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HomeMy WebLinkAboutDP24-005 ` C OR O` 1r�IJ V V�� ✓G 4 L f.U, a V l��V Vu� V, VyW V 190 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 January 2,2025 Patna Carmona,Lisa Carmona& Gustavo Carmona 81 North Ridge Street Rye Brook,New York 10573 Re: 81 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.75-1-36 Demolition Permit#24-005 issued on 12/30/2024 to Remove Gravel Parking Space This certifies that the gravel parking space,removed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to DECIEE M BUILDI W MENT For office use only: DD ,AP —OOJ' VIL ,A OF RYE� OK PERMIT#ISSUED: d-30--)q DEC 3 0 2024 38 KING STREF;rj_,AtYE BROOK,,NVW YORK 10573 DATE: FEE: --PAID J9 VILLAGE OF RYE BROOK ov 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 ssssssss*****sssssssssssssssssssssssss**s**s*****s**s**s*ss********sssssssssssssssssssssssssssssss*sssss***ssss*sss****s**s** Address: / /✓01-7� 41e6f oa�l , V>V Mr Occupancy J Occupancy/Use: Parcel ID#: Z 3s1 7, — Zone: x0' _S Owner: G�i/S�91� , ) tIW4VA,�( Address: :F/ /%C�.��fi I -0' P.E./R.A. or Contractor: Address: Person in responsible charge: U2iWAZ 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: p ye) 9 C&PAP 5d being duly swom,deposes and says that he/she resides at �/ Nd e'N , 1&e .�(�` `CJ (Print Name of Applicant) (No.and Street) in &eov(l ,in the County of in the State of ,that (City/Town/Village) 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: S_ /1 0 y C'' for the construction or alteration of: 6,1eNft, —"i J W bd, 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. Sworn to before me this �� Sworn to before me this o� day of -Ccvv,\ Vjcv- , 20LL�- day of �ct*'11 kl -11- , 20 a`F /"� � �K Signature of Property Owner Signature of Applicant Print Name of opertyyOwner Print Name of p' �licant iAr / Notary Public Notary Public uSA F. GRECO LISA F.GRECO NOTARY PUBLIC STATE OF NEW YORK NOTARY PUBLIC STATE OF NEW YORK WESTCHESTER COUNTY WESTCHESTER COUNTY LIC.#01GR6089461 �j LIC. #01GR6089461 COMM. EXP.03124/282B COMM. EXP.03/24/2�01�2.,�e-f- oCl.� a�7 �yE BR1. C��. 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 V T 0 DATE: PERMIT# ISSUED: 1' SECT: BLOCK: LOT: LOCATION: ` 1 L 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 t t N L W Ln N 9 N N a• GL a M n A 09 c N 1-4 t t W W eno0 cnC~ `� �' z M 117 � �--i W c4 4 v v v w U n bLn /ti 4i Cn + ^O 9 C bA v oGJ 1-�-IaNZ z S m 'O C W bA s v r L y O F+ O Zw rn O O a i @ FO W o . �j Ln � ,� �, CL Imo+ ■ p � v V O 00 �" z O �" A4 pa U -c a V ■ 1—i �t w Q C7 C�1 O o p 00 CN U W ■ N tad �" 6J � v 0 � d u — v �, � � „ :, o o ww a �I v � E-+ � �, O 'q w w z �" a G fYi V w � o o ? O O pip z v H � 'yaa W @ 0 P; 44 3 i S BUILD MENT L C E V11L OF RY ' OOx 938 KING ET RYE BR ,NY 10573 DEC 2 Q 2024 , 4 ov VILLAGE-6—RYE BROOK BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FUZZ OFFICE USE ONLY, ` Approval Date: �� Permit Ap�7 u- OOS Application Fee:$ r o � Approval Signature: Permit bees: $ � [} -/ L) Disapproved: Other: Application dated: /� /,Oki 0 jy 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 adexiaking building,or for a change in use,as per detailed statement described below. 1. Job Address: .fl Jy`?N' Alde SBL: SSo, 7-!�-Y-36 Zone: Z. Proposed Demolition. (Describe in detail): �i' '.+I(G 691 ` t 3. Property Owner: Address: e�� N�1�� .�.✓�1Cftp � Phone# Cell# 411191' -.1py-Py� - email: Applicant: Address: Phone# Cell# email: Architect/Engineer:N`� Address: Phone# Cell# email: General Contractor: /V,/ Address: Phone# Cell# email: 4. Estimated cost of construction $ •rc/l (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis. 5. Type of construction: (wood frame, G{ae,masonry,steel,etc...) eW XWO t G�/ 116'Vf, 6. Method(s)of Demolition: f/ 44!O 7. Number&Location of Fuel Oil Tanks to be Removed: 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: 49AW2 /,0Z1,P � 1 6/lrzoz4 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: 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 before me this Sworn to before me this �'✓ � day of (NJ{- , 20 day of ��'v1�X��20 Si afore of Property Owner Signature of Applicant Print Name of Property Owner Print Name of A licant Notary Public Notary Public LISA F.GRECO NOTARY PUBLIC STATE OF NEW YORK WESTCHESTER COUNTY 3E4 r•GRECO NOTARY PU0-iC STATE OF NEW PORK LIC.#09GR6WWJ WESTC}JESTER COUNTY COMM.EXP,03/244M LIC.#01GRW89MI .b.Z 7 COMM. EXP.0"4/2gea 2 6/1/2024 State Farm. Coverage afforded by this policy is provided by: State Farm Fire and Casualty Company PO BOX 88049 Atlanta GA 30356-9901 A Stock Company with Home Offices in Bloomington,Illinois. DECLARATIONS We will provide the insurance described in this policy in return for the premium and compliance with all applicable provisions of this policy. Policy number: 32-C7-U280-4 Effective date from: 04/01/2024 to: 04/01/2025 (Policy period- 12 months) The Policy Period begins and ends at 12:01 a.m. Standard Time at the residence premises. Location of residence premises:81 N Ridge St Rye Brook, NY 10573-2103 Named insured and mailing address: Carmona, Gustavo 81 N Ridge St Rye Brook, NY 10573-2103 Mortgagee and additional interests Mortgagee NEWREZ LLC C/O SHELLPOINT MORTGAGE SERVICING PO Box 650840 Dallas, TX 75265-0840 lLoan Number:0671880326 Coverages and limits Policy type: Homeowners Limit of Liability- Section 1 Coverage Limit Dwelling $317,400 Personal Property $238,050 Limit of Liability- Section 2 Coverage Limit Personal Liability $100,000 -Included Page 1 of 2 559-916.5 Prepared:12-20-2024 APPLICANT COPY Coverage Limit Medical Payments to Others $1,000 Al -Replacement Cost-Similar Construction Increased Dwelling Up to$63,480-Option ID Deductibles Section I Deductible: 1/2%$1.587 All losses- In case of loss under this policy, the deductible will be applied per occurrence and will be deducted from the amount of the loss. Earthquake: Hurricane 5% $15,870 Policy premium $855 Forms, Options, & Endorsements HW-2132 Homeowners Policy Hurricane Deductible Amendatory Endorsement Back-Up of Sewer Or Drain Automatic renewal If the Policy Period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Uenholder written notice in compliance with the policy provisions or as required by law. State Farm agent Luke Roth Luke Roth Insurance Agency Inc 210 Main St Nanuet, NY 10954-3324 (845)680-8830 Agent code: 08E5 Policy number: 32-C7-U280-4 Carmona,Gustavo Page 2 of 2 559-916.5 Prepared:12-20-2024 APPLICANT COPY Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence "This form cannot be used to waive the workers'compensation rights or obligations of any parry.** Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ❑ I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite)for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the j obsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the proj ect takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for Ak indicat n the building permit.ignature of Homeowner) (Date Signed) A Home Telephone NumbepAg 393� 3 (Homeowner's Name Printed) Sworn to before one th day of Property Address that requires the building permit: 1)4 Aa-nJ74/m&ev� ( o Newunt le or Notary Publi ) REGORY M.RIV � Notary Public,State of New York No.01 RI6441398 Qualified In Westchester County Commission Expires September 26,20-IL Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB