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RP23-047
PERMIT #/�-D / DATE:/o / SECTION BLOCK LOT OTHER APPROVALS TYPE OF WORK / ,�7 / •� ARB BOT JOB LOCH ON 2 / 2 39�1` p8 OWNER / uJCl/ rg/y c�'LI 8 �88 ZBA CONTRACTOR / hIQ� ` OTHER EST. COST c FEE N/CO # FEEA iI - P16DATE v� TCO # FEE DATE.. DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS L� SPRINKLER ELECTRIC O LOW -VOLT O ALARM O AS BUILT 0 FINAL INSP QyE DR V �7. 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morhno CERTIFICATE OF COMPLIANCE October 26,2023 Cory Schwartz& Emily Schwartz 8 Pine Ridge Road Rye Brook,New York 10573 Re: 8 Pine Ridge Road,Rye Brook,New York 10573 Parcel ID#: 135.41-1-20 Roof Permit#23-047 issued on 10/17/2023 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 p EC EME i �2� For office u nl DBUILDING&k1 RTMENT PERMIT# J --0'17 OCT 2 4 2023 I VILLAGE OF RYE BROOK ISSUED:j O/7—�3 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:/0 VILLAGE OF RYE BROOK (914)939-0668 FEE:_4_/ PA Ik BUILDING DEPARTMENT wwmaebroolLorg 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 wwrrrw►►r►rw►r►rr►►rr►►►►r►►r►►►►►►►►►►►►►►prr►►►►►■r►►►►r►►♦►rrr►serrrr►r►rrwwrwwrrr►►►►r►►•►r►sr►rrrr►►►►rrr►►rerr►rwrwwwr Address: !E 21-1/f— Occupancy/Use: Parcel ID#: Zone: c�- Owner: � kA rt,�j 1� Address: 'K ?n„r— P.E./R.A.or Contractor: Address: C i i4- 'PeUL Ayr, Person in responsible charge: �,�1 a.,�5� Address: 6 f .4 ?Ekr— A-\,fE 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: STATEOF NEW YORK,COUNTY OF WESTCHESTER as: 7 f.L4,L`1 <,c being duly sworn,deposes and says that he/she resides at (Prifit Name of A licant) (No.and Street) in Z.� ?Xoo t in the County of LN i:57GN�E S i]F rZ in the State of � ,that Tt' (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:$ 1,157, 6 for the construction or alteration of Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this -V Sworn to before methis 6 day of 04���� 20 ,41) day of QGr•6'c o , 20 2 Signature of Ptopeny_Owner of Applit�at i-tLl- 1 SG*-Iwaat2 6�=, Sc Z Print Name of Property Owner Print Name of A�ppliccant ---- A jo Joanro c N Public eta Joanne Costantinl Notary Public, State of New York Notary Public,State of New York No.4960016 i' No.4960016 8/12/2021 Qualified in Westchester C o niv Qualified in Westchest r ou tys Commission Expires: � T'3" _ Commission Expires:yI / j �yE BRCv�, '9a2 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: a'2 - �j� PERMIT# _� J ISSUED: I I SECT: BLOCK: LOT: LOCATION: \ - n OCCUPANCY: i. ❑ 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 = O N t4 W v 1 \ o � x O X L W , z q > O w O A z a ;14 le'no co H 00 O000 O 0 w o �i w ~ _ Z z a z �, A A U 8 (> a O V W ' o x � oo F' Uz � I Q, x O �t �' z w � bvZ o bCv0 V%I` z Q O x d z W dt C, 0 0.0 00 A oyM .� � z c CFO- CA W V y ii, � ry JD BUILDING DEPARTMENT R CENCOCT 17 2023 VILLAGE OF RYE BkOOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0: BUILDING DEPARTMENT FOR OFFICE USE ONLY: ••�� ` =1 7 : Approval Date: OCT, 1 Z0tIermit �/ Application# PP Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ,p Applicatlon Fee: Permit Fees:,#c�pp ROOF PERMIT APPLICATION Application dated: 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: '� P,%,f, z_ jc� c) SBL: Property Owner; Co x!7 S GN w a a--r 2 Address: 3- iL Phone#: 51 • -(a Cell#: Sly � email: 2. Applicant: ' .�� SG��► �e s� Q �/>v` �C iz E jam,rL Phone#: .5 Yv-3�L`I- Cell#: email: —� 3. Roofing Contractor: &jj:"/ Address: G 1 `7�,7s-y Phone#: C 1 Ll--G 7- 04t'7 I Cell#: email: 4. Job Description,list all Methods&Materials: _��,�,�A-L a'r ,� ��j�. - �f►a-r AEA t 6 fl r 5. Estimated Cost of Job: $ 1 [ LSD O (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: jjt yr 7. Construction Type: AL7,Qof NYS Construction Class: 8. Number of stories: 15 r rz 4'ME. Height: 9. Is garage being re-roofed:No:( )•Yes:(Attached No: O•Yes:( )Number of Cars: 2 10. Is roof peaked,hip,mansard,flat,etc: r'p 11. Estimated date of completion: �• W iCCc-, -w-f f -1- 6/1/2023 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. xxxxxxxxxxxxxwwxxwwwxxwwwxwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwxwx*xwwwwxwrwwwwwwwwx 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 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 / Swom to before me this / day of ` , 20 day of OC�`l r/ , 20 2 3 r� o . Signature of tgnature of Applicant +��'�yl �Y►W�l� 1f�}'r SIC L I�r�!-tr�SZ'-+ - ��t-rALUs �o.+�+`C7 Print Name of operty Owner Print Name of Applicant —U-1 <�6L 4/1 Not&7y Public NowPublic Joanne Costantini Joanne Costantid Notary Public,State of New York Notary Public, State of New York No.4960016 No. 4960016 Qualified in Westchester C un ©ualified in Westchester C u t Commission Expires: JX VS Commission Expires: /� -z- 61112023 �—— Page No. of Pages / - Proposal RELIA- -4-7 ROOFING CO., INC. 61A PECK AV-- RYE, NY 10580 (914) 967-0871 Pat Dempsey - Owner Armonde Remertz '.ief Of Staf; --- PHONE DATE PROPOSAL SUBMITTED TO' �^ � 2 Z 3■ 1 y C. JOB N E STREET L S I Ma ' 4 JOB LOCATION „ CITY,STATE and ZIP CODE / JOB PHONE ARCHITECT '+ DATE OF PLANS 11 We hereby submit specifications and estimates for: 1 18 T7 -f'rLla We prapUg' hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: Payment two be made as f dollars($ follows: L All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.Our Note:This proposal may be workers are fully covered by Workmen's Compensation Insurance, withdrawn by us if not accepted within days. Arreptcarire of Proposal—The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature _ iN 9G biur VVUHR Ull9tff \ / OJ' >>� DULY ISSUED BY THE u BUILDING DEPARTMENT, VILLAGE OF RYE BROOK, NY 938 KING STREET, RYE BROOK, NEw YORK 10573 • (914) 939-0668 • FAx (914) 939-5801 • www.ryebrook.org YOU ARE HEREBY DIRECTED TO STOP ALL WORK AND TO OTHERWISE CEASE & DESIST t ALL UNLAWFUL USE OF THIS PROPERTY/PREMISES AT; UZ) , RYE BROOK, NY, t ,L u DATE ISSUED: `O �\V -I � IME ISSUED: 1 4 u e 0 / ,kJrM./P.M.) PERMIT IwNER- (\��.0 [ADDRESS& PHONE: VIOLATION #: (/ En�,iLDING INSPECTOR ASSISTANT BUILDING INSPECTOR ) CODE ENFORCEMENT OFFICER y `'t r lj� L, / I Aso k A gtis` N / r • f� C d O U O w Z c = = a Gz u')40 LO z Q w c E A O � a Co 00 C cuui W V ° a � o � Q 6Lml O .. Z Q - L- O 3 � � o O 3 > ;x) �/ �j F lil o i (C-• W � � � � �` LVi7 I+I oo Qr o m a i O d 'N W C7 v FBI ON V LLJ Q M Q O a mm = y v Ua F�1 MCn ....,.� N J 0 Cl ~ L (n c W W cc Aw 0 I _7 o ,� s � R W 0o w m M c, -a O `U E 0 W �J� w c 0 .0 Q U- F It- CN o O ' �Y � E c' Z� ! h U O c w, ` 0 y as .La. c�, w V] ri ' O y C O > U oQo a o�ection ULN }��i ��•r Z j o � E ¢ S� Go Y Z °U' w v ui Vw 3 o,.G �. CD 4-0 J o �� 2Q w c Z '�_ X � a 3 = 72 i c _ e F � JCD d _ � U VUi RELIROO-01 ZASAD ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 10/16/2023 10/16/2023 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 TACT E:_ Keep Insurance Agency PHONE J FAX 27 Cleveland Street AID,No,Ed):(914)220-1400 A/C,No:(914)220-1440 Valhalla,NY 10595 Name INSU S AFFORDING COVERAGE NAIC A INSURER A:Evanston Insurance Company 35378 INSURED INSURERS: Reliable Roofing Company Inc. INSURERS: 6 Peck Avenue,Apt 61A Rye Colony Apartments INSURER0: Rye,NY 10580 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II.NSR TYPE OF INSURANCE ADDL SU POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 111 1,000,000 CLAIMS-MADE FX]OCCUR 3AA641542 2/12/2023 2/12/2024 DAMAGE TO RENTED 100,000 PREMISES(Ea o=111111:190 $ MED EXP on. 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: 2,000,000 PRO GENERAL AGGREGATE $ POLICY ❑LOC PRODUCTS-COMP/OPAGG 111 1,000,000 OTHER. III AUTOMOBILE LIABILITY COMBINED SINGLE LMrr (Ea accident) $ ANY AUTO BODILY INJURY(Per OWNED SCHEDULED AUTOS ONLY AUTOS SSyyryEp BODILY INJURY aKaociderit AUTOS ONLY AUTOS ONLY tllr: iderd GE UMBRELLA LIAB OCCUR EACH OCCURRENCE III EXCESSLJAB CLAIMS-MADE AGGREGATE DIED RETENTION$ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS'LIABILITY YIN A ER ANY PROPRIETOR/PARTNER/EXECUTIVE FICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT andatory in NH) H yes,describe under E.L.DISEASE-EA EMPLOYEE III DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT III DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Proof of Coverage Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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 O f � J � ^^^^^^ 132568313 KEEP INSURANCE AGENCY 27 CLEVELAND ST VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RELIABLE ROOFING CO INC VILLAGE OF RYE BROOK 61A RYE COLONY APTS 938 KING STREET PECK AVENUE RYE BROOK NY 10573 RYE NY 10580 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 503 638-9 810977 09/28/2023 TO 09/28/2024 10/16/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 503 638-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://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 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 STAT SU NCE FUND T 4/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 266020298 U-26.3