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HomeMy WebLinkAboutRP23-052PERMIT # / ei.3 - QJ/ / / 013 ,p SECTION I3S, BLOCK _� LOT, TYPE OF WORK JOB LOCATION CONTRACTX0j::::o40 iLj�//y! 4elAj2EST. COST - FEEO#FEE DATE �� DATE TCO # FEE DATE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT Cl ALARM m AS BUILT --- FINAL 3a50 ?/4e/)?74 0// 7 OTHER APPROVALS �yE DRn�. J A . 190 c,�Ct a v 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 December 11,2023 Howard Gordon& Susan Gordon 11 Candy Lane Rye Brook,New York 10573 Re: 11 Candy Lane, Rye Brook,New York 10573 Parcel ID#: 135.52-3-25 Roof Permit#23-052 issued on 11/1/2023 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 D E C E� V E t3Rn> For office use only: BUILD �DFP,A�T NT ,�_,2' NOV 2 8 2023 vILLoF.RYE � o PERMIT#-LS�0S< 1 v� ISSUED: 43 38 KING NTRE RYE BRook' E YORK 10573 DATE: VILLAGE OF RYE BROOK �c BUILDING DEPARTMENT FEE:O� FEE: //O— PAIDB[ APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED 014LY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ............................................................................................................................. Address: Occupancy/Use: L_ Parcel ID#: 135, 2 - 3 2 S Zone:�— Owner: LAn kip Q ISO S&l (__2(f_.0N Address: I I f N))q (=jftLg P.E./R.A. or Contractor: M VINt 1 22Q h,01N&6YP—P Address: 1C) _Pft� R—Dt 5AU FW,CT 069o3 Person in responsible charge:(' j,s 5CR'f---0 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: ,!SJbSJAJ� J�OQ being duly swom,deposes and says that he/she resides at I I G{�'N�( •(,fA(NE (Print`(Name of Applicant) (No.and Street)Mt- in mho v_ ,in the County of wt�;TC f-t-e i-a�= in the State of N y ,that (Cityfrown/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 980o. `'10 for the construction or alteration of I' P L1�C U,I `T O�7- 9-00T7 I IJ(BL S 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 orpart 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 Z.2 Sworn to before me this day of +���� 2023 day of , 20 Signature of Property Owner Signature of Applicant Print Name of PropertrSCHEINEFR Print Name of Applicant Notary Public-L E ET Notary PublicNOTAIRCYYPUBL YORK No.02SC6361364 8/12/2021 Qualified in New York County My Commission Expires 07-10-2025 QyE BR(��. t7 1982•� BUILDING DEPARTMENT BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street . Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - -.-- - ADDRESS : 1 � 1 Ll' �}��� I ��X DATE: PERMIT# �d V �' ISSUED: SECT: ' �� , LOCK: LOT: LOCATION: OCCUPANCY: 'L ❑ 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 : 'n C9 o d ti O a) ` w 66 A � � � ai �, � o s m� w IM�1 ■ Ln G eA o c W ..' M ti u OLr)o x QA � U0 0 A � � W Ln N H en 0-4 en CN 00 N z zoL ° ww rr ❑ c� O ° V 1■� F� r Q V . O w � z o A Av � � � � ' M CN ON 00 �+ U � aC � o 'SvA, O W100 a : ❑ �' c7 � � � � v � 0 O p V F ° > m O o a° a �a UoFO � W p Z z 0 � O p � p V 28 � � V c�a A z O � vo N T-4 Z p4 w F o C 1� � a W z � 4 -0 BUIL MENT V :RYE E OK OCT 3 0 2023 938 KING R _ NY 10573 ' ' VILLAGE OF RYE BROOK k:or BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: 0 cr it# Ste: Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: • ZBA Approval Date: Case# Other: Application Fee: ��0"�� Permit Fees: 'gjso- ROOF PERMIT APPLICATION Application dated:103o-e.)3 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.. Iovs 1. Job Address: t 11 `Q L 6co SBL: 135, �a - � Zone;/��—f j Property Owne�r: c A:15G 4 1-#t71A7�G r Address: Phone#: q/(I- r ,37 3as Cell#: email: ©AA,- I 2. Applicant: (2114US_d!�CtE(4= Address:Phone#: Cell#: art '?'I d('- © (l77 email: _ Ce 0AAA 3. Roofing Contractor:.yt t,., sA wy.,� (,rv7p Address: 4-19 1), � , �-�etw � 6 o3 Phone#: Cell#:�.9►4, 774-of 17 email: Seel rJ i&oUd - Go m 4. Job Description,list all Methods&Materials: "Woc e-L., r o o� S1 I WI_L. S- Twabr,✓l" t1tyd,.,,�tc-�+rea 5 .J WI' tut91�4 ,zlA ...Ia 4 m.0.1 i", 5. Estimated Cost of Job:$ AM.0 O (No 11:The estimated cost shall include all sit: improvements_labor,material.scf olding, fixed equipment,professional fees,and material and labor which may be donated grabs.) 6. If comer property,indicate street frontage: 7. Construction Type: PV`Q vkfA NYS Construction Class: 8. Number of stories: Z Height: 216 I 9. Is garage being re-roofed:No:(Jf•Yes: ( )Attached No:O•Yes: (4Number of Cars: Z. 10. Is roof peaked,hip,mansard,flat,etc: Vt"kal 11. Estimated date of completion: 0oy 20-1.3 4- 61112023 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. *x��x�**��xKxxxxxxxxxxxxxYx;�xxxxxx�Rx��x��irrxxxxr����x�xzTx�x�xxxx*r���*�****xx�xxxxxxx�xxx����xYxrxxx�x STATE OF NEW YORK,COUNTY�F WESTCHESTER ) as. r e!o ,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 2� Sworn to before me this 0* day of , 20 day of �z ,M2,3 .,8, tit r I., Signature of Property Owner a o lic fiom Print Name of erty wner ame of Applicant / \,\, h Notary Public Notary Public VX/ KYLE ETHAN SCHEINER SHARI MELILLO NOTARY PUBLIC-STATE OF NEW YORK Notary Public,state of New York No.02SC6361364 No,01ME6160063 Qualified in New York County Qualified In Westchester county My CommiselaftExpires47�-11A-2�� commission Expires January 29,20� 611/2023 Optimum BLAkAng Corp Estimate 429 Den Rd Stamford,CT US chhs.scelf@gmail.com ■ Building Corp ADDRESS SHIP TO DR. HOWARD GORDON DR.HOWARD GORDON HOWARD GORDON HOWARD GORDON 11 CANDY LANE 11 CANDY LANE RYE BROOK, NY 10573 RYE BROOK, NY 10573 ESTIMATE# DATE 1023 10/20/2023 SERVICE DESCRIPTION CITY RATE AMOUNT Services Removal of existing roof shingle 20 100.00 2,000.00 Services Install 20 square of GAF Timberline architectural 20 250.00 5,000.00 shingle Materials Supply 20 square GAF Timberline Weatherwood roof 20 125.00 2,500.00 shingle Services Includes, supply&install ice&water shield 6'from 1 0.00 0.00 overhangs,install all appropriate flashings. Services Supply 1 Dumpster 750.00 750.00 Clean up of all debris on property and leave broom clean. Rotted plywood will be replaced at 75.00 a sheet,and will be additional charge to the homeowner. Owner has the right to cancel this estimate within 3 days of acceptance. All work is warranted for one year from completion. Rotted plywood will be replaced at 75.00 a sheet,and charged to the homeowner. TOTAL $10,250.00 Accepted By � Accepted Date N C CCS It 8. - Cn L s T +f og ;$ •� o CD ig •n f a O to .a W C Cl / cr O 1- YEQ, / O � m y W iC aW � L I Y ,U Eo L� ' l ® DATE(MM/DDIYYY`n ACOREP CERTIFICATE OF LIABILITY INSURANCE 05 30 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(iss) 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 Ileu of such endorsements . PRODUCER CONTACT NAME TONY CIRINO Anthony Cirino PHONE HA„ :a. (8601329-0103 FAx N01; (860)620-0504 426 North Main StreetpRess: Insguyeaol.com Southington,CT 06489 _ INSU AFFORDING COVERABB NAIL B INSURER A: UNITED FARM FAMILY INS COMPANY 29963 awe - INSURER a: FARM FAMILY CASUALTY INSURANCE ass titre OPTIMUM BUILDING CORP INSURER C: 70 PROSPECT STREET INSURER D: PORT CHESTER,NY 10573 INSURER E NY 10573 1 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. INSR TYPE OF INSURANCE Pi OLICY NUMBER POLICY EFF VOLJCY EXP LIR LIMITS _ - X COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE f 1 000 000 CLAMS-MADE a OCCUR PREMISES f 100,000 MED EXP(An ors person)_ f_____ 5 000 B _ Y Y 3101L6417 02/e1/M3 02/011/20e4 PERSONAL i ADV INJURY f 1000 000 GENt AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 2,000,000 X POLICY �- ❑LOC PRODUCTS-COMProP AGO f 2,000,000 OTHER f AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT t) _ f11000.0m ANY AUTO BODILY INJURY(Per person) f OWNED A AUTOS ONLY X �OSULEO 3101 C7984 O2/O1Ro:2 112/e1/te24 BODILY INJURY(Per swill o f XHIRED V NON-OWNED PROPERTY DAMAGE f AUTOS ON[Y /� AUTOS ONLY { {UMBRELLALIAS OCCUR EACH OCCURRENCE EXCESS W IdB CLAIMS-MADE AGGREGATE f TOED T RETENTION If WORKERS COMPENSATION PERT AND EMPLOYER!'LABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE f "—desmbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.AddMonal Remarks Schedule,may be attached If mars space Is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED ON GENERAL LIABILITY 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 ©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 (RENEWED) a o ^^^^A^ 133887956 OPTIMUM BUILDING CORP go 429 DEN RD19 STAMFORD CT 069033811 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER 128 SOUNDVIEW OPTIMUM BUILDING CORP VILLAGE OF RYE BROOK 429 DEN RD 938 KING ST STAMFORD CT 069033811 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1478 260-1 814511 04/09/2023 TO 04/09/2024 6/2/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1478 260-1, 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:HWWW.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. CHRISTOPHER SCELFO-PRESIDENT OPTIMUM BUILDING CORP ONE PERSON CORPORATION 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 7 �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 398236357 U-26.3