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HomeMy WebLinkAboutMP23-140 t'utl J�v . 19 Ll��o voY; VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 26,2023 Rocco Lofaro& Francesca Lofaro 155 North Ridge Street Rye Brook,New York 10573 Re: 155 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.51-1-48 This document certifies that the work done under Mechanical Permit #23-140 issued on 9/21/2023 for the removal of an above-ground oil tank and the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC�k 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 :- V Q C1` DATE: PERMIT# ` v J ISSUED:SECT: BLOCK: LOT: LOCATION: �y1 1� t J y 1 t��U�� OCCUPANCY: ❑ 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 a s a O � a v Q��I CUOO : �--i fn iK p W a_ O a H A - o v v oorn W 3 FBI et M _ i 00 A y � � � y v u � W bALO W s O ~i o aC�c V. C a F-� O g v _ pr U � ��,.5 19 o � � '� rn N W � 00 o o O o IL F- Q) v •' ICI ON � O U c°� Z � b a � c w04 W k �00 N 4a ~ � h�I U o $ FLI U U U1.0 QI v � H a304 z ,� � x Ln Ln O w a o z w O A C) a _ r-+ Cl) r•+ k+ Q' 'u e p = rI A aw, z d w O � � ov U a04 U 9 a BUILDING DEPARTMENT , VILJET E OF RYE BROOK SEP 2 0 2023 938 KING RYE BROOK,NY 10573 (914)9 21)939-5801 VILLAGE OF RYE BROOK PITLDINCJ IDEPA.RTI�AEN i+ Application for Permit to Remove, Abandon and/or Install Fuel Storne Tank_ (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT #: Approval Date: 3 Pennit Fee:$ �S 70 Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C105.2 or Form# U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal,Abandonment,or Installation: S 185.00 per Tank. 5. Dig Safely New York#(dial 81 1): 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests& Reports(after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. Application dated, 9-1? 2- ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State& Federal laws,codes,rules and regulations. Indicate Permit Tvne: Installation W.Removal Z-4-Abandonment( )/Above Ground Did' Buried in Groun I. Address: /Y / • /` 11yo ST I e 8rW)C- _SBL: IJ 7 " Zone:jJW1 v 2. Property Owner&Address: RP C cy L D-I ar p g Phone#: /ly L-&3 9S,2 Q Cell email: Frcin CO q 6 rO 6)4 mc1;1.C 0 tyl 3. Contractor&Address: !11 Yl0_U '►/1(/lI'1/1l i�fi ?�� CU'lUm bus Aye Val 4 J/ ,, N Phone#: / & Cell#: email: r l Am 4. Applicant: ROCCO L of6tr0 l Phone#:_T/q 21e3 q6�(? Cell#: email: fr6n!D1aro Q GM�Id I 1+r6m 5. Indicate Fuel Type: Fuel Oil O•L.P.Gas( )-Gasoline( )-Other( ): 6. Number and Capacity of each Tank: 2 17 c)a4A f 1 n h ST- 7. Exact Location(s)of each Tank: L21)GSe o_txi 0-+ h 0 ME? t 6/1/2020 STATE OF NEW_DRK,COUNTY OF WESTCHESTER ) as: .Conn l -��� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as t e a licant) and further states that(s)he is th egal owner of the property to which this application pertains,or that(s)he is the C U11 -�r&c t'O(' 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 t before me this `u Sworn to before me this day of �l ,20 Z�J day of 20 ignature of Property Owner ignature of Ap icant rint Name of Property Owner int Name of APplica t 1 kk-L NA A I riv, Public NORINE MEYER NORINN MIM rY Notary Public,State of New York Notary Public,Steiq of New YO* Lic.No.01 ME6130833 Lic.No.01ME61308M Quallfled in Westchester County, Qualiiled in WestChJ Cou Commission Ex r u L? commission Expires July 25,20 n must be properly comple Ire y an r 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. 2 6/1/2020 m 91 ry Inst��► of 27S ►aS-( �rKc oC at1 M ti �L? O T- z L N J-0 N O t U V- O a LID z Standard n Standard oil tank with strong welded lap joints `l SAFETY Bottom outlet configuration allows for natural elimination of water build up from condensation DURARRITY Electrostatic powder coated paint Made of robust material PEACE OF MIND 10 years against manufacturing defects('See warranty certificate for details.) Contractor friendly.trouble-free installation a Product 8 capacity Model Gauge Dimentsions 209101 120 Vertical 12 47'/23"/30" 170 208101 138 Vertical 12 44' 27'/30" 160 208601 138 Horizontal 12 27'/44'/30" 160 207101 220 Stubbies/Vertical 12 44"/27'/48' 220 203201 G 230 Thin/Vertical grey 12 44'/22'/60" 235 203701 G 230 Thin/Horizontal grey 12 22"/44'/60" 235 202201 240 Narrow/Vertical 12 47'/23'/60" 265 202701 240 Narrow/Horizontal 12 23'/47'/60" 265 vertical 12 4-127-/6V 255 204701 275 Horizontal 12 27"/44"/60' 255 211201 275 Vertical 10 44"/27'160' 330 211701 275 Horizontal 10 27'/44'160" 330 205201 330 Vertical 12 44"/27'/72" 290 205701 330 Horizontal 12 27'/""172" 290 4 INNOV.l TIVE ENVIRONMENTAL SERVICES INC . April 1,2024 Village of Rye Brook Building Department 938 King Street Rye Brook, NY 10573 RE: Rocco Lofaro 155 N Ridge St Port Chester MP-23-140 To Whom It May Concern, This letter is regarding the work performed at 155 N Ridge ST, Port Chester in accordance with permit#MP 23-140. Innov8tive Environmental Services (IES)was contracted by Rocco Lofaro to remove (1)275 Gal Aboveground Storage Tank(AST)from the basement of the home and install(1) 275 gal AST in the same location as the removal. IES began the removal process October 18,2023. IES pumped 15 gallons of waste oil and sludge out of the aboveground tank. A liquid waste manifest is attached for your viewing.The AST was then cut and cleaned in accordance with DEC regulations.The tank was found to be free of any breaches or contaminants. An inspection was performed by the Village of Rye Brook building inspector,where it was determined that the scope of work was completed in accordance with the current regulations.The tank was then removed from the premises and recycled at Brookfield Resource Management, Elmford, NY.A scrap tank ticket is attached foryourviewing. At this time, IES is requesting closure of permit#MP-23-140.Please advise if any additional information is required. Thank you, 1 Donnie Feeney Innov8tive Environmental Services Innov8tive Environmental Services Inc. 392 Columbus Avenue, Valhalla NY 10595 serviceCcD-innov8enviro.com 1 (914) 449-6608 www.innov8enviro.com PAYMENT RECEIPT Brookfield Resource Management 100 Lamont Street Elmsford NY 10523 914-592-5250 Recelpt:1827961 Customer:69802 �ate:10/18/2U23 Time:3.19�09 pM INNOVATIVE ENVIRONMENTAL 392 COLUMBUS AVE VALHALLA, t-JY 10595 ID Number: Ticket:1880025 Weigh III:PM18/2023 3:06:50 Operator:Romy C Weigh Out:10/18/2023 3:1906 PM \ 92468 FORD BOX Commodity Gross" ' Tare Net Price TOTAL$ Tanks 11,960 11.560 -------------------------- 400 2.2300/CW 8.92 ----------------- Ticket Total: 8.92 No.of Tlckets:1 Payment Method:EZCash BZCasIj Paid: S9.00 Round Amt: $0.08 Total Pald: $g. For current pricing,flours and contact Information check us out on the web @brookfleldecrap.com Join Brookfield Scrap on Facebook @Webuyscrap NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1 Generator's US EPA ID No Manifest 2.Page WASTE MANIFEST I Document No. 1 Of 1 3.Generator's Name and Mailing Address �cco Lo�aYo 4.Generator's Phone 8Ybkl 1r— 5.Transporter 1 Company Name F 6. US EPA ID Number A.State Transporters ID Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 0.Transporter 1 Phone 914-449-6608 7.Transporter 2 Company Name A US EPA ID Number C.State Transporter's ID D.Transporter 2 Phone 9.Designated Facility Name and Site Address 10. US EPA ID Number E.State Facility's ID Water Works N Y D 9 8 6 9 0 8 0 8 5 77 Stewart Ave F.Facility's Phone Newburgh, NY 845-561-4111 11.WASTE DESCRIPTION 12. Containers 13. 14, Total Unit No. Type Quantity WL/VoL a. Non RCRA, Non DOT liquid (Oily Water) 1 T T /� Gallon G b / E N E R A T O W R d. E— U) ' G.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above D 0 AQ� ' 15.Special Handling Instructions and Additional Information Z Approval 0 Z 16.GENERATOR'S CERTIFICATION:I hereby certify that the contents of this shipment are fully and accurately described and are In all respects in proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. Date Printed/Typed Name SigrJ1 1111 ro Month Day Donald Feeney Year - As Agent for T 17.Transporter 1 Acknowledgement of Receipt of Materials R Date A Printed/Typed Name Signature Month Day Year N Sean Penelle s P O 18.Transporter 2 Acknowledgement of Receipt of Materials Date R T Printed/Typed Name Siyna;t'ro Month Day Year E R F 19.Discrepancy Indication Space A C 1 20.Facility Owner or Operator.Certification of receipt of the waste materials covered by this manifest.except as noted In item 19. L Date T PrintnntTyped Namo Signature Month Day Year Y ,fA' FANIM.n. 10 �i►cl �y�►/►'�1j / , r;y'►'►h; ! 4,4►1',1�' � ¢�j ,h►PP{I% � '►q', ►'►►►', f )> e�??.��{1"-��t��e�y ^':.111�{,I 3oe:t',?'%gyal�.111�i�13+a3 €%a s•1�11�111�4j$a �itis3`'�`1���11 :_!tv"I��I��V J�,:�t%';'nlll�{Y MWw C<(ri�)>m,. •nd„ •,� ham„ � �l ca nz I y CIS / O cr r••1 Z sr � V 4� r « / �., ] a v� W U w M to Z 0 00. x{:• 1 a�e00 ctionCA •= Ly \ •. a,�„c rt�• W�1 rO� I� O � Q a�i L3.Wed � , �k,�: i s 4" C� G� H w`cifs�s�' • III � � � •� � ;,. •:�,. \ ti co \ � v 'o 00 times ` a&" ��''% • ono d .� O � M '''��. \ '.J' C / ,�<O)> rk,-. . 1..►1 .1j.. .t'•t £ ..o=+ 1 it 1 ' t..z �•i •"11 1 1 +'-•� Y' 1 1 '++ 1► 1 a �,.1 «O> Iy��,�/1,11 3 1�►��►Vfl tt-€>��{ Itili,►►►��1" 1.►�►ii��l !`! I�i�►�►�i,�l ,ri�ilj • A*\ ♦♦ /► S// .i, i�j�.A�.l� 'lµ N.1 e,:�r'�^ /1/ gj1P A• „ + A11 A ,il' ♦/ ^ •3 .. `.0-21Wice ' 1 DATE(MM/DD/YWY) CERTIFICATE OF LIABILITY INSURANCE 2/8I2023 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 NAME: EVlta Dermanis Mt Pleasant Capacity PHONE .914-205-7682 ac No:914-205-7682 P.O. Box 1689 EMAIL Pearl River NY 10965 ADDRESS: Evita.Dermanis@mtpeap.com INSURERS AFFORDING COVERAGE NAIL• INSURER A:Century Surety Company 36951 INSURED INNOENVI INSURER B:Pr ressive Casualty Insurance Company 24260 Innov8tive Environmental Services Inc. 392 Columbus Ave INSURERC: Valhalla NY 10595 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:16166041 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 ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MWDDIYY LIMITS A I x I COMMERCIAL GENERAL LIABILITY CCP1108511 2/14/2023 2/14/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE FK OCCUR DAMAGE TO NTED PREMISES EaEoccurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY D Ca LOC PRODUCTS-COMP/OP AGG $3,000.000 OTHER: $ E AUTOMOBILE LIABILITY 016663983 1/15/2023 1/15/2024 COMBINED Ea accident SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED x SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY STAT Y/N UTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ DUes,describe under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A I Pollution liability CCP1108511 2/14/2023 2/14/2024 Each Claim 2,000,000 Aggregate 2.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) 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 938 King Street Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE � )CcNer� f ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) 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 Tir ^^^^^^ 824703808 J� MT PLEASANT CAPACITY AGENCY 'r z� 1 BLUE HILL PLAZA STE 1689 ■ ' � ❑ .t 1al PEARL RIVER NY 10965 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INNOV8TIVE ENVIRONMENTAL VILLAGE OF RYE BROOK SERVICES INC 938 KING STREET 392 COLUMBUS AVENUE RYE BROOK NY 10573 VALHALLA NY10595 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2455 047-7 370473 10/02/2022 TO 10/02/2023 10/4/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2455 047-7, 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 POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DONALD FEENEY VICE PRESIDENT FRANK MORACO INNOV8TIVE ENVIRONMENTAL SERVICES 20F2 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 SUR NCE FUND T 4/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER. 792990792 U-26.3