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HomeMy WebLinkAboutBP24-089PERMIT# / d I O87 DATE:c��g1(p; SECTION �3J, �{ % BLOCK_ L�OJ � TYPE OF WORK S/0l 0 % U) Cj`f710047 POlJ 106 LOCAN!' j /,p j O OWNER V /YIP� IP A G? 40 Ao --fir- D11.4ve ' CONTRACTOR OX/ Oe C %I C - 4/ 017/ 1qQUr/ / T. COST 70` FEE O V CO 0 FE DATE TCO 0 FEE DATE INSPECTION RECORD I DATE 1 NSP O� 773�s Qs %?Y% 7/39 y FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION <+' ZI^ 2024 b / Q/U PLUMBING �1' /7 � ' Ja ASSQ �l `o / 7 C� Sr-� / T _/�/ �) / RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT E3 ALARM L� AS BUILT O FINAL PPI VILLAGE OF RYE BROOK WESTCIIESTER COUNTY, NEW YORK Cerfiftrate of Occupancp Ehis is to certify thatBoltylee-k I of, Q2 JJy( I )�, IV/having duly filed an application on JU Al0—C2—q requesting a Certificate of Occupancy for the premises known as, 7 If Rye Brook, NY, located in a ) —J2 Zoning District and shown on the most current Tax Map as Section: / 5• L Block: 1 Lot: 54 — and having fully //complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. `y , issued -5) 1 20�, 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: yJol� for the following purposes: / r6 YEY1l yalkin 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 h g shall be made, nor shall the building be moved from one location to another until a permit to accomplish such change ha b b in fro h Bu' spector. OCT 2 1 1014 Building Inspector, Village of Rye Brook: Date: ECENE 2BUILDING DEPARTMENT For office use onl : pQ PERMIT# -O6 JUL 1 2 2024 VILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE: BUILDING DEPARTMENT www,ryebrookny•gov 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 ssssssss*tssss*»».afs�rsssss»»tasw»swta/w�sttswsssssss**ssssts*sssssss*•s**s*ssp*sstssssssssss»s»swswwsst**ssss**ssss»issssssssssst Address: 4 t !\:: Occupancy/Use: " Parcel ID#: 5y Zone: -��- Owner: Le"r-7c, UU o r "- Address: P.E./R.A. or Contractor: F roll-,n,'e M Address: Person in responsible charge:Finn, c (`-�c..-�-,� Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: Q r' being duly sworn,deposes and says that he/she resides at 7 P i l-sQ aa(Print Name of Applicant) (No.and Street) in I`` 6 rUUV'--' ,in the County of _�{ ,��c e � f in the State of �� ,that (Cityrrown/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:$ (J- ( ? 0 for the construction or alteration of: \( (n 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 -1 day of , 20 Signature of Property Owner Signature of Applicant Pr' me of Property Owner Print Name of Applicant Notary Public SHARI MELILLO Notary Public Notary Public,State of New York No.OIME6160063 Qualified In Westchester County " I ^`� ; Commission Expires January 29,20Z-1 �E BRC�v� 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 1 1 DATE: z PERMIT# ISSUED:_ - SECT: 13Sr, // BLOCK: LOT: 5 LOCATION: L ?� `F�^ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... CrACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I ❑ NATURAL GAS ' I/6 1 ❑ L.P. GAS j ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ,ie 4Rcb ��OT • 1982. BUILDING DEPARTMENT ❑BUILDING INSPECTOR L]"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 ! 'L.�. DATE: PERMIT# ISSUED: SECT: 8T•' l BLOCK: LOT: LOCATION: }� n ` t J /", 7- �\ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... [j 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 BRC��. 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : Ne, 2 1 DATE: ; -9 PERMIT# \)-D\ `n V O ISSUED: S- / I�SECT:�% BLOCK: LOT: LOCATION: 1^1 t���,.J n� �4 wLoo^�__ 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 [2' INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRO, O� 2m :iV 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.Uebrook.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: JJ--ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER a d' n � W o = tV Q a-0 •C � y > a " L 91 � N O i ai w P a �1 f 0 a. V T--4 1--1 Q yW U G • y Oz IfT,I .� N 1° A o � C o A O W w 1 ° r4-4 ob Z x F-+ W dam' H °I 3 E A" Q U © W M p O b a. O Az � z0 , " O � 1. C � i o 0 0 v Z uzv � � o = 00 Wad v a H cu � o � v � � � x w O v � U H W F. O z z �' L p V O V O z w oPLO - C7 A z O A. z W H 0 d . � .. 'S o � olu . 0 in bs BUILDING DEPARTMENT VIL>��►'GE OF RYE BROOK MAY ��20Z4 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK wwH.ryebruok.s�r�� BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY- Approval Date: Nermit 11: Application Fee:$—/©0 � Approval Signature: Permit Fees:$Qc;)<) —*bt)E Disapproved: Other: Application dated: 510-3- 4 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. / 1 Q 1. Job Address: t t he ( 4 �- LZ ,lZ4 e �'vd�SBL: I.-3 l `7 I'—/—��Zone: /� `) �2. Proposed Improvement.(Describe in detail): / ►'eve v6G °ONE cos �►te.f t'� y rdct 4-e-d dcS�c s i .r 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: 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 1 Hood,etc...) :No: Yes: (If yes,please submit a separate Automatic Fire Suppression Systein Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I faro.,2 fam.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: .11. Property Owner: �Gov VU, V fA �4► $f - Address: 36 i �R d e Ed. Phone# Cell# �r�1--� Z'�� '�S• email: Ca�vtCclbtrlpay ycal.�1�•�""� 8. Applicant: "FrOhi P4I c lc Address: 1 3 �'bCfS 19-e f Phone# Cell# email: f`091w; le m49i�Ennfrct Q��h�•eon 9, Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: ! 11. General Contractor: Max I C 011{y rtG AA-C. Address: 3 8 5 S ,f}✓r' ' F&U Po �J.f Phone# Cell# email: frl•nniJ&MaXiCoR Er4","Lirt5.60m- 12. Estimated cost of construction $ 12.1 1*7 0 (NOTE-':The estimated cost shall include all labor,material,scaffolding,fired equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: f4d/A Finish: i '6/ 'L I (l) 6nno23 BUILD, ' MENT VIL E OF RY ")OK `` MAY 10 2024 938 KING W ET RYE BR ,NY 10573 \N414)939-0 8 VILLAGE OF RYE BROOK www.ryebrook.ora I 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, Llti� !r, l%"b ///PN f f—! ,residing at, 7 I" /Ne {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; l r� !'ter'�ft� /'tG�, A� �G c) 73,Rye Brook,NY. (.lob 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. (Signature of Property Owner(s)) (Print Name o1 Prohcrt� 0%%ncr{ti)t 1� Sworn to before me this f of 20 (Notary Public) SHARI MELILLO Notary Public,state of New York No.01ME6160063 (2) Qualified In Westchester county commission Expires January 29,20z_,:� 8/12/2021 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 its the legal owner of the property to which this application pertains, or that (s)he is the ��2n " _ i .�^-k I _ 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 Sworn to before me this ('s day of , 20a'1 day of tq\A , 20 G Signature of Property Owner , 1 Signature of Applicant Pr a of Property Owner Prin a of Applicant r✓� �j No blic Notary Public SHARI MELILLO SHARI MELILLO 'rotary public,State of New York Notary Public.State of New York No.O1ME6160063 No.OVAE6160063 Qualified in Westchester County m Qua liflen In Westchester County �7 Commission Expires January 29,20 2 Comissiun czplres January 29,20. f (4) 8/12/2021 r r r r = Lin 1 N N w N N N � • W = o r so % a u r 0-4 r W y r 4 W w O , r 1a w to ►-� q W _ � N u 04 x ' lul z a V) W K, W _ to W" g H O �Lf) uItt ; (� N r O eq N A W �' o Z O z N w0 $ Ey w4.4 00 o e a u e W w acn v z O V w uz cn • Oi ad � Q V a 00 CA cn Cf o z z V o � o H N o o x W a W � rs H = Z V W z a 6.3, o � A a ° �a a yE DRCwx_ �.1 BUIL I�EP TMENT Q E L it I M( \ E OF RYE 938 ET RYE BW(�,NY 10573 JUN 12 2024 VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County/ /Master Electricians License Required FOR OFFICE USE ONLY BP#: ��`�—O O /ct EP#: Approval Date: 40 - 1 -8 - 20 2 9 Permit Fee: $ 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, - Z)—�)4 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: ( c—}—�� _ ( SBL: —_S Zone: 2.Property Owner: a L Address: 7 r e Phone#: Cell#: email: /� 3.Master Electrician/Licensed Installer: l "�' ►�✓GZ r3 S Address: CA (�'� le 7 Lic.#:Phone#: '72 1i mot' `I` I-r Cell#: Pu —"f' S"-7email: T 51PW--e- Company Name: 0 (-� r LCI 1.a,,._ Address: 4.Proposed Electrical Work/Fixture Count: t S 5.31d Party Electrical Inspection Agency: 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 iX2-,, 5C' 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 Swom to before me this 1 1:'t day of .20 day of TW 20 Signature of Property Owner 6i�gAafd-e-tX��plicant Print Name of Property Owner '2TName of Applicant CHRISTOPHER CATA Xto Notary Publk-State of NewNotary Public Quaked"in Won��K C1'Pub is MY Commission Expires Nov; 6/l/2024 • STATEWIDE INSPECTION SERVICES, INC. Service With lutegri�v 1:1 Main Street,Fishkill, NY 12524 SWIS JOB APPLICATION tel 845.202.7224 fax 914.219.1062 SWISNY.com Office Use Elect.Permit# IC-10 -N L/_/ Date Bldg Permit# L Sq Ft Temp# Utility ID# Final Certificate# City/Village r� v� Zip / J " - ] Township CountyL-(_,� toy Addres, �JQ � 0 Cross Street Section Block Lot Owner Name/Address(If different than above) (� �� L i✓. Contact Number ❑Basement ❑ 1 st FI. [a2nd FI. ❑3rd A. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside Sa9sidential ❑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 I)sposal 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 I J U N 12 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,if at 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# Contractor w Date /J/L Ignatur / /D �� t F�-t L 7 Z Address v G City/State� y�Lj��.}L p Zlp�o�e —� License# -� Phone# �`�7 Z 7 R LET C LC r W State Wide Inspection Services C u C, 1080 Main Street Fishkill, NY 12524 JUL 15 2024 845 202 7224 Phone as�U S 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: officeCcbswisny.com VILLAGE OF RYE BROOK Website: www.swisny.com service W/th Integrity BUILDING DEPARTMENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Citi-Wide Electric Ray Vollmer 37 Hunting Ridge Road Laura Bandler-Vollmer White Plains NY 10605 7 Pine Ridge Road Rye Brook, NY 10573 Located at: 7 Pine Ridge Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP2024-125 135.41 Certificate Number:2024-4316 Building Permit Number: BP24-089 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: 7 Pine Ridge Road, Rye Brook, NY 10573 The Second 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 10th day of July 2024. Name Quantity Rating Circuit Type GFCI 01 Luminaire 01 loop 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. lu �1 l a N C-4 W a --i o 0-4 i _ Q "' v S O w w /1 IN m v Ln ww u z A w x 4 z _ c, F wN NO O w (110 OPLI wo OF O O H o q V z uz can � z ,'�� M w �, z 00 Ln 00c7N z O Q ugQ a H96 � (� w c � wA cn o E.., 00, OF W o Z c O z v a 66. v � g x W z a o , a w z we .. W w P. q o U 5 wH pC� O�� BUIL DE MENT J U N - 4 2024 DD VIL E OF RYE OK 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT w && 2kny.gov PLUMBING PERMIT APPLICATION //� FOR OFFICE USE ONLY BP#: ) — O PP#: � 4--V-7 7 Approval Date: AWN - Permit Fee: $ /sV r/— 6 Approval Signature: Disapproved: (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$750.00 Application dated, 6 y /A is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. /� I.Address: Q I y1 F (Z� c��e (� �`�e �r"o'�� N� SBL: Imo' yI I�� Zone:K—1 e4-- 2.ProposedWork: (Lee(c(ce- exi&� (-I a_j 0-0—c1 trelgQtee 01o4- -r C 11 3.Property Owner: - e V Address: I P i rt e- IZ ,d!>e (Z c i Phone#: Cell Z email: cxJ►'K5d S' h9p.ror�. 4.Master Plumber: Address: 3 Ue r e �"� a n �,,y e$ Lic.#: 11-Sle Phone#: Cell#: email: COY LI @ CI'Sht �!t p/011 I t._60wr, Company Name: S h'l I f k P /vh�5 'E W Address: 3 �eye ite H �h e�4 l�'Izc{� 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 IstFloor S .,1AL 3 2nd Floor 31 Floor 41 Floor 5'Floor Exterior 5.*List Other Equipment/Provide Details: ?� (Notarized Signatures Required Next 2 Pages) -I- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: vA I W, ,being duly sworn,deposes and states that he/she is the applicant above named, (print name o11tates individual signing as the applicant) and further 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,oan nd regulations. No OFI1)isWYORg'• � y NOTARY PUHLIC' tc Sworn to before me this ` Sworn bqc� day of `�vL ,20 �� day of ttoea G Si tai of Property Owner Signature t nt PrA /7 1/(";' /)/71, LO rp L4 S Print a of Prop rty Owner Prin"Name pplicant ul Notary ublic SHARI MELILLO No Notary Pubiic,State of New York No.01ME6160063 Qualified in Westchester County Commission Expires January 29,20�i� This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) ofthe subject property, and the applicant ofrecord 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- 6/1/2024 BUIL MENT VIL E OF RY OOK JUN - 4 2024 938 KING ET RYE BR ,NY 10573 VILLAGE OF RYE BROOK w , 4e k ov BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 - 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: 31, , residing at, 2,P/ ' ' (Print name (Address%%l r vuu 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; 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 stoimwater 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. (Sign s �operty( vnc s)) (Print me of 'roperty(hvner(s)) Sworn to efore me this day of , 20 (Notary P 1 c) GREGORY M.RIVERA Notary Public,State of New York No.01 R16441398 _3_ QuaNfled In Westchester County Cornm lss Expires September 26,20 6/I/2024 INVOICE Maui Contracting LLC froni@maxicontracting.com t^- 1AX1 138 Sears Ave 914-774-7138 Elmsford,NY 10523 www.maxicontracting.com CONTRACTING : Laura Volimer Bill to Laura Volimer 7 PineRidge Rd Rye Brook,NY Invoice details Invoice no.: 1058 Invoice date:04/25/2024 # Date Product or service Description Qty Rate Amount 1. Services Hallway Bathroom: 1 $9,720.00 $9,720.00 Removed existing,tube,floors and walls. Relocated new recess lights,on ceiling. GAFI and outlet on each side on med- mirror Plumbing: Install new tube,new right for doble vanity sink,shower body and new toilet installation. Carpentry work: Install new Sheetrock wall and inside tube use cement board. install new doble vanity. Tile Work: Install new wall tile in tube area only. install tiles in main floor,use door saddle. Paint Work:Plaster,compound,sand, prime and paint walls,ceiling and trims. 2• Note:All colors selected by Homeowner $0.00 Homeowner Will supply:Plumbing, vanity,tub,tiles,Vanity lights,mirror. 3. Maxi contracting will supply:Labor, $0.00 setting materials, Rought plumbing, electric. Tace all construction debriefs:Cover all floors and walls on work area for dust control. 4. Services Update:Project bring up to code Done 1 $2,450.00 $2,450.00 whit licenses Plumber,Electric,General contractor Certificated and Insure Price Included ,All permits and fees for each trade. Total $12,170.00 Payments: 1 st Payment:$2,000 at contract signature. 2nd Payment at Start work$3,000 3rd Payment at 3/4 work done$5,000 4th Payment Final at complete Job$2,170 Building Permit Check List&Zonin Anal is a` r n Address: `� SBL J�• — I `Y Zone: 2 \2 Us\a \ _Coatt.Type: Other: Submittal Dace: I'LA Revisions Submittal Dates: Applicant: Nature of Work (kArio yO` '1C1 ck QaA.I� lr-c� Reviews:ZBA: ,L BOT• Other. NEED OK ;�� ( -( :)TEES:Filing: ` BP _ '- /O Flood Plane. Legalization: ( ) (lY APP: Dated:--- 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:Togo: Site Protection S/W MgmL Tree Plan: Other: ( ) ( ) SURVEY:Dated Current: Archival:- Sealed Unacceptable: ( ) ( ) PLANS-Date d: Sealed: Copies: Electronic Other. (� ( License: Workers Comp:� Liability: Comp.Waiver. Other: ( ) ( ) CODE 7S3#: Dazed N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL Plans: Permit N/A: Other: LOW-VOLTAGE ELECTRICAL Plans: Permit N/A: Other: ( W ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit FLW.I.0:_Battery:_Other. ( y ( ) PLUMBING:Plans: Permit: NIL Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans Permit: N/A: Other. ( ) ( ) FLVA.C.: Plans: Permit: N/A: Other. ( ) ( ) FUEL TANK Plans: Permit 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 LE'I"IER C/O DENIAL LETTER Other. ( ) ( ) Other. ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES Area: Curie: FF Front: From Sides: Rear. Main Cow Accs.Cov: Ft.H Sb: Sd.H a& Tor- Ft.Imp: P Height/Stories notes: t� t Y • `iO7 ✓ �3' �iAY ✓, O Y1 tfr Y rp f .',y �j - etit v V ¢ �3ioS �I O R '�SrIY r O t �1 y�. �� r I}. ����tl r ��•�� EII ,VI I: m� r I•, t V V .!.f s �,;f: „ i <(ioq>" �1}I 111/�llllll:i tca %'s%i�'I II,I�IIIII�,+ ,tr11111/�111111:.3 i1�11/�/11, �1111/�/11111• v 1�1,1,1/1�1 v 1111(/1/(111 1�v ' LO .. O p. • C L O CY3 cl 7 ed tv cz ' fir E U U c ❑ ,ui « . 4.0 .14 �l iir V O y rA(fro) ction +� y E- j �`Q Z a� off? O L"' Q Q ¢ _Zr p O. wrA (� co w low 00 X �O ed t W 0 Z , i N ,, v - - _. ('�Jv.. 2 xs3 r 111�11' ' f lllFlll'it""s" ii: 11j'j11'.ss _3=>:.°i# Ill�lll lss. t��p rlll,lll::ss!i i •III;�.�.S.�s�. . s . : �1 1 i ip «O)> ' F 2 11(1/1(hl St�sf�7hP)111/111 p§?1T�,l 1p(////111 1tiy! ll►)11/)111 lll)/11(111 ice' 1,11/'114 111 Ili�j \\ s'�A11 ��� ,I `*7^17't..ly��l�," ti�7^6•'7('„�, ♦�• 1� '•rr^{� rY •♦ ^ y �i•`y♦ `�^j. I /��� A , 1/���� ACa- �.�t'e�� 0yy..��� � O ti�fY,�yrr�Y p r+'atN�U �.n � g }����•' �•.�: �Q .. A Fii. t�V'Ks 5'' �V�Y;. tOv 154i RICO } +fid�0�' �Ol+i't t.,•.OV r:.�. �, O �,.�., . --� MAXICON-01 BEGELI ACORO CERTIFICATE OF LIABILITY INSURANCE DATE FIYYYY) 5/14/204/2024 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 Ellen Goldman(egoldman@butwin.com) NAME: TF Nathan Butwin Companyy Inc. PHONE,E,E:t):(516)466-4200 I A/c,No:(516)466-4213 60 Cutter Mill Rd.Ste.414 -(A/C,L Great Neck, NY 11021 .info@butwin.com INSURERS AFFORDING COVERAGE NAIC If INSURERA:Utica First Insurance Co. 15326 INSURED INSURER B: Maxi Contracting LLC INSURERC: 138 Sears Avenue INSURERD: _ Elmsford,NY 10523 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 SUBRI POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSDA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 CLAIMS-MADE [�]OCCUR ART3000082510 3/25/2024 3/25/2025 DAMAGE TO RENTEDPREMISES(E. s 50,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑j`r& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acc4dent) $ ANY AUTO BODILY INJURY Perperson) E OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE E EXCESS LLAS CLAIMS-MADE AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E J I IT- I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is requlmd) Job location:7 Pineridge Road,Rye Brook,NY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1?-04*k*\- NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^A A A A 842872355 MAXI CONTRACTING LLC 138 SEARS AVENUE ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MAXI CONTRACTING LLC VILLAGE OF RYE BROOK 138 SEARS AVENUE 938 KING STREE ELMSFORD NY 10523 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2147103-2 763203 05/27/2023 TO 05/27/2024 5/10/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2147103-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 888141038 I I_�F 5�„1Sv�� ,G�urc, Val� ,n�►-. ion e ivy tilt 7,j -toy 30�1 Nf 1 ' S � 0 = Cotns�yv�-� �C�►1 (yO�e' New 55�11�� N e`^' •�v� r,e.r Shop,-w �o c�`1 fio'� 1 �- ,� S�ecl- Y�� {�-