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HomeMy WebLinkAboutBP23-138PERMIT # 0�3 ` A3 DATE LQ: Q3 SECTION �'S.10 BLOCK TYPE OF WORK JOB LOCATION DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS CJ SPRINKLER ELECTRIC LOW -VOLT O - ALARMAS BUILT CI FINAL 93-/04/55 INSP (N wj % s " Gievz) 3 - l 8o/2c�CC' �7 �e iCo OTHER APPROVALS ARB BOT Ps ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-154 Certtf irate of ®rcupaurp This is to certify that JQ/y&/()ye 006b t pnsalzt-o 6cld o of, having duly filed an application on SPP,kM b-er Q 20 ,?3 requesting a Certificate of Occupancy for the premises known as, LO-19( , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: 35,(05 Block: I Lot: . and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. � , issued S as 20 c,�, 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: lonc -rCf{nay Construction: for the following purposes: �QQ` �z.e LA K Y-i [,d n e .Td o sibye -n davylake 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 ht shall be made,n s a e building be moved from one location to another until a permit to accomplish such change 114s b e ine th Buil 'ng Inspector. S E P 2 8 2023 Building Inspector,Village of Rye Brook: Date: EC E 11 " E R For office use onl BUILDIIP,� M E N T PERMIT IV SEP 19:2]0230 VILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: C VILLAGE OF RYE BROOK (914)939-0669 FEE: / PAID BUILDING DEPARTMENT Why r©Oker>? 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 wwwwrr►r►►►wwr►►r►►►►►►►w►wrrrwrrr►►►►►►w►rwrrr►►►►►►►►►►►wwwrr►►►►►►►►►►►rrwrrrrr►►►►se►►rwrr►r►r►►►►►►►rwaww►►r►►►►►►e►►►w Address: 20 Brook Lane, Rye Brook,N.Y. Occupancy/Use: 1—Fam Parcel ID#: 13 5.6 5-1-3 Zone: R—7 Owner: Salvatore&Rosalea Oddo Address: 20 Brook Lane P.E./R.A.or Contractor: Self Address: Person in responsible charge:S e 1 f 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 OF NEW YORK,COUNTY OF WESTCHESTER as: Salvatore &Rosalea 0 d d obeing duly swom,deposes and says that he/she resides at 20 Brook Lane,Rye Brook (Print Name of Applicant) (No.and Street) in Rye Brook in the County of Westchester in the State of N'Y' 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:$ 20,000 for the construction or alteration of: First Level 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 , 20 Z3 � o Rn(Lu () &-" Signature of Property Owner Signature of Applicant -' -Lv �-�-o W-c-- ode "Olt'c'- Co Print Name of Property Owner Print Parne of Applicant STH/EN J. GAGNON STEVEN J. GAGNON NOTARY PUBLIC- OF NEW YORK NOTARY PUBLIC- NEW YORK Notary Public No. 0023• Notw)t&bl' 3 Guolitled i st ester County Guali(led i es es County My Comrr,:s On Ex; s October 14,� 3 My corn .salon Ez ctobsr 14. 20 ��/12/2021 �yE BRC��. 1932 BUILDING DEPARTMENT UILDING 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 - - - - - - - - - - - -- -- - - - - - INSPECTIONREPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: DATE' PERMIT# ISSUED. VECT- BLOCK: LOT. LOCATION: < < y o�-,6 OCCUPANCY: 6� 7 OY G O ❑ 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 ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER E BR(��• - o� ti VIOLATION Cr UI E CTED SATE. SEP 2 8 2023 VIOLATION CORRECTED Q 1q(3'I' BY: DA PART E ❑BUILDING INSPECTOR _ --� ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK 0 CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.rvebrook.org -- - - -- ---- - - - - - - - - - - INSPECTION REPORT - - - - - -- - - - - - - - - - - - - - ADDRESS DATE. i 1J PERMIT# I V \ ISSUED: SECT: BLOCK: LOT: LOCATION: ,� t `�7 OCCUPANCY: v ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED /❑ FOOTING Q� ❑ FOOTING DRAINAGE Fx of P(V4 ` ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ` ❑ NATURAL GAS )C rnod ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER f1 k 1 �-, f> mus} (7 � � v 00 H z a s 4-4v� A O o CU � ►-.� W y a w Z H Q w cq � n a4 j lu o W bA Ldi C cc 0 Lp Ln Cc) O I'll 00 ' y a 'n a 00 cn ti z 5%- A A H w w o z00 �, p A � z o o W W d+ O �+ v w w U� O W F U z W H 0 h+�lM% C�7 tLo b - a Cc: i7 V O a F�l V CN cn 0-0 GG d O bi p � T w z ® 0 O ;D 0 o ais,zo °� bvw te . � u r �w °� :r � PLO : 0 Rr uu o V". ' ­ (914)939-0668 MBUILDING DEPARTMENT VILLAGE OF RYE BROOK12023 938 KING ST EET RYE BROOK,NY 10573 PAE OF RYE BROOK BUILDING DEPARTMENT www.rvebrook.ore INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: �` Approval Date: 't#: ��~/ application Fee:$ CJI s Approval Signature: Permit Fees:$ - .2 u Disapproved: Other: 7. *********#**er*****+r*«**+r*,r,e*,t******r,rr*tr*r**rr*w**,r****,►***,a*,ear************,r****,r********,r***************r Application dated: 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 existing building,or for a``change in use,as per detailed statement described below.1. Job Address: d i Q SBL: / ,.-35, � '��I—�Zone: 'n` - 1b 2. Proposed Improvement.(Describe in detail): Rt n G 'q cJp 1<1, + C.412 h 4 1 ►2� I ck-a 5ic r m 0Q 3. Does theproposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:7 Yes: If yes,indicate: TIER I: TIER II: 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 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;Q f 2 fan.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction`Classification: N.Y.State Use Classification: 7. Property Owner: S Ct I 1 n �. C d ci a Address: 20 Phone# n 1 1� G 9 . - I4 5 S Cell# email: ttI 8. Applicant:.� (I f+;g u a G1 J d C Address: R[ 0 Q ct 0 e n OIC Phone# Cell# 9 1 `l L�]- I�- -S email: (D 5(j t �G .Vtp M0 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ C-) 6 0 n (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,pmfessional fees,and material and labor wbich may be donated Jp"s•) 13. Job Timetable:Start: ✓ / `� Finish: (1) 6/V2023 BUILDING DEPARTMENT 51ECIEMED VILLAGE OF RYE BROOK J� J U L 31 2023 938 ICING SMET RYE BRom,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rYabra4k.orE - — BUILDiNC. DEPARTMENT AFFIDATVIT 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:�, `` &00�-' I, J ct V G J o ( L O n A (J ,residing at, C �( 0 C1I<. L-o. of, Q (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; ` 4 p L_(I lei�. ,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. ignakure of Property Owner(s)) + (Print Name of Property Owner(s)) Sworn to before me this, oC day of 120 Z (Notary Public) STIVOrP GAGNON RMA0 I E OF NEW YORK No iG 0 e Cualifi In tch ter County My Commission Expires October 14, 20_i (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 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 C',Lk)vie (' 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 9-151 Sworn to before me this day of 41� . 20 da(y 20 �of ^ , dJ Signature of Property Owner Signature of Applicant Rant 1 c. O AA 0 Ro"Oxl t 0 AA c Print Name of Property Owner Print Name of Applicant STEVEN `GAGNQN NOTARY PUBLIC-, Of NEW YORK Notary public o Notary Public 9ualifi n the er Count My Commission Expires O tober 14, 20____ (4) 8/12/2021 O d0 N WW W c '� o v �" Z Q � z o -10 - M LO C o u 0+ Q z n < V W w 0 wA 00 �-+ A �* 5 Q w ° V • `� Z C w z►� z u z z z w � °z o � � W a O O W a V A aS a o W GIN v. M v q N w V W a o 3at z o > 8 w O O w •• z $ z ZF Rr a � v g au 0 A o a O z w 0 N a 9 a z w A, ° z w a o2 H �I a ►� w z � MM Angelo Zaccagnino D V� L�� D.O.B: 12J1111968 �E �R�0jD company: BUIL E MENT AUG 2�23 Zaccagnino Electric �\ 81 Maple Avenue VIL E aF.Rom. OK 38 KIN T RYEB NY 10573 VILLAGE OF RYE BROOK Rye,NY 10680 \\� / BUILDING DEPARTMENT cense No. 755 Vl .0r spires on:12/31/2023 Peter Sorducci CTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: rD3—/_3 EP#: �O Approval Date: AUG 2 3 Permit Fee: $ Approval Signature: Other: Application dated, is here 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. 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. 1.Address: 20 Brook Lane. Rye 'SrL�� X y SBL: 135.65-1-3 Zone./e/O 2.Property Owner: Sal Oddo Address: same Phone#: 917-683-1455 Cell#: email: 3.Master Electrician: Angelo Zaccagnino Address: R 1 Maple Ave, Rye NY 10580 Lic.M 755 Phone#: 914-921-3244 Cell#: email: Office@zaccagnino.net Company Name: Zaccagnino Electric Address: 4.Proposed Electrical Work/Fixture Count: First floor electrical wiring 5.31 Party Electrical Inspection Agency: SWIS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Angelo Zaccagnino ,being duly swom,deposes and states that he/she is the applicant above named.and does further (print name 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 Electrician 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 b ore me this ��- Swo be, r 's day ,20 ' _ day 20 k.k e Sign' re of Prope Ow r Sign a of Appl' v ►v � � - tN� W YORK n N No. OlG 023e NOTARY PUBLIC-:T EW YORK N n e chester Count Notary ftb1kl 238 My Commission Expires October 14, „ i� Qualified lrfWestchdster County My Commission Expires October 14, 20 6/23/2022 STATEWIDE • 1:1office@swisny.com Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village t Zip Township County Address Cross Street Section I Block j FLot Owner Name/Address(if different than above) '-4. ! 1 . Contact Number ❑Basement 0 1st FI. ❑2nd FI. ❑3rd FI. ❑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) Cocktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground J0 New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information p EC EN E AUG 1 1 2023 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT ThKapokatiod'is valid for one(1)year from the date received by 5W15.This application is Intended to cover the above listed items to be inspected,If at any time of impaction 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 InWKtkm company,The applicant,owner or authorized agent agrees to all the above temp and conditions as set forth for the application. Inspector Date Finalized Inspector Company Name Date Signature Address City/State i Zip C License# Phone# D E C E N E I State ID Wide Inspection Services 1080 Main Street SEP 11 2023 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BU!I_DING DEPARTMENT Email: office Cd)swisny.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: Zaccagnino Electric Salvatore& Rosalie Oddo Angelo P.Zaccagnino 20 Brook Lane 81 Maple Avenue Rye Brook, NY 10573 Rye, NY 10580 Located at: 20 Brook Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-180 135.65 1 3 Certificate Number: 2023-6487 Building Permit Number: BP23-138 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: 20 Brook Lane, Rye Brook, NY 10573 The First Floor 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 8th Day of September 2023. Name Quantity Rating Circuit Type Single Gang Blank 02 GFCI 02 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. ;. ■ ■ N O ■ a °O00z N y aON z W en w � � °� tn z Q w ,� x ■:. No 0 Lr) o a ■ zLn � � � �- � x W w z ►-a VD Well w p x 00 ., oo �.y H z Q F O w 0 V '. o ° in z to i W Z � cl, z M Q owv z (� A � � N Q Q a W ' 00 zz � o i z IN cv a a o , p EcM `E &or BUILENT AUG 2 2 2023VIL OK 938KINNY 10573 VILLAGE OF RYEBROOK (914)939-5801 BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION C�y�l FOR OFFICE USE ONLY BP#: �3_J 3 PP#: t�3—0 / Approval Date: A G G Permit Fee: $ cp -05__T'6 Approval Signature: Other: ! Disapproved: (tees are non-refundable) *****************p******************** ********************************************************** 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 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: 20 Brook Lane SBL: �. & —1_3 Zone: /C— 2.Proposed Work: PLUMBING WORK FORKITCHEN AND BATHROOM FIXTURES IN SAME LOCATION 3.Property Owner: ROSALIE ODDO Address: 20 Brook Lane Phone#: Cell#: 917-683-1455 email: ALIEODDO@HOTMAIL.COM 4.Master Plumber: Salvatore W Morlino Address: 1 Bonwit Road Rye Brook NY 10573 Lic.#: 725 Phone#: Cell#: 914-260-1592 email: salvatoreserious@gmail.com Company Name: Westchester Plumbing & Heating Address: 1 Bonwit Road Rye Brook NY 10573 INDICATE FIXTURES& 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 Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 1 2. V 2nd Floor 3 Floor 4 Floor S Floor Exterior 5.*List Other Equipment/Provide Details: INSTALL NEW FIXTURES IN SAME LOCATION Notarized Signatures Required Next Page -1- 2/26/18 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Salvatore W Morlino ,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 Contractor 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 19 Sworn to before me this 19 day of AUGEST ,20 23 day of AUGEST 2023 hA Signature of Property Owner Signature of Applicant I ,.1 R b s C�;L 1i t o U'A D Salvatore W Morlino Print Name of Property Owner Print Name of Applicant Notary Public NYO Notary Public .a too.$IM000 This application must be properly completed in its entirety and must inclu4bikudda 0 the legal owner(s)of the subject property, and the applicant of record ii'thee spaces, 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- 2/26/18 BUILD MENT nD VIL OF R OOK 938 KING ET RYE BR ,NY 10573 AUG 2 2 2023 4 � VILLAGE OF RYE BROOK BUILDING DEPARTMENT ******************************************************************************************************* 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: ll 1 i ,i, ��S L l i° OJAD , residing at, &Ook (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; k k�q , Rye Brook,NY. (Job Addre ,) 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 Property Owner(s)) k � (Print Name of Property Owner(s)) Sworn to before me this /y gf�!t�Tt�M(?f OW� York of �—�P , 20 2 3 Nam+p ��e1 W.p1i+60" audaed In (Notary Public) -3- 8/12/2021 Building Permit Check List&Zoning Analysis Address: SBL: Zone: 61'\0 Use: 'c Const.Type: Other. Submittal Date: eviisiions Submittal Dates: Applicant: � 00. 0 Nature of Wor 1 V 'C -600�- A. Ce Reviews:ZBE A_U G 0 7 ` PB BOT: Other: )QED 9K � /��.oJ'f� (•�( 4--+TES:Filing. 1 C C/O: Flood Plane: Legalization: ( ) (�APP: Dated: Notarized: SBL• Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening- ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed Copies: Electronic Other. (�( ) License: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: 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. ( ) ( ) 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: REQUIRED EXISTING PROPOSED NOTES APPROVED A cir Date: Fri F� Lido: Main CP Ash Ft.H/Sb: Sd.H/Sb: -GFA. ToL In E Imv: HAS /stories: notes: L.k (Q (`I S�zn C tQC rnU<.� �. r M \\J SQ ZU c (.- w i Laura Petersen From: Laura Petersen Sent: Friday,August 11, 2023 10:18 AM To: rosalieoddo@hotmail.com Subject: Building Permit Application - 20 Brook Lane Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $360.00 (due once permit is issued and ready for pick up) 6. Legalization fee $2,400.00 (due once permit is issued and ready for pick up) Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 1Petersen(a- ryebrook.org 1 Laura Petersen From: Rosalie Oddo <rosalieoddo@hotmail.com> Sent: Tuesday, August 22, 2023 2:32 PM To: Laura Petersen Subject: Re: 20 Brook Lane - Building Permit Application Hi Laura. I just spoke to Steve, The contractor that did work on my home is FCM contracting, I just found out they went out of business. I will pay the fee,for the permits please let me know how to go about sending you the money. Thank you Rosalie. Sent from my iPhone On Aug 15, 2023, at 8:59 AM, Laura Petersen<LPetersen@ryebrook.org>wrote: Good morning, Please advise the Building Inspector who the general contractor was that performed the work at your residence after the flooding in 2021. Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 loetersen cD[yebrook.org 1 Farmers Farmers Property and Casualty Insurance Company 1012712022V Platinum Homeowners Declarations ST 31 Policy Number. 2624236740 COMBO Page 1 of 3 Policy Term: From 01/01/2023to Renewal Effective Date: 01/01/2023 01/01/2024, 12:01 A.M. Standard Time at the location of the property Bill To: Mortgagee insured as stated in the policy. Named Insured: First Mortgagee: Loan 0102169430 SALVATORE ODDO M&T BANK ROSALIE ODDO PO BOX 5738 20 BROOK LN SPRINGFIELD OH 45501 RYE BROOK NY 10573 The residence premises covered by this policy is located at: 20 BROOK LN RYE BROOK NY 10573 Basic Policy Coverages Limits Premiums A - Dwelling $ 513,000 $ 1,356.00 B - Private Structures $ 102,600 C - Personal Property $ 384,750 F - Personal Liability: Each Occurrence $ 1,000,000 $ 43.00 G - Medical Payments to Others: Each Person $ 10,000 $ 15.00 Loss of Use $ 153,900 Causes of Property Loss Comprehensive Perils Building Property Loss Settlement Coverage A Plus Incl Personal Property Loss Settlement Replacement Cost on Contents Additional Coverages Personal Injury Coverage Optional Coverages Increased Loss Assessment: $250 Deductible $ 25,000 $ 3.00 Increased Coverage on Trees, Plants and Shrubs $ 4.00 Back Up of Sewer, Drain and Sump Pump Coverage $ 21.00 $50,000 Limit, $1,000 Deductible Ordinance or Law Limit 100% of Cov A Incl Current Annual Premium: $ 1,442.00 Deductible(s) $250 deductible applies to each loss Other Than Hurricane and any other coverage(s) with distinct deductibles noted. $250 deductible applies to each Hurricane Windstorm Loss except Loss of Use Forms and Endorsements: HP1000 0902 HP2200 0902 HP3500 0904 HP4330 0902 HP5100 0105 HP6100 0902 HP7000 0902 HA01 NY 0910 HA05AA 0920 HA1001 0205 HA30NY 0204 NY114A 0413 HF10NY 1207 HF30NY 0902 " MPL 1380-000 Printed in U.S.A.0298 S'31 Farmers Property and Casualty Insurance Company 10/27/202A Farmers Platinum Homeowners Declarations ST 31 Policy Number: 2624236740 COMBO Page 2 of 3 Policy Term: From 01/01/2023 to Renewal Effective Date: 01/01/2023 01/01/2024, 12:01 A.M. Standard Time at the location of the property insured as stated in the policy. Bill To: Mortgagee Newly Added Endorsements: HA06AA 0322 Discounts for the following have been included in the current annual premium: * 15% Home Policy Plus, Including Automobile *10% Off Premises Theft Exclusion Rating Information Territory 56 1 Family Frame Construction Composition Roof Insured DOB 01/08/1957 Built in 1950 Roof Age 19 Years Co-Insd DOB 06/20/1962 Updated in 2001 A 1% Lead Exposure Exclusion Credit has been applied to your premium. Messages Your policy has been renewed. Please read all items shown on this renewal Declarations Page to ensure that you have your desired protection. Inflation Protection: Your limits for Coverages A, B, C, and Loss of Use reflect the construction price index increase of 8.0%. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * THE STATE OF NEW YORK REQUIRES THAT WE DISCLOSE THE FOLLOWING INFORMATION ABOUT OUR FEE IF A PAYMENT IS NOT MADE DUE TO INSUFFICIENT FUNDS FROM YOUR BANK ACCOUNT (NSF FEE) OR IF YOUR PAYMENT IS LATE (LATE FEE): UNDER THE CIRCUMSTANCES LISTED BELOW, WE WILL CHARGE YOU FEES ASSOCIATED WITH THE COST C PROCESSING CERTAIN POLICY TRANSACTIONS. THESE FEES ARE NOT PREMIUM, BUT ARE REGARDED AS AN OBLIGATION OF YOURS INCURRED IN CONNECTION WITH THE PAYMENT OF YOUR PREMIUM THEREFORE, NONPAYMENT OF THESE FEES CAN RESULT IN CANCELLATION OF YOUR POLICY. FEE CHARGES WILL BE SEPARATELY NOTED ON YOUR INSTALLMENT BILLS. NSF FEE - IF YOUR REMITTANCE FOR PAYMENT OF YOUR OBLIGATIONS TO US IS DEEMED NSF BY A BANK, WE WILL CHARGE YOU A $20 NSF FEE. LATE FEE - IF WE DO NOT RECEIVE YOUR PAYMENT OF A BILL AND A NOTICE OF CANCELLATION FOR NONPAYMENT IS ISSUED, A $25 CHARGE WILL BE ADDED TO YOUR NEXT BILL. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * The cost of any coverage indicated as "Incl" is included in the Basic Policy Coverages premium amount. Your policy tier level is 01. This Policy Does Not Provide Coverage for Flood Damage. Your package policy includes a Single Deductible Loss Clause which protects you from paying more than one deductible in the event of a covered loss that affects more than one product. Please read the endorsement carefully for details. Farmers Property and Casualty Insurance Company Farmers 10/27/2022V Platinum Homeowners Declarations ST 31 Policy Number: 2624236740 COMBO Page 3 of 3 Policy Term: From 01/01/2023to Renewal Effective Date: 01/01/2023 01/01/2024, 12:01 A.M. Standard Time at the location of the property insured as stated in the policy. Bill To: Mortgagee Additional Insured/Mortgagee First Mortgagee: Loan 0102169430 M&T BANK PO BOX 5738 SPRINGFIELD OH 45501 For claims, see Claim Directory. Your agency is: PUTNAM INSURANCE AGENCY LLC Tel: 203-967-1550 3AB-494-1 .N �' L NL9QA221028 0 013 047 000036 FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY 10/27/2022 Farmers PERSONAL EXCESS LIABILITY POLICY INSURANCE DECLARATIONS ST 31 POLICY NUMBER: 2624236740 COMBO PAGE 3 OF 3 POLICY TERM: FROM 01/01/2023TO TRANSACTION TYPE: RENEWAL 01/01/2024, 12:01 A.M. STANDARD EFFECTIVE: 01/01/2023 TIME AT THE ADDRESS OF THE AGENCY: PUTNAM INSURANCE AGENCY INSURED AS STATED HEREIN. BILL TO: EXPRESSIT NAMEDINSURED: SALVATORE ODDO ROSALIE ODDO FOR SERVICE OR CLAIMS, SEE THE CUSTOMER 20 BROOK LN SERVICE AND CLAIM DIRECTORY LOCATED ON RYE BROOK NY 10573 THE BACK OF YOUR COVER PAGE. THIS POLICY DOES NOT PROVIDE UNINSURED OR UNDERINSURED MOTORISTS COVERAGE. Y 4�'• F MPL 1668-000 Printed in U.S.A. 1001 ' NL9QA221028 0 015 047 000036 IMPORTANT NOTICE ' PREMIUM SURCHARGE Your premium reflects a surcharge and therefore, is higher than it otherwise would be because during the measuring experience period which applied to your insurance you had one or more chargeable accidents or chargeable traffic convictions under our experience rating plan. The description of our experience rating plan includes a list of events for which we may surcharge you and the circumstance under which surcharges may be removed or refunded. If you have any questions, please see "How To Reach Us" in the front of your policy package for your choice of contact options. As shown on your Declarations Page, the premiums for certain coverages covered by your policy include a surcharge because of the following accidents and/or moving traffic violations: CHARGEABLE ACCIDENT ON 01/06/2022 BY SALVATORE ODDO MPL 1325-031 Printed in U.S.A.0713 Page 1 of 1 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence ••This form cannot be used to waive the workem'compensation rights or obligations of any parry.•• Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ❑ I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. J4 I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. 0 g_�. ? A 3 (Signature of Homeowner) (Date Signed) I I d �, ,- P C S � I f— JL Home Telephone Number 7 �0 Q 3 J/YJ (Homeowner's Name Printed) Sworn t before me this day of Property Address that requires the building permit: U�-�C� �C- ��1.1:) sTMN �. c�►cnort p /� 1</ • p W YOWK V sf`(�'V I\. ( ` 10 51 (Count No. 00011fled In •s COunly My COMMI t bN 14. • Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB