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HomeMy WebLinkAboutBP24-091PERMIT # 9/ d j7' �G 9/ DATE; Q0 6 SECTION 1 3J`ri 5� BLOCK 3 TYPE OF WORK JOB LOCATION . OWNER CONTRACTOR C EST. COST VCO #.c2 TCO # FOOTING FOUNDATION FRAMING RGH FRAMINGrvfoloo INSULATION gel spa ki /4sAv,/j' (9521)eo/0--y35a nri ,� al - Q,r PeaSiny A C91Y 7 77- 333 7 — FEEW 16D% Pb DA FEE DATE INSPECTION RECORD DATE I NSP PLUMBING /� 2oL PAbJcd� RGH PLUMBING GAS o SPRINKLER ELECTRIC LOW -VOLT 0 ALARM AS BUILT O FINAL OTHER 1 VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-061 Certificate of ®ccupAucp Ehis is to certify that -� Je,1 Q V1 ) of, IQ(J e k, N y having duly filed an application on 20_C:2_5_requesting a Certificate of Occupancy for the premises known as, 0elt-2dc4 LOV) , Rye Brook,NY, located in a Z Zoning District and shown on the most current Tax Map as Section: / 5.5 Block: 3 Lot: �" 0( 7r and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. CR —09/, issued Q 209 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: �— f' ;1 Construction: for the following purposes: L ean Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR nwELLING UNIT 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 height shall be m ,nor sh A, the building be moved from one location to another until a permit to accomplish such change has be ob ine fro the Bu di nspector. Building Inspector, Village of Rye Brook: Date: MAY - 16 Z025 v R For office use only: 7APR BUILD NT PERT 2 4 2Q25 VIL OF RYE OK ISSUED: - ��- 38 KING STI YE BROOKS YORK 10573 DATE: —as VILLAGE OF RYE BROOK 9 -06 O�c FEE:S& — PAIDAt Run niNG DEPARTMENT W l 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 ♦+•rrsrs+a+rrrr/rr'rsrrrssrssrrrrwr/s'wrrsrrsrr►rsrsrsrsrrssrss+•rwrrrtssrrawrwwrwrrsrwssrrrrssrwwrswwwrssrrrwwwwrrrsrrrrssarr Address: _1 C?? ��(„�44i gvc- Occupancy/'Use: I FA' Parcel ID#: 2!!�L s9- 3 -Zp� Zone: k-3 Owner: 911EFF, &7 F1 SS(N&-yL d- -D&O Address: / �A '1 L�j-ru' , ,zyr olboI-- P.E./R.A.or Contractor: ()EC-P (O,yr A cam.,-y C Tn Address: Jso l f 4,»44,,1 �1?', ri ►A►rwt/ � "1 .asy3 Person in responsible charge: )V&VOt t%0 Address: /sol P)<mt-i'ir q 2�� y3 0 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: / / MANpee'o s/N jjg being dulyswom,deposesandsaysthathe/sheresidesat �jO� /��aL/n/ 41e-- (Print Name of Applicant) (No.and Street) in fti)yl'►i".'b' uc- ,in the County of 6✓E1T 1?1-rtVt- in the State of Ay 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:$ �oi L C/ , for the construction or alteration of: 6&rm w LE t'j�1Li rbi9l='r✓ 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. K� Sworn to bef re me this �y Sworn to before me this day of , 20 � '' day of A �2 , 20 2 ' % r Signatu of P�Ytotld Signatu of Ap scant �F S�ti Print f Print Name of Iicant Notary Public No Pu is SCOTT J.GOWE -- NOTARY PUBLIC OF NEW YORK JONAT I-IAN D. SANDS I.D.#01GO6357188 NOTARY PUBLIC,STATE OF NEW YORK MY COMMISSION EXPIRES l�� Registration No.02SA6047584 Qualified in Westchester County - Fxplres Sept. 5,2026 1 9 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [7ASSISTANT 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: _ y PERMIT# ` 7 L ISSUED: SECT: /34 .5 L BLOCK: - LOT: 2- LOCATION: RAT 1 (J , °'' ���SP�� 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 f. ❑ NATURAL GAS ❑ FUEL GAS ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�uk 1962 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# ISSUED: SECT: BLOCK: LOT: �} LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS 1 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 6 9 a x m O 14 O - _ a �►.� p N Q.�.a n s \l[1 ►t adi r Iti � O NC A m O z ao 1 m ►.i W p„ �j O � �� J �1. � a U Nn O m � o m © en Z �O f�' ' �V G�i G W o LO Ir 010 w Z o Z z o W spa v .� O a rr 4 v a av R! �_ M O 0 � d p ro o. 04 � _ M b`t3 W W CN1% m co M v ro, o 110. a " � z R ° ra" � (� W M W V � y o � � �., A " W A .b � SJ ON m ►�� Wo Q Z H w z � zv � o m ON Q 1-4 ON �� � A CRI cal) 00 CN ham" Py W Q z z i "+ I.d A O ;44 � .� � y � � eI�• /may w y`; U Z O C t p..D at ru. z z p b U Q, o : a � am > a' .rOr a 44414;a414W04a444aa494149.04;44900a.04;4;44a410aa4;4;aa414141441 m BUIL MENT D (� VIL E OF RY OOK 938 KING ET RYE BR NY 10573 MAY — 8 2024 VILLAGE OF RYE BROOK i BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: N Approval Datc: MAY 1 3 20 Pe it �J l / Application Fee: $ Approval Signature: Permit F es: S — DO Disapproved: Other: 'e!po l�7-40/I W3, �r Application dated: 5—v Q—:� IC/ is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit lox the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address:_ q C'm'D\1 LI&AF— _ SBL:`J3,5-,,S-,4 c)Y Zone: _ 2. Proposed Improvement.(Describe in detail): 47 C�ZZ `s,LL •1C�. � itit 1�4 3. Does the proposed improvement involve a Home-Occupation as per§250-35 of the Code of the Village of Rye Brook? No:ae.- 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:� 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.,comet„etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: V_ I IZ Address: G,jT� y�Dy Phone# Cell# email: 8. Applicant: (]Z �5c(_ t_;1Z Address: �'� C.�I•I��r L 1L^ Phone# Cell# email: 9. Architect: `�31M-1 94,4 t " &RjC 4 !!E 1F.1 Q`) Address: ��`�GI kc7,.�. 't �k'G�, �• it l Phone# Cell# -G�/S-& —email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor:D0_P_F_" ddress: LSO >&Nru Ylif 254. Phone# Cell#qJ4` 7773LSTrTl c�'1`4 12. Estimated cost of construction $ Do. oc)c) -- (NOTE:The estimated cost shall include all labor,maiedal,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13, Job Timetable:Start: Finish: (t) 6/l/2023 BUI MENT D ViL ;3 oOK MAY - 8 2024 938 KnNG 'tt NY 10573 VILLAGE OF RYE BROOK -b 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 PLUMING PERMIT APPLICATION. ANY BUILDING OR PLUMING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as- I,— r I, ,) '� f ,(CL_/ , residing at, (Print name) (Address where you live) 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; C L , Rye Brook, NY. (Job Address) 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. (Signa re of erty Owvner(s)) p � (Print Name of Property Owner(s)) Sworn to before me this day of i& &Z Z /Y a'22 INotary Public) SCOTT J-GOWE NOTARY PUBLIC OF NEW YORK I.D.001G089571 7 (2) MY COMMISSION EXFWES�1_2At� 8/1 21202 1 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: ,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. 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. 1 Sworn to before me this 5 Sworn to before me this 9 F day of , 20 day of . 20 Sign f P perty Owner a Signpp A licant J f � �' � -!� -1 Pgvxe-�Ir Print 5Ne of Pro r (Print Name of iy4p_� ��4' Notary Public INotary Public SCOTT J.GOWE SCOTT J.GOWE NOTARY PUBLIC OF NEW YORK NOTARY PUBLIC OF NEW YORK I.D.#01G0635718 I .r�[ La.0O1GOt33571$$ n , MMISSION EXPIRES r tl L`) MY COMMISSION EXPIRES I41 8/12/2021 , O s' Ln N N W s ON M M � C � � � ■ W W CA k ,� ■ M � qtc � - ■ � W � M ' O O co C =. Ln ^, 0-4 Y ■ Q x �-+ U w W � � " o �� � Uj oo � z w a U .� ■ 0 (� '� f O �" w ° ? cr 7 z j tl ��h ~ V M O ► 1 � w ►Li O - � � O d z00 ., M vn c, G � _ r V ay' w w o3 o ? F, _ wF—• `n w N � e It _ cr O v w z V z F Q o I a � , , BUILDING DEPARTMENT RFEB UVILLAGE OF RYE BROOK938 KING STREET RYE BROOK,NY 10573 2 8 2025 (914)99-0668 "`' VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATI BUILDING DEPARTMENT Westchester County Master Electricians License Required FOR OFFICE USE EP ONL BP #: #: �_�� - f Approval Date: Permit Fee: $ 7 �� Approval Signature: Other: ************************* *** **** *************************************************************** 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, Jo be 1 V« 1,to 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: -I C"'r d u L"1�kr SBL:_1 7,- Zone: 3 2.Property Owner: e a"-e. F+S�Qe,2 l', 'ZXitiress: S Phone#: 1 YY to/0 8� Cell#: email: 3.Master Electrician/Licensed Installer: 3 sepl, b-,I VFcc k., 0 Address: 7(v I",^x ru k1 N +-✓e— Lic.#: i rq 9 Phone#: 9"y 204 YO JZCell#:�'�y fi96 /-1091 'L- email:C �=i�c � � �-��, ©G,rtk•L .eE.�t Company Name:(:,,,,.+ Del V ticc4X-r cc. L C-X p Address:7V r-"'rvy-1,N 4vC- 4.Proposed Electrical Work/Fixture Count: ��c � 2 ct,c)C-) / 5.3'Party Electrical Inspection Agency: S uJ •� STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 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 for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) 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 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 bmf re me this � &— day of 120 day o 20 a Signature of Property Owner Si tore of Applicant Print Name of Property Owner n q�pjl�an Not Ste Notary Public Q Rif chaster County commission Expires landary 29,2 6/1/2024 STATE WIDE INSPECTION SERVICES, I 080 • • swis JOB APPLICATION tel 845,202.7224 1 fax 914.219.10621 SWISNY.coml • Office Use Elect. Permit # �� ` Date 2/28/25 Bldg Permit # �� / — cc? / Sq Ft Plumbing Permit# Final Certificate # City/Village Rye-Brook zip 10573 Building Dep' Rye Brook County Westchester Address 9 Candy La Cross Street sectton 135.52 Block 3 Loc 24 Owner Name/Address(if different than dtnvrj Je ey IS er ea Kakitelashvili Contact Number 945 610 4352 ✓❑Basement ❑Ist FI. ❑2nd FI. ❑3rd R. ❑More Than 3 f ❑ trage ❑Attu ❑Outside ❑✓ Residential ❑Commeluai Receptacles Special Recept GFCI AFC1 Switches D'11 rs Smoke Alarms C/0 Detector Hood Trash Compact 9 Amt Amps 1 3 1 Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch 4 SERVICE Amperage #Panels f P )P # Meters # Disconnect ❑underground ❑ New ❑ Reconnect ❑Repair ❑overhead ❑ upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑NYSEG ❑Central Hudson ❑orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ✓❑Legalization ❑ Safety Inspection ❑Consultation Scope of Work Legalize Finished Basement Al FEB 2 8 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application Is%lid fat onto Ill"at from the date received by S WIS THs appkcation Is Intended to cover the abrwe listed ttems to tx Irnr a rted if at any tkne of 1-4 tlnn additional It—live been nstalled,you are autiwdzed to make the xnpectton and adjust the fee fnr•he addhtnnal items InspKted.The applicant 6vc[am that there 15 no open apptlkaoons Inr Me above address wIth any othw inµsection comt»ny The applicant.owner or authorized agent agrees to all the abo—terms an<t nth for the apple atlon Email Address catelectricalcorp@gmail.com Name Joseph DelVeeehio License # 644 Date 2/28/25 Signature Joseph DelVecchio Address 76 Franklin ave City/State Harrison NY 1-1r 10528 Company Cat Del-V electrical Corp Phone r: 914 906 4092 - C` State Wide Inspection Services � 1080 Main Street APR 17 2025 Fishkill, NY 12524 a 845 202-7224 Phone VILLAGE- 914-219-1062 Fax STATE WIDE INSPECTION SERVICES I R, IILDI��i�� �`_,-„� _ .T_� Email: office@swisny.com - 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: CAT Del-V Electric Corp Jeffrey Fisher& Dea Kakitelashvili 76 Franklin Avenue 9 Candy Lane Harrison, NY 10528 Rye Brook, NY 10573 Located at:9 Candy Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-060 135.52 3 24 Certificate Number:2025-7729 Building Permit Number: BP24-091 , 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 Candy Lane, Rye Brook, NY 10573 The Basement 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 201h Day of March 2025. Name Quantity Rating Circuit Type .- Receptacles 09 Luminaires 04 Switches 03 GFCI 01 C/O Detector 01 Visual Inspection Only; Not Tested by SWIS. A Visual Inspection of existing conditions was performed on March 201h, 2025,of the Basement and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. Officer: Frank 1. 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 ILn OG U V J 0 a 94 CA G. W rJ e�-� v i � •-- a a w ,.•, w � A en LA Lin CI*4 rA co 00 v ON 7 V? 42 z � C) z z (> A z � (h '` x w A V 00 FellQ vVi j Clk W 0.0 o O z z < �' 0 U � � RIFEB EC ENE BUILDING DEPARTMENT - 7 2 225] DD VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 FAx(914)939-5801 BUILDING DEPARTMENT ww«.ryebrook.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY B '��"� / PP Approval Date: B nly Permit Fee: Approval Signature: Other: Disapproved: V-i�_ (fees are non-refundable) 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: 9 CANDY LANE SBL: �/ j .�c� -3-�y Zone: i- 7 2.Proposed Work: LEGALIZE FULL BATHROOM IN BASEMENT AND FULL BATHROOM ON FIRST FLOOR. 3.Property Owner: JEFFREY FISHER Address: 9 Candy Lane Phone#: Cell#: 914-777-3337 email: 4.Master Plumber: Sal W Morlino Ades: 1 Bonwit Road Rye Brook NY 10573 Lic. #: 725 Phone#: Cell#: 914-260-1592 email: salvatoresedous@gmail.com Company Name: Westchester Plumbing And Heating LL(Address: 1 Bonwit Road Rye Brook NY 10573 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 1 1 3 1st Floor 1 1 3 2nd Floor 31 Floor 4'Floor 5 Floor Exterior 5.* List Other EquipmentlProvide Details: LEGALIZE BATHROOMS. (Notarized Signatures Required Next 2 Pages) -t- 11/27/18 STATE OF NEW YORK,COUNTY OF WESTC14ESTER ) as: Salvatore W Morlino ,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 Salvatore W Morlino 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 befo/�e me this S / 7 Sworn to before me this � 77 day of rZC�l V(Ak-' 20 —2T day of r L 4l vlyr 20 Z Sign ure of Property Owner S4gat�ure of Applicant JEFFREY FISHER Salvatore W Morlino Print Name of Property Olvner Print Name of Applicant X Notary P lic v Notary Public E 1AU'R! w YotK .t4��tET!'E 1121tiJ 't N No Public,Matte Of NO Yatk ',Ia.01 MOM 1261 if) "�,2D Qua f4d in�'�:(::is�`.ieut�i C3 nt �7. „at�u�t, rll �r:: : u; This application must be properly completed inits entirety and must inc e the notar zed signature(s)o 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. -2- ltmna BUILDING DEPARTMENT R VILLAGE OF RYE BROOK E FEB - 7 2 225 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAx(914)939-5801 VILLAGE OF RYE BROOK www.nvebrook.ory- 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: JEFFREY FISHER , residing at, 9 Candy Lane (Print name) (Address\\here.\ou lip c) 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 Candy Lane , Rye Brook, NY. Oob Address) 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. x 1 Signat. JEFFREY FISHER (Prow Name of'Propene O«ner(s)) Sworn to before me this day of Tp kry4 20 2 S t,i dkR1t.F:o� ��,•45; � t,e1�l��t3'.3a,'3Et)``91 +�I�li�•,7nt��;r' @+ v O t,Met,,I< tNotan Puhlic: 11/27/18 BOding Permits C Check List&ZoningAnal is Address a` ' \--a� '1`Q- SBL Zone:Use: Type: Other. Submittal Date: D 2 Revisions Submittal Dates: Appb== e Nature of Work Reviews:ZBA:MAY PB. BOT: Other. NEED OK N }� ( ) FVFEES:Filing: BP: C/a Flood Place Legali=tion: ( ) (O—APP: Dated: L— Notarized:'— SBL: -- Truss 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: Unacceptable: ( ) (,�4LANS:Daze Stamped ✓ Sealed: Cop.777 Electronic Other. ( ( ) License: Workers Comp: Liabili Cp.Waiver. Other. ( Qd f CODE 753#:C1 0 y—C O —TO- ��omDauch 77— - c3Ll N/A: HIGH-VOLTAGE ELECTRICAL.•Plans: Pern iC 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: Permit Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans Permit: N/A a-:Odr H.V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK Plans: PCM= Fuel Type: Other. ( ) ( ) 2020 NY State ECCC N/A: Other- Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other: ( ) ( ) BP DENIAL LETTER. C/O DENIAL LET EP Other. ( ) ( ) Other: ( }ARB mtg.date: approval;- notes: ( }ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXLSTING PROPOSED NOTES �_: APPROVED Cirdc MAY F Front Front Sides: Rear. Main Cov Accs.Cov: Ft.H Sb: Sd.H Sb: GFA. Tot.imp: FL imp: pmkmr. Height/Stories notes: < n _ �. +•.. 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Ii/�1 �/w Ii/�1 • 'yy7 /il�/ 1 t w�[� 1••I + w 1 AC n it DATE(MMIDD/YYYY) �i CERTIFICATE OF LIABILITY INSURANCE 05/16/2024 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 Rebecca Sherman NAME: Scavone Insurance Agcy Ctr LLC PHONE g14-428-7111 F0X (914)428-7764 470 Mamaroneck Ave Suite 205 ac N E I : ac No E-MAIL rsherman@scavoneins.com White Plains,NY 10605 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: EVANSTON INSURANCE COMPANY 35378 INSURED Deep Contracting Ltd. INSURER B: 1501 Franklin Ave INSURER C: Mamaroneck,NY 10543 INSURER D 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 SUER LTR POLICY NUMBER MMIDDfYYYY) (MM/DD/YYYY1 LIMITS A COMMERCIAL GENERAL LIABILITY Y 3AA693283 07/25/2023 07/25/2024 EACH OCCURRENCE $ 1,000,000 AGE CLAIMS MADE ✓ OCCUR PREMISES Ea occurrence $ 100,000 I 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- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ 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 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA - (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 under the General Liability Policy for Permit Purpose only. Policy Classifications:Carpentry,Electrical,Plumbing,Painting,Wrecking CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St. Port Chester,NY 10573 AUTHORIZED REPRESENTATIVE ©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 4=:,; ^^^^^^ 472709794 SCAVONE INSURANCE AGENCYCENTER LLC 470 MAMARONECK AVE SUITE 205 WHITE PLAINS NY 10605 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DEEP CONTRACTING LTD VILLAGE OF RYE BROOK 1501 FRANKLIN AVENUE 938 KING STREET MAMARONECK NY 10543 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2431022-9 465889 11/08/2023 TO 11/08/2024 5/16/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2431022-9, 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 CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MANDEEP SINGH SECRETARY MARCELA SINGH DEEP CONTRACTING LTD TWO PERSON CORPORATION 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 STAT SUR NCE FUND T t/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 726524796 U-26.3 Laura Petersen From: Laura Petersen Sent: Wednesday, May 15, 2024 11:07 AM To: Deep Contracting LTD. Cc: jeffhfischer@gmail.com; steve54aia@aol.com Subject: 9 Candy Lane - Building Permit Application - Legalize Finished Basement Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the/building permit the following items must be submitted to our office, General contractor's contact name (first and last) & phone number. � Copy of general contractor's valid Westchester County Home Improvement License. . General contractor's valid liability insurance (the Village Of Rye Brook must be the �_/ certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura Tetersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Ipetersen(c)ryebrook.org 1 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, May 20, 2024 9:39 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 05/20/2024 09:38 To: VIL RYE BROOK PRIMARY Transmitted: 05/20/2024 09:38 00019 Ticket: 05204-000-720-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 9 To: Name: CANDY LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: BETSY BROWN RD Means of Excavation: HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: BASEMENT WATERPROOFING Estimated Work Complete Date: 08/01/2024 Depth of excavation: Site dimensions: Start Date and Time: 05/23/2024 07:00 Must Start By: 06/07/2024 ------------------------------------------------------------------------------ Contact Name: MANDEEP SINGH Company: DEEP CONTRACTING LTD., MAMARONECK Addr1= 1501 FRANKLIN AVE Addr2: City: MAMARONECK State: NY Zip: 10543 Phone: 914-777-3337 Fax: Email: deep@deepcontracting.com Field Contact: MANDEEP SINGH Alt Phone: 914-777-3337 Email: deep@deepcontracting.com Working for: JEFF FISCHER & DEA KATEL ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 General Notes 1)All work to be done according to 2020 Residential Code of New York State and local codes 2)All plumbing work to be done by a licensed plumber 42 3)All electric work to be done by a licensed electrician 4)Bath exhaust fan to vent to exterior b IT �P'DEK- W)LL 5E ,zaa.,nzzp LECIE WE M AY — 8 2024 VILLAGE OF RYE BROOK _ -- '�-UILDING DEPARTMENT 71 G.k, r �.-- .ax i PERMIT #4 -- 09/ v► 7'77 cu V 5N-V,cam-r1o� SQL 3 y a DATE P GVER�ZjZUZ4 4 F1 LE COPY N )F WIF.L � 4P�- OVF,;Z 44' — — - _ i 13UILDING INSPECTOR,Vi%' e o � � W►u_ 4 ,. 6 ye Book,NY g� m FY 6I?.E it-4 FREE t�! W Val ft�IDt�W N�,D CUT.L�Wei 7,_71 � 1Z �d7�V€�� �"`'-JT•1� $ �• � / -._. ot�i FOP- P `� NEW AJJDSRE;�- , CY4 I� C.W.�. -0 So:. X .=T �$ -Gcd V�Id.L�. S ,�- ; I Will R-Sa b FOB 14 S W--7 0- 5wr, wAlL-L,_2;4 67ZC- i *�c IZF S>06r, E5&45EME4ll f5A-r'4 Fop,Mp,.1~5ClZ Drawing Number lzyp- s" "} SMM Architect PLLC Drawing Date 5 Scott Circle Scale 14- ��A,.�► Purchase New York 10577 �� ,�� Drawn By 151"'1 J I i i I J Ii I f I I�� a -0-.2 1 /ICU J- -j Ll St�bW - L N I NC WZt:M General Notes 1)All work to be done according to 2020 Residential Code o i New York State and local codes 1 2)All plumbing work to be done by a licensed plumber Do 3)All electric work to be done by a licensed electrician 4)Install fireplace according to manufacturers instructions -- 1 @� Dra ing Number 'AJfj, s Gl GWIDY L.4-164 E M Architect PLLC Drawing Date 5 Scott Circle �Z:�� Scale /�_ /•.rJ' .` rchase,New York 10577 Drawn By ��''�