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HomeMy WebLinkAboutRP24-021PERMIT# / dL/ 0c:/ pA /O c� j SECTION �5 i '`� mi OCK TYPE OF WORK JOB LOCATION Q EST. COST ✓co 0-C7 TCD # FEE DATE INSPECTION RECORIZ DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS SPRINKLER ELECTRIC O LOW —VOLT C� ALARM M AS BUILT FINAL INSP a s e pa u�Q c // -�17/- ©oao a OTIiEf2 APPROVALS ARB BOT PB ZBA OTHER QR19 try W j J J V G C L�VLG V Vy� 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 October 25,2024 The Emily Grogho Irrevocable Trust 5 Paddock Road Rye Brook,New York 10573 Re: 5 Paddock Road, Rye Brook,New York 10573 Parcel ID#: 135.34-1-23 Roof Permit#24-021 issued on 5/10/2024 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`&kRTMENT For office use only: � VILLAGE OF RYE BROOK SSUED:IT#��/ I sEP z o 2024 ID 938 KING STREET,RYE BROOK,NEw Yogic 10573 DATE: -1)C)-1-W I--VILLAGE OFF RYE BROOK-- (914)939-0668 FEE: ,S PAID IV BUILDING DEPARTMENT i wwwxyebrookimp-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 ***►****rrs►r*rrrrrrr`r'1rrr*rrrrrrrrrrrrrrrrrr*rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr************r***** Address:ZJ a ( �- �u(}(k Occupancy/Use:�� Parcel ID#: 13 j 3�- ' Z 3 Zone: Owner: Address: �� 7�� `t,� - 9C P.E./R.A. or Con actor: J (� CoM(��y ���`! ��s Address: Person in responsible charge:at r-�C^� � Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: being duly swom,deposes and says that he/she resides at-\� (Print Name of App t) \ o d Street) in _ t7 �;in the County of <o G Wit'S in the State of D l-j ,that ity/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:$ OOC- for the construction or alteration of: Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of , 20 Signature of Property Owner Signature of Applicant C Print Name of Property Owner Print Name of Applicant Notary Public f Notary Public CHRISTOPHER J.BRADBURY Notary Public,State of New York j 202-1 No.01 BR6159985 Qualified in Westchester County Commission Expires January 29,20= QyE BRC�k. cu � �7 /�• 198'2� 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:- J DATE: Iv Z PERMIT# ` `` �—/� ISSUED: ✓'�►" SECT: BLOCK: LOT:`— _. LOCATION: � ��C�� 1�` � � OCCUPANCY: `J s ❑ 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 ❑ Natural Gas ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER a. s e s _ Ln O N cq Ln 4y v a 9 N� xn 0044 0-4 lC M L 6 M z a W O� Qy v a W A 04 LL 1 IDcn � �; p v i_sy" - [� a � � � O `° -mac �o 9 F a 04 p G 0 (n W O ^ \ Q W 0 ou G C y O o aw W 00 O cn .a n pa H o o tCL a ti wz � � to = a � u 000 �.'� d N 00 ry c�"tl Lr�'1 w W W z 40 z p � a � u a : O Gfl z W A 0 w V , a g " 0 a a - •- O V �• � 'b aQi � C � s v u a ^ 'O O p �y VOc cn o, v o 5 o a a _ CD w aw � p a z �+ O O O v ,.., w .w oy ti+ O zo oa IL P. n Cn 0 � -0 `a w o 0 v Y $ w s N V W to N Py v p Icy L`' Q w z C � u 0 q z BUIL MENT V E OF RY OK MAY - 9 2024 938 KING 4. ET RYE BR � NY 10573-p VILLAGE OF RYE BROOK �BUILDING DEPARTMENT FOR OFFICE USE ONLY: NAY-1 0 2024 Approval Date: P mitI 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: ` — )Hermit Fees. * .-7/6 P'b ROOF PERMIT APPLICATION Application dated: '� 1�� {J•-ly 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. I 1. Job Address: S-6�0C1- �O C_c�- r SBL:/,3�3`7 c1 n Zone: Property Owner: M,1� ( �� -S1,e�r rye 1��I a Address: S �A4��t1C�c ��;�A K\.'cl l}'V Phone#: A-"\3�--IF(V Cell#: -ti1bC\' S'S`lu email: 2. Applicant: S C M @ Address: I Sad II? S Phone#: Cell#: - 1 - 00 Zemail: �sz.6 3. Roofing Contractor: Address: 15 D bow If��s:,l 5""7©t/ Phone#: Cell#: Q°�L4!()O'Z- email: P b d 4. Job Description,list all Methods&Materials: Q-f e),ACC rpc'v- 5. Estimated Cost of Job:$ D/, 0 0Q (NOTE:The estimated cost shall include all site improvements,labor,material,scaff (ding,fixed eyuipmen,professional fees,and material and labor which may be donated gratis.) G. If corner property,indicate street frontage: N A r 7. Construction Type:�� p I �� h �z e c.� NYS Construction Class: 8. Number of stories: y 4 t N ✓ S Height: 41,0 9. Is garage being re-roofed:No:( )•Yes:1K Attached No: O•Yes:N Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: /�D 11. Estimated date of completion: 10130023 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 WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he 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. Sworn to before me this $ \10 Sworn to before me this p day of 20 �['k day of MA 20 aL� Signature of Property Owner Signature of App icant Print N e of Property Owner Print Nat>arpf A p ' ant Notary Public Ll Notary Public CHRISTOPHER J.BRADBURY Notary Public,State of Now York CHRISTOPHER d 6 No.01 BR6159985 Notary public,State of New yorlc Oupllfied in Westchester Courty No.01BR615ggg5 Commission Expires January 29,20��.. Qualified in Westchester Cou Comrnission Expires January 29,20Z�_ -z- 10130/2023 Bill To a11-oo' Emily Groglio Trust. 9�Q 5 Paddock RD COMPLETE RENOVATIONS INC. Rye Brook, NY 10573 (914) 469-8590 JP COMPLETE RENOVATIONS INC. Payment terms Due upon receipt 15 Durham Rd Invoice # 658 White Plains, NY 10607 Date 05/09/2024 Phone: (914) 471-0020 Email: josepauta86@gmail.com Web: www.jpcompleterenovationinc.com Description Total Tear off completely old existing asphalt shingles $0.00 Install ice water shield bottom edge valleys as needed synthetic under limmenet $0.00 and aluminum drip edges . Install new Pristine oyster shingles from Pinenacle Atlas. Protection 130 mph windy $21,000.00 limited guaranty. Install new 6" white seamless gutters and 3x4 downspouts with gutters guards. $0.00 3 years Labor guarantee. Labor and material included in the project. $0.00 Any additional work will be extra before do we will let owner know. $0.00 Page 1 of 3 Subtotal $21,000.00 Total $21,000.00 Deposit Due $10,500.00 Notes: Roof project. Page 2 of 3 �33xr � ,�` ' �t�.,�, ram' ei►tr $ .. �`�r n�,� "�� '.Ij r C > � � 7 frrr � \t�•�}' " � ♦ -.�� _ , ti4" r ��;: ��r+. �fo� �tiyt�'rr�r 0��.+ tA/ µ•a..;H,,',3: '�kti \ ri 1E.. 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E « � O � W •4 VQ C .a31 in U r.ye• �ry�w.. d � L yj„r, . . . . . . . . . . . . . ^J1 . . «o)>��'M7t',,,. :�11►'ly .�.,_�_ ^=Fo'll►�)l c., � fs�f=IN)(11\\ '- '—�.:,I,il ly'...9'? _:�_ 111�1�,'4�� _.``1111,1111.. . .�',._ Id/ �:� �?'_ �1►/1111 y� 111//�j1~ s: 11►r1111!�--i�p £ �1t111,11►11 11►�1/1�4d- g _ff�. ►'+'/il t •e 1�, _ s ��� �11c� �� lSr r�1� S�� �1�r ��j}1� ��r��l A .� ��♦ ��{�Akt�sl ♦• _,A 4 �0♦ .S�t -. A.. 4 E�a�' �'�... .� ..�r...ny.'�v•, Q :n.`.•/.�iH,.�,.Y�.rt:1i. �':f�p�btwM ?t � '��07�$.a-t2�- � �vA• � 5�dt•. • !..,.I.1.� .� AC"R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/09/2024 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: H 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 endorsements. PRODUCER CONTNAME ACT JALEN WILSON _ Albert Palancia Agency, Inc. PHONE 914]698-1373 F 914 25 116 Mamaroneck Avenue ADDRESS; jalen@palanciainsurance.com Mamaroneck, NY 10543 _ NSIURERCs1A�ortDwoCOVER_AGE NAtcs INSURER A: Evanston Ins Co INSURED INSURER B J P COMPLETE RENOVATION INC INSURERC: 15 DURHAM RD INSURER D: WHITE PLAINS, NY 10607 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 10005146-689662 REVISION NUMBER: 78 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. �� TYPE OF INSURANCE ADDL BR POLICY NUMBER MM/DD/YYY POLICY EXP LIMITS A X COMMERCIAL GENERALLIABBJTY 3AA722309 10/14/2023 1OM412M EACH OCCURRENCE 3 1 L000 wo CLAIMS-MADE OCCUR PREMISES(EaE TO occcu RENTED $ 100 0w MED EXP one $ S 000 PERSONAL&ADV INJURY $ 1 000 000 GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 PRO­ X POLICY EJECT D LOC PRODUCTS-COMP/OP AGG S Z 0OO OOO OTHER: $ AUTOMOBILE LIABILITY COMBINED SIN L U $ (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY LP tM 1 L t UMBRELLALUIB OCCUR EACH OCCURRENCE S EXCESS uAB CLAMIS-MADE AGGREGATE S DIED RETENTIONS S WORKERS COMPENSATION AME lo R AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SCOPE OF WORK: CARPENTRY 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 RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE J.w 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by J.W on 05/09/2024 at 11:01AM NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 474265298 CABALLERO INSURANCE AGENCY ME 505 WHITE PLAINS RD STE 216 0 TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JP COMPLETE RENOVATION INC VILLAGE OF RYE BROOK 15 DURHAM RD 938 KING STREET WHITE PLAINS NY 10607 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2548 622-6 760978 06/03/2023 TO 06/03/2024 5/9/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2548 622-6, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT JOSE P PAUTA POMAVILLA SOLE OWNER/OFFICER OF JP COMPLETE RENOVATION INC A ONE PERSON CORPORATION 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 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 986200585