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RP23-022
PERMIT # r PATE; - 1 r� 3 �(*lil;le7 . SECTION BLOC LO TYPE OF WORK / S U JOB LOCAT ON / O %01aJ - I �� OWNE / a? / 7�4/e 4 4 /(D �/ UCJy*e7 /yQIT � %7'^ % 7Q7 CONTRACTOR :Z7'SO / Vie /2 4 SO S ' /Qll/'*Ao / V) 9®1-o y6 JI EST. COST V/co # C TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT ALARM C> AS BUILT FINAL FEE DATE INSPECTION RECORD DATE I NSP OTHER APPROVALS ARB BOT PB ZBA OTHER DR S' Eck w°y J�v . 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 July 13,2023 Michael Vasaturo,Antonietta Vasaturo&Jaclyn Bryant 161 Brush Hollow Crescent Rye Brook,New York 10573 Re: 161 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-99 Roof Permit#23-022 issued on 5/9/2023 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, / a; Steven E. Fews Building&Fire Inspector /to E C E� " E BUILDINCY�_EPARTMENT For office use only: PERMIT# JUN — 2 2�23 VILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)9 . -0668 FEE: 9//0 r PAIq� BUILDING DEPARTMENT ww r o h&r 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 R■kttrtkt Ritiiiiiiitittkrtti►titiiiiitiitrtttkkkiiikkkitiiii4iiiiRrtirtiiittiirti Yiiti#iii}■ttii}iiiitiiRttitiiiitiiiktkiiitittiiik Address: 161 Brt�4 //Joc ) �eC2�L Occupancy/Use: ReS, Parcel ID#: I Q 9- 76 /— 9 9 Zone: Owner: lyliC Qel ✓osaTuro Address: /61 8r"Ski f/0/4`,) P.E./R.A. or Contractor: -��Alyc,ore_ d. SanS Address: 11&t Yonkers AVe, cn Ic o f!.� , �Jy 1 DTOq Person in responsible charge: Address: 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 IOF NEW YORK, COUNTY OF WESTCHESTER as: /VIA Ig�s G('ctn;JE being duly swom,deposes and says tha&she resides at 3y Oj,,FOIL f1Cl (Print Name of Applicant) (No.and Street) in Gwou liGIL ,in the County of �,(`F1 a ICI! in the State of (1_7— ,that (City'Town Village) hOhe 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 16"90o.S9-- for the construction or alteration of: A&'j a d• G-olrefs 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 Sr Sworn 3� Sworn to before me this �_ I F day of , 20 2) day of lqqy , 20a3 Signature of Property Owner Si�gnafure (�ae Uca keltolos GF017 O Print Name of P Owner Print Name of App- t Notary tc George C Palmli-r—O No Pu c Notary Public-State of New York Ge rge C Palmiero No.01 PA6089211 Notary Public-State of New York, Qualified in Westchester County No.01 PA6089211 Commission Expires March 24,2017__ Qualified in Westchester County Commission Expires March 24,20A V �yE BR(��• O�` tim w � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR i❑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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - -- ADDRESS : �1 ti \^�t DATE: V PERMIT# ( ISSUED.. SECT: BLOCK: LOT: LOCATION: \ `A W. � OCCUPANCY: l �✓ ❑ Violation Noted THE WORK IS... d PASSED ElFAILED 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 ❑_ CROSS CONNECTION Q FINAL ❑ OTHER c a ■ s a r a e w y N a 0 Neq N v v r I v s ■� N N ° ° GL ° W z W a 72 v W 44 0 4 ON + e O O '7 O A 3 0 0 O E�" v v ' a a. vo H N O 0 'Sco w W w �o two p w 0 `O V a O W � Z z � � � � � A - 0.4 0 0 Is, 00 � r V w H o E� °� �� vo H cu x '—' O �' � V z o °c n � w eq U � o ? w o z 4.4 Z V w O BUILDINcx DEPARTMENT AiRTMENT VIL-4'6E OF RY OK MAY - 8 2023 938 KING S7 ET RYE BR NY 10573 VILLAGE OF RYE BROOK 1e41 -0 ' J BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: MAY 0 T �� - 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 date • ,04;Z� 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 Auilding,as per detailed statement described below. 1. Job Address: 161 dCUSI(. 14 o 1c Cfe_Cen IC SBL: ,/)lr 76 Zone: Property Owner: Nltelio,41 ✓45GIC1C0 Address: Phone#: Cell#: ('aA 3!N•77,9 j email: V U S IPA- PQcl-Cam 2. Applicant: 40, GC4,)%1r0 Address: 3N d IC&Ue be�W t, G 'j6n j Phone#: c Cell#: (4+-+) 906 -og64 email: /1/C k LED !A!! R ee, Cc,-(3. Roofing Contractor: I VaToc- a Scsn 5 Address: tl1817 YQAVer,S A-ue-, Y9,M wS, W 1070( Phone#: d683 Cell#: fl email: 4. Job Description,list all Methods&Materials: �t ""aue dL &,,fare- , ocr=' 0714fr �s C I(491d Old eIL ,PP R '&Ise r nV. A�)� 0PS at..- rPrE 5. Estimated Cost of Job:S 16RCO.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 corner property,indicate street frontage: 26 7. Construction Type: ��KXrJ ��}^ NYS Construction Class: CW I;qm 8. Number of stories: o2 Height: 9. Is garage being re-roofed:No: O•Yes:(v<Attached No:{ )•Yes: { )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: `CaA 11. Estimated date of completion: uft Dpa2k -t- 8/12/2021 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 1yoL%5o,4 U 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 3gt> Sworn to before me this 3;?t--) day of WiPe4 , 20 day of 00!�, 20 Signature of Property Owner e o pp A(tt 4vd eKf'_ro fijc ,�- Print Name of Property Owner Print Name of Applicant Nota Not George C Palmiero George C Palmiero Notary Public-State of New York Notary Public-State of New York No.01 PA6089211 No.01 PA6089211 Qualified in Westchester Countv Qualified in Westchester County ^ommission Expires March 24,20- 20 a Commission Expires March 24, 7 -2- 8112/2021 RIE UL iD MAY - 22023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT The Arbors Homeowners' Association 173 1/2 Ivy Hill Cresccnt Rye Brook, NY 10573 April 28, 2023 Michael Vasaturo Antonietta Vasaturo Jaclyn Bryant 161 Brush Hollow Crescent Rye Brook, NY 10573 Re: Entire Roof Replacement — 161 Brush Hollow Crescent Dear Michael, Antonietta and Jaclyn, This letter serves as confirmation that the Architecture & Grounds (A&G) Committee has reviewed and accepted your application for the above-named work. This approval is valid for six (6) months from today's date. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. A permit from the Village of Rye Brook must be presented to the property manager before work begins. You are also required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, contact me at: Property Manager. Nicholas Salzarulo Property Manager 771� •�Jk' A Pa= A n ���. ;�� ftlell{�. -•. ��i�;�.; � �yi ia =� .aryl - � • a�S!r �- �' � , s a Il�l,.zf��a • � >1 v •n p 21 Lo �t 3 L7 _ Ay > tom., f]. N ir,.'�i•v" - C. eC D ro cs O c— ✓/ t�:;,•....i4 rn O O rn cJ otucyw?A�`.p�r�I� j z. U ry,•. 7�"�M 40 t •�yj• I. � w � � 1 z 4] '` v • rr Icy U � � U z c o O C110n •_,= W o oQt°fie ,� •, CD z J ry. r� cc) } O JJp as s+ n ` _ CU raz qt LSO _. _� j_-,'P'•'.',-`." �I CD f777En + U cd • _ s 3 a __ Jam. • > 1{oS►.�q js,;�.• ,i,j�--r �ef�:7',��ft�, , set ss,t",I1�1,, :�_ 're'c>'.,I,�,I, .4:, a ss rr,I��,a.,ni.�. ;; P, � ^.yam l� '�t: { 111 A,('c( t I11 rp @ ,!!II!J+_ e �f�,,� I�l 1 �1tp � f,/I,�• i��k!,� 'A,I{11�1• ,t,l�+,/, (� a!�g •.ate, ; Ai��a�h,..♦1� ��;�Cy�^E�C�,� �♦���-,4f wi�tp'�a� �t'��w�+slit�y�./,fit!{ ,.�EA�i�'�"Eyfr L1��♦l:�g �i�i►�,C31 'l�ljl♦�A�". A �V �!♦�1l� a�w$'t�, �. I b A i A 41. A V A l ••'L�1hy�.A A �t 7 .Iy J/�rI }� - e';n {' '� ' a•! v nj'r:,.. �;�{.��in - v H i�tibl" ..`•c I - •. I DATE(MM/DDfYYYY) ACo CERTIFICATE OF LIABILITY INSURANCE `.� 05/01/2023 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). CONTACT PRODUCER 914-600-6222 800-860-1151 NAME:: Philip Christe Philip Christe Insurance PHONNo,E E . 914-600-6222 FAX No: 800-860-1151 1575 Cattlemen Rd. ADDRESS: phil@christeins.com INSURERS AFFORDING COVERAGE NAIC# Sarasota FL 34232 INSURERA: Evanston Insurance Company 35378 INSURED 914-237-0683 914-2370937 INSURERB: Selective Insurance Company 19259 J. Salvatore & Sons, Inc. INSURER C: 1187 Yonkers Avenue INSURERD: INSURER E: Yonkers NY 10704 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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER MM POLICY IDD/YYYY MM LTR /DDfYYYY LIMITS ✓ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A DAMAGE TO RETE CLAIMS-MADE 41 OCCUR PREMISES(Ea occur ence) $ 100,000 3AA662338 04/20/2023 04/20/2024 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 70THER: L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 200O000 POLICY� PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2 000000 JECT $ AUTOMOBILE LIABILITY Ee COMBINED LIMIT $ 1,000,000 ANY AUTO S251725700 09/02/2022 09/02/2023 BODILY INJURY(Per person) $ B OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ • AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DID RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? 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) Certificate holder is included as additional insured per written agreement subject to policy terms and conditions. Certificate holder is included as additional insured per written agreement subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King St. ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD INEW KWorkers' CERTIFICATE OF ATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured J Salvatore&Sons Inc 914.237.0683 1187 Yonkers Ave., 1c.NYS Unemployment Insurance Employer Registration Number of Yonkers,NY 10704 Insured 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 13-3872277 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund Building Department 3b.Policy Number of Entity Listed in Box"l a" Village of Rye Brook 14579296 938 King Street, Rye Brook, NY 10573 3c.Policy effective period 01/01/2023 to 01/01/2024 3d.The Proprietor,Partners or Executive Officers are 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"l a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 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: Gary McCarthy (Print name of authorized representative or licensed agent of insurance carrier) Approved by: / 03/03/2023 (Signature) (Date) Title: Licensed Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 845-878-9293 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