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HomeMy WebLinkAboutBP24-189PERMIT # 610c SECTION TYPE OF WORI JOB LOCATION OWNE*i��L14 CONTRACTOR lST. COST V C4o # ' TCO # uicpFrTION RECORp i DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING R ,FF PLUMBING GAS SPRINKLER ___/ r tea` ELECTRIC �6dd LOW -VOLT CciZv zS' ALARM 0 AS QUILT ❑ FINAL Gi /&,,/) 93 9- 3635 9c t,J� �a�- 9� 3 Salaza/�,1lUM OTHER APPROVALS ARB BOT PS ZBA OTHER Pi VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 25-027 Certificate of (Occupancy This is to certify that of, ,C having duly filed an application on 20 requesting a Certificate of Occupancy for the premises known as, GIJ5 Rye Brook,NY, located in a K46 Zoning District and shown on the most current Tax Map as Section: Block: J_Lot: , and having fully complied with the requirements!of the Building Code and the Zoning Ordinance under Building Permit No. '9, issued T 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: ��7 �- �� Construction: , for the following purposes: 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 he' ht shall be made nor shall t4e building be moved from one location to another until a permit to accomplish such change b n obtained in the ding Inspector. Building Inspector,Village of Rye Brook: Date: FEB 2 0 2025 R For office use only. D E C E N E BUILDI1'MENT PERMIT# VIL> OF RYE OK ISSUED: FEB -5 20253D 3H KING STRE TLAL)I YE BROOK, _NV YORK 10573 DATE: ol� S c3S 9- -06 6, FEE: ,� �S PAIDX VILLAGE OF RYE BROOK 0V 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 ##f#f###t##rt###i#i#################i#t#ifi#rtrt#######rti#ff###i##rti#rtf#f#frtf#rt####iirtttiiftii##irt#irt#firtf#frt####irt#ii#ii#iiifi# Address: (,�OCK R(PG6 T>RIVE' ►2yir f3ROOK Occupancy/Use: I, 'a) j Parcel ID#: ! 35.E— 1-3 Zone: Owner: ex' kd StYAVaIa gr�Uao a- Address: (o15 ReC Rdy 'Dr. P.E./R.A. or Contractor: 5kvt cayin Ci Address: 33 LXkW00d Lgpe lhiapiee NY /0341 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 lam,: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: 44UC%ZD Pyr1 L fIr being duly swom,deposes and says that he/she resides at (eS Tack 1?iAe�'fyr_ (Print Name of Applicant) (N .and Street) in 'Rye roe{( ,in the County of �il�p�tr in the State ofN,that (Cityrrown/Village) he/she has supervised the wore;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:$ +5 �. 6 .3 4 for the construction or alteration of: our nr AM1% reMA1126n, 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 pan 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-i O.A.of the Code of the "village of Rye Brook. Sworn to before me this F+Vq Sworn to before me this day of FfbYUO►r I , 20 Z S day of , 20 On\,o � - atu of Property O er Signature of Applicant Ay Pr LP Pri ame of Property Owner Print Name of Applicant Notary PublSHAftl MEUU.O Notary Public Notary Public,State of Nsw York No.OIME61SO043 Qualified In Westcltasbr County Z 6/1/2024 Commission Explr"1anLisry 29.Z01.—1 QyE BRC��• 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 : Au '-,"�e \\4. DATE: Z ' l l Z OZ S- PERMIT# ro'1P 7_LIB Qi 1 ISSUED: -41-2`/ SECT:_ BLOCK: LOT: LOCATION: 13A 11) ' OCCUPANCY: / ❑ VIOLATION NOTED THE WORK IS... DACCEPTED ❑ 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 ❑ GROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC�k. • 1932 BUILDING DEPARTMENT ❑BBUILDING INSPECTOR R{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 : L < \\0L_1G. DATE: Z- ` I PERMIT# ?1 Z� -1 ,8---L, ISSUED: SECT: I3 .53b BLOCK: LOT: LOCATION: MAA<,, 1--�A OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS } ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BR(��• O� Zm 1. cu � 1982 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 : 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 00 N o 00 w o x N \ (u C4 CA A i enor � � � Q ' U a O y to y z A o Ei x C u ry' �/ ~ 0 O M o B o �y = O W r_i f" u� a G y O o o 'd o ON 84 x N � 0 a - x � ov 'v v' Ln A00a H ca a :E F . w ao z zILn, A A "CN � ° v a _ }( x w Uz a o QQ O O w Z N cwnCA in 1-4 � o� aoG �Iz z CZ o 0 a o ' V V ° O A W Z u p ^; Q y x x BUILDING DEPARTMENT LE `=J LE �W r`: VILLAGE OF RYE BROOK n AUG 15 2024 _ 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK i%ww.rvehftAny.gov BUILDnG DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: r Application Fee: $ Approval Signature: Permit Fees: $ Disapproved: Other: Application dated: AUGUST Gi -W4 is hereby made to the Building Inspector of the Village of Rye 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: Z ROCK RIDGE VRIVE RYE Eppo<. SBL: 13�• 3G•� '3 Zone:. 1� 10 2. Proposed Improvement.(Describe in detail): +e Or"Mar y -om d'15!'a�j r1•-,� shocvr�r VgAb, sinlr, 4o,*�4 I% walfs 11 rr• 'y'W' laYDuf. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye'Brook? No: Yes: If yes, indicate: TIER 1: TIER It: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: ✓ Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: r Awvt lv After Construction: 1 •�ot�YiIw 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: 460hIALr4 f Kf-VUi9llE i4"sSYkWAAddress: &5 ReCK 'RIDGE 2XII/f Phone# '114. 939' 36,3$ Cell# 516. 239. 1052 email: ANALAS P ngrAs. C0+'+'1 8. Applicant: guGD_W * KAfW^f 9At.08SY.AAV Address: 6,5 Rot:K 1ZtM1 'MICE Phone# 91'l:•9.39 36s:5 Cell# 516I3$'1052 email: AY&AS*A&NNBuS- COM 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: ST6VE CARINCI Address: 3-3 Lockwood Lcln[. 0a1ehdG my Phone# g 5'42g • ED) Cell# g 45 '428. 9501 email: S?)C-,e Q17tiCam,4,4hng(?n,r�✓'oo�C,ceww 12. Estimated cost of construction $ �. g�rO• 3� (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: 1t�d Finish: (1) 6/I/2024 BUILD DEPARTMENT VIL An E OF RYE BROOK 938 KING TI EET RYE BRp,:_�7 NY 10573 o, 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: 1, � + WIM AY/jj 0, residing at, G5 1inck 2daP Dr. ,,1Y�&�k (print nam (Address re 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; toy ? 1;�_Joj e Vrr,te h'2)rc, 73rQok , Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Siena re of Property 0%vnerl KAAerilie tfGU�ISSV�V 2 (Print Name of Property Owne (s)) Sworn to before me this day of 20 hwj Notary p rc) GREGORY M.RIVERA Notary Public,State of New York No.01 R16"1398 (2) 0119f}ed M Westchester County COMnlimion Expires September 26,201 611/2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: K.Aa rl►_ �r'i 1—Avg I- , 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 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 6 Sworn to before me this day of 120. day of , 20 o "4zak Sig ature of Property Owne Signature of Applicant BAeW,,se &11 ssy,44ale Print Name of Property Owner Print Name of Applicant AW A Notary Pw Notary Public GREGORY M.RNERA Notary Public,State of New York No.01 R16441398 Cuaiffled in Westchester County Co"WhIll ort Expires September 26, (4) 6/l/2024 Y' : 00 a N N N or Y F A N H Y Y V . , 00 ■ z bc ON Ur) Ln � O 00 A < • �-+ w a 5 z �, G.7 00 1C�� f' z ,y�.1 000 a A � (J Cn _ 0 M n a c W Q H • � `� pq n a. W Z _ zg s ~ Giw.i 0 Mil w ` v o w z a a � z W w z Q co p„ z Q R. a �I z W z -e ------ -------- -,�t3 Rc-�: BUIL `ING DEPARTMENT � DEC VI CE OF RYE OK j DE� 2 0 2024 _ 938 K,NIkrREETRYEB ,NY 10573 VILLAGE Ur i _ �7f ` UK EUILD1i'JG D!-J .RTk/ENIT n v - - ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Require�df FOR OFFICE USE ONLY BP#: vl — I �' EP#: � (— Approval Date: i LU — Permit Fee: $ / 0 Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 �)Application dated, / 41 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. 2 1.Address: 4CS I V 2- SBL: I —3 Zone: 1(2-10 2.Property Owner: Ntv O Avad e. Address: 6 r"--tk Phone#: 9/y S! :?4 3 S Cell#: email: 3.Master Electrician/Licensed Installer: Address: '( Uri-'0" V-40 Lic.#: 17 S� 0 Phone#: Cell#: Lev email: �~w �pc G IdSit / �, eo! Company Name: Se-AOv r tv V ed r%-e- Address: (/"-, 4.Proposed Electrical Work/Fixture Count: 4-4-A op� c� I Jf 5.31 Party Electrical Inspection Agency: s�yi t J STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: .being duly swom,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 to before me this Sworn to before me is day of ,20 day of 20 Signature of Property Owner S' re of Applicant A L 0-j-r o L� S Cr d✓J , i` Print Name of Property Owner Print ame of Applicant Notary Public Notary Notary Public,State of New York No.0 1 R16441398 6/I/2o24 Qualified In Westchester County Commission Expires September 26,2Q STATE WIDE INSPECTION SERVICES, INC. 0•0 • • SWIS • : APPLICATION tel 845.202.7224 •. • Office Use Elect. Permit# ., Date / �} 0 l Bldg Permit# L/ —� 9 Scl Ft/ Plumbing Permit# Final Certificate# c. City/Village Zip � Building Dept. County Address % s ELK ', Cross Street Sections Block Lott Owner Name/Address(If different than above) ; ) Contact Number ❑Basement ❑ 1st FI. ❑2nd Fl. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O 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# �� '� 7 6 ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/ Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy.Stolrage System DC Disconnect ❑Legalization i Afety Inspection ❑Consultation Lk+ DEC 2 0 2024 C 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 `, �,r, ? Name License# Date �; Signature L Address 'Z,{ ( ` f City/State r1,jq I Zip Code p SN Company SQ� ` �/ " h Phone# l l�: State Wide Inspection Services 1080 Main Street JAN 2 9 2025 Fishkill, NY 12524 a 845 Phone TO VILLAGE OF RYE BROOK 914-219-219-1062 Fax STATEWIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Sadovia Electric Inc. Hugo Ayala & Katherine Hallissy Ayala 222 Union Valley Road 65 Rock Ridge Drive Mahopac, NY 10541 Rye Brook, NY 10573 Located at: 65 Rock Ridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-238 135.36 1 3 Certificate Number: 2025-0601 Building Permit Number:24-189 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: 65 Rock Ridge Drive, Rye Brook, NY 10573 The Second Floor Master Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 28' Day of January 2025. Name Quantity Rating Circuit Type Luminaires 04 Switches 03 GFCI 01 Officer: Frank 1. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Ln Ncc W w ac N r " e O a w a J M a O v '3 Lli z IH 4 M gam, ✓� ►^0 �i M w °; x w � � �n Z C a � co CA Oo O H x ci z u z 0* can Z w w W I Z z '� U z M Q C7 F..4 Ch - � W Ln r �4 w u 04 Q o cn O F o z o O w Ln V " $ 0.0 'LOV cn HICE[EME BUILDING DEPARTMENT VILLAGE OF RYE BROOK DEC 2OZ4 938 KING STREET RYE BROOK,NY 1057 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www;ryebrookny.ov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY B �� T PP#: C::)y'j 9 Approval Date: Permit Fee: $ S� 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,f\-.fK23g\AXkV-is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal, State,County and Local Codes. I.Address: J �� ��G1e. �� SBL: '— 3 Zone: 2.Proposed Work: ic !�s c tcN 3.Property Owner: ��)(Cr�%%N f�l G1Ck Address: L S %4CjC_C.Z OCA Phone#: Cell#: email: 4.Master Pluumbberr: E o 2�2aY Address: CQI_Ag 1C- P\1 \(ISC,O , N �08H ��Lic.#: \ V I Phone#: 914 24 I tV 15 Cell#: I�4 L Z-4 2 email: , CAJ GI2A�•T t�r�►Yt�cd Company Name: Address: 2 W�Ulel 0. � r� INDICATE FIXTURES& INES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 3`d Floor 41 Floor 511 Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 4- 6/l2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: FV- �� 2_CA (— ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this 1 Sworn to before me this l day of aff 20 day of ,20 Z` Signat ire of Proge—rty—Owner Signature o Ap scant t Name of Property Owner Print Nae %fApplicant pp���� SHARTMELTLLO N YMA B.SALAZAR N l�o�a y Public,State of New York Notary Public-State of New York Na.01f11E6160063 No.01 SA6379344 Qualified In Westchester County Qualified in Westchester County Commission Expires kau, y 29,20z, My Comm.Expires Aug. 13,2026 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- 6/1/2024 . BUILDING DEPARTMENT D IE C E � Uv i VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 DEC 11 2024 ,(914 )-06618 Ioel ov VILLAGE OF RYE BROOK BUILDING DEPART MENT ******************************************************************************************************* 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: 3J, -4A: — � a cam- , residing at, G-5 Ror-K t2►D�� E _.PtZIVF_ _�JE -brboK (Print n ej (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; (. 5 1;�OCK RJ DG E DR( VE IZYE dJRdnK Ny )b579 , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ignat re of Property Owner(s)) 6, AC (Print e of Pro SS; Owner(s)) Sworn to before me this f C' car . 20 1 r (Notary Public) SHARI MELILLO Notary Public,State of New York No.O.IME6160063 Qualified In Westchester County -3- Commission Expires Jcou I y 29,2 � 6/1/2024 C� .Buildin Permit Check List&Zoning Anal is Address: °` ` 1 SBU - Zone:1�� Use: Const.Type: �l' Other Zone: Submittal Date Revisions Submittal Dates: Applicant: C `' Nature of Work • — `� e�� V Reviews•ZBA: P& I HOT: Other. NEED K a� NEED Filing: BP-. C/O: Flood Plane: Legalization: ( ) ( ) APP: Dated: Notarized: SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) 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 ( ) PLANS:Date Stamped: Sealed Copies: Electronic Other. (' ( ) License: Workers Comp: Liability Comp.Waiver. Other. ( ( ) CODE 753#: Dated: N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL-Plans: Permit: N/A Other: ( ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other: ( ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other: ( / PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other. ( ) l ) FIRE SUPPRESSION:Plans: Permit: N/A Other. ( ) ( ) I-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. ( ) ( ) Other. ( )ARB mtg.date approval• notes: ( )ZBA mtg.date approvaL notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: Circle: Date: Fronts e Front: Front Sides: Rear. Main Cor. Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tor.imp: Ft�: pgd4w. Height/Stones: notes: Laura Petersen From: Laura Petersen Sent: Monday, August 19, 2024 12:54 PM To: AYALAS@MENTIBUS.COM Subject: 65 Rock Ridge Drive - Bathroom Renovation Permit Application Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the/building permit the following items must be submitted to our office, Copy of general contractor's valid Westchester County Home Improvement License. . General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) V 3. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 4. Building permit fee $756.00 (due once permit is issued and ready for pick-up) Thank you Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 1 L: ., ��� �� �r ��¢t�r r �rr%s,�., i1,�ti ,,%��s , ��'�t� ��{%'%;'� �� '�o,•r� � ' 'rr Per <t.o);. CD 72 O \",fig• o �-. Q N 1• ED LLJ LO CD y _ O g o Cd °4 co Cl) Q LL,o O 4i� dap �e k _ y � � e 0-4 Z G C.� 07 X ate. v O y $ � �O: y F A cca lu- I = � c fl 1 : CID LO -------------- � j 1111j1���(Ip;]� ,y�l�ti.�lil FiJll)..1 1�.., ��_.r' ��n\ r s• r._s�-^.--. ,. , «o)> > �"T ilai •• �I��1�. � ' f A�1�i �i. »t�P�PII� oSta -�a)i! �^i 1Ct� PS` � � w ti Irl f Pl�ll� ��1/�i 1,i)P111,4,� •SyrP 1/1)� '•c,i 4� '�_ `r�.. �� �� �� ��, y..�ir.�it�, ..� ��ti�ii� ./. •�1�i ii. , �.),y� ii �i� �.'�.� r � �/l<1 � -:- \ yr w •• w •• w •. .► •. w r', r ATE(MM/DD/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE ��" 9/3/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Walls Insurance Agency PH NA Sherwood M Walls FAX PO Box 2740 (A/C_M,EX&607-723-6359 (AIC.No:607-722-6928 Binghamton NY 13902 nnOResS: info@wallsinsuranoe.com INSURE S AFFORDING COVERAGE NAIL 0 License#:BR-1638987 INSURER A:Citizens Ins.CO.of America 31534 INSURED SNSCERA-01 INSURERS:Aerica Financial Benefit SNS Ceramic&Stone, Inc. Aft erica Lockwood Lane INsuRERc:Hanover 22292 Mahopac NY 10541 INSURERD:ShefterPoint Life Insurance Co INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:535084810 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 DDL BR POLICY EFF POLICY EXP ILTR POLICY NUMBER IMMfDDrYYYY1 (MMn)D1YYyy) OMITS A X COMMERCIAL GENERAL LIABILITY ZBSD988336 7/21/2024 7/21/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTEU-- CLAIMS-MADE X OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) S 10,D00 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY�jE O LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE UABILITY AWSD987537 7/21/2024 7/21/2025 COMBINED SIN LE LIMIT $1.000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED Ix SCHEDULED BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident a C X UMBRELLA LAB X OCCUR UHSD993277 7/21/2024 7/21/2025 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1.000.000 DIED RETENTION$ $ B WORKERS COMPENSATION W2SD987605 7/21/2024 7/21/2025 X IPER STATUTE I I ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $500,000 D Disability D159714 2/2/2024 21=025 Statutory NYS Disability DESCRIPTION OF OPERATIONS I LOCATIONS I 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 ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 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 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name and address of Insured(Use street address only) 1b. Business Telephone Number of Insured SNS Ceramic&Stone, Inc. 914-469-4439 33 Lockwood Lane Mahopac NY 10541 1c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State, i.e.a Wrap-Up Policy ploy 1 d. Federal Em to er Identification Number of Insured or Social Security Number 45-380005 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) All America Financial Benefit Village of Rye Brook 938 King Street 3b. Policy Number of entity listed in box"1a": Rye Brook NY 10573 W2S-D987605 3c. Policy effective period: 07/21/2024 to 07/21/2025 3d. The Proprietor,Partners or Executive Offers 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 "3" 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 NFORMATION 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 will also notify the above certificate holder 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. 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 Worker's 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: She ood M Walls (Print name of auth rizeddrrrepresentative r lice ed agent of insurance carrier) Approved l� �t/'D�<� 'y &���r69/03/2024 (Signature) Date Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 607-723-6359 Please Note:Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance Brokers are NOT authorized to issue it. C-105.2 (9-07) www.wcb.state.ny.us Form WC 88 31 21 C Printed in U.S.A. Page 1 of 2 732 NOTE: BACK OF VANITY WILL NEED 31 2" --- 7. TO BE CUT ON SITE FOR EXISTING CEILING IN STAIRWELL BEHIND Existing toilet location Recess medicine SEE DOTTED LINE Toilet Topper ig son si es � 4 ., ISO 1 2 3 = Legend m 1 : B3D123421 soap tilt _ N. 2: BSB243421 CD x. o 3: SF01S6X30 Lower draw on vanity may v co N 4: VTT2433 need to be pinned (D 01 CL Q0 1 --- 0 � Glass Panel A of UL O W � 0 0 C 3: Z PERMIT#.A.6z N)l Zo 024 - - e 3 O d DAtkjJ `�- X � � , 8U G INSr���T'�F�, ge of Rye Brook,NY !S Handshower on hook to act as main shower Existing door �36���(" location NOTE: D C IE W�� � �40$ 0 7 �� 31 $-�� ��� �- � L r �1 AUG 15 2024 Py i L VILLAGE OF RYE BROOK 73 1 -i 2 �� 7 BUILDING DEPARTMENT' All dimensions _size designations This is an original design and must Designed: 7/30/2024 given are subject to verification on not be released or copied unless Printed: 7/3 1/2024 j ob site and adjustment to fit j ob MAJESTIC applicable fee has been paid or job conditions. order placed. KITCHENS AND BATH SCOTT WEINLEIN Ayala Primary Bath Plan #3 7-25-24 All Drawing #: 1 No Scale. 2 3 3 �� - 3 „ 5 VTT2433 ------ Recessed med chest. with LED Lights 0 0 Surface mounted � toilet topper It AL 0 0 � MAL 00 CA 0 NIA o S FO 1 S6X30 B3 D 123421 BS132A3421 Cut vanity to fit stairs %J 2n 4 6 A // 1-8 if ' I All dimensions _size designations This is an original design and must Designed: 7/30/2024 given are subject to verification on not be released or copied unless Printed: 7/30/2024 job site and adjustment to fit job NMRAIEST IC"' applicable fee has been paid or job conditions. order placed. KITCHENS AND BATH SCOTT WEINLEIN Ayala Primary Bath Plan #3 7-25-24 El 1 Drawing #: 1 No Scale. 11 11 it VTT2433 Horizontal Recessed Niche � Height off floor TBD Existing shower area 4 LO Tile walls to ceiling NVOI W81]60N Existing Toilet Loc tion B All dimensions _size designations This is an original design and must Designed: 7/30/2024 given are subject to verification on not be released or copied unless Printed: 7/30/2024 job site and adjustment to fit job MAJESTIC applicable fee has been paid or job conditions. order placed. KITCHENS AND BATH SCOTT WEINLEIN Ayala Primary Bath Plan 93 7-25-24 El 4 Drawing #: 1 No Scale. d =70 2 311 7 ov 4-0 8 8 T� i K-721.7-M Handc.5hower on hook as mai shower head ® AML K-72572-ew UK-72797-ISN Mixini, Valve 0) CU i K-a U wall elbow for handshower Existing shower area Tile walls to ceilin , a C All dimensions _size designations This is an original design and must Designed: 7/30/2024 given are subject to verification on not be released or copied unless Printed: 7/30/2024 g J job job site and adjustment to fit jobMAJESTICapplicable fee has been paid or . . conditions. order placed. KITCHENS AND BATH SCOTT WEINLEIN Ayala Primary Bath Plan #3 7-25-24 JE1 3 Drawing #: 1 No Scale. Y Y