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HomeMy WebLinkAboutBP20-035PERMIT # O DATE44EXNr4k SECTION &5, PLOCK / LOT .�J�D r 1 =ARP TYPE OF WORK /� /Or ShWt-fIir1l QACO/i Lf7LY.FS . .K /i�lP�7 TiG14j JOBLOCATION / YQC rr557-a9/7 CONTRACTOR / ��I/xJi�ttF�' �iYl y�i7 ��70(G EST. COST FEE / RICO# FEE,6 )I0'PD DATE L/1 TCO # FEE DATE _ INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING LK RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT \ ALARM AS BUILT O FINAL ap-c)&)&fft,vice Care//i !�/umbi.�eJ e3G>-04 jlhoc` �o �ckvk ' I�R eI fiiia11 c�k�\�� `x �sQ� � p9sz S CP�y-oyo'E12 €�P��;c c>-P VILLAGE OP*YE BROOK WESTCHESTER COUNTY, NEW YORK NO: 24-039 (fertffirate of Occupancy This is to certify that of, ) / having duly filed an application on CC9.20 ?/ requesting a Certificate of Occupancy for the premises known as, 95 VQ 11-eU T-Je /' , Rye Brook,NY, located in a — 7Zoning District and shown on the most current Tax Map as Section: /; J•5 1 Block: J-Lot: , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. —035, issued (�2 020,::)20, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: P-,3 " �/ Construction: for the following purposes: J / Q C, VY u?J Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in h ' t shall be made,n all the building be moved from one location to another until a permit to accomplish such change(as bee obta* fr th .P it ing Inspector. Building Inspector,Village of Rye Brook: Date: A P R 2 5 2074 D [ECOVE For office use onl •: FEB 2 6 2021 BUILD' VIENT PERmrr# —GoaT VIL OF RYE K ISSUED: VILLAGE OF RYE BROOK 9 8 KING STREE YE B_n," C, l YORK 10573 DATE: BUILDING DEPARTMENT (914)9 939-5801 FEE: PAIR _.__- � F or 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 ssssstrsssss/»»r»»sststssssttwssrs»»»rssssssstwrstss»»rssrrrs»t»wsss►srtssrrwsrrts»s»t»ttsssts»srrrsss»r»rrsrr»wr»»sw»s++++++. Address: ;,p V A Q"e I-L �, A C C / )l-- Occupancy/Use: I— /'raM Parcel ID#: �3 5��� /— �co Zone; Owner: Ck- Yoh�'1 C P S (�/ /313►�0. Address:as t/C���� �P�/�^7r 3'me k P.E./R.A.or Contractor: Address: Person in responsible charge: C.516A,-7 d s eo�o� Address:AD&1c 1 P9 SCGY,cda.2 NY /0.s83 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: ld�- r� �c a is �e n-g duly sworn,deposes and says that he/she resides at � Ua l�(e�, �`�' C4— (Print / Name of Applicant) (WIS.and Street) in 1C{,�[ D7�`t_ in the Countyof We-s770f5?ZP-_ intheStateof that ICityrrown/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 a2.0f /-y-y • is for the construction or alteration of: K ;kAZ.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 ofany 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 theVillage of Rye Brook. Sworn to before me this Z J/ Sworn to before me this day of f4 , 201,1 day of byLfL(it"q , 20 S' aturcofl mtyU Signaturc of Applicant Jack. � � �rnti man«f �/J'3dh � Print Name of Property Owner Print Name of Applicant No ryPublic NatauLijblig MICHELLE ANTONIA CHRISTIE HELEN J.TORNESL Notary Public-State of New York NotaryPublic0tS0634F4N N0.O1CHfi246850 OualibedinWeseS estly f _ Qualified in Westchester County commission Expi MY Commission Expires Aug 15,2023 �yE BR(�k• • 19a2 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: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATIONS ��� ;`?�_ {'�� \ 1✓1 ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ,❑ FINAL ❑ OTHER QyE BRC��• cu � 1982 BUILDING DEPARTMENT P]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 : qF—) r t �t �! ^n� ) DATE: PERMIT# 92. --�cr os� ISSUED: SECT: BLOCK: LOT: \AA 1 ,,� LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED / REINSPECTION V SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ,.r ❑ L.P. Gas ❑ FUEL TANK Elk (( ` FIRE SPRINKLER f 21 �V ��.ye P� ( ( �-� 1 ' Q ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL <-r7-C3\k-Q- ❑ OTHER E BR 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.ors - --- - - -- -- - - - - - - - - - - INSPECTION REPORT - - - - - - - - -- - - - - - - - - - - ADDRESS :— J T DATE: PERMIT# U� ISSUED: I i -�ECT: LOCH: LOT: `I I LOCATION• �' T�4 '� OCCUPANCY: �G ❑ VIOLATION NOTED THE WORK IS... C] 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 Z t = ■ **6si i V N O N N W 1 N � � Wo t W M "' a u .••i 06. 00 cz Lo IC 1.0 Ln _ � �: � � C � O N O �ii � Q • . Qso 3 pqLn Lna ; < f CO A a ►`" x � Z Wcn H M z O C 1' Z M" y c p4 z z -- A Q V = oc Dj �Q i z w �.J x �I v w z a' x uj - .. n�lF aRnv� D E V� E � l/ ED BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAR 10 2022 938 KING STREET RYE BRbozk,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK BUILDING DEPARTMENT wywarftdtoek.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required j —7 FOR OFFICE USE ONLY BP#: 0 EP#: �-n y / Approval Date: MAR 1 0 1011 Permit Fee: $ Approval Signature: Other: ', � In C3-14 S- Disapproved: a-pp (fees are non-refundable) Application dated, -2 an is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an or r move electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: U's)� T SBL: 55 Zone: - 2.Property Owner: Y� t nR Address: S Ate''► Phone#: ''/ 7 55 7- Q 117 Cell#: email: 3.Master Electrician: f;-/`n -fC� �9/ZAtZI`f�^ J Address: I I I De�,Jo.) S k,,4 e 12d 1-pa'ch4- -4 N j//0S3 Lic.#:/ 40 Phone#: Cell#: &y'1oW'e email: 6 9/+1 A!� •ea Y1 Company Name: 4�I l f f,1C, Ga I3 Address: 1/I De ilnn let /2c� f aai�Ch•►�/ t' /��3� 4.Proposed Electrical Work/Fixture Count: L rt'� K� '�u,�.� t.�J l r ,���, t.� 1 T� I✓�'�c/ '! ✓,'CAL � ✓y STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 4!�Jt— 61`� Zj'--Y being duly swom,deposes and states that he/she is the applicant above named,and does fiuther (print name of individual signing as the applicant) LL state 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.) The undersigned further states 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 Swom to before me this \',� day of ,20 day of'Mc3 r�� ,20 a Signature of Property Owner Signature of App-cant Print Name of Property Owner " Name of Applicant Notary Public No Public SHARI ,IELILLO Notary Public. State of New York Ot!alific Cd ii-!Westcl­_'er County Commission Exnlres January 25.20� 8/12/2021 • STATEWIDE INSPECTION Service With hilegrily 181 Main Street,Fishkill, NY 12524 1 emoil:office@swisny.com SWIS JOB APPLICATION84 1 914.219.1062 • • Office Use Elect. Permit# Date? IUr ,=l -O i Bldg Permit# �? _ �—` Utility ID# Final Certificate# City/Village ` Zip Township County TY �- Address ��� U �Y Cross Street Section Block Lot Owner Name/Address(if different than above) j 1L Contact Number^/� �5'7 25 ) 7 ❑$asement 0 1st Fl. ❑2nd FL ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside Residential ID Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information r D IE E 0 W F MAR 10 2022 f VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name t/ R Date Signature Address , City/State Zip Code , License# (r Phone# v / DM VIE State Wide Inspection Services cjk--:) 1080 Main Street APR 18 2024 Fishkill, NY 12524 845 202-7224 Phone 4SVILLAGE QF RYE F3RUOK 914-219-1062 Fax SS" [ON SERVICES BUILDING DEPARTMENT Email: officeCa�swisny.com --- Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: ER Electric Corp Giacomo&Frances DiBona 111 Devonshire Road 95 Valley Terrace Larchmont, NY 10538 Rye Brook, NY 10573 Located at: 95 Valley Terrace, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-047 135.51 56 Certificate Number: 2022-1401 Building Permit Number: BP 20-035 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 95 Valley Terrace, Rye Brook,NY 10573 The Basement and First Floor were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 23th day of February 2024. Name Quantity Rating Circuit Type Luminaires 22 Switches 10 GFCI 04 Electric Range 01 30AMP Refrigerator 01 Microwave 01 Dishwasher 01 Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. m wwi� �� e '��Te� � ��`��� �� i�T z s clq I z Q N Ni i i N i e • � N i OS oc 3t G W V i W96 en oft enka 06 smoo W L N e U a kn a as Q- r � A z � a ,� o r � QI �.. Q m �. F„ = W .� z O u c 10 z = Z Q, u } C z W W v w WW � � r � • 9L V rarm a Q F � U 4� z �= kn v0 c d } �= a` z z u c — F yE aRnv _BULL1 AR`,MENT JAN 31 2020 VIL GE OF RYE 'QOK 938 KrN '° ET RYE B ,NY 10573 VILLAGE OF RYE BROOK '914)9 939-5801 BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP EP#: FEB - 3 202�� Approval Date: Permit Fee: Approval Signature: Other: w Disapproved: (fees are non-refundable) Application dated, I jQ0a?0 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures ,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be R'i conformance with all applicable Federal, State,County and Local Codes. 1.Address: SBL: ! � �— �J�lJ Zone: 2.Property Owner: Address: Phone#: 7-: Cell#: email: 3.Master Electrician: ' " /�2'�zi'�"� Address: L ic.#:/2 C Phone#: W 16cve Cell#: _ email:e4ft ettf'(—C-C Q� Company Name: 2 � � o+� n Address: 4.Proposed Electrical Work/Fixture Count: 4 �cY C -'(f cJ t Ice t STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �1--bb �1 Z t l g-vCJ ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) �� PC �� C-6 state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the If��/> XP for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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 o re me this day iA 4 1 A ,20 . day of ,20 � J�-1 gnature of Property Owner HELEN J.TORNESE Si ature of Applicant j Notary No.N06e off�w York (� Qualified in Westchester Count j d�� d ��Z✓/ Z �•�C� Pr' N e//of r erty caner Commission E)Ores August t5,26fi Print me of A pli t l.r. Notary Public kiNotary Public HELEN J TORNESE ot York Notar New' Public i� s52 � Conm in Westchester 3/21/19 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP it DATE Ilk .�-v CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREEJ OR ROAD , 'd NUMBER l/ BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME I BUILDING OCCUPANCY r1U NER'S NAME AND ADDR`ESS ` � � HOME TELEPHONE NUMBER RRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED ........... NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1"FL. 2'FL. WLAGE:. 3'�FL. BRO REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: �w a �I✓ THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS RAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERH UNDERGROUND G AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION,ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY _ DATE OF APPLICATION S10NATURB OF APPLICANT Ld x--- STREET ADDRESS TELEPHONE NO. n CRY 2POOr OFFI01"\ 1C LP CODE CENSE NO.WHEN APPLICABLE 'j / s t f t = m O N N W s N N � Rr o t U Qj p" •-+ w �.. o0CA a. W Q O ci 0 t v x Z a cn OW \ G 0 O V N w A ZV Z N " N $ L t Ln QI o W,z t 0000 A '� a t � FI w O V " N W z m = W Z f M �"' ? o o g o W � H x a z Z .� H en w o ►� , ' H � C, V a g w o o zA W O 6 ►"� W O � W a � �" � � 0.'i u u g w w H c U.° O z • � x U W Z a C7 �., W O z a Z a Z w 9 a � �I a z w z � m t eRYE D V� L� V 3D BUIENTVIOK MAR - 1 2024 938 KINNY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY B #: `O EP#: Approval Date: Permit Fee: $ Approval Signature: Other: ******************************** ****** ******************************************************* DO NOT START WORK or CONSTRUCTION TIL A PERMIT HAS BEEN ISSUED BV THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK P OGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 3—/ is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: / ;��(� � SBL: J 3 �/ S — Zone: 2.Property Owner: j /'1C� JJ ; 130)fl-- Address: 9!-,- 1/fa/bti T l/' Sc Phone#: r Cell#: 9ZI email: 3.Master Electrician/Licensed Installer: S b 6 r A'L 1'fi-Vr- Address: J I/ Lic.#: /:z t_)I Phone#: Cell#: yG 02�26 email: �- (j I/ Company Name: f—A /Fkcr< C o RL f Address: 1 I/ �t k o S h ' /Z 6 4.Proposed Electrical Work/Fixture Count: 5.31d Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: S 7�, —^ 6)L`9 I-f�110 .being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the appli t) state that(s)he is the �+9 5 k- J/+'c l lv'r—for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states 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 ,20 day of Ct f 20 _ Signature of Property Owner Sign E pplicant � G /2.�t_r Print Name of Property Owner A plicant r Notary Public Notary*QWY,&Micbf New York IV No.01M E6160063 10/30/2023 Qualified In Westchester Count Commission Expires January 29,2k-2 STATE WIDE INSPECTION SERVICES, INC. 0:0 • • SWIS JOB APPLICATION0. Office Use Elect. Permi U / o Date i Bldg Permit# /0,--)0 — 3 Sq Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County Address? t/6// /ANC/` Cross Street Section Bloch _ Lt-'.-.; Owner Name/Address(If deferent than above) t ) r Contact Number f A b^1 U f Y J ❑Basement 1st FI. ❑ 2nd FI. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation y s R [E C IE mE [MA,-- 1:] D VILLAGE OF RYE BROOK BUILDING D=PARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions asset forth for the application. Email Address P✓,P/(-Ct-I,C-CC4-P Name License# '�c Z Date 3-/— -:>01 Signature —TC Address �� ! � "P � /2>C ) City/State`�C f r Zip Code Company �Z ✓� rj fC Phone# —m �� DBState Wide Inspection Services C � 2�24 1080 Main Street APR — 2 Fishkill, NY 12524 Sw a 845 202-7224 Phone VILLAGE OF RYE BKOOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: officeCc0swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: ER Electric Corp Giacomo & Frances Di Bona 111 Devonshire Road 95 Valley Terrace Larchmont, NY 10538 Rye Brook, NY 10573 Located at: 95 Valley Terrace, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-040 135.51 1 56 Certificate Number: 2024-2064 Building Permit Number: BP20-035 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 95 Valley Terrace, Rye Brook, NY 10573 The Basement & First Floors were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 271h day of March 2024. Name Quantity Rating Circuit Type Smoke Detectors 04 -wo Officer. Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. i a N N z �- � N V < < C L OF 3 lei 5 co c L � C9 f, iL Lrr le z °w z Q� .w ..00 4 : 0-0 L ,ae ,at 6s gt st it ,yc `t ��� \� `i������r! `s R `�! •��w�w�U''!w�w�w" �i'�.���i�w�w�w�w �w ''�� �w�•'�i���w�w��,���������� `� yE BRnu D EVE IE V IE BUIL MENT VIL E OFRYE OK FEB 10 2020 938 KIN ET RYE B ,NY 10573 (914)9 9' 939-5801 VILLAGE OF RYE BROOK W o f L BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION /�V 1 /� FOR OFFICE USE ONLY BP#: Cif D " PP#: OG c3—T Approval Date: FEB 2 6 2020 PP Permit Fee: $ .approval Signature: Other: Disapproved: (fees are non-refundable) Application dated ��is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an /or move Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will conformance with all applicable Federal,State,County and Local Codes. 1.Address: $BL:135) Zone: 2.Proposed Work: I Y61� 1--- h,1 O S/X/4"M Al 3.Property Owner: O/� Address: U Phone#: ��� $—�� 21-?1? Cell#: email: 4.Master Plumber: �r-eLl fiyo pe Address: -,t/2 4,2 �SE n c 7.�./24 /Q-- o Lic.#: V�57 Phone#: ,C� Cell#: email: jr- 7y;r eA u eo� Company Name•,% G • / �c" Address: INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 1 3'Floor 4'h Floor 5`h Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) i 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 16A% day of ,20 day of ,200 jpt aofopet Owner App icant Print Name of Property Owner Print Name of Applicant otary Public 6tar ALANELLA raryblic-State of New York HELEN.I.TORNESE 0. 01G16262662 Notary �ea��+'Y in Westchesier g�o_ugqty Can �Expir Aer 5 sion Expires Q5 : 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. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/21/19 BUILD MENT D V EOFR K 938 KING ET RYE BR NY 10573 FEB 10 2020 (914)9 39-5801 w 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 WESTCHESTER ) as: If, e,, �i /��2!�0 , residing at,�-�l��r'������i�1'�•�_ /�Y��!��D�L. �—� ((Print name) (Addres %aherr\mi liar) 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; �// L y r���1�C �� f�l�m� Rye Brook,NY. (.lob 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. ignaturc rat 'ropertyO%ner(s)) ,0,,,,IIIIIIIIIIIIw(Print Name(;fProperty Mner(s)) Sworn to fore me this G day ofc�wi 0 �d Notan I'<<ili:i Notary Public Statte of New York Qualified iin�Westchester 64 Count 4 OL -3- Commission Expires August 15,2 3/21/19 Building Permit Check List&Zoning Analysis Address: S 'J ALLB-1 --\74_ZC24�,cr__ SBL: 3S• S — Zone: -7 Use: Z Const.Type:211> Other. L F_ A l_t Z A\i 0 tit Submittal Date: Z L I Z l Z Revisions Submittal Dates: Applicant: ► a� Nature of Work. l►'' �-�-• n— S2 2 0 c-l"'A.',—L A L I.E<1-06 770 ti- `F �'C,tZ�4F'w �� 9"A��►y Reviews:ZBA: FEB 1 8 2020 PB: BOT: Other: ITOK FEES:Filing: 7S•�J?� BP: g' O, ��r C/O: Legalization: ( ) ( ) APP: Dated: ✓ Notarized: ✓ SBL: Truss I.D. ✓ Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current Archival:- Sealed Unacceptable: ( ) ( PLANS:Date ed Sealed/ `� Copies Electronic Other. (� ( ) License: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (� ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 20I7 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter: As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER. C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval:- notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval notes: REQUIRED EXISTING PROPOSED NOTM APPROVED Ana: F E B 1 8 2020 Circle: ^a M. FropW From From Sides: &e P MainCov: A��c Accs.Cov: Ck$ CS Ft.H Sb: n ' Sd. Sb: � 5 Nwb" Tot Imo: C Fps Height/Stories: notes: \ C Q r� \S \ CW L L� � 1 SIMI now .:�vim mw f E min ui z 111WOft f R � min lw OOR low . ; r..t 6m 04 omd mw cm .Ir ZL *d+ Raw T h— v , ONO 000 C= ^ -A. wr► W iIM a t E low Y p ■IMr '��Y so i S f � UJ o all Ix I iCL W M -' Vo .00 ULI _ = .}� , ► LL r M. LLJ ne w Z .041 ,� irrw ai LU W J ` � 6 uj rj LLI r y� �A iuj Puj4' CO) � f 0>- Uil ! l _i 0 40 Ix j Z. Lu CL �p cum 4,01 ^1 CA r ow& ca Lu 2' LA. Lu L uu cl U) r� MM4 GOW z dpi W6. LL. w 00. :2 uj op jEi Sit Wiil cot 1.41 cc r4 U.1 is i i0li uj 001 0 . . til► c a Q N j yi al X all f MLy.1 Q .O � '•�f I �Sj( . b OD6 aw w <toDD) QtoIect�on 00 =' r Q X W O V �'4 co C CD 0 Z3 R _ 1�1 N i i z--c •.:: O a O_ [c . v U_ i <(�)>�.� £r�3.r 11 �. #'>•'i. ." ----'s-•'7^�.:..,1 1 v �'a+:,-srr .. . . . . . _ . . Vol s -1"ir-_ 1 �}• 1 1 1 1� :: t 1�111 �, r. + 1 1 '' .,1 1 y �1) II A t QI►�'��+ '¢ �+�, ;y1,1-/)•I.//IJa _ A y.�1.106p. ,�S a's �!<I�I(Iji " +•-i 1�(�1�� �''�`w �)� � t• � �< ``L�yy �� • '� - 1Bi A w •• its •. O V of .s v ip/>�v {.' � �ry5 v ' v y '✓ij'J'r Ay..ta '�,;M ;� '� N �!4�.. yCx ce DATE(MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE `� 1 02/20/2020 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 CONTANAME:CT Kyle A. Walter-Agent Kyle A. Walter PHONE 845-747-4694 I;IC No):845-747-4161 1987 State Route 52, Suite 7 AD E-MAIL Kyle.Walter@american-national.com Liberty, NY 12754 INSURE S AFFORDING COVERAGE NAICA INSURER A: Farm Family Casualty Insurance Company 13803 INSURED -- INSURER B: i INSURER C: CSI Landscaping, Inc. p g'PO Box 189 INSURER D INSURER Scarsdale NY 10583 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. WLTR BR ADDTYPE OF INSURANCE LSUBR POLICY NUMBER Mao EFF POLICY DIYYYY LOM X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE O RENTED- CLAIMS MADE 7X7 OCCUR PREMISES Ea occurrence $ 100,000 A -- 316OX0863 08/15/2019 08/15/2020 MED EXP(Any one person) $ 5,000 _ PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY tI PRO- LOC PRODUCTS-COMP/OP AGG S 2,OW,WO OTHER $ AUTOMOBILE LIABILITY EOM COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED 316000787 08/15/201908/15/2020 P BODILY INJURY eracddeM AUTOS ONLY AUTOS ( ) s X HIRED X NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Par accident S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 2,000,000 A [4EXCESS LIAB CLAIMS-MADE 316OE1230 08/15/201908/15/2020 AGGREGATE S 2,000,000 DED ' RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y f N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED� ❑ NIA E.L.EACH ACCIDENT S (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Village of Ryebrook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 King Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ryebrook, NY 10573 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 NYSIF WESTCHESTER ONE.44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 10601-4411 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o� � a_ ^^A^^^ 134096549 CSI LANDSCAPING INC P.O.BOX 189 SCARSDALE NY 10583 . s SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DIBONA 95 VALLEY TER CSI LANDSCAPING INC VILLAGE OF RYEBROOK P.O.BOX 189 938 KING STREET SCARSDALE NY 10583 RYEBROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 1364 944-7 818188 08/29/2019 TO 08/29/2020 2/20/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1364 944-7, 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. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. TIMOTHY KILGALLON-PRESIDENT OF CSI LANDSCAPING INC 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 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 354185977 q,5 � Ile� a� r $� S � f X v .. •I i J r LU maw Ij v. Odoq � �ia.y►7s~'' .< Hwy �,a J •..RYvw aMTi i'� " "s _oWiF Nv 4T• -y.sy+F3Y�rwl �A i