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HomeMy WebLinkAboutBP25-019PERMIT # k)l SECTI0 N 13 TYPE OF WORK JOB LOCATION OWNER �/ f EST. COST vcO # TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING O RGH PLUMBING GAS SPRINKLER ELECTRIC O LOW -VOLT CI ALARM 0 AS BUILT ED FINAL 9 DATE. / 3 i �5 Expe 3L% BLOCK / LOT. lt� m FEE DATE INSPECTION RECORD DATE INSP i/alo e ve4�A %(j OTHER APPROVALS ARB BOT PB ZBA OTHEf2 yE BR too t..°uJ.i v tc„ 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.ryebrookM..gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 24,2025 Alfred Short&Elvira Short 63 Winding Wood Road Rye Brook,New York 10573 Re: 63 Winding Wood Road, Rye Brook,New York 10573 Parcel ID#: 135.34-1-41 Building Permit#25-019 issued on 1/31/2025 for Replacement Windows & Front Door This certifies that the two new basement windows and new front door,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D BUILD R MENT For office us onl : JUL 21 2025 0 PERMIT# s-0/5 VIL OF RYE BROOK ISSUED: /_3/�S VILLAGE OF RYE BROOK 38 KING STRE YE BROOK,Nt YORK 10573 DATE:' 4/—,3k= < �"�.— BUILDING DEPARTMENT 9 -0668 FEE: PAID JO - w 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 i#i#ti/#ttt######ti tititi t##t#t###ttii#t#tttitt##t#titt4tt4ttt#4#t#t##444444444##4t4ttiiittii#i##t#i##t#ti��44tt#ti 4iiiiiiii# Address: (0 3 W+ 1 e-& Occupancy/Use: I Parcel ID#: 1.3 S t 3 Lt-- 1-4 k Zone: Owner: Ak rr-P,b Jr 6W*t,rA SIw4'Y Address: b Av-e- P.E./R.A. or Contractor: DADU�v44--5-4 DQW'S U—C- Address: ;L� &-svrrw— "T mov%roe- CT' a(o Person in responsible charge: 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: �-►41.4�re d & }N-�PE1 k4l'& eb mg''duly sworn,deposes and says that he/she resides at (0 3 W I (Print Name of Applicant) (No.and Street) in Q,„1 ( j IC-r it ,in the County of in the State of�,that (City/Tow 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 J' O*D , for the construction or alteration of: Ag p 411-^�- AA"✓' ar 2 b '"I IN "J g 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 day of Sk\� , 20 day of j1t)A a� Signature of Property Owner Signature of Applicant t Name of Property Owner ame of Applicant SHARI MEULLO Notary Public,State of New York No.OIM E6160063 Notary ublic Qualified In Westchester County-7 Notary u is Commission Expires January 29.20 v7 6/l/2024 doe BRO o If /�• 1982 � BUILDING DEPARTMENT ❑BUILDING INSI►IiCTOR SSIS'1.'ANT'BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CoDls ENFORCEMENT ORPICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (91.4) 939-5801 www Iy!brook.rg - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADD1iESS : to 3 w 1 V (� WoO�_ IC Oo DATE: /` ZZ- ZO(�J PERMIT# 0>1 ZS - 0 l ISSUED:/"31-,e r SECT: 13s 3 f/BLOCK:_Z-LOT: V LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ RouGu FRAMING ❑ INSULATION ❑ Natural.Gas F ,v CL pp ❑ L..P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER : s =j rl xn � O w a a ^ en v GL � � v +a ° W ►"7 py U k 0 va (n ■ �! OW � cn M z �' g �►. v o Q to � A r1 0o g Ln N00 .J L -+ W v �-1 e� O ;6 o o w �° G� F' N q w 4 o t d z �O p n a, y �I `n - � ¢ �= o • Cam : cq GQ O WW _ a M c W z O �I y. a te sow Qm —�u CA u Es �..� z w b C7 A z C a v' > a'v o A a z � 2 o .0 .. 1-4O W W A 5 c, � a-v BUILDING DEPARTMENT D [E C ENLE VII. AGE OF RYtftooK 938 KING Aiwyr RVE BROOK,NY 10573 JAN 2 2 2025 4 -0668 w vic ut,� VILLAGE OF RYE BROOK BUILDING DEPARTMENT AJm1/1i4v4r+-2_ BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: 2 ' � ° nit �S' Application Fee:$ zoo Approval Signature: Permit Fees:S �10� Disapproved: Other: Application dated: (I I I 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 existing building,or for a change in use,as per detailed statement described below. l` L L/ 1. Job Address: Lot�t 2['W� S, SBL: 135i 37`'I/—T/ Zone: 2. Proposed Improvement.(Describe in Jdetail): ►nl rrl~ct= r�i✓1 t —� .P.- b1'�SP1w�P^ W �y�p^t.t� n. — — 3, Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:_y, Yes: If yes,indicate: TIER 1: TIER I1: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing /automatic fire suppression system(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc,..) No:- Yes: (Ifyes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: ( P After Construction: l 6. N.Y State Construction Classification: L N.Y.State Use Classification: 7. Property Owner: IA k fLck A- C\Q Ir to Address: COS 1,61^vli r-!, Phone# 9 14—-b'2-5--15-24 Cell# `� 14-106--'t5-2A email: EsIqPY4 3 `� V- tvt 8. Applicant: R i P:rf l V f o'1 Address: to W ,ti. t v-*- � 12c1, S� Phone# Cell# �9l — 7a�S—�rj Z� email: f3�4n4 r'Q q rv+Es► ,«m 9. Architect: LO Address: Phone# ` Cell# email: 10. Engineer: / Address: Phone# Cell# email: 11. General Contractor: A dress: 1-2L` MVt.ev� t�Dc Tr7l�r tMa�n 1'ue C l C*q 6 s Phone# 1---d0t 52-7 -` Cell# email: icAvu12w., 0(g•Ilpc.TNy ,e,}:+% 12. Estimated cost of construction $ qDVD (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees•and material and labor which may he donated gratis.)13. Job Timetable: Start: 117 I-X9-5 Finish: 2.1 17 U-1,> (1) 6/1/2024 BUILDING DEPARTMENT 51ECIMWIED VIL AGF. OF RYE OOK A938 KIN `" flt,r RvtE Bata ,NY 10573 JAN 2 2 2025 14 6b�$�` ov VILLAGE OF RYE BROOK BUILDING DEPARTiVIENT 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: rto `�InraY ,residing at, W'-AinS, urtd (Print namc) (AddteNs ixhere s, a Ii%r) 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; Rye Brook, NY. (Job Addrr�.) 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. UU)Gila (Signature of Prorcrtl, (h1�irrl�11 (Fruit Nanic ul Properly ONsncr(s)) Sworn to before me this day of , 20 INoimr P ic! GREGORY M.RIVERAA (rotary Public,State of New York No.01 RI6441398 Qualified In Westchester County (2) Commission Expires September 26,20AL 6/1/2024 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. 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. By signing this application,the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of . 20 day of , 20 � t / Signature/oflProperty Owner Signature of Applicant L)VIKCk M Shod Print Name of Property Owner Print Name of Applicant Notary Notary Public GREGORY M.RIVERA Notary Public,State of New York No.01 RI6441398 Qualified In Westchester Cou nty Commission Expires September 26,2q1 (4) 6/l/2024 \ / » a _0 E . \ E ` E \ E § } 3 \ - CO u \ C 3 3 G = ^ 0 3 / / / 7 c m w \ O Q \ & 4 = g 2 4 _ \ \ / f \ \ \ / E § 2 \ 2 .. m ± c '� 2 z e c 2 2 / � w k = cn 72 � \ 5 CL _ CL CL O J 6 00 a e J / J J I I \ $ $ $ $ z e s e = U % @ m n m z k ƒ k % 9 « t m ± � § 2 a ) 7 0 \ r } } ■ i ® m ® > J2 \ \ / \ \ ¥ § 4 z � 5 o � 2 a \ - ƒ \ j \ a � U-1 / ■ \ >LL \ a 3 m 0 / o u @ w $ / o w g \ CD E / Cl) 2 \ / \ \ / \ a [ m \ e 2 2 © e o / 2 G \ 8 L.: LL § 7 = 7 . 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L9 !;'.; .#. t:tSz+ �• 5t 3tAtf t}y, ♦•• .::ay l.�8,_ -�R` of `�3' h?t,�, �. � }N�tia•t; A �•t}n..�••� •,t A4 .l('t�. ••• `1iA�� �1•�•1�,,:�';1F7 '^ -•7 '. /�!Al t+ 1 1t/4frVnr (.\Nt,•:_ + r r�•..,v,...{ 4rrr n�f'tl I� ��}ttkt''. sA (t O� �' /On. �,,�t,�} tv •tfrjr/,�y y�'f.' ,r �'t':1r7!{'6%tt {•./Xit�.�4�,'.lt�t),..: .yr/.'1'\??\�4 • ='i�•"r+�i ::§.�.II�i � E�T • `Z.r�i•Y•'°,9' '�.<rr(.;y o' y6 •iW .\'f.N.�tit - �/�G - � llv?! � /r. 1 �.�4� .,� ,�r � lr�t 9ry+ Lt� .- ,� �ar..� ••�+. !• sy: ti .. �lV\t G .t lv� - � ��� �— fi �— ��#ra J%u, +�+� r"' �11"2t`vs .. ��. �jfr••�` u+ •r �y+ 1 _. � •^9nf+t� � ,._ � "'^•:5 -.� �jYl ./ Via•+• "t'�Ek3�'', � DHDWIND-01 JANICETIEPERMAN ACORO IYYYY) �� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD 1/(MMIDD 5 21120 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 or NFP Property 8 Casualty Services,Inc. PHONE FAX 45 Executive Drive ac,No,Ert:(516)327-2700 ac,No): Plainview, NY 11803 INSURERS AFFORDING COVERAGE NMC• INSURER A:Forte ra Specialty Insurance Company 16823 INSURED INSURERB:Trumbull Insurance Company 27120 DHD Windows&Doors LLC. INSURER C:Merchants National Insurance Company 12776 220 Monroe Turnpike INSURER D.Endurance American Specialty Insurance Company 41718 Monroe,CT 06468 INSURER E 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. INSR TYPE OF INSURANCE ADDLiSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE X OCCUR X FMC-CGL1000195-01 8/26/2024 8/25/2025 DAMREtAGE ISETO RENTED $ 100,000 _ MED EXP(Any oneperson) 6,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I—x]jra LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 12UEN BD9LAV 8/25/2024 8/25/2025 BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY Per accident $ AUTOS ONLY A�TOS ONLY PeOPERa DAMAGE $ C UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS UAB CLAIMS-MADE FXL0003234 8/25/2024 8/25/2025 AGGREGATE $ 5,000,000 DIED i X I RETENTION$ 10,000 IS WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N TA LITE 1 11 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ CER/MEMBER EXCLUDED? NIA FFIMandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT D Excess Liability ELD30024026701 8/25/2024 8/25/2025 Each Occ/Aggregate 6,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is included as additional insured as required by written contract and is subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village Of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St. Rye Brook, NY 10573 — AU�f}THH{�O�RIIIZ�EEDI//REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NEw Workers' S^~ you s-tATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ADP TotalSource FL XIX,Inc. 5800 Windward Parkway 2038806019 Alpharetta,GA 30005 UC/F: 1c.NYS Unemployment Insurance Employer DHD windows&Doors,LLC Registration Number of Insured 220 Monroe Turnpike 45.99848 6 Monroe,CT 06468 1 d.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to 202359605 certain locations in New York State,i.e., a Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New Hampshire Insurance Co. Village of Rye Brook 3b.PolicyNumber of EntityListed in Box"1 a" 938 King St Rye Brook,NY 10573 WC 069352232 NY All worksite employees working for DHD Windows&Doors,LLC paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. 3c. Policy effective period 07/01/2024 to 07/01/2025 3d.The Proprietor, Partners or Executive Officers are ®included.(Only check box if all partners/officers included) ❑all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"la"for workers'compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in bog"30,whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Don Bailey (Print name of representative or licensed agent of insurance carrier) Approved by: ��- ��:�x 01/20/2025 (Signature) (Date) Title: CEO North America Telephone Number of authorized representative or licensed agent of insurance carrier: 600-743-8130 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) Certificate Number: www.wcb.ny.gov