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HomeMy WebLinkAboutBP23-058PERMIT 0 Lo SECTION Z TYPE OF WO JOB IOCATI OWNER I FL'�4!T] K4 CONTRACTOR EST. COST 4 Q0 V/cO # I FEES DATE..Qfi tC0 tt FEE DATE INSPECTION REGO� DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT Cl To ALARM Cl AS BUILT 0 FINAL o/IS � OL/ (9/4) 393--tea/& oi) 893- aolo PP�3'U5glt�Kpl-fqs��u.����y APPROVALS VILLAGE OF RYE BROOK WESTCHES7, CO ''-Y, NEW YORK ;,, � '0` NO. 24-014 Certif irate of Orrupaurp Ehis is to certify that R)rnar( 1 lVeAma-A S Oka 6/,b- 11 kuMark of, &nnk4 AJ —, having duly filed an application on requesting a Certificate of Occupancy for the premises known as, PA L a r_l'ec ,Rye Brook,NY, located in a /5 Zoning District and shown on the most current Tax Map as Section: Block: -L-Lot: , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.4;?� "©5 , issued 20 such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: &PeConstruction: , for the following purposes: J/ /7 C_r1 Q),,- m a PJla '61a t A21/ )50 1ht'-06n2 r l:26 ,���ers Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be made,nor A the building be moved from one location to another until a permit to accomplish such change has n obta' `fro tUe Buil ing Ins ector. FEB z Y 2�ZQ Building Inspector,Village of Rye Brook: Date: D r C ''_� �� v/ L-, � R For office use only: — p BUILD MA-t LENT PERMIT JAN 3 0 2024 VIL OF RYE OK ISSUED: —5 33 938 KING STRE YE BROOKS YORK 10573 DATE: -30-a VILLAGE Or RYE BROOK 9 -06 OY FEE: 4`/D— PA A APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION rrws►srs+ssssrstst*s+s**+s*rss*s*rrts»s»rrwrrrr»*»rrwswr+w+t►trtsr++srs►r+ss+s►srs►►s*sssss*r+sss►rssssrrrs+sts►rrs**ssrstsrs Address: 4 ckj�N VP'-C—' / Occupancy/Use: ', Parcel ID#: 135 , 7) r/— /— 39 r Zone:�p/5 OwnerAr�t ',L\ � �r.,`�f.0 Address: I eY�k S L4V- P.E./R.A.or Contractor:"t L at�A �.N Address: \SQAA, k c t Person in responsible charge:'C�- ,��IXxk�' Address: CC1\,\CZL!? 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: 1 ' `� being duly swom,deposes and says that he/she resides at ���"l�l .\�wj Q (Print Name of Applicant) (No.and Street) in y,1A ,in the County of ��- ( lJ� 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:$ 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. Sworn to before me this Sworn to before me this day of , 20 day of Nf1J,0 Y-T—, 20 ]Ft Signature of Property Owner Signature of Applicant Print ame of Property Owner Pri ame of Applicant &6� o ry Pi Notary c v GREGORY NL RNERA New Notary Public,State of New York GREGORY M.RN �;1=„�,l No.01 RI6441398 Notary Public,State of N New York 1398 Qualified In Westchester County d I Westchester Commission Expires September 26,20,Zc Qualified In Westchester County Commission Expires September 26,ZO QyE BRC��• O� 2m cu � 1982 BUILDING DEPARTMENT 0 BUILDING INSPECTOR 0ASSISTANT 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 : C fVl` " 1• DATE: — z ��J PERMIT# C/��J S [� ISSUED: SECT: ] 5 LI BLOCK: LOT: J 8 LOCATION: MNS4^ T!:!,/y- 4 A A LL i /A 1 \ OCCUPANCY: J ❑ 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 A << ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER QyE BRC��. 9� 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 - - - - - - - - - - - - - - - - - - - - -2 )ADDRESS : C� Q U � DATE: l ! O-)' c �r PERMIT# I �-�/ ISSUED: SECT: BLOCK: LOT: LOCATION: ` "A ' OCCUPANCY: <" --� ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBIN NOTES ON INSPECTION: D-"ROUGH PLUMBING(-2i C ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER e 00 Ln N o 6 w. to „ -o 0 v w a a n° y v W Cq ►x./ O � ~ v ° ooa z CDa. G ui 4 "1 0- H w o oA p Oco CR � hw►�..11 u � -p �d v � _ � e A �{ �" �••� W as �t M °0 o w � Q O �" N H Z o o � vv . Z Q z Mo� Uz enFQ � a a Aet0,0W y, o o °p q v i'�► z C7 cti AC+ W W �] a d `y .� o 00 M„•„1 w O 'y a'rn of o v a H o pa � vw � � o .° u 0. O ski v U FBI Z a s lu a ec u ooa � . t•7 A z O � � ' a x U z � w w o � ,� �'•� ° v fx U OFF ' �I a a W x � � -� t BUILDING DEPARTMENT Q VILLAGE OF RYE BROOK 938 KING STREET RYE BROoK,NY 10573 R APR 2 4 2023 (914)9 9,0668 VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: J"d Q -0 Approval Date: MAY 0 4 2g73 Permit#- Application Fee: $ �� Approval Signature: Permit Fees: $ Disapproved: Other: ww,rww**wwwsrww*wwwwwww,rwwwwww*,rwwwwwwwww*wwwwwww,r*wwwww***www***w*ww****www***ww*ww*wwwwww�rwwww**w*wwwwwww*w Application dated: (Q4 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 6xistin building,or for a change in use,as per detailed statement described below. 1. Job Address: �] C h cam-(e-s �� e SBL: �' �3S. ( `3 Zone: 2. Prgsed Improvement. (Describe in detail): r--v�0 L/ C 92. 13 Yea.-f� ` -t - ft 'QM_CALIca S� lv�a 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:__Y' Yes: If yes,indicate: TIER 1: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existi g automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy; (I fam.,2 fam.,comm.,etc...)Prior to Construction: ( �&vh After Construction: t C 111 6. N.Y State ConstructionL la�sifica n: N.Y. State Use Classification: 9 3 7. Property Owner: t c.� e n /vt �. Address: t~ ev (,-s �tR c7i Phone# N I 9 3q—6 3'tom Cell# email: C ev( of it✓K 8. Applicant: BAH C_ Pri 6 Q N l: L - tti�o--A- Address: Phone# Cell# email: 9. Architect; Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: 3: L +So rJ C"en 4�-r✓J N Address: / Phone# I y q 39 `3 3 Y Cell a od W Y 2 o 1 o email: .S V C a r1- �d�+ 12. Estimated cost of construction $ 0, (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: rl 4wL I Z3 Finish: V n �r U�3 (1) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RY ,,A4OOK 938 Knvc ET RYE BR0*'NY 10573 APR 2 4 2023 (914)939-0668 wvw.ryook:grg VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATu7RE or THE LEGAL PROPERTY ONNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PEWIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NE_ Y , COUNTY OF WESTCHESTER ) as: e-ltu? 1, t. C , residing at, (Print name) (Address where yo4 live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 2� e� � t" 1� A 7 , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ALO (Signature of Property Ownei(s)) (Print Name of Property Owner(s)) Sworn to before me this day of A-p r ( 20 7-3 A 4z� JONATHAN NEWMARK Notary Publfc,State of New York (No bhc) Registration No.01NE6392455 Qualified in Westchester County Commtssioa Expires May 28,2023 (2) 8/12/2021 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 OF NEW ORK,C UNTY OF WESTCHESTER ) as: l�\ d+ Q y c, tw nti�Ac ,being duly sworn, deposes and states that he/she is the applicant above named, C3a ` (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. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this d Sworn to before me this a day of r . , 20 2-3 day of IL (' , 20 �✓ W Signafure of Property Owner signature of Applicant Lq TeAAJ d1 �,t,,,IKCA 4 ( [Icy, 1 f N At Print e of Pro crty Owner Paint Nam of Applicant "Notary'Public N Public JONATHAN NEWMARK Notary Public,State of New York Registration No.01NE6392455 JONATHAN NEWMARK Qualified in Westchester County Notary Public,State of New York Commission Expires May 28,2023 Registration No.01NE6392455 Qualified in Westchester County Commission Expires May 28,2023 (4) 8/12/2021 r �t a W n .n (li o¢ u "W z v� Z � vM F ON Ln Zo Q ON U N c w Ok 00 o 8 Ln PLO 00 � OC N ►., G a zPQ z V 00 � w �f z u z H W �+ � � a W a AA �~ w 00 � V W a z o = A 00" rq w M W H Ln a ad Z w v w c Z zFo o O g cn V o W Z 0, 6 � ° x C7 A C7 9. V o � Cd f �I as a z w x < p EC EN BUIL MENT MAY 16:20:23 VIL E ;. OK 938 KIN :` '.. ,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING_DEPARTMENT ww _ or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: eZ3 Os8 EP#: Approval Date: MAY 1 20 Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install'and/or remove electrical equipment, wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. � CA 1.Address: A r L-- S I' a . SBL:I 3S tf Zone: 2.Property Owner.�C ) 4r K Address: i�1 r L�S LA Phone#:_91"A 3 -' q 1 Cell#: email: v 3.Master Electrician: rOr.� 12 I G Address: O Qe -� Sl 7 ON1 10.20, Lic.#: a3>-- Phone :7IN Qb&V7?y Cell#: 9/Y t/9L*-09L0 email 60CZ-Ce-TvL Ic— Company Name: M YC-�o >~Lct;Tr2 1 5-- Address: -,/ Gor'.P n-ST 4.Proposed Electrical Work/Fixture Count: ��h roQy '� 1C Cx F ►)N c2_ 6 t—cJ^ 3 —.Sw , t d^eO TGoor- 14 7- STATE OFF�NEW YORK, COUNTY OF WESTCHESTER ) as: 1'Y1 V ' r&^ Tt d/cid ,being duly sworn,deposes and states that he/she is the applicant above named,and does father (prin ame of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the n tl'f for the legal owner and is duly authorized to make and file this application. (indic rchitect,contractor,agent,attorney,etc.) The undersigned further states 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-�- tC r Signature of Property Owner Signa of Applica ✓}'I row Er Print Name of Property Owner me of App'cant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,20LI 7nn7 STATEWIDE INSPECTION SERVICES, INC. Service With hilleqriiJ 1:1 office@swisny.com SWIS JOBAPPLICATION tel845.202.7224 • • 1•21 SWISNY.corn SWISTraining.com Office Use Elect.Permit# Date Bldg Permit# 3 _ O Utility ID# Final Certificate# City/Village ` ZIp /�5 3 Township County Address Cross Street Section_ Block Lot3 • Owner Name/Address(if different than above) Contact Number �. � ❑Basement ❑ 1st A. E]�nd A. ❑3rd Fl. ❑More Than 3 FI. ❑Garage Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent 57 SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑ Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information ! - <( � i ao c,J A—1\ VJ R r m^ 1 i cor RCC ENIF FMAY 16 2023 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name rn Y �� L-rt_�'T Date !—// a 2 Signature Address � . c7N City/State Zip Code -)71 License# '? a— Phone# //T 17 90 a J R D DD CA::) State Wide Inspection Services FEB - 8 2024 1080 Main Street Fishkill, NY 12524 S"Vr U 5 VILLAGE OF RYE BROOK 845 202-7224 Phone BUILDING DEPARTMENT 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: officeCcbswisny.com Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: MYCO Electric Inc Richard Newmark& Ellen Falb-Newmark Myron Perich 7 Charles Lane 51 Gordon Street Rye Brook, NY 10573 Yonkers, NY 10701 Located at: 7 Charles Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-114 135.41 38 Certificate Number: 2023-5340 Building Permit Number: BP 23-058 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 7 Charles Lane, Rye Brook, NY 10573 The Second Floor Master Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 8'h Day of February 2024. Name Quantity Rating Circuit Type GFCI 02 Switches 03 Luminaires 05 Exhaust Fan 01 Heated Floors 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. a. it ■ a Ln N A i eg N a C9 W � � 00 O In Iro z r w ✓ ` � ° z ° � � Q OoL oeq 010 - M z O Q • I„""1 �-4 aC ~ 1 CA n m z WU o t; U z Z �' z z . oo " ins* Q w a z a' a M 00 ] W' 0-0 z w `" V O O Lin U � � 0-4 x w z a x a w V z rA i yE v BiTIL MENT JUL 1 1 2023 OK 938 KIND ,' ,NY 10573 VILLAGE OF RYE BROOK (914)9 r 939-5801 _ BUILDING DEPARTMENT .or ELECTRICAL PERMIT APPLICATION Westchester Count ter Electricians License Required { FOR OFFICE USE ONLY BP#: EP#:JUL I Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved (fees are non-refundable) Application dated, ���!— is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in confortWnce with all applicable Federal, State,County and Local Codes. l 1.Address: �-- SBL: 3Jc�-41 — 3 Zone: kl! 2.Property Owner: 9-9eGJ/mfA r& Address: C-Ar cP", Phone#:-21� a q.� —S'9/6 Cell#: email: 1.Master Electrician: M C4 ✓'(9N :2 IG� Address: -) SF 8o�K� f07o Lic.#: -PA Phone V01 576(ft27(l Cell#:9L 0 QoPL 0')—c:�' email: a (- Company Name: M Y60 F— L-6� /''2,^JI/'C- Address: / Abn) 4.Proposed Electrical Work/Fixture Count: !`Tdi �e�rt(n o�am •.r*t:t*�t:t•k:�•x�::t*****�;r*t:*•�****+****,t*•x•x,r***x:�***;x:t**s********t••x:t***:t******�e****�r*•x:t�:x**,r�:t*:r*�t�***•x*i;;r*:r:r* STATE OF WW Y�UNTY OF WESTCHESTER ) as: / being duly sworn,deposes and states that he/she is the applicant above named,and does further (prh me of individual signing as the applicant) state iat(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.) The undersigned further states 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 b for me this day of_ 20 day of 20 Signature of Property Owner Signa a of Applicant Print Name of Property Owner _ �me of Appliean /^ Notary Public Notar}/Publi GREGORY M.RNERA Notary Public,State of New York Ne.GiRIE"1398 Oualifted In Westchester County M117 Cotttmkslon Expires September 26,201 STATEWIDE • 1:1 Main Street,Fishkill, NY 12524 1 emoil:office@swisny.com SWIS JOBAPPLICATION12.7224 I fax9l4.219.10621 • Office Use Elect. Permit# L //� _/ / Date ^7// Bldg Permit# ,/� �� .l Utility ID# Final Certificate# City/Village J J�( Zip Township County Address r/ � S Cross Street Section— (fI Block Lot r� l� Z_ �o Owner Name/Address(If differe4+ .r Contact Number. 3 3 _ 1/ ❑Basement ❑1 st Fl. nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑ Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information / - X '77 41%--' _ JUL 11 2023 VILLAGE OF RYE BROOK BUILDING nEPARTMT ENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you art authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name V Date T Signature r4 I � -y, Address �� �j— City/State �� // Zip Code rLicense# �+ Phone# �' O^) v `�/ Inspection Services DState Wide Ins P 1080 Main Street Crk� IJ1 SEP 12 2023 Fishkill, NY 12524 as 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTIONS RViCES BUILDING DEPARTMENT Email: officeCd)swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: MYCO Electric Inc Richard&Ellen Newmark Myron Perich 7 Charles Lane 51 Gordon Street Rye Brook, NY 10573 Yonkers, NY 10701 Located at: 7 Charles Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-151 135.41 1 38 Certificate Number: 2023-6394 Building Permit Number: BP 23-058 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 7 Charles Lane, Rye Brook, NY 10573 The Second Floor Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 1st day of September 2023. Name Quantity Rating Circuit Type Receptacle 01 Special Receptacle 01 20AMP GFCI 01 Switches 04 LED Luminaires 04 Exhaust Fan 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. r x O N N M 1 \ CD W N Ln tn � w r a a v a C ►w Ch L u C/) v M r Cuj FBI � f1. • �i i- V O oo v i h c� w W F-r z z A x ;. Q ~ ° v x ►�I r,,� � ►n �c w 0. ,>, cn OZLr) w 4 en 0Q A O W M z � o r, ONO Aw z Ln00 r O V r O V W � � � O Ltr � O A V ►-v W z � � \ w � z W Z 2 re)oc H 'I" � w r•a � � � O Ln W G W a z p o o 0 i� = U Z S $ W o 0 M Vz NS x2 QI ca A4 BUILDING DEPARTMENT3D V ILI_ E OF RYE ROOK MAY 3 0 2023 938 KING l ,r'r R- BR<)o�,,NY 10573 fig . 1bf�% VILLAGE OF RYE BROOK - '�� •org BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE' I'SE ONLY BP #: __Q3— 0__�7�R PP#: 03 .---- Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conforniance with all applicable Federal, State,/County/and Local Codes. 1.Address: __ 7 C(+A L tS 419 SBL: 13��"/ � —` `3 Zone: 2.Proposed Work: 7FPO✓f rtl P,, op o2 of;rtfiwwt s _ 3.Property Owner: "?eC ttZLR=t �Ce.I/dA i��L Address:: 7 CE zmt-C.S 44-J�,C Phone#: Cell#: 91 y-3 fC'3`5_� / email: 4.Master Plumber: /G aAa A&CAL r'N C-' Address: '/0 Cot,py A` I_ic.#:�1?4pmi 9-- Cell#: IY 5351-O2>8U email: 0A*_-s t0t,u v*O6 ye- <r,01� .ce of CA hpXahy'Name: t' 'ff I' >'f'7l Address: �� C 7 INDICATE FIXTI*ES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains "Pubs Tubs Service Service Sewer LP Gas Basement I st Floor ' 2nd Floor I 31d Floor 40'Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: 2t�0_V f T-`wvt (Notarized Signatures Required Next 2 Pages) -i- 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: %U+�i4e>Q ,&C,4(42C-> ,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 Master Plumber 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. J Si Sworn to before me this 2 f Sworn to before me this . day of_ tl A-( ,20 2—-Z_ day of rna 20-Q/�� ?j N , Signature of Pro Own'Owner/ S ign aturey o lic Print Name ot Property Owner Print Name of Applicant P5� (16� Notary Public Notary Public MICHALL S. SIEGEL MELISSA BAUMANN Notary Publi-State of New York Notary Public,State of New York No. 02316081167 No.01 BA6392574 Qualified in Westchester CountVr Qualified;n Putnam County Commission Expires Sept.30,201-U- Commission Expires May 28,2oa 3 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owners)of the subject property; and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 3/3/2023 BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAY 3 0 2023 ID 938 KING STRXET RYE ftom,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK .r BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: �, �Pn✓r�t , residing at, 44e [S 1 (Print name) (Address wheie o live) being duly sworn,deposes and states that(s)he is the applicant above named, and er states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Lcl' ,Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. 1,41L (Signature of Property Owner(s)) b Nw�o"L L-41t, F-r'AIAAI/�a/k (Print Name of Property Owner(s)) Sworn to before me this 3 Co n day of n , 20 Z3 MICHAEL S. SIEGEL Notary Publi, State of New York MAJ,J No. 02SI6081167 ` PNo. in Westchester County,( (Notary Public) Commission Expires Sept.30,20Ja -3- 8/12/2021 Building Permit Check List&Zoning Analysis Address: C V)(y \e s 1-afle- SBL: Zone: �Ujs : 2 1 Const.Type: v Other. Submittal Date: -1�� Revisions Submittal Dates: Applicant: N�Q ��CC)(3,,v , Nature of Work r- t 7TFJ Reviews:23A: D 1gVl C PB: BOT: Other. NEED QK (� ( FEES:Filing.��BP:'A'7) l/ C/O: Flood Plane: Legalization: ( ) (t�APP: Dated: 'Notarized: /SBL: ---7russ I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival• Sealed: Unaccemable: ( ) ( PLANS:Date Stamped Sealed Copies: Electronic: Other. License: ✓ Workers Comp: t�Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: f-UGH-VOLTAGE ELECTRICAL:Plans: permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL.•Plans: Permit N/A: Other. (�( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Batter), ther. PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval notes: ( )ZBA mtg.date: approvaL• notes: ( )PB mtg.date: approval notes: REOURED EXISITNG PROPOSED NOTES AP009YED Am. n_,_ Cir Fr n e Front: Front: Sides: Rar. Main Cov Accs.Cov F S : S .HS : CE Tot, Parkuig. Hcjght/Stories: notes: J' too , 4v ... " 11 t 'itt qi'Vilob, -kit i? k. i.-Nit i,." ito v w a. ....... ....... 'oeve) 0 cv > c a C) C'4 96 ag cc r 0 0 CA oe"Ciio 0 4-4 CL o C) u 0 LLJ E Zly _3 in 55 w 0 U) L:. 4 Jam. 7_1 0_j 0 e 0 L6 • 0 311_ U') wow X 0 Z Ob AW . .............. 90 c 0 Owls)) Ix 9 V1 Co C%4 CA 411 Vy mr m Ila. f O# o 1 f� A S e; 1AN"O V.- 40 IR ACCOR"® DATE(MM/DD/YYYY) II CERTIFICATE OF LIABILITY INSURANCE 41020-11 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: CHRIS 1ANUSKI ONE FAX Wasiczko Agency Inc A/C,No Ext: (914)968-1344 (A/C,No): 9 LOCKWOOD AVE ADDRESS: chrisCwasiczkoagency.com INSURER(S)AFFORDING COVERAGE NAIC X YONKERS NY 10701 INSURER A: UTICA FIRST INS CO 15326 INSURED INSURERB: NYSIF IL&SON CORP INSURER C: 15 OLD LAKE RD INSURER D: INSURER E CONGERS N) 10l920 INSURERF: 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 (MWDD/YYYY) (MWDD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE x]OCCUR PREMISES(Ea occurrence) $ 50,000 VIED EXP(Any one person) $ 5,000 ART513691000 11/20/2022 11/20/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 x POLICY ❑JE� 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 LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S $ ORKERS COMPENSATION - ND EMPLOYERS'LIABILITY STATUTE ER NY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 B FFICER/MEMBER EXCLUDED? ❑ N/A W2369141-3 04/10/2023 04/10/2024 Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 I yes,describe under ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 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 (RENEWED) Dip 7T '0 ^^^^^^ 464258816 WASICZKO AGENCY INC 9 LOCKWOOD AVENUE YONKERS NY 10701 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER IL&SON CORP. VILLAGE OF RYE BROOK C/O IGOR LEVCHUK BUILDING DEPARTMENT 15 OLD LAKE RD 938 KING ST CONGERS NY 109202425 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2369141-3 199755 04/10/2023 TO 04/10/2024 4/10/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2369141-3, 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:/M/WW.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 IGOR LEVCHUK VICE PRESIDENT SERHIY LEVCHUK 2 OF 2 IL&SON 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 STATE SUR NCE FUND 7 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 489660715 U-26.3 r �a r— a o nr 7+- 1 NOT TO SCALE 17 0 1 Client: Newmark Project: Existing Primary Bathroom Address: 7 Charles Lane, Rye Brook NY 10573 Date: 03/13/2023 D S DESIGNSCOTT INTERIORS F W[E APR 2 4 2023 j VILLAGE OF RYE BROOK 1 BUILDING DEPARTMENT