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Home My WebLink AboutRP23-048p9pMIT # SECTION TYPE OF WORK d JOB LOCA N OWNER CONTRACTORs/�/Q�C� L /EST. COST 00 rP V/co # �- F DATE: /o 9 a3 kcP TCO it FEE DATE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C7 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC C� LOW -VOLT O ALARM CI AS BUILT O FINAL OTHER APPROVALS ARB BOT Ps ZBA OTHER CB A Vo G��t* o'„i V S�r,4 V Yy VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE November 22,2024 Clifford Simon&Karen Simon 29 Talcott Road Rye Brook,New York 10573 Re: 29 Talcott Road,Rye Brook,New York 10573 Parcel ID#: 135.50-1-74 Roof Permit#23-048 issued on 10/19/2023 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to R 0 0 BUILDING DEPARTMENT For office use only: NOV 8 2024 VILLAGE OF RYE BROOK PERMIT# d3 Oqe ISSUED: D/9—a3 VILLAGE OF RYE BROOK i 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: 7/—/e- ,4 BUILDING! DEPARTkIEW j (914)939-0668 FEE: 41 0 — PAIDJI1 www.ryebrooknv.2ov 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 iiiiif if li►tt444iititi4itiit�if►�1#t iltif t#tttii►ti►i►t►tit/ii►f tiff tttittiit4i ti4##ifitt#titttttit►Ifs titattiii##iffit#tt.tii►t Address: )-GI Occupancy/Use- Parcel ID#: I S.�� ' 1 Zone: Owner: Address: �� i q l � Alnoeic P.E./R.A.or Contractor: � � S�,Y'fun� Address: _)0 01� jui'f`�F�n I✓ht PIN. A) Person in responsible charge: 7)-44A itr figAo 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: n I J:Aiil �0t 40 being duly sworn,deposes and says that he/she resides at ' 0 (Print Nam c f Applicant) 11 I L (No and Street) / in_ � �Ic�,+{ in the County of "t/� e 7�A,45 in the State of ►l/ t 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:S I�; 01,�tt for the construction or alteration of: W 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-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this da f NO V e ,-n b t! , 20 day of u\t ci,,e•�i h C-, 20 C. r1itk"L Signature of Property O r Signature of Applicant CVW Print Name of Property Owner Print Name of Applicant c Not Public Notary Public KAREN D WILLIANIS r— KAREN D'.'JiLLIAMS NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,SLATE OF NEW YORK I ,.C.i Peq+stration No.01W16064�49 Ren :tration No.01,-'J16064649 Oualirod in DutchPss County Qunlif ed in Dutchess County Commission Expires October 1,20 tt Commissw;i Ex Tres October 1,20 25 �E BRC�k. 1932 BUILDING DEPARTMENT ❑IlK LDING 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 : 2 DATE: PERMIT# �'� ISSUED: SECT: BLOCK: LOT: LOCATION: ��\ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ 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 N FTi � q�q M ? c, H W <-a" P. V J 8.4 W O F 1 g� M1 OLn C G 1 A/ IS, � b ° as ° v � � z �,zp4G -0 l C,o �j rc A A � ° v „ � V ZWQ \ c z v Zba v U� 0.4 wCN w i Evgo �+ tcu GIN c a z _ o o o a V „ o M a Z V a 4 z z ` 0 �a V, O 0 ;D u Li p ooac F"� F p Z ° °a a � � tz O w o ff off 1 S W p Z o z z z � o, O .. ,.aPOW W av au i s; s VE ~jD BUIL - MENT V E of Rv:' OK OCT 19 2023 938 KING ET RYE BR NY 10573 -fl VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLI': Approval Date: rmlt# Application# Approval Signature: : ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee4 00'� PermitFees:#�7 '— �� r �j( z ROOF PERMIT APPLICATION Application dated: IV If " y'✓ 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. }� Q / \ 1. Job Address: J1 TJ(r.YY'� ^+'1' �ye Nov�J V+ SB11Lc: J6i 50—/-7� Zone:,/C. /' c'� Property Owner: C j I1P"`q�I 4 NAM 5 iMW Address: d I _FW GO l�kI 0 (0,533 Phone#: 114 131- 1116 6 Cell#: b3 '536- 3036 email: G�I UI5 1 ' 2. Applicant: 1�ru 61-.1 _j 'r W-(A 11 c7 Address: I_-;zo '/V ��¢�y c4//7 ke/(�f/ P Phone#:4!L4 �j c)4 ( Cell#: email: ' f%t►7 booc' 3. Roofing Contractor: Address: 13Qrr /� Phone#: Cell#: % / email:'Ihrkllv -Go k 4. Job Description, list all Methods&Materials: 5. Estimated Cost of Job:S. �O 0 (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: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:( )•Yes:( )Attached No: ( )•Yes: ( )Number of Cars: 10. Is roof peaked,hip,mansard,flat, etc: 11. Estimated date of completion: -t- 6/1/2923 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 YORK,COUNTY OF WESTCHESTER ) as: C.-1:;f-p<d A 511, on ,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,attomcy,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 (Q Sworn to before me this I R day of G 0}0 6.ef , 20 Z 3 day of � 120 21 Signature of Property Owner Sig a e of Applicant G 1AW �- SiMo6 iq,,nfr LS✓v}O-yi Print Na Vie of Property Owner Print Name of Applicant N tary Notary Public KAREN D WILLIAMS KAREN D 01-1-IAIV1S NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBi!C,STATE OF NEW YORK Registraition No.01 Wf6064648 Registration No.0106064649 Qualified in Dutchess County / Qualified in DutcheSS County Comrnisslon Ex Tres October 1,20 Z'S Commission Ex 1—October -2- 611/2023 130 Old Tarrytown Rd White Plains N.Y. 10603 (914) 830-4916 WC-29474-1-117 License and Insurance 10\9\23 contract Project Address: 29 Talcott Rd, Rye Brook, NY 10573 Scope of work: Remove the roof from the entire house Install drip edge Install ice water shield Install underlayment Replace boot vent pipes Install new copper flashing around the chimney Replace rotten wood if needed Install life time GAF shingles Replace gutters and leaders Install leaf guards Make new chimney cap Make new clicked between the roof and the chimney Life time guarantee materials 20 years guarantee labor Color owner choice total$15,500 50%down payment to start 50%when the job is finish Garbage will be remove by Serrano contracting Contr to Owner: Clifford Simon _ .• 4prA ",.Ai~ <�>I' •1�t +ti. t ,'� �A�'j nFi►�l -:1} NP"'. ��A�1f \ ,,�,;. 11)1♦1 �1)�/I �A 1)�1�� r 1)♦j♦j r � �♦• v ♦ v ♦• ..i y, Y CN .- 11/ (111 1'11 1111 � 111 / ..1 1111 .. ��/il/�l►1:� 11)1♦/t INS �" �r:. c � :. N 11 u+;d •�' r: 1►111 �}_.�.. ,,-�::IN14�LR=,:F" :•.:4��1,1,1�':;`L—>_ �=,t:�41.I1Ps.3'� t�;.411/1/ii'� e 14►►/1►i'�1��=•+ cis s�l y \`2 •� �i f P I' ♦ a O a N • C L \ N 6J LU M �• • E toeC� v r, N k. r O 41 cu \ V di wo M =. CD LU cr •ems: ! .� ��+ (Y (� aj n ❑ F— ? Z v 8 Q :11 4�r i•r Q LU v, IL U �tcas)i i v E= t 7 cz U \ 14 so t CtA ,� �r • 40 ACoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/19/2023 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 CONTACT Michael J.Donnelly Donnelly Insurance Center Agency Inc PHONE (914)347-6500 FAX (914)347-6303 A/C No Ext: A/C,No 6 North Lawn Ave. E-MAIL SS: INFO@DONNELLYAGENCY.COM ADDRE P.O.Box 880 INSURER(S)AFFORDING COVERAGE NAIC# Elmsford NY 10523-0880 INSURERA: Atlantic Casualty Insurance. 42846 INSURED INSURER B Serrano Contracting,Inc. INSURER C: 130 Old Tarrytown Road INSURER D: INSURER E: White Plains NY 10603 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2362833608 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 CONTRACTOR 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP MM/DDfYY MM/DD LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A Y L068027112-2 06/24/2023 06/24/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO PRODUCTS-COMP/OP AGG $ JECT ❑LOC 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ (f yes,describe under N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? Mandatory in E.L.DISEASE-EA EMPLOYEE $ I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) ROOFING RESIDENTIAL&COMMERICAL&REMODELING-INCLUDING ONLY THOSE CLASSES SHOWN ON REQUIRED FORM AGL-REM 01 17. THIS POLICY CONTAINS A BLANKET ADDITIONAL INSURED ENDORSEMENT ON FORM CG2012 CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 r - @ 1988-2016 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 0 R] n An nnn 465015116 DONNELLY INSURANCE CENTER AGENCYINC ❑ PO BOX 880 ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SERRANO CONTRACTING INC VILLAGE OF RYE BROOK 130 OLD TARRYTOWN ROAD 938 KING STREET WHITE PLAINS NY 10603 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2197 304-5 820925 03/16/2023 TO 03/16/2024 10/19/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2197 304-5, 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:/IWWW.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 JUAN SERRANO SERRANO CONTRACTING INC 1 OF 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 SU NCE FUND 4 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 154282586 U-26.3