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RP24-121
PERMIT # )A SECTION TYPE OF WORK t�- JOB LOCATION �C7 CONTRALTO ST. COST CO # co TCO # ._ DATE: , / _ BLOCK �---� LOT-�-� r X :�G / i .CS Li i)�FM O/� VP/1 Lf -P ,l`/co FEE DATE ' INSPECTION RECORD ..r DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS C7 SPRINKLER ELECTRIC CJ LOW -VOLT O ALARM CJ AS BUILT [� FINAL 2e2.t( 3 glel) 8ysy S Z/3 t�rCal7i77`0 Cqly) 90jo-o`164q OTHER APPROVALS ARB BOT P8 ZBA OTHER _ BRCS� 'K s �{! C I w Q j,44 V u v 'C J . 19 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 November 14, 2024 John Jared Haines & Cathleen Haines 20 Lincoln Avenue Rye Brook,New York 10573 Re: 20 Lincoln Avenue, Rye Brook,New York 10573 Parcel ID#: 135.65-1-28 Roof Permit#24-121 issued on 10/23/2024 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 ' For office use only: D `_ BUILDING DEPARTMENT PERMIT# ,=)'y- )-I VILLAGE OF RYE BROOK ISSUED:%O NOV — 8 2024 0938MNG STREET,RYE BROOK,NEW YORK 10573 DATE: /f— (914)939-0668 FEE: ,�j PAID IN VILLAGE OF RYE BROOK www.ryebrookny.gov 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 #tt##i###ii##kiik//k iffftf#t**##*#ik#ti##iikifi#ft##t##*t###i#fiifkiiifii#iii#i#4tffft#f#t########i#ii#tti#ii#tit#ffkififfktfti Address: L!/Z '(p�/( /c-s7 3 Occupancy/Use: ki s. Parcel ID#: iss . 65-1 Z el-3 Zone: Owner: &lUe- L /�Qgpee d o�it3 fi4*&WS Address: as �.tQo%t Age P.E./R.A. or Contractor: �Sa1 eL�s Address: 166Q Person in responsible charge: Qroa;ir Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance 42 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: / /�J /VIC-IL (}( i� being duly sworn,deposes and says that he/she resides at 35/ C&rO4✓0 /CVI P rint-Name of Applicant) n o.and Street) in ,in the County of (l c in the State of�,that (City/Town/Village) he he 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�J • , for the construction or alteration of-. A 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. r Sworn to before me this �.5 Sworn to before me this J day of � , 20AY_ day of , 20,l h kNg6 Signature o operty Owner Signs/ o scant CJL&—?4; Print N Ow Print Name of A cant 115�lie Notary Public-State of New York Notary otac ublic-State of New York No.01 PA6089211 No.01PA6089211 Qualified in Westchester County Qualified in Westchester County Commission Expires March 24,20� Commission Expires March 24,20 2� �E BRC�v�. 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR P'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 : L� L I j C. , DATE: ! i._a PERMIT# 2 `"1 C 1 ISSUED:1--)- .3- SECT:BLOCK: LOT: LOCATION: �L �7 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 : �..� � N W N O N CA v U t 14 R+ N n oa, �i N y 6J O W dA 0 � ~ 'O DA '� (y ■ s r O to y /H I--I a o Q p� o 01 v o O �" - . �, v W 00, p4 H 00 v ^ . CS 0 00 V) '4: a a z � O W W p a � � � •°° � oo a y 14 - may 00 U Z P O , w rn CIS -a o f o x Z N a ° •N � � � � ram+ H U O U V x o p c°» soN V- 4 U W�" O �• cov � � � V vcr z U w ° gQ ° ` o 0 o V C7 y, A 2 O o z 0 � _ � c rf BUILDING DEPARTMENT Lu VILLAGE OF RYE BROOK �; OCT 2 4 938 DING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.Kykny.gov BUPLDING DEPARTMENT FOR OFFICE USE {{ONLY- Approval Date: �LV r it# 7— Application# Approval Signature: 4 ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BQT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other:Application Fee41 — b Permit Fees: 4,66 Lf—106 ROOF PERMIT APPLICATION Application dated: Lai 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 statement described below. 1. Job Address:rjQ L;0C W L SBL:� iS _/-c d __Zone: —/v Property Owner:61W Address: 40 bnaak- -&bde !Uy Phone#: Cell#: email:: // I ray 2. Applicant:A& awn,"* Address:� ojiCLC1* pT&em tJA ej— Phone#: Cell#: email: 3. Roofing Contractor: Sans, Txe- Address: I/96-t K4rIrRS A_y 67df-j Phone#:q/4.,x -6683 Cell#: email: 4. Job Description, list all Methods&Materials: • 5. Estimated Cost of Job: $r�1�._'�t'l (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 street frontage: 7. Construction Type: (god NYS Construction Class: 8. Number of stories: r Height:A r�5a__ 9. Is garage being re-roofed:No: W.Yes: ( )Attached No: ( )•Yes: ( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: Ali 11. Estimated date of completion:,ow-OUe. 1 611/2024 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: dey , �y ,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 �OAMXI�0_ Q _ 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 �7 Sworn to before me this �y day of OCr[ ge , 2( L _ day of c.!/�ep_ ,2(b�►� SignaturWooperty Owner Signature o pplicant Al1—V— 1`3'a2 Print Name of operty Owner Print Name of Applicant N Pub ' ry is George C Palmiero George C Palmiero Notary Public-State of New York 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�?- Commission Expires March 24,20 a?� -2- 61112024 J 1 Salvatore & sons' Inc, AN AFFILIATION OF J SALVATORE CONTRACTING LLC Roofing — Siding— Masonry — Carpentry Established 1921 1187 YONKERS AVENUE Greenwich,CT N.Y.C.No.2051743-DCA Yonkers,New York 10704 Tel:(203)869-9300 YON.No.4012 Tel:(914)237-0683 Bronx,NY WEST.WC-16065-H05 Fax:(914)237-0937 Tel:(718)548-0100 Conn.574564 CATHY HAINES OCTOBER 12,2024 20 LINCOLN AVE RYE BROOK, NY. 10573 (914)8435843/cathythaines@yahoo.com THIS FIRM PROPOSESTO FURNISH ALL LABOR,EQUIPMENT AND MATERIAL TO DO THE FOLLOWING WORK: ROOF • PERMIT FEE AND FILING FEE INCLUDED. • FLAT ROOF NOT INCLUDED. • REMOVE AND CART AWAY EXISTING LAYERS OF ROOF SHINGLES DOWN TO WOOD DECKING. • INSTALL GAF SELF ADHERING WEATHER WATCH MEMBRANE AT THE FOLLOWING LOCATIONS. 1. ALL ROOF EAVES 3FT. UP FROM ALL GUTTER LINES 2. AT THE BASE OF TWO CHIMNEYS. 3. AROUND ALL REMAINING ROOF PROTRUSIONS. • INSTALL 30LB GAF HIGH PERFORMANCE TIGER PAW UNDERLAYMENT ON REMAINING ROOF DECK SURFACE. • INSTALL ALUMINUM DRIP EDGE FLASHING ON ALL ROOF EVES AT THE GUTTER LINE AND ALONG ROOF RAKE EDGES. • INSTALL 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. • REMOVE AND REPLACE ALL ROOF VENTS LIKE IN KIND. • INSTALL MATCHING GAF HIP AND RIDGE CAPS. • FABRICATE AND INSTALL NEW16oz COPPER CHIMNEY FLASHINGS AT THE BASE OF ALL THREE CHIMNEYS. BASE FLASHINGS AT LOWER FLAT ROOF NOT INCLUDED. • 5YR WARRANTY ON WORKMANSHIP. TOTAL LABOR AND MATERIAL $27,375.00 DEPOSIT $12,375.00 %O j 0-166R COMPLETION $15,000.00 ADDITIONAL COST TO CONTRACT 1. REPLACE ANY DAMAGED DECKING AS REQUIRED AT AN ADDITIONAL COST OF$150.00 PER SHEET. NICK GRANITTO J.SALVATORE&SONS INC. X Date NICK GRANITTO Date "0— � �- Authorized Signature I have read and understood the conditions on the next page. ACCMEP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 11%1� 1 10/14/2024 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). CONTACT PRODUCER 914-600-6222 800-860-1151 NAME. Philip Christe Philip Christe Insurance PWC.HONE ; 914-600-6222 FAX No: 800-860-1151 1575 Cattlemen Rd. ADDRESS: phil@christeins.com INSURERS AFFORDING COVERAGE NAIC# 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 INSURERD: 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 LTR POLICY NUMBER MMIDD MM/DD ✓ COMMERCIAL GENERAL LIABILITY �/ �/ EACH OCCURRENCE $ 1,000,000 A DAMAGE TO RENTED CLAIMS-MADE ✓ OCCUR PREMISES Ea occurrence $ 100,000 3AA 04/20/2024 04/20/2025 MED EXP(Any one person) $ 10,000 775921 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 7 PRO- POLICY LOC PRODUCTS-COMP/OP AGG $2,000,000 7OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 ANY AUTO S2517257 09/02/2024 09/02/2025 BODILY INJURY(Per person) $ B `/ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LLAB CLAIMS-MADE AGGREGATE $ r-tDED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,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�J � �`D���•�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York Stare Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE a a A A A A A A 133872277 LOVELL SAFETY MGMT CO.,LLC 22 CORTLANDT STREET 33RD FLR NIL"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 10/14/2024 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 �/4 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:429634983 U-26.3