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MP23-181
L DR U. . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher f. Bradbury www.tyebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CLARIFICATION OF RECORD February 8,2024 Joseph Pistone 98 Valley Terrace Rye Brook,New York 10573 Re: 98 Valley Terrace, Rye Brook,New York 10573 Parcel ID#: 135.51-1-55 An inspection of the of the above referenced property on January 17,2024,reveals that an underground oil tank did not exist.Therefore,Mechanical Permit#23-181 dated 12/27/2023 for the removal of an underground oil tank was never done,and this permit is rendered null and void. Sincerely, Z�— 4 Steven E. Fews Building&Fire Inspector /to " h x � � y a c v a cq a CU a c. 3 • Ln Jg v C 004 00 ie w R43 w OC)O a a MO 0 w o cQ v� z M W U ' 0 �J W c°� ZO° o a H o H ram+ z w i C7 cn :b a, cd - Q � g 0Qt=,j a z � r O o v w ^ G � U �2 � 1�1 A � W W x V H x cy w 0 9 � R 94 v o ? 0 v W d w W Q o Ei o � a� . VV z z a z d ►�, V V 6s w _ 'GC q W z E-' ° o b v O W 4) . �I a a w x � � � Qj b BUILD - _ MENT D U VIL OF RY OOK 938 KING ET RYE BR ,NY 10573 DEC 2 6 2M Q _0 I-r VILLAGE OF RYE BROOK PUILDING DEPARTMENT Application for Permit to Remove, Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#. 3 Approval Date: 7mt< Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) *** *i::r:F*********i;*k*:F*k*d:;F;k**k****#**k****ir#***:F*;t*********ik*:F DO NOT START WORK or CONSTRU ION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATI`"E FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal, Abandonment, of Installation: $185.00 per Tank. 5. Dig Safely New York#(dial 811): X 3L-;Lz3 • 6Dt-- -gt** 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests & Reports (after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. Application dated,a '" �' ��-3 ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County, State& Federal laws,codes,rules and regulations. Indicate Permit Tyne: Installation ( )• Removal(-f•Abandonment ( ) / Above Ground ( }• Buried in Ground(`r 1. Address: 9 53 '4 SBL: ��J i�il—I J _ Zone: —r 2. Property Owner&Address: � z li- Phone#: g11-t_ L`- ` 1ti Is Cell#: email:�m�iS 3. Contractor&Address: 'A esln.tite U , ate- ``.T-4,Tr "f`'"�, C-t 66bN5- Phone#: 33a-5t.'C"T Cell#: email: 4. Applicant: 4 t;SI7�tilt] `��►�. (`r'Prt !< �3IYC �oeD, �C. Cl�b Phone#: Cell#: email . �3��s�►� a �`'^ 5. Indicate Fuel Type: Fuel Oil(-�•L.P. Gas{ )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: 7. Exact Location(s)of each Tank: ,�-i� S 1_ac � 1 '� y^� ` b ' i 10/30/2023 S ATE OF NEW YORK„P NTY OF WESTCHESTER ) as: o s f p t% aL-l'C hog 1,Zone- ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the ti "} t_ for the legal owner and is duly authorized to make and file this application.(ind, to 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. ISI Sworn to before me this Sworn to before me this day of 7D�-C m bfr,20 4 3 day of &C vrn 6e y- .20 a G 'gnat of Property Owner ignature of Applicant _ Print N i Prop ©caner Print Name of Applicant Notary Public Notary Public 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 amid and will be returned to the applicant. r i MICHAEL ESQUIVEL DANIELLY NOVOLI-SANTOS ✓Notary public-State of New York rttn Public.State of Connecticut No.o1E56442359 ;Ay Crmtrission Expires May 27-i-2026 Qua"tied in westchester County N.�commission Expires Oct 11,2026 2 10130/2023 Clean, Preserve...Protect �OG ��► Environmental Specialists S�j► FEB - 7 2024 January 18,2024 Mr.Joe Piston 98 Valley Terrace Rye Brook, NY 10573 Subject: Tank Removal,January,2024 Residence 98 Valley Terrace Rye Brook, NY Permit# MP23-181 Dear Mr. Pistone: On January 17,2024,Enviroshield staff began an excavation to remove a suspected underground fuel oil tank at the subject property. The area was exposed using an excavator, but no tank was found. An additional investigation, including hand digging and a visual inspection of the interior, was performed to confirm our findings. No evidence was observed at the site that would indicate current or former fuel oil tanks. Therefore, no soil samples were obtained. The area was backfilled and brought to grade. The location of the site work is shown in a site photograph included with this report. If you have any questions concerning any of this work, please do not hesitate to contact me at your earliest convenience at(203) 380-5644. Sincerely, Enviroshield Inc. Te—o nard Bochicchio Senior Project Manager Enclosures cc: Village of Rye Brook Building Department (adfvittoorvebrook QmXloetersen(cbrvebrook ora) CT Home Improvement Contractor HIC.0582591 —Westchester Home Improvement License WC-27310-H14 250 Moffitt Street, Stratford, CT 06615 (203) 380-5644 FAX (203) 378-8736 www.enviroshield.com- info@enviroshield.com �►QL Clean, Preserve...Protect Environmental Specialists Site Photograph 1 of 3 Restored work area after original excavation 98 Valley Terrace Rye Brook, New York 10573 c _ e _ r a '• Ilk �~ 1 Site Photograph P.O.Box 1296.250 Moffitt St., Stratford,CT 06615 (203)380-5644 (800)394-2268 FAX(203)378-8736 www.enviroshield.com info alenviroshield.com Clean, Preserve...Protect C Environmental Specialists Site Photograph 2of3 After pipe repair 98 Valley Terrace Rye Brook, New York 10573 41 Gp , ,- + r j_ � 3' P.O.Box 1296.250 Moffitt St., Stratford,CT 06615 (203)380-5644 (800)394-2268 FAX(203)378-8736 www.enviroshield.com infomenviroshield.com �► Clean, Preserve...Protect Environmental Specialists Site Photograph 3of3 After pipe repair 98 Valley Terrace Rye Brook, New York 10573 di l� f: a ti x � i 4; l - �, 1,[. ..� (('1 i �' {^ .}• _� ,,' P.O.Box 1296.250 Moffitt St., Stratford,CT 06615 (203)380-5644 (800)394-2268 FAX(203)378-8736 www.enviroshield.com into((i),enviroshield.com _r�7 �98 Pik., �ac�c �-c�. �b�� N� 4a2�. � 6 7 A ? r r T �7f � G j { � , -9 � � �� —�'� 1 G B � SSO ` , G'cr, Dom••^ Ppc { ��� / ���toJ� � ��� 1 __ __ C' a �� ��r^fj ��c�s 1 r f /; l DC�^ r �N J f IyCY)'lYT' �r^�x7F"��y/fi�y r.�^'�:r¢ ,� �QC+•y <^� '�! tr`�' `�� y,�'Y �F'�fd/ ,,�aY �Ykd .•N` A - .RN A A w;'. lrJ."•Ar "'._ �. 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W Lo cu CN s•), y W C U .=J = � '� r N \ WON h .V•. N �r YAM +.�: rra..,11 N ;�s•, ....:y- 1 I�:foc.,- »toes>s) 1 `•` 1 1 ' #;: 1 1 F e•.-� 1 .. -6," I • ' {{la /11 1 rd {1�11 r s E /11�{1�1yyr\ ti rid/�j £ yl�jlh` �111�111 r 1 11 r / '••, •w��► 1<I�t�' �F4�?A�4 �t�lill!` ..e-� ii.'4[t�,;tUlltllir� Vi1i�111 - A y1�11�y -..,v � A � v V a" • 1L a ti sL+' {9 '\ti jY � g,,�'+�il'<.�£'.: o. V•. n tr / • t ,9 ��� g a' .0 �'.rY�f`r ..O 'Gf' �fw '!�•,�1t' O +/� .. 'fray �.. - ;'✓v1. r if v�ib + ' v>�u' � t?.A�'.� .r ! Ft•(v \ v � .•. 3nw` •� �''��„�eSt**_ 'ram _ .�••�v�y -w�,Y .`.t�h. .yam. ."+..�.�•" �`s•-`"9 ENVIINC-01 TLIVERNOCHE CERTIFICATE OF LIABILITY INSURANCE DAT2/5/2D 1 /512023 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). CONTACT Vincent Falcigno PRODUCER -NAME:____. _ _ —__- -_ _-- - Gowrie Group PHONE FAX 70 Essex Road (A/C,o,-Ext): (AIC,No): N Westbrook,CT 06498 .vfalcigno@risk-strategies.com INSURER(S)AFFORDING COVERAGE NAIC N _ INSURERA:Nautilus InsuranceCompany_ 117 370 INSURED I INSURER B:Great_Divide Insurance Company__ _ _.___ I25224 Enviroshield Inc.and E.G.Kost Rental,LLC INSURER c:__ PO Box 1296 250 Moffitt Street INSURER D: — Stratford,CT 06615 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 I ADDL SUBRi POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR ECP01521982-24 12/1/2023 12/1/2024 DAMAGE TO RENTED n $ 100,000 MED EXP(Any oneperson) 5,000 PERSONAL S ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY L--J PRO ❑ LOC PRODUCTS-COMP/OP AGG 2,000,000 JECT OTHER: $ COMBINED SINGLE LIMIT $ 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO BAP1521979-24 12f1/2023 12/1/2024 BODILY INJURY Perperson) OWNED X SCHEDULED AUTOS ONLY BODILY INJURY Per accident _$ X HIRED X NON.pWNED (P OraaGdent AMAGE $ X AUTOS ONLY AUTOS ONLY X MCS-90 Endo A UMBRELLA LU\B X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE FFX 2036752 12 12/1/2023 12/1/2024 AGGREGATE $ 1,000,000 DED I X i RETENTION$ 10,000 B WORKERS COMPENSATION �( PER TE I OTH- AND EMPLOYERS'LIABILITY WCA 1521980 23 12/1/2023 12/1I2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICERIMEMBF_R EXCLUDED? u N/A 1,000,000 (Mandatory m N ) E.L.DISEASE-EA EMPLOYE If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Village of Rye Brook is listed as Additional Insured for General Liability where 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Village of Rye Brook 938 King Street L y-10'. ACORD 25(Rye Brg ©1988-2015 ACORD CORPORATION. All rights reserved. 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 (203)394-2268 Enviroshield,Inc. Post Office Box 1296 lc. NYS Unemployment Insurance Employer Stratford,CT 06615 Registration Number of Insured Work Location of Insured(Only required ifcoverage is specifically Id. Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 060319014 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Commerce& Industry Insurance Company 3b. Policy Number of entity listed in box"la" WCA 1521980 23 Village of Rye Brook 938 King Street 3c. Policy effective period Rye Brook,NY 10573 12/1/23 to 12/1/24 3d. The Proprietor,Partners or Executive Officers are ■ included. (Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' 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 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"T'. 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 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. 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: Vincent M. Falcigno (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �� 12/15/2023 (Signature) (Date) Title: Managing Member Telephone Number of authorized representative or licensed agent of insurance carrier: (203)745-0078 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 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, December 20, 2023 3:28 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 12/20/2023 15:20 To: VIL RYE BROOK PRIMARY Transmitted: 12/20/2023 15:28 00002 Ticket: 12203-000-814-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 98 To: Name: VALLEY TER Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT RIGHT CORNER NearSt: ARGYLE RD & N RIDGE ST Means of Excavation: EXCAVATOR Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: TANK REMOVAL Estimated Work Complete Date: 02/03/2024 Depth of excavation: 10 FEET Site dimensions: Length 10 FEET Width 10 FEET Start Date and Time: 01/03/2024 07:00 Must Start By: O1/18/2024 ------------------------------------------------------------------------------ Contact Name: LIZ OLAVARRIA Company: ENVIROSHIELD Addrl: PO BOX 1296 Addr2: City: STRATFORD State: CT Zip: 06615 Phone: 203-380-5644 Fax: Email: liz@enviroshield.com Field Contact: LENNY BOCHICCHIO Alt Phone: 800-394-2268 Email: len@enviroshield.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i