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HomeMy WebLinkAboutRP24-053pill PER # 1`�o1y- SECTION 35i % TYPE OF WORK JOB LOCH ON OWNER4`/)e o�, vcO # TCO # 3 EMTER 4h z a ve FEE DATE �NSpE(=TION RECOF3� I DATE I NSP F00T1 NG FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT ALARM AS QUILT FINAL ate• iPr7 us�-C9i�jss roaoe 3 ?R- 5 OTHER APPROVALS ARB �yE BR 11J G GG�JV,J�^ G �G v , v G L�4G vy . 1q VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.cyebrookny.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE November 8,2024 Anne O'Brien as Trustee of the Anne O'Brien Trust 15 Longledge Drive Rye Brook,New York 10573 Re: 15 Longledge Drive, Rye Brook,New York 10573 Parcel ID#: 135.67-1-22 Roof Permit#24-053 issued on 6/17/2024 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDING DEPARTMENT ,�(� VILLAGE OF RYE BROOK lss[JEf):�-� 7 IVILLAGjEOF — � 2024 I-::J' 8 KING STREET,RYE BROOK,NEW YORK 10573 DA'rli: (914)939-0668 Fr.IE: _P.VD RYE SRO,"( www.r3ebrooknv.go�DEPARTMEi.; APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLFII)Ni OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Address: 15 Longled a Dr Rye Brook NY 10573 __ Occupancy /Use: f' Parcel ID#: - 7_ '�� .—Zone: R-10 A Owner. Barry O'Brien Address. 15 Longledge Dr Rye Brook NY 10573 . P.E./R.A. or Contractor: Gunner LLC _ gddress: 194 S Water St Greenwich CT 06830 Person in responsible charge: Andrew Prchal -Address: 194 S Water St Greenwich CT 06830 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy 1 Certificate of Compliance for the structure/constntetion/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: Andrew Prchal being duly sAvorn,depose,and saes that he/she resides at 15 Longledge Dr (Print Name�'I,Applicant) (\0 and Street) in Rye Brook in die County of Westchester in the State of NY that (Cite Town \illa+�e) - i — he/she has supetz-ised 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 monetat)-value of all\, materials and labor which may have been donated gratis was:S 21,879.71 for the construction or alteration of: Roof Replacement, Asphalt Roof _ Deponent further states that he/she has examined the approved plans of the smicturehyork herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best ol*hisllier knowledge and belief..the stntcturehvork has been erected/completed in accordance with the approved plans and any amendments thereto except to so far as variations therefore have been legally authorised,and as ereeted/completed complies with the la\a-s governing building construction.Deponent further understands that it shall be unlawful for an owner to use Or permit the us.;of any budding 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-IO.A of the Code of the Village of Rve Brook. 5'� 19C Sworn to before me this _ ! _ Sworn to before nic this day of _._.' � - day of 20pc Signature if Pro caner - .�P�NY_ZA �,�� Signature of Applicant Barry O'Brien = Q-, �'T�� Andrew Prchal Print 1v un.of t'ropertN (hw 3 �0� NO, _ Prntt Ni me of Applicant -- — _ 1 _ N I 1n O�'�UB\-� - . 01 ,A,`c M EXP ONN EC���: '''Ill,I111171H111``,, QyE BRC�j�, 1. cu � 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 : ' �-'��'y1 LQ A t Z (z I ✓(, DATE: 102 PERMIT# L 9- QS—25 ISSUED: � - /� 7-L`l SECT: BLOCK:LOT: 2- LOCATION: t\ 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION (] FINAL OTHER LO cq �i 0 cn rq Ln zo N ] v �slu o 0 en u20 o o N2RuGa. ; A C� � ° c v o o to o o © ^ a 40) of fn _ 00 in co V O U G. ~ O W Q A o -9 ? � v �' 1 P-4CD _ oo en A C7 � 0 -meµ, '}moo+ 0 d A y fY cT O = T �y `" 0 ■ °0 A ai H n u W C7 00 u PS z o a a v v G IhNyil : W Q o '? ~ N O z z � z O V © h8w v V9 . � 'y z wI x C7 A Z O P. vL ~ O .• . � z W W. � � � pp o .. aC x BUIL MENT Q E C E 0 ED VI E OF RYE` OK SUN 13 2024 938 KING rltr ET F BRoQ€ NY 1057 -pJ VILLAGE OF RYE BROOK BUILDING DEPARTMENT *********wwwwww*wwwww*wwwwwwwwwwwww��w**w***www*w*w*www*ww****w**wax*ww*arwwa*w*w**w****sw**********w*wwwwww FOR OFFICE USE ONLY: Approval Date: Permit#& Application# Approval Signature: i ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: /1 Application Fee: Permit Fees: . wwww*wwwwwww**www*www** wwwww**wwwwwwwwwww**ww**wwwwwww*wwwwwww�wwwwwww**wwwww**w***wwwwwww**�*wwwwwwww**ww ROOF PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of R�c Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below, I. Job Address: 15 Longledge Dr Rye Brook, NY SBL: 135.67-1-22 Zone: R-10 Property Owner: Barry O'Brien '` j4A1AJ 06 Address: 15 Longledge Dr Rye Brook, NY Phone#: 914-552-0208 Cell#: email: obrienbar@aol.com 2. Applicant: Andrew Prchal Address: 194 S Water St Greenwich CT 06830 Phone#: 203 388 5555 Cell#: email: kauenny.zaneffi@gunnerroofing.com 3. Roofing Contractor: Gunner LLC Address: 194 S Water St Greenwich CT 06830 Phone#: 203 388 5555 Cell#: email: kauanny.zanetti@gunnerrooffng.com 4. Job Description,list all Methods&Materials: Remove&replace existing roof. Inspect roof deck to verify that all all sheathing is suitable. Install seam tape per CT Code. Install water and Ice barrier, underlayment, asphalt shingles,and proper ventilation. Install new white aluminum 6"K-Style Gutters using hidden fasteners elbows and downspouts.Install EPDM Rubber Roofing and seam tape. 5. Estimated Cost of Job:S 21,879.71 (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment.professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: interior property 7. Construction Type: Roof Replacement NYS Construction Class: 8. Number of stories: 2 Stories Height: 9. Is garage being re-roofed:No:V-Yes:{ )Attached No:( )•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: Pitched and flat roof 11. Estimated date of completion: July 2024 _la 1013M023 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK.COUNTY OF WIESTCHESTER ) as: Andrew Prchal ,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 contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,atiornev,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 befb me this I rh Sworn to before me this Itx01 day of �.. , 20� day of J , 20 02 Signa e 'Propi Signature of Applicant - Andrew Prchal Print Name ol'Prt erty 0wrior , klar� me of Applicant tare Public ubl• r,�rrrrnlnnr,,,��� &JAN Y 2q;1,,., ly �O TA i Q.; �c . .'' 10 ~•— �' - '�A ' ;o01 N . 2J — p FkP o .0 UBO `a ,` EXP• J ,,, ON� 10/3012023 Client#: 1952221 HOMEEN ACORD CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYYY) O6/12/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME:CT Jennie Foster USI Insurance Services LLC PHONE FAX A/c No Eid:855 874-0123 arc No): 203 634-5701 530 Preston Avenue E-MAIL ADDREss: usictcettificatesQusi.com Meriden, 06450 INSURER(S)AFFORDING COVERAGE NAIC! 855 8740123 INSURER A:Admiral Insurance Company 24856 INSURED INSURER B:Liberty Mutual Insurance Company 23043 Gunner LLC Selective Insurance Company 194 S Water St INSURER C: Pa Y of America 12572 Greenwich,CT 06830 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDNSRLSUSR WVD POLICY NUMBER MMVDD�F MMO/LDIOY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CA00004513602 1/2024 04/21/2025 EEAppCCMH�pGOEECCCURRENCE $1 WO WO CLAIMS-MADE �OCCUR PREMI%ES Epp ENTE mice $50 OOO MED EXP(Any oneperson) $5 000 PERSONAL 8 ADV INJURY $1 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000 0OO PRO- POLICY�JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ C AUTOMOBILE LIABILITY S2579842 9/27/2023 09/27/202 Ea COMBINED ttSINGLE LIMIT 1,000,000 IX ANY AUTO BODILY INJURY(Per person) $ AUWTOS ONLY AUTOS BODILY BODILY INJURY(Per accident) $ All1R'rOS ONLY X NON-OWNED AUTOS ONLY PROPERTY DAMAGE $ Per ecCitleM UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DIED RETENTION $ B WORKERS COMPENSATION OTH- ANDEMPLOYERS'LIABILITY WC533S381014053 1/19/2024 01/19/2025 X IsPTEARTuTE ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? � N/A E.L.EACH ACCIDENT $1000000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 OOO OOO It yes,Describe under D ESC RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 1 L DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Village of Rye Brook,938 King Street,Rye Brook,NY,10573 is included as an Additional Insured under the General Liability policy,for ongoing and completed operations,when required in a written agreement in accordance with policy terms,conditions,and exclusions regarding services provided by the Named Insured. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE C ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 Oft The ACORD name and logo are registered marks of ACORD #S43188187/M42873328 SZBZP NYSI F New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 832024199 GUNNER LLC 194 S WATER ST GREENWICH,CT 06830 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GUNNER LLC VILLAGE OF RYE BROOK 194 S WATER ST 938 KING STREET GREENWICH, CT 06830 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2485 011-7 889799 09/12/2023 TO 09/12/2024 6/12/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2485 011-7, 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:/MIWW.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 SUR NCE FUND ��i' �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:925072824 U-26.3