v � ° y o q 1-4 III�i�IJYI � ICIi•1 (� � v c". � � w Or � CA !A R. u ,,q M W V D v y o o \• sn b0 x A .. a1 n W x o M W cn z cri t, o WGa p O z O O ~ 1-4 a 0 o d. w 010 0 b I�1 ►� ! I a v� o a U �J F* On1 z y (� a•5 � I O A x Q w x a z ywp. co CO z v Rt W U $ p 1� c o R+ �_O-! �y f� a d o60 rQ, Ln Cl a _ fl O U E ZO a y o . � _ V c x w M' HOO o oz � v y Lr L zc2l 02 r� V, ►� I Vi ai v y U !� W oo f Q -0 Z V w w �y v o z n x o v M I� W W � n. � .. III PQ P-4 �4 W Y rTS v�i .m 73 _ BUILDING DEPARTMENT VILLAGE OF RYE BROOK APR — 3 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryelbrook.orz. BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: APR 03 P erme J Application Fee:$ Approval Signature: Permit Fees: $ l©0 Disapproved: Other: Application dated: -3"—C)�3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a,change in use,as per detailed statement described below. 1. Job Address: 5 1 q Kl n� I. . ItiM211N, I SBL: /30,774j 1 7a Zone: 2. Proposed Demolition.(Describe in detail): Id. ';Aep n I-'4-1� 3. Property Owner: &rb A&'k Address: 5'14 K h ti S% lf6/ 10S13 Phone# Cell# �� ��J yiY''9j/jy email: Applicant: -Sc-M Q [i G 6 rr-e---1 Address: Phone# CeIl# email: Architect/Engineer: Address: Phone# Cell# 1: General Contractor: Address:Phone#- ��-iZ t}-"f�/a Cell# email: 4. Estimated cost of construction $ ]�j 012t9 (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 5. Type of construction:(wood frame,masonry,steel,etc...} L � 6. Method(s)of Demolition: 7. Number&Location of Fuel Oil Tanks to be Removed: !v S-� 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: Ig I 8/12/202I This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE F NEW ORK, COUNTY OF WESTCHESTER ) as: u►��i� — i Ic ,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 (indicate architect,contractor,agent,attorney,etc.) for the legal owner and is duly authorized to make and file this application. 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 Sworn to before me this day of ' \ , 20 day of 20 Signature of Property Owner Signature of Applicant -& b tl J"0— 1 i rin a of Property Owner Print Name of Applicant �. AL N tc Notary Fublic SHARI MELILLO Notary Public,State of New York No,O1ME6160063 Qualified in Westchester County. commission Expires January 29,20o, 2 8/12/2021 BUILDING DEPARTMENT For office use only: PERMIT D [E C E� V��J E VILLAGE OF RYE BROOK ISSUED: 38 KING STREET,RYE BROOK,NEw YORK 10573 DATE: -�l -a O D 3 APR 2 1 2023 (914)939-0668 FEE: ///) PAID wwwxyebrook.on! VILLAGE OF RYE BROOK BUIL t 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►•s►►■ss►•s►►•ss•ss►►►■sss►►s►►rs■s•ss►►s►♦srr►►s►ss►s►•►►►rrrrs►s►A►s�s►\s/►ssssssssssssss•rawssssa►sssss►ss►srrss►ss►s►ss►rs► Address: y �Lf x/no S� � !y 7 /00-0 3 Occupancy/Use: ; - Parcel ID#: / _ 0. 7 /-7- )`mil Zone: )5 Owner: U"-� Address: 'j"� �S l� �y/�� 7_j P.E./R.A. or Contractor: S"-oe- Address: Person in responsible charge: 44S6�1&,4, h.c-,t. Address: I`{ k� OF 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: '&rLa r,0- M r)I i #e--- being duly swom,deposes and says that he/she resides at (Print Name of Applicant) o.an Str t) in / d1-d-r/L— ,in the County of in the State of_A�at 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:$y�: b�-o 0 DD ,{ , for the construction or alteration of: 4z" y tom--// /C.n �, Al" 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 D� Sworn to before me this day of �)� �� , 20 a-Z day of , 20 Signature of Property Owner Signature of Applicant . a r ho ra-_ l"I I'V1 17i t Name of Property Owner Print Name of Applicant Notary Public Notary Public Notary Public,State of New York No.OIME6160063 Qualified In Westchester County-7f 8/12/2021 c= Commission Expires January 29,20 u � M .a ow, 4 � _x . r V r . r ! l� G 7 l r v.. R� ow foo r ` • 14 WW I • ~ � . — � ey M t SOSACON-01 BERMII ACORO CERTIFICATE OF LIABILITY INSURANCE DAT/27/2D/YYYY) 32712023 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 C NTACT Emery 8 Webb,Inc.-Pawling Office (AICN o,Ext):(845)855-1112 FAA/C,No):(845)855-1115 33 East Main Street Suite 2 E-MAIL Pawling,NY 12564 INSURER(S)AFFORDING COVERAGE NAIC ii INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: Sosa Construction,Inc. INSURER C: PO Box 383 INSURER D: Brewster,NY 10509 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE F_X]OCCUR S 2379742 2/3/2023 2/3/2024 DAMAGE TSESO R(EaENTEDPRE $ 500,000 MED EXP(Any oneperson) $ 15,000 PERSONAL 8 ADV INJURY $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 4,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO S 2379742 2/3/2023 2/3/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY 1XX AUUTOOSVyN BODILY INJURY Per accident $ XAUTOS ONLY AUTOS ONE Pe�acadentDAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N —1 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED9 N/A (Mandatory In N ) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Village of Rye Brook 938 King St iRye Brook. NY 10573 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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 a o ^^^A^^ 452435352 EMERY&WEBB INC 33 EAST MAIN ST am PAWLING NY 12564 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SOSA CONSTRUCTION INC. VILLAGE OF RYE BROOK P O BOX 383 938 KING ST BREWSTER NY 10509 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2355144-3 83587 03/04/2023 TO 03/04/2024 3/27/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2355144-3, 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:/fWWW.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 EBER SOSA VICE PRESIDENT JASMIN SOSA 20F2 SOSA CONSTRUCTION INC 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. 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