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HomeMy WebLinkAboutRP24-040PERMIT i SECTION TYPE OF JOB LOCI B�EST. �/Co TOO _DATES cqf 1 3 BLOCK / � o SAP ✓E �St/ozzo e �.C/Sv.S _u 114pT: ,LLC OO FEE �FEE�/Sn P/J FEE PcrTION RECORD DATE INSP FOOTING FOUNDATION FRAMING SIGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC O LOW -VOLT O ALARM Cl AS BUILT O _ LO Y/iYtlL' FINAL s OTHER APPROVALS ARB BOT Pe ZBA OTHER �yE BR(� `O•' CC I.J V��� Y 190 W C C��4°CaJJ V .f1 Lam.�C w 4 jrCK,VC W J `C VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 16, 2024 Anthony Suozzo 6 Hawthorne Avenue Rye Brook,New York 10573 Re: 6 Hawthorne Avenue, Rye Brook,New York 10573 Parcel ID#: 135.83-1-33.1 Roof Permit#24-040 issued on 6/11/2024 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 DD BUILD MENT For office use only: /' PERMIT# '-Q 7 0 JUL — 1 2024 VIL) AGE OF RYE OK ISSUED: 938 KING STRE YE BROOK, YORK 10573 DATE: VILLAGE OF RYE BROOK 9 -0 �` FEE: ' / (7 PAID BUILDING DEPARTMENT ov APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION #titttiittiiiitiytiliititiiityiiti itiii■lift###ti#iti#/i##ii##i#yi#i#t#yrtty#rti#yrtiirtlit#it#itttiiii#iii#i#ty#tiiii#ytifyfi##t Address: 6 Hawthorne Avenue Occupancy/Use: Residential Parcel ID#: 135.83-1-33.1 Zone: )e—/S/-J Owner: Anthony Suozzo Address: 6 Hawthorne Avenue P.E./R.A. or Contractor: Perry Verrone, LLC Address: 12 Center St, Pleasantville Person in responsible charge: Perry Verrone Address: 12 Center St, Pleasantville Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: Perry Verrone being duly swom,deposes and says that he/she resides at 12 Center St (Print Name of Applicant) (No.and Street) in Pleasantville 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:$ 10,900.00 for the construction or alteration of. Roof replacement Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Com����ll ve 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 111111 i�OF I {p& efoi's me this Jq_ day of , 2 Qfth Q� P ''�'�. t 'A YP , 20 i +TATE n /OF NEW YORK\\Y PUBLIC \ Signature of Property Ova r I — I ��� N Ot pplicant t Q.ux41MM47..ca.+r �✓ ��/Ill l l l l►\ Anthon Suozzo �,; P Verrone Pri Nqoroerty Ott"OrflI00Mw,hijNo of Applicant No ary ublic G/1/2024 QyE BRC�k 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 : L ✓A DATE: Z Z�LA PERMIT# ISSUED: i L SECT:BLOCK: Z LOT:__-JLJ LOCATION: "r J 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 s s s z e C> N W 5 s � N C •O � v . P4 z w � a Cl) ZL _ _ 00ao o Q g o v Q r� 8 O To W ►'Q4 k' fir/ N d o o O = h�+�Il � '� F�1 (� � 0 � d -p Cam.•tip � y �1� a 00 r- GIN 00. O w v w V p O b v v s00 cn f—LI W N W P4 E., cn 3 c ~ � C\ cn ~ v U C Z z ! 14 o I--I z • o ° $ � ° � U ) o w u� W Ei Q O oEn v d 2 v © V U o U R g w �_ N w w � o � � �� -• . Ffl EV� I� � t/ it�- BUIi-Do ENT JUN - 6 2024 VIOK VILLAGE OF RYE BROOK 938 KINGNY 10573 BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: 1!J U' e it R Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved. Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: ROOF PERMIT APPLICATION Application dated:u is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per.,detailed statement described below. 1. Job Address: _6 1,ml }hr(i 1 jfo, SBL: 13553 /Zone: - ; Property Owner: �Y]!rI (ESLKf�?U Address: bi&kU &C kAdAJI , Phone#: 105 LOU Cell#: email: &4 1 0 ( ( mi . �j 2. Applicant: 1' I k ty Y7 t L Address: I �� Q i �t ����1 1 rQ A I Q Phone#: Ll U Cell#: OIL/ �(I V email: M 2 1 3. Roofing Contractor: .e WiJ ✓e1�'W (,-C Address: I ( -PY T A Phone#..Q'q 7t-P1 11 L6 Cell#:C1(tl `Llj l(lI eS email: lCNA00M 1 W rl�P reI6' 4. Job Description,list all Methods&Materials: rod, Yedou M PN 5. Estimated Cost of Job: $ 10. q v U (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 comer property,indicate street frontage: 7. Construction Type: ,� rCl�l NYS Construction Class: rQ 8. Number of stories: 2 Height: 9. Is garage being re-roofed:No: •Yes:( )Attached NoL�4•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: Pe oLe d 11. Estimated date of completion: JL&t v?M 1 ( a 611/2024 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. t,txxxxxxx,tx**st,tir,txxir*x*x*+kxx*xx+k+k+i•xWw*r�xxxxxxxx,exxxxxx*xxx:txx,txxxxxx*,k*:txxx*xxxxxx,txxxxxxxx,t,t,t,ttt,t***x�r*,t,t S�ATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: -L&I V&V nL'S ,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 OI A 41 e4AI- for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to beforeme this day of Ji I VI t" , 20 da JlU , 20 gnatu roperty Owner Signature of Applicant ANZPuic roperty Owner 1 ri t N a Applicant 1PPAIr\��\ Vt111I1l/!/// .`` .� Ir SIX /OF 4'P,* /� STATE 1 �ZP+ Y PUDt1C i�o=`(` 1 OF NEW Y4RIC�\ t �tCOO, NOTARY PURL[ OIPA6341502 /f ff ,SSIONt �lrllYtlll4444` ill it -2- 6/1/2024 Perry Verrone, LLC 12 Center Street Pleasantville, NY 10570 info@perryverroneroofing.com Office: (914)747-7663 Fax: (914)747-7665 License WC 21701 H09 ,v 6/5/24 Prepared by Perry Anthony Suozzo 6 Hawthorne Ave. Rye Brook,NY 10573 (646)265-2966 SuozzolPaol.com PROPOSAL ROOF REMOVAL AND REPLACEMENT Main House Only, Shed& Garage Excluded • All existing asphalt roofing removed and carted from job site • All rotted plywood replaced at$90.00 per sheet • GAF Weather Watch Ice and Snow barrier installed on all gutter edges,valleys and around skylights (6 feet up) • GAF TIGER PAW paper installed on the entire field of roof • GAF LIFETIME Timberline Architectural HDZ shingles installed on entire field of roof(SHINGLE COLOR: ) • GAF Cobra Ridge vent installed on all ridges of roof for attic ventilation • GAF TimberTex hip and ridge shingles installed on all ridges • Aluminum vent pipe boots installed over all vent pipes • White aluminum drip edge flashing installed around entire perimeter of roof • GAF Weather Blocker starters installed on all perimeter edges • GAF Lifetime Material Warranty included • Perry's Roofing"10 Year Workmanship Warranty" included Page 1 of 5 Initial & Date: y Town of Rye Brook Building Permit for on additional cost TBD The price for the aforementioned work,which includes labor and material (excluding any additional plywood), totals to the sum of: $10,900.00 PRICE EXPIRES 90 DAYSAFTER ESTIMATE DATE ADDITIONAL WORK OPTIONS Please check appropriate box for desired extra work ❑ Carpentry/handyman work calculated on a time and material basis, said work performed at$120.00 per man hour plus material ❑ Copper chimney flashing fabricated and installed (if needed only) for an additional $675.00 ❑ Bathroom vents installed for an additional $75.00 per vent ❑ Step flashing fabricated and installed to meet current building code standards (aluminum or copper) for an additional cost TBD, if needed ❑ Perry's Roofing is a GAF Master Elite Installer which allows us to offer you top of the line warranties directly from GAF for a minor additional cost, please contact our office for details and pricing Payment schedule is as follows: 50% 3 Days Prior to Start 50% Due the day of substantial completion 5% Retention may be held for resolution of unresolved issues Payment is accepted via personal checks and certified bank checks (made payable to Perry Verrone LLC or Perry's Roofing), MasterCard,Visa,American Express,and Discover credit and debit cards.All card transactions over$2,000.00 are subject to a 3% service fee. Payments of$4,000.00 or more are accepted via ACH/wire transfer upon request. Any monies not paid as specified above will be subject to accrue interest at a rate of 1.5% monthly, and 18% per annum. All material is guaranteed to be as specified above. All work to be completed in a workmanlike manner according to the standard practices.Any alteration or deviation from the above specification involving extra costs will be executed upon a written change order and will become an extra charge over and above the proposal. All agreements are contingent upon strikes, accidents, or delays beyond our control. Page 2 of 5 Initial & Date: Roof Replacement Instructions for Homeowner INSIDE THE HOME: 1. Any precious items in the attic can be either moved to a secure place within the attic or covered and secured to protect from the vibration of the roof removal process. 2. Dust and/or sawdust may be generated in the attic due to the roof removal process, securely covering belongings is advised. Clean- up of debris in the attic is outside the purview of this contract. 3. If your home has high hat lights located in the cathedral ceiling,you may want to tape the fixture to the ceiling (construction activity on the roof may cause these to come loose). 4. If you have cathedral ceilings, although it is not common, on occasion, some nails may be prone to "pop"- thus exposing the head of the nail through the sheetrock. This is unfortunate but is not the responsibility of Perry's Roofing. 5. Perry's Roofing is not responsible for any necessary electrical work required for powered products installed, a licensed electrician must be consulted. SKYLIGHTS: 1. If you have opted for a skylight replacement, please consider that the skylight manufacturer's dimensions have changed over the course of the years,which may alter the interior placement of your new skylight. There may be interior trim work required to remedy this condition. This is not part of the roofing contract. 2. Items below the area of skylight replacement should be moved or covered during this work. 3. Please be aware that Perry's Roofing does not guarantee skylights against leaks that we have not installed new and hence they will not be covered by any warranty issued from US. MULTIPLE LAYER OF ROOFING REMOVAL: 1. Upon removal of multiple layers (2-3), there may be a space between the new roof and the sidewall of your home (siding, stucco, stone, brick). This area may need attention post roof replacement and is not included in the work, unless otherwise specified. Please consult your estimator to inquire if this may be the case for your home. OUTSIDE OF THE HOME: 1. Outside your home we make every attempt to ensure that we protect your shrubs and belongings. It is the homeowner's responsibility to help us by removing smaller objects, lawn ornaments, outside furniture, etc., that you can handle, or that may be valuable,to a secure place. Larger items, such as picnic tables, please notify our company before the start of work and we can arrange for our workers to move to a secure location and replace them upon completion if time is allotted. Please notify us if the moved items are not replaced and we will schedule a time for them to be returned at your convenience. If our company is not notified of larger items that should be moved, Perry Verrone LLC 2. will not be held responsible and any damage that occurred will be held to the homeowner's responsibility to rectify. 3. Let us know if there is a power source outside that we can use. Page 3 of 5 Initial & Date: 4. Let us know if there are any special precautions regarding any item, or situation, that we should be aware of outside, prior to starting. DUMPSTER: 1. If a dumpster is necessary, it will be placed in your driveway the day before or the morning of the scheduled work. Please be sure to move any vehicles out of the garage and driveway to avoid being blocked in. The dumpster may not be removed the same day of completion. Notices to Owner Right to stop work: If any payment under this agreement is not made when due, Perry Verrone, LLC may suspend work on the job until such time as all payments due have been made. Notice of Lien: The contractor or subcontractor who performs on the contract and is not paid may have a claim against the owner which may be enforced against the property in accordance with the applicable Lien Laws. Cancellation: The owner has an unconditional right to cancel the contract without penalty until midnight of the third business day after he/she signs the contract. Cancellation must be done by giving Perry Verrone, LLC, a written notice indicating the owner's intention not to be bound. Upon cancellation, any property traded in, or payments made under this contract will be returned within 10 business days following the receipt of the cancellation notice by Perry Verrone, LLC. Acceptance of Proposal: I have read the introductory packet along with this document and accept the specified conditions as stated, and the prices associated with such. I understand that upon signing this proposal, all documents presented become a binding contract. You are authorized to do the work as outlined. Payment will be made as indicated above. Signature Date Page 4 of 5 Initial & Date: f 6 Hawthorne Ave, Rye Brook, NY 10573 (1) QuickMeasure June 3, 2024 Roof Reports in Under an Hour Prepared For: Perry's Roofing A N Contents Measurements Overview 1 Roof Area 1,953 sq ft Top View 2 Roof Facets 12 Side Views 3 Predominant Pitch 5 / 12 Lengths 4 Ridges/Hips 93 ft Pitches 5 Valleys 91 ft Areas 6 Rakes 149 ft Summary 7 Eaves 104 ft Materials 8 QuickMeasure Top view Roof Reports in Under an Hour 2024-03-22 � i t b ...5 s Vto f Y,h y Prepared For: Perry's Roofing © 6 Hawthorne Ave, Rye Brook, NY 10573 (1) QuickMeasure Roof Reports in Under an Hour i n ty d Prepared For: Perry's Roofing 6 Hawthorne Ave, Rye Brook, NY 10573 (1) 'Ik � South ._ 3 � West r � • w gr e t l QuickMeasure Lengths Roof Reports in Under an Hour AFlash Step Drip N 32 Eave Rake Ridge Valley 104 149 93 91 Lengths in feet Prepared For: Perry's Roofing 6 Hawthorne Ave, Rye Brook, NY 10573 (1) QuickMeasure Pitches Roof Reports in Under an Hour A N 12 2 5 12 2 2 Pitches in inches per foot Prepared For: Perry's Roofing © 6 Hawthorne Ave, Rye Brook, NY 10573 (1) Quick Measu re Areas Roof Reports in Under an Hour A N 376 3 207 521 26' 42 Areas in square feet Prepared For: Perry's Roofing 6 Hawthorne Ave, Rye Brook, NY 10573 (1) fv�45, QuickMeasure Summary Roof Reports in Under an Hour Pitch 5 12 Area 1,245 708 Percent 64% 36% Suggested Waste 0% 4% 7% 9% 11% 14% 19% Area 1,953 2,031 2,089 2,128 2,167 2,226 2,323 Squares 20 21 21 22 22 23 24 Roof Area 1,953 sq ft ARoof Facets 12 N Pitch 5 / 12 Eaves 104 ft Rakes 149ft Ridges 93 ft Valleys 91 ft Flash 33 ft Step 23 ft Drip Edge 252 ft Leak Barrier 400 ft Ridge Cap 93 ft Starter 252 ft Notes.1)Measurements are rounded to the nearest whole number.2)Rakes are defined as sloped roof edges.3)Eaves are defined as level roof edges.4)Flashing pertains to level roof edges and excludes valleys.5)Step flashing pertains to sloped roof edges and excludes areas around penetrations.6)Drip edge=eaves.rakes.7)Waste table excludes additional materials needed for ridges.hips valleys.etc.8)Suggested waste factor is based on the roof complexity and is provided for guidance purposes only. You should confirm the appropriate waste factor prior to ordering. Prepared For: Perry's Roofing 6 Hawthorne Ave, Rye Brook, NY 10573 (1) QuickMeasure Roofing Materials Roof Reports in Under an Hour Suggested Waste 0% 4% 9% 14% Shingle Products HDZ, UHDZ, Natural Shadow, ASIL bundle 60 62 65 68 Reflector, Royal Sovereign, Cool Series Low-Slope Roofing System Liberty Base/Ply Sheet roll 0 0 0 0 Liberty Cap Sheet roll 0 0 0 0 Liberty Asphalt Primer gallon 0 0 0 0 Liberty Flashing Cement gallon 0 0 0 0 Starter WeatherBlocker bundle 3 3 3 3 Pro-Start bundle 3 3 3 3 Quick-Start roll 8 8 9 9 Roof Deck Protection Deck-Armor, Tiger Paw, FeltBuster 10 scl roll 2 3 3 3 Shingle-Mate roll 5 6 6 6 VersaShield roll 6 6 7 7 Leak Barrier StormGuard, WeatherWatch 2 scl roll 6 7 7 7 WeatherWatch 1.5 scl roll 8 9 9 10 Ridge Cap Seal-A-Ridge, Seal-A-Ridge AS bundle 4 4 5 5 TimberTex bundle 5 5 6 6 Z-Ridge bundle 3 3 4 4 TimberCrest box 5 5 6 6 Nails Cap Nails box 1 2 2 2 Coil Nails 1.25 in box 1 2 2 2 Step Flashing Step Flashing 10 ft piece 3 3 3 3 Step Flashing 8 ft piece 3 4 4 4 Drip Edge Drip Edge 10 ft piece 26 27 28 29 Drip Edge 8 ft piece 32 33 35 36 Notes 1)These approximate quantities are based on estimated measurements and are for guidance purposes only. You should always confirm quantities prior to ordering and ensure you are following local building code requirements.2)For Timberline.3 bundles=0.984 squares.3)Starter=eaves+rakes.4)Leak bomer=bends+eaves+flashing+hips+rakes+step+valleys. 5)Ridge cap=hips+ridges.6)Low-slope products applied to 1/12 pitch areas.7)Timberline products applied to 2/12 pitch areas and above.8)Installed coverage will be less and depend on quantity and width of side and end laps.9)liberty low slope roofing system should be installed as a system.For more information.see gat.com/liberty. Prepared For: Perry's Roofing U 6 Hawthorne Ave, Rye Brook, NY 10573 (1) QuickMeasure Attic Vents Roof Reports in Under an Hour Static Quantity Units Cobra(O Rigid Vent 3T1,1, SnowCountryH)& SnowCountry@ Advanced 27 ft Cobra@ Exhaust Vent Roll-Nail Gunnable 34 ft Cobra@ Exhaust Vent Roll-Hand Noilable 28 ft Cobra@ RidgeRunner@ 38 ft Cobra@ Hip Vent 53 ft Master Flow@ SSB960 Metal Super Slant-Back Roof Vents 8 vent Master Flow@ RV50/R50 Square-Top Roof Vents 10 vent Master Flow(R)IR65 Plastic Slant-Back Roof Vents 8 vent Master Flow@ High-Capacity Dome Vents 4 vent Master Flow@ 10' Aluminum Ridge Vent 22 ft Cobra IntakePro®Rooftop Intake Vent 53 ft Master Flow@ Undereave Intake Vents- 16" x 8" 10 vent Powered - Roof Mount Exhaust Cobra Master Flow 16x8 (vent) IntakePro (ft) Intake (vent) Master Flow(R)ERV4 Power Attic Vents 2 107 20 Master Flow@ ERV5 Power& Wi-Fi Attic Vents 1 67 12 Master Flow@ ERV6 Power Attic Vents 1 80 15 Master Flow EZ Coollm Plug-in Power Attic Vents 1 56 11 Master Flow@ GreenMachinelm Solar/Dual-Powered Vents 3 84 16 Master Flow@ GreenMachinelm High-Power Solar/Dual-Powered Vents 2 80 15 Master Flow@ 12" Wind Turbines 3 79 15 Master Flow@ 14" Wind Turbines 2 75 14 Note.The estimated quantity of attic ventilation products in this report is based solely on the total exterior square footage of all roof planes and is meant for estimating purposes only. It is the responsibility of the installer to verity the correct quantity and type of attic ventilation products poor to commencement of work. Installer must always review job-specific attic ventilation needs such as local code requirements.attic floor square footage,roof design,and conditioned spaces under the root. GAF recommends a minimum of 1 square foot of attic ventilation(evenly split between intake and exhaust)for every 300 square feet of attic floor space.The amount of exhaust ventilation at or near the ridge must never exceed the amount of intake ventilation at or near the soffit. See gof.com/ventcalculator for details. Prepared For: Perry's Roofing 6 Hawthorne Ave, Rye Brook, NY 10573 (1) QuickMeasure Ask about solar Roof Reports in Under an Hour from GAF Energy A N 1 � Our roof-integrated solar is a home asset your customers can count on. Note:The data provided is only a preliminary estimate and does not represent a binding agreement,guarantee,or obligation of GAF Energy regarding the production.performance. utility rate increases,workmanship or any other data relating to Timberline Solar. System: 1 kw I Production: 1,367 kwh/year I Value: $266/year IT SAVES MONEY AND PROVIDES LONG-TERM PEACE OF MIND. Unlike a traditional solar system installation where holes are drilled in the roof, our low-profile solar system is part of the roof, and it protects your customer's home while producing clean energy. 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N cu �.�"• 3F�'�wi.1�j � U O L Y;�'-f/.'��a-•'gyp - \ • ZZ ^' WLLI -:• a •1�1 In U V) •-� -J W C w Z o oti_Ction -x 0 W L cp .41 \' • Vim] Jcn ¢ � W W U) L chi -ye.• �� _ 1-� L U W L (-L � a 3 :� EL 0 G� C� 0 7- (U o >(<o)> O r� N if cj cc En CA C14 U y O err •��� y d h U U U> �• rn 1�oil 3 � <(o)► A ��A �,+•h�ih, tf� ` 1 1 , au2�3 t . - � • ��A �•• l�A{P'� CIA 11 ��j�A�� i r �1, C+7jAl� • _t �!� 1• • ` A ,T '•� F�.\ 516�I � - :�Ov� \ \1'.�av �� a'P•,Ov� Y:" \'C71�Ov� ��\\��� � _.`;5�`+O�✓ J `� .;,ate \.�� - --� \ .O.W "` i�DRlr� -�r.. Y /+/L1r��.\- - -.�ar�,+.... � •.}�,�..,". O DATE(MM/DD/YYYY) A`ORO CERTIFICATE OF LIABILITY INSURANCE DATE D/Y 023 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 Levitt Fuirst Associates, Ltd. NAME: Catherine Dolce 520 White Plains Road A ONN E :914-457 4200 A/c No:914 457 4220 Tarrytown NY 10591 E-MAIL ryown ADDRESS: info@levittfuirst.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Admiral Insurance Company 24856 INSURED PERRVER-01 INSURER B:Accident Fund Insurance Com an 10166 Perry Verrone INSURER C:ShelterPoint 81434 12 Center Streetet Pleasantville NY 10570 INSURER ID: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1704074886 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LTA POLICY NUMBER MM/DD/YYYY) iMM/DDNYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY CA000045827-02 7/1/2023 7/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTEU_ CLAIMS-MADE 1XI OCCUR PREMISES Ea occurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JEC LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY AUTOS ONLY AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ B UMBRELLA LIAB X OCCUR GXL000147002 7/1/2023 7/1/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$in rinn $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C DBL358637 1/10/2022 5/10/2024 Statutory Limit DESCRIPTION OF OPERATIONS/LOCATIONS'VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder and/or the entities listed below would be covered as an additional insured per attached endorsement,to the extent provided therein if required by written contract,on a primary non contributory basis on the general liability.Waiver of Subrogation applies.Additional insured, primary and non contributory basis and waiver of subrogation on the Auto.Additional insured,primary and non contributory basis and waiver of subrogation on the Umbrella Certificate Holder is included as additional insured when required by written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook, NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD oRK Workers' CERTIFICATE OF •- , STABE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Y� Board 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 914-867-1747 Perry Verrone LLC DBA enter S Roofing 1c.NYS Unemployment Insurance Employer Re Registration Number of 12 Center Street9� Pleasantville,NY 10570 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 26-2754386 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Continental Indemnity Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street 46-8841910120 Rye Brook,NY 10573 3c.Policy effective period 03/01/2024 to 03/01/2025 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) �X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Steven Diamond(President) (Print name of authorized representative or licensed aqent of insurance carrier) Approved by: '51t,V,4_ 02/26/2024 (Signature) (Date) Title: Licensed Insurance Broker Telephone Number of authorized representative or licensed agent of insurance carrier: 516-488-3040 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov