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HomeMy WebLinkAboutSWP24-001 V/ ��•u4 vv�+ 4 BR 19 VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0753 Christopher J.Bradbury www.Eyebrookny.gov TRUSTEES SUPERINTENDENT Susan R.Epstein OF PUBLIC WORKS Stephanie J. Fischer Michal Nowak David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE January 9,2025 Eric Newman&Cindy Newman 39 Tamarack Road Rye Brook,New York 10573 Re: 39 Tamarack Road,Rye Brook,New York 10573 Parcel ID#: 135.60-1-54/55 Storm Water Permit#24-001 issued on 6/13/2024 to Install Drainage&Drywells This certifies that the drainage and drywells,installed under the above captioned permit have been satisfactorily completed. Sincerely, Michal J.Nowak Superintendent of Public Works /to DR°U� Village of Rye Brook Public Works and Engineering Department 938 KING STREET•RYE BROOK,NY 10573 1982, (914)939-0753 FAx(914)939-0242 INSPECTION REPORT Address: 7 - Date: Name: ILI` w Al Location: Permit#: Phone: Email: Work being Inspected: Work Inspected is: -Accepted Rejected Re-Inspection Required Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water Pass Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation Notes: Diagram: Signature � N N M MM C cr con n M O p v u HW y GJ C �.. "' U V J W a a T� .n G + w 1—y vx lot i ai E a = ✓ C ham) en en �' cs O 4 o c z .d Q Cch = cn I s W A oo " ° cq tO ¢ •� a ate, V qC, W W v O Q C y OA W V \.Jrq N F_ 5 4 avid O C1 .2 b p V �, U V w c4 o v O W ! a A z W �00a (� m 00 cr¢ u o + C W ?_ " " c" oa �a °w' '° C ;, o v 0 �+ U W (U Q U .r o N � fx F+ w O cz) °"°� V w v Cn o � C, � P x M A W z A02 o 0 O W W W a � E ca a BUICal, MENT � E C E ��E VILOK 938 KING NY10573 JUN - 3 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Q Approval Date: /2 Z Permit#:��/ ��� / BP M Approval Signature: Permit Fee: zz S Disapproved: Other: Attached Resolutions: ( ) B.O.T.; ( ) P.B.; ( ) Other: kr.kkt*k�F*:tkkt k**:t*:tkkY t�:k:F;tkkkk9:kk*1:kki:*kki<�:kkxal:Fkk�:*9:ki:r.*:F Fkkt k;kxkkkx:t�;�:i:*k�:�:kk9::Fk****9:kki:*9:k ::l is is k9:kkk:t l:k STORMWATER MANAGEMENT CONTROL PERMIT APPLICATION Application dated: ZX L q is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Stormwater Management C ntrol Permit for work,as per detailed statement described below. 1. Job Address: -7-4411"?�� 2. Parcel I.D.#; ,���yr - z��j� Zone: 3. Proposed Work(Describe in detail): s e 4. Property Owner: /LtG �� �i.�yy <<[�G�✓/i'lA-�/ Address: :" Phone#/Q/Z) 3/Q - W Cell# ,� �•�- email: e c^ Applicant: Address: Phone# Cell# _ email: -- Architect/Engineer: Address: Phone# q��J -025' Cell# email:nfrj.S5L2(�' General Contractor: LAt0 e Address: o er ys,�.t 9 ri94� /1 Phone# !k/ 7 Cell# /� �lG — ei7�_email:�tGA6�+u.��i7/tt�G��ftL1�'�r.�c 3 - 5. Estimated cost of site work S (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,backfill,grading,site restoration,carting/tipping fees and material&labor which may be donated gratis.) 1 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Eitet ,-Lc,i"►7 ti ,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. Sworn to befor me this � Sworn to before me this day of �� , 2Q,� day of , 20 Signature of Property Owner Signature of Applicant C�r C uJM �/1�sc� .fs Gt.��s•c Print)Name of Pro caner Print Name of Applicant Notary bl Notary Public Damon Eskew Notary Public of New York I.D,01986442995 2 8/12/2021 BUILDING 119PARTMENT I VILLAGE OF RYE$R,OOKFL 938 KING ET RYE BR OK,NY 10573 JUN - 3 2024 � 4 -0 BROOK VILLAGE O. RYAE BUILDING DEPARTMENT 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: Q x, f;IQ 1 C bl E N/`61 f+v-� , residing at, �:q `rj}i►-rA X 2 (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; _3q _AA,?6 SACK /�� , 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. (Signature of Property Owner(s)) Cie f G N4t, I-) A d (Print Name of Property Owner(s)) Sworn to before me this l� day of , 20 (Notary Public 3 Damon Eskew Notary Public of New York L&CA sn 2/202 t @®NIIrIms"EXPNt6S 1OrA412 26 MICHLAB-02 VLARA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/VYYY) 12/28/2023 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 INSURERS),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 C ACT Virginia Lara Acrisure Insurance Partners Services of NY,LLC PHONE FAX 90 S.Ridge Street AIC,No,Ext. .CI,No): Rye Brook,NY 10573 I-&%ss,vlara@acrisure.com INSURERS AFFORDING COVERAGE NAIC e INSURER A:Transportation Insurance Company 20494 INSURED INSURER B:The Continental Insurance Company 35289 Michael Labriola Inc. INSURERC: 84 Business Park Drive,Suite 214 INSURER D: Armonk,NY 10604 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 TYPE OF INSURANCE ADDI SUER POLICY NUMBER POLICY EFF POLICY EXP LIMrS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR X 6079971778 1/1/2024 1/1/2025 DAMAGE TO RENTED $ 100,000 MED EXP(Any one $ 15,000 X Contractual Liab. PERSONAL dADVINJURY 11 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 2,000,000 POLICY 1KJELPT MLOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER COMBINED SINGLE LIMIT 11000,000 B AUTOMOBILE LIABILITY (Ea acciderM X ANY AUTO 6079971764 111/2024 1/1/2025 BODILY INJURY Per ersm S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY p BODILY INJURY Per sccdent AUTOS ONLY AUTOS OTV I ar PE I AMAGE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LUAB CLAIMS-MADE 79971750 111/2024 1/112025 AGGREGATE $ 5,000,000 DED I X I RETENTIONS 10,000 WORKERS COMPENSATION PER LITE FOR ANY YIN ST,AAFY PROPPREIMTgOER EXCLUDED'IE ECUTIVE ❑ NIA E.L.EACH ACCIDENT $ (Mandatory In NNI E.L DISEASE•FA EMPLOYEE III II Yes descnbe urger DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addillonal Remarks Schedule,may be attached I more space is required) Village of Rye Brook is additional insured with respects permit I license.; CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village Of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1� N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 132670924 0 -P'4 o :. t LOVELL SAFETY MGMT CO..LLC 'y' � � ,, •_.,r 22 CORTLANDT STREET 33RD FLR hs r' -. NEW YORK NY 10007 Oi►,_� SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MICHAEL LABRIOLA, INC. VILLAGE OF RYE BROOK 84 BUSINESS PARK DRIVE 938 KING STREET SUITE 214 RYE BROOK NY 10573 ARMONK NY 10504 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2496 659-0 408552 04/01/2024 TO 04/01/2025 03/12/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2496 659-0. 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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS' COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 559161224 I'r00000000000125190!6511 Form NC-('ERi•NOPRINT YenionJ 1082v'ZUI�IINY Ydw�•:r�xaSwl� I'-'b Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday,June 21, 2024 7:34 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 06/21/2024 07:33 To: VIL RYE BROOK PRIMARY Transmitted: 06/21/2024 07:33 00003 Ticket: 06214-000-168-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr= From: 39 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: RIDGE BLVD & COLLEGE AVE Means of Excavation: MINI EXCAVATOR, HAND TOOLS Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: INSTALL DRAINAGE Estimated Work Complete Date: 07/22/2024 Depth of excavation: 6 FEET Site dimensions: Start Date and Time: 07/01/2024 07:00 Must Start By: 07/16/2024 ------------------------------------------------------------------------------ Contact Name: HECTOR MENDOZA Company: MICHAEL LABRIOLA INC Addrl: 84 BUSINESS PARK DR Addr2: SUITE 214 City: ARMONK State: NY Zip: 10504 Phone: 914-446-4601 Fax: Email: hmendoza@michaellabriolainc.com Field Contact: HECTOR MENDOZA Alt Phone: 914-446-4601 Email: hmendoza@michaellabriolainc.com Working for: ERIC NEWMAN ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 .117 M z 4. r- F w w W j X Z V Z LU A� a- uj a w 0w i. zzo� $ �Y� era ��� U p Z?S``C� W �tU'. 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