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RP24-097
PERMIT # 9 7 DATE: /''LI SECTION 111:27 BLOCK / OT TYPE OF WORK JOB LOCATION 3 Oav gae OWNER,1422/ P. 00 id olq CONTRACTOR^�SQ_� EST. COST 43 / q O _ FEE �CO # GC L_P_�-i-� FEES Q�,-PA DATE !� TCi # FEE DATE �wicpFCTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS Cl — — SPRINKLER ELECTRIC Cl LOW-V*LT C.J ALARM O AS BUILT C� FINALZ ve Z5 SSRwill III On Will will IIIIII iiiiiiii I pill I iiiii Will Will 11111 11 1 1111 11 111 11 1 G OTHER APPROVALS ARB BOT PB ZBA BOTHER Qy� 4R0 O Cz� 2 1r VJ l0 VI�1 t4 w V JJ V lf G GLC.. v l�uV V�yJ j,�V4 J V OY 1901 J �� 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 September 16,2024 Kwon Chong&Anne Booth 34 Lincoln Avenue Rye Brook,New York 10573 Re: 34 Lincoln Avenue, Rye Brook,New York 10573 Parcel ID#: 135.57-1-9.1 Roof Permit#24-097 issued on 8/14/2024 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 1E C IE ME BUILDING DEPARTMENT For office use only: PERMIT VILLAGE OF RYE'BROOK ISSUED: SEP — 5 2024 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: (914)9 -008 FEE:,9 PAID 9L VILLAGE OF RYE BROOK wvG l e l�'. ov BUILDING DEPARTMENT 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 #RRiiiR#i#iiiRit4iRRi;#tiii;i#i#tt##;tit;;ii;t#i###i##i#4RiR #i;;###iR##t##;##ii###iiii#;Fi;i#tf;t;ti#;;t;iiRRR###f##fitf;■;; Address: 3y 4facc &Ve, . Qye- &c4k . 4eci l/Oak Occupancy/Use:/�1?Z5. Parcel ID#ff /� . 57'1 ' 9. I Zone: _/c� Owner:dnn_ Os� g% kW*4 L- AOv>te Address: P.E./R.A. or Contractor: x5ghk%py d Address: 1fR7 VbAbrCS AcAy— yaell& sly 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: O/ OV QNki& being duly swom,deposes and says th he he resides at (Print Name of Applicant) /—d (No.and Street) in�"' e in the County of �/(r flpl in the State of� 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 for the construction or alteration of: Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of 202 day of V , 20?.y t a re of P per per A l' &M &XpA, - d Print Na of Property Owne :P;nt Nam Applicant a N Nflt Pubh George C Palmiero Notary Public-State of New York George C Palmiero Notary Public-State of New York No.01 PA6089211 No.01 PA6089211 Qualified in Westchester County � Qualified in Westchester County Commission Expires March 24,20 (:n nmmiccinn Gvnirnc AA�rrh 9d on QyE BRC�� Zm cu � '9a2 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 : —1 4 J C-0 L -lj DATE: I u Z J L f PERMIT# y — 0 1 ISSUED. %SECT:4Js,�7 BLOCK: LOT: 9 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 ! 1 ❑ NATURAL GAS ❑ L.P. GAS �� ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 0' FINAL ❑ OTHER 'C ) c N C N zPLO " � W oc M N Q 6 _ 04 V) u ii V cn - z oA [-i _ CO F 4 0 o C w 0 Q a 4,4 � v *" a ►• O .'�,. o Tu cn v' yc -C v IP o en O C4 H � cli ( h N \C ti ►r• z � � `d � I� cr 00 ceql z o � = O C7 w � o A ° A � b ° W FBI M W W wo v E •° QQ" y oz Q ° _0Vz A = ZON '" v 00 cn 20 CIN zZ � '~ ' " w O o a oS � O o en H oo � � v �v = = z o o o V og0 _ fdW 14 O A z Q ° s 't z = M A w z odao � '-� A. w O e 6 a BUILD�]� '� MENT � ! VILLAGE OF RY OK AUG 12 2024 1 939 KING STREET RYE BR NY 10573 -fl VILLAGE OF RYE BROOK ov BUILD[NG DEPARTMENT FOR OFFICE USE NLY: n Cy Approval Date: P i 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: Permit Fees: ROOF PERMIT APPLICATION Application dated: 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 statements described below. 1. Job Address: 37' L//J Ca"t *e SBL:/ii 5")—/! +91/ Zone: 1jcc- Property Owner: &ae— A pc 7l- Address: 3y 4&w- /.1 .44-0 ,2 f'��� Phone#: 91* '1g 7• ''�� Cell#: email: 2. Applicant: ,, -;k- (�fovl:tr0 Address: Aco'ko— ,Ya teffl. il'/ Phone#: Cell#: 9/4• y0i6•01*q email: Are--(P AG fownC42.CAQ 3. Roofing Contractor: Address: //467 V myejS Ap� , aA g A1.y Phone#: q/q• 3 7• o6 Cell#: email: 4. Job De:;ejol, tion,list all Methods& Materials: Ott eOr A r 5. Estimated Cost of Job:$ 3, /00. r (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 _strreet�frontage: 7. Construction Type: [�- Gfteo( NYS Construction Class: S. Number of stories: p( Height: o0-4 Os 9. Is garage being re-roofed:No:( ) •Yes:( )Attached No:O•Yes:O Number of Cars: 10. Is roof peaked,hip,mansard, flat, etc: ©emikept 11. Estimated date of completion: lzo?- -t- 6/1/2024 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: /Y.-C t. 4n j� ,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 L'olfM410-a� _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 Swom to before me this day of G, , 202 day of , 20a7� Signature of Prop y Owner Signa e o scant ,yam Print Name roperty Owner Print Nam f Appllicaannt o b ' No tc George C Palmiero Notary Public-State of New York No.01PA6089211 George C Palmiero Qualified in Westchester County Notary Public-State of New York Commission Expires March 24,20� No.01 PA6089211 Qualified in Westchester County 'mission Expires March 24,20 a -z- 6/112024 J. al t reSons, S va o & Inc. Established 1921. Roofing—Siding—Masonry—Carpentry. An Affiliation of J.Salvatore Contracting,I.I.C. 1187 Yonkers Avenue Greenwich,CT NYC 4 2051743-DCA Yonkers,NY 10704 (203)869-9300 YONKERS#4012 (9141237-0683 Bronx NY WESTCHESTER 9WC-16065-H05 office@nyroofer.com 18)�48-0100 CONN.f#574564 www.nyroofer.com (7/18)655-1340 PUTNAM#t PC5513 Tuesday,July 02,2024 To: THIS FIRM PROPOSES TO FURNISH ALL THE ANNE BOOTH EQUIPMENT,LABOR,AND MATERIAL TO DO 34 LINCOLN AVE Q RYE BROOK,NY 10573 THE FOLLOWING WORK. 914-497-4267/ABCATERIrIG -GM AlLC4M ROOF SHINGLES • Remove and cart away existing layers of roof shingles down to wood decking. • Install ice shield membrane. c On all roof eaves 3 feet up from all gutter lines. o In all valley areas o At the base of the chimney o Around all roof protrusions • Install 301b high performance undertayment on the remaining roof deck surface. • Install aluminum drip edge flashing on all roof eves at the gutter line and along roof rake edges. • Nail new GAF Timberline lifetime architectural style roof shingles. Color to be chosen. • Flash all existing plumbing vents with aluminum vent pipe flashing sleeves with neoprene collars. • Cover all valley areas if any with ice shield membrane and install overlapping shingles then closed cut with a line down center of valley. • Install GAF hip and ridge caps,ridgevent included if existing. • To install new wall fLashings(front left—kitchen leak). Replace wood trim at(2)sections along utter line with new trim,primed and painted. • Includes cost for roof permit and close out. • Remove debris from jobsite. TOTAL LABOR AND MATERIAL AMOUNT SUBTOTAL $33,100.00 SALES TAX( 8.375%) na TOTAL DUE $33,100.00 PAYMENTSCHEDULE _ DEPOSIT -_$15 100,E y. C AS WORKING $10,000.00 l'.r, UPON COMPLETION $8,000.00 ADDITIONAL COST TO CONTRACT BILLED UPON COMPLETION) AMOUNT • Replace any damaged decking as required at an additional cost of$150.00 per sheet. X$150.00 TBD • Add aluminum trim for gap between roof and siding as needed at an additional cost of$125.00 per hour,per TBD worker. —Hrs.X worker/s X$125.00 OPTIONAL REQUIRES A 50%DEPOSIT,BALANCE UPON COMPLETION. AMOUNT • To Include new 16oz copper chimney base flashing on(2)chimneys YE5 or NO _ $8,500.00 • Install new 6k white aluminum gutters and 3 x4 leaders. YES or NO $4,800.00 NOTE; X Date NICK GRANITT �7 X Date L Authorized Sig ature I have read and understood the conditions on the next page. kr I co CN O .p r- C .' ca "Z3 U N / �• � C O C O .— _ ac ,r d V E i w i o v � y Z W U ea ut \I o w o ectio7 ' �.y 06 � Z C Q tr .� LLI LJJ 0') cr Al O '� O Z W v n v w •,� r� El 0 Z � y � �V i �,•��(�cs eda - O FBI j X4- z r\ � CSC W � � ' '{• ci p ,` .• •: � � •� •vim+ _ S . U « C.0 ! 4• r yar O i V y y y r.• > C ,� �t�,� ►►�,�� .h. . —.-� . 1 11 ".G• ;- sJs/j' If1,3;1.� �p y�r'1 N,:+4fi* �,� ��,-iu'tt , 19* aJ+. .� •iy;>' +:l�v�Rt+}•' � :a�v V 1► .,t�rj.,r.4•` v :!` ��'¢ r ''•'ram^' v �r,d.'`3 \ u' 1707/02/2024 ATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE �� 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). CON T PRODUCER 914-600-6222 800-860-1151 NAMEACT Philip Christe Philip Christe Insurance PHO tNC,NE . 914-600-6222 1 Zc! Nc: 800-860-1151 1575 Cattlemen Rd. E-MAIL Phil@christeins.com INSURERS AFFORDING COVERAGE NAIL• Sarasota FL 34232 INSURERA: Evanston Insurance Company 35378 INSURED 914-237-0683 914-2370937 INSURERB:Selective Insurance Company 19259 J. Salvatore& Sons, Inc. INSURERC: 1187 Yonkers Avenue INSURER0: INSURER E: Yonkers NY 10704 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 TYPE OF INSURANCE ADDL.SUBR POLICY EFF POLICY EXP LIMITS POLICY NUMBER MM/DDIYYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY ✓ ! EACH OCCURRENCE $ 1,000,0W DAMAGE TRNTED A CLAIMS-MADE ©OCCUR PREM SESOEaEoccurr. S 100,000 3AA 04/20/2024 04/20/2025 MED EXP(Any one person) $ 10,000 775921 PERSONAL&AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a JECT PRO-- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMI $ Ea accident 1,000A00 ANY AUTO S251725700 09/02/2023 09/02/2024 BODILY INJURY(Per person) $ B OWNED SCHEDULED BODILY INJURY(Per acmient) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per ardent S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DIED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR'PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER'MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S It es,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as additional insured per written agreement subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King St. ACCORDANCE WITH THE POLICY PROVISIONS. 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 i� NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o � a ^^^^^^ 133872277 LOVELL SAFETY MGMT CO., LLC 22 CORTLANDT STREET 33RD FLR NEW YORK NY 10007 ��" SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER J SALVATORE&SONS INC VILLAGE OF RYE BROOK 1187 YONKERS AVE BUILDING DEPARTMENT YONKERS NY 10704 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 1457 929-6 944470 01/01/2024 TO 01/01/2025 7/02/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1457 929-6, 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. 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 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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:429634983 U-26.3