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RP24-010
PERMIT # SECTION TYPE OF WORK Juts LOCATION OWNER CONTRACTOR ram'" � EST. COST vti ✓CO #�� TCO # FEE 44000 U FEE DATE INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS CI SPRINKLER ELECTRIC LOW -VOLT CI ALARM 0 AS BUILT 1:3--p--�-�- FINAL �9�7)&7Q-(Y7/y rk c/q)9c)&- 04//4/ OTHER APPROVALS ARB BOT ZBA OTHER �yE 4RC� . 19 Ca.t j+i�4 V W V VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury -*vww.ryebrookny.g_ov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 10,2025 Edwin Gonzalez-Roncancio&Stacy Gonzalez 9 Charles Lane Rye Brook,New York 10573 Re: 9 Charles Lane, Rye Brook,New York 10573 Parcel ID#: 135.41-1-36 Roof Permit#24-010 issued on 3/15/2024 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 p E is �f� H�1 I For office use onl -� BUILCYEBROOK,: MENT PERMIT MAR 2 6 2(125 J VIL OK ISSUED:3—/S��f 1 938 KING STRE PORK 10573 DATE:�oZLVILLAGE OF RYE BROOK JFEE: '�(�� PAIDW BUILDING DEPARTMENT tV.20� APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS essewsssswwsttttttrrssssssrrsrrrss.rsssrsswerrrrrrrrrrrr•rrrrrwsssssssrsssssssrtssssssssusrrrrrsrssssssssssrsss►ssssssssssss Address: 9 Charles Lane, Rye Brook, NY, 10573 Occupancy/Uspesident/Single Ral ID#:135.41-1-36 zone: R15 Owner.: Edwin & Stacy Gonzalez Address: 9 Charles Lane, Rye Brook, NY, 10573 P.E./R.A.or Contractodohn Clark/J.C. Home Improve"Aldress: 151 Cardinal Circle,Torrington, CT, 06790 Person in responsible charge: Address: 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: Edwin Gonzalez being duly sworn,deposes and says that he/she resides at 9 Charles Lane (Print Name of Applicant) (No.and Street) in Rye Brook, NY ,in the County ot'Westchester in the State of NY 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 , for the construction or alteration of: 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 syh Sworn to before me this day of M G1f e� ,20-2-S- day of 20 fi' 't t4'.r-Cs-,�'v Signature of Property Owner Signature of Applicant UDW I# 60A2R-1t z Print Name of Property Omer Print Name of Applicant Notary Public Notary Public Mohammad Rahman 6/1/20'?4 Commission#OIRA0032973 Notary Public State of New York My Commission Expiration:01/17/2029 QyE BRC��. Zf 1982 BUILDING DEPARTMENT ❑�WILDING INSPECTOR QASSISTANT 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: 1 C\A ar Ut�:- rn V f DATE: / - / - (7�� PERMIT# �I 2 U - ') / Q ISSUED: ZySECT: BLOCK: / LOT: LOCATION: g o7� OCCUPANCY: L i0 ❑ 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 r j ❑ NATURAL GAS 1 l I ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION f] FINAL ❑ OTHER 1`Oc�l e e m a ■ O � N w C e ■ Q O N P� ■ Ln CL M F+1 : g z a ° w „ � � F w W V a a rc p, W m M v � h CA � ai � � O � v Li. ■ 0-4 o W H J \Q C oo v C ; Lr) Cs F1 0 F�„� p W � o C � � A ■ v W NsiO CN pq v a � H vo 06 CO C) z 0 6 Is � zp c� � x z w AQ O -714 CN 00 V a� v ° vva !1 �]C\ 00 z wA a o �° \`° � O v 1 H 06, � z� v ►-� F A O V SO .0 U W v � o W a i~ O F o O 'a v v v W Z o ZO � � d °d V} 94 O V U U zJ. 0 0 A � O � � . a z 0 w 00 , . C � 0 � � gu Ub p EC 7LE E BUILDI '- MENT VILLAGE OF RYE OK MAR 13 2€124 938 KING 9TP& T RYE BR �€ NY 10573 -0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE O. LY: Approval Date: ` Permit# vV ; Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee4loc>A Permit Fees: ROOF PERMIT APPLICATION Application dated: 3/9/2024 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. 1. Job Address: 9 Charles Lane, Rye Brook, NY, 10573 SBL: 135.41 -1- 36 Zone: R15 Property Owner: Edwin & Stacy Gonzalez Address: Phone#: Cell k (917)670 8714 email: skgl231@gmail.com 2. Applicant. Edwin Gonzalez Address: Phone#: Cell#: (917)670 8714 email: 3. Roofing Contractor: John Clark/J.C. Home Improvemenkddress, 151 Cardinal Circle,Torrington, CT, 06790 Phone#: Cell#: 914-906-4121 —email: Jehome26@aol.com 4. Job Description,list all Methods&Materials: Roof Replacement 5. Estimated Cost of Job:$ 18,000 (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: N/A 7. Construction Type: NYS Construction Class: 8. Number of stories: Two Height: 9. is garage being re-roofed:No:(X)•Yes:( )Attached No:( )•Yes:( )Number of Cars: Ill. Is roof peaked,hip,mansard,flat,etc: peaked 11. Estimated date of completion: 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 NEW YORK,COUNTY OF WESTCHESTER ) as: ,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 Sworn to before /me this day of 3 � � , 20_Z4L day of I r ( ,20—[4.�,6�� ��_ e/A Z Signature of Property Owner Signature of Applicant !! R Print Name of Prope Owner Print Name of Applicant �. AA Notary Public Notary Public SCOTT W.CRAIG SCOTT W.CRAIG Notary Public of New York Notary Public of New York REG NO. 01CR6390567 REG NO. 01CR6390567 COMMISSION EXPIRES O4/15/2027 COMMISSION EXPIRES O411512027 -2- 10130/2023 J.C. Home Improvement License # WC-05896-H94 151 Cardinal Circle Torrington CT, 06790 John Clark: 914-906-4121 Email: jchome26&aol.com Customer: Edwin Gonzalez Contact: same Job Address: 9 Charles Lane Rye Brook NY Phone: 917-569-8281 Email: edyr79ggmail.com Roof Replacement Date: 311124 Assessment: Existing roof has two layers of asphalt shingle that is approaching the end of their designed life with shingles falling out of place, splitting, nail pops, throughout roof system. Wood sheathing seems to be in decent condition with some soft areas. More accurate information of sheathing condition will be determined during roof removal process. Low pitched section in rear has the incorrect installation for the pitch. Although no leaks are reported currently, the Roof needs total replacement. The existing chimney flashing is in good condition and will be salvaged. The chimney itself is in poor condition from roof line to top with multiple cracks/gaps in mortar and concrete cap cracked. This allows water to penetrate and freeze which loosens mortar and pushes bricks out, creating more gaps. The existing gutter system is in good condition and will not need replacement at this time. Customer requests pricing on roof replacement and chimney work. Preparation: Tear off existing layers of asphalt shingle down to wood sheathing. During removal, all lower windows and shrubs will be protected with blocking plywood and/or tarps. Some minor shrub/plant damage may occur due to ladder placement or foot traffic. In keeping with proper safety protocol, sometimes this cannot be avoided. Sheathing: Inspect all wood and replace any rotted or damaged pieces. Price to include up to 6 sheets 5/8" CDX plywood. Underlayment: Furnish and install GAF Weather Watch ice and water barrier. This is a self-adhering membrane designed to protect areas where ice damming occurs. This is to be installed on bottom 3ft. along roofs edge making sure to extend ice shield minimum of 24" beyond exterior walls, 6ft on low sloped areas, in all valleys, around all projections, and along any angle changes. Membrane will be wrapped over onto new fascia prior to drip edge install. A 30 lb. synthetic felt paper underlayment will be installed in remaining areas. Roof ed ig ng_: Furnish and install F5-1/2"Aluminum drip edge flashing along all rakes and edges. Roof Projections/flashing: All plumbing vents will receive a custom fabricated aluminum boot flashing. Shingles: Furnish and install GAF Timberline HDZ asphalt shingle. (Color to be determined.) Shingles have a Limited Manufacturers Lifetime Warranty. Shingles will be installed and fastened in strict accordance with manufacturers specifications. Flat Roof. Furnish and install new GAF Liberty SA SBS granulated modified bitumen flat roof system. This is a 2-ply self-adhered membrane with a bitumen base sheet installed directly onto bare sheathing followed by a granulated cap sheet. All roof projections will be treated as per manufacturers specifications. Both plies of membrane will be tied into roof ridge. An Aluminum drip edge will be fabricated and installed on top of base membrane and extend into gutter. Ventilation: Roof ridges will be cut back 1-1/2" on either side of ridge beam to allow proper air flow. Furnish and install new GAF Cobra ridge vent system. This will be fastened to roof and GAF Timbertex hip and ridge shingles installed on top. Chimney: The existing copper chimney flashing is in good condition and will be tied in with new shingles and sealed accordingly. All mortar joints on chimney from roof line to top will be ground out where needed and repointed with Quik- Crete Mortar mix cement. Any damaged or broken bricks will be replaced at same time. The existing chimney cap will be removed, and new concrete cap applied. Gutters: All gutters will be cleaned and reinforced with new H-3 hidden hangers where necessary. Debris Removal: All job-related debris will be removed in supplied container. All installations will be in strict accordance with manufacturers' specifications, New York State building codes, and industry standards. GAF Manufacturer's warranty: Limited Lifetime J.C. Home Improvement workmanship warranty: 10 years Information on shingles and other materials being used on your project can be found at: wwwgaf com . We encourage you to review the information on their site. We propose hereby to furnish all material and labor for roof replacement complete in accordance with the above specifications for the sum of: Roof with 6 sheets: $16,550.00 Chimney work: $1000.00 Container: $1000.00 Total: $18,550.00 Payment Schedule: 1/3 Deposit at job commencement, 1/3 at 50% completion, balance due at job completion. Work Schedule: This work will be done in [ 6-8 1 working days. All material is guaranteed to be as specified.All Work is to be completed in a workmanlike manner according to specifications submitted,per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed upon written/verbal orders and will become an extra charge over and above the estimate.All agreements contingent upon weather accidents,or delays beyond our control. Authorized Signature: Date: Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature: Date OWN PON! _.g 't. '.I, '._.� Lit o ........... VI ................. 0 Cc > 0- C%C:> 4 C\l 0 0 LU W o pm( 0 '4" .2 12,ction yz lib C) bb E < �L�tgg 0 Z m .13 W E LTJ LT. a f3 LO 0. ......... ............. L) 0 0 ;z x c6 00 C) LO C ca / 1 ® DATE(MM/DD/YYYY) AFRO CERTIFICATE OF LIABILITY INSURANCE 03/11/2024 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 Brooks, Todd & McNeil NAME: - _ Jeanette Catte PO Box 717 A/CNNo Ext): _ 860 482-5591 FAX No: 860 496-9713 E-MAIL Torrington CT 06790-0717 ADDRESS: jmcattey@brookstoddmcneil.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Northfield Ins Co 27987 INSURED INSURERS: John Clark dba John Clark Home Improvement INSURER C: 151 Cardinal Circle INSURERD: Torrington CT 06790 INSURERE: (914) 906-4121 INSURER F: COVERAGES RD CERTIFICATE NUMBER:Cert ID 19903 (5) 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 TYPE OF INSURANCE LTR IN POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DGE ToRENTED —CLAIMS-MADE Fx OCCUR Y WS507915 08/01/2023 08/01/2024 PREMISES E.occurence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 E POLICY❑JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUT BODILY INJURY(Per accident) $ OS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER ER AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (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 is included as additional insured with respect to General Liability if required in a written contract or agreement, subject to policy conditions. 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 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook, NY 10573 (f ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 0 A^^^^ 092627477 JOHN CLARK + m }Y D/B/A JOHN CLARK HOME IMPROVEMENT � r i 151 CARDINAL CIRCLE TORRINGTON CT 06790 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JOHN CLARK VILLAGE OF RYE BROOK D/B/A JOHN CLARK HOME IMPROVEMENT 938 KING ST 151 CARDINAL CIRCLE RYE BROOK NY 10573 TORRINGTON CT 06790 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2471059-2 450851 04/16/2024 TO 04/16/2025 3/11/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2471059-2, 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 SUR NCE FUND F �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 168448102