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