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HomeMy WebLinkAboutBP24-180PERMIT # +��� Q V DATE: Ok(Dc) SECTION `"�5�, BLOCK LOT' 1, TYPE OFWORK`1//7�r%O/ �-C LjP/J lr�Q 7/DD �01/Q�I0/J 10N LOCATION OWNER�Q CONTRACTOR_ EST. COST--�U =- �C� # TCA # FOOTI N G FOUNDATION FRAMING RGH FRAMING DATE FEE DATE INSrECTION RECORD DATE INSP INSULATION PLUMBING mo /�� ZOL I�$> 9 RGH PLUMBING ' 10' 2olq 45) GAS m SPRINKLER ELECTRIC LOW -VOLT ALARM O AS GUILT 0 FINAL raJIIPIWAa+rr ��7�a-3as /3o%FLP/�/u.11 ���y Qw �j OTHER APPROVALS ARB BOT PB ZBA OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-098 Certificate of Occupaucp This is to certify that )qlmur / L 9ievukal IOU of, RaeAroo4having duly filed an application on 20 requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a -I Zoning District and shown on the most current Tax Map as Section: 5-. / Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.p '/ U, issued 20,�, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use:R // Construction: for the following purposes: / 17 L �YklY 26 b6r7lh 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 heig . all be made,nor shall the building be moved from one location to another until a permit to accomplish such change has b en btained fro the g Inspector. Building Inspector,Village of Rye Brook: Date: AUG 0 7 2025 c i BUILrYEBROOK, TMENT For office use only: PERMITID MAR 1 1 2025 VILROOK ISSUED: — O Ll — 938 KING STREM' YORK 10573 DATE: - —Q-VILLAGE OF RYE BROOK FEE: ,� `j raj -PAID�L BUILDING DEPARTMENT wlw'N .ry rookny.gov APPLICATION FOR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION tttt t#titii##k#t####it##tt#ttk###fi#t#######t#t##t#tiiikt#rt##rt#rt####t#ft###i#itti##tfirtrtt###t#fiitki ikikkf t##########tfi#tkkii### Address: 6,yo 1 L C Q y b Occupancy/Use:�� �✓�/� Parcel ID#: 136 t 7S — Q) ^ s� Zone: Owner: C-t tom'-ryq ' Address: F P.E./R.A. or Contractor: Address: Person in responsible charge: AI Lcxr\ 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: 2 r 3� ��1 G YYl�r N`y r Q-.. being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) (No.and Street) in a �c-., I& ,in the County of lNr—g�C}� ; in the State of that �ity ow illage) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site impro ements, labor,materials,scaffolding,fixed equipment,professional feoes�and including the monetary value of any materials and labor which may have been donated gratis was: uo c > for the construction or alteration of: 11" icc. ' ( h�C c n� ;1 •�yey� Z Irl 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 day of ,20 Si gW a of Property Owner Signature of Applicant l6,OA t �ane of Property Owner Print Name of Applicant '� \,—N\�LLL Notary Public Notary Public Notary Public,State of New York No.01ME6160063 Qualified in Westchester County bn i202a Commission Expires January 29,2oZ7 �E BR�v�• cv � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ,prA"SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914)939-0668 FAx(914)939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - ADDRESS _36-- A-VO�.1 R.GC�,-----_ ----- ._ DATE: PERMIT# `^e 2 Ll- /(9 4 .) _ISSUED: ?-1*-2 I SFC1':ISS 7f BLOCK: 2, LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... Oe'PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Nattiral Gas Co.r ❑ L.P.Gas ❑ FUEL TANK: ' ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION womcC° e( d �C FINALLGe / . ❑ OTHER 3 0 BUT: DEIDA.14J."M ENT UITI VMN(4 IN5tPEC'.1-01t VILLAGE OFRYE BROOK Q Co.)Xu JiNvokowltmu 01,111caut 9,18 KIN(.STREUTO Ityli BROOK,.NY 10573 (914) 939-0668 llAx (914) 939-5801 - - -- - - - -- - - - --- - - - - - - INSPEG.-VtON REPORT - - -- - - - - -- -- - - - - - - - - - - - AojDjm%.% :._ Ss TF - 17 0 ZJ_D.N BLOCK: - 2- LOT:—Z,?- 2 (-0(1-ATION: _ _ ._ ._T-�'�/1 1�4ti......._.._..n.N o 1� -Ir.i a v OCCUPANCY: 0 VIOLATION No-rim Vji wo.luk-is... F_rAcCj4pTj3j) ❑ Ri.jj..'c,rui)/ REINSPE"CTION 0 SVIT P41,I', El 1.,00,.I,IN(, Q 10O'JJN(4 DRAINACM ❑ U'OUNnAll(IN 0 TiNovatt.at,mmo 1.111-twillm4 N 01 ON ms.imcnom 0 ROINAIT) PLUTMOING 1:1 R0174,31 V'R.AMINC. Ul INSITTATION LS 0 I.-It G'A.S 13 VITEL'YANN' ovio rL)e_�I­o� OTHER &ta L -Q jo LJA (,k 0 BUILDING DEPARTMENT VILL.A.G.1-i OF RYE BROOK D COPE ENFORCEM);Nt, 938 Kim.813METO.1-tyli R1.t00K,.NY 10573 (914) 939-0668 F'Ax (91.4) 939-5801 www.)-ygbAT).Rk,,-qrg -- - - -- - -- - - - - - - - - - - - - IN-SPEC.FJONREPORT -- - - - - - - - - - - - - _ _ - - - - _ 7 o ZS- LOCATION: 0 VIOLATION NOTED 'J"Im wolus-is.... REINSPECTION 11 SNI'll INSP.E(:TION RE(junal) 13 V'0017NG 13 1"00'VING,DRAINUm El VoiTj-o-)A.,x-jo-.N ❑ 'UN -)NJ Pi.',c,.riON'- MiRGROU-NO PIATUDING N'S 0 ROUGH PLUMBING 0 Rol-RIA'"J."RAMING 1-1 FJ NATUICA.T.Us'.A.,S LR G'AS It -.-IN L 134T.A.'AWR " PTTTMj%l- cuoss VINAL �yE BRC�k• 1932 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 : 3-4� -Z) !1V DATE: 1_ PERMIT# r \ LI ISSUED: g z SECT:/3,5, 7S BLOCK' LOT' C. LOCATION: �� ! u ��~ti ¢ �� n � �'�n .7U ^ 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 ti ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 4RC��Z •F o 19t32 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 - - - - - - - - - - - - - - - - - - - - INSPECTIONREPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: 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 ■ 7 00 ■ CV CCC Ngr a M�yr� 00 00 v � s h+�l rT ,4 c~a p N py x _ w C/) 040.4 a s vs W O Z N U v 0. � W cn y o � � w � x A � a Q z � � p ° s flQ � a� A PLO s-r V W n � {d� u °u ° a w `°1cn ` 'n 44 AW I�tw O o+zvwGw W Z ti A oo ° W a V o � [ U en Q O � � xv 0.4 My V/ N x 00 � w o uz = 00 ""a rr © V U U a ►--� U a Z O 5 W p o a � b � ° U x � � 01-4 _ O � W Q z O "� �o ` d ■ o .. ,� A. ---AV - {�J r i BUILDING DEPARTMENT �� VILLAGE OF RYE OOK 938 KING STREET RYI;BR6 ,NY 10573 AUG 152024 HD � VILLAGE OF RYE BROOK wwwXyebrookn.8ov BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: AUG 1 i ' rmi #: 61b AYOApplication Fee:$ V Approval Signature: Permit Fees:$ ��.,�'[ Disapproved: ' Other:e� - -3 D ]. Application dated: L3 `�, f� ! is hereby made to the Building Inspectorofthe Village ofRye Brook.NY.for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 5 AV( n Cox (1` 0vi l V SBL:/35i 2. Proposed Improvement.(Describe in detail): ff Ockeny) ->Qw C"inth, Puuf 0410Cf 5faJ-, &tzkykrl� , C'�, r r 0 A 1,*,,,eef 40. � ✓ WP 1 It 'Plo,r k.t. /lam. �ti i /1Py �i►+e7f-�I't 3. Does theSproposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: V Yes: If yes,indicate: TIER l: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exis6n automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No:VYes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: I 7. Property Owner: Fle^vr muci t Address: Q35 5d {-^ICI re). {�2 4s cruet t1($, �CJ�/ Phone# q I LI —�41-3L1 oS_ Celll# email: _ 1 Y}u (U 19 ko'tma i .C/Ulf) 8. Applicant: Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# L_ Cell# email: � y 11. General Contractor: 1� 04c Address:: d7v& 0eP( ,SJf ee 1 4-ke k// ioSc/I Phone# Cell# 34 1 49 4- %K email: �e.C• rQ/`t�+� '^f �l Cf�,nu-.t. C 41.1 12. Estimated cost of construction $ 15, 000 (NOTE:"The estimated cost shall include all labor.material,scal7olding,fixed equipment.professional ices,and mutenal and labor which may be donated gratis.) 13. Job Timetable: Start: S f�1 ��" 1 _v_ Finish: ! t/ (I) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE]$ROOK AUG 15 2024 938 KING A4FET RvE ftd'&�,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK wwwlryebrookny.gov _ BUILDING DEPARTIL PN 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,F J Cki)1,. r <<4.. _ residing at, 35 f "- () C E rc-kt- un� t— (Print name) (Address where you live) 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; 3S A ,u-) ( �Fsk c U In �- ,Rye Brook,NY. (Joh 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. C rc of Prop"m, ()wncr(s)) f t' C,(01U(' C1 , (Print Name of Proper( Owner(s)) Sworn to before me this day of , 20 0N(11:11\ P ire) GREGORY M.RIVERA Notary Public,State of New York No.OI R16441398 ! Qualified In Westchester County `� / Caftrftslon Expires September 26,20�r 6/l/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 /NEW YOP COUNTY OF WESTCHESTER ) as: ff Hyo•. _ ,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 `AtAy -T�l• 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. Sworn to before me this 15 y� Sworn to before me this day , 20 ]C.♦I day of . 20 JV_ G�� Signatu Property Owner Signature of Applicant FJe4 w� L&L.<tA(6'._ )"Ire"L- Print ame of Property Owner Print ame of Appl icant if! &Dyk— otary Pu notary PfYi GREGORY M.RIVERA GREGORY M.RIVERA Nary Public,State of New York M"Public,State of New York No,01RI8441398 No,G1RI6441398 Qual1 Qualified In Westchester county , fled In Westchester County Conm►fssk Ires Co^TM""an Expires September �P �Pternber 2(I,2t P tuber 26,2 ill 6 1,2024 r � N N N w r 00 00 0 19 w O ON 06 � •0,! � hit 00 z o+ to W00 F Oo 1plol w �M o (° 00 A O C7 v z UO z W z H V) z ORM4 a O w W C;N �i � .i E+ 00 v a 0 �..� .r 0. MM 0000 z Z + r z a w z $ O ° � a z Hs H z A o � K? A a w A � °w' Z W 0 r 0.41-4 m w ac V) s �� L� � JL-� ilr ,l BUILDING DEPARTMENT VILLAGE OF RYE BROOK L AUG 4 2024 ! 938 KING;STREET RYE BROOK,NY 10573 t____ 1 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrookny.cov I BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master aster Elleectricians License Required —7 FOR OFFICE USE ONLY BP#: / r ! U EP#: Approval Date: AUG 19 202 Permit Fee: S Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE Q TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, O mil# 3q 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 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. J 1.Address: S A�-v() C( �Chh- le- On l t (� SBL: I35;7J=c)—c)�r d- Zone:,=/ 2.Property Owner: f�(,�nq ur r'`t cj(l a" Address: S !Jn C(r C le Un it- Phone#: Cell #: qj `74,2 3Lic9'S— email:471mvt ; I U d h6 fA3 G.1 rU')'q 3.Master Electrician/Licensed Installer:--,- Address: 3 I N Lic.#:1�Phone#: Cell#40 6 5''q-1/0 email:)o -A%joe 3(U)OI—AVZL,Lc�'• Company Name: Address: 4.Proposed Electrical Work/Fixture Count: GC Sf' L - hJ < w c c v v 5.31 Party Electrical Inspection Agency: L&Z f� S STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,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 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. Sworn tckefore me this I Sworn tg.,before me thi da 20 day 20�1,1 Sign re!of Property Owner fiignre Appl, r v t Name of Property wner Pri t e of Applicant IL 3HA LIL fi,,�taite of At, P o.01PAE6160063 Notaryftu011AE6160063 Qualified in Westchester County J� Qualified In Westchester Couw*/2/ 2¢-„ commission Expires January 29,20�;L Commission Expires January 29,20 (, CA: STATE WIDE INSPECTION SERVICES, INC. 0•0 • • SWIS JOB APPLICATION •. • Office Use Elect. Permit# y / Date dp// Bldg Permit# / / Scl Ft Plumbing Permit# Final Certificate# City/Village 1 e- ���/4C Zip ;S rBuildingDept. County Address Cross tr Section Block Lot V v ru C /L C. I'� i c S Owner Name/Address(If different than above)/ J V r ' 1 Con ,i ber T7 / ; 3 ' ❑Basement 0 1st Fl. ❑2nd 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 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 -0 v n +,0k (,� � � Sw l4 AL AUG 4 2 _4 �' Y VILLAGE OF NYEE BROOK BUILDING DL'-:PARTMPN 1" This application is valid for one(1)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 wp �� ✓�-e) /` G yy� Name License# C O' Date Signature Address J� City/State AA.) ✓r Zip Code / Company T Phone E D D E C EN State Wide Inspection Services 1080 Main Street MAR 2 0 2025 Fishkill, NY 12524 US 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office(-aswisny.com I BUILDING DEPARTMENT 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: C&C Electric Flamur Muriqi Joseph Polito 35 Avon Circle Unit D 13 Hull Road Rye Brook, NY 10573 Danbury, CT 06811 Located at: 35 Avon Circle Unit D Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-171 135.75 2 22.2 Certificate Number: 2025-1116 Building Permit Number: BP 24-180 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: 35 Avon Circle Unit D Rye Brook, NY 10573 The Second Floor : 2 Bedroom(s), 1 Bathroom(s), Entire Floor, Hallway(s), Kitchen, Livingroom, Laundry Room were 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 18th day of December 2024. Name Quantity Rating Circuit Type Switches 14 Luminaires 34 Receptacles 20 officer: Frank J. 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. ■ t 1 \ \ N N N \ 00 \ W aLn z a n in t H W a Z 4 ° cn � w W V z x W to x v 4 M Ln Ln W a v o � z A W a o WSJo I� _ H r4 O N �n w 0 CA O w F� " H Ocn 00 0-4 t Cl oZ n a U g n w °a F o z zCA '� V i LO A z w A p oY a cn z � a a _ s s E, t � D [E 1C R �I � 1 D1 BUILDING DEPARTMENT I AUG 2 6 2024 VILLAGE OF RYE BROOK 938 KING S_FRH-'-r Ryl; BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 _ BUILDING DEPARTMENT www.ryebrookny.gov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: � /— � � � PP#: — 0 Approval Date. v Ac\ Permit Fee: $ Approval Signature: Disapproved: (fees 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, 3`c)6- 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 agrees that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: J� �4�/Q,y CS�l.�� �� SBL: �35� 7J—d-e�ol, Zone: 2.Proposed Work: 1P p S sz 3.Property Owner: z V Address: Phone#: �/ - /if Cell#: email: to 7.eV. 4.Master Plumber: .Tim. Address: Lic.#:�Phone#: Cell#: (p 7_ - lemail: Company Name: /Z d� ddress: -5"7S' S�t, 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 'Pubs "Pubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor f 3.d Floor / 4'h Floor 5'Floor Exterior 5.* List Other Equipment/Provide Details:S z -gooqU (Notarized Signatures Required Next 2 Pages) -1- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: /n1L° yk/ h/i a V, ,;e ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the pplicant) 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 Sworn to before me this day of 120 -43L1 day of ,20 ( nature o Property Owner Signature of Applicant Print Name of Property Owner NORMA F. HARDING Print Name of Applicant Notary Public, State of New Yoorkr_.. Reg. No. 01 HA4970108 Notary Public Qualified in Westchester County Notary Public Commission Expires July 30, 2026 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. 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. -2- 6nr2o24 D C 7—r�_l 1 V_ rff, D BUILDING DEPARTMENT VILLAGE OF RYE BROOK FRrAUG 2 6 fj 1 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryebrookny.�ov ^BUILDING DEPARTNIENI f 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: ��ww r 3J, F�G Y-A i �-lv t�U , residing at, Gk3s Ix� Deck -1� f�� l� (Print namcl I (Address%\hcrc Nou live) 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; 3s ANUn C :rc:kf K Uqc�` , Rye Brook,NY. (.lob 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. r• (Signature of Property Owner(s)) (Print Name of Property Owncr(s)) Sworn to before me this NORMA F. HARDING Notary Public, State of New York day of 20 Reg. No. 01 HA4970108 Qualified in Westchester County Commission Expires July 30, 2026 (Notary Public) -3- 6/l/2024 n - �N Building Permit Check List&Zoning Analysis Y'Address: , 1✓, (r �ip— SEL• Zone: Use: Const.T Other: Submittal Date Revisions Submittal Dates: Applicant 1 C Nature of Work C-A l Reviews:zBA: AUG 19 202 BOT: Other. NEED OK (0,1 (vy--FEES:Filing: BP: C/o. Flood Plane: Legalization: (),-APP: Dated: Notarized: SBL Truss I.D. Cross Connection: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review Street Opening: ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other; ( ) ( ) SURVEY:Dated: Current: Archival• Sealed: Unacceptable: ( ) ( ) S:Date Stamped: Sealed Copiress: Electronic Other License:J-,-- Workers Comp:r Liability:' Comp.Waiver. Other: ( ) CODE 753#: Dated: N/A: GH-VOLTAGE ELECTRICAL Plans: Permit N/A: Other: ( LOW-VOLTAGE ELECTRICAL Plans: Permit N/A: Other. yy ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. PLUMBING:Plans: Pernik: Nat Gas: LP Gas: N/A/: Other: ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit 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 LETTER C/O DENIAL LETTER Other. O O Other: ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTFS PROVED Area Cirde: - rate• AUG1�q 90 From c Front Front Sides: Rear. Main Cov: Accs.Cov: Fr H Sb: Sd.H Sb: GFA: Tor : Ft Iin PP Height/Stories: notes: `O = F— w ` O z LLJ � Ym za i Z m 3 w U c O Q a > lu U R Z > v E O W z o . O Noz c � O of CL w � O W U� •� a z � O i Is■Ip i a W s m � z_ z c w c i c ' Z E x 0 U m WDo W = � oW cu ca F � � zo W O � W ao � W � z CDZ o � A M a o g con J c o W _ �ov 'J M ON i oxo � W J 40 e Q Z A 3 W O M V �N O J ]L N p. Y _. _j L z Q o = cn a G m _ W _ T ` F- t mm ' W > w O ,o = W N E co O 2 W a4 W coo ' A ' } LLA > Q r N 7S � Q A O w 1n O o Y ix 0a —t i' ' J d ; F u p a ° w�. ti O ` O ¢ ✓ U O w _ w 32 -Z 3f -. O Co aQ +Y 3 WRY w 0 < x o K Y t•' w!. ��.-.. i+ �'' ""!;f•r•1' � rS1,y. � SAC � oft 4All, Nii A.. tit AV*Ao,�, -�'+-,a�U 1&7N ^-vx- 14-Me :(Nit rrn` ell " VUmer \estchesrer('oupty Eiecuttse �� )�•�.�)ti T Director.(unsumer Protection g -141 Department of Consumer Protections Home Improvement License j BAE RENOVATIONS,INC y 2706 DEER STREET MOHEGAN LAKE,NY-10547 acorn„ t ,E This license is issued in accordance with Article XVI of the Westchester County Consumer Protection Code and is valid only upon presence of the official department seal.Proof of citizenship or immigration status is not required for issuance of this license. NOT FOR FEDERAL PURPOSES RL (ato» Y N OCt ` rA License Nurnber R o� Date of Lxpiralion WC-33525-H2O d o 12/23/2024 ��tscw =; Ps��hesferco��� _ qu,,ry' "'�Ij; 1�ti�: '1. / 1 • ra ' �II/11 liff ri�j� -s,vy-• r�^ tt -- --�iyi ��I�lw�ll i��t�Sti--Rt yT r- v�tt•.'Cl �o>s� AC�a DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/15/2024 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: SPARTAK NOKU _ Esvi Insurance Agency LLC ac°N o 718 4094900 Fnc No: 2024B Williamsbridge Rd ADDRESS: INSURANCE ESVIAGENCY.COM Bronx, NY 10461 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Penn-Star Insurance Company 10673 INSURED INSURER B: BAE RENOVATIONS INC INSURERC: 2706 DEER STREET INSURER D: MOHEGAN LAKE NY 10547 INSURERE: 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. I�TRR TYPE OF INSURANCE SR ADDL UBR POLICY NUMBER MNI/DCDY MMIEFF DYEXP LIMITS X COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 CLAIMS-MADE 1X__1 OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) S rJ 000 A x x PAV0466946 09/16/202309/16/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT = Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED 1 1 RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 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) 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 AUTHORIZED REPRESENTATIVE �S`-- Rye Brook, NY 10573 91988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 17--":;h:Z*t*\- NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^A 822682728 -v ESVI INSURANCE AGENCY LLC 2024B WILLIAMSBRIDGE RD ■ BRONX NY 10461 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BAE RENOVATIONS, INC VILLAGE OF RYE BROOK 2706 DEER STREET 938 KING STREET MOHEGAN LAKE NY 10547 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2444 441-6 36544 05/12/2024 TO 05/12/2025 8/15/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2444 441-6, 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 ALBAN HOXHA 1 OF 1 BAE RENOVATIONS, INC 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 T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER 784511606 U-26.3