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HomeMy WebLinkAboutRP24-004PERMIT # SECTION TYPE OF WORK 10B LOCATION CONTRALTO DATE. Npl BLOCK LOT •ice -•�� 4 TCO # FEE DATE , INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS C� SPRINKLER ELECTRIC LOW -VOLT 0 ALARM O AS BUILT FINAL oocll,e &5`vol)Z/ewe ia�Jnor.UViiJ�r�iC.�Sf �Q oo��y3-o6357 �9/7)83a-c�7/� IRI APPROVALS �yE DR 190 G tip � GG 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 March 4,2025 Evan Tannor&Ilene Tannor 14 Longledge Drive Rye Brook,New York 10573 Re: 14 Longledge Drive, Rye Brook,New York 10573 Parcel ID#: 135.66-1-48 Roof Permit#24-004 issued on 1/22/2024 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 I �l, (—ice `V t' For office use only: D L IEIj ! BUILDING DEPARTMENT �,�, ' PERMIT# c� _00d VILLAGE OF RYE BROOK I I ISSUED: AUG 1 3 2024 938 KING STREET,RYE BROOK,NEw YORK 10573 DATE: —/3—a --- ------------� (914)939-0668 FEE: / v — PAID VILLAGE OF RYc BROOK www.rvebrooltny.gov 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 •►q►►++t+d+sssssrssssar•sr+tt++s++sssssssrs►rrrsr rar•r►►sr+►rrt++►+►sssrsssssrarrssr►t►+ssssrs►sr►srrsstrstt++►sassssrssssrss Address: AA� // Occupancy Use: /� Parcel ID#: 5- & �— Zone:1 Owner: Lum �2tt111 _( Address:_4ltmct j ifaodt P.E./R.A.or Contractor: Address:P (Ali di tw d�T, J&t CA Person in responsible charge: Address: 10 (ue 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: 1L A U L4 l P W IA,n) being duly sworn,deposes and says that he/she resides at 1V//�� (Print Name of Ap licant) (No.and Street) in �(t t �� ,in the County of �W(Mp� in the State of that (Cityfrown/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:$ 13 f 0w, 00 for the construction or alteration of. a1^,t4L 'b 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 X10 Sworn to before me this day of �.��� , 2024 day of , 20 a l �Signature ofof Property Owner jigra�.fApphcant N G(1L/�LOYVY.& (-/ J'j'V7 S � � 1Ve -r(' Print Name o roperty caner TIMOTHY R TRACY Print Name �of/Applicant NOTARY PUBLIC,STATE OF NEW YORK ota ,c ^ Registration No. 01TR6185472 No lie Qualified in Westchester County Commission Expires May 25 , 2028 LIGIA G. MAIA ; Notary Public,Connecticut My Commisslon EVires 05131r= �E BRC�v� 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR BASSISTANT 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 : 19 L o jA I DATE: PERMIT# ? p t q -. CxD� ISSUED: -ZZ-Z 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 I ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION Q FINAL Q OTHER N Q Q N W w ^N eq N \ n ~ a W z04 �•`� V J � a O V a E- O Ar = a ' P4 r" US u _ _ ,qT 0.1 CJ4 W, v o 0 a 1 0 z �j L � � '��• ICI p�" 'v � C 6p � � � L a � �a �--•-� � � iv) Cal 3 +, 0 -0 �..,� ~ C en C4 `n Q colern en ` O ter+ p ° ° („) rr�Ky E- z F., p A w V W en z �. W W � �, 0b � a , r � O w w �' AGQ o _ C7� a v A W �Zx oo r�r'' W `-4 w U A x O w c wQ $ 9 = � z — u � o Q v to v w d W QV o 4 -d - v � gw � y � x c V � H •aQ1 . BUILD TMENT VILLAG!,E OF RYE OK JAN 17 2024 938 KING STREET RYE BR ,"NY 10573 -0 -c FOR OFFICE USE ONLY: (� Approval Date: JAN 1 7 2021 e it 7 0 Application# Approval Signature: : ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# Other: Application Fee:,&/070'-t Permit Fees: ROOF PERMIT APPLICATION Application dated: 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. W 1. Job Address: r SBL: I� �d Zone: Property Owner: (' Address: Phone#: Cell#:_ // 7 � �� C� 7�J _email: Q,-�or crs mad, 2. Applicant: &I I her YnC LUG)&YC 'bOl,t')t10Cl 13�address: Phone#: C)& Cell#: 20 J Q�3 email: 3. Roofing Contractor: Address: C g�V I EW (7 Phone#:o W3 0&3 ©6 Cell#: ���! email: (,Q)'} ('r !^� Guy to 4. Job Description,list all Methods&Materials: 5. Estimated Cost of Job: $ � �((,�(/. 1A_1 (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.) b. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: S. Number of stories: Height: t 9. Is garage being re-roofed:No: ( ) •Yes:( Attached No:( )-Yes: ( )Number of Cars: OL 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: � r 10I3012023 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. STTE OF NEW YORC UNTY OF WESTCHESTER ) as: , Y �2 11jlejR ,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,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 I+h Sworn to before me this /c-�1 day of , 20 2-4 day of 3Va p OcAp 20,IL_ I=— cJ Signature of Property Owner ature of Applicant N �PNNQ �U���P_YYl1� �UG �i16�dSU�zr� P 'nt Nam of Prop Print Name of Applicant LiL Note Flu h Notary blic TIMOTHY R.TRACY LIGIA G. MAIA NOTARY Pueuc,STATE OF NEW YORK Registration No.01TR6185472 FNotary Public, Connecticut Qualified in Westchester County omnllssion Expires 05/31/2027 Commission Expires May 25,20?A -2- 1013012023 �41 v.._ . (may U M 1 78 l• q 4 Wt w d ^� t1 ^ u L LU CJ con to M a1ection ,4 » O ram► d a Lu +� coo F �e aQ 3r C crstr so \ •V V t C { ` :: v s y N cssi # v_ 1 � a' • y w F KJ W OW- .i'", ACORV DATE(MM/DD/YYYY) 16., CERTIFICATE OF LIABILITY INSURANCE 1/12/2024 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 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: Camila Macedo Associated Insurance Agency,LLC PHONE 203 748-9272 50 Newtown Road,Suite 1 ADDRESS: camila@aia-danbury.com INSURER(S)AFFORDING COVERAGE NAIC# Danbury CT 06810 INSURER A: UTICA FIRST INS CO 15326 INSURED INSURER B: GL Contractors LLC INSURER C: 10 Crestview Dr INSURER D: INSURER E: Bridgeport CT 06606 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 CLAIMS-MADE 41OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y ART3000637740 08/29/2023 08/29/2024 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: Tenants Liability $ 100,000 AUTOMOBILE LIABILITY CO accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPER I Y DAMAGE— AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION _ AND EMPLOYERS'LIABILITY Y/N I PER STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N/A Mandatory in under E.L.DISEASE-EA EMPLOYEE If yes,describe a under $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Village of Rye Brook is listed 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 St AUTHORIZED REPRESENTATIVE 1�(�ru;wtrt Qc°�ic4t - 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 17--0;*k-\ NYSIF New York State Insurance Fund PO Box 66699.Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE I A A A A A 828478002 ASSOCIATED INSURANCE AGENCY LLC ia 50 NEWTOWN RD STE 1 Y ail: DANBURY CT 06810 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GL CONTRACTORS LLC (A CT LLC) VILLAGE OF RYE BROOK 10 CRESTVIEW DR 938 KING STREET BRIDGEPORT CT 06606 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2600 279-0 129285 11/04/2023 TO 11/04/2024 1/12/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2600 279-0, 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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 450062268