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HomeMy WebLinkAboutBP24-096PERMIT # SECTION %y/, 3S BLOC LOT TYPE OF WORK _ /7 % Ol -Q D va JOB LOCATIO _ OWNER rdi! CONTRACTOR TCO # dW. M / loS=-'Lf'`i93 o-�a�u-el gla✓a t9/y)39�oy� f �J 4 QQ0 - FEE � O ©— bJ FEE � �% PA DATE Y FEE DATE INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING it /uM INSULATION �-f 2 , `� ash �P�'�- o73li)ave Aj P S PLUMBING 'v' RGH PLUMBING }� // C 1 ' GAS C��fj C. /eC7� G SPRINKLER _/ ���� /Qy/ ELECTRIC LOAN -VOLT O ALARM 0 AS BUILT 0 FINAL o Z ASS � I -- OTHER APPROVALS. ARB BOT PB ZBA OTHER ve Aiayy ,oA("►�814y ��- cc �� ►ol�l��r VILLAGE F RYE BROOK WESTCHEST COUNTY, NEW YORK No: 24- 1 •_'i Certificate of ®ccupoucp This is to certify that V An4VOL of, k 1&004 &Yhaving duly filed an application on 20��requesting a Certificate of Occupancy for the premises known as, ;7 A !� , R e )bye Brook, NY, located in a 1�3F- Zoning District and shown on the most current Tax Map as Section:l I Block: / Lot: and having fully complie(dd with the requirements of the Building Code and the Zoning Ordinance under Building e)LL Permit No. / issued 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 y� 1 New York State Classifications, Use: �/ / 46it79) / Construction: for the following purposes: 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 e ' facilities shall be made,and no enlargement, whether by extending on any side or by increasing ' �eig t s all b r sha the building be moved from one location to another until a permit to accomplish such chang has b ob ned fro t e Bu' ' g Inspector. OCT — 7 2024 Building Inspector,Village of Rye Brook: Date: yE BR(� C t�t4'�y JdJ VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.ryebrooknv. ov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE October 7,2024 Vangar LLC 46 Roanoke Avenue Rye Brook,New York 10573 Re: 46 Roanoke Avenue, Rye Brook,New York 10573 Parcel ID#: 141.35-1-46 This document certifies that the work done under Plumbing Permit #24-073 issued on 5/29/2024 for the installation of a new oil boiler and an electric water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to i R For office use onl Q/ ,� BUILDj F TMENT PERMIT# 07 - 7(p AUG Z 2 _.0�4 VIL OF RYE PERMIT ISSUED: 938 KING STRE YE BROOK, NEE YORK 10573 DATE: 9 -0668 1 FEE: ,& a 7! S PAID CF O lctl8'. OV L 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 sresstssss•ttst••ss•uses•sssesssss»rse»sssr►srsarsesssrs�e��essssesssestsses•t»trssrsesrssssarrrsrsssrsstssttrttrsrssesrssrs Address: 46 ROANOKE AVE,RYE BROOK,NY 10573 Occupancy/Use: ONE FAMILY Parcel ID#: 141.35-1-46 Zone: 906—F Owner: GARY SANGUINO Address. 26 COLLEGE AVE,PORT CHESTER,NY 10573 P.E./R.A.or ContractorBRAVO LANDSCAPING&HOME IMPROVEMI lWress: 168 OLD SYLVAN LAKE RD,HOPEWELL JUNCTION,NY 12533 Person in responsible charge: IVAN AVILA Address: 80 MCGUIRE AVE,PEEKSKILL,NY 10566 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: GARY SANGUINO being duly sworn,deposes and says that he/she resides at 26 COLLEGE AVE (Print Name of Applicant) (No.and Street) in PORT CHESTER ,in the County of WESTCHESTER in the State of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S , for the construction or alteration of: g`J Q UCH i 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§250-1 O.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of ,20 day of 320 Signature of P rt(1 er Signature of Applicant Print Name of P perty Owner-j Prim Name of Applicant a Notary c Notary Public GREGORY M.RIVERA Mehary Public,State of New York (, 12024 No.01 RI6441398 Qualified In Westchester County Comrrftslon Expires September 26,10 �E BRC�k. w � 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 : y k.0 K OL--, f--� 4-k- A ti-�P _ DATE: PERMIT# �� Z q y ! ISSUED: S Z Z SECT: /-// .3Sf BLOCK: LOT: 7 b LOCATION: -),-)<- 4 , - 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 J `� [} FINAL ❑ OTHER �yE BRC��. O�` tim • 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 : 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 `f ❑ L.P. GAS ❑ FUEL TANK �/ n❑ FIRE SPRINKLER " ' l -� CiJ� J �G. �� �A d(.UPI ❑ FINAL PLUMBING ❑ CROSS CONNECTION r ❑ FINAL ❑ OTHER QyE 4RC�, . O�` tim cu � .Fo 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:— 1 (O �G, ti'� �C DATE: PERMIT# l ` 1 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 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�� tim 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 12"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 t�AZ T 0-l.. REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION '� [ ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK fS A 7-Pt ❑ FIRE SPRINKLER FINAL PLUMBING /,, ❑ CROSS CONNECTION A ❑ FINAL �- /JO ❑ OTHER - / ct> XP o^J INA Ps Tin .pl F Fh �-o P ) P-P " (L or-j -&o ► " QyE BRC��. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR O0 SSISTANT 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 : T b 'Y^N" A& _ DATE: CR - PERMIT## ?::) Z �� (OC1 C7 ISSUED: ZZ'Z ISECT: �3 BLOCK: LOT: 7 LOCATION: ' ►� i ,T� Pill �r -}l� J OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED qq ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION �=* _ tC REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION r / /rl ❑ NATURAL GAS ❑ L.P. GAS I ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING _J. /r L w N / ❑ CROSS CONNECTION L 11 rFINAL ��� �l 1 V{� ej ❑ OTHER Gv �tk� s/ lar-�j to Y j 6YLA cs -�>(qe c� a: /V L F�*-> /V�� NU l, -, s � 5N arN) �16us-8 . QyE BRC�,� cu � BUILDING DEPARTMENT R"B'UILDING 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 :- VQ C��- DATE: PERMIT# \ISSUED: SECT: BLOCK: LOT: LOCATION: 1 y OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ) ` ` [I Natural Gas �� ❑ L.P. Gas Z ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL �1 ❑ OTHER O�`�E BRC�k Zm 1932 BUILDING DEPARTMENT UILDING 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 : l0 R OC4-N'C"y : DATE: i / u Z 7 PERMIT# 7 Q CA ISSUED: SECT: BLOCK: / LOT: LOCATION: 2� !- IJ i. OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC-" - '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [-ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : i DATE: C', - z �/- 1 y 2,1 PERMIT# ISSUED: SECT: 3 5 BLOCK: / LOT: Y LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER a x a a s x Q N C w cu � N cq N tn w v . H cn � w a Qy y Se c o Phi A H G3.� W z� � a �,zowaoA" co °�° � Av � � � � v Z : O p � b � x 0 ZO \ W pN0 w W ZI E -a v. � O r Q 1-4 L (� �- `J � I--' ICI (j", � F�y � �/ � A 4N•1 [ � 4�-/ �. M L - _ 00 " H...� ,-.1qt Ln 0- 0 a Oo ,,o � .� Owen a �I M. � a" W > � � � �� -� BUILDING DEPARTMENT U E �' E VILLAGE OIL RYE BROOK MAY - 3 2024 DD 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.ort! BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: 4 A� (�/ Approval Date: \t \ P it#: -( `J'6 Application Fee:$ Approval Signature: Permit Fees: $ 00 - Disapproved: Other: —1 G d, 0C. Application dated: 5/3/2024 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit forthe interior alteration of an existing building,or for a change in use,as per detailed statement described below. ,// 1. Job Address:46 Roanoke Ave, Rye Brook, NY 10573 SBL:_1L —�='7 t0 Zone: o iC 2. Proposed Improvement.(Describe in detail)?st FL: install lights and replace ceiling lights, replace windows, patch and paint interior,replace 1100 sq/ft flooring,replace kitchen cabinets,replace bathroom fixtures,replace interior doors,replace locks and handles,close mudroom window,and tile bathrooms. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: x Yes: If yes,indicate: TIER I: TIER II: TIER III: A. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: x Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: 1 Family After Construction: 1 Family 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: Vangar LLC Address: 26 College Ave, Port Chester, NY 10573 Phone# Cell# 914-565-4493 email: gtsanguino@gmail.com 8. Applicant: Gary Sanguino Address: Phone# Cell# 914-565-4493 email: gtsanguino@gmail.com 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Manuel Bravo Address: 168 Old Sylvan Lake Rd,Hopewell Junction, NY 1253 Phone# Cell# email: bravohomeimprovement@gmail.eom 12. Estimated cost of construction $ 50,000 (DOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: 5/6/2024 Finish: 6/6/2024 (1) 6/1/2023 BUILDING DEPARTMENT [E C E N LE E Vll.LAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 MAY Y 3 2024 (914)939-0668 www.rye_b_r_ook.ort: VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 1, Gary Sanguino ,residing at, 26 College Ave, Port Chester,NY 10573 (Print name) t Vkho"s,where you li"ti 1 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; 46 Roanoke Avenue , Rye Brook, NY. 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. (Si'',natture of l n0'rt\ Ch nrr{�11 Gary Sanguino (Print Name wl'Pruperty Sworn to before me this day of /" �C , 20 (Notary Public) LILUAN SIERRA Notary Public - State of New York NO. 01St6280398 Qualified in Westchester aunty (2) My Commission Expires 8/12/2©21 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: r- 2 � sc_,'a , , being duly sworn, deposes and states that he/she is the applicant above named, (prin(name of ndivElual sig g 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. Sworn to before me this Sworn to before me this day of \`'N 0. , 20 CK day of"SCR , 20 Signature oftup Owarrignatur 4A )flc.n_VY daiantVarne at Property�OJwn 11 Print Name of Applicant Notary Public Notary Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No.OAME6i6O063 No.O1ME6160063 Qualified In Westchester County Qualified In Westchester County Commission Expires January 29.2G�—f rL tt��. Commission Expires January 29,2 (4) 3/21114 t t , r O ' r1 I' Lo o� , ■ N N w t t h+� N N t W \ ^] 0 .n ,n 4t F• vi C C6 N H , ' w rNLA i A a , a o t Lr) z a cif GG H a LO W > Z 0 w ,; CIO O w (Z �n O Q A z N t 00 W� ` 4 H o ^ w W w ~ 5 O0 z C wv U rr rr�� v� q x no a Z icl z W x �I �! eno 0 as 000 z O ' 0.4 v; C p4 � 00 O Ln �...� V ►� rn W -wlO c� a w V w W RO w c o: z G H H .0�W Zp C7 Q a arc ai W A4 j ", a O V 0 g QI O w rx 04 z H V w o V) Ln o x V W z a � °' • w � z w o z A o � d, A w z u A oe �I a z w z � ' s , iBUILR __ _ DING DEPARTMENT VILLAGE OF RYE BROOK APR — 9 2024 938 KING STREET RYE BROOK,NY 10573 � (914)939-0668 VILLAGE OF RYE BROOK www.rvebrook.org RUILDING DEPARTI\,IENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONI,Y BP#: cp"//z' "-0 9 �2 EP#: Approval Date: v 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$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. //�� 1.Address:4b 9'QgIn®� 1�12, Ve l5ra0k, N`( /0573 SBL: .'3 —`7� Zone:/C 2.Property Owner: VQn !2 CQr L L L Address: 14 CoI(tc„e- A-V, Poe+ Wj er, ,,JY /0 57.3 Phone#: Cell#: Y/V q, 41— /7,2- email: 1✓Qh202B P L UQ-C_G t­N 3.Master Electrician/Licensed Installer: 1-1/1 5 T62a-rl —Address: 114 ';+Ae' r/'A/r/usi Lic.#:1 + Phone#: 11 b /. Cell#: glzl �//y$/ t'� email: .I C' /Company Name: 114 1e_C-+Y- I L S G- Address: _�1 t;�� SCi(��SC?n S' �� Pee-tL/�r�# k 4.Proposed Electrical Work/Fixture Count: rr e. E /S f/L t (-,ee c v rn�1 � L /('00 u ir-vy f2 � 7�>CaCI ►, 5.3'Party Electrical Inspection Agency: SW �S 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 Licen.seci 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 C e of the Village of Rye Brook and all other applicable laws•ordinances,and regulations. Sworn to b fore Irte this Sworn to befo a me his_ day of .20 0 20,;t Signature o rop 0 er_ ignature of A licant Print Namtofrr0pc caner Pri e o App 'carti'�_ Notary u lie J LILLIAN SIERRA p `� , Y Notary Public -State of New York N FRV%oSs NO. OIS16280398 Notary P lic,State of New York 1 013 0/2 02 3 Qualified in Westcheste(Co inty� No.01B06163610 -- - Commission Expires_ Qualified in DutCheSB O �`"�- ��trlstllon i�piro,a,�� STATE WIDE INSPECTION SERVICES, INC. Service With lidegri(v 08• • • SWIS JOB APPLICATION •2.7224 1 fax 914.219.10621 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit# J ' Date 1 n% Bldg Permit# ,�P� y ,, Scl Ft 7 7 Plumbing Permit# / v �/ Final Certificate# City/Village Zip y S Building Dept. County 0 t- 1" , Address (✓ � Cross Street Section Block Lot Owner Name/Address(If different than above) I�� N C Y / j Contact Number ❑Basement ❑ 1st FI. ❑ 2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic D Outside ETResidential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # 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 wire �o ►' exl' s �ti� � L � ��cv� ;�e v� �� rCtde. fiyu � / 00 CA LA- 700av>1 � cw.J 5rl (D APR - 9 2024 IVILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(t)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. Email Address L,� K �C�/ iC. CO► Name ['(l% License# Date D y 2. Signature Address 1/o J G City/State S Zip Code C L Company' C r fL! Phone# �� / f S� 0 L1 R W E State Wide Inspection Services CAS1080 Main Street AUG - 7 2024 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: officeCc0swisny.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: DIA Electric, Inc. Vangar LLC Luis Tepan 46 Roanoke Avenue 1108 Jackson Street Rye Brook, NY 10573 Peekskill, NY 10566 Located at: 46 Roanoke Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-104 141.35 1 46 Certificate Number: 2024-4866 Building Permit Number: BP 24-096 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: 46 Roanoke Avenue, Rye Brook, NY 10573 The Basement, First Floor,Garage& Exterior were 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 6th Day of August 2024. Name Quantity Rating Circuit Type Luminaires 32 Receptacles 31 Switches 23 AFCI 10 GFCI 07 Smoke Detectors 03 Visual Inspection Only; Not Tested by SWIS. C/O Smoke Combo 02 Visual Inspection Only; Not Tested by SWIS. Exhaust Fan/Light 02 Range 01 Dishwasher 01 Refrigerator 01 r a Name Quantity Rating Circuit Type Microwave 01 Washer 01 Dryer 01 Hot Water Heater 01 30 Amp Service 01 200 Amp Meter 01 Panel 01 Disconnect 01 Grounding and Bonding of Service to Current Code. 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. Page 2 ■ t c c� N • O ■ N e4 a Ln 'n na l ■ t owy4 "� p v , 11 M t N-1 C n w z a W ao = O W � ✓ � z '�y' w � ° � H _ z Z o .do* w g ►� co 00 W ° V � "LO a \+ 0 _ 00 f 1 V ICI GN �o (::� o q f Q a ~ ° L4 o z ° �QCA rA V C) z w od H 0 A w � a jD BUILDING DEPARTMENT MAY 18 2024 VIL E OF RYE BROOK VILLAGE OF RYE BROOK 938 KING T 'ET RYE BR99X,NY 10573 BUILDING DEPARTMENT (90) -,06 www.ryebrook.org PLUMBING LPERMIT q/APPLICATION 1 /� FOR OFFICE USE ONLY BP#: �'7 — /�7 PP#: d�� V 7�3 Approval Date: MA Y Permit Fee: $ Approval Signature: it/SQ (fees are non-refundable) ****************************************** ******************************************************* DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV 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, 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 Janndd Local Codes. /� 1.Address: lP 1� "�na K e_ 7 It_ P•J J'co 4� SBL: �y� �—TCO Zone:/��/'�: 2.Proposed Work: -} w 3.Property Owner: V 1n I,,-,r � L C. Address: � � , 4- -J e, of 041 ..r ` Phone#: Cell#: email: q 4.4 rN . ovr1 4.Master Plumber: L. N , l..,e4' Address: 4 C Rj C N V Lic.#: )S"-:2,9 Phone#: Cell#: k S Yr 9 10 5mail: �y Tp) rrv����.., of Ci en"") Company Name: .S ti%-1V' U a Address: INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor •7 �3 y. 2nd Floor 3.d Floor 4'Floor 51 Floor Exterior 5.* List Other Equipment/Provide Details: 0% CA (Notarized Signatures Required Next 2 Pages) -I- 3/3/2023 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 sig in i as the applicant) and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this Q S day of Pav 12 day of &fl ,20 _ !�1'gnarop ty Owner Signature of Applic Print Nanfe of P opei Owner Print Name of Applicant Notary Publi RA Not ar} GRH ORY K RIVERA Notary Public- State of New York , NO. 01 S16280, �public,State of Now YO& Qualified in Westchester unt No.MR160098 F My Commission Expires Qualified In W*Stehestof County'�/ ��� Explret}goptamber 26, "'"'/�f Yn This application must be properly completed in its entirety and must in�Tu"de ttme notarized slgnature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 10/30/2023 I \`/ BUIAET MENT D �� L iI�V F DD VILE OF RY OOK 938 KING RYE BR ,NY 10573 MAY 2 8 2024 -0 Y ww1w. roo'� VILLAGE OF RYE BROOK 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, '1)Q,J 4t- � • . , residing at, q 9 C r o)-)r TAJ W.A C,r'r"_a F )�r: (flint n.unr (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; ti v 1�0_ !� e- 1-�',_ L,�,c- )� , + J Y , Rye Brook,NY. (Job Add ss) 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 P c ��nrr.11 4 SCE V1QC�1 l� (Print Name J f Property Uv� r(s)) Sworn to before me this d� day of 20 (Notary Public) LILLIAN SIERRA Notary Public -State of New York NO. 01S16280398 Qualified in Westchester C nt My Commission Expires 8/12/2021 J:(cket G�nt�r 'ametgir A;4;;; (Jl i n irr Tilakle-'s �dpth of FI sate ' .� Burnet nnF aJ°` AFUE G1'imn�'y H � :.: � 560 L{D££tII1q - Ratings- Capacity. Requiremenits 6" Capacity P14),— 17 3/8" 8-1/4• cd.11 (MSK) (MORNMI 2.75 5,6C 1N 786.1 8'x 8"x15' 6.,80 70 06517-3/8" 8-1/4„ } 3.00 CL3.091 �- --- 86.0 g;;x 8°x15' F�r I 0.75 ( - ! 80 3.25 17-3/84" 6" CL3.105 ___ _1 - g« g"x15' - 68( 120 104 I - - 22 3/8„ 10-7/8" _____.-._ 3,25 CS.3-:40 - _— �.0 8 x 8 x15 -- 10 7/S r - j ' 1 97 0.90 • , 6$1 ,: CL4-12� I •1 1 3.75 , 22-3/8„ � --t -- 1.25 85.1 8'x 8"x15' --- -----�i" 68' CL4.175 151 131 --"---4 - 10-7/8" 7 4.00 22 3/8" -- 84.0 S.x 8"xi 5' -- 179 t 156 i 1.b0 _ ._._---i _ - 80 CL4.210 I - - — 4—---- ! 27-3/8„ 13 3/8" 8„ 1.20 85.9 8'x 8'x15' 3.50 CL5.166 147 i 128 80 �- 13-3/8' 8; 85.1 8«x 8"x 15' 4.25 CL5•245 212 184 � 1.75 ._.__...__-.I---_--__-----a--------.•-� 80 4.75 27-3/8" CL5.280 241 210 2.00 84.7 8'x 8"x15' Standard Features Taco 007e circulator ash( • Metal section connectors • Fully packaged • Integrated boiler control system • I%-ombiisfinn taq-)Pt wall Iintcitek • Beckett AFG oil burner - burner Vertical flue design C�1AC packaged separately for easier handling • Insulated jacket designed ME • Beckett GeniSYS primary control for easy removal .� • Electronic ignitor 14KV • Relief valve i+-- 24 5 • 14 1- -A RELIEF VALVE I 6_ 1 3 S .B.--lf f ♦ 1 2•SUPPLY 8f j I 2 8 COLLAR I !IFLUE I C. j l 1 1 1 D LA. TEMP/PRESSURE FLAME GAUGE i BUILT-IN DOMI OBSERVATION BUILT-IN 'ZATZ Poor � � I 3✓4•CCtrWEC' �! 31 f• OIL BURNER l W/PRIMARY Iz RETURN r'9 CONTROL - ' I - I C O I I t- � • 9. I - I-LUVM , • k DRAIN VALVE I i 1 t J SEE NOTE 2 1 BURNER SMNG DOOR FRONT VIEW CLEARANCE(OPEN gory Notea: RIGHT SIDE VIEW 1 Circulator supplied loose R,ay;,�installed on 2.Return fittings a 2. 4 and drain Valve shipped loon, suP orreturn Ping chor'n hidden not f:r:nh. 0• •O °C 2019 New Yorkor Boiler -mFrtinnnrrvrttkn.hnlnr I Company. nc,Lance ster,PA, a• ''FLB,��ork.rbollwr.am, - r . � • � w • Residential Electric Water Heater GE.G.Liss" e o t -00 > Upright Modelslap e CA• Is cam • ft.. I areaVWW ... c.. .>•t rr�w Orf""'' to a1 I 6r- Cam- C;a•- f , mom � °•. � I A,y u. 1. �. rapd/ urr+M ""' aEIWP ■- '. �' a 41i*f• '�' 1G j uJ. hop Awls("' j t I farzf" f1" ie„h 20 1aa. a 4911. >♦. I a. W 21 to (t�y1 20 ri,� N. to tF7,3A66 a Z7 43 o.fQ 4a 091 21 78 49'r► 8 62,l'- r1 AZ61 40 33 3 42 091 1E 60 M' 20 AWf% 40 33 e 1 143 J 34016 40 33 36 OS2 r IS n'r` 49'� 1 a 6e+1. sl. 130 50 42 45 27 to 6e,p b T5�0561 50 42 � 60 p� 21 18 `� � C 0 E �Sm M� pE250TB 50 42 45 li OMY at A ROWr Jaid HMe r C T Nr . W COOL IWd LAW� amSe'C�• Tope1 M ra COWL Capadir Raid Rra Il•i�r� IMaI/ m. r- 4 floral• NOW E+nf Llart/ na. a>r 45 (LJms) amrs) FKW Iles 1186 50 1243 1256 1956 R 114 102 163 092 1199 50b 1256 � 52 79 t256 t9 RE24056 151 136 182 0.91 79 1199 5d9 t256 t5� 19 57 ROM 151 136 186 M i519 � iSiX g � 19 T RF340T6 151 136 201 CO0 1199 619 125b 24J3 1256 FOM 189 110 1256 5 1199 I 559 cxs 1256 59 4050561 189 1/0 227 0.92 t499 508 t53G 203 1539 19 � RF15pT6 /89 170 141 tModels include supplied insulation blanket(2'thick). Dimensions in charts above do not include blanket thickness. For 10 year models,change suffix"6"to"10". Based on 4500W/4500W. Non-Simuttaneous operation Unrform Energy Factor and First Hour Rating is based on the latest AHRI directory listings. -4- p Wattage smoftss Yc7bp4 Lmitations tor Non'Simultaneous Vona/e B S iM'2M 248Y 7M 4b0V 0 eratlon 120V 2ebY 240Y 177Y 4M �TSWW/15", )el.)CI )a yes Y��p .iy5y0OW/r155/WW� y� yes W� Yes [1.aA.�n 1 ctltA/n' W Ira /"" !"" CIMJn/LSJ{Ilfrr yes J"" yes yes Yes D 25aow 25M! m JYMIYWIYW JYM 2500W/25M Iyes Iyes Iyes Yes Yes 80 :3oi*:iil7W- n0 yef trs,)rs yes 3000W/3000W f yes I YM I Yn I Yn YM t w w 35M/35M I no IyalyMal"O no r ® -*Zj 400OW1400OW1 no I yes I yes i Yes I ya 40WW/40WW no yeS YeS yeS Ya 4vow/4M no Iyalyalyn lyn 45MI45WW no yes Yes Yes Yes G G xxow;saaow no >tes tes I res Yes SOOOw/SOOOw no Yes yes yes i yes ZWW/55YOW no no yes w no 5WM/55WW no Yes yes no no Q 0111 6"W! no nD . no yes Yes 6000W/6000W no yes yes yes I yes C E I , SM T Wgire Rise'f LPN T9MW3f a it Rise-C �Ie 60 80 90 100 120 Wattepe 34 45 50 56 67 IYw ; 10 9 7 S 5 1500W 38 30 16 23 19 b1Y 14 10 9 8 7 2000W 53 38 34 30" 26 iT 13 11 10 9 2500W 64 49 42 38 34 A M► 21 t5 14 12 t0 3000W 79 57 53 s5 38 21 t8 16 14 12 a F90:16: 68 61 � � •IGPH based on N 28 21 18 16 14 79 68 61 Non-Simultaneous V 31 23 21 19 15^ 4500W i t 7 87 79 72 57 oPeration, when ( 34 26 23 21 t T SOOOW ; 129 98 87 79 64 Slmuttaneous 1 38 29 ?S ri 10 ccrv�d __ Operahon tha(,PH .Buildinv Perttut Check List&Zoning Anal u \ Address: A V`%, Zone ��"2 Us �- Conic.Type: Other. Submittal Date L Revisions Submittal Daces: Applicant: a C-'l D ' Nature of Work N < e 4,-Io `I/ a i (n—)S 0 N-Q( ) S ► s,(i l Reviews:ZBA. �`� Z PB: BOT: Other r q Qp _Y l�Q FEES.Filing: BP: `�/CC/O. Flood Plane: Legalization: 15D. {�y ( ) ( �APP: Dated_�G Notarized —SBL• Truss I.D. Cross Connection: H.O.A.: V ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening- ) ENVIRO: Long Short: Fees: N/A: Q ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgtmc: Tree Play Other. ( ) ( ) SURVEY:Dated: Current: Archival;- Sealed Unacceptable: ( ) ( ) PLANS:Date d: Seale Copies—Electronic Other. ( (,a/)rtcente: Workers Comp: Irability ✓ Comzp.Waiver. Other. (� ( ) CODE 753#: Dated N/A: HIGH-VOLTAGE ELECTRICAL-Plans: Permit: N/A: Other: (� ( ) LOW-VOLTAGE ELECTRICAL-Plans: Permit: N/A: Other: ALARM/SMOKE DETECTORS:Plans: Permit: ✓- I-W.I.C.:_Battery:_Other. PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) H.V A.G Plans: Permit N/A: Ocher U kdL t ( ) FUEL TANK:Plans: Permit Fuel Type: Other. ( ) ( ) 2020 NY Stet ECCC N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mug.date: approvaL• notes: ( )ZBA mtg.date: approval• notes: ( )PB mug.date approval• notes: APPROVED REQUIRED EMS TING PROPOSED NOTFs Date: Arex Cade Fie Franc Front: Sides: Rear. Main Cov. Acm Cov. Ft.H Sb: Sd.H Sb: GFA. Tom: Ft.inm: PHki notes: tr S o7 c:Na r L t2 14 f BUILDIM; DEPARTI41fr:NT (] IL,�.,�,.wa Ihtir��iriA t, Q rNi�*� �lfIa1111a�lalCCtt��. 1'�ILLAGU 01- HVI. BROOK ❑s:c,v� CroroeceM�r,rUrttctlt 9M KIsu StKI1 1 • RS1 HmouK. NY Ilk;7-1 939-5801 rrnit.r�'s#Ir�►uk.arp I - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - �.aat�exx • '_ PINJUTTr _!�_� _ I6suvEl- StCYI.� LOCATION-, B YIutAY74]N NOT•CD 'CNE W0ltk Ir.. Rt.tnsren 1 i.+!� ;` �] Srlr. in�afrt-slcr� R��uI�Ei, b FO•OTINtG 0 FIN)TING I�R.�Iti.R[i1 ❑ l;WntRGitov Na Pt>u;w RI NG 1Vums oN, I NSPEITION! ❑ ROUGH FkAMINL t`rrj t�- ❑ I: m:l tiTlow ❑ FIAE Sii+Rth#LEA ', 13 FINAL PLUMMIN: Caosst Com-Ne `_TIoY ❑ FINAL OTHER 1 P ` AT � _- + f = co -- J — LL L > _ f !Ld — J a �• � F w z 0016 �. du LU i it _ : Qf ~ of An— y =s G Q? x a nr DATE(MM/DD/YYYY) AC"RO CERTIFICATE OF LIABILITY INSURANCE ��. 04/15/2024 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). CONTPRODUCER NAME. Heydi Ortega Lazaro FITZPATRICK INSURANCE CENTER PHONE 9147396117 FAX 9147391553 (A/C,No.Ext). (AIC,No): 54 WELCHER AVENUE A DRIESS heydi@fitzinsctr.com PEEKSKILL,NY 10566 INSURER(S)_AFFORDING COVERAGE __ _ NAIC# INSURER A: MAIN STREET AMERICA ASSURANCE CO 29939 INSURED BRAVO LANDSCAPING&HOME IMPROVEMENT INC INSURER B: 168 Old Sylvan Lake Rd INSURER C: _ Hopewell Junction,NY 12533 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 IADDL SUBR POLICY EFFr POLICY EXP) LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY Y MPJ2518U 0211912124 02/19/2025 A �/ EACH OCCURRENCE -- $_ 1,000,000 CLAIMS-MADE ✓ OCCUR PREMISES(EaEoccurrence) _`$ _ 500,000 �MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000,000 POLICY PRO JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 PRO- OTHER $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED %AUTOS ONLY BODILY INJURY(Per accident), $ AUTOS L - - HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident i UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED _RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY --- _---- _.. STATUTE .__. ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICE R/MEMBE R EXCLUDED? NIP` (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space is required) List the certificate holder as additional insured Job location 46 Roanoke Ave.Rye Brook,NY 10573. 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 983 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK,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 4 \\ NYSIF New York State Insurance Fund PO BOX 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 9�% A:c ^^^^^^ 464905373FITZPATRICK INSURANCE CENTER54 WELCHER AVE PEEKSKILL NY 10566 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BRAVO LANDSCAPING& HOME VILLAGE OF RYE BROOK IMPROVEMENT INC 983 KING STREET 168 OLD SYLVAN LAKE RD RYE BROOK NY 10573 HOPEWELL JUNCTION NY 12533 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE A2582 715-5 686372 12/22/2023 TO 12/22/2024 4/15/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2582 715-5, 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 WESSITE 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 MANUEL R BRAVO SOLE OWNER/OFFICER OF BRAVO LANDSCAPING&HOME IMPROVEMENT INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE SUR NCE FUND 7 4 / DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 645965424 U-26.3 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, April 17, 2024 11:02 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/17/2024 11:01 To: VIL RYE BROOK PRIMARY Transmitted: 04/17/2024 11:01 00002 Ticket: 04174-001-299-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 46 To: Name: ROANOKE AVE Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE FRONT OF HOUSE AND RIGHT SIDE OF HOUSE,AS FACING, AT FOUNDATION NearSt: WESTVIEW AVE Means of Excavation: MINI EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: WATERPROOFING, BACKFILLING Estimated Work Complete Date: 05/01/2024 Depth of excavation: 5 FEET Site dimensions: Width 4 FEET Start Date and Time: 05/01/2024 07:00 Must Start By: 05/15/2024 ------------------------------------------------------------------------------ Contact Name: PHILIP MENDOLA Company: P MENDOLA LANDSCAPING Addr 1: 234 LAKE ST Addr2 City: PLEASEANTVILLE State: NY Zip: 10570 Phone: 914-356-5070 Fax: Email: pmendolascapes@gmail.com Field Contact: PHILIP MENDOLA Alt Phone: 914-356-5070 Email: pmendolascapes@gmail.com Working for: CUSTOMER ------------------------------------------------------------------------------ Comments: COMPLETE DATE UNKNOWN, 90-150 LINEAR FT Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CON-ED NYS THWY AUTH / NY SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1