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HomeMy WebLinkAboutRP24-005PERMIT# ��� �� ��' / ay aLl �(F SECTION i BLOCK LQl TYPE OF WORK e� O /S � u/ JOB LOCATI N Q P /�/,� � OWNE Q/ Q�/� / 7� /�/1/ CONTRALTO � � �`^ Tn� - / ViO� �ST� EST. COST �CO #� TCO # / ir-�iiu:1a FEE DATE INSPECTION RECOBQ I DATE INSP FOOTING FOUNDATION FRAMINO RGH FRAMING INSULATION PLUMBING ❑ RGH PLUMBING GAS ❑ SPRINKLER ELECTRIC ❑ LOW�VOLT ❑ ALARM ❑ AS BUILT ❑ FINAL �- 2(. �L.�r_ iy)a�o- 9995 990- 033�/ OTHER APPROVALS ARB BOT PB ZBA OTHER �yE DRnv� f.��w UJJW , Uy 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 February 27,2024 Donna Profeta&Maryann Profeta 62 BelleFair Road Rye Brook,New York 10573 Re: 62 BelleFair Road, Rye Brook,New York 10573 Parcel ID#: 124.65-1-45 Roof Permit#24-005 issued on 1/24/2024 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 �3 � DD BUILDN ERkkTMENT For office use only: PERMIT# JR P FEB 2 3 2024 VILLAGE OF RYE BROOK ISSUED: z¢ 938 KING STRETTj RYE BROOK,NEw YORK 10573 DATE: —a -42- y VILLAGE OF RYE BROOK BUILDING DEPARTMENT (914)939-0668 FEE: oa PAMOR 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 ■ttt►t►ttittttt►/tttt►ti►ittt►/tt►/t►►►tttt►►t►►tt►■►■■t►►►t•t►ti/tt►►/■t►/t/►//►tt/►/tt//ttt►ttttt►it►►i//tt//►►tt//►t►ttt►t Address: (� {�/J / ?z u /J Occupancy/^Unse: 0/`N c f-'A Parcel ID#: 12- 4 : (,, S'- ( r Zone: Tup Owner: /UI ASP_1A A�1 ,v ?Zt'dge'ir n Cv Z(� P.E./R.A. or Contractor:T /1v Address: ��L J � LA ,'s L[4__ T J7' Person in responsible charge: !- —j !a �-,��n/?Address.2,_Lj (, T� e j-,a C_4 J' f�/1g 6i2/? Application is hereby made and submitted to the Building Inspector of Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/cor ction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: r r T11:11� ��� /"�i being duly swom,deposes and says that he/she resides at2-4(, J��(i�C!� ✓✓. �v���'�+ 7( ame of Applicant) (No.and Street) in t&AA a ? ,in the County of �� (� f l C r� in the State of G� � ,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:$ i 00 U , 0 t1 for the construction or alteration of �� G ��_ /D e- n. 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. Swom to before me this 2 3 Sworn to before me this day of rs ,20 2 day of e ,20 Signature of Property Owner ignature of Applicant 1 J716 Print Name of Property Owner Print Name of Applicant '/�'V-4 (/J No Public Not Public June Wagner June 'JJagner /12/2021 LNotaLryPubllcc, State of Connecticut Notary Public, State of Connecticut y Cission Expires Nov 30,20 My Commission Expires Nov 30,20.& I BRC�k• O Zm cu � �'• �9�2 �' BUILDING DEPARTMENT ❑BBUIItDING INSPECTOR iASSISTANT 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 : Ca �7C�_, 1 p (:. �� t DATE: 2 Z oLd PERMIT# DO ISSUED: I %' /SECT:/L y.6J' BLOCK: LOT: LOCATION: -� Oo } OCCUPANCY: ❑ Violation Noted THE WORK IS... EY PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ( I I ❑ Natural Gas ' - 00 }l l - i S t I J 1 ti ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 6-4INAL ❑ OTHER ■ a a N N C4 cu Q ' O Q v F� u x (. M1 Fey ■ ed Z � a ao a M w V U w Cs o 00 C� ' 00 O VON)%U Z � b v � a cn o A c7 A 1-1 wN40 � A A. V L 04 z Q it 0� en �:I A � - �--� A d N [z for G W - �/ MM V O M-1 a v O, z " o � ro � v � O 0 ca a�i c� is Q� ' V z o °a a4 (� v rye•.. �1 U U � o o -C.: v W A per. Z o u 5 ° .0 a w/, W � vv " v ftp a. a 1 ~t O v y BUILDING DEPARTMENT ,BAN 2 2 2024 VILLAGE OF RYE: OK 938 KNG STREET RYE 13Rt Y 10573 VILLAC t: ,ci L BROOK wwww*ww**************t**t***********t*t***tttw**wwt******wwtwwtw*w************t*w*www***wwwwwwww*ww***w*www FOR OFFICE USE O TLY: Approval Date: --� Pe Application# Approval Signature: ARCIHTECTURAL REVIEW BOARD: Disapproved: r Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: : Application Feel%1l0 ` L Permit Fees: A t -� *****************t***t**********tt****t*t******wwwwwwwwww**w***(********tw*****w**wwtw********************* ROOF PERMIT APPLICATION Application dated: [o 4- is hereby trade 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.1. Job Address: (v '- 1�ip� t,. 'r,' r-n I rz 'r'-p r o SBL: /0)7 1, 1 6 S I—q S Zone: / u Property Owner: `�p Q t J A- Pau � t�-T n Address: G 2 �t'�is t2 o t(Z- I L o f) Phone#: Cell#: a l GC- 'L G o S email: G fZ n 1 C L v,,n. Gur 2. Applicant:A rti &-I rz v LTl o►-S Address: Phone#: 2:u tot { ? G Cell#: 8(.0 al_ C1� entail:I�G��C Cu i r-, 3. Roofing Contractor: i+nn^N V\— Address: 2Z G v�,i 1 G a7 G1 ►z u 1)o S T h V"FU rL r, Phone#: Cell#: 2 a S -S email: �.C w Tu N S r c'il o tit O� „s Q G 4. Job Description,list all.Methods&Materials: .pu 4-1-is C_-t V-.,u n-to, n a It 12 S ti1 fe r) I-W\0 G. _ t Cam, r-I n- -e('L IF h v S -} - Lt>41 V,-- to -_-1 -b t2 t 7 -1-- -t2 r�L( L. '�-- n c, b 1 r� �-rys w C� �l►v� �t11 5. Estimated Cost of Job: $ N (p , O o U (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,prp fessional fees,and material and labor which may be donated gratis.) 6. If comer property,indicate street frontage: N /1? 7. Construction Type: t : 6 u NYS Construction Class: S. Number of stories:_ Z Height: 9. Is garage being re-roofed:No:AA•Yes:( )Attached No:{ )=Yes:O Number of Cars: VVI 10. Is roof peaked,hip,mansard,flat,etc: ! t C 12 11. Estimated date of completion: 4- Lh nM• 13 5 u ) — L.( 611023 6-'e) 2-r— 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: --t>A,A0 sq- 0) e76s[Z0 ,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)be is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attomay,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. we{_ Sworn to before me this Swom to before me this day of ` �- 4=� 120 - t j day of 20-4 � ��+► � 6A*— 0 Signature of Property Owner 41 igna a of Appli ,w l� Plt TA- Print Name of Property Owner Print Name of Applicant J" Notary PAfte Notaftiblic if June Wagner June Wagner Notary Public,State of Connecticut Notary Public,State of Connecticut My Commission Expires Nov 30,20 My Commission Expires Nov 30,20, -2- Bh12023 f JAN 2 2 2024 ] jD s�ia.ro-max�.w..knr.ron� VILLAG C)Y ,C l I3ROOK December 20, 2023 BUILDI�;G UrRTP4gNT BelleFair ARB 24 Bellefair Blvd Rye Brook, New York 10573 Donna Profeta 62 Bellefair Road Rye Brook, New York 10573 Re: Replacement of Roof and Installation of GAF Timberline HDZ Heritage Shingles Dear Donna, We write in response to your request to the ARB for approval of the replacement of the roof of your home and the installation of GAF Timberline Heritage HDZ shingles situated at 62 Bellefair Road, Rye Brook, New York. We are pleased to inform you that based upon the details of your application, your application has been approved. Once this installation is complete contact our FirstService representatives, Rafael Reyes or Michael Napolitano so that a final inspection may take place. Please be advised that our approval will be expressly conditioned upon your continued compliance with Schedule D of the Declaration. Accordingly, if the aforementioned fails at any time to comply with the Regulations, the ARB reserves the right to direct modification or the removal of the improvements at your sole expense to ensure compliance. Please note that approvals are valid for one year as of the date of this letter. As a reminder, certain alterations will require the approval of the Village of Rye Brook's Building Inspector or Engineer. You shall be responsible for obtaining all required approvals and permits. The Village of Rye Brook will consider applications after BelleFair ARB approval is given. The Village of Rye Brook approval does not preclude the need for ARB approval, nor does ARB approval relieve you from any responsibility of obtaining Village of Rye Brook approval. If you have any questions, please do not hesitate to contact us. Very truly yours, The BelleFair Architectural Review Board &­QSk—__ 0,•R. "Mon, • _W Zg"• ;N Z, pe.10'_ M. 4.4 -.; .as g. 2. 94 -01 M*g%; 40'i. W i.M. fi r gf1A A04 -.fj RMAS 7—,77�� 9 �_o T'S!.. 1t,0- - W� 7 -AyMT X hu w 0 A AL LO look .�i CN:. 0 IMF a. C\1 LQ M:j (do 0 E L) eq W U (D q -6 TO R ui LU U ate2 W 0 OkeCtion MY A 30 t 0� Iry u c 0 4-m Y I=; S W -AT ins ;J U. daCj IM; zw, co N -A% 0 co Q W mom, 7; .............. co x% x CC73 E' 4 E (6'0 r cn ex P. You EZ--A so .3 as MT, Veil K & g DIBICON-03 KSEARS ACORO" CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) �--� 1118/218/2024 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 BYTHE 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 endorsements . PRODUCER NON ACT House-InSite Ins Services InSite Insurance Services PHONE FAX 433 South Main Street ZC,No,Ext: 860 461-1441 ac,Na):(860 461-1404 Suite 107 lnfo@insiteins.com West Hartford,CT 06110 INSURERS AFFORDING COVERAGE NAIL it INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B: DIBICO Inc INSURER C: 803 Woods Brooke Dr INSURERD: Mahopac,NY 10541 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 POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X]OCCUR S 2510758 9/9/2023 9/9/2024 DAMAGE TISESO RENTED 500,000 _ MED EXP(Any oneperson) 15,000 PERSONAL BADVINJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY EljpeT LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY Per rson OWNED SCHEDULED AUTOS ONLY AUUTOpS Ep BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONNLY P,jie08E�Zt AMAGE L $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE S 2510758 9/9/2023 9/9/2024 AGGREGATE 5,000,000 DIED I I RETENTION$ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY TER YIN WC 9097597 9/912023 9l9/2024 1,000,000 OIFFICER/MEIMBER EXCLUDED,ECUTIVE N/A E.L.EACH ACCIDENT $ _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 11000,000 It yes,describe under 1,000,000 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) Certificate holder is included as additional insured if required in written contract per form CG 73 00 06 22 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE R Gw, ,�J✓— ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EW KR Workers' CERTIFICATE OF STATE Compensation 6uavd NVS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Dibico,Inc. (203)618-1232 803 Woods Brooke Dr Mahopac,NY 10541 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up policy) 1 d.Federal Employer Identification Number of Insured or Social Security Number 13-3818316 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Selective Insurance Company of America Village of Rye Brook 938 King Street Rye Brook,NY 10573 3b.Policy Number of Entity Listed in Box"I a" WC 9097597 3c.Policy effective period 9/9/2023 to 9/9/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) XQ 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"1a"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"3c",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 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: Gale Roman (Print name of authorized representative or licensed agent of insurance carrier) Approved by: CS (A— (Signature) Oate� Title: G� Telephone Number of authorized representative or licensed agent of insurance carrier: (860)461-1441 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) www.wcb.ny.gov