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HomeMy WebLinkAboutRP23-062PERMIT # XL SECTION . Z4 TYPE OF WORK JOB LOCATION _ OWNER CONTRACTOR1 a zCOST W #od_ TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT G7 ALARM 0 DATE; a 0 a31P BLOCK LOT e- caD I-YISJ7?q A L!%lc �6le ,E'.�,B.�t sT A.1SO FO"' EEE4�.&Q FEE DATE �i WOUJIMAK61; DATE AS BUILT FINAL INSP )937-YJ79 OTHER APPROVALS ARB BOT PB ZBA OTHER QyC DR k . 19 ya4G,�.yy O� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.xyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 6,2024 119 Brush Hollow LLC 119 Brush Hollow Crescent Rye Brook,New York 10573 Re: 119 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-141 Roof Permit#23-062 issued on 12/20/2023 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 D E C E f V E BUILD NT For office use onl //,,., PERMIT# -"t�W VIL OF RYE OK ISSUED: /"2 D' 3 JAN 2 9 2024 8 KING STRE YE BROOK, YORK 10573 DATE: _ y 9 �06 O-c FEE: PAID VILLAGE OF RYE BROOK w BUILDING DEPARTMENT 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 Address: Occupancy/Use: Y2 -1 Parcel ID#: I a — �"� Zone: Owner: rte ( a I<� Address: j1qQr c-„1�, �o�-✓ C- l2J�ii�' P.E./R.A. or Contractor: I611 WC ,Q r L L C Address: '( W,J�� �f✓¢✓�. /'f'G f f Person in responsible charge: �b Svr b e U if"' Address: 1 �� 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: 'et,d4 being duly swom,deposes and says that he/she resides at J3�^� h � `� C ryf (Print Name of A icant) l (( (No.and Street) in �Lz /"?l a i< ,in the County of l / v�J ' in the State of--/Uy,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 3c , for the construction or alteration of: J l�{:'ha'� 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. L Sworn to before me this t� Sworn to before me this ( I T day of i1�y , 20 day of dun , 20� � MELAMA HRABOVSKY Au, Signature of Property Own r NOTARY PUBLIC,STATE OF NEW YOB Signature f Applicant Re&tratlon No. 01HR&V41,% -r"� Qt WW in Westchester Couj* Print Name of Property O er COf1 mi8sk f) EJCpif g8 05,/M7 Print Name of Applicant IF Aj N t is Nota Public 8/12/2021 �yE BRC��. 1. 19132 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:- 5 3��S� �-1b l �ac� �Llf1!> . DATE: Z- s - 2 0 Z PERMIT# `\i Z 3 -0 Z. ISSUED: IL-2°-2,j SECT: 129• 7 6 BLOCK: � LOT: H/ 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 w N M C o �� N v a W a cn .. � mac, w � OC µ a A 'a ~ _d O rA 04 04 $, v = rh 04 ►.� a � a °5° � v o W O 't7 . O 0 � Hu 'o ��; � � � a W C3o x C'7 � a � o V CV w °O �Fj� z N Q o W �3 v 0 qt Z (T� f�—+ Q O M v C w W cw7 cn ti a F� _ w p �, '' o C� v ``� o wow U A _ zitLTJD ,. 00 V H P'1 01% I V 0 Fij z O � 4"1a`" � O 4 u44 H w cocn Z CA au � U c� w w o � •� �� �I a, a W mo � � � BUILD MENT VI E OF RY OK r� 938 KING ET RYE BR NY 10573 -0 FOR OFFICE USE ONLY: Approval Date: 2023 Permit# Application# Approval Signature: ARCHITECTURAL EW BOARD: : Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# Other: i )Application Fee: I Permit Fees: ROOF PERMIT APPLICATION Application dated: i o3is 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 statementdetailed � described below. q 1. Job Address: I I I 8rL,4 y'D 11 D� Crlirce,14 SBL: (a �/r I , ju`1� ) I 1 Zone: Property Owner: T2/1"� r� �el KL47 Address: 1 �Bl'Z7 T*/('+N CMG l-1- Phone#: ! / :-4; Cell#: email: 2. Applicant: Oh c'b e— A { a j- L L G Address: wotc-jl 11 e Ate_ /P/+- Phone#: 91 q- -L( Cell#: email: etls �, a��1��In�li�Cow 3. Roofing Contractor: (7b%-)le— g 69IR3 &,L C. Address: 1-/,?q W 1� �� .��}✓'�� d✓��}� Phone t 91 (-o- 93 1) ' Cell#: email: I/fs�u, u��i�,�5/�'�►r?� 4. Job Description, list all Methods&Materials: RtYlhov"- GAF s 6 F rs- C, F �slA 5. Estimated Cost of Job:S j'f (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: 9L Height: 9. Is garage being re-roofed:No:(V�•Yes:( )Attached No:( )•Yes: ( )Number of Cars: 14. Is roof peaked,hip,mansard,flat,et : 11. Estimated date of completion: oZP a �9 10/30/2023 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 YOC OF WESTCHESTER ) as: �o�EW n 's i)//7PTY � ,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 co for the legal owner and is duly authorized to make and file this application. (indicate architec contractor agent,attorney,etc.) That all statements con fined 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 I " "' Sworn to before me this day of 0eCgm DeY , 20 day of DC ee,-i 4we , 20 Q Signature of P66erty Owner Signature of Applicant rem K " Print Name bf Property er Print Ndrne of Applicant t Not u lic Nota Public MELANIA HRABOVSKY NOTARy Pl1BUC,STATE OF NEW YORK R,ggistrstton No. 01 HR6324159 Qualified in Wsstchestw County s 06/04/27 10130/2023 The Arbors Homeowners' Association 173 '/2 Ivy Hill Crescent Rye Brook, NY 10573 December 11 , 2023 Terry and Darwei Kung 119 Brush Hollow Crescent Rye Brook, NY 10573 Re: Entire Roof Replacement — 119 Brush Hollow Crescent Dear Terry and Darwei, This letter serves as confirmation that the Architecture & Grounds (A&G) Committee has reviewed and accepted your application for the above-named work. This approval is valid for six (6) months from today's date. If any changes need to be made to the original plans submitted to A&G either before or during construction, the Committee must be notified in writing and your application must be amended. Work must stop and cannot proceed until you receive written approval for those changes. A permit from the Village of Rye Brook must be presented to the property manager before work begins. You are also required to inform the Property Manager when work begins. When the project is complete, the Property Manager must again be notified so that an inspection may take place. Please include a photograph of the work as well. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, contact me at: Property Manager. Nicholas Salzarulo Property Manager LICENSE NUMBER "THE ORIGINAL" Westchester WC3620OH23 pOUBLE Family Owned And Connecticut 0668826 Operated Since 1960 All Home lmorovements - EST. 1960 439 Willett Ave. Port Chester,N.Y.10573 Tel#(914)937-4279 Fax(914)937-4172 http://www.DoubleRwindows.com Sheri Padernacht (16 j)p X M 4 fi1kr Dec 11,2023 119 Brush Hollow Crescent Rye Brook NY 10573 'fir 1�1 �}— q r�l � e 914-715-6238 Insurance: All work involved within the following proposal is covered by Workmen's compensation,Public Liability,and Completed Operations Insurance. Roof Contract Supply Labor& Material for the following • Remove existing shingled roof from entire house. • If any rotted plywood is found it will be an additional cost. • Supply and install ice and water shield over the eaves 6' up. • Install a synthetic Base sheet on remainder of roof. • Install all new F- 5 brown aluminum drip edge. • Install the new GAF Timberline roofing system in color of choice—Timberline Pro Ba rkwood • Supply a dumpster to cart away job related debris. Labor and materials $89550 Approximate Start Date: DEC 27th * please note, price does not include new skylight Terms: Painting,and windows cleaning to be done by others.Hidden rotten wood not included. Standard industry cash term,one half with the order,balance due upon completion. Terms may be modified to meet special conditions. Past due balances are subject to a monthly service charge of 1 1/2%(18%per annum). If the account becomes delinquent,you agree to pay any legal or collection fees expended by Double"R"arising from collection of the account.Permit&Application fees not included.Due to the fluctuating prices in plywood we reserve the right to adjust price. Double"R"is not responsible for reconnecting existing alarm systems on windows and doors. You the owner may cancel this transaction at any time prior to midnight of the third business day. Afler the date of this transaction,such Cancellation must be made in person,at the offices of community improvements,or in writing postmarked prior to the fourth business day.We accept VISA or Mastercard with a 3%convenience surcharge on total amount being charged. Acceptance: The above prices,specifications and conditions are satisfactory and are accepted. Double"R"is authorized to do the work as specified. Contractor Performance Warranty: Double"R"proposes to furnish and install labor and material in accordance with above specifications in order that the above qualifies for the Manufacturer's Long-Term Warranty. In addition,all labor provided by Double"R"is unconditionally warranted for a period of Ten years from the date of installation. Approximate Start Date:DEC 27th Approximate Completion Date: Customer: $8,950.00 (Amount) Date: (Sales Tax) Double"R": $8,950.00 (Total Amount) Date: $4,475.00 (Deposit) $4,475.00 (Balance Due Upon Completion) Return original contract to Double"R",retain a copy for your records. Visit Our Showroom Located At 439 Willett Avenue Port Chester,N.Y. 10573 i a ° � t 0 U 04 N f e L w _ C ed cg O a _ E c r— O h� W In CU J —� w } ° Qc o�ection m Z o Z) W Fw. a"i E mJ cn Y `' 0 O L W J = a o.w v CO + Of O d > o O +i �a N tu u co N a a :Y FDATE(MM/DD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 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 CONTATr- NAME: Betty Reyes The Willett Insurance Agency PHONE, No,Ext: 914 481-5599 (A/C.No): 888 371-9783 g y +38 Willet Ave ADDRESS: bettyreyes@thewillettinsurance.us INSURER(S)AFFORDING COVERAGE NAIC 1M Port Chester NY 10573, INSURER A: Westchester Insurance Company INSURED INSURER B Double R PBJ,LLC INSURER C 439 Willett Ave INSURER D INSURER E: Port Chester. NY 10573-3179 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 LIAMAUL CLAIMS-MADE r OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y CONNYFI6819141-001 12/13/2023 12/13/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- X POLICY 171JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED UAMAUE $ AUTOS ONLY AUTOS ONLY (Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El N/A Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ i jes,describe under SCRIPTION 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St AUTHORIZED REPRESENTATIVE (i�fty Rryey Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD :EWK Workers' CERTIFICATE OF ATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Double R PBJ,LLC 914 937-2237 439 Willett Ave Port Chester,NY 10573 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 92-1106938 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Camer (Entity Being Listed as the Certificate Holder) NYSIF The Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"'Ia" Rye Brook,NY 10573 8910587 3c.Policy effective period t*)nor9m9 to 1?i24nmi 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"l a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? ZYES []NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Betty Reyes (Print nam uthorized representative or licensed agent of insurance carrier) Approved by: / / (Sig ure) (Date) Tide: Insurance representative Telephone Number of authorized representative or licensed agent of insurance carrier: 914 481-5599 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-15) www.wcb,nygov