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HomeMy WebLinkAboutMP23-174 �yE DR La `i.°op goy . 19 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 21,2023 Scott Stern&Bonnie Stern 79 Greenway Close Rye Brook,New York 10573 Re: 79 Greenway Close,Rye Brook,New York 10573 Parcel ID#: 129.84-2-68 This document certifies that the work done under Mechanical Permit #23-174 issued on 12/7/2023 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, C - Steven E. Fews Building&Fire Inspector /to �E BRC�k, •Fb '9a2 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 : � l G y e e"3kk'VA Uo DATE: 17- - 2 O- Z 0 Z3 PERMIT# ISSUED: Z'Z -'`UsECT: I Z q, 6 l BLOCK: Z LOT: 6 LOCATION: OCCUPANCY: O ❑ Violation Noted THE WORK IS... 9 PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas 2 ? S �5 a 1 o._., 1� O `-� hi, C✓•� ❑ L.P. Gas [FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑" OTHER o � M N N cr p, ' cal a \ N rT� 00 a v a � cn 4vy � o w H ~ v tou CN F op � py20 © = oQ Q p oo� w o O Q z w 00cN Q cu Oz AW^I W � z z z Q a w C7 w � r N A 1�10O o H oo � q uz � � �, o G1 A m q tiU. rl W O +� �po a1 U H o" Z W w O � , � vv ell vow` -gyp oz %. ova U W o z °z Z OEM Q w Z Ey Q apdp . u 0 � O W OF p' u0 lu � .� � " lip L, / [E BUILDING,DEPARTMENT I i VILLAGE OF RYE BROOK DEC - 6 2023 938 KING STREET RYE BROOK,NY 10573 -- (914)939-06681 RL (914)939-5801 ; VILLAGE OF RYE BR OK ;!Lf7iNC_; Di=I,F,t?T1,,1EIVT www.ry rvvk.vrQ - — Application for Permit to Remove, Abandon and/or Install Fuel Storage Tai l (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: H, jr" J 1 7 �/_ Approval Date: O�� Permit Fee:S175—jAb 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#CI05.2 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 + 3 ,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 Type: Installation(X)• Removal( )•Abandonment( )/Above Ground (X)•Buried in Ground ( ) I. Address: 79 Greenway Close SBL: 129.84-2-68 zone: 2. Property Owner&Address: Scott Stern Phone#: 914-462-2976 Cell#: email: stem.sb7@gmail.com 3. Contractor&Address: Robison Oil 1 Gateway Plaza,4th FL, Port Chester, NY 10573 Phone#: 914-847-0286 Cell#: email: aolmstead@robisonoil.com 4. Applicant: Robison Oil Phone#: 914-847-0286 Cell#: email: aolmstead@robisonoil.eom 5. Indicate Fuel Type: Fuel Oil(X*L.P.Gas( )*Gasoline( )*Other( ). 6. Number and Capacity of each Tank: Installation of 275 gal oil tank Removal of underground done by others 7. Exact Location(s)of each Tank: Outside- left side of house on concrete pad r 611/2020 STATE,,f�F }IJjY( CO Y OF WESTCHESTER ) as: Jbeing duly sworn,deposes and states that he/she is the applicant above named, (print,eme of mdty ua Sip n sun ay licant) and further tes th t(s)he is the legal owner of the property to which this application pertains,or that(s)he is the �.(7r,�,a C,� for the legal owner and is duly authorized to make and file this application. (indicate architect,conbmctor,agent,auorney,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 7- Sworn to btZ is day of tir � ,20CA day of ,20 gnaturreJ f Property Owner gnature of Applicant a Prit 1 e ol'PoepW Owner Print Na SAC t{E1.SKARON anda K of lc CI OF NEV41 YORK N 11RK N ublic NO 01 125538 Not ft L64 7 OUAL.IFIED IN NASSAU COUNTY Qtitutitie( in ' CHf?STE MY COMMISSION EXPIRES APRIL-18.2012 (; on i%%p o 1181301 5 This application must be properly completed in its entirety and must 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 611118 _ r 5 C p- xisting Oil Ta - �A�,K, Boiler R ,om 10' 72 Soft 0 8, T oiler Cr) --e - it Tank 41 - N 10, First Floor 904 Sq ft 10' 10' 1-Car Attache_d N (1'160 Sq ft � 10' 18' Driveways 0 The Arbors Homeowners' Association 173 1/2 Ivy Hill Crescent Rye Brook, NY 10573 November 3011, 2023 D 3D DEC - 6 2023 Scott Stern _ Bonnie Stern VILLAGE OF RYE BROOK 79 Greenway Close BUILDING DEPARTMENT Rye Brook, NY 10573 Re: Above Ground Oil Tank Dear Scott and Bonnie, The Architecture and Grounds Committee (A&G) and the Board has reviewed your application for the above-named work. The approval requires that you screen off the tank with Giant Arborvitaes or similar measuring at least five foot tall. A pad must be poured pitching the water away from your home. Area where tank is removed must be filled and compacted. This project requires a permit from The Village of Rye Brook. You are approved to get a permit from the Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G. Work on the project may not begin until you receive written notice of receipt of your permit from A&G. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction, the Committee must be notified in writing. Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Property Manager. Sincerely, Nicholas Salzarulo Property Manager Laura Petersen From: Amanda Olmstead <aolmstead@robisonoil.com> Sent: Wednesday, December 6, 2023 3:57 PM To: Laura Petersen Cc: 'Scott Stern' Subject: RE: 79 Greenway Close - Tank Permit Application We are only installing. Castlton is doing the underground removal. From: Laura Petersen<LPetersen@ryebrook.org> Sent:Wednesday, December 6, 2023 3:00 PM To:Amanda Olmstead <ammstead@robisonoil.com> Cc: 'Scott Stern'<stern.sb7@gmail.com> Subject: RE: 79 Greenway Close-Tank Permit Application [EXTERNAL] Received. Thank you! A $10.00 check is fine. Please confirm you are ONLY installing a new above ground oil tank. Who is removing the in ground tank? Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Ipetersen5rvebrook.orci From:Amanda Olmstead <almstead@robisonoil.com> Sent:Wednesday, December 6,2023 2:56 PM To: Laura Petersen<LPetersen@ryebrook.org> Cc: 'Scott Stern'<stern.sb7@gmail.com> Subject: RE:79 Greenway Close-Tank Permit Application Hi Laura See attached. Can I send you the balance owed or do you need new checks? Thanks Amanda From: Laura Petersen<LPetersen@rvebrook.org> Sent:Wednesday, December 6, 2023 2:14 PM To:Amanda Olmstead<ammstead@robisonoil.com> Cc: 'Scott Stern'<stern.sb7@gmail.com> Subject: 79 Greenway Close-Tank Permit Application [EXTERNAL] 1 Good afternoon, The Building Department has received in the mail a tank permit application and a check in the amount of$175.00 (check#6188) for 79 Greenway Close. Please note the permit fee is $185.00 per tank. Please send the attached application page back to me with the "Permit Type" section checked off. Please let me know if you have any questions. Thank you Laura Laura (Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-06681 loetersenCEDrvebrook.org This email(including any attachments)may contain confidential, proprietary and privileged information,and unauthorized review, use,distribution,dissemination,disclosure or copying is strictly prohibited and may be unlawful.If you received this email in error, please notify the sender and delete this email and all accompanying files transmitted from your system. 2 Key Benefits Tank Dimensions leak-proof and will not corrode Tank ModelD 00 000 00OLH • Outer tank holds 110 percent of inner tank for maximum protection Nom.capacity US gal(liters) 110(400) 165(620) 275 1000) 275(1000) 400(1500) • Up to 50 percent lighter than Length inches(cm) 29(74) 29(74) 43(110) 51(130) 64(163) conventional steel tanks Width inches(cm) 28(72) 28(72) 28(72) 30(76) 30(77) • Can use for heating oil,diesel and Height inches(cm) 44(112) 61(155) 61(155) 54(137) 68(173) bio fuels,motor oil,DEF and ATF Min.height required inches(cm) 49(125) 66(168) 66(168) 60(152) 76(193) • Compact,economical design Tank weight lbs.(kg) 106(48) 132(60) 167(76) 208(94) 333(151) (8 sq.ft.for 1000L) Provides maximum storage safety Shipping weight lbs.(kg) 115(52) 143(65) 185(84) 230(104) 358(162) • with minimum space requirements Approximate Footprint - DWT Installations • Removable base facilitates access to D tight spaces and greater stability • 00 0 •,• • Wide handles on each end allow you 2 tanks in inches 29 x 60 29 x 60 43 x 60 51 x 63 V64x63to transport and handle with ease (side by side) (74 x 152) (74 x 152) (110 x 152) (130 x 160) • Quality control and testing exceeds 3 tanks in inches 29 x 92 29 x 92 43 x 92 51 x 96 64 x 96 industry standards (side by side) (74 x 234) (74 x 234) (110 x 234) (130 x 244) (163 x 244) 4 tanks in inches 29 x 124 29 x 124 43 x 124 51 x 129 N/A (side by side) (74 x 315) (74 x 315) (110 x 315) (130 x 328) 5 tanks in inches 29 x 156 29 x 156 43 x 156 51 x 162 (side by side) (74 x 397) (74 x 397) (110 x 397) (130 x 411) N/A 2 tanks in inches N/A N/A 28 x 90 N/A N/A (end to end) (72 x 229) Al( double-walled tanks come with a generous 30-year Rest easy knowing Roth limited warranty, as well as an insurance policy worth energy storage productsup to $2 million. reliable,are safe, durablemost on the market and they are R 'y guaranteed ROTHDWT ACCESSORIES Rothr . operate our oil tanks to their full potential. - Fuel Oil Gauge ✓�� -Expansion Kits(for multiple tank installation) -Tie Down Kit(for installation near water) -Tank Cover(for outdoor installation) :A "S7+'i, \ w •�fr,�q�'{ it,.\w /AP.. .c-,r '• •'� i--_ �w r r...'' f.'`r=.,.�C •i, ♦ 4'`�i'�1 5 � + �:. q,, �"�A%.: ^�yy}5 f rt 2^i� -- o• �A"A --,d�i=ru���u _- _ o �Ax a,>�,•,�.` _ {i\I�:t ';�. . \ j 1f4 N,r r "' �� t�ti� �, f-�• 2!r r' `trr' �''�..� v N. a Ar v' t.f$• � hb,4 0... 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O •'/!�•ti.1• Ot _� ... '�O �f ' v v rFNv\=r, �. R�v�=s% .'it:�v�i+ir :.��}t•} :� I� JY n' r rr rJ\ tt f -.�V 1._:' ��,�,�� �1�,.,' 7�,• �,, ryt', �y`..., 4 /_`�jN~`,'.J��,'�•:> Y.:%�+ -AI.,'- N AC� r ATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/27/2022 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: Matthew Moraski,CISR Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 4000 Midlantic Drive, Suite 200 0 18568663252 A/c No):856-273-3663 Mount Laurel NJ 08054 ADDRESS: matthew moraski@AJG.com INSURERS AFFORDING COVERAGE NAIC# _ INSURER A:New York Marine And General Insurance Company 16608 INSURED SINGHOL-02 INSURER B: Singer Holding Corporation 55 South Main Street,4th Floor INSURERC: Port Chester NY 10573 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1284557956 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY PK202200020101 12/31/2022 12/31/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR DAMAGE (RENT D PREMISESS Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO- JECT � LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER $ A AUTOMOBILE LIABILITY AU202200017525 12/31/2022 12/31/2023 (CEO,MBINE LIMIT g 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ I A UMBRELLA LIAS X OCCUR EX202200001405 12/31/2022 12/31/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DIED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook Building Department is named as an additional insured with respect to the above General Liability Policy,if required by a written contract executed prior to services performed. 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 Building Department 938 King Street AUTHORIZED REPRESENTATIVE 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 NEw Workers' ""—, STATE :: Ci=penSa ll CERTIFICATE OF , Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ADP TotalSource FL XVII,Inc. 9143455700 58W Windward Parkway Alpharetta,GA 30005 1c.NYS Unemployment Insurance Employer uC/F: Registration Number of Insured Singer Holding Corporation 45.04510 8 1 Gateway Plaza 4th Floor Port Chester,NY 10573 1d.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 133121491 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New Hampshire Insurance Co. Village of Rye Brook Building Department 3b.Policy Number of Entity Listed in Box"1 a" 938 King Street WC 034298819 NY Rye Brook,NY 10573 All worksite employees working for Singer Holding Corporation paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. 3c. Policy effective period 07/01/2023 to 07/01/2024 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"la"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". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"30,whichever is earlier. 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 mandator)'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 bl Michael Price (Print name of authorized representative or licensed agent of insurance carrier) < Approved by: � .c>`�+ = '-�• 23-APR-2023 (Signature) (Date) Title: CEO North America Telephone Number of authorized representative or licensed agent of insurance carrier: 800-743-8130 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 (9-17) Certificate Number: www.wcb.ny.gov