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RP23-021
PERMIT # 3. (QL.DATE: SECTION 13 of 9 BLOCK LOT TYPE OF WORK 4 _ JOB LOCAT O/N --�' OWNER �iCP ,�Q QS J-U E'er P iCe /re o 9 /ruS��` CONTRACTOR / / `S O. �_ ✓DL'� _ //CUiJke/as 4)oS57 i 9 cST. COST � �% FEE 0 # CFEEA J 10r DATE TCO # FEE DATE INSPECTION REC93L DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C7 RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT C7 INSP OTHER APPROVALS ARB iBOT PB ZBA OTHER yE D 7. 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 17,2023 The Alice E.Trepp Trust Alice E.Trepp,Trustee 500 Comly Avenue Rye Brook,New York 10573 Re: 500 Comly Avenue, Rye Brook,New York 10573 Parcel ID#: 136.29-1-17 Roof Permit#23-021 issued on 4/25/2023 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 D _� c' BUILDE4d'DEPARTMENT For office use oil PERMIT# —01:4/ VILLAGE OF RYE BROOK ISSUED: MAY 1 938 K 0 2023 nNG STREET,RYE BRom,NEw YoRK 10573 DATE: (914)939-0668 FEE: /(J-- PA>D4 VILLAGE OF Rl'E BROOK www,rvgbrook.org BLIILDIrJ(', nrPgRTn,!EN? APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLL4,NCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ssrrrrssss►►s►s►sssssssssssssrrsrsrrsrssssss►sssss►ssassssssesrrsrrs■rr►sss■ss►ssssssssssrrrrss►ss►s►sssssses►sr►►s►s►►►s►sss Address: _fj 00 n/17 1Y ZAVlf V- NY 1 Occupancy/Use:i[e5,�/�„-►'Yi Z Parcel ID#: �3(G, / —�—� Zone: l� Owner: mice - -rePV Address: 5Q0 ca"7/Z Atre &12029 P.E./R.A. or Contractor:a i I t'/)S 14111lC 1,it 1-7ry y.-i;'vv"Afddress:i°� Wc)Sl j.l.e.�d.. <r Pr-t Ally Person in responsible charge: FPj i aLf 60,1-t c;�rcr5 Address: l g w,>5- 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: E.i,PLC C�<7tfC► oo being duly swom,deposes and says that he/she resides atl� (Print Name of Applicant) (No.Ind Street) in Po,^t �1�5"t�r ,in the County of �_✓&57` r,J1e'5-_r&r in the State of NY ,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:$ [ _iT7O O , for the construction or alteration of: r�i p v� EX i S��^y 4 eC Pl s.C� c , t,c.v,7l1 /-e c'.' 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. 14 Sworn to before me this Sworn to before me this OR day of (1r14k , 20 day of a , 2093 Signature of Property OwneY gnari of Applicant 4� L _ 1� r vp Cri 4'f Print Name of Property O r Print a of Applicant Notary lic I M I R I A GR GORY M.RIVERA Rotary Public, ew York Notary Public,Stab of New York Registration#0 C06078902 No.01 R16441398 Qualified In Wes he r C unty Qualified In Westchester County I Commission Expi es F 8/]v2o21 commission Expires September 26,2 Qyre_BRC�� 1982 BUILDING DEPARTMENT ❑BUILDING 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 - - - - - - - - - - - - - - - - -- - - 1 s-1 ► � =' ADDRESS : r DATE: �0� PERMIT# ISSUED: ECT?3� D'`�LOCK: ` LOT: LOCATION: J OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPEGTION ❑ 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 ❑ CROSS CONNECTION FINAL ❑ OTHER a "o 'lit W G1 04 v a W Pa 1-4 m Q O F W ILn o z a. to W 00cu 54 fM+i i� FV� U V p w W i�d � C� !(�} ■ ■ F� Is��—i `Y C r NLn z ol t w CC) 'b E" .� 2c p w ■ oo Z z H � A W v � o V Q U (> p W �--� ` O w "' I� o o W ))�s I�--I C� Cc,00 cn Zz � � u � Z Ei � o o � v � 0 x �. W W r p , Lin O O C d © W F+1 ' O v v U d U 't o ° W W. f o.L� v " - o z w w O C >' cd ." � o F+1 I W x id -o : FD BUILDING DEPARTMENT [E C 1 M W VILLAGE OF RYE BROOK R APR 17 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rygctkrg. BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: it# c- �I Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ) Application Fe Permit Fees:,# c-D3� Dyc ROOF PERMIT APPLICATION Application dated: #—/7 c�,3 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 1. Job Address:.5-00 Cor"]/f}v� SBL: /36 c 9— 7 Zone: Property Owner: 4�►'c.� 7r�PP Address: 522 Cfct"I yet e 174e Phone#: ki 5 5536 Cell#: q15 6-2q 5-D6 email:(2_p_ _I 3Z0iWtzol Cor r 2. Applicant: Address:/' WQ5"7, Rr]`GI /U'K 60, Phone#: Cell#:,5;rfl p , �� email:G .;iAf er %TA6 7�yam.elpv1z 3. Roofing Contractor: K(,'pS %n—o�.atf7`Address: 1?W rjL;tj qTo Phone#: /�-/, uZ�� Cell#: email: cc y 5:1464'gz' 9 4. Job Description,List all Methods&Materials: lic,r.C' x i S?.i T 9 Y F �c:;r t Gc�T,r^ �/o crS'c' I yr STQ// Ice 1 Q//C- A 7C{,- 1 5. Estimated Cost of Job: $ 1 (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: NYS Construction Class: 8. Number of stories: 2 Height: %.4' 9. Is garage being re-roofed:No:( )•Yes:(w)Attached No: ( }•Yes: { )Number of Cars: Z 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: 4- 8h 2l2021 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: C 1 0 00 ,being duly swom,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 ,p f L p•t r I v A ,,J n to r" for the legal owner and is duly authorized to make and file this application. (indicate archt ec contractor,agent,attomcy,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,is 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. Swom to before me this )%-I Sworn to before me this day of f+ p f ` , 20-:)3 day of , 201 Signature of Property Owner i Aina-tuie f Applicant v D �,04�_r Prinrxa of Property Owner Print Nva e of Applicant Notary Public No c MI IAM P GOMF_Z . C-TRONEbh���r Notary Pu lic, State of New York M1b'EtA lV�tiaq PublicFLA Stott. EO `'� �` Registration#01 C06078902 Qualified In Westchs t r C unty NO Commission Expires oL ` qualitJoa !r! We11iGn�!.rd� :'i l' �y ,:n;nmi�utt,re Ex�,�reK 11�13 N � aIC0EfSssyl -2- 8112/2021 Philip's Yfome Improvements Inc. 19 Washington St. Port ChesterNY10573 914-557-6294 G lcense;wc0866107 March 27,2023 Alice Trepp 500 Comly Ave Rye Brook NY 10573 415-624-5536 Project; 500 Comley Ave Rye Brook The following specification is submitted for your approval for work to be performed at the above referenced location. The work will be performed as follows; • Remove existing roof down to deck • Inspect deck for any deteriorations and repair as needed at an additional charge • Supply and install a roll of ice and water shield over the eaves and valleys • Supply and install synthetic roof paper on the remainder of the roof • Supply and install aluminum drip edge on all edges • Supply and install a new architectural single roof on entire house • Supply and install new copper flashing on two levels of the chimney The contractor will maintain a watertight condition during the length of the project. The contractor will remove all debris resulting from above work on a daily basis. Upon receipt of final payment,this proposal will become a nontransferable contractor's 4 year labor guarantee. All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices Any alteration or deviation from specifications involving extra costs will be executed only Upon written order and will become an extra charge over and above the original estimate All agreements are contingent upon strikes, accidents or delays beyond our control. We propose hereby to furnish labor in accordance with above specifications, For the sum of fifteen thousand seven hundred dollars ($15,700) NOTE this proposal may be withdrawn by us if not accepted with in two (2)weeks Unless otherwise noted by the contractor Payment terms: `/z at start of project Balance at completion If any payments under this agreement is not made when due,the contractor may suspend work on The job until such time as all payments due have been made Accepted: I have read the above document and accept the above prices, specifications and Conditions are satisfactory and hereby accepted. I understand that upon signing,this Proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. Notice: you,the buyer,may cancel this transaction at any time prior to midnight of the third Business day after the date of this transaction. Date: signature H'olne ow er/Representativ 1 Signature C ntractor We propose hereby to furnish labor in accordance with above specifications, For the sum of fifteen thousand seven hundred dollars ($15,700) NOTE this proposal may be withdrawn by us if not accepted with in two (2)weeks Unless otherwise noted by the contractor Payment terms: '/Z at start of project Balance at completion If any payments under this agreement is not made when due,the contractor may suspend work on The job until such time as all payments due have been made Accepted: I have read the above document and accept the above prices, specifications and Conditions are satisfactory and hereby accepted. I understand that upon signing,this Proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. Notice: you,the buyer,may cancel this transaction at any time prior to midnight of the third Business day after the date of this transaction. r Date: t signature %0 Home ownedRepresentativ Signature ntractor ® 74' MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 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 CONTJKCT- NAME: Betty Reyes The Willett Insurance Agency A/O No,E>n; 914 481-5599 (A/c,No):FALX 888 371-9783 338 Willet Ave ADDRESS: bettyreyes@thewiIlcttinsurance.uti INSURER(S)AFFORDING COVERAGE NAIC# Port Chester NY 10573 INSURER A: UTICA First INSURED INSURER B: Philip's Home Improvement Inc. INSURER C: 19 Washington St INSURER D: INSURER E: Port Chester NY 105736416 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) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIM -MADE �OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 5,000 .A Y ART513777502 12/13/2022 12/13/2023 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PECT RO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY �J OTHER_ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I (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) H $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ ORKERS COMPENSATION - ND EMPLOYERS'LIABILITY YIN STATUTE I ER NY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N I A Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Named as additional insured:Village of Rye Brook 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 St AUTHORIZED REPRESENTATIVE 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 NYSIF New York State Insurance Fund PO Box 66699.Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE or ^^^^^^ 204806773 PHILIP'S HOME IMPROVEMENTS, INC. ?{ ' 19 WASHINGTON STREET ' • PORT CHESTER NY 10573 � i.;y SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PHILIP'S HOME IMPROVEMENTS, INC. VILLAGE OF RYE BROOK 19 WASHINGTON STREET 938 KING ST PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2335154-7 207966 03/01/2023 TO 03/01/2024 4/12/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2335154-7, 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 FELIPE CONTRERAS "PHILIP'S HOME IMPROVEMENTS, INC." 1 OF 1 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 STATE INSURANCE FUND DIRECTOR.INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 279380237 U-26.3