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HomeMy WebLinkAboutRP24-027PERMIT. L ' 6dTE: CD SECTION . ® BLOCK TYPE OF WORK JOB LOCATION .0*4S"R �75 T� � FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT 0 ALARM CI AS BUILT FINAL DATE 1 NSP ., ;ZS- 20 L� i9SS2 fD you LLC—�oz-��Sj�o�c��C�/y7�a� 81v/� IVY: BOT P8 SBA OTHER DR 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury ww'%v.ryebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 26,2024 Tatyana Tatarskaya 58 Talcott Road Rye Brook,New York 10573 Re: 58 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-19 Roof Permit#24-027 issued on 6/3/2024 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 �L !� �c�Ji ' r l For office use only: D I i BUILDING DEPARTMENT PERMIT # ��y oa 7 VILLAGE OF RYE BROOK ISSUED (,;-�S--Z)y AUG 2 1 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE a/ -C-3� �. =I! FEE W / 50 —PAID,x VILLAGE OF RYE BROOK wM4 BUILDING DEPAR 1 1%1E- -'.- 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 sssssssssssssssssssssssssssslsssssssssssssssssssssssssss_slsssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss Address —ro l Q, ' �-QQ '� g f D ©k- rJ 0 S73 _ Occupancy/Use: Parcel ID#: Zone - Owner: wee UCrC\a 'rCLk-ai S lC Address:_ S P.E./R.A. or Contractor: (u�El` ' ddress:_ Person in responsible charge: �e f' S1�1 11`1'�_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 O��jjF NEW YORK,COUNTY OF WESTCHESTER as: /� _ ���JJjj # sworn,deposes and says that he/she resides at.. /may Zco# /T�7 /�1L��`-' 1'�/K�rt�Y P� ys Fit (PntNwn of pfi ant) (No.and Street) in r ,in the County of w Q� � r in the State of�,that I(iry'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 Z J O 0 for the construction or alteration of n C-e \Ce C.2 ry\e'/ ' 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-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this 0 +-AV Sworn to before me this day of n1 of ,20 —>- day of tM �, 20 2� -TdLI" wkI Signature of Prope Owner Si ure ofAfplicant Print Name 6fkroperty Owner Print Ndne of Applicant n U Notary Public Notary Public PIYUSH B.SONI Notary Public,State of Nvw York No. 01S06038647 PIYUSH B.SON; Qu4Afied in Kings County Notary Public,State of Now York Commission Expires March 20,2026 No.01S06038647 Qualified in Kings County Commission Expires March 20,2026 QyE BRC�v� • 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR IIASSISTANT 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.or� - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : ...7 (3, c' DATE: PERMIT# P 2 y �� ( ISSUED: SECT: BLOCK: LOT: J LOCATION: 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 (3 FINAL ❑ OTHER (� M ,fin [� Ln .° C rq N N N -o C m Mcr Q N \ m W C _ A w A W V a ti � � o H•y 00, p W G0 F s ^o E. � A � v M re) pa v Ln C/) CQ a � � w° o cow m oa (C H mt W ppG o 'i'+ t" m C V u w �y (/� w ZO o w U s C o U to � ►.T� �-r1 ap 'C-� z weWn " y. o �p u '� 0 o 00 ad A v CV - H F 4 a V 0 U � o a O w x o 1-4w0o v W = V CAW E z z �" a` v 0 CA U Z W W p u p ti s BUILD MENT V E OF RYE OK MAY 3 1 2024 938 KING ET RYE BR NY 10573 VILLAGE OF RYE BROOK -01 L BUILDING DEPARTMENT R. FOR OFFICE USE ONLY Approval Date: V er it# � 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:4j6o Permit Fees: L�(J(2_ ROOF PERMIT APPLICATION Application dated:�451-90 1 I 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,beeloow. �.j / 1 1. Job Address: 5V —rQ-k ,,-l`��ad SBL: 50 "'��/ Zone: .� nn Property Owner: ��- �� (�«l C dress: E� 7 C�-� �i F' Phone#: ` 11 Qs' (0 11 1 Cell#: 7 " b 1 1 ( email: —TL-(4 G ILL 1 S a 1. (jann 2. Applicant: CA Gt G�-�I�� � Address: 5 F �� i�� �4 r� ,A � C' Phone#: e ,j v -�o l( Cell#: email: d-u-0 ro.s` D. p I. (W�- 3. Roofmg Contractor: Xc t j Address:�,el(er qWe Phone#: Oxell#:MAO 4V — emai a.0sr lip jl ��.� 4. Job Description,list all Methods&Materials: U1C1� h ��tr In�GA cxl t � � t � al� Q(� L N ! rO t 1 t I irk ka I P u b (' 5. Estimated Cost of Job: $_��, ` (NOTE:The estimated cost shall include all site -j1(v C II improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: 't-k-� (Ick ff*-em NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:( )•Yes: ( Attached No:( )•Yes:( )Number of Cars: 2 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: 1013012023 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. ly sworn, deposes and states that he/she is the applicant above named, (�rfnf name of individual si ng as the applican and further states that (s)he is the qegal 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. Sworn to before me this Sworn to before me this day of ,20 day of , 2012!�_ Signature of Property Owner Signature of Applicant i- - PA ft p - f Owner Print Name of A lica Print Name o Prope O e pp Notary Public Notary Public NANCY ZHONG NOTARY IPllsuc,lsd = NOTARY PUBLIC,State of Naw York No.p1:: tA, ,rdy No.a1ZH6427164 Qualifted+r,QUeB'' - Qualified in Queens County Commisslon EAOtes �4� i t',% 15 Commission Expires Dec.20,2025 NANr_Y ZH')`'f NOTARY PU3rUC, State of NON%t* No. UIZH6427164 Qualified in Queens County Commission Expires:' wc.211,-AS -2- 1013012023 A & J Home Improvement Group Date: 5/30/2024 2 Rider Avenue Phone: Yonkers, NY 10710-2730 Cell: (917)535-9597 Tel. (914) 376-5864 Email: mchalik23Ccagmail.com Cell. (914) 424-8616 E-mail:joeyl225@optonline.net S►(3)6e Tetyana Tatarskaya T 58 Talcott Rd Rye Brook Ny 10573 1L WORK QUOTATION Exterior Work: Roof- -remove existing roof shingles -install ice and water shield on first layer of the shingles and all valleys -install black rolls paper under the shingles -install pewter grey architectural roof shingles on entire roof -install roof caps on all peaks Labor: $6,200,00 Material: $6,500.00 Garbage removal: $1,500.00 Total Labor&Material: $14,200.00 Not Included: replace any rotten wood discovered after roof removal Any extra work$45/hr+ material. A & J Home Improvement Group, LLC by: Joe Sipior, Managing Member Page 1 of 2 �1. 1. A tr `--A 4LIA is �^ �:�..• .��, A F ' AN 's = „ • : <cwn.)>�`^d yt`.h4 1r'3 .x �1u ` =:s s�st` h► ►1'a�r + hti�IP�I%r,, sY\'l;1111'1�'c �:r'�1 lii' ij6'` ► / FIFD' 1 . +�y11 i fflp • .:.. „`h►11 1�'� ,.. , Wastche George Latimer ster James Maisano �� ud)s Westchester County Executive ounty Director,Consumer Protection Department of 4' p Consumer Protection � Home Improvement ovement License cod � A&J HOME IMPROVEMENT GROUP LLC 2 RIDER AVENUE YONKERS,NY-10710 ' •i This license is issued in accordance with Article XVI of the Westchester County Consumer Protection Code and is valid only upon ; I presence of the official seal, Proof of citizenship i l d p or immigration status is required for issuance of this license. ,igg NOT FOR FEDERAL PURPOSES s; License Number Date of Expiration : u n / 1 ao.) WC-16687-H05 o i, 06/14/2025 ' .. : ter Co 1 • --� 4 uu'v_',. �-?II'111I/11111.�i a. ;-..,,jr�.nllll,�l��1�'�"'�`R�'�a�ill �+►!' '., �'?'�j'11 fll''•.��R'03�� _'L'...h.g1`to�� .`3� .1/j }�'z,^`"'dx ! '� VIE c1i:1111111+1, 1 �je � '1'w ♦♦ + �•d �A°�? ?I A •1 •� E iA �1 1 A UTHD IN USA ACVRO0 DATE(MMIDWYY`I) C� CERTIFICATE OF LIABILITY INSURANCE 05/282O24 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 Shaindy Brown NAME. JNL Insurance PHONE (845)782-3580 FAX (845) 1713 ac o 1: Alc No 491 State Rte 208 E-MAIL Shaindy@jnlinsurance.com ADDRESS: Suite 420 INSURER(S)AFFORDING COVERAGE NAIL S Monroe NY 10950 INSURER A: Utica First Insurance Co. 15326 INSURED INSURER B: New South Insurance Co 12130 A&J Home Improvement Group LLC INSURER C: Hartford Property&Casualty 34690 2 Rider Ave INSURER D Standard Security Life Ins.CO INSURER E Yonkers NY 10710 INSURER F COVERAGES CERTIFICATE NUMBER: CL2452812562 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 INSR ADDLrPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD POLICY NUMBER MWDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,OD0.000 CLAIMS-MADE ©OCCUR DAMAGE TO RENTED r��0 PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 A ART3000306180 06/11/2024 06111/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 2.000,000 JECTPRO POLICY IRO- ❑LOC PRODUCTS-COMP/OPAGG $ 2'�O,ODI) HOTHER Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accdent ANY AUTO BODILY INJURY(Per person) $ 100900 B OWNED SCHEDULED 2003270750 08/17/2023 08/17/2024 BODILY INJURY(Per accident) $ 300,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ r��� AUTOS ONLY AUTOS ONLY Per accident RWLAF $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA 16WECAN9JCU 11/28/2023 11/28/2024 E_L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ,000 Disability D R06508-000 12/2812023 12/28/2024 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder and Tatyana Tatarskaya 58 Talcott Road Rye Brook,NY 10573 are included as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St AUTHORIZED REPRESENTATIVE i 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 STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb. Business Telephone Number of Insured A&J Home Improvement Group LLC 2 Rider Ave Ic.NYS Unemployment Insurance Employer Yonkers NY 10710 Registration Number of Insured Work Location of Insured(Only required ifeaoverage isspecyiieaUy Id.Federal Employer Identification Number of Insured limited to certain locations in New York State, Le., a Wrap-Up or Social Security Number Policy) 202500858 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Hartford Insurance Group Village of Rye Brook 3b.Policy Number of entity listed in box"la" 938 King St, Rye Brook, NY 10573 16W ECAN9JCU 3c. Policy effective period 11/28/2023 to 11/28/2024 3d. The Proprietor,Partners or Executive Officers are ❑ included (only check box if a0 partners/officers included) ✓❑ 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 "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be fisted 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 will also notify the above certificate holder within 10 days IFa policy is canceled due to nonpayment ofpremiums or within 30 days IFthere 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. Please Note: Upon the 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: Joel Loeb (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 05/28/2024 (Signature) (Dale) Title: Insurance Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 845-782-3580 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(9-07) www.wcb.state.ny.us