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HomeMy WebLinkAboutRP20-004PERM 74* DATE: F BLOCK.• _r - � - �..• .. i • • COL/ / • • i� ■ i Pb DATE..j FEE� DATE, INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT ED ALARM AS BUILT ED FINAL INSP OTHER APPROVALS OTHER QyE BR �1 C t� , VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.aebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 25, 2023 Joseph Elfenbein&Lillian Elfenbein 30 Talcott Road Rye Brook,New York 10573 Re: 30 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-4 Roof Permit#20-004 issued on 1/30/2020 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to RUt �I.DI��i Dt:N.,>t „M:.I 1_111 tlltil't u t:ll, SEP - 7 20Z3 VILLAGE OF Rv1* BROOK ill t .:�Polp-(xjy 1,s; I D.938 KIW.ti1KEt'.f,Rif l: BN00is,\F\% YUKh I0S73 2 IJn.I �7�3 VILLAGE OF RYE BROOK I9141979-I166N pl i BUILDING DEPARTMENT ttl\\�.r\elrtllul..11r�/ APPIA .A,ri m Ft)R CF-R I IF I( ANI)CFR11m %rl(M nr FiNAL C OS-Is TO 13K SJhHrTTF.[) ONLY WIUN t::)MP:..7TI0N OF .1LL ::ORX. kN-- P OR r) THr. FINAL LNSPk! :TIC)N At;,:r.,, 4d JLco�T�1a Occupatw'y (Is I'arlr. II_)r 1 5, so All P! . 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J.:1 tit j�jp��✓ o / ♦..� .. •.�. - — -.. .i7.. - --- — JOHN M SU07Z0 tI1OMMIIK)etlo,ffMofNEWvm 111patr'�tlon No.Ottitle070o1f awrAd in vim"tt w Contra ��,Cornttinjon EMImm Mach,,,2M QyE BRC��, • �9a2 BUILDING DEPARTMENT UILDING 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: \�L1\ �` DATE: PERMIT# f� �`� ISSUED: (SECT: f 3�5BLOCK: LOT: 1 LOCATION: ` \ `�JCQ OCCUPANCY: 9 ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION n j ❑ Natural Gas ❑ L.P. 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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 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 _ _ - __ PHONE Philip Christe Insurance (nI�1�Q,Exn• 914-600-6222 (A/C,NO 800-860-1151 295 Main Street E-MAIL SS:phil@christeins.com christeins.com ADDRE PO BOX 381 INSURER(S)AFFORDING COVERAGE NAIC S Mount Kisco NY 10549 _ INSURER A:C�Olony Insurance Company. Inc. INSURED 914-949-2626 INSURER B: Mariani/Restoration Roofing Company, Inc. INSURERC. 22 S. Washington Avenue INSURER D_ _ I INSURER E: - Hartsdale NY 10530 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. T ADDL SUBR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MMIDDNYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Is 1 000,000 DAMAGE TO RENTED A _ CLAIMS-MADE W OCCUR PREMISES Ea occurrencq)_ $ 10O 000 103GL0010055-03 06/01/2019 06/01/2020 MED EXP(Any one person) I$ 5,000 l PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 PECOT- 1-1 LOC PRODUCTS-COMP/OP AGG Is 2,000.000 ✓ POLICY lI OTHER AUTOMOBILE LIABILITY EOa -SINGLE LIMIT $ $ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS L I Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXXCESS�LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N I A E.L.EACH ACCIDENT $ OFFICER/MEMSER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/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 938 KING STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK, NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ?W ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NYSIF New fork State Insurance Fund 199 CHURCH STREET, NEW YORK,N.Y. 10007-1100 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE r.. mmm.e AAAAAA 133285112 `4611 MARIANI/RESTORATION ROOFING CO INC 22 SOUTH WASHINGTON AVE HARTSDALE NY 10530 9041 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MARIANI/RESTORATION ROOFING CO INC VILLAGE OF RYE BROOK 22 SOUTH WASHINGTON AVE 938 KING STREET HARTSDALE NY 10530 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z1276493-2 754189 01/01/2020 TO 01/01/2021 1;24/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1276 493-2, 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, AND. WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. 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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 54292862 U-26.3