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HomeMy WebLinkAboutRP24-016PERMIT # SECTION _/ TYPE OF WORK _ JOB LOCATION _ OWNER;;?; GIJI CONTRACTOR EST. COST` A# C l_ TKO # DATE: a ,)y )D�LOC 7. I3 lI9 /m i� QO C > `7Yi7- ?1o63 FEE �fi GDATE g De FEE DATE INSPECTION RECORD DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC r7 LOW -VOLT ALARM m AS BUILT 0 FINAL OTHER APPROVALS ARB BOT PB ZBA OTHER __ �yE DR 190 .� 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 August 26,2024 Irwin Simkin,Leomi Simkin&Eric Simkin 93 Brush Hollow Close Rye Brook,New York 10573 Re: 93 Brush Hollow Close,Rye Brook,New York 10573 Parcel ID#: 129.84-2-82 Roof Permit#24-016 issued on 4/29/2024 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 r BUILDING DEPARTMENT For office u�onllAUG 5 ZO24 PERMIT#VILLAGE OF RYE U"OK ISSUED: ~ AUG 938 KING STREET',RYE BROOK,*,W YORK 10573 DATE: —/S a VILLAGE OF RYE BROOK (914)9 -06.68 FEE: ' PAID, BUILDING DEPARTMENT wwvv r o 1 ov 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 ssrrrtyrtrtrtttsrssyttrtttyssssrrtrtrtrtrrtrtsssrttrtytrtrsssrsstytttsstrttrtrttttsrssrryrtystsssrtrttrtrtttrsssrrtttttrtsssssyrrtyrtttssssrs Address: 93 Brush Hollow Close Occupancy/Use: Residential Parcel ID#:/ct) Sa Zone: Owner: Eric Simkin Address: 93 Brush Hollow Close P.E./R.A. or Contractor: Perry Verrone, LLC Address: 12 Center St, Pleasantville Person in responsible charge: Perry Verrone Address: 12 Center St, Pleasantville 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: Perry Verrone being duly sworn,deposes and says that he/she resides at 12 Center Street (Print Name of Applicant) (No.and Street) in Pleasantville in the County of Westrhester 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:$ $9,000.00 for the construction or alteration of Roof removal and replacement 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 , 2� day o , 20* —2m��51 M ROBERT J. ANGIELLO ),Inatdre of Property Owner Notary Public, State of New York gnature of plant No: 01AN6260122 Eric Simkin Qualified in Westchester Co Perry Verrone Commission Expires June 11,2 PMt N�dm of ptopprtypwner Print Name of Applicant ,.\ ,,uo". w: • ,.�. ) \ ROBERT J. ANGIELLO Notary u lic Notary Public, State of New York ei C -V" No. OIAN6260122 _Qualified in Westchester Cour�� .cD�,,w.++`O �O p` 0, n=• Ilil� On 9Wm June 11,20217 ,,f�1TE 0 i �. . Tw �yE BRC��• cu � • 1982 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 : , DATE: PERMIT# P Y — L) l ISSUED: ' SECT: BLOCK: LOT: L" LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 0 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 4t WX o °cu � vacs W rrj W op cr Ir Q. H _ W a aco �s N Z a s 0 0 G w.o o V =a CN rvl"� 11 `J G1 id—I �--I c• r�r a `� O CQ- a PQ 00 duo) WAi 1 0 U. a W V , p a z o G u. b qu e� _ C7 A Z _O >4 � asa a W x 0 a DC � � JU BUILD MENT APR 2024 V E OF RY OK 938 KING ET RYE BR NY 10573 -� VILLAGE. OF RYE BROOK -0 _ BUILDING DEPARTN1cNT FOR OFFICE USE ONLY: n f Approval Date: P mit# � 'l1/ 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 Q /2�Permit Fees: 10 r I f ROOF PERMIT APPLICATION Application dated: "t 12�! �� 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 I. Job Address: &r a\ \IO\ )s Ctie�� SBL: el '7 —e�- Zone: Property Owner: C n C S`m Address: 1 1 CI a Phone#: Q W- 13 Cell#: email: Mu J-CCrjY°^ 2. Applicant: Y Q Address: Phone#: A- L} Cell#: email: 3. Roofing Contractor: VQM LC- Address: CQ)1AQj (fi \� •I Phone#:�A1y - 4)- 6C33 Cell#: email:lI�%-- 3V w 1�iUR'Q`[�� 4. Job Description,list all Methods&Materials: VZ177 rQVw�11 Qnd ae CkA0 lnec) 5. Estimated Cost of Job:S Cl ,000 ,(Y) (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: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:(4)•Yes:( )Attached No:( )•Yes:{ )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: y 1521Q 1 ilk 4- 10/3012023 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. STATA OF NEW YORK,COUNTY OF WESTCHESTER ) as: _ _ i m \*I MT& ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of iiAvidual 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 (,,()TA qx.A-K)q' 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 � Sworn to before the this day of I dt i� tt 1111 t 1'1day of f\1 ,20 2U1 PA Signre of r� o)�perty uAter i YC � — i STATE ' OF NCW 1 t YOR ipa�e of Applicant L1C ) �r0F vEW me of Property J o1PA �� �� (/ — ;;;,�<>� � ©1PA6341502 e f Ap he t VSION s1111 1 t t V o Pu tc -2- 1013012023 1 Perry Verrone, LLC 12 Center Street Pleasantville, NY 10570 info@perryverroneroofing.com Office: (914)747-7663 Fax: (914)747-7665 License WC 21701 H09 Eric Simkin Prepared by Perry 93 Brush Hollow Close 4/13/24 Rye Brook,NY 10573 914-523-9063 Esimkin0l@hotmaii.com PROPOSAL ROOF REMOVAL AND REPLACEMENT • All existing asphalt roofing removed and carted from job site • All rotted plywood replaced at$90.00 per sheet • GAF Weather Watch Ice and Snow barrier installed on all gutter edges,valleys and around skylights (6 feet up) • GAF TIGER PAW paper installed on the entire field of roof • GAF LIFETIME Timberline Architectural HDZ shingles installed on entire field of roof(SHINGLE COLOR: ) • GAF Cobra Ridge vent installed on all ridges of roof for attic ventilation • GAF TimberTex hip and ridge shingles installed on all ridges • Aluminum vent pipe boots installed over all vent pipes • Brown aluminum drip edge flashing installed around entire perimeter of roof • GAF Weather Blocker starters installed on all perimeter edges • Work to be completed in one day • GAF Lifetime Material Warranty included • Perry's Roofing"10 Year Workmanship Warranty" included The price for the aforementioned work,which includes labor and material (excluding any additional plywood), totals to the sum of. $9,000.00 PRICE EXPIRES 90 DAYSAFTER ESTIMATE DATE Page 1 of 5 Initial & Date: ADDITIONAL WORK OPTIONS Please check appropriate box for desired extra work ❑ Carpentry/handyman work calculated on a time and material basis, said work performed at$120.00 per man hour plus material Copper chimney flashing fabricated and installed for an additional $975.00 if necessary ❑ Aluminum Seamless Gutters and Leaders fabricated and installed ❑ Perry's Roofing is a GAF Master Elite Installer which allows us to offer you top of the line warranties directly from GAF for a minor additional cost, please contact our office for details and pricing ❑ Rye Brook Building Permit for an additional cost TBD Payment schedule is as follows: 50% 3 Days Prior to Start 50% Due the day of substantial completion 5% Retention may be held for resolution of unresolved issues Payment is accepted via personal checks and certified bank checks (made payable to Perry Verrone LLC or Perry's Roofing), MasterCard,Visa,American Express,and Discover credit and debit cards.All card transactions over$2,000.00 are subject to a 3% service fee. Payments of$4,000.00 or more are accepted via ACH/wire transfer upon request. Any monies not paid as specified above will be subject to accrue interest at a rate of 1.5% monthly, and 18% per annum. All material is guaranteed to be as specified above. All work to be completed in a workmanlike manner according to the standard practices.Any alteration or deviation from the above specification involving extra costs will be executed upon a written change order and will become an extra charge over and above the proposal. All agreements are contingent upon strikes, accidents, or delays beyond our control. Roof Replacement Instructions for Homeowner INSIDE THE HOME: 1. Any precious items in the attic can be either moved to a secure place within the attic or covered and secured to protect from the vibration of the roof removal process. Page 2 of 5 Initial & Date: 2. Dust and/or sawdust may be generated in the attic due to the roof removal process, securely covering belongings is advised. Clean- up of debris in the attic is outside the purview of this contract. 3. If your home has high hat lights located in the cathedral ceiling,you may want to tape the fixture to the ceiling (construction activity on the roof may cause these to come loose). 4. If you have cathedral ceilings, although it is not common, on occasion, some nails may be prone to "pop"- thus exposing the head of the nail through the sheetrock. This is unfortunate but is not the responsibility of Perry's Roofing. S. Perry's Roofing is not responsible for any necessary electrical work required for powered products installed, a licensed electrician must be consulted. SKYLIGHTS: 1. If you have opted for a skylight replacement, please consider that the skylight manufacturer's dimensions have changed over the course of the years,which may alter the interior placement of your new skylight. There may be interior trim work required to remedy this condition. This is not part of the roofing contract. 2. Items below the area of skylight replacement should be moved or covered during this work. 3. Please be aware that Perry's Roofing does not guarantee skylights against leaks that we have not installed new and hence they will not be covered by any warranty issued from US. MULTIPLE LAYER OF ROOFING REMOVAL: 1. Upon removal of multiple layers (2-3), there may be a space between the new roof and the sidewall of your home (siding, stucco, stone, brick). This area may need attention post roof replacement and is not included in the work, unless otherwise specified. Please consult your estimator to inquire if this may be the case for your home. OUTSIDE OF THE HOME: 1. Outside your home we make every attempt to ensure that we protect your shrubs and belongings. It is the homeowner's responsibility to help us by removing smaller objects, lawn ornaments, outside furniture, etc., that you can handle, or that may be valuable, to a secure place. Larger items, such as picnic tables, please notify our company before the start of work and we can arrange for our workers to move to a secure location and replace them upon completion if time is allotted. Please notify us if the moved items are not replaced and we will schedule a time for them to be returned at your convenience. If our company is not notified of larger items that should be moved, Perry Verrone LLC 2. will not be held responsible and any damage that occurred will be held to the homeowner's responsibility to rectify. 3. Let us know if there is a power source outside that we can use. 4. Let us know if there are any special precautions regarding any item, or situation,that we should be aware of outside, prior to starting. DUMPSTER: 1. If a dumpster is necessary, it will be placed in your driveway the day before or the morning of the scheduled work. Please be sure to move any vehicles out of the garage Page 3 of 5 Initial & Date: and driveway to avoid being blocked in. The dumpster may not be removed the same day of completion. Notices to Owner Right to stop work: If any payment under this agreement is not made when due, Perry Verrone, LLC may suspend work on the job until such time as all payments due have been made. Notice of Lien: The contractor or subcontractor who performs on the contract and is not paid may have a claim against the owner which may be enforced against the property in accordance with the applicable Lien Laws. Cancellation: The owner has an unconditional right to cancel the contract without penalty until midnight of the third business day after he/she signs the contract. Cancellation must be done by giving Perry Verrone, LLC, a written notice indicating the owner's intention not to be bound. Upon cancellation, any property traded in, or payments made under this contract will be returned within 10 business days following the receipt of the cancellation notice by Perry Verrone, LLC. Acceptance of Proposal: I have read the introductory packet along with this document and accept the specified conditions as stated, and the prices associated with such. I understand that upon signing this proposal, all documents presented become a binding contract. You are authorized to do the work as outlined. Payment will be made as indicated above. Signature Date Page 4 of 5 Initial & Date: 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure April 8, 2024 Roof Reports in Under an Hour Prepared For: Perry's Roofing A N 0 Contents Measurements Overview 1 Roof Area 1,668 sq ft Top View 2 Roof Facets 11 Side Views 3 Predominant Pitch 8 / 12 Lengths 4 Ridges/Hips 40 ft Pitches 5 Valleys 1 ft Areas 6 Rakes 165 ft Summary 7 Eaves 97 ft Materials 8 Bends 11 ft 2023-09-06 ' s •flr. S c s 41 40 r ! y -.. -. . - .. . 2 • . . . - !• QuickMeasure Side Views Roof Reports in Under an Hour + � r WW,.i7 MAW y x �y j6- ­Wz.. •-� i Ali, t t� ,} , s Y � Prepared For: Perry's Roofing 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Lengths Roof Reports in Under an Hour A Flash Step Drip N 34 135 262 1 11 1 � 11 11 12 17 1 25 ■ Bend ■ Eave Hip ■ Rake ■ Ridge ■ Valley 97 1. 165 28 1 Lengths in feet Prepared For: Perry's Roofing U 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Pitches Roof Reports in Under an Hour A N 4 3 8 F-I 8 7 EJ Pitches in inches per foot Prepared For: Perry's Roofing © 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Areas Roof Reports in Under an Hour A N 32 39 6° ;8 212 220 34 Ef 0 Areas in square feet Prepared For: Perry's Roofing 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Summary Roof Reports in Under an Hour Pitch 3 4 5 7 8 Area 78 68 39 137 1,346 Percent 50% 4% 2% 8% 81°o Suggested Waste 0% 7% 10% 12% 14% 17% 22% Area 1,668 1,785 1,835 1,868 1,902 1,952 2,035 Squares 17 18 19 19 20 20 21 Roof Area 1,668 sq ft ARoof Facets 11 N Pitch 8 / 12 Bends 11 ft Eaves 97 ft Hips 12 ft Rakes 165ft Ridges 28 ft Valleys 1 ft Flash 34 ft Step 135 ft O Drip Edge 262 ft Leak Barrier 456 ft Ridge Cap 40 ft Starter 262 ft Penetrations 2 Pen. Area 10 sq ft Pen. Perimeter 18 ft Notes.1)Measurements are rounded to the nearest whole number.2)Rakes are defined as sloped roof edges.3)Eaves are defined as level roof edges.4)Flashing pertains to level roof edges and excludes valleys.S)Step flashing pertains to sloped roof edges and excludes areas around penetrations.6)Drip edge=eaves+rakes.7)Waste table excludes additional materials needed for ridges.hips.valleys.etc.8)Suggested waste factor is based on the roof complexity and is provided for guidance purposes only. You should confirm the appropriate waste factor prior to ordering. Prepared For: Perry's Roofing 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Roofing Materials . Roof Reports in Under an Hour Suggested Waste 0% 7% 12% 17% Shingle Products HDZ, UHDZ, Natural Shadow, ASIL bundle 51 55 57 60 Reflector, Royal Sovereign, Cool Series Low-Slope Roofing System Liberty Base/Ply Sheet roll 0 0 0 0 Liberty Cap Sheet roll 0 0 0 0 Liberty Asphalt Primer gallon 0 0 0 0 Liberty Flashing Cement gallon 0 0 0 0 Starter WeatherBlocker bundle 3 3 3 4 Pro-Start bundle 3 3 3 3 Quick-Start roll 8 9 9 10 Roof Deck Protection Deck-Armor, Tiger Paw, FeltBuster 10 sq roll 2 2 2 2 Shingle-Mate roll 5 5 5 5 VersaShield roll 5 6 6 6 Leak Barrier StormGuard, WeatherWatch 2 sq roll 7 8 8 9 WeatherWatch 1.5 sq roll 10 10 11 11 Ridge Cap Seal-A-Ridge, Seal-A-Ridge AS bundle 2 2 2 2 TimberTex bundle 3 3 3 3 Z-Ridge bundle 2 2 2 2 TimberCrest box 3 3 3 3 Nails Cap Nails box 1 1 1 1 Coil Nails 1.25 in box 1 1 1 1 Step Flashing Step Flashing 10 ft piece 14 15 16 16 Step Flashing 8 ft piece 17 19 19 20 Drip Edge Drip Edge 10 ft piece 27 29 30 31 Drip Edge 8 ft piece 33 36 37 39 Notes.1)These approximate quantities are based on estimated measurements and are for guidance purposes only. you should always confirm quantities prior to ordering and ensure you are following local building code requirements.2)For Timberline.3 bundles=0.984 squares.3)Starter=eaves+rakes.4)Leak burner=bends+eaves+flashing+hips+rakes+step+valleys. 5)Ridge cap=hips+ridges.6)Low-slope products applied to 1/12 pitch areas.7)Timberline products applied to 2/12 pitch areas and above.8)Installed coverage will be less and depend on quantity and width of side and end laps.9)Liberty low slope roofing system should be installed as a system.For more information,see gaf.com/liberty. Prepared For: Perry's Roofing U 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Attic Vents Roof Reports in Under an Hour Static Quantity Units Cobra®Rigid Vent 311^, SnowCountry N;& SnowCountry:H Advanced 23 ft Cobra@ Exhaust Vent Roll-Nail Gunnable 29 ft Cobra@ Exhaust Vent Roll-Hand Nailable 24 ft Cobra@ RidgeRunner@ 33 ft Cobra@ Hip Vent 45 ft Master Flow@ SSB960 Metal Super Slant-Back Roof Vents 7 vent Master Flow@ RV50/R50 Square-Top Roof Vents 9 vent Master Flow®IR65 Plastic Slant-Back Roof Vents 7 vent Master Flow@ High-Capacity Dome Vents 3 vent Master Flow® 10' Aluminum Ridge Vent 19 ft Cobra IntakePro@ Rooftop Intake Vent 45 ft Master Flow@ Undereave Intake Vents- 16" x 8" 9 vent Powered - Roof Mount Exhaust Cobra Master Flow 16x8 (vent) IntakePro (ft) Intake (vent) Master Flow@ ERV4 Power Attic Vents 2 107 20 Master Flow®ERV5 Power & Wi-Fi Attic Vents 1 67 12 Master Flow! ERV6 Power Attic Vents 1 80 15 Master Flow EZ Coollm Plug-in Power Attic Vents 1 56 11 Master Flow®GreenMachinelm Solar/Dual-Powered Vents 3 84 16 Master Flow®GreenMachinelm High-Power Solar/Dual-Powered Vents 2 80 15 Master Flow@ 12" Wind Turbines 3 79 15 Master Flow@ 14" Wind Turbines 2 75 14 Note:The estimated quantity of attic ventilation products in this report is based solely on the total extenor square footage of all root planes and is meant for estimating purposes only. It is the responsibility of the installer to verity the correct quantity and type of attic ventilation products prior to commencement of work. Installer must always review job-specific attic ventilation needs such as local code requirements.attic floor square footage.roof design,and conditioned spaces under the roof. GAF recommends a minimum of 1 square foot of attic ventilation(evenly split between intake and exhaust)for every 300 square feet of attic floor space.The amount of exhaust ventilation at or near the ridge must never exceed the amount of intake ventilation at or near the soffit. see gaf.com/ventcalculator for details. Prepared For: Perry's Roofing 93 Brush Hollow Close, Rye Brook, NY 10573 (1) QuickMeasure Ask about solar Roof Reports in Under an Hour from GAF Energy A N ' Our roof-integrated solar is a home asset O your customers can count on. Note:The data provided is only a preliminary estimate and does not represent a binding agreement,guarantee.or obligation of GAF Q Energy regarding the production,performance. utility rate increases,workmanship or any other data relating to Timberline Solar. System: 4 kw I Production: 4,100 kwh/year I Value: $797/year IT SAVES MONEY AND PROVIDES LONG-TERM PEACE OF MIND. Unlike a traditional solar system installation where holes are drilled in the roof, our low-profile solar system is part of the roof, and it protects your customer's home while producing clean energy. Prepared For: Perry's Roofing M 93 Brush Hollow Close, Rye Brook, NY 10573 (1) • 2022-03-22 r. 2020-02-24 �' �•. ' ` I "� INA -s JOL J 1� v ,f L r � ' -Is Mr 2017-10-31 �•.�'• i�'►` 2014-M-23 Av \y/,,• • yam; �.. ,(d .•)-��, - w,�. r`,Y i GAF it Arrive prepared, The site to a -- _ _ with site-specific data• _ property 10 year hail and wind history informs roof system and material choices and helps j you communicate with homeowners. I) ■ AI-driven roof condition reports help identify y� trouble spots _ ' • Local building codes— straight from the code book —with installation details and more Get started at oam:o.••..-..,,. ., gaf.com/Profile We protect what matters most K ` l Timberline` UHDZ" Shingles offer a bold aesthetic and longer r algae protection. Discover the New Premium GAF Laminate Shingle. ` IN i ski GAF Timberline UHD Ultra High Dehnition Lifetime'Shingles WIN Learn more at gaf.com/uhdz -.. -. .. 12 . . - . .. 15, t :•-..AMFt-v 1l tlll.:T!ti i. "s'-lil Il r 8j111_'-aa ;3"_Y� fir., - Z••��tlll -:,: a.11�111'? ! s'� �.-':i l(i!)> CKtsI> - < •- O r _ tr : rL 0 No r._ LO COLO y � c d E O LO ca CO �ygy C vt'0 w? ►- r U cr Ca In C� o N j_• 1 N Q ui / /\ � is : U _ C�-'.•..- ~'►rO' - O } LLI z UQ 3 N "'o ram ' 4•� a,l Ll1 N Q :r a. J U C M� o X 4- `.r �t 6, G, G� N p <(Rf) cri TZ wli 1 cc i= o rn y U U �• • al d C C ,� ?j � - ZL as s 1�". ,, 1 ��. . . . . .t. � .. + a a.J L S• •t '2i1Mh'. Oi• �S '" � � ^ � /► � � � A � )�)>) ; ^ 1.1�ILc'I.t<_a � tii',, 7p•• t A �,j n •• ^ 1)•• A ? � � .'t�:�v$;y o - �i':+'`lTGv'�" —�Q:i•�(bv�l°,�� �< � �:: rv=� ; . r �' Vw ---ON 1. ,acoRO CERTIFICATE OF LIABILITY INSURANCE 77/19/2023 MM DDrYYYY) �i 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 NAME: ACatherine Dolce Levitt Fuirst Associates, Ltd. a°NN Ex : 914 457 4200 FAX 520 White Plains Road tac,Nor 914 457 4220 Tarrytown NY 10591 ADDRESS: info@levittfuirst.com INSURERS AFFORDING COVERAGE NAICI INSURER A:Admiral Insurance Company 24856 INSURED PERRVER-01 INSURER B:Accident Fund Insurance COm an 10166 Perry Verrone INSURER C:ShelterPoint 81434 12 Center Streetet Pleasantville NY 10570 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1704074886 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 SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CA000045827-02 7/1/2023 7/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE PREMISES Ea occurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER:1�1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B UMBRELLA LIAB X IOCCUR GXL000147002 7/1/2023 7/1/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYP ROPR I ETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NN) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DBL358637 5/10/2022 5/10/2024 Statutory Limit DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Certificate Holder and/or the entities listed below would be covered as an additional insured per attached endorsement,to the extent provided therein if required by written contract,on a primary non contributory basis on the general liability.Waiver of Subrogation applies.Additional insured,primary and non contributory basis and waiver of subrogation on the Auto.Additional insured,primary and non contributory basis and waiver of subrogation on the Umbrella Certificate Holder is included as additional insured when required by written contract 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016 03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured 914-867-1747 Perry Verrone LLC DBA Roofing 12 Centerenter Street 1c.NYS Unemployment Insurance Employer Registration Number of S Pleasantville,NY 10570 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 26-2754386 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Continental Indemnity Village of Rye Brook 3b.Policy Number of Entity Listed in Box"l a" 938 King Street 46-8841910120 Rye Brook,NY 10573 3c.Policy effective period 03/01/2024 to 03/01/2025 3d.The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/officers included) ❑X 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 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: Steven Diamond(President) (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 1!7 02/26/2024 (Signature) (Date) Title: Licensed Insurance Broker Telephone Number of authorized representative or licensed agent of insurance carrier: 516-488-3040 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