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HomeMy WebLinkAboutBP23-082TCO N FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT O FINAL 2>03)300- (990 ae loaies 6o C9/4)39/-d 99� 3_070p 5se-It m 143 r�j �3-14#41all &;is-k// E/x41-ica l ER APPROVALS ER VILLAGE OF RYE BROOK WESTCHESTEIZ COUNTY, NEW YORK NO. 24-04 i Certificate of Occupaucp This is to certify that of, 0641�/ having duly filed an application on 201.2&requesting a Certificate of Occupancy for the premises known as, PI!) C U' , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: f Block: / Lot: �c2 and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. , issued zaAa 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: tee Construction: —V� for the following purposes: "d r ba r 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 hei s all be made,nor s 1 the building be moved from one location to another until a permit to accomplish such change has ee btaine the ding Inspector. Building Inspector,Village of Rye Brook: Date: MAY 0 3 9094 D EC ENE BUILDING DEPARTMENT For officMonll MAY - 1 2024 PERMIT# -0 Oa- VILLAGE OF RYE$ROOK ISSUED: VILLAGE OF RYE BROOK 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: - BUILDING DEPARTMENT (914)939-0668 FEE: /��� PAIt1.� -- - - wwH,rXorook.oru 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 Address: Occupancy/Use:&►dltftq Parcel ID#:_ 3 057 y 1 /2- Zone: Owner:�')oL re,- � be6ara� A&I i G,►'x Address: q10t AWEL ?—d- e llrdQr 5-73 P.E./R.A.or ontra Address: AL( r z /725- Person in responsible charge: Sal ! Address: J Z 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 YOM COUNTY OF WESTCHESTER as: /! ) being duly sworn,deposes and says that he/she resides at y l� J a/L(7 in rnt m f Uf OAp LpLlic ant) (No.and Strut) y intheCountyof �)P57"-AeS'kof in the State of ,that I (City Towni 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:S r ''p for the construction or alteration of n �-t J�) n S-kr /}` or-ill - 14A-u 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-I O.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this_ day of NY 20 2¢ day of , 20 6ignature of Property Ownir Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public CHRIST R J.BRADBURY Nutary Public,State of New York No.01 SR515g985 Qualified in Westchester County, Commission Expires January 29,202Z QyE BRC��, O� 2m .TOOT '982 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 : A�_(,tJt'C �Q� DATE: �✓Z 7 PERMIT# 2 ISSUED: SECT: / �Sl� BLOCK: LOT: LOCATION: J �IQCYj Wss 1c , I ,s OCCUPANCY: ❑ Violation Noted THE WORK IS... 9--VASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �' 7 n ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER O'FINAL PLUMBING ❑ CROSS CONNECTION a-FINAL ❑ OTHER �Qy6 DR(��• O Zm 1982 BUILDING DEPARTMENT ,;6UILDING 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 : ATE. PERMIT# ,. ' ISSUED: �. ECT: BLOCK: LOT: LOCATION: -� �G ` � l�l � � CCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION � S ��}}� s. REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: [T ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas , ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER i 00 M o ■ O O CC ■ M N \ � y cd v = N c Q,ow WW1 y cC MO N I1 V L9 0 bpu v F = Imo+a �M-+ o aQAoo � y = z � . vc. y�■1 z p �j N (� o c o F-4 ^ p W 010 0-4 O cu �, to> PC �' w J V Gam` o W morj vo � � a A gav � o . C� O � �, O W co O o ° v a--I z O x p W O a z wz o� AS A o 00 CN 1� P�-I W '� Q W A 14 C!� off vyV � V w v 0 P-4 e Q Z o W I > O FMBI a a" h+l BUILDING DEPARTMENT D VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 J U N - 7 2023 (914)Jf7q660 rrww rt '0160f! VILLAGE OF RYE BROOK l BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: JUN Pe t ��J "e- imlication Fee:$ 7,5-- s d 'buE Approval Signature: Permit Fees: Disapproved: Other: Application dated.4�14ng Z is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration o building,or for a change in use,as per detailed statement described below. 1. Job Address: SBL: —Zone:/�~ 2. Proposed Improvement. (Describe in detail): T n!DO ,. T144I z-o ]( G l e 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes, indicate: TIER I: TIER IT: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System, FM-200 System,Type 1 Hood,etc...) :No: <?�'Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application& 2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction him 1(' After Construction: 6. N.Y State Cons tion Classification: 1 N.Y. State Use Classification: 7. Property Ownet j��p hAor4k �tJle l4nne'jnti Address: qla /-1 L° Phone# ?N- M 3 Z S7D Cell# - o ?'7D email:b-ob,We t.,r�n ei�•t�al'[, (, 4 , 8. Applicant: ��,L�'n�o �D#yers J","b Address: i!',� �l°�i�6�n, �t 'S[r, /ICU.) Phone# Cell# �r - q� - ���Z email,41?)6A0_(5, c9 a Lore 9. Architect: /4 Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: ress: A r � ZS Phone# Cell# g�g-. 1 q email: l� 4t 12. Estimated cost of construction $ 000 _ (NOTE;The estimated cost shall include all labor,ma(erial,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) K / 13. Job Timet�bie: Start: ?(�/ ? Finish: J�yp {1) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RVE BROOK,NY 10573 (914)939-0668 �iwrr.rle� kor� �3 AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • 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: l 31,7) , residing at, / FLU 7 e ?­? (III ill[ name) 0(kh, "C voo like) 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; ! b Rye Brook, NY. (of Addle.,) 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. (Signature of Pruperty Owner(s)) __JPe`20FCL��. e- kk)4jk (Print Name of Properly Owner(s)) Swom to before me this 4 day of (�Q„ , 20_�J_ jk&�� /P C'�w (Notar,,A5LlbIT0 GREGORY A&RIVERA Notary Public,State of New York No.CIRIWI398 (2) QwMM In Westchester County (yr Commisslao Evires September 26,Zkv 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 EW YO ,COUNTY OF WESTCHESTER ) as: )Gin." >J ,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 at (s)he is the legal owner of the property to which this application pertains, or that (s)he is the H for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor, gem,)Uorney.etc.) That all statements contained erein 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. Swom to before ime this Pq S m to before me this day , 20 day f , 2 %nature of Property Owner Si r oC pplicant �) 1G bu rr, Print Name of Property Owner Print Na ie of Applicant ZhI/C;1�0 kelz J" Notary PuMic Notary Public GREGOftY M.RIVEftA ousmane Diop Me"Public,State of New York Notary PI ton Slate of New York No.01R16441398 Registration No.01p16392371 Quatified In Westchester County Qualified in Westchester County Commission Expires September 26,20)(1� My Commission Expires May 28.2027 (4) 8;1212021 00 L (N� Ln en W - 0 WCAa u N J . ^ � o tr �= x o U Z A a N a O aC) cn � \ M w c ° A a, W � Z p z ,., w N P. cp • � o p � o, o v �,' W ? � w �.i.r00 � o'S V z z W � q, 1-* M °� z wWo z Adw � lz W a ov �zy fil p a Fes, a V oHO 3 w Ln V o U W z oa WA 914 p Z W GL, a • BUILDING DEPARTMENT RO ECV E VILLAGE OF RYE BROOK JUL - 6 2013 938 KING STREET RYE BROOK,NY 1057 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrot�k_�ul BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County MasterElectricians License Required / FOR OFFICE USE ONLY BP#: p�J 09 C EP #: Approval Date: 1 Permit Fee: $ Approval Signature: Other: Application dated, Z is hereb made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/Jr rem ve electrical equipment, wiring,fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. i 1.Address: CD SBL: �J �i� �—/�- Zone: -/4 2.Property Owner(.,,e0c, br✓}rp�l�� e� Aii Address: Phone#: I - Z S� 3 2 5-b Cell#:Z 03-3 0o y 190 email: G _L� 3.Master Electrician/Licensed Ins't/aller:ALCAL)_PIQ& 1 Si,x" Address: 3 [�kb VT/CcZL� Lic.#: E87 Phone#: �I`f g�jS' i7S�f Cell#n email:&,11(STfII��L£—LT,Q/C4(3MR/i- /� Company Name: kA�J �p/V t STf1 L,L E l!)n17 Address: 3 L6 7X 114,M130 in 4.Proposed Electrical Work/Fixture Count: IWO 2 n Jt7 P. n i6' 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: a&) _F�01.1 iSTA LL ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the li..nt) state that(s)he is the 4 for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) 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 b day ,20 day of �� ,20-a-l— Si tore of roperty Owner Si ature of A plicant as �! Pri Name o Property er t Name of Applica t No bl' EGORY IN.RIVERA N pal LO NeRary Public,State of New York Notary Public,State of New York No.01ME6160063 No.OIR16441398 Qualified In Westchester County QwNBl4In Westchester County Commission Expires January 29,202� CO"!asion Enpi.es September 26,20 _ 3/3/2023 r STATEWIDE • 1080 Main Street,Fishkill, NY 12524 1 email:office@swisny.com SWIS JOB APPLICATION tel 845.202.7224 1 fax 914.219.1062 SWISNY.com I SWISTraining.com Office Use Elect.Permit# /) 1� / '/ � Date Bldg Permit# `v1 Utility ID# Final Certificate# City/Village _ Zip _ 7 Township County C Address — -- Cross Street Section Block Lot Owner Name/Address(if different than above) Contact Number q c. ❑Basement ❑ 1st FI. (3 2nd FI. ❑3rd FI. ❑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 SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information p EC� � D�IC J U L - 6 2023 ID VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by WAS.This application Is intended to cover the above listed Items to be Inspected,It 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 a other any 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 Date !t_ Signature Address City/State `i / Zip Code !I License# IPhone# /4/. ?S + D I� ," �� State Wide Inspection Services SEP 1 5 2023 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone VILLAGE CF RYc BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMEN I Email: office@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: Alan Bonistall Electrical Contr, Inc. George& Deborah Weltman Alan Bonistall 46 Talcott Road 53 Purdy Street Rye Brook, NY 10573 Harrison, NY 10528 Located at: 46 Talcott Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-148 135.50 1 12 Certificate Number: 2023-5601 Building Permit Number: BP 23-082 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: 46 Talcott Road, Rye Brook, NY 10573 The Second Floor Bathrooms were 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 15th day of September 2023. Name Quantity Rating Circuit Type GFCI 03 Switches 06 �y..� 7a tw'-- J 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. e [ o s p N N O a Q P-+ ►y Z a W C00 s _ O_ T ] L7] O a w eq u _ c � CL to W en Poo � � N � c4k) 0" c Ln r � W ►'�i � z o,z i, Z " = 04#4 " = O o �' r a ` V M �-04 AO z z 04 Q Q z � So W C7 V 7 w Z z Cd Ln O g cn v 0 a a. v g x f o � ECENE Rj ] DD BUIL ING DE NT VILLAGE OF RYE OK U - 3 2023 938 KING STREET RYE B K,NY 10573 VILLAGE OF RYE BROOK (91q -0bb8 BUILDING DEPARTMENT wwuy11iiook.org _ PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: 0 PP 4. pJ3 —0 7O Approval Date: 3 Permit Fee: S 315--job Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, Z is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an r re ove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal, State,County and Local Codes. l.Address: qb ja) el4l L_ SBL: Zone- —/ 2.Proposed Work: L PI) nn n 3.Property Owner IV 7Y►�G✓t Address: Phone#:9 Cell 061490 email')_)C " 4.Master Plumber: I m aSS Address: 10 Lic.#:�y� P1+ P#. 9iy�o �y 7�1 � 9iy a3a /em'ail: // Company Name: &geR )U"1 . }if Address: f] Wt)L) 1e dyie 1 INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: , S Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor Z ' 3,d Floor 4d'Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/3/2023 STATF,oOFINEW YORK, UNTY OF WESTCHESTER ) as: 1,4,11'1 /�1 4�� ' ,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. Sworn to before me this Sworn to before me this S day of �,20 day of , 20 Z Sigfiature of Property Owner Si afore of Ap scant Print Name of Property Owner Print Name of Applicant Ao�m&ymLUANN RUSSELL M.RIVERA Notary Public-State of New Yor GORY NO.01RU5057375 rNopubflie",.State Of New York Qualified in Putnam CountyNo.CiRMU1398 My Comission Expires Mar 25. 20 Qualified in Westchester County Commission Expires September 26, _ 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. 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 R IEC� IE �M � BUILDING DEPARTMENT VILLAGE OF RYE BROOK JUL - 6 2023 938 KING STREET RYE BROOK,NY 10573 (914)9 -0668 VILLAGE OF RYE BROOK 39 39uuk.ur BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE U16 - 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 . TATE F NEW YORK, COUNTY OF WESTCHESTER ) as: �� �(;� G�r'1 , residing at,T l aIeL '7 i Print name) (Address where you 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; Rye Brook, NY. i lub:'�dcirc„ 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. (Sig ure of Property Owner(s)) " k K' l W (Print Name of Property Owner(s)) ' Sworn to before me this of 20 023 (Notary Public) SHARI MELILL0 Notary Public,State of New York No.01ME6160063 Qualified In Westchester County -3- Commisslon Expires January 29.20L� R!12/2021 Bui1 Permit Check List&Zoning Analysis Address:—4 ` G C SBL: Zone: se: Const.Type: Other. Submittal Date: Z Re ' ions Submittal Dates: Applicant: Nature of Work: n Reviews:ZBA: JUN 1 P& BOT: Other. NEED OK 4� FEES:Filing. BP: 1�y 0—NEC/O: Flood Plane: Legalization ( ) ( ) APP: Dated: Notarized: SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone 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: Unacceptable: ( ) ( ) PLANS:Date ed: Sealed: Copies: Electronic. Other. ( ) (, License: Workers Comp: Liability: � Comp.Waiver. Other. ( ) ( ) .COSN ;1sA4,, Dated: N/A: (^ ( ) HIGH-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.:_Battery:_Other. 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. O O 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: A p REQUIRED EXIMNG PROPOSED NOTES Arc& Date: Fronc: F� Sid.c& gw. MaiLLSe4Y Acts.Cov Ft.H/Sb: Sd.H/Sb -GEA, Tom: F Im : P Hag' ht/Stories: notes: ve o''fall f0l IN .81 m c CN 0 as U goo 'i9f* U) pw4 F— COO UJ XF Action 2 E CL �54 0 0 < < ME 2 4) M LL) Lij 0 7— lz t 03 cl CN u LO gg All )IF X.% XX-X V rP f ow K �-7Q' IT I OA ,�.., Page 1 of 1 ACC)RIY� CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDIYYYY) '% / 05/31/2023 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 John Beam .__ WillisAME_ is Towers Watson Northeast, Inc. PHONE 1-877-945-7378 F' 1-888-467-2378 c/o 26 Century Blvd -TALC.No.Extl: _ (A/C No P.O. Box 305191 E-MAIL ADDRESS: certificateaNMillie.com _ Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC0 INSURER A: many 27740 North Pointe Insurance C INSURED INSURERS: Starr Indemnity 6 Liability Company m 38318 Alure Home Improveents, LLC - - 70 Mall Drive INSURERC: _ Co:mnack, NY 11725 INSURERD: INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER: W29114575 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 TYPE OF INSURANCE ADD Li U POLICY EFF POLICY EXP LTR POLICYNUMBER M/DD LIMITS F X_ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR PREMISS occurrence) cu�rrence S 1,000,000 A MED EXP(Any one person) $ 20,000 Y 171000062 11/23/2022 11/23/2023 PERSONAL BADVINJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 POLICY ECOT- �X LOC PRODUCTS-COMP/OP AGG S 4,000,000 OTHER: $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ I Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE _y AUTOS ONLY AUTOS ONLY j Per accident $ $ B }(. UMBRELLA LU1B X OCCUR ( EACH OCCURRENCE y 5,000,000 EXCESSLUIB CLAIMS-MADEi 1000579769221 11/23/2022i11/23/2023 AGGREGATE y 5,000,000 DIED RETENTION S $ WORKERS COMPENSATION 13PTERATLITE ORH AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N I A OFFICER/MEMBEREXCLUDEDT E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S i DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is included as an Additional Insured as respects to General Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village Of Rye Brook AUTHORIZED REPRESENTATIVE 938 King Street ,{�� Rye Brook, NY 10573 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sn 11): 24206038 BATCH: 2993796 YORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured 516-296-7777 Alure Home Improvements, LLC '70 Mall Drive 1c.NYS Unemployment Insurance Employer Registration Number of ,Commack, NY 11725 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 F- 11-2336347 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) General Casualty Company of Wisconsin Village of Rye Brook 3b. Policy Number of Entity Listed in Box"1 a" 938 King Street 152000448 Rye Brook, NY 10573 3c. Policy effective period 11/2312022 to 11/23/2023 3d. The Proprietor,Partners or Executive Officers are ® included.(Only check box if all partners/officers included) 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 1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A 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: Candy Hobson Burton (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �Q y/,(„�� � 5/31/2023 � (Signature) (Date) Title: Senior Client Manager,Willis Towers Watson Telephone Number of authorized representative or licensed agent of insurance carrier: 443-216-8084 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. 2nd Floor Kids Bathroom Remodel 2nd Floor Master Bathroom Remodel (Direct Replacement) (Direct Replacement) Left Side of House Front of House Keep Existing Window Keep Existing Window Bath Notes: Wall surfaces in shower/tub are to ............. be 1/2 cement board or similar with GF1 r-'.,', i T ti�� GF1 ceramic tile finsihed surface up to ceiling. -13 co 3 *3 ol Bathtubs with shower head and shower compa men floors an Keep Existing zo PERMIT 0 �, �-..�-. --_ walls shall be finished with Cast Iron Tub -n no -absorbant surface extending to a height of not less than 6 feet �w��PPROVabove the floor. Bath Fans are 50 CFM Min. co -LV BUILDING INSPECTOR, and vented to the exterior. Showers and tub/shower 614 combinations shall be equipped with Scale = 1' per 1/4" control valves of pressure balance, 32 - thermostaic mixing or combination pressure balance/thermostatic mixing valve types with high limit WELTMAN RESIDENCE stops. 46 TALC4TT ROAD All drywall is 1/2If moisture resistent. Extehor wall insulation to be I E. RYE BROOK, NY 10573 replaced with R-15. 30 VENT T'HRU ROOF Replace existing fixtures in same HOMEIMPROYEI�NTS ure location. T- -T— All fixtures conform to the spacing LAV. LAv. i ? � Since 1946 requirements of R307-1 TLB WC. WC. 0 0 Plumbing riser remains unchanged. 5HOWER F WL P F TO WSTI NG AF"DVtD0 smrkky WDC 5%5TEM FR JUN 7 2023 PLUMBING R15ER[)iAGKAm 2nd FLOOR VILLAGE OF RYE BROOK --------_ _ -------- ---------- -----_.__._ .. ... . I BUILDING DEPARTMENT