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HomeMy WebLinkAboutRP23-049PERMIT #,&2 SECTION /y TYPE OF WORK JOB LOCATION OW N ER CONTRACTOR /A 0019 DATEOZ/o a34 3 r EST. COST O FEE n , �CO # FEE I/O /�1� TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS I� SPRINKLER ELECTRIC 0 LOW -VOLT O ALARM I� AS BUILT FINAL r� fez (9/y)of79- 7s6 tm\ OTHER APPROVALS �yE DR O t w°u JJV 4 JJGC'UJ y J `C 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 4,2023 William Luceno&Lisa Luceno 13 Knollwood Drive Rye Brook,New York 10573 Re: 13 Knollwood Drive,Rye Brook,New York 10573 Parcel ID#: 135.44-1-62 Roof Permit#23-049 issued on 10/23/2023 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 " ` `` // LL ' -�1�1 -��>`� For office use only: BUILDING DEY RTMENT PERMIT# a3—oy9 NOV -6 M23 l� VILLAGE OF RYE BROOK ISSUED:/O-a3--a3 `938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: //-6- a3 VILLAGE OF RYE BROOK (914)939-0668 FEE: d //O -- PAM BUILDING DEPA,Rr�,"PN f wwyv,ry�bo0kerg 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 f\\t■itf/►if►►►itlf!\!!!\\!\\\t\t\t\tt►fiti►►tt►•t►►■►If►f►1li►ti►!!!\!y�\!\\\\\■t\■��i`t•tt►itfti►t►f►ffft►►lt!!!tlttt!!\!\\\\ Address: f 3 k/V ill kuood Q 2/Ve lw L 9 I �A `� LU_573 Occupancy/Use: 3// Parcel ID#: /3 S. !j 'y - / - V G� Zone: -/a Owner: A /l(/J M o t- /E4 &C/c e"yo Address: 12 4'✓Q �14 P.E./R.A.or Contractor: 9 X tep,6g4 6 A/ Address: o aZ.3 lit 1�1�y )I514 Person in responsible charge: TOSt f e Address: 01V 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: / /� ¢L!S"d 6 )being duly swom,deposes and says that he/she resides at 1-3 /e�4//(✓�(�!i� �.1 K///.Q (Print Name of A plicant) (No.and Street) in �yJ��&Ljt7 ,in the County of 4L2 42 S /C � ��in the State of 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:$ for the construction or alteration of �� A (/(/V y 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 lG Sworn to before me this day of�� , 202,3 day of , 20 — Signature perty Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public TANYA HARRIS COLLINS 8/12/2021 NOTARY PUBLIC-STATE OF NEW YORK No.01HA6352017 Qualified in Westchester County My Commission Expires 12-19-2024 �yE BRC��, 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - -- - - - - - - - - - - - - - - ADDRESS :_ ' DATE: PERMIT# 1� _ ISSUED:\1- 3 ' SECT:/ BLOCK: LOT: �1e Oo6 �'sl - z (y LOCATION: 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 ■ ■ m i ■ i CN N N o ■ O ■ � N N O4 �a y s M M c a� m +�+ o h+l a, a y z y a� 4-4 rZ O k kp7j b z � > v ° O W v} w a u Ln ~ 'sa A. vA u f� a a ~" N cu U m u o a� fS. ■ . z tc 1 rl O U U 1-4 h+l �iP., co i�j w g 0 3 lO ■ 14 Ln ao �r C"ra �, 5 O y 'fit - I' 2 A , U0 pa c P� � �I r�1 � ■n Z u z ON I m 0 ,0 w a ON . d� u .� .lu ,� w � a Z. ,s p 14 z u !s� : a U d U oa a: d0 0 'v v v L u W i a cn W E O Z O eo '' Cn o p V O � o V CD Ii. U Q U v 'z Ul I rd r^x, Al E a 0 ` s W w O >. z w c� o d " u u 0 �, IDBUILDING DEPARTMENT OCT 2 0 2023 VILLAGE OF RYE BP_00K 938 KING STREET RYE BROOK,IVY 10573 VILLAGE OF RYE BROOK X'021 ; BUILDING DEPARTMENT Ali. 2. FOR OFFICE USE ONLY: Approval Date:IXT 2 3 20 r # PsC�,3 6J2 Application# Approval Signature: ARCHITECTURAL REVI BOARD: Disapproved: = Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee Permit Fees: ROOF PERMIT APPLICATION Application dated: f d- Z O - 2 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. r /'-/ /j 'p 5 1. Job Address: 175 ,<n n 11 W D O"r. t2V e SBI.: /,35"� �' /— 4 Zone:) 0 Property Owner: (_(_)H N i a'-'t L u r° UL r7 Address: Phone#: ! . 0 Cell#: email: S S rn u n ,ne 2. Applicant: an 3A-_ Address: Phone#: - 62 Cell#: email: 3. Roofing Contractor: R, 1 '. C_- !4 es 4c r�q•7bC -J"Address: G` 2?2 g4l b4 u)/ �,4,i d CID-A- Phone#:!71'Y- a'11-4569 Cell#: email: &."r+le'r 9 mer i 1. a," , 4. Job Description,list all Methods&Materials: c 11 0"0 cA"r k- O-fe'_--4 4�c. S `14aLl C� e t rco a i 5. Estimated Cost of Job:$ 1 goo (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 comer property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:O•Yes: O Attached No:( )•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: -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. STATE OF NEW RK,COUNTY OF WESTCHESTER ) as: t aie 2 ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of indivi al 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 T v,--L -}-L-c e r'M Ij"?a-for 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 °ti Sworn to before me this [� day of b�. L ,20_Z day c,L , 20� Signature of operty Owner Signature of Applicant Z/ ei 1-6 .Tv_T C 4- v�L Print Name of Property Owner Print Name of pplieant—T NoYary PuSlic Notary Public GREGORY M.RNERA Netwy Public,State of New York No.CiR16441398 FNotarY RUSSELL Qualified in Westchester County c State of 5 York01RU5057375Con nnls"Expires September 26,20 h1 Putnbm County n�x�#ras Mar 25,Z026 -2- 6/1/2023 QUOTE RSG RESTORATION INC. Date:5/8/2023 ROOFING, SIDING 8 GUTTERS William Luceno 914987997562 13 Knollwood Dr 2023 Albany Post Road Rye Brook NY 10573 Croton-On Hudson, NY 10520 914-450-0779 Email: Ramiprz@gmail.com Salesperson Job Payment Terms Due Date Jose R.Perez Roofing replacement 50% Deposit Upon Receipt Qty Description Unit Price Line Total Remove the existing roof repair any rotten wood discovered at.$.90.00 per sheet remove all resulting debris from the job site install GAF Ice water shield 611 up from the gutter line install GAF Tiger Paw underlayment paper install aluminum white drip edge and rake edge install GAF Timberline Architectural shingles color charcoal install GAF Cobra ridge vent(attic ventilation) install GAF Timbertex ridge caps shingles install new galvanized roof boots at the plumbing pipes All labor is guarantee for 10 years and see the manufacturer warranty for materilas. The quote price will be. S. 7,900.00 payment will be made. o at deposit&balance upon If the are any questions please call me at.914-879-7562 Thank you. Total $.7,900.00 Deposit $3,950.00 Balance $.3,950.00 Make all checks payable to RSG Restoration Inc. Thank you for your business! 2023 Albany Post Road, Croton-On Hudson, NY 10520 914-879-7562 Email: ramiprz@gmaii.com • �A��p^�'t �M i.•'^.*'I1'fi� :'Y AY _. \�/ ���A'/ tt�A�lF � .: �A�Ifi �� 7 -�� nA � 4kA �A ..i�,A F.:.. A A T � ..^,I A t,• pii •� 1111/11j1. ICl//l//ljl . 11/1///111 11//111`11 � RI ` �11 % � �2r11t11/�111j11 :.� �s:�1t111�111111: �`.a �+ '�J. . o>_ 04 o µ .��r� �' •ray Y � ��• ' MR > t.. V� {Ar dul v O04 'x Ln V U C:> o ri =2 En '= actionrA v H ` CD LO :• N x,. / .�<(0))��n_�.t,•:_•.: 1 �9.: :::a .1/1�111 --- ':�.' •?I1t�111`�,?� ;;�tll,llt � 1111 j111 �f s 1111/111 it111/11111 jgT1 t11111//111 ,t�11j1�1jt1qi1/1111/1jt �yg t. 1�111 s/jAjt v't{� r1�r , {(fA{EgFf'n •Nr } 5j'A T,1('t \t•�► t,•ti� �4} .���° �14,q) 4 yt f�' '1�f A 1• 3 M� i.J�V4 A tl 3' 7 A t;it 1 A 1 'r':llV Tl;\ la y,'1• n F�� cU s w 07.c DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/26/2023 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). CONTACT PRODUCER Sharp Insurance Services Inc NAME:- Moises Rosales _ __ 128 N Main St PHONE 2032479524 F^X 2036638200 (A/c.Ne.Extl: IC.Not: Port Chester NY 10573 E-MAIL mrosales@sharpsvcs.com _ INSURERS AFFORDING COVERAGE NAIL/_ INSURER A:Third Coast Insurance Company 10173 INSURED RSG Restoration Inc INSURER B: 2023 Albany Post Road INSURERC: Croton-On-Hudson NY 10520 INSURERD: 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. INSR TYPE OF INSURANCE ADDL SUER EXP POLICY NUMBER MMIDD/YYYY MMIIDD/ LTR LIMBS LT fl/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $11,000,000 ✓ CLAIDAMAGE TO RENTEU- MS-MADE OCCUR PREMISES Ea occurrence $50,000 A MED EXP(Any one person) $5,000 GLSISTC004791023 09/13/2023 09/13/2024 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ✓ PRO LOC POLICY❑ ❑ PRODUCTS-COMP/OP AGG $2,000,000 PRO- OTHER: $ AUTOMOBILE LIABILITYLil COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT f OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached If more space Is required) Additional Insured: Certificate Holder is included as additional insured Job Location: 13 Knollwood Dr.,Rye Brook NY 10573 CERTIFICATE HOLDER CANCELLATION Village of Rye Brook 938 Kin Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook, NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Moises Rosales Producer ©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 ^^^^^^ 872434812 ' f� SHARP INSURANCE SERVICES INC ,y 128 N MAIN ST PORT CHESTER NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RSG RESTORATION INC VILLAGE OF RYE BROOK 2023 ALBANY POST RD 938 KING STREET CROTON ON HUDSON NY 10520 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2555182-1 748745 09/08/2023 TO 09/08/2024 9/26/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2555182-1, 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://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 EMELY PEREZ RSG RESTORATION INC 1/1 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 SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 442628867 U-26.3