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BP24-062
OERMIT #ICJ � � � DATE; z1 I' a y SECTION Z3 Jai2 BLOCK TYPE OF WORK% *00l %S74�� DoT l 10B LO TION OWNER z✓ CONTRACTOR_ coO COST CO # TCO # FEE DATE INSPECTION RECORD I DATE INSP �o✓a�4'on rPS 9� 9�� ys 57� 9 FOOTING FOUNDATION FRAMING RGH FRAMING - ZJ 5{ INSULATION / _ PLUMBING Co T ^I t ZOW gSSQ �� J'p� �- 09 RGH PLUMBING GAS ED `gyp ELECTRIC SPRINKLER LOW -VOLT ALARM 177 AS BUILT m FINAL q. Z 3' ZEDS �i°SS OTHER APPROVALS ARB BOT PB ZBA LI- VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-054 (Certificate of Occupancy I �(,( Rppe l�C/ FCrIS��a p1ye his is to certify that S of, &,C g y(—)6 k, N 7 having duly filed an application on Q� " 20 a�requesting a Certificate of Occupancy for the premises known as, J2 I Q tale Court , Rye Brook,NY, located in a )Q—JU Zoning District and shown on the most current Tax Map as Section: 13'5•COCO Block: / Lot: 7 -) and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. ' &� , issuedM 20 2 , such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: /� Construction: 3 for the following purposes: bc� >Lh room Y���a Ycz�i�� Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in ht shall be made,no�e :il hll the b ilding be moved from one location to another until a permit to accomplish such Chang as be n o from Inspector. ( Building Inspector,Village of Rye Brook: Date: APR 2 5 2025 ECENE DO BUILDING DEPARTMENT For office use onl PERMIT# -()COS VILLAGE OF RYE BROOK ISSUED: /7— APR 11 2025 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: Z7-11-25 (914)939-0668 FEE: t,SM PAID 0/0 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT 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 Address: -! 11 A r Lc- CiT AZ-�-/C' 39-0 01-(— M Y 10.S 73 Occupancy/Use: Q."3 Parcel ID#: 13 S 6 6 —1 — 7 8 Zone: 2`1 fl Owner: D� �u-�+ ayit Gle' S Address: q G7` �.A. or Contractor: D�llt(PM JJi� �t f Address: °j l`7 ol'C` l Pe✓rson in responsible charge: D:Z f,(. &A"I a0!%`CA"l Address: �?*Pyr cr 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: d D-2Gl,(,4W tQ Wti—W S being duly sworn,deposes and says that he/she resides at "! /I A 001,C_ GT (Print Name of Applicant) (No.and Street) in 12Yr C in the County of i'i✓CS*G "r �- in the State of�,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 110 , for the construction or alteration of. rA1T&-X t tv2 /ST y v 2 �,4-T1�flLe�t� "-wo V,q-Ts o.j 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 Sworn to before me this day of , 20_ZL_ day of , 2lJ(� Signature of ZPperty Owner SignaturjA Applicant Pe/u W 4 rAjr r PZ I"6 Al-f ,E,AA�C1&74r Print a of Property Owner n Print Name of Applicant Notary P Notary P GREGORY M.RIVERA GREGORY M.RIVERA NeWy Public,State of New York Notary Public,State of New York 81 12'2021 No.0111164411398 No.01 RIG441398 Qualified In Westchester County� Qualified In Westchester County Commission Expires September 26,2 Commission Expires September 26,20 �yE BR(�j� O� 2� 1982 BUILDING DEPARTMENT ❑BjLDING INSPECTOR [TASSISTANT 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 : M{�Pl DATE: OoI,S PERMIT# `? I DL, _ ISSUED: 106-4 SECT: BLOCK: LOT: 76 LOCATION: L� L�_, ��v�o�7-�-, 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION (} FINAL ❑ OTHER �E BRC�� i-- '982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 01'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 : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: i 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BR(�� '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0 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 : 1 M n P (o C o,,.,. DATE: /3 - Z UZ/ PERMIT# i \ Z ISSUED:` SECT: BLOCK: LOT: 28 LOCATION: / /r1 5 7 `"I oo't 1-1"4 < c /3A rw 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�v� • �9�2 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 :— I M�tQ LSO lt/�Jc DATE: 'j PERMIT# \ ?, �If 0 0 �/ ISSUED: "zJ"L SECT: BLOCK: LOT: 7 J LOCATION: 1, rn l �)n 2��� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... _ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION [I UNDERGROUND PLUMBING NOTES ON INSPECTION: ,,E] ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS . �� �y J't, ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER - p N O c rq C'4 w 0 � v _ N c a-0 U m V) cl O w = w r 0- Z H o l = O 00v, M4 q o � a H t O w ++ a s o � � u Wo °Joro H Linw o v q c o F-1 GIB qt N N - 0-4 zCro wo co w z z , zooa G0E ' CA s W / O Q U V - w o w © - p w w a � U o = v z Cn Qr y O a v 1Ci a aj O ; 1�711 � � � v w � - H ~ H Q � z o a-a v �« c/] A v ¢ 0 x = 04 fi, fx vs w z o o z � 0 Q O o V � -g _ wM I � O 0 o oQ .� •u a � - ¢ BUILD MENT Q `� VIL E OF RY OK 938 KING ET RYE BR NY 10573 MAR 2 7 2024 4 -0, VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: r►�o�y_ Approval Date: �Prniit#: Application Fee:,6 Approval Signature: Permit Fees:$ Disapproved: Other: Application dated: 3/26/2024 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. I. Job Address: 9 Maple Ct. Rye Brook, NY 10573 SBL: 135.66-1-78 Zone: R-10 2. Proposed Improvement.(Describe in detail): Renovate current first floor bathroom due to existing water leaks and damage. Replacement of gypboard finishes, redoing the tiles and waterproofing of the shower and floor (including local wood frame repairs at leak areas where required), replacement of vanity and toilet. Minor plumbing alterations (plumber will obtain permit for this work) . Replacement of window within shower (under separate permit by window installer) . 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I hood,etc...) :No: X Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application& 2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: 1 fam. After Construction: 1 fam. 6. N.Y State Construction Classification: Type v N.Y.State Use Classification: R-3 Dziugas Reneckis fig Cristina Pires 7. Property Owner. Address: 9 Maple Ct. Rye Brook, NY 10573 Phone# Ce114 929-245-5769 email: dreneckis@gmail.eom 8. Applicant: Dziugas Reneckis s Cristina Pires Address: 9 Maple Ct. Rye Brook, NY 10573 Phone# Cell# 929-245-5769 email: dreneckis@gmail.com 9. Architect: N/A Address: Phone# Cell# email: 10. Engineer: Dziugas Reneckis, PE Address: 9 Maple Ct. Rye Brook, NY 10573 Phone# Cell# 929-245-5769 email: dreneckis@gmail.com Owner to self-perform the work 11. General Contractor: Address: Phone# Cell# 929-245-5769 email: dreneckis@gmail.com 12. Estimated cost of construction $ 5,500 I NO IT:The estimated coal ahall include all labor.material.acallioldmg,fixed equipment,pmfc„wna)lees.and material and labor which may be donated g I'al 1 i.1 13. Job Timetable: Start: April 1, 2024 Finish: July 1, 2024 (I) 6/1/2023 BUILD MENT VIL OF RY OK I R I MAR 2 7 2024 U 938 Ill FT RYE BR NY 10573 -0 , I VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I, Dziugas Reneckis ,residing at, 9 Maple Ct. (PI I[I I nameI (AddresS w here you lice) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 9 Maple Ct. , Rye Brook,NY. I oh,lddr",o Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ISignalure Pcrh Ownerlsll Dziugas Reneckis I Pnnl N11113C of ProperlN Ou I erl S H Sworn to before me this 27&44 " day of A19Z__ , 20 2 / Xwe (Notary Pitt) All K. Et KEt�ND ENNOTARy PUE3LIC,STATE OF NEW YOPK Rc,istmtion Na.01EC617133A Oti alified in W�Stchester COunty (2) rssirn Exprres September 17,20 8/12/2021 This form must be properly completed¬arized by the Design Professional of record and the Property Owner. Failure to provide this completed �'[ t " V rR permit application will delay the permitting proses U ************* ****** ** ************* MA:Rj' 7 2024 Notice of Utilization of Truss Type, Pre-Engineered o�Vf�ALLAGE OF RYE BROOK `BUILDING DEPARTMENT or Timber Frame Construction. (Title 19 Part 1264& 1265 N - - - - To:The Building Inspector of the Village of Rye Brook. From: Dziugas Reneckis, PE Subject Property: 9 Maple Ct. S,gL,. 135.66-1-78 Zone: R-10 Please take notice that the subject; a One or Two Family;❑ Commercial, ❑ New Structure ❑ Addition to an Existing Structure ta Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) ❑ Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) Wood framed stud construction in the following location(s); Local wood framed stud repairs at water damaged wall areas ❑ Floor Framing,including Girders&Beams(F) ❑ Roof Framing(R) ❑ Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before me this W Sworn to before e this Is— day of ��i�•1 ,20 day of �Q _ -� ,20 SignlProperty Owner SignaijaWf Design Professional Dziugas Reneckis Dziugas Reneckis, PE Prjrpame oZP Owne Prin ��f De ' rafessionalC otary Pu is Notary y is ro AMY K. ECKLUND AMY K. E=FN NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,SRK Registration No,D1ECSt74334 Registration No.Qualified in Westchester County O"ul'f ed m WestCon- issron Expires September 17,20; COmm"ss'o�Expires S ' (3) 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. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Dziugas Reneckis ,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<ttg e a own of the property to which this application pertains, or that (s)he is the engineer 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. By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 276 Sworn to before me this day of /(( Q � , 20 day of /L2� �f , 20 Signal f Property Owner Signatur A plicant Dziugas Reneckis Dziugas Reneckis, PE Print Nay/me of Property Owner Print N e of Applicant 4 otary Publi Notary Pub c AMY K. ECKLUND AMY K. ECKLUND NOTARY PUBLIC,STATE OF NEW YORK Y PUBLIC,STATE OF NEW YORK Registration No.01EC6174334 Registration No.01 EC6174334Qualified in Westchester County QUahfied in We�Itote er County Cornn,ission Exp,res September 17 20� [:NOTAF ommie lion Exp,res Sept"n 17,20 2 (4) 8/12/2021 , ■ N ' 0 N N C1. W u Ei � m : O a ? W w c � • � o zo � z � W � H � � A ■ W z N w H . CA ' ■ Ln CAL- O u z w � � _ a O V wIs o Uz N ' W cn cn ~ a z z `W' �. O i 0-0 x ° � V , A V z a A � z � � � � � w � \o W ■ r� ao Mai h+••l (�, z A N a _ o z z It W a � 0. V A ° 8 $ a ■ V W w z H c o z Ln x A a z w a op • y�, BR C�v,� p IS C E� �/ BULL � MENT ED Vu, Q :R' OK JUN 2 0 2024 938 KIN fY NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: 7 Approval Date: (0— Z y' 20 2 !1 Permit Fee: $ Approval Signature: c Other: Application dated, (O �O �� is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 9 Maple Ct SBL: 135.66-1-78 Zone:IP 1 C7 2.Property owner: Dziugas Reneckis Address: Phone#: 929-245-5769 Cell#: email: 3.Master Electrician: Angelo ZacCagJlino Address: 81 Maple Ave, Rye NY 10580 Lie.#: 755 Phone#: 914-921-3244 Cell#: email: Office@Zaccagnino.net company Name: Zaccagnino Electric Address: 4.Proposed Electrical Work/Fixture Count: Wiring of first floor bathroom renovation BP-24-062 5.31 Party Electrical Inspection Agency: SWIS STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: Angelo Zaccagnino ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Electrician for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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 Fite Prevent &Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sw t re me th' Sworn to before m this r! y da 0 y of ,v ,20 rED gn a of p r i of A li as en c is Angelo Zasrs $n NON ri Name R Print W K NOTARY PUBLkwir OF NEW YORK No. 016 238 Notary Public No e Guolltied in heMbr County . My commission s October 14, 20 My Commisslon Tres ctober 14, 6/23/2022 STATEWIDE • Service With Inlegril.11 1:1 office@swisny.com SWIS JOB APPLICATION84 1 • fax 914.219.1062 • SWISTraining.corn Office Use Elect.Permit#� �L � Date Bldg Permit# Utility ID# Final Certificate# City/Village },\ ) Zip Township County e-. Address (' Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ,+ ❑Basement [3.1 st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside LLI Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information l rev' J U N 2 0 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,Ifat any time of inspection additional Items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name ' Date Signature f ---- Address City/State Zip Code License# Phone# DLE � Z u v I 1 i State Wide Inspection Services 1080 Main Street FEB — 6 2025 Fishkill, NY 12524 j 0 S 845 202-7224 Phone VILLAGE OF RYE BROOK 914e(1)sw ny. Fax STATE WIDE INSPECTION SERVICES Email: officeCa�swisny.com BOIL 10ING DEPARTMENT - Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Zaccagnino Electric Dziugas Reneckis &Christina Pires Angelo P. Zaccagnino 9 Maple Court 81 Maple Avenue Rye Brook, NY 10573 Rye, NY 10580 Located at:9 Maple Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: E24-128 135.66 1 78 Certificate Number:2025-0398 Building Permit Number:24-062 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at:9 Maple Court, Rye Brook, NY 10573 The First Floor: Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 17t'day of January 2025. Name Quantity Rating Circuit Type Light Fixtures 03 Exhaust Fan 01 Dedicated Circuit 01 20AMP GFCI Receptacle 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Ln Gs O N aT M C N N N � a n a0-4 ca a M O dS O w w 04 ti s rz r- a W c .� H 0 lZ o o A h A Cco ON s w F z 00 a wo V O (A O o z � �7 0z a W � a I >. A zON V aA O a � V oo Z A "� w z A, W W W A o r1 w O tn a ° V � g x w �' 02 w 0e �,E��, R C�C� EOMC BUILDDEFMENT JUN - 6 2024 Vu ,.E OF RYE�>�pOK 938 KING. aET RYE B ,NY 10573 VILLAGE OF RYE BROOK ~ BUILDING DEPARTMENT nmy: hook.org PLUMBING PERMIT/APPLICATION FOR OFFICE USE ONLY BP#: Q� & — 0 � PP#: Approval Date: 2- 1 ' Z p�Z y Permit Fee: $ Approval Signature: `J' ��= Disapproved: Loll (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes_ 1.Address: (d SBL:l .(e(o�l '7 g Zone: 2.Proposed Work: 3.Property Owner: 1)2_1U('CIS PtNe&iS Address: e &n Phone#: Cell#92-9'2_45'' ( �' email•,Anonwor�1��1,��11i' 4.Master Plumber: (� tnls��1 Address: 1101 62Me!s.Ae VA a 7s6A {[ Lic.#:%55_Phone#: Cell#:91 L1' I S-07 3 3 email: 312r1&414n JEQ A&aAk.C b ryt Company Name:`fir % lL rwA Address: Arc,—A-(O c INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 1 I 1 ` l 3 2nd Floor 3nd Floor 41 Floor 5'b Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 3/3/2023 ST TE OF NEW YORY,COUNTY OF WESTCHESTER ) as: do&a ,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 Master Plumber for the legal owner and is duly authorized to make and file this application. 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 fore me this Swom to before me this fo day of 20 day of :N�L�-P ,20CM Signature of PoQlerty Owner Signature of Applicant T)-F tce GA+-3 �LAJC �S o'6X A,�.t,hivOa el j,4 OCAtlA,, l }' Print Name of Property Owner Print Name of Applicant Notary G RY M.RIVERA NotarysHAb1[MELILLO Netary Public,State of New York Notary Public,State of New York No.01 RI6441398 No.01ME6160063 Qualified In Westchester County Qualified In Westchester County Commission Expires September 26,294 Commission Expires January 29,20 [.-�-7 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. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. t -2- 10/30/2023 All BUILD MENT VIL E OF R OK J U N - fi 2024 938 KING ET RYE BR NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: I Dziugas Reneckis 9 Maple Ct., , residing at, p (Print nanx i (\J Ire.; a In c i being duly sworn,deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 9 Maple Ct. ,Rye Brook,NY. (loh Addl e..1 Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signaune of Dziugas Reneckis (Print Name of Propel"tl Ou nrrf.l l Sworn to before me this day of A00 , 20 IN tat Pohl- ` AMY K ECKLUND NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 EC6174334 Qualified in Westchester County (2) Commission Expires September 17,20—'77 8/12/2021 j� .Building nalys Permit Check List&Zoning Ais C� Address: � ` \1' (2-� SBL• � Zone: - Use: l Const Type �`' — Other. Submittal��� a Revisions Submittal Dates: Applicant: e C S Nature of Work �� l O� ���ny Cos, Reviews: �� 2� PB: BOT• Other. NEED OK � FEES:Filing:. -' BP. 1 C/O-. Flood Plane: Legalization: ( ) (uf APP: Dated: Notanzed /SBL• "Thus I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt. Tree Plan: Other. ( ) ( ) SURVEY:Dated Current Archival:- Sealed Unacceptablr- ( ) ( ) PLANS:Date Stamped: Sealed Copies: Electronic Other: ( �( ) License Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A: ( � ( ) HIGH-VOLTAGE ELECTRICAL Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL Plans: Permit N/A: Other. ( ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (� ( ) PLUMBING Plans: Pence Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C- Plans: Pemut: N/A: Other. ( ) ( ) FUEL TANK Plans: Pence Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Buih Plans: Other: ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. ( ) ( ) Other: ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval:- notes: w rMps2 IE REQUIRED EXQSI-ING PROPOSED NOTES Q Area: t)at8: Circle: From e Front: Front: Sides: Rear. Main Cov Accs.Cov. Ft.H Sb: Sd.H Sb: GFA: Tot.Lm : Ft.imp PMjjW. Height/Stories notes:_1� � w1r't�J- DECLARATIONS Coverage afforded by this policy is provided by: State Farm Fire and Casualty Company PO BOX 88049 We will provide the insurance described in this policy Atlanta GA 30356-9901 in return for the premium and compliance with all applicable provisions of this policy. A Stock Company with Home Offices in Bloomington, Illinois. 56-EC-0011-7 Policy Number Named Insured and Mailing Address Pires, Cristina M & Reneckis, Dziugas 9 Maple CT Rye Brook, NY 10573-1919 The Policy Period begins and ends at 12:01 a.m. Automatic Renewal- If the Policy Period is shown as Standard Time at the residence premises. 12 months, this policy will be renewed automatically 08/16/2023 Effective Date subject to the premiums, rules and forms in effect each 12 months - Policy Period succeeding policy period. If this policy is terminated, we 08/16/2024 Expiration of Policy Period will give you and the Mortgagee/Lienholder written Limit of Liability -Section 1 notice in compliance with the policy provisions or as $450,000 Dwelling required by law. $337,500 Personal Property Deductibles - Section 1 $1,000 ALL LOSSES In case of loss under this policy, the Limit of Liability - Section 2 deductible will be applied per occurrence and will be $1,000,000 Personal Liability deducted from the amount of the loss. $5,000 Medical Payments to Others Earthquake: Policy Type Homeowners Hurricane 5% $22,500 Al - Replacement Cost- Similar Construction Policy Premium $1322 Increased Dwelling Up to $90,000 - Option ID Location of Premises 9 Maple CT Rye Brook, NY 10573-1919 Forms, Options, & Endorsements HW-2132 Homeowners Policy Amendatory Endorsement Hurricane Deductible Back-Up of Sewer Or Drain Mortgagee &Addl. Interests Agent Name& Address Mortgagee Marcel S. Robin US BANK NA ISAOA 4207 31 st Ave c/o Us Bank Home Mortgage Astoria, NY 11103-2601 PO Box 961045 (718) 721-1775 Fort Worth, TX 76161-0045 Loan Number: 2201576610 Prepared: 04-16-2024 Agent's Code:130A 559-916.5 APPLICANT COPY 1000007 2020 127534 219 04-23-2021 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence "Thu form cannot be used to waive the workers'compensation rights or obligations of any party." Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. ❑ I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers' compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. 2_� gnature of Homeowner) (Date Signed) q Home Telephone Number �Z l�2- (Homeowner's Name Printed) Sworn to before me this _ day of Property Address that requires the building permit: bcw V-\ � L r&..�D i�_- /kJ y (Gounty creftPlGiENe&ry Public) ---- Notary Public,state of New York No.01ME6160063 Qualified in Westchester County Commission Expires January 29,20Z Once notarized,this BM form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB 3 a WINDOW REPLACEMENT BY OTHERS (UNDER SEPARATE PERMIT) is REMOVE AND REPLACE WINDOW BUCK. INSTALL NEW PRESSURE TREATED 2x4 FRAMING, SPF NO. 2 OR BETTER, USING #10 STAINLESS STEEL WOOD SCREWS @ 6" O.C. (STAGGERED) L p y REMOVE AND REPLACE DECAYED SILL AND VERTICAL STUD. INSTALL NEW 2x4 FRAMING, SPF NO. 2 OR BETTER, USING (2)#10 STAINLESS STEEL WOOD SCREWS AT EA MEMBER INTERSECTION. ATTACH EXTERIOR — -- WALLBOARD TO NEW STUDS OF N R co W YD NFL,9� w ti- 2 'Np 092901 E5S10�P 9 MAPLE CT BY D. RENECKIS, PE WOOD FRAMING REPAIRS BATHROOM RENOVATION ISSUED 2024/04/10 SK_1 INSTALL TEMPORARY SHORING BENEATH CEILING JOISTS (1T MIN) ON BOTH SIDES OF WALL BEFORE SAWCUTTING & REMOVING EXST STUD SECTION REROUTE EXST OUTDOOR SPIGOT PIPE TO v AVOID CONFLICT W/NEW SHOWER NICHES, BY PLUMBER (UNDER SEPARATE PERMIT) NEW(2)2x6 HEADER, SPF NO. 2 OR BETTER NEW 2x4 STUD, SPF NO. 2 OR BETTER; REATTACH EXST GYPBOARD EXST 2x4 STUD SECTION TO BE REMOVED (SEE SHORING REQUIREMENTS) z NEW 2x4 SILL STUDS, SPF NO. 2 OR BETTER, 16" O.C. TYP NEW 12"x28" SHOWER NICHE BY KERDI-BOARD SISTER EXST DAMAGED/SPLIT CORNER STUD W/ NEW 2x4 STUD, SPF NO. 2 OR BETTER, W/(2) #10 WOOD SCREWS AT EA MEMBER INTERSECTION. ADD SCREWS @ 6" O.C. VERTICALLY (STAGGERED) TO JOIN STUDS. i - 1 { MAX 1-1/2" x 1-1/2" NOTCH i' W/ ROUNDED EDGES IN NEW STUD AT PIPE a . LOCATION 0 5 , NEW 12"x6" .r.- SHOWER NICHE BY KERDI-BOARD W OF NEW Y �P5 J llov - 'f- REMOVE AND REPLACE VERTICAL STUDS ON co J <" N * EA. SIDE OF INTERFACE BETWEEN GYPBOARD * o w (AT FINISHED WALL SURFACE, TO THE LEFT) AND KERDI-BOARD (AT TILED SHOWER h_ SURFACE, TO THE RIGHT); USE NEW 2x4 FRAMING, SPF NO. 2 OR BETTER, W/(2)#10 0929 0 P� WOOD SCREWS AT EA MEMBER �OF Ess�o INTERSECTION. ADD SCREWS @ 6" O.C. — PERMIT#: BP 24-062 VERTICALLY (STAGGERED) TO JOIN STUDS. 9 MAPLE CT BY D. RENECKIS, PE WOOD FRAMING REPAIRS BATHROOM RENOVATION ISSUED 2024/05/03 & ALTERATIONS SK-2 INSTALL TEMPORARY SHORING BENEATH CEILING JOISTS (1T MIN) ON BOTH SIDES OF WALL BEFORE SAWCUTTING & REMOVING EXST STUD SECTIONS AT THIS WALL AREA EXST 2x4 STUD SECTIONS TO BE REMOVED (SEE SHORING REQUIREMENTS) INFILL EXST NOTCHES WITH WOOD BLOCKS (CUT TO SIZE) AT DAMAGED 2x6 STUD NEW VANITY SECTIONS AND SISTER EXST STUDS W/NEW MIRROR (TO 2x6 STUDS, SPF NO. 2 OR BETTER. USE (2)#10 FIT BETWEEN WOOD SCREWS AT EA MEMBER RESTORED I INTERSECTION. ADD SCREWS @ 6" O.C. 2x6 STUD VERTICALLY (STAGGERED) TO JOIN STUDS. SECTIONS) 16" O.C. EXST 2x4 STUD SECTION TO BE REMOVED (SEE SHORING REQUIREMENTS) 4. REMOVE AND REPLACE VERTICAL STUDS ON RIGHT SIDE OF INTERFACE BETWEEN GYPBOARD (AT FINISHED WALL SURFACE, TO THE RIGHT) AND KERDI-BOARD (AT TILED SHOWER SURFACE, TO THE LEFT); USE NEW 2x4 FRAMING, SPF NO. 2 OR BETTER, W/(2)#10 WOOD SCREWS AT EA MEMBER INTERSECTION. ADD SCREWS @ 6' O.C. r ~ VERTICALLY (STAGGERED) TO JOIN STUDS. REMOVE EXST 2x4 NAILER (NON-LOAD BEARING) OF NEW Y �P��P,S J REND 0 '4'i' COD J * a _ cr � t Z 'FD 09290, A�QFESS\C)�P PERMIT#: BP 24-062 9 MAPLE CT BY D. RENECKIS, PE WOOD FRAMING REPAIRS BATHROOM RENOVATION ISSUED 2024/05/03 & ALTERATIONS SK-3