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HomeMy WebLinkAboutMP23-068 tyy 4°j�J GG L�y�tt w G .r . 19t1 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.iyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 13,2023 Sebastian Bartolotta&Tracey Bartolotta 3 Jacqueline Lane Rye Brook,New York 10573 Re: 3 Jacqueline Lane, Rye Brook,New York 10573 Parcel ID#: 135.35-1-58 This document certifies that the work done under Mechanical Permit #23-068 issued on 5/3/2023 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC��t, 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.orss - - - - - - - -- - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:— . l /l ( A Y) _, CI DATg: /J PERMIT# ISSUED: SECT. �`� LOCK:+ LOT. LOCATION: ` �� — V J� \ � _ (-` j`OCCUPANCY:' ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING —y ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING OSS CONNECTION FINAL ❑ OTHER x x ■ IND w 'O x N p� +v v ■ eF' N N :3 �a. o n in k ■ W 0~. U W 1 00 w ❑ 1 1 ''Z A p a+ h�-I ■ 1 M w 1 en 00 g y v 0 v V �I // ~ 0 /. Q F'1 W Y•/�, rT U W H di j Fes! ° •4 �. o W cnv •� a en M r1 �j id C N °i W x Ln z O W oo C!) z v © 'o'o v w 6 V Z ®® 9 Uz - O oo, ' ICI x o ON 14 r„■a00GIN a C4 v v ,, • U 5 y a .41 5 �zi � o a Ug0 o ° a, `v o z z a O O M - 0 V O o V � � M p a d BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAY — 1 2023 938 KING�TREET RYE BROOD,NY 10573 (4�4�} -OC¢ VILLAGE OF RYE BROOK .r o ' I BUILDING DEPARTMENT Aoolieation for Permit to Remove, Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: �/nt— Q3�(D9 Approval Date: MY ��� Permit Fee: $ Approval Signature: Other: Disapproved: ' fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3.Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal, Abandonment, or Installation: $185.00 per Tank. 5. Dig Safely New York# (dial 811): 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests & Reports (after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. Application dated, �' �' f is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County, State& Federal laws,codes,rules and regulations. Indicate Permit Type: Installation ( •Removal ( ) • Abandonment / Ahnve ,round O • Buried in Ground ( ) I. Address: U �f1. SBL: Jrj�_ �— � Zone: —� 2. Property Owner Address: — (,)K Phone#:Q lq •q--,R Qin l © Cell#: email: ,. 3. Contractor&Address; EljU Lo Phone Ceti#: email.,.� v;ttrt fir' r .C[r 4. Applicant: :� �—C_j �tTC D.a,,( . Phone#AN•mot 11• Cell#: email*VJN'C-g ' Niel�(��g� 5. Indicate Fuel Type: Fuel Oil X• L.P. Gas( )•Gasoline( )•Other( }: 6. Number and Capacity of each Tank: I — ` —1 J 7. Exact Locations of each Tank: S }rt`, � { ) �1X',C,[" '� J CaL]—C�L C+r� i 8/12/2021 STATE OF NrW- QI K, COUNTY OF as: ,4i� 4�do c,., P� nivtit ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of ind vidual signing as the applicant) and further statt that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the (�d er"A— for the legal owner and is duly authorized to make and file this application.(Lndica'-d 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 Sworn to before me this day of ,20 day of ,F ,20� Signature of Property Owner Signature of Applicant R, f 2-4A Me-t-nv Print Name of Property Owner Print N o Appli t t L _ _ Notary Public Notary Public M SEAN LYTLE SEAN LY t wE NO2ARYPUBLIC NOTARYPUBLiC JV Cominlsslon Expires Aug,31,2021 Py CommisalOn Expires Aug.,31,�r This anplication musLbe properly completed in its entirety and must include the,notarized signatare(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. 2 8/12/2021 Double-wall Heating Oil Storage Tanks •-� 1 F Utilizing double-wall construction for ultimate safety and reliability for all your home heating needs. Y tl 3 1 I `I f fifi S V ' Unique double-walled construction RC3+Fl Our uniquely designed oil tanks are one of the safest and most reliable on the market. The outer tank is made of leak-proof, weld-free galvanized steel and rollseamed with an oil and fire-resistant seal. It can contain at least 110 percent of the capacity of the inner tank for maximum protection.The inner w , tank is made of blow-molded, high-density, seamless polyethylene that is leak s proof and will never corrode. Roth tanks are easier and faster to fill thanks to their unique expansion system, all but eliminating the possibility of spills " f' by home heating oil professionals. And, our compact tanks are available in ; several different sizes, providing more flexibility for placement in any home. 4 , Built with safety and the environment in mind Roth oil tanks exceed the industry standard safety regulations.They are rust resistant inside and out and are designed to prevent spills, leaks and fires caused by defective pipes,couplings or fittings located underneath the tank. Each tank undergoes thorough testing, including ultra-sound and pressure testing, to ensure optimal thickness and sealing. Roth DWT Features i Weld-free galvanized steel outer tank that can hold 110 percent of the primary tank 2 Seamless high-density polyethylene inner tank S J 3 Highly visible optical teak alarm 6 a 4 Up to 50 percent lighter than a 12-gauge steel tank with larger storage capacity 2 5 Non-corrosive steel filling system that provides an even level in each tank when installed in groups 1 6 Burner feeding system with a duplex bushing installed directly into the opening. Available with 3/8"or 1/2" slip-thru compression fittings for copper tubing. —, Fittings can be removed for a threaded opening of either 3/8"or 1/2". \ 7 Cover for outside use �S © Nn .�GNADI O N n..w�.,,...,�. OR MIT AA9D('IATDN GREAT CONSUMER INSTALLATION TRAINING In an effort / help / become offer free, 1 2 hourinstallation r.ve�•w �.—_I more aware of the safety and reliability training sessions on a regular basis. is=si'IRothoil tanks offer, designed Additionally, 1multiple i L microwebsite specificallyt 11 provide O!- l product. loaded 1 1• location. 1 learn more Sep gooA-bye to wom... - "/ inf1 11 1 found 1session, w.....,-y.+ -.a...,.....-.....�,..e..w wholesaler1 Key BenefitsDimensions • Leak-proof and will not corrode Tank Model • Outer tank holds 110 percent of inner tank for maximum protection Nom.capacity US gal(liters) 110(400) 165(620) 275(1000) 275(1000) 400(1500) • Up to 50 percent lighter than Length inches(cm) 29(74) 29(74) 43(110) 51(130) 64(163) conventional steel tanks Width inches(cm) 28(72) 28(72) 28(72) 30(76) 30(77) Can use for heating oil,diesel and Height inches(cm) 44(112) 61(155) 61(155) 54(137) 68(173) bio fuels,motor oil,DEF and ATF Min.height required inches(cm) 49(125) 66(168) 66(168) 60(152) 76(193) Compact,economical design Tank weight lbs.(kg) 106(48) 132(60) 167(76) 208(94) 333(151) (8 sq.ft.for 1000L) Provides maximum storage safety Shipping weight lbs.(kg) 115(52) 143(65) 185(84) 230(104) 358(162) • with minimum space requirements Approximate Footprint for Muttiple 1 • Removable base facilitates access to Tank Model DkVT r tight spaces and greater stability • Wide handles on each end allow you 2 tanks in inches 29 x 60 29 x 60 43 x 60 51 x 63 64 x 63 to transport and handle with ease (side by side) (74 x 152) (74 x 152) (110 x 152) (130 x 160) (163 x 160) Quality control and testing exceeds 3 tanks in inches 29 x 92 29 x 92 43 x 92 51 x 96 64 x 96 industry standards (side by side) (74 x 234) (74 x 234) (110 x 234) (130 x 244) (163 x 244) 4 tanks in inches 29 x 124 29 x 124 43 x 124 51 x 129 N/A (side by side) (74 x 315) (74 x 315) (110 x 315) (130 x 328) 5 tanks in inches 29 x 156 29 x 156 43 x 156 51 x 162 N/A (side by side) (74 x 397) (74 x 397) (110 x 397) (130 x 411) 2 tanks in inches N/A N/A 28 x 90 N/A N/A (end to end) (72 x 229) All double-walled tanks come with a generous 30-year Rest easy knowing limited warranty, as well as an insurance policy worth Roth energystorage up to $2 million. products are f ' reliable, durable and 1 guaranteed 1 ROTH DWT ACCESSORIES providesRoth . . and operate our oil tanks to their full potential. Duplex Bushing,1/2"or 3/8" o o C l Expansion , irwn Kit(for installation Cover-Tank r outdoor �Q- �� Generation Storage Distribution z c+ >Solar >Septic >Radiant Floor Heating m � R�� >Cistern >Plumbing Systems >Rainwater Collection >Oil Storage Tanks OIST R!BUj��� Distributed i Roth • Roth • Corporate Office •O Box 245 Syracuse, NY 13211 00 i N a` � ��S � ►r, 3 1 1 . OLM. 1 1 � 1 I L &J -( Cr) ^J 2 { e7) _ 1 `i O G� .���w as ,_Sw ,ys7�"�''4"1tr�.,� if.��.�y�w •'.AY.kr �`"�t � ' A '?M°'tJM���! '�r � .n . �n/� `:•C 's'd n/j":., �s14(i4`^ 1i\.._ )vttn�d.�_- - a.{��^�Nta�:=� �it.`y�A+^ ls'?�_ /.�' ^ �,"�'C. :•�^y�SE'?Z-, '+'•:�Y�r �EDY rj `�Y�, _ e�' {S•Ury y„� 1 � ,��5'y�i f t,rt''�;Y 1 •@o° �, +'ti'�t�fif �COI��� / ,ru':n,i ,,, .;^tf�'•`�syM+'ry�.�..tV� Yb� +7t�4 0• ;7,b`•5.4 e y.�, if ?htrirx:ull'"Z. I� WtEr fi' !i, -�v�: '�i} ft, :w ' d. 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A.4 !4,1. 6:0 ..s y' 3A)�'"'. \.. 9 ^ V •'i; n i t' 1 t?(i i n S,s .� is Iry A. S `il•tit tn, i S �+ n �j 1 � ..6 .� �; t '•} i� t �{tY SSM r<k i -++ � a 11'�+ Er? `+�' tY 1n � � ti:i =�lyy rr 6 .K r �+''. .,�}'�•\�. ,t,51'r,�, W;t'(l•,•r t•, t r 5 n ; Alt :� klµ` 4 !• f S' i'",lt 5'r` ` "'^r�tr'' YNr'.'- �t� (' 2:1 tit � k t 4�,v}fipr . � Z �':Y f�r'41 §>.. � (���thti w r �tt�ek�._ � tivt�r:�ln. .dGr i A•.. •r�r--�.. ACOI CERTIFICATE OF LIABILITY INSURANCE 04f27 DA7 DHYYV O i2,R022 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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions of 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 Ileu of such endorsement(s). PRODUCER CONTACT NAME. CLIENT CONTACT_CENTER..-_- - FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE:P.O.BOX 328 PHONE mg.Ew:688- 3-494 lglc Nd 507-446-4664 OWATONNA,MN 55060 EMAIL ADDRESS:CLIENTCONTACTCENTERQFEDINS.COM NSURER(S)AFFORDING COVERAGE NAIL C INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 330-130-6 INSURER B: WESTMORE FUEL COMPANY INCORPORATED INSURER C: 86 N WATER ST -' GREENWICH,CT 06830-5886 INSURER D: i INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:35 REVISION NUMBER:D 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 INSRI TypE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY E%P LIMITS T N MMIDDIYYVV MMQDIYVYV X I COMMERCIALGENERALUABIUTY EACH OCCURRENCE $1.000,000 FJ- CLAIMS-MADE OX OCCUR DAMAGE TO RENTED S1OO,000 PtiEM1:E8.1Sts �1 MED EXP(Ay ten•P•nanl S5,000 A N N 9062815 06/01/2022 06/01/2023 PERSONAL&ADV INJURY $1,000,000 G EN'L AGOREGATE LIMIT APPLIES PER. GENERAL AOOREOATE $2,000.000 X POLICY PRO, `J JECT LOC PRODUCTS-COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,OOO a.d e X ANY AUTO BODILY INJURY(Per P--) q �H OWNED AUTOS ONLY AUTTOOSULED N N 9062815 06/01/2022 06/01/2023 BODILY INJURY(Par actid.,U I I HIRED AUTOS ONLY NONOWNED PROPERTYoAMAGE AUTOS ONLY 1Per.<'" I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $7,000,000 A EXCESS LIAR CLAJMS-MADE N N 9062816 06/012022 06/012023 AGGREGATE S7.000.000 DED RETENTION j WORKERS COMPENSATION OTN- AND EMPLOYERS'LIABILITY Y N X PER STATUTE ER I ANY PROPRIETORIPARTNERIE%ECUTIVE E.L.EACH ACCIDENT S500,000 A OFFICERIMEMSER EXCLUDED? _III N 9917566 06/01/2022 06/01/2023 fIMandelory In NHI E.L.DISEASE-EA EMPLOYEE S500,000 II ye f.des vl be uNder DESCRIPTION OF OPERATIONS below El DISEASE-POLCY LIMIT S500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addiii.-I Remerss S&tdulc,..y be el —d if morn space is rcq.ired) CERTIFICATE HOLDER CANCELLATION 330.130-6 350 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573.1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/D3) The ACORD name and logo are registered marks of ACORD YQRIf j Workers' CERTIFICATE OF ..... ...._ sTATr ns�ie�n Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE �-� Board la Legal Name&Address of Insured(use street address oniy) 1b.Business Telephone Number of Insured Westmore Fuel Company Incorporated 203-531-5650 86 N Water 31 Greenvdch CT 06e3o-56e6 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(On!y required if coverage is specirical!y limited to 1d Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number D6-C739367 2.Name and Aedress of Ee6ty Requesting Proof of Coverage 3a.Name of Insurance Ca,rier (Entity Being Listed as the Certificate Holder) ViGage Of Rye Brook Federated Mutual Insurance Company 93e King k, 3b.Policy Number of Entity Listed in Box'I a" Rye Brook,NY 10573•?226 9917656 3c.Policy effective period 06101i2022 to 06i0112J23 3d.The Proprietor.Partners or Executive Officers are ❑ Included.tonly check box if all uzlud d) X ail excluded or certain partnersloffcers exc!uded. This certifies that the insurance carrier indicated above in,box"3"insures the business referenced above in box"I a"nor workers' compensation under the l York State Workers'Compensation Law (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Ceitificate of insurance to the entity listed above as the certilicate holder in.box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensaton Board within 10 days IF a policy is canceled due to nonpayment of premiums or with n 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated or)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. This certificate is issued as a matter of information only and confers no rights upon the certificate holder This cerificate does not amend. extend or alter the coverage affoided by the policy listed.nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compersai:icn contract of nsurar.ce only,vIntle the underlying policy is in elect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: DANIELLE SACKETT (Front rams of aulhorirad ten:ecrnralivr,or lieertse:d a!1nn;nf in ura��^arrirr; Approved by: i -',t �f���� 7� 04/26/2022 (Slyraa:rel (Dale) Title. Authorized Representative Telephone Number of authorized representative or licensed agentof insurance carrier: 888-333 4949 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C•105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) eyww.wcb.ny gov