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HomeMy WebLinkAboutRP23-026PERMIT # ^ ro1'3- Q1 DATE, a3 EXP SECTION �J�� BLOCK LOT TYPE OF WORK _IVO�e 10B LOCATION i'yi A) OWN EST. COST ,,/C0 #�c r FEES L i O—tol) TCO # FEE DATE }NSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT 0 ALARM 0 AS BUILT C] FINAL 3SQ- 7e0& 7 _, 1p�1 OTHER APPROVALS ARB BOT PB zBA OTHER DR �- J . 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.1 ebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 16,2023 Jing Xie&Margaret Chung 141 North Ridge Street Rye Brook,New York 10573 Re: 141 North Ridge Street,Rye Brook,New York 10573 Parcel ID#: 135.51-1-82 Roof Permit#23-026 issued on 5/23/2023 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to For office D BUILDING 1�EtT�VIENT PERMIT# use onl : —`/- AUG - 4 2023B VILLAGE OF RYE BROOK 1SSUED:5 Q 3 c_ '3�a 38 KING STREET,RYE BROOK, NEW YORK 10573 DATE: T-L{-153 VILLAGE_ OF RYE BROOK (914)939-0668-FAx(914)939-5801 FEE: A //d— PAID R BUILDING DFPARTMENT 'yww.>�yKebroQk.ort� .�--. 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 iifiiftttiitftitttitt#titii#titi4itiitt■■iNtiiititiifttiiiiiiittftiiiititiiififititiittittii4rtirt####4itititiiiiiiii#iiiiffii Address: 141 North Ridge Street Rye Brook, NY 10573 R-3:1 Family Residential 135.51-1-82 p � Occupancy/Use: Parcel ID#: Zone: owner: Jing Xie & Margaret Chung Address: 141 North Ridge Street P.E./R.A.or Contractor: Franzoso Roofing, Inc Address: 33 Croton Point Avenue Croton on Hudson NY 10520 Person in responsible charge: Peter Klatt/Franzoso Roofing Inc Address: 33 Croton Point Avenue Croton on Hudson NY 10520 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: Peter Klatt being duly swom,deposes and says that he/she resides at 33 Croton Point Avenue (Print Name of Applicant) (No.and Street) in Croton on Hudson ,in the County of_Westchester 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:$ 14,100.00 for the construction or alteration of: Re-roof existing building. 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 belied 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 ofCompliance shall have been duly issued by the Building Inspector as per §250-10.A.of the Code of the Village fRye Brook. Sworn to before me this Sworn to before me this day of , 20'�,3 day of J U y , 20 Z") Si to o roperty Owner Signature of Applicant Print Name of 2mbperty O er Print Name of Applicant Notary�Ali 1 Notary Public MELISSA J. BOCZAR Michael Bablt NOTARY PUBLIC— Notary Public,state of New York W COWASSION EXPWS WAY 31,2025 No.01 BA6331102 oualified in Westchester County commission Expires September 28,2023 QyE Raj Q) 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 - - - - - - - - - - - - - - - - - - - - ADDRESS:— — DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ Violation Noted \\ THE WOR"S... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION c�.,\cnC43C.0' REQUIRED ❑ FOOTING j ❑ 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 o N N o oat' u h y 0-0 CA O a, w 00 N W i 4 i,u o en Q rl 8 u V z °p Z A 3 �LE o o b H C a t 0 °' 'a a Ln 400 ui w r z C/) W � N O �o v00 O w �10 Zo w z z rT1 ° V I� Z � O w w O �_ a �aoV- w CIN a MM O0rn z Z W W O Raa' xa � w a � o -;1, � w W c 0 CIO w z c � d a O O z0 U H8 z U U w ° y v O '-� Q a z x op MAY 1 22 223 BUILD,* 616,ARTMENT VILPP #E OF RYE0gQOK VILLAGE OF RYE BROOK 938 KINGS ET RYE BROb ANY 10573 ' BUILDING DEPARTMENT (914)93 � i39-5801 oIz FOR OFFICE USE ONLY: Approval Date: eer �#JI(93—CDO : 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: r Permit Fees:d-=�)o1_�)0L__ ROOF PERMIT APPLICATION Application dated: 05/13/2023 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: 141 North Ridge Street, Rye Brook, NY 10573 SBL: 135.51-1-82 Zone: /0 Property owner: Jing Xie Address: 141 North Ridge Street, Rye Brook, NY 10573 Phone#: N/A Cell#: (972) 352-7806 email: N/A 2. Applicant: Peter Klatt @ Franzoso Roofing, Inc. Address: 33 Croton Point Avenue,Croton on Hudson, NY 10520 Phone#: (914) 271-4572 Cell#: N/A email: sales@franzoso.com 3. Roofing Contractor: Franzoso Roofing, Inc. Address: 33 Croton Point Avenue,Croton on Hudson,NY 10520 Phone#: (914)271-4572 Cell#: N/A email: sales@franzoso.com 4. Job Description,list all Methods&Materials: Roof Removal/Replacement (20 squares) 5. Estimated Cost of Job: $ 14,100.00 (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 comer property,indicate street frontage: N/A 7. Construction Type: Protected non-combustible NYS Construction Class: 1 A 8. Number of stories: 1 story Height: 18 feet 9. Is garage being re-roofed:No:V.Yes: ( )Attached No:( )•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: Roof peaked 11. Estimated date of completion:TBD -1- 6/1/2020 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: Peter Klatt ,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 Franzoso Roofing,Inc. 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 1% Sworn to before me this 13 day v� , 20 2 3 day of h(�C>`1 , 20 23 Signa rop Owner Signature of Applicant Jing Xie Peter Klatt Print Name of Property Owner Print Name of Applicant Notary Public Notary Public Michael Babit Notary Public,State of New York Michael Bablt No.01 BA6331102 Notary Public,State of New York ouallfled in Westchester County No.01 BA6331102 Commission Expires September 28,2023 Qualified in Westchester County Commission Expires September 28,2023 -2- 6/1/2020 Work Scope JOB: PRJ #53458:Xie, Jing: Roof Replacement ADDRESS: 141 North Ridge Street, Rye Brook, NY 10573 CONTACT: I Mr.Jing Xie, 141 North Ridge Street, Rye Brook, NY 10573 USA PHONE WS: (972)352-7806 Roof Replacement: • Roof Area Covered in Scope of Work: Complete • Note: Solar panels to be removed by Solar City prior to start by Franzoso Contracting. • Install permanent OSHA approved stainless steel single D-Ring fall protection anchor. • Loosen or remove existing gutters and leaders, as necessary. • Remove existing roofing 1 layer- as determined at initial inspection) down to the wood deck. NOTE: Additional layers, if discovered, will be removed and contract will be amended to reflect added cost. Homeowner to be notified. Initials • Inspect, remove and replace any damaged or rotten plywood with new comparable thickness CDX plywood sheathing @$135.00 per 4'x8'x 1/2"; @$140.00 per 4'x8'x 5/8"; @$150.00 per 4'x8'x 3/4" sheet installed; only as necessary. "NOTE: Due to market fluctuations, plywood pricing is guaranteed for one week only. • Install Owens Corning Weatherlock G ProGrade leak barrier protection "Ice and Snow Shield" impervious rubber membrane behind gutters on the fascia board, continuing up onto the roof decking 6 feet and lining valleys. • Install all new perimeter drip edge. Color: White. • Apply Titanium Synthetic Roof Underlayment across remaining portions of exposed sheathing, fastened with button type nails. • Install Owens Corning Starter Strip Plus starter shingles to roof area. • Install Owens Corning TruDefinition Duration TM, architectural shingles with SureNail Technology to roof area according to manufacturer's specifications; Owens Corning Duration shingles meet 130 MPH wind-resistance testing and are covered under limited Lifetime manufacturer warranty; 10 year algae resistance warranty; However if DuraRidge Hip and Ridge with SureNail Technology is installed, there is a 25 year algae resistance warranty. Color: TBD. • "Includes an Owens Corning"Platinum Protection Roofing System" Limited Warranty. Has up to a 50 year"non-prorated" period for both material defects and labor to repair or replace them. In addition, you will receive a manufacturer Workmanship warranty coverage for the first 25 years then prorates life of warranty as well as a Franzoso Roofing, Inc. 25 year workmanship warranty. • Roof to Wall Flashing • Use existing step and apron flashing at roof meets wall locations. Initials • Install Lifetime Vent Pipe Flashing: the Ultimate Pipe Flashing features premium silicone & UV stabilized molded PVC compression collar with Kynar PVDF coated 24 ga. galvanized sheet metal perimeter flashing. • Install new copper chimney flash ings/counter-flashings. • Install DuraRidge Hip and Ridge with SureNail Technology TM to hips. • Inspect, remove and replace any rotten or damaged fascia with new 1 x6 primed pine fascia @$7.00, 1x8 @$9.00, 1x10 @$10.00 or 1x12 @$12.00 per foot installed, only as necessary. • Repitch, rehang or tighten existing gutters. • Proper disposal of debris; complete site restoration. Franz. . Contracting, 33 Croton Point Ave Croton On Hudson, 10520 • :•. . FRANZOSO www.franzoso.com t �r I r i i TruDefin&onR TOTAL R DURATION SHINGLES ROOFING I SYSTEM with SureNail" Technology k= - � taw—"�-w.�ti.-� —�--.—+`.. - _- - �����-.. •• . Jill s • n _ _ �.y ilwes�/M�I.w�� F. �Ii1+�lnilli��li � •� r^ i Am now 110, ow ow Warr IN dW _"Wlim A.. 1��.n.-.µ # *Pl All or � ,.,�w,�wr..' i��i' .�,7•,�,i �� ,Lay�"i� ,.,4.•�.a - mom M IP op op am w o l: i `+�: ,�' .�'-� �ey�.ram,.-.���� �, ;• ;w M^ IY • w MM TruDefinition® Duration®Shingles are a component of the Owens Corning'Total Protection Roofing Systemn"'^ TruDefinition) DURATIONO SHINGLES with SureN ail'Technology r Bold contrast. Deep dimension. TruDefinition: TruDefinitions Duration®Shingles are The SureNail'" Difference— specially formulated to provide great A technological breakthrough t contrast and dimension to any roof. SIJreNalf T..ti"eI..r in roofing.The innovative Through the use of multiple granule colors and features of Owens Corning"TruDefinition® shadowing,TruDefinition®Duration®Shingles Duration"Shingles with patented SureNail" offer a truly unique and dramatic effect.This Technology offer the following: exclusive combination of color and depth is Breakthrough Design.Featuring a tough, what makes TruDefinition"Duration"Shingles woven engineered reinforcing fabric to deliver like no other. consistent fastening during installation. TruDefinition"Duration"Shingles are available Triple Layer Protection'A unique"triple layer" I in popular colors with bold,lively contrast of reinforcement occurs when the fabric overlays and complementing shadow lines for greater the common bond of the shingle laminate layers dimension.They feature a Limited Lifetime that offers excellent fastener holding power. Warranty"'(for as long as you own your Superior Adhesion.Our enhanced Tru-Bond"' home), 130-MPH Wind Resistance Limited Warranty'and an Algae Resistance Limited sealant grips tightly to the engineered fabric Warranty! Beyond the outstanding curb nailing strip on the shingle below. appeal and impressive warranty coverage, Excellent Adhesive Power.Specially formulated, they also come with the advanced performance wide adhesive bands help keep shingle layers i of patented SureNail"Technology. laminated together. Exceptional Wind Resistance.Engineered to deliver 130-MPH'wind warranty performance with r" .�- only 4 nails.Fewer nails required can mean fewer deck penetrations. SureNail"Reinforcing Woven Fabric Nailing Area — 1• s Excellent i Adhesive i Power Enhanced Tru-Bond"Sealant Triple Layer Protection.» COLORS AVAILABLE IN ALL SERVICE AREAS — see map below I ° F ..r �. Ambert Desert Tant Brownwoodt ! J pan f , r' . .. - [`�� z'- 't *'a^�,� •fry • �,� •'� }- 'i' r Quarry Grayt Sierra Grayt Shasta Whitet •ri s � Y %fi—Af�5'1 lffbl� •#�Y- r� .''�y'�`�•fi+ •�� +^'hex- 1 �v �,ti +.: . - e+t.r+i•e•...��-•�' -�� .Ae��;..�,*try, - i•��' �, �'� '^ - �• "'Sw 'fir , V .. .y 1 ;'t• �' � a Estate Grayt ADDITIONAL COLORS AVAILABLE BY SERVICE AREA — see map below Not available COLOR AVAILABILITY 7jg~ Terra Cottat ENERGY STAR" IS FOR ROOFS TOO Similar to the energy-efficient appliances in your home,roofing products can provide energy- � 'd saving qualities. Owens Corning'' ENERGY STAR®-qualified shingles can help reduce your energy bills when installed properly. These shingles reflect solar energy, decreasing the amount of heat transferred to a home's interior—and the amount of air conditioning needed to keep it comfortable.Actual savings will vary based on geographic location and individual building characteristics. Call 1-800-GET-PINKO or 1-888-STAR-YES for more information. Product Attributes Warranty Length* Limited Lifetime"(for as long as you own your home) - �r Wind Resistance Limited Warranty* ..w.nn,.x130- 130 MPH Algae Resistance Limited Warranty* 10 Years TruPROtection" Non-Prorated Limited Warranty* Period 10 Years TruDefinition® Duration°Shingles Product Specifications Nominal Size 13'/4"x 39%" Exposure 5%" Shingles per Square 64 Bundles per Square 3 Coverage per Square 98.4 sq.ft. Applicable Standards and Codes ASTM D228 ASTM D3018(Type 1) ASTM D3462 ASTM D3161 (Class F Wind Resistance) ASTM D7158(Class H Wind Resistance) ASTM E108/UL 790(Class A Fire Resistance) ICC-ES AC4380 UL ER2453-01It Shasta White color meets ENERGY STAR"requirements for initial solar reflectance of 0.25 and 3-year aged solar reflectance of 0.15; 2013 California Building Energy Efficiency Standards,Title 24,Part 6 requirements;rated by the Cool Roof Rating Council(CRRC). *See actual warranty for complete details,limitations and requirements. **2013 Roofing Homeowner Brand Awareness Study by Owens Corning Roofing and Asphalt,LLC. f Owens Coming Roofing strives to accurately reproduce photographs of shingles.Due to manufacturing variances,the limitations of the printing process and the variations in natural lighting,actual shingle colors and granule blends may vary from the photo.The pitch of your roof can also impact how a shingle looks on your home.We suggest that you view a roofing display or several shingles to get a better idea of the actual color.To accurately judge your shingle and color choice,we recommend that you view it on an actual roof with a pitch similar to your own roof prior to making your final selection. Color availability subject to change without notice.Ask your professional roofing contractor for samples of colors available in your area t t This illustration depicts Triple Layer Protectiono and the amount of Triple Layer Protection*may vary on a shingle-to-shingle basis. $Tru-Bond*is a proprietary premium weathering-grade asphalt sealant that is blended by Owens Corning Roofing and Asphalt,LLC. $$40-Year Limited Warranty on commercial projects. Owens Corning'Roofing Preferred Contractors are independent contractors and are neither affiliates nor agents of Owens Corning Roofing and Asphalt LLC,or its affiliated companies. SureNait`Technology U.S.Patent 7,836,654 and other patents pending. ENERGY STAR and the ENERGY STAR mark are registered trademarks of the U.S.Environmental Protection Agency. N International Code Council Evaluation Services Acceptance Criteria for Alternative Asphalt Shingles. 4M Underwriters Laboratories Evaluation service Evaluation Report A Excludes non-Owens Corning"roofing products such as flashing,fasteners and wood decking. Y y Fr I � 8 F' r - f HOME SWEET HOME Your home is your sanctuary.It's the place Together we can make this a positive where you want to feel the most comfortable. experience—an opportunity,really.This is Safe.Protected.But no matter how much you your chance to choose a roof that not only love your house,it seems the work is never has outstanding performance,but also has r completely done.And if purchasing a new exceptional beauty.So for years to come,you'll roof is on your to-do list,it may seem like feel great every time you pull in the driveway. a daunting task—especially if your roof is =.fir.. Protected.Proud. Home. already damaged or leaking.Since a roof plays such an important role in protecting you and your family from the elements,you realize that you can't let the damage get out of hand. Don't worry,we know that a roof replacement ' project is a big,important decision.You can feel confident about choosing our roofing products—Owens Corning has been a recognized leader in the building industry for over 75 years.In fact,we're America's#1 roofing brand" Not only can we help you choose the right shingle and roofing system components,we can also help you select the right contractor for the job—an Owens Corning' Roofing Preferred Contractor. Th TOTAL e Total o a Roofing Protection Roofin S stemTM^ ' I=Iiii III[OILWorking together to help protect and enhance your home. ROOFING I SYSTEM It takes more than just shingles to protect your home.It takes an integrated system of components and layers designed to withstand the forces of nature outside while controlling temperature and humidity inside. The Owens CorningI Total Protection Roofing Syste MIA gives you the assurance that all of your Owens CorningI roofing components are working together to help increase the performance of your roof—and to enhance the comfort and enjoyment of those who live beneath it. O Owens Corning"Hip&Ridge Shingles OVentSure° Exhaust Ventilation Products r ©Owens Corning-Shingles r QOwens Coming-Starter Shingle Products { yj ©Owens Corning'"'Underlayment Products r � "�rl, 7 _ © WeatherLock"Self-Sealing Ice &Water Barrier Products OVentSure' Soffit or InFlowa Intake Ventilation Products I i 1 Optional Owens Corning-products designed to support the Total Protection Roofing System'"^ PINK" Fiberglas"Blown-In Insulation Illuminator"Tube Skylight raft-R-mate"Attic Rafter Vent ^Excludes non-Owens Corning"'roofing products such as flashing,fasteners and wood decking. O f © © - O © O Help protect against Help protect vulnerable Help prevent damage Enjoy clean lines and Choose from a variety Help protect your roof Help protect the heat and moisture areas where water can from wind-driven rain faster,easier installation of durable styles and against premature ridge vent and add an buildup by creating a do the most damage: by providing an by eliminating the need colors that provide the failure by allowing heat attractive,finished look balanced flow of air eaves,valleys,dormers additional layer of to cut shingle tabs. first line of defense and moisture to escape to your entire roof. through your attic. and skylights. protection between the against the elements. from the attic. shingles and roof deck. OWENS CORNING ROOFING AND ASPHALT, LLC f, ONE OWENS CORNING PARKWAY TOLEDO,OHIO,USA 43659 • 1-800-GET-PINKI www.owenscorning.com/roofing Pub.No.10013980-E.Printed in U.S.A.May 2014.THE PINK PANTHER"& ©1964-2014 Metro-Goldwyn-Mayer Studios Inc.All Rights Reserved.The co,orPINK isa registered trademark of Owens Corning.©2014 Owens Corning. All Rights Reserved. (Brookville,Kearny,Medina,Minneapolis,Summit) � �, w.�.1L sj,�, 1� -?Inir =hl �� :5., z 'a - ••,�•y,- °�•-_•w� �w a� .. ro. i13t. tt+♦�Ir♦ ¢ r a • r • �5 „♦,` '/} � Y�+r J� rA Y yY �P L a, , ' r, $j 4tlo)� i' ��v �ii V/ l'hi ' Ah �'` i 'Y � i t aui George Latimer `Vleste 6 James Maisano :«�= " Westchester County Executive )t,.;('Oj Director,Consumer Protection st sk;: Department of Consumer Protection Home Improvement License FRANZOSO ROOFING, INC. ' Z 33 CROTON POINT AVENUE . CROTON ON HUDSON,NY-10520 iThis license is issued in accordance with Article XV[of the Westchester County Consumer Protection Code and is valid only upon 1 `s presence of the official department seal.Proof of citizenship or immigration status is not required for issuance of this license. a NOT FOR FEDERAL PURPOSES Const, e , c . ni \ License Number ror� ~°� Date of Expiration j WC-35225-H22 04/20/2024 sfCh ester Go��' / ` `�rlili�,Vt�� 1F.'� °i ��'f�,4'/i�����4$ ''♦�� zi!w��+'" ��%''Y wsif • 'Ff$'w;iMn� �'. - l1+NONU&A A��® DATE(MMIDD/YYYY) C" CERTIFICATE OF LIABILITY INSURANCE 05/10/2023 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). PRODUCER CONTACT Catherine DeSantis NAME: ROBERT T.KIRKWOOD,INC. A CONNo Ext: (914)769-9070 Fvc No): (914)769 4706 91 Washington Avenue aDORIEss: Cdesantis@kirkwoodinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Pleasantville NY 10570 INSURER A: Sutton Specialty Insurance Co. 16848 INSURED INSURER B Franzoso Roofing Inc. INSURER c: 33 Croton Point Avenue INSURER D: INSURER E: Croton On Hudson NY 10520 INSURER F COVERAGES CERTIFICATE NUMBER: 23-24 Master 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 AUULSUBK POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED_7300,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 A ISC01000000009-01 12/21/2022 12/21/2023 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $ 2,000,000 POLICY ❑PRO- ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROP RIETOR/PARTNE R/EXEC UTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is additional insurance under general liability per blanket endorsement as respects work performed at 141 North Ridge Street,Rye Brook,NY 10573. 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 Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 l �C� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) 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) o Nfje :a ^^^^^^ 200742207 t:� -4-5 Y'. LOVELL SAFETY MGMT CO., LLC •ty 110 WILLIAM STREET 12FLR � } i NEW YORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FRANZOSO ROOFING, INC. VILLAGE OF RYE BROOK 33 CROTON POINT AVENUE 938 KING STREET CROTON ON HUDSON NY 10520 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z2435 833-5 509542 01/01/2023 TO 01/01/2024 5/10/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2435 833-5, 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. 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 MARK FRANZOSO FRANZOSO ROOFING, 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. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:676852485 U-26.3