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HomeMy WebLinkAboutRP24-074 Qy� BAR k,
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19
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
December 18,2024
Richard Kay&Roberta Kay
54 Doral Greens Drive West
Rye Brook,New York 10573
Re: 54 Doral Greens Drive West, Rye Brook,New York 10573
Parcel ID#: 129.26-1-8
Roof Permit#24-074 issued on 7/1/2024 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
DEC — 2 2024 -� For office a only:
BUILD .I �� E \ MENT PERMTT# �� -p 7�/
IIGE OF RYE OK ISSUED:
938 KING STREE (RYE BROOK, YORK 10573 DATE:
\�'9].4)9 . -06 FEE: 7S— PAIo$
vry . 0v
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
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Address: 50, 52, 54, 56, 58, 60 Doral Greens Drive W st
Residential 129.26-1-9.2 /6. 61
Occupancy/Use: One family Parcel ID#: . Zone: 1646
Owner: Doral Greens Homeowner Association A dress:4b Doral Greens West
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 Street
(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:S 73,895.54
for the construction or alteration of: Roof removal and 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 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 toy before me this Sworn to before me this �l�y
day of_ r JL'A) Y4VV Y , 20 da f h,b4 M ba/`f ,20
Ignaturc o operty Owner \,\\\\��t t 11111 //// Signature of Applicant
David Ruzow ,,,,,, / \tip' STVYO` % a Verrone
Pri t Nam f Property Own `\\\\!�' f/ _ I OF N L q ame Applicant
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OF NE\'✓YORK 5- o a ma -6i I o
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BUILDING DEPARTMENT
❑BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573
ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801
- - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - --
ADDRESS: _5 r c, L r ✓c !W-2 S-I DATE: ` Z /? Z v Z Y
PERMIT#?? 2 -l- ISSUED: 7' - 2 D z V SECT: I Z 9 BLOCK: LOT: % . Z
LOCATION: poi � OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... 93 ACCEPTED ❑ REJECTED/REINSPECTION
❑ SITE INSPECTION REQUIRED
0 FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING '
0 ROUGH FRAMING
0 INSULATION
❑ NATURAL GAS
❑ L.P.GAS
❑ FUEL TANK r/d
0 FIRE SPRINKLER
0 FINAL PLUMBING
z FINAL
Z OTHER
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BUILDING DEPARTMENT
❑BUILDING INSPECTOR VILLAGE OF RYE BROOK
0 Vn.LAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573
D ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801
- - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - -- - - - - - - - --
ADDRESS: Z �4��^ 1. �Y r"PP�S D2 j ✓C I,/!I n -i DATE: )Z /7 Z a t l
PERMIT## p a V-0?'/ISSUED: 7' I ' 2 J L`/ SECT: Z 9 • BLOCK: LOT:
LOCATION: (7 o_�) � OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... 9 ACCEPTED ❑ REJECTED/REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
0 FOUNDATION
0 UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING �
0 ROUGH FRAMNG f V �-0 L
❑ INSULATION J 0 �
❑ NATURAL GAS i
❑ L.P.GAS
0 FUEL TANK
0 FIRE SPRINKLER
❑ FINAL PLUMBING
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1932 BUILDING DEPARTMENT
0 BUILDING INSPECTOR VILLAGE OF RYE BROOK
0 VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573
❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801
- - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - -
ADDRESS: rc, 1 (Sr Pt'&_)S 2 ✓'e Ll J r' .�� DATE:
PERMIT# Z / J 7 `ASSUED: - I- 7 0 Z' SECT: BLOCK: LOT:
LOCATION: ? UJ OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... -E ACCEPTED ❑ REJECTED/REINSPECTION
0 SITE INSPECTION REQUIRED
0 FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
0 UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ NATURAL GAS U
❑ L.P.GAS
❑ FUEL TANK
0 FIRE SPRINKLER
❑ FINAL PLUMBING
-a FINAL
$ OTHER
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982 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.or�
- - - - - - - - - - - - -- - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : �Or D�-� V �' t�/� DATE: Z Z
PERMIT# `\1 � L/- D 7 c/ ISSUED: SECT: 1,)q• Zf BLOCK: LOT: 7
LOCATION: R JJ * 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 ���
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BUILDING DEPARTMENT
❑BUILDING INSPECTOR
13-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 --Dor L CrC-efNj,- T '� kyo (A)e6-Y DATE: )L /7 " Z Ul 1-�
PERMIT# �" Lf y7 ISSUED: - /"2 ` SECT:/o?l• Z(o BLOCK: LOT: b •L
LOCATION: " 0 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
�E BRC�j�,
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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 : l0(o -Z)OT c-l- rs rPrfJS �2 1 Ve w ebT DATE: I,f
P
PERMIT# 0 `/ ISSUED: 7-/- Z '/SECT: JZ (-, BLOCK: LOT:
LOCATION: I�w OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... D 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 1`
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-- MAY 17 2024
BUILDI IY MENT
VII,i:AGE OF RYE-— kOOK VILLAGE OF RYE BROOK
938 KING 8sU1vT RYE BRo61k!NY10573 BUILDING DI=PARTMENT
�14)_939-066,8��
www:r}�ebr4olcorg.
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FOR OFFICE USE ONLY: 2 Q `�
Approval Date: o mi # - O / y 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: / )LI Permit Fees:
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ROOF PERMIT APPLICATION
Application dated: I —7 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. 9 Y I I$1 7/ 1,
1. Job Address: 50, 52, 54, 56, 58, 60 Doral Greens Dr. W SBL:/c jny Zone: Lf
Property Owner:Dora]Greens Homeowners Association Inc. Address: 40 Doral Greens Dr W.,Rye Brook,NY 10573
Phone#: 914-391-1040 Celt#: email. david@ea5ternappraisals.com
2. Applicant: Perry Verrone, LLC Address: 17 ranter er pt aaantvWP Ny 1o5m
Phone#: 914-747-7663 Cell#: 914-747-7664 email_ kara@perryverroneroofing.com
3. Roofing Contractor: Perry Verrone, LLC Address: 12 Center St., Pleasantville, NY 10570
Phone#- 914-747-7663 Cell#: 914-747-7664 email: kara@perryverroneroofing.com
4. Job Description,list all Methods&Materials: Roof Removal & Replacement (see scope of work attached)
5. Estimated Cost of Job:s 73,895.54 (NOTE:The estimated cost shall include all site
improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.)
6. If corner property,indicate street frontage:
7. Construction Type: Alteration NYS Construction Class:
S. Number of stories: 2 Height:
9. Is garage being re-roofed: No:( )•Yes:(4 Attached No: O •Yes: (^uimber of Cars. 1 per unit
10. Is roof peaked,hip,mansard,flat,etc: Peaked
11. Estimated date of completion: August, 2024
10/30t2O23
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:
ke v1,4 —,being,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
G0Vt�YtA C_fUA./ 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 `,�t'�"'g"17,,Sworn to before me this
day of 20 sra �da�o 1 20 /
T; I\�
f OF N>:ly YOw,
_ I NOTARY PY LIC t. —
re of Proper y Owner i t°'"°� ^"� i re of Applicant
No
p i
,/,slpN kx;kv rS``. l
tint Name of Property 0 net '2 t t a t t 1 t�' P int Name scan
H i C A.)LL S 0A,
Notary Public No ary Publi
Michelle&I nge Simon
NOTARY PUBLIC,STA31 OF NEW YORK
Xeiwft&a No.02SI6271 M I
QwLStd ira WUWJ04W Coaary
Caeni sjmL*mW2it12flU
-2-
M0I2023
Perry Verrone, LLC
12 Center Street
Pleasantville, NY 10570
info@perryverroneroofing.com
Office: (914)747-7663 Fax: (914)747-7665
License WC 21701 H09
12/5/2023 REVISED
11/21/2023 REVISED
11/15/2023
Per bid sumbmitted 10/30/2023
Prepared by Perry
Doral Greens Homeowners Association Inc.
Management: Prime Locations, Inc.
Attn: Vincent Harris
733 Yonkers Ave.
Yonkers, NY 10704
Email: VHarris@PLImanagement.com
Cc: tcbuilders@gmail.com
Loaction of Work:
Doral Greens Homeowners Association, Inc.
Units: Doral Greens E. 1-29
Pine Tree Dr. 1-4
Alfret Ct. 1-3 & 2DGW
Doral Greens W. 1-152
Garages, Clubhouse, Mail Kiosks
All Streets/All Structures
PROPOSAL
ROOF REMOVAL AND REPLACEMENT
• 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/ per outlined scope of work)
• GAF TIGER PAW paper installed on the entire field of roof
Page 1 of 7
Initial & Date:
• GAF LIFETIME Timberline Architectural HDZ shingles installed on entire field of
roof(Color TBD - Owners Choice)
o Closed cut valleys
• GAF SNOW COUNTRY Ridge vent installed on all ridges of roof for attic ventilation
• GAF TimberTex hip and ridge shingles installed on all ridges
• Ulitmate Liftime vent pipe boots installed over all vent pipes
• Lifetime Bath-Dryer vents installed to replace existing, connect to interior duct/
hose
• White aluminum drip edge flashing installed around entire perimeter of roof(rakes
and eaves)
• 1x6 Azek fascia installed with Cortex screws and plugs
• GAF Weather Blocker starters installed on all perimeter edges
• Galvanized base flashing and storm collars installed on all flue-pipes
• Copper chimney flashing (copper apron and step flashings, soldered corners)
fabricated and installed at each chimney
• Copper flashings installed at crickets behind chimneys and slope intersections,
solder joings, ice shield to tie in (per provided outlined scope of work)
• Aluminum Seamless Gutters and Leaders (6 inch .032 white gutters, 3x4 .024 white
leaders) fabricate and installed (per provided outined scope of work)
• Perry's Roofing"10 Year Labor Warranty"
• GAF Golden Pledge Warranty Included (50 Year Material Warranty/ 25 Year
Labor Warranty)
• Village of Rye Brook Building Permits filed for each unit separately for an additional
cost TBD
• Four (4) bundles of shingles to be left onsite for future use
The price for the aforementioned work,which includes labor and material
(excluding any additional plywood), totals to the sum of:
Page 2 of 7
Initial & Date:
❑ 142-152 Doral Greens Dr W: $10,437.00
❑ 130-140 Doral Greens Dr W: $61,755.00
❑ 118-128 Doral Greens Dr W: $72,514.00
❑ 106-116 Doral Greens Dr W: $59,143.00
❑ 98-104 Doral Greens Dr W: $47,810.00
❑ 86-16 Doral Greens Dr W: $61,202.00
❑ 74-84 Doral Greens Dr W: $74,960.00
❑ 62-72 Doral Greens Dr W: $60,442.00
❑ 50-60 Doral Greens Dr W: $73,896.00
❑ 55-65 Doral Greens Dr W: $61,167.00
❑ 43-53 Doral Greens Dr W: $72,845.00
❑ 35-41 Doral Greens Dr W: $46,186.00
❑ 39-19 Arrow-wood Circle: $60,400.00
❑ 27-37 Arrow-wood Circle: $75,195.00
❑ 15-25 Arrow-wood Circle: $72,928.00
❑ 1-11 Arrow-wood Circle: $61,775.00
❑ 31-33 Doral Greens Dr W: $40,942.00
❑ 27-29 Doral Greens Dr W: $42,054.00
❑ 2 3-2 5 Doral Greens Dr W: $38,489.00
❑ 19-21 Doral Greens Dr W: $44,086.00
❑ 15-17 Doral Greens Dr W: $44,355.00
❑ 9-11 Doral Greens Dr W: $45,889.00
❑ 5-7 Doral Greens Dr W: $45,806.00
❑ 1-3 Doral Greens Dr W: $45,198.00
❑ 2 Doral Greens Dr W/ 3 Alfred Ct: $23,900.00
❑ 1-2 Alfred Ct: $43,291.00
❑ 1-2 Pine Tree Dr: $42,870.00
❑ 2-4 Doral Greens Dr E: $43,650.00
❑ 6-8 Doral Greens Dr E: $44,355.00
❑ 10-12 Doral Greens Dr E: $41,812.00
❑ 14-16 Doral Greens Dr E: $43,989.00
❑ 27-29 Doral Greens Dr E: $44,570.00
❑ 23-25 Doral Greens Dr E: $41,356.00
❑ 19-21 Doral Greens Dr E: $40,652.00
❑ 15-17 Doral Greens Dr E: $39,940.00
❑ 9-11 Doral Greens Dr E: $41,419.00
❑ 5-7 Doral Greens Dr E: $43,885.00
❑ 1-3 Doral Greens Dr E: $41,135.00
❑ Pool House $24,109.00
Page 3 of 7
Initial & Date:
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Precise Aeriat Measurement Report
Prepared for YOU
r
1 Pine Tree Dr, Rye Brook, NY 10573
o
PERR" ROOFING «c
ML COMMERCIAL• RESIDENTIAL
Perry's Roofing, LLC
12 Center Street
Pleasantville, NY 10570
Perry Verrone
tel. 917-578-8242
email: PerryVerrone@yahoo.com
www.perryvroofing.com
_ Premium Report
— e a l e v i e w7ne Tree Dr, Rye Brook, NY 10573 Report: 56098077
10�P/2023
_ g
TABLE OF CONTENTS
Images .....................................................................1
LengthDiagram.........................................................4
PitchDiagram............................................................5
AreaDiagram ............................................................6
NotesDiagram...........................................................7
Penetrations Diagram.................................................8
Report Summary........................................................9
MEASUREMENTS
Total Roof Area =10,694 sq ft
Total Roof Facets =36
Predominant Pitch =5/12
Number of Stories >1
Total Ridges/Hips =378 ft
Total Valleys =323 ft
Total Rakes =609 ft
Total Eaves =421 ft
In this 3D model,facets appear as semi-transparent to reveal overhangs. Total Penetrations =30
Total Penetrations Perimeter = 231 ft
Total Penetrations Area = 120 sq ft
Building: 9
PREPARED FOR
Contact: Perry Verrone
Company: Perry's Roofing, LLC -
Address: 12 Center Street
Pleasantville, NY 10570
Phone: 917-578-8242
Measurements provided by www.eagleview.com
Certified Accurate
www.eaxWw iew.cvm/Guarantee.aspx
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�- Premium Report
e ag l e v i e w ,., 10/30/2023
1 Pine Tree Dr, Rye Brook, NY 10573 Report: 56098077
IMAGES
The following aerial images show different angles of this structure for your reference.
Top View
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PAGE 1
Premium Report
10,30/2023eag ( eV eW
1 Pine Tree Dr, Rye Brook, NY 10573 Report: 56098077
IMAGES
North Side
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B.V9,152--"15.125;5825.114:9,135.737,"8.67G961:9.514,%8;8,818. M 8,542"890%:W,589; 'tt't� Rom..
PAGE 2
Premium Report
'/ eagleview "! 10/30/2023
1 Pine Tree Dr, Rye Brook, NY 10573 Report:
56098077
IMAGES
East Side
t
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West Side
I
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PAGE 3
Premium Report
— e a l e v e w1 Pine Tree Dr, Rye Brook, NY 10573 Report: S6098077
10/30/2023
_ g
LENGTH DIAGRAM
Total Line Lengths: Valleys = 323 ft Flashing = 78 ft
Ridges = 350 ft Rakes = 609 ft Step flashing = 296 ft
Hips = 28 ft Eaves = 421 It Parapets = 0 ft
0 2 7 16
19 14 28 o0
16 m 32; i9
^' 35
10 6 10 __ — +9
s 2s=
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14
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Note: This diagram contains segment lengths(rounded to the nearest whole number)over 5.0 Feet. In some cases, segment labels
have been removed for readability. Plus signs preface some numbers to avoid confusion when rotated (e.g. +6 and +9).
'•_s_,.i:'=a iir-�c�v =.:-.:�-._'+-:. ?:,:-+rer^.0 ai.y Cara.-a fights aesm"d-':3x;tec�a.._uac�eie Pon K Apple No.,o:62_g?._-�:,e„x."-r cm o v=e of tk&a aaaK!Ms 6,4, n3s:S.afs.sm 6.:7%AW
9„tA731',8,67g961;u. i,6a -9:9-W 33*9.7,4,&.9.3329,--9 .:_x-.;6 jaw htwas Pao* .
PAGE 4
�■�' Premium Report
e ag l e v i e w 10/30/2023
—
1 Pine Tree Dr, Rye Brook, NY 10573 Report: 56098077
PITCH DIAGRAM
Pitch values are shown in inches per foot, and arrows indicate slope direction.The predominant pitch on this roof is 5/12
<--44 -i
5
T F5
12
N
N IN i'IQ
y 1
5 -4
T
N � �
N j �5 5
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1
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—� 5
N
W
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4�:
S
Note". This diagram contains labeled pitches for facet areas larger than 20.0 square feet. In some cases Ditch labels have been
removed for readability. Blue shading indicates a pitch of 3/12 and greater.
Ea*14w 1edT'O gk-'ix.ni pkC;xnetry!'",,aoaw Corp--An Rights Reserved-ftlecled by European PAN A0pi[>oen me,1016t:993-cages:-by one or more of U.S.Ratent Nos-&078,4W-&A&S-7k k 174t1�0;
S.409,152;8.515.125;8,325,454;9,135,737,8,670,%1;9.SN,%B;t&t774&S ZMC; 9.329,-M-;9,599?6G'7l w?acmts?endm-.
PAGE 5
Premium Report
e ag l e v i e w 10/30/2023
_
1 Pine Tree Dr, Rye Brook, NY 10573 Report: 56098077_
AREA DIAGRAM
Total Area = 10,694 sq ft, with 36 facets.
27 27
126
11
64 603 826 713
177
412 316 -.177
41
558
38 1151 +989
581 225
r3715 :298 "181
A1'1 181
64 619 706
11 856 1
N
W
E
S
Note: This diagram shows the square feet of each roof facet(rounded to the nearest Foot) The total area in square feet at the top
of this page, is based on the non-rounded values of each roof facet(rounded to the nearest square foot after being totaled)
'.,.Ji' -^._3_ack Y ew Types.IrK.a�C-&vmewv re -.-vul foie-q RY�'!s Nevw:-Ph�Red b1 EueO�'VaM,4�yicaaon No.101621?i.=-tc*sec Cv ar J aoe�',b=.PWWA%Cl U-15+36:R:45,1T9:
8,209,15Z tSL5,LD,:=5.6k 9,235,M. %l,'9.514.Sb$481&77G;&i44 0 9,2H,589;9.329.P49;5 545.±Fo.CUW-aMM Pz.&�
PAGE 6
�I Premium Report
e ag i e v i e w 10/30/2023
Ll Pine Tree Dr, Rye Brook, NY 10573 Report: 56098077
NOTES DIAGRAM
Roof facets are labeled from smallest to largest(A to Z)for easy reference.
F E
P
D AG
N AC AF
C R
Z X Q
K
J
AA
� AJ Al
AB VV
M
L
Y V T
B U
Q AD AE
A AH S
H G
N
W
E
:�:
S
Note: This diagram also appears in the Property Owner Report.
Inc and Pici�metrY Ltern�atlo�al Corp.-7i1 R:gAts Resentd-�oteitea by E-+aP�+� mat' :C?52:993-i�wn�G oc�s+yore of U.S Patent Mos.8.07$i35;$HS,STF;9.179.8'IC:
8.2C14,;52;8,S15,L25;$825,KA:9,135.T3d;8,679,961;9,514,568;4818,?79;&W M'.9,N4.589:9i24.7w:9.59?.+EG Otte Patents 9.
PAGE 7
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>'���-j �' �'•r�•' a�6d� •'�'�'�, �`if' ��I�;o yy.-�'� ';��;,; ''O �"'rLtl�v r<� �r- S- /.% ':" /
AI`C�" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY)
7/1s/2o23
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
r520
is certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
UCER CONTACT
itt Fuirst Associates, Ltd. NAME: Catherine Dolce
White Plains Road PHONE , 914-457-4200Fvc No:914 457-4220
arrytown NY 10591 ADDRESS: info@levittfuirst.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Admiral Insurance Company 24856
INSURED PERRVER-01 Perry Verrone LLC INSURER B:Accident Fund Insurance COm an 10166
12 Center Street INSURER C:ShelterPoint 81434
Pleasantville NY 10570 INSURER D:
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 ADDLSUBR
LTR TYPE OF INSURANCEINSD WVD POLICY NUMBER MM/DDYr� MWDD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY CA000045827-02 7/1/2023 7/1/2024
EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR PREMISES EaEoccurrence) $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[�]ECT LOC
PRODUCTS-COMP/OPAGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO Ea accident
OWNED SCHEDULED BODILY INJURY(Per person) $
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Per accident $
B UMBRELLA LIAB N
OCCUR GXL000147002 7/1/2023 7/1/2024
EACH OCCURRENCE $5,000,000
X EXCESS LIAB CLAIMS-MADE
AGGREGATE $5,000,000
DED X RETENTION$ nn
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $
(Mandatory in NH)
If yes,describe under E.L.DISEASE-EA EMPLOYEE $
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C DBL358637 5/10/2022 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
Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
YORK Workers' CERTIFICATE OF
STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Board
1a.Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured
914-867-1747
Perry Verrone LLC
Center
Street Roofing
12 Center S 1 c.NYS Unemployment Insurance Employer Registration Number of
12 C Pleasantville.NY 10570 Insured
Work Location of Insured (Only required if coverage is specifically limited to 1d.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 IndemOty
Village of Rye Brook 31b.Policy Number of Entity Listed in Box 1 a"
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)
[K 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 '1a"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 agent of insurance carrier)
Approved by: � � T�GG.<JZd 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