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HomeMy WebLinkAboutMP22-080 QRC� << G 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 March 19,2024 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 172 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-36 This document certifies that the work done under Mechanical Permit #22-080 issued on 5/19/2022 for the installation of a new rooftop HVAC unit has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to QyE BRC��, • 1932• 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 : // SDI ►'1 ;P ! A S ' T DATE:,3- PERMIT# h� 2 2 " 0 ISSUED:S 11- 2Z SECT: /yI.3.5 BLOCK: 2 LOT: LOCATION: �� OCCUPANCY' /110 ❑ Violation Noted THE WORK IS... D' PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION __� G ❑ Natural Gas �J -f ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION L FINALPeAm i 1- Er OTHER �'�✓<i �� /? C N� i W � N N N N 4-4 N O u CN H A a. W �J L1 Q ZLjr) "Inn o enHr� ° x a O en o CA+ �: It W � ;� [rw� o "o E r� •� v� CZ 00 LM .. � �00 (, u rod H U WW �, � W 1� VW CWA7 °° A o mo, L .. ;o V 0 on �CC a.8 oQ �L1 tz x W 3 C M u P.o 30 � .. A woo �� �D 0 w a" w x0 � � �� - _ VF BUILD :. MENT VILE E OF RN' OOK 19 2Q22 938 KING .F.T RYF BR ,NV 10573 VILLAGE OF RYE BROOK 4 "0. af� BUILDING DEPARTMENT a s APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AJ4R CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: 1'E RAIr"r�:._�� - oeo MAY 1 9 2 Approval Date: Permit Fee:S Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance.(Village of Rye Brook must he listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=S I00.00/unit• COMMERCIAL=S350.00/unit. 5. Inspection by the Building Department for removal and/or installation. (48 hour notice required 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 2S is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. r�f1 77 �/ ,Q I. Address: 1I)_ S ItY Sa . R V 6(o K- SBL: //!1h,35" t)—3 cGone: (2/"! 2. Property Owner: M eft,W Address:(. 0 Phone#: Cell#: email: 4 -Cory) 3. Contractor:C 0Vt ST'VTL_ O&IG Zip ab1•(/LCL�_S Address: +0 t-t r°tV_) 0 Phone#:703 -- 953- Cell#:2D3 -q 43 -5a53 email:lNUF 4? v'„ry lE G MYVu\LItC.+ CO y� 4. ApplicantQ$MJ0 36ST1t1LF-kfx_b Address: r 7rro4,p Phone#:'ZO`3 -!q All _!5 3 573 —Cell#: email: 5. Scope of Work:New Installation( )•Replacement( )•Removal( )I.Other( ): 6. List Equipment: R�(h D�� X 1$T(WC. L V_-1% N bx -T-0VQ I-A 0!JTM tiff 1 UrL 7. Location of Equipment: p1prC I r r �_�!� � +L P(r-T C ID ©dSJ 8. Method of Installation/Removal (list all equipment needed to perform job): 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 'i-)owo F&-2"yA 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,ctc.) 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_ 1 q A`1 Sworn to before me this day of f 20.-e day of A ,20 re of P perry Owner r Signature of Applicant b>Rw �ri.�f 0"t 4 3t�Si sG-�z�t�Sd Print Name of Property QWM Print Name of Applicant 4ki'j� Notary P UME BRUNELLI NOTARY PUBLIC,STATE OF NEW YORK SUSIE BRLTNELLI Registration No.O1BR61.46106 NOTARY PUBLIC,STATE OF NEW YORK Qualified in WESTCHESTER COUNTY County Registration No.01BR6146106 C6hillil4tB , l Quaf ed in WESTCHESTER COUNTY County y t O slet.d in its entire �Y11t]� I1tSc ( IIisIB��ii' s) of 1e eba owners ofthe subject property, and the applic ,i` ivll 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 sn2/2021 'r c mom � w1 �- ♦ � ' sty ! A 1' *.r t it • r ri r , • • o u+ Steven Fews From: Magdalena Babkie <magdalena@coastal-mechanical.com> Sent: Monday, May 23, 2022 9:54 AM To: Steven Fews Cc: 'Dave Besterfield' Subject: Lenny's begles - 172 South Ridge - Rye Ridge Shopping Center Importance: High As per our conversation the crane size is 23 ton and they will set it up in front as the plan showed submitted for permit. The time would be 7am and they should be done within half hour. Regards, Magdalena Babkie Controller Coastal Mechanical Services Inc. Coastal Energy Services Inc. 40 Hathaway Drive, Stratford, CT 06615 tel. 203.953.3732 fax. 203.953.3738 cell. 203.331.6750 HTG.0385667-S1 i t~OJ ID ^ 0 0 7 N O y O M UI a 0O� O N w N Q w .-1 N o O Ln L E YI > Y •-1 .Ld N N F ? o in � w N o C o c Y E o w > N w N C C y> 0 O w 7 U O O N v N 0 w o c E n > Y v ^ � c o m� w L N 7 U O a o o N N �O 3 O. N N O O ` C L CC a W a w O N ti .-� .y n O` �O X E C N N C N O .q a x w u 0 d N C �N � 0 O 0 0 m co S O N w .>. 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M M M C C i0 amD uMi O OD N m O N O 1A N o q A j O 00 7 In CO p n W z 17 ap \ 0 \ m N c O O I!1 O O o c I .ti n w N N M NOD O V m M O p M M M n O m c W\ � �V1 C Q O n C n 4 U M In.�.in E c o rn . c 3 «• Eul omocu -' 3 cJi3r VI 0 ID 000 OD co O O O N N N O O O N N N N N N O O = ��"'N�' D ' C) .7 rl N P7 It In = V OI ' T M M M a a 10 ID 10 n n n O� O+ 01 01 O+ O• O O O N N -0O a V U U u U r t C N y W O�M a 0 0 0 0 ou SO+� Y Y O o O N N N W O j O to v 9 Y l0 a c c a a m�va m c e e o d Y o o > > > F- F _» > uvuu 'vuu �n COASMEC-02 PSUZIO ACORD CERTIFICATE OF LIABILI INSURANCE FDAT/17/2D/Y TY 2 517I2022 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 CT Paul A.Suzio AssuredPartners New England,Inc. PHONE FAX 100 Beard Saw Mill Road ,No,Est):(203)514-7863 No:203 514-7863 Shelton,CT 06484 IM83.Paul.SuzloJr@AssuredPartnem.com INSURE 8 AFFORDING COVERAGE NAIL• INSURER A:American Fire&Casuaft Co. 24066 INSURED INSURER B:Ohio SeCurity Insurance Company 24082 Coastal Mechanical Services,Inc. INSURER C:Ohio Casually Ins.Co. 24074 40 Hathaway Dr. INSURERD: Stratford,CT 06615 - - 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 8U POLICY NUMBER POLICY EFF POf.ICY D� LIMITS A X COMMERCIAL GENERAL.tJABLITY _gAC1,000,000 W CMS-MADE [X] DAM OCCUR X BKA58336167 12/17/2021 12/17/2022 OCCURRENCE DAMAGE TO RENTED 300,000 MED EXP(Any oneperson) 15,000 PERSONAL 8 ADV INJURY 1,000,000 GENL AGGREGATE LIMIT.APPLIES PER GENERAL AGGREGATE 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG 290000000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (EA aCcident) IIIIx ANY AUTO X BAS58336167 12J1712021 12117=22 BODILY INJURY(Per parson OWNED SCHEDULED AUTOS ONLY AUTOS W BODILY INJURY sr accident AUTOS ONLY X MOO (F a AMAGE C UMBRELLA LIAB X OCCUR RLY rPEACH OCCURRENCE 111 2,000,000 X EXCESS LIAR CLAIMS-MADE X US058336167 12/17/2021 12H7/2022 AGGREGATE 2,000,000 DED I X � RETENTIONS 109000 C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY XW058336167 12/1/2021 12/1/2022 STATUTE EIR 500,000 ANY PRO MEMTOR EXRCLUDEWF(ECUTNE Y� N/A E.L.EACH ACCIDENT (( ndatory in�i l) y E.L.DISEASE-EA EMPLOYEE500,000 D.. scribe OF rPERATIONS below 500,000 E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Village of Rye Brook is additional Insured. 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 ACCORDANCE WITH THE POLICY PROVISIONS, 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ✓NII�C.RQOA ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name 8 Address of Insured(use street address only) 1 b. Business Telephone Number of Insured Coastal Mechanical Services, Inc. (203)953-3732 0 Hathaway Dr. 1c. NYS Unemployment Insurance Employer Registration Number of Insured Strafford , CT 06615 ork Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 06-1450112 2.Name and Address of Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Ohio Casualty Ins.Co. Village of Rye Brook 3b. Policy Number of Entity Listed in Box"l a" 938 King Street XW058336167 Rye Brook,NY 10573 3c. Policy effective period 12/1/2021 to 12/1/2022 3d. The Proprietor,Partners or Executive Officers are ®included.(Only check box If all partners/officers included) Dail excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 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". 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: Paul A. Suzio (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 11aza ����g� 5/17/2022 (Sig t e) (Date) Title: Account Executive Telephone Number of authorized representative or licensed agent of insurance carrier: (203)514-7863 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.