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HomeMy WebLinkAboutBP24-259PERMIT # g c)q- Q �59 DATE: d' c� o(p;�/�X,s SECTION 5 7 BLO/CK LOT // /,Q TYPE OF WORK inoV //CI NCO / �/ O //riolP �` /-7/P`0/Ie_e �,esv/e �o0C 1,faro 10B LOCATION � ,, a/ e/�/I%7�2T �Q �e�I4Ce OWNER_ SZ/ 9 U �G1Lfl//7 c pQ/ e.s �"yveo CONTRACTOR z '1 d C ��J . �I C. ST. COST%A 44YJ ® 00 FEE 4 CO # FEEW / 6D f W o%c�c�� Qr�i� (�/q) 777-�� TE � S TCO # FEE DATE INSPECTION RECORD I DATE INSP FOOTI N G FOUNDATION FRAMING RGH FRAMING ►NSULATION i PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM 0 AS BUILT CJ FINAL OTHER APPROVALS ARB _ 'BOT PB ZBA OTHER `QyE DR �. . 190 l7 CCU..ic, O VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury -.v-.vw.ryebrookny.eov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 28,2025 Alex Szigety& Kaylin Searles 2 Jennifer Lane Rye Brook,New York 10573 Re: 2 Jennifer Lane, Rye Brook,New York 10573 Parcel ID#: 135.57-1-13 Building Permit#24-259 issued on 12/18/2024 This certifies that the removal of concrete filling from chimney and fireplace to restore wood burning fireplace,under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D [E C E ��/] `�"'� For offiWV_ v BUILDING TlE�`ARTMENT PERMT s9 DD VILLAGE OF RYE BROOK ISSUED: ja APR - 4 2025 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE: y-4—a (914)939-0668 FEE:Al SU— PAIDA& VILLAGE OF RYE BROOK Nvwvc,rtebrook-nv.2ov 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 assrrrsrrwrsssswsssssssrsrrssswwww►wawas:ssssasrrrsarsssssasrrwrssrrwssssswwwwwwssssassrrrrssrrrrwrwwwaswswrsssrwswssrrrsss:+ Address: 2-- 16VIVIi f-AY W 01L Occupancy/Use: I VDT Parcel ID#: Zone: Owner: %qQWjZl, Wt ," Address: Z L1VUL P.E./R.A. or Contractor: Address: �Zj =LkJAVtA I0tV4 MA'\A tYWtA4 Person in responsible charge: I/l)aYd -hW HVi 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: '( GN �W ( I AiNing duly sworn,deposes and says that he/she resides at Z (Tint\ame of Applicwl 1 (\o and Strut) in ' % )-p (1_' (Z lit_, ,in the County of ���}l�/`.Q��'�i1r in the State of that 1(C'itc"fo"n inage) 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:$ T V for the construction or alteration of. `/ V Deponent further states that he/she has examined the approved plans of a 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 LA Sworn to before me this Uay of 120 day of Ayy—t 20 3SL Si re of Pr perty Owner y Signature of Ap T icant 3otaryNarne o roperty Owner t ame of Al plicant Public Notary Public SHARI MEULLO SHARI MEULLO Notary Public,State of New York Notary Public,State of New York n l ,nza No.01ME6160063 No.01ME6160063 Qualified In Westchester County Qualified In Westchester County . Commission Expires Jentiary 29,20 Commission Expires January 29.20 Z� BRC��• o tim 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: t r1 ❑ 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 N w N O N0 14� � a 0 = _ i Now h--I �- O pp O W bA re) M `� _ o a " o v 1�1 14 A o P 0 0cn © fl) CQ s 0 3 a ?� y i � O � ° ° R a. _ O Qj _ t� fTl3too O ►—, W o v o v ,.a i x n a a a p � `. p rovovWE V C� w 1 Z O © R A z oC, i Z s zo o ' 0 i�1 1f_T�/• 5 u uz z •p y �p � �U 2 � 8L � � cd tEW - vo O [-� u N A a rLl� �I P. 1-4 W xCA i aED �V BENT 1 2024 VIL EO»R OOx 38 KING ET RYE BR ,NY 10573 F BROOK ` 4 RY_ ov PPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY; Approval Date: UEt 1 it — ?Application Fee:$ Approval Signature: Permit Fees:$ /"5-y Disapproved: Other: �**,�**.**�*���***./****,�*�**f�**�****.**,�****�*.�*«*�**.�,��«��**,►,�***�,x*,M,xx,,.*,., x�*�*�,�*, .,«xnxxx,.,.x,.gib. Application dated: us hereby made to the Building Ittspector of the Village of Rye Brook NY.for the issuance of a Permit for dw interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address:2 Jennifer Lane SBL: 1,?6-i S 7/—/3 Zone: I Q 2. Proposed Improvement.(Describe in detail): Open up existing Chimney which was closed per the mandate from previous building inspector.Variance application submitted and granted with NY State Building Department. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rve Broo 1 No: Yes: If yes,indicate: TIER I: TIER II: 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:X Yes: (I f 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: t Fit After Construction: I Fam 6. MY State Construction Classification: N.Y.State Use Classification: 7. Property Owner: Alexander Szigety Address: 2 Jennifer Lane Phone# Cell# 201 421 8347 email: aleszi09Cgmail.00m 8. Applicant: Property Owner Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10, Engineer: Address: Phone# Cell# email: / 11. General Contractor/t/le, L,,ni, 11,V 1 eat dress: S2 c51 ✓ Y Aze k'-fa"-Oriel f A)y Phone#9,/-277—&mow Cell# email. �� 3 12. Estimated cost of construction $4000 (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: December 16,2024 Finish: December 20,2024 it' 61112024 VIL E OF Rffov OK i EC 11 202 938 KING ET RYE NY 10573 d 4 i _ _ t VILLAGE OF-RYE BROOK ? 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 WESTCHESTEk i v_ I, Alexander Szigety , residing at. 2 Jennifer Lane (Print muncl (Address Wherc)orr InC( 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; 2 Jennifer Lane . Rve 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. (V"i' l ��in;uur�op` ro rt}.Owner(s)) Alexander SAgety IPrint Narne of Property Owner(s1I ff Sworn to before me this 1 n [I day of � Uq2�j t, 20 1 7 Awajzz)'� L�a {Nola. ublicl GREGORY M.RNERA Notary Public,State of New York No.DI R16441398 z) Qualified In Westchester County CommissfOn Expires September 26,20; Wt2024 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. -ZAATE OF NEW YORK.COUNTY OF WESTCHESTER ) as: tvi4ie duly sworn,deposes and states that he/she is the applicant above named, .snni name ofindividual 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 cunaucted at the above captioned property will be in conformance with the details as set forth and contained in this application ana 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 I I Sworn to before me thi-.- day of , 20 day of ,20 Qure of Property owner Signature of Applicant Ald.n)Pf S;LI Print Name of Property Owner Print Name of Appiicanr o c Notate Public GREGORY M.RIVERA Nftn Public,State of New York No.01 R1601398 Mallfied In Westchester County / Cmin*sion Expires September 26,20 (4' 6/1/2U24 �ZMALAZA4Z :sauolS � . 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General contractor's contact name (first and last) & phone number. —�O u-�cxd MO V�l `'. Copy of general contractor's valid Westchester County Home Improvement License. /3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) For your fence permit (which expires 4/23/25) the attached C/O application will need to be submitted along with your updated survey and $150.00 C/O fee. Please let me know if you have any questions. Have a good day! Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 1 Yr So vm Lwatell Y' d Q N h L Q _ R 0 LO \ h e > Q N O In VTTW co r.wLU t LU j V z lL I _ 4—� W Z o _ �-1 = = N section uj ui 4-o Ow 2 ¢ Q v . _ wke a4 I /I l � � •� L 1i \ Li Z v wt / :,may• -� C Y Q � `'� ,yr. CO y y Q L CN «ta)>YW. i3l=��-�111'•� o-' 1•11�. ,,.7°"'�tC t�. . .j1.\.'..,. yar�r1r-�s�'>;6-•-sr 11 sue' . . . . . . + :<to)> I. 11 Yl 'Y � h 1 h I w �♦, *qq�p �tdi a deli N:h =_�y IS�1 1 1 1,► �� w�Rl° ,`�y♦j. -�i'P7`. '���A�� ,,yY!'° *IpY`^�.SI ♦�♦ �,fiii^\!f-^; /)�♦��a1KI^ ���♦) s�41♦li►��+ � bil. ACOROa DATE(MMIDDIYYYY) ��. CERTIFICATE OF LIABILITY INSURANCE 12/17/2024 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 Sean O'Keefe NAME: Affordable Contractors Insurance,LLC PHONE ExO: (888)652-4513 FAX NI I: (888)274 7438 PO Box 2389 E-MAIL ADDRESS: info@acisaves.com C� INSURERS AFFORDING COVERAGE NAIC 0 Gilbert AZ 85299 INSURERA: SUTTON SPECIALTY INS CO 16848 INSURED INSURER B: Mr.Chimney Clean Inc INSURER C: 529 Rockland Avenue INSURER D: INSURER E: Mamaroneck NY 10543 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 MM/DD/YYYY MWDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A X X ISCP04000035495 07/09/2024 07/09/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY jE O- LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Peraocident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) HOLDER NAMED ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION Village of Rye Brook 938 King Street, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Rye Brook,NY 10573 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' PORK CERTIFICATE OF STATE Compensation Board NYS WORKERS'COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) lb.Business Telephone Number of Insured Mr.Chimney Clean,Inc. (914)777-8200 dba Mr.Chimney Clean,Inc. 529 Rockland Ave lc.NYS Unemployment Insurance Employer Registration Number of Insured Mamaroneck,NY 10543-2222 Work Location of Insured(Only required if coverage is specifically Id.Federal Employer Identification Number of Insured or limited to certain locations in New York State, i.e.a Wrap-Up Policy) Social Security Number 133898629 2.Name and Address of Entity Requesting Proof of Coverage(Entity 3a.Name of Insurance Carrier Being Listed as the Certificate Holder) Continental Indemnity Co. Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King St Rye Brook,NY 10573 46-261997-01-10 3c.Policy effective period Attn:Project Manager 07/29/24 to 07/29/25 3d.The Proprietor,Partners or Executive Officers 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"Y 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 INFORMATION 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"T'. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board 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 113c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend,extend or alter the coverage afforded 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'Compensation contract of insurance only while the underlying policy is in effect. 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: Todd Brown (Print name of zed representative or licenced agent of insurance carrier) Approved by: 11/06/20 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: (877)234-4424 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) www.web.ny.gov