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HomeMy WebLinkAboutDP24-004PERMIT # / ) SECTION TYPE OF WORK a JOB LOCATION '' t OWNER 101107 CONTRACTOF EST. COST v/CO TCO # - C DATE../ / j r) (,R,� I l BLOCK / LOT e FEE��V2CLLL3 DATE 1 FEE DATE y)3y9-3333 ' INSPECTION RECORD DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS 0 SPRINKLER - �/ �J'( #ib7C. &IV) 2 /, ELECTRIC 1-! n'c L L LOW -VOLT 0 ALARM AS BUILT O FINAL OTHER APPROVALS ARB BOT PS ZBA OTHER QyE DR ti t�Cta°j a�t t 1L'+4 wLi+ 7. 19 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 30,2025 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 14B Rye Ridge Plaza,Rye Brook,New York 10573 Parcel ID#: 141.27-1-7 Demolition Permit#24-004 issued on 11/14/2024 to Demolish Commercial Tenant Space This certifies that the commercial tenant space,demolished under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D ECENED n'; For office use only: BUILDINts DEPARTMENT PERMIT# ,v—coy DEC 3 0 2024 VILLAGE OF RYE BROOK ISSUED: DEC 3 0 2024] 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:/c)-3 c,--AY VILLAGE OF RYE BROOK (914)9 -066$ FEE: A (o�C — PAIDAR BUILDING DEPARTMENT www.>t o kn ov 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 **s**ss*s******s**,,*��*s***sp***�***�*,***p***s********ss**rrt*r*srrssrsrsrsssesrss*srsrrss rrrssrsssrssssssrrrsssrssrssrssrsssssss Address: 9'� hj� Fl Wli f � (ftA- Df t:L 2,+a Occupancy/Use: Parcel ID#: I Ili 7- /— 6 Zone: Cv—jlo Owner: W,W gatc 90K)y I L — Address: Z+ W L, p6mm P.E./R.A.or Contractor: � :(�i� l�ffk)\)M 4WAddress: ";0 IIIl u 4V4. V4)1 40$JKC12-S Person in responsible charge: Dwoa, WCU41T41J Address: W %43 JAU fAVM 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 YORWM E p YORK,COUNTY OF WESTCHESTER as: I mc�L I� Tro4eing duly sworn,deposes and says that he/she resides at � U �WaL R6 (Print Name of Applicant) (No.and Street) in OIJ Ic-R-S ,in the County of F,5'rCNLSS�1'L in the State of ,that (Cityfrown/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 3 0, D 0 D for the construction or alteration of: 6 Co•^"^` C;c l e,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 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 3 Sworn to before me this day of }%C,r , 20 7,+ day of-ML M 20 a Sig tore of Pro Owner-.ONT Signature of Applicant Print Name of Property Owrm Print Name of Applicant pL 11 IL Notary F�ub is SUSIE BRUNELLI STATE OF NEW YORK SUSSIE BRUNELLI NOTARY PUBLIC,Registration No.01 BR6146106 NOTARY PUBLIC,STATE OF NEW YORK Registration No. O1 BR6146106 „ Qualified in WESTCHESTER COUNTY County Qualified in WESTCHESTER COUNTY County Commission Expires MAY 15,2026 Commission Expires MAY 15,2026 �yE BRCb,• w � '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR -0-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 : 1/ I� Y )C Z� DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: I U / 4 VV F t7 i 152: t e S/A 6e OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 0 ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION j I ❑ NATURAL GAS �� O L L O 6,,) "t ��/ c--i ❑ L.P. GAS �' L /-✓O S o� (p ' ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ~J ❑ FINAL ❑ OTHER QyE BRC��, O� 2m 1982 BUILDING DEPARTMENT ❑D BBVILDING INSPECTOR {7 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 : `' P C- -1' DATE: ! Z3 L 07— PERMIT# � L ISSUED: I` y ' Z `SECT: q I 7 BLOCK: LOT: LOCATION: ' 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 TANK1 ❑ FIRE SPRINKLER �i r �P�Ll '1 a L s O ❑ FINAL PLUMBING r _ PG cx---o ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER <, L-j),o �j �QyE BRC�� O Z� cu � 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# 1 �l/ ` 1 1 ISSUED: SECT: B joCK: LOT: LOCATION: � �C OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED FAILED REINSPECTION ❑ SITE INSPECTION >, d�}G� REQUIRED ❑ FOOTING J ❑ 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 i 1, WO y _ o � O N 04 z �, W > O A P� A s MM W � ro O Z vi o o ° Ln en ^ r� � ,� w � $ � o o0 pC Q w V W Z o 0 � v w r W F v w W V z cn ; CZ Vol Z r�� M T"1 O V W z V J e o m hw A a � o • y a r c be} `n fL O 11-8 U V d' CG V U (:R o ? U Hg ,° 07u V � W W O Q � •� .�.� >, W p� � o p •� o ,� BUILD MENT D E C E u v E V>t><. E O RY OOK OCT 3 0 202 D 938 KING ET RYE BR ,NY 10573 VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: NOV 1 #: �f� J� Application Fee:$ r Approval Signature: Permit Fees: $ Disapproved: Other: Application dated IJ U 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 an existi jg jbui ding,or for a change in use,as per detailed statement described`bjel c)ow. / ,Q 1. Job Address: 1 A MC F-T&C (LAIA SBL: /-7/I �--/ `� C Zone: / 2. Proposed Demolition.(Describe in de/tail): Q�'" ��'- C�� i n L -k't RE'•`^•�� L 4 9_ 04'V1 v'� /J�f..� Fin i�sh.;, r�rRG„++� 4a^.r..r �Crlrwt� Ihi+'^O.I1L �4�frets✓� '�c � �/�� ✓. � Mbe RASA 3. Property Owner: ,,,,� Address: Phone# -1 (A- ' `5+��—Cell# email:14 �IW Applicant: CtT�C�( M 'Ci.1 A^'r-t,*L `oeil Address: �A(O 54%1 A ; (( �•ve� t� Phone# 0(q 3115,;lo ck Cell email: Deo-CGtin ne+I 1 ►Cv-,�. Architect/Engineer: b Address: S+2 t4 ?)R0A1rSW r1.A1G 1109 Phone# �[1'1' Zyi W i I Cell# email:lylzrk ""UE-wy� General Contractor: I� Tf�H M�H, &1'.C4�L Cafe Address: FO Sc�v vittii l l Ri ser reoL Y0^k'U) Phone# qj i4 ?/6 p .,qA Cell# q r 4 3 4 Ct 33 c�-� email:')dc�eCk n L s+►a e 1_C =+� 4. Estimated cost of construction $ (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,masonry,steel,etc...) i �l PIC"Cij � d_ M Ce,I, 6. Method(s)of Demolition: W_^ev`AX brl 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: 1 l 6/l/2024 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. ST�TE OF N W YORK,COUNTY OF WESTCHESTER ) as: I AwrLc_ ►-c Ell. being duly sworn,deposes and states that heishe is the applicant above named, (print namc 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 ( ;►j 1 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. 2 �ti" rtf Swornto before me this 3 fl Swornto before me this U day of �'��atif` , 20 day of (�(ii1�(%rZ 20 Z (L3pmfurc or PropVV Caymsr 4tv (r Signature of Applicant Pruill NxQ of Propci r tia.A flta! Prirf Nfle of Appl a nt Notary Public NAAKPublic J A III iMMA�� ,1,� � ALENA MAKA lstM NOTARI'PIMM rt<Ale OF MCI YOM M E, R• istrstMRNo.OINAO013645 too Gualflikd in Wastahooler Countyy r1r carMRNslon Er s ffttlt!tI-21 2 &112024 t t tl i r"� M t O M Ln a o -• W w � W U r= 0. x t t H W u W 00, c ,, O r7i +W+ � ` Q Jeq 0-0 o (x O N 00 @ < Ln W W M - ..7� w c O 0#414 OC ISO* 01 N t wk 6c, xa t z o , O W .• �I � a � � A w = � ■ =�c 13—' '- JAN - 1 2025 Bull, , pF ' '�,MENT VIL I;;QF OK 938 KlN eE`r'1ZYG:I3 ,NY 10573 w vw;fOi�b10.0 ny�ov ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY Ep#; Approval Date: _ Permit Fee: $ Approval Signature: Other ��3Z4 �(� t*x*sue*d�**�*** DO NOT START 1VORK or CONSTRUCTION UNTIL A PEl2MiT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED Oil COMPLEA'Fl)WI7•HOUT A PERMIT IS 12%OF•1'HE TOTAL COST OF CONSTRUCTION WITH A MINIRIUM FEE OFS750 00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or kinove 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 & properly owner agree that all electrical work performed will be in conformance with haall applicable Federal,Stale,County and Local Codes. /e O.F-C- f-b,-t D j, 4L Z•—�;i I.Address:_1+6 1�1 1`�-�wibhs �( SBL:Z'�f r Al ��—co Zone: 2.Property Owner tN„n R%do'e &Pr,l 4,l t_LC. Address: 2-9 Q C %?',Abe pit)2 Phone#: AIN• l(it- 4noS Cell##: email:CIO:,a f � le.cpAl 3.Master Elech•ician/L.iccnscd Installer A,r,k4.n.,,g CofictijQnn Address:48 Gvar.a Sa Ne ,Q r�lle/ulloo�l Lie.#: 3S1 Phone#: 91�1- 12?,• lt3ell#l: entail:mtr5n�eryri(c.ISwv• 1 ('nu�IGrK.(G ., CampanyName: NuX��`ar (cC .l SPvv;cc P41AL Address: +♦�, C.ve..,lt,ChIU N �CLfrC� 1 4.Proposed Electrical Work/Fixture Coun_t: ` 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: CC,Sr e] &n i;,being duty swonr,deposes and states that he/she is the applicant above named,and does frnlher (print name of indibidual signing as4lk applicant) slate that(s)he is the for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed brslaller) The undersigned further states that all statements contained herein are it-tie to the best of his/her knowledge and belief,and that any work pef'omued,or use conducted at the above captioned property will be in conformance with(lie 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 rire 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 ��^ dayof ]io,nuc,-H ,20 Z day f _ n�k&V 20�_ �V 14.ill L�/�/ytl, S�natin•e of I roperty �r na re f App AAW i��� *\��,,, C0 sCdi,gr.„a Pnnt Nanic of Property tuner Print Name of Applicant Notary Public _��d Notar \ c KRISTIN M MCCONAGHY KRISTIN M MCCONAGHY NOTARY PUBLIC STATE OF NEW YORK NOTARY PUE31_IG �•f'�! °fiF �NE4ti'YORK Bronx County Lic. #01 MC6348554 Llc. #0!s,AG63465,54 Comm. Exp. QGfi by 3 Zo 2 6 Comm. Exp. 8 CiWv 3 La LR STATE WIDE INSPECTION SERVICES, INI CAO Service With frilegrity 21 • . Main Street, Suite 203, Fishkill, NY 12524 i SWIS JOB APPLICATION r 0. Office Use Elect.Permit# as OCR / Date 1/7/2025 O D y Sq Ft Temp# Utility ID# Final Certificate# City/Village Rye Brook Zip 10573 Township Rye Brook County Westchester Address 14B Rye Ridge Plaza Cross Street Section Block dot Owner Name/Address(If different than above) Win Ridge Realty LLC Contact Number (914) 701-4005 El Basement 1st Fl. ❑2nd Fl. ❑3rd Fl. El More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑✓ 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 1 P 3P #Meters #Disconnect Underground ❑New Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re Inspection ❑ Re-Inspection Additional Information Demo and Temp Lighting JAN - 7 2025 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# Contractor Nicks Electric Service of NY, LLC. Date 1/7/25 Signature Address 48 Grand Street City/State New Rochelle, NY Zip code 10801 License# 337 ID# Phone# (914)723-1133 DState Wide Inspection Services 1080 Main Street JAN 14 2025 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPART k:IEN I' Email: office(&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: Nicks Electrical Service of NY, LLC Win Ridge Realty LLC Anthony Coschigano 14B Rye Ridge Plaza 48 Grand Street Rye Brook, NY 10573 New Rochelle, NY 10801 Located at: 14B Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-001 141.27 1 6 Certificate Number: 2025-0221 Building Permit Number: DP24-004 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: 14B Rye Ridge Plaza, Rye Brook, NY 10573 The Storage Utility Room was 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 10`h Day of January 2025. Name Quantity Rating Circuit Type Temp Lights 03 Receptacles 02 Exit Emergency Combos 03 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. Building Permit Check List&Zoning Analysis OB & C ONLY •V AqAddress: SBL rt Zone: `--" Use: _ Const.Type: fq Other. Submittal Date '- .Revisions Submittal Dates: Applicant: 1 —�''� �L Nature of Work14 Reviews:ZBA:OCT 3 0 2024 P& BP: Other. NE OK ( FEES:Filing: BP: Legalization: ( ) ( �,-APP.: Date Stamped ✓ Properly Signed ----SBL Verified: Cross Connection: F.O.G.: ( ) ( ) 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 Stamped Sealed: Copies: Electronic Other. ( v�License: ✓ Workers Comp:--- Liability: ✓ Comp.Waiver. Other. O �O 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: Grease Trap: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other: (� ( ) H.V.A.C.: Plans: Permit: N/A: Other7� 1�'_ (N CF �=Zc� t�OT\c-- ( ) ( ) FUEL TANK Plans: Permit: FUEL TYPE. Other. ( ) ( ) 2020 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. _ ( ) ( ) Ocher: ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval;- notes: ( )PB mtg.date: approval notes: REQUIRED EXISTING PROPOSED NOTES A NOV R1O�V Area: Dat@• lea Circle: _ Frone Front: Front: Sides: Rear. F.A.R.: en Space Haeht: Stories: notes: tom*QA \ b Cl ---ON DATE(MMIDDIYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE Ikw. i 117412024 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 GNP Brokerage US Inc.an ISU Network Member PHONE Chaim Retek FAX GNP BROKERAGE US INC (A/C.No. •7183055321 Arc No); 2001 57TH STREET ADDRESS: service@gnpbrokerage.com BROOKLYN NY 11204 INSURERS)AFFORDING COVERAGE NAICS License#:1045961 INSURER A:TRAVELERS INSURANCE COMPANY 337121 INSURED DECTMEC-01 INSURER S: DecTech Mechanical Corp. 2293 2nd Ave INSURERC: New York, NY 10035 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1824837716 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. BISR TYPE OF INSURANCE L SUBRI POLICY EFF POLICY EXP LTR POLICY NUMBER D LIMITS A X COMMERCIAL GENERAL LIABILITY 680-5R584960-23-43 11/26/2024 11/26/2025 EACH OCCURRENCE f 1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence f 300,000 IVIED EXP(Any one person) f 5,000 PERSONAL 8 ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICYEl PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident ANY AUTO BODILY INJURY(Per person) f OWNED SCHEDULED BODILY INJURY Per accident S AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident f f UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED 1 1 RETENTION$ $ WORKERS COMPENSATION I SPER OTH- AND EMPLOYERS'LIABILITY Y/N TAT ER ANYPROPRI ETORIPART NE RIEXECUTIV E OFFICER/MEMBEREXCLUDED? N/A E.L.EACH ACCIDENT f (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE f Byes,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 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King St Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 17--"Z*;;�41\ NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 853671400 X F *.,: GNP BROKERAGE Y 2001 57TH ST BROOKLYN NY 11204 f r SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DECTECH MECHANICAL CORP VILLAGE OF RYE BROOK 2293 2ND AVE 938 KING ST NEW YORK NY 10035 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE M2605195-3 347342 06/02/2024 TO 06/02/2025 11/4/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2605195-3, 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. 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