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HomeMy WebLinkAboutBP24-161PERMIT # �U r��— (lJ DATE; , �s SECTIONlmmm1 .� LOCK LOT�,��_. TYPE OF WORK JOB LOCATI N I elpr/ a /P Ploc c OWNERO/I O CONTRACTOR /'Y% ,0 Q C rU/S �L 0 — Q EST. COST 0 �Ooon FEE o4/ V/CO # FEES 1 b DATE TCO # FEE DATE - INSPECTION RECQ,$j2 FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT O ALARM O AS BUILT C7 FINAL DATE ip - zoay Zo- zoZy �g .zozy 1 Z- 20- Zc2-I ,pa I NSP OTHER APPROVALS ARB - BOT PS ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 24-164 Certif late of Occupaucp This is to certify that_0n So '- Jf-nr1a S(Mlil of, Q8 , having duly filed an application on 1� (a, 20_requesting a Certificate of Occupancy for the premises known as, D�ffm�. (p ( ) ) Q I e- Place , Rye Brook,NY, located in a Rv06 Zoning District and shown on the most current Tax Map as Section: q- Block: ) Lot: / , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. 0? — , issued - 20 r? , such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or bui ng or part thereof listed under the following New York State Classifications, Use: 12-,9 - /'/ Construction: , for the following purposes: Q 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 exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in h ' shall be made,nor sh uilding be moved from one location to another until a permit to accomplish such change h be ned m t B it ' Inspector. Building Inspector,Village of Rye Brook: Date: DEC 2 3 2024 f I'`� For office use onl BUILD-EPARTMENT PERmrr# VIL� OF RYE BROOK ISSUED: - - DEC - 6 2024 938 KING STREii,RYE BROOK,NEW YORK 10573 DATE: / - - (914)93�-0668 FEE: _PAID www.rye6rookn�.gov 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 Address: l0 Occupancy/Use: lZes ��:v\ Parcel ID#: 1 s7.`� `�Z" -lb Zone: —,a(D Owner: fh l�v-'4 'e StMa 5 ;.- Address: o r:'\< 1 P.E./R.A. or Contractor: k1wa Address: Person in responsible charge: 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: AA�t� S-X±e_ being duly sworn,deposes and says that he/she resides at 0 P.-.at P k (Print lklarne of Applicant) (No.and Street) in r"r t IN n>vk ,in the County of U e,4tL�A._ in the State of to� ,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:$ ,,50,0-1 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. y� Sworn to before me this '°�- Sworn to before me this tl e L day of 1L` , 20 day of , 20 c�` Signature Owner Sign re of ppli�ant Print N e of Property wner Print Nre of Appl Icant Nota Pu iq essl6 W.alone �ic.lesSICB nnnle r Notary Public,State of Cofinecticut Notary Public,StaMy Commission Expires ON31/2028 My Commission E �E BRC�Uk• 1982 BUILDING DEPARTMENT ❑ 'LDINGINSPECTOR 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 : V or l o U -3-�"L aCe DATE:_2, ' - 2-OZ V/ T PERMIT#1?2,- - I�D I ISSUED: L SECT: I BLOCK:_LOT: / J0 LOCATION: MA� A 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 �� .�'lY �t �• �� �� �SS;fQ ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�� cu � • �9�2 BUILDING DEPARTMENT /E 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 - - - - - - - - - - - - - - - - - - - - �-� c/ ADDRESS : DATE: PERMIT# / ISSUED: SECT: BLOCK: ' LOT: (� LOCATION: t {— "` �1 OCCUPANCY: L�1 ❑ Violation Noted THE WORK IS... E( 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 �E BRCv�. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR Q 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 : to (-)a- 1 �D LQ DATE: - I PERMIT# (� G `/ + ISSUED: 71 L 1SECT: BLOCK: LOT: ' LOCATION: 1 ' l 0,A Y� (La, ^'1 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 0 INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC��, O�` tim _:iV 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR QASSISTANT 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'n LrNz ! 'J( DATE: C PERMIT# ` ` L/L ISSUED: SECT: BLOCK: / LOT: i LOCATION: m peg ` ' !fin ' k/�")' 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 Z4%C Q, ) i K .Gl ❑ L.P. GAS ❑ FUEL TANK r ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRC�uk O Zm 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR QASSISTANT 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 : �o ©P O c. .11 DATE: PERMIT# ISSUED: - -4 SECT: BLOCK: LOT: / V LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... a"AcCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ��N1 /-� )CJ ✓e G D V ❑ L.P. GAS $ OW e ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER a a a a = ufS t M N C vw ■ \' N W °J ■ rN. y O y 4 u" CA P. o H T N w 43 o y Ln CD Ho L � s c v °r. • W �aSj lZ `� o x au 00 .1c O 5 U m L1 W p Z;6 oz ° w w P-t _ C� ° a Woo z �a �% A H a o b v U a Hj p x O p y PLO W b y p o w eA CY W Q E E UO 'B a QI I� W C) z z "C O a� u � Q. V 4. C� o W Z z vo o� bo 1�1 F-4 z a o w A G� ci 0 V o a E a e, ~ W w F' O w ° ° v " 8 �} Fy O o on`� g4 U V v z � ' pQ z o a � � a a w z Q 0 0 u 6 p a °1 a ° I a BUILDING DEPARTMENT R EC EWE VILLAGE OF RYE BROOK JUL 12 2024 938 KING STREET RYE BROQK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK BUILDING DEPARTMENT www ebwokn •. ov INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: SPIC, `7 Approval Date: JUL 2 2 202 erm' ' r Application Fee:$ / ' Approval Signature: Permit Fees:$ Disapproved: Other: '*�,ix�x*�:x*�:****�****�**,�*:��,�*******�xxxxxxx*xx*�xxxxxxxx*�*x��x,:xR, R,�,�**x*;.�x;xxr*xxx�xx,�xx,:x� Application dated: '1]i a( pa ii is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. �+ 1. Job Address: & 0":AI ?k SBL:/4 7 r,?3 Zone: ,oC—CCU 2. Proposed Improvement.(Describe in detail): �► ei 1�dr�.c9ar. �- ",rpWa_ 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 11: TIER III: 4. 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:—$--Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(l fam.,2 fam.,comm.,etc...)Prior to Construction: % to ar• After Construction: t . 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: A Am,y _Address: o r.�& Ik Phone# 145' 443.'q ku Cell# email: aX s kt. 'Call, 8. Applicant: A I�. F Address: 6 ar-A- OI Phone# lrgi•6k9. V 1 u Cell# email: al, s;'4, 0 C/%&A •G... IJ 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: 5.\ 9I Address: Phone# CLty- &loIJ— 1160 Cell# email: 12. Estimated cost of construction $ ,c�W o (NOTE: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: Gro JL Finish: (11 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RvE BROOK,NY 10573 (914)939-0668 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: I, A rny�v j ,residing at, G 0r''4t ?k tiyc �rw�, PY i I' int m11110 (Address where yot 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; r7r''4 lk , Rye Brook,NY. (Job Address) 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. �§�- (—A A (Signature of Property 0%7n { w n��n�nt Sk� (Print Name of Property 0%%ner(s)) Sworn to before me this ` 2 2 day of � , 20 a,„tnnrrrrprr,r y's (Notar I t i ) ?VJ;yt oOTA"� , �; ' o' .,� 4/8L10 Oryr b/1/2024 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 WESTCRESTER ) as: _ , being duly sworn, deposes and states that he/she is the applicant above named, (print name of indn%i al 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 l e *_ 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. Swom to before me this t ?_ Sworn to before me this day of A 1---`11 , 20 day of , 20 Signature of Property Owner Signature of Applicant Print Name of PropekO�Wo Print Name of Applicant IN blic Notary Public G�PNA RO NO T, tt► CD .� A(4gLIC RV c C�0.'ti F'Xp. 4CTI1 "'rr"RHI ul lrpp►►`► (4) 6n izoz4 L S' i ! rl N N W s Cy \ \ ■ CN CI' ? C- t W 7Lo ClJ ei 00 -r z. C L J s x �r rT, N w w CIA r eq 1 ON-ell U Zj O ten k ff 1-4 ,.. — i ►-a V Con oc y, n rZ C7 o ? x �I C) � _ � w N O C7 F q 2 O _ z W z a ° a BUILVI///N/ G DEPARTMENT VILL; E OF RYE BRbOK SEP - 9 2024 !!! '. 938 KING STREET RYE BROOK,NY 10573 (91 =0668 VILFA7G uF RY__'1E 'B`.C'OK www.rYebrookny.gov BUILDING ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required t(J FOR OFFICE USE ONLY BP#: / / EP#: — O SEP 1 2024 Approval Date: 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 �y OTA COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated,"/ L3 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remov 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. � ©rL 1.Address: ;O Ie S" �a.-c-C SBL: 17- g_3 ' �� I � Zone: )e�z)O 2.Property Owner: 5^C: ,, Q�>,,Jp u- Address: S -ar ti.e Phone#: t—4 11 to U Cell#: email: 3.Master Electrician/Licensed Installer: 5 0....�.-,� Address: Lic.#: LL- Phhoone f rl�`1�L30-0Go--Cell#:8Nr y.9 y 95-f. email: Company Name: I/cl%_. C'. Co..O Address: Peet sA S7ec Pot - t.• 73 4.Proposed Electrical`Work/Fixture Count: IJ�T'hrt-0ejr-. avr..tp 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: DAU:6/ SO fh MF ,being duly sworn,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 • 5 nrr.rr%ex for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed 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 Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations.io Sworn to before me this Sworn to before me his ` day of ,20 day of ,20 Signature of Property Owner Signature of Applicant i So M r`^G Print Name of Property Owner ame of Applicant Notary Public Notary Publle, fate of New York No.OIME6160063 6/1/2024 Qualified in Westchester County Commission Expires January 29,20 Z-1 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity 0•0 • • 4SWITO JOB APPLICATION0. • Office Use Elect. Permit# — cU Date Bldg Permit# ( y_ f Sq Ft Plumbing Permit# Final Certificate# City/Village 1 Zip Building Dept. County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑1st FI. [7,-1,2 n d FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps / Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch T 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 b0.-�h SEP - 9 2024 VILLAGE GF YE L�i:001< 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 anytime 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 ��,� .1�A JL ,. �<1 .�r _c ,,, Name f J�cJ t M.... License# Z LZ Date Signature Address r r City/State Zip Code r p /0 5"�7 3 Company r Phone# �— U R -- State Wide Inspection Services CAC) 2024 F1080 Main Street DEC 10 ishkill, NY 12524 _ 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTti9ENT j Email: office(o)swisny.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: Power and Energy Corp. Anthony&Jenna Sofia 114 Pearl Street,Suite 1A 6 Oriole Place Port Chester, NY 10573 Rye Brook, NY 10573 Located at: 6 Oriole Place, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-180 129.83 1 16 Certificate Number: 2024-6420 Building Permit Number: BP24-161 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: 6 Oriole Place, Rye Brook, NY 10573 The First Floor: Master Bathroom was 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 201h day of November 2024. Name Quantity Rating Circuit Type Luminaires 03 GFCI 01 Switches 04 Exhaust Fan 01 officer: Frank 1. 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. s a ■ p F�•1 a.. w t z ✓ OR O aCi 4 _ ► /� `~ H > CN CN let MM W ^ W sl ( ] w �_ U Z o f a zUO 00 04 6 Z � ° o zz �4 a z cq c� _ a 2 ^ z n U d a x tg $ a oo W a = o - w U H8 - a � •"� a � a1 w s s yF BRC�v R [E C E � `'I E BULL E tY NT V E OF RYEK SEP 1 0 2024 938 KIN ET RYE B 10573VILLAGE OF RYE BROOK BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: — /0 / PP#: Approval Date: SEP 2�24 pp j Permit Fee: $ Approval Signature: Disapproved: (Tees are non-refundable) 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, cz 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 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 and Local Codes. 1.Address: 6 Oriole Place Rye Brook, NY 10573 SBL: Aa914F3—/—/& Zone:,-a o 2.Proposed work: Set (1) toilet on existing rough. Rough and set finish for (1) lavatory sink, (1) shower 3.Property owner: Anthony & Jenna Sofia Address: 6 Oriole Place Rye Brook, NY 10573 Phone#: 845-642-9976 Cell#: email: 4.Master Plumber: Joe Carel I i Address: 2420 Boston Post Road Larchmont, NY 10538 Lic.#: 495 Phone#: 914-630-1626 Cell#: email: ac7425@msn.com company Name: Joe Carelli Plumbing & Heating Address: 2420 Boston Post Road Larchmont, NY 10538 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 1 st Floor 1 1 1 2nd Floor 3'd Floor 41 Floor 51 Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) BUILD DEPARTMENT VBUILDING ( � VIE VIL OF RYE BROOK 938 KING ET RYE BROOK,NY 10573 1 0 2024 ,,V F RYE BROOK ov DEPARTMENT r,>cxi<r.t is is is is is is is dokxxin'rxic i;ic:'r is is is icxx r.xr.xirxic ixxok is�c is is icx�c is atxie ak is is is is k is ix is ic:F�c k;F�c F i<xF*>F:F is it k ix it*ic*:tic:Fic:k:F t:k is:F**Fx zoFxF t is 9: 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: 3, �rsyvtN S&.. ,residing at, 6 oe;�K& ?l, Z y� � r.\L JX (Print me) (Address where you li\c, 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; (� or,k �k ,Rye Brook,NY. (Job Address) 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. (Signatur nThvw J A"'- (Print Name oC Property Sworn to before me this day of . 20 0-H I (Nol n Public) ) --a Jessica Conlalone {� Notary Public,State of Connecticut My Commission Expires D1/31/2028 6/1/2024 , STATE OF NEW YORY,COjJNTY 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 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 T� Sworn to before me this day of 00 20 a'� day of� l� � ;20 2 Signa of op er Signa4mr of Applicant Print Name of Property Owner a of Applicant 4�' No -Public of Pt�WARD YEBISI N Y PUBLIC STATE OF NEW YORK BRONX COUNTY Jessica Confalone LIC.#010Y6258379 Al"k�4Lotaryublic,State of Connecticut COMM.EXP.03/26/2028 -24ycompleted 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. 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. 6/l/2024 Building P r_Check Luc&Zoning Analysis Address: L.J 1 SBL• Zones-V Z Consr Type Other: Submimal Due: ` Revision Subrrurtal [)arm: Apphcant r", Nuure of Work N Review s ZBA. J U L 2 2 2024P. BOT: Other. . . 4K �� U (. FEES: Filing BP: C/O Flood Plaw Legahntion: ( ) (L) 1 P: Dared: Notarized: SBL 'Truss I.U. Cross Connection H.O.A.: ( ) ( ) Scenic Roads Steep Slopes Wetlands: Storm Water Rmew: Street Opening: ( ) ( ) ENVLRO: Long Short: Fees: N/A ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan Other- SURVEY: Dated: Current Archival• Sealed Unacceptable ( ( ) PLANS:Due Stamped Sealed Copra: Electronic Other. (v-,,"� ( ) License Workers Comp: Lubihry. Comp. Waiver. Ocher ( O CODE 753#: Dated: N/A MGH-VOLTAGE ELECTRICAL Plans: Perauc N/A: Other. ( ( ) LOW-VOLTAGE ELECTRICAL Plans: Permit N/A Other. ( ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.: Battery:_Other. PLUMBING Places: Permit NIL Gu: LP Gas: N/A/_ Other. �) ( ) FIRE SUPPRESSION:Phins: Permit N/A Other. ( ) ( ) H.VAC.: Plans: Pemut N/A Other. ( ) ( ) FUEL TANK Plans: Pemut: Fuel Type. Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ( ) BP DENIAL LL-I`I LR C/O DENIAI.I-I;I-I1iR. Other ( ) ( ) Other: ( ;ARB nug.dam- approval• notes: ( )ZBA rnrg.date. approval• now. ( )PB rmg.date: approval• notes: REQUIRED EXLSIING PROPOSED ti()l"!ti APPROVED 9uc1G _ 1111 2 2024 A'8` -� From l Rear. Main Acm Co — - F H Sd. _ H — QE& Hq t/Stones ___--- --__-- - notes: cli Q. IllION NIP '0 4 E CI4 04 z W11 E Q) w Ir If -0 iC6 IW (m )b" 11f o oo s Is WA 'Vei, 0f s % I 0# ' A4 f q 1 A1 • 1 illlj� I il,11 Ar" .QW. KMICONT-01 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/31/2024 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 endorsements. E CT Jennifer Rosenberry PRODUCER r McCartney&Rosenberry,Group Inc. PHONE — FAx 477 Ashford Ave (AIC,No,Erin):(914)693-3500 2201 (A/c,No):(914)693-3980 Ardsle ,NY 10502 EMAIL rosenber mvra enc corn Y ADDRESS.) rYG .. _--� _ INSURER(S)AFFORDING COVERAGE __NAIC INSURER A:Southwest Marine&General INSURED INSURER B. KMI Contractors Inc INSURERC: 1511 Rt 22 Suite 161 INSURER D. Brewster,NY 10509 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1_r_000,000 CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED 100,000 X GL2024RLH00143 3/3012024 3/3012025 $ MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,006,600 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY f I PRO- I I LOC S _ --2r000rO00 JECT PRODUCTS-COMPIOP_AGO S OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT p7dentl $ _ - ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY-(Per accgent 1 $ -- HIRED NONaWNED PROPERTY DAMAGE AUTOS ONLY ALIT ONLY _(.er acpdenn UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESSLIAB CLAIMS-MADE AGGREGATE S _ DED RETENTIONS S WORKERS COMPENSATIONPER OTH- AND EMPLOYERSLIABILITY 1,/N STATUTE .EB.. ANY FFICER/M IIETOER EXCLUDED ECUTIVE I I NIA _E 1.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is included as additional insured with respect to general liability per form number CG2012(attached). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of R obrook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 ---- AU THORRRJVEED/REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699.Albany.NY '2206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^A 562512764 MCCARTNEY&ROSENBERRY GROUP DBA MVR AGENCY a 477 ASHFORD AVE ARDSLEY NY 10502 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER KMI CONTRACTORS INC VILLAGE OF RYE BROOK 1511 RT 22 SUITE 161 938 KING STREET BREWSTER NY 10509 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2341865-0 571955 08/15/2023 TO 08/15/2024 8/17/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2341 865-0, 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.COMICERT/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 SALVATORE PEPE 1 OF 1 KMICONTRACTORSINC 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 S7NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 854844247 U-26.3 O z o in DU oN - _ >f LU N �O U a � W Z N !� > m O I ' � M i s W J o �n 0 v � f A El N J i w p J V �N y , 4 .a: o `Or K All 2 O r t LA cc 3 0 U ._ � �_ M