Loading...
HomeMy WebLinkAboutRP25-013PFJlMIT � ��S C/ � DATE: � �3S a�� �cP: � a� a sEcnoN e�oc tot TYPE OF WlRK -P �- Oo �X/ S7�7r7�i u/�� i�G i. I��P Q �' OWNER��2 u .2IC1 /7 � /) S4 � !.� ry4/7 6 '%�1% 1078/ CONTRACTOM �eSl !� u% C�O!lSu� Qn7�S � - - Q,� �...__.�.. �o/�P� bem�. �c23� 9811- 9yln3 �T. COST �d O O FE �' c3 V CO � � FEE DATE � --�— TCO � FEE GATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMPING L7 RGH PLUMBING C.AS SPRINKLER ELECTRIC LOWvOLT 0 �►LARM ,�S sUtlT 0 i'INAL DATE /D'Iy'2oL OTHER APPROVALS ((�yE DR O` �4 1i V+�� v l�t t'4 V�`Li 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.Qov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 16,2025 Corey Shulman&Lindsay Shulman 40 Meadowlark Road Rye Brook,New York 10573 Re: 40 Meadowlark Road, Rye Brook,New York 10573 Parcel ID#: 129.84-1-16 Roof Permit#25-013 issued 2/25/2025 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to c For office use onlv: BUILDI�/liE�E�� \TMENT PERMIT 11 VILI� E OF RYE �DK ISSUED: SEP 2 9 2025 9 8 KING STRE YE BROOK 1s1V YORK 10573 DATE: ���4)9 -06� 0Z7 FEE: PAID VILLAGE OF RYE BROOK w�W, o 0kh�, ov BUILDING DF10ART!V,_.N!T 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 ...............................•.......•.•.......•...........••.................•.........•.................................. Address: 4 o� n �E j���� �e E Occupancy/Use: reel ID#: ?� •T�� �` Zone:e O Owner: Address:�°ji`'I l�- - I - P.E./R.A.or Contractor: Address: Person in responsible charge: r C. ddress: 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: ' fing duly swom,deposes and says that he/she resides at J (Print Name of Applicant) —` ' (No.and Street in oc 41/W- C in the County of in the State of ("- - ,that (Ciry/town7 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 for the construction or alteration of- 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-IO.A.of the Code of the Village of Rye Brook. Swom to before me this l Sworn to before me this 2 cl day of , 201 S day of 6e� ,20 ZS Signature f oPerly Owner 0-31 gnaturc of pplicant 1 orr4A Prin0q&1 f roperty Own Print Name o A icant Notary Public Notary Public Mtttt�lny�l tl 'ammadR6m a 6A.21124 COMMillWMIll 01RA0032M i,sion#O1RA00329n Notary Publio State of New York ^Iic State of New yod My Commission Expiration:01/]7/2029 m0hawad 01 on:01/17/2029 ��Lyr� 1tA0032973 __ _ _ __ Nowypd 11i0&eofNowY k Scanned with My Confti" 0I/17/2029 m CamScanner': QyE BRcur 1. w � 1932 BUILDING DEPARTMENT ❑,,BBuILDING INSPECTOR LQASSISTANT 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 : 0_ meoe .`cQ �ZaocL -- DATE: 10 1 4 - 7-045- PERMIT# - ! ZS - d I-,%. ISSUEI):,2' 2�SI?CT:_ 1 ZR 1 BLOCK:____ LOT:�� LOCATION: 7v-w •_ _ 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 f ❑ INSULATION W 6,_ 1 OO ,� O J 4i 'f s T ❑ Natural Gas ' V �[ ❑ L.P. Gas In O�0 ❑ FUEL TANK , ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL go'OTHER� M '' w 7 NO p su �. (N w n►l N `� cr R Y N " W N 5 ce W � a � O v -.S os m a $ v O \ Lr) 00 00 r let ' jG L••� ~ O 0 ° ° , 00 a 0 O O z x Z oo Q '� w V o cn o � a � ' M 0/ 0 OCIO Z c! V o � O v � z A 0 �U, Q o c o $ v v u Q U d W C7 A z O w6� � � ° � O ti v c �I �R P. 01 W BUILDING &PARTMENT V1l rE OF RYL ROOrc R! FEB 2 4 2025 938 KING .ET RYE BROOK,NY 10573 -0 VILLAGE OF RYE BROOK jrve ov BUILDING I)EPARTMENT FOR OFFICE USE ONLY: I Approval Date: FEB 1 , 2025 Pe 1 ���'�/ Application # Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: _ Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fec:4/co_ b Permit Fees: —/6tJC. ` ROOF PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY, for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below. 1. Job Address: 40 de//A/I // _ _SBL: t one: Property Owner:CU07 V 14 pya_4Y ! j 1—,ft 1 Phone#: Cell#: 7p/ email: .�,py1 2. Applicant: ddress: PA Phone#: Cell#: �q . Q (�� email: 3. Roofing Contractor: Address: Phone#: Cell#: 94r j email: 4 4W r , 4. Job Description, list all Methods& Materials: 7 IF IV 5. Estimated Cost of Job: S INOTF:The estimated cosl shall include all si � imhrmement�,. lahor. material. a11�. ding. lieed ctluipmcnt,rrol'cssional Ices, Lind material and lahor which may he donatckl gratis,y b. if corner property,indicat street frontage: 7. Construction Type: NYS Construction Class: S. Number of stories: Height: r;7<- 9. Is garage being re-roofed:No:*Yes: ( )Attached No: ( ) • Yes: ( )Number of Cars: 10. Is roof peaked,hip,mansard, flat,etc: A,, rAd J 1A I �r%�Lr� 11, Estimated date of completion: f� -1- 611/2024 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: Evan L. Goldenberg,Architect 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 Architect/Construction Manager 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 i Sworn to before me this day of Jell th' , 20.25 day 1 , 20-24 Sign o Prope Owner ;T—gnIqr.7.f Applicant Print Name ofPrcp rty Owner Pr�Name of Applicant n Notary Public o Public i A,YRON j. ADLEY f Notary Pub lie-state of New York No.01 HE0014B56 Jet}s�Bu�� Qualified!n Kings County My Commission Expires Oct-25,2 , Commmionit:41BJ►PrMO NQMy PtaW 8Mb 0f Naw yat My Comsdo6 a Mlpirss Jame 20,2MI (4) 6/112024 design build consultants inc. architecture,design and construction management P,O.Box 7818 Greenwich,CT 06836 203.984.9463 February 24, 2025 Corey & Lindsay Shulman 40 Meadowlark Road Rye Brook, NY 10573 Roofing Proposal Dear Mr. & Mrs. Shulman, DBCI is pleased to offer you the following services: Remove all existing asphalt roof shingles. Inspect all existing plywood sheathing and replace it as required. Install WR Grace, ' Ice and Water Shield" to cover the entire roof sheathing. Install Black heavy gauge aluminum break metal valleys, drip edges and new step flashing. Install GAF Timberline HDZ asphalt roofing shingles. 5-year labor warranty from DBCI. 25-year limited warranty from GAF. Cost of investment: $10,000.00 Respectfully submitted, Evan L. Goldenberg, President LetterHead25a.doc 1�.- +e� "•• d;� •5�'il�.?tF .' • t n A P . 1l \� M �•A , � .��-CAf A �l t [.(b)> 1111� 1 1� ct t,:e:1�1111111,1 f.£_ ylyNlr ldro,, I,Ilh,l.. Illill,l_ ,IN11,1, , � ,�dt� , � C %} OQ Cy � O •k � --�� S' = U w % G ar 47 '�► v y . •� %4 V (n Oco 0 w (!� > j Q c0 c ection 00 00 co v� Z X ` y O OUj W �= w o f f"k 11 X O CL] c '� N 30 � z c Cf) I <( y ••S� I V � C C V j � :� ' — cu z= W3 :z <(o)>. ♦ c,11111,� C ;�„1, �''� + 11j11,1 ♦ �•,1,1,1,' 4 e•i 11 1 '��""s-_. . . . . . . . . . . . . . • ' w•�.. � �11111 � I rll�l i I,1111,, ,111j11, , f ,,,11 rA,'�lCa� 3 3er,1,1,1,dt�w^-•;r-e: ' '�' -'� Y �R• 11111 rll. ' 111 /11 111111 / j�,111/,1, r �..11j111,' ♦ <(0)> r.: 4 .'�. •• .'�.. 9 •. A •• ^ •♦ �^� r •♦ � t .� 1 ^ ,3 '\ ® DATE AC� AC" CERTIFICATE OF LIABILITY INSURANCE 2l24/2025 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 DKB Group, LLC PHONE FAX 7 Oak PI Ste 8 (A/c.No.Extl: ac No: Montclair NJ 07042 ADDRESS: INSURERS AFFORDING COVERAGE NAIC1t _ INSURER A:Hudson Insurance Company 25054 INSURED DESIBUI-02 INSURER B: Design Build Consultants Inc. 1 Jofran Lane, Greenwich, CT 06830 INSURERC: P.O. Box 7818, Greenwich, CT 06836-7818 INSURERD: Greenwich CT 06830 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1797850482 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. IN$R ADDLTYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MM%DO//ICYYYYY MMLDD/YYYY LIMITS ICY EXP LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E DAMAGE TO RENTED CLAIMS-MADE LIOCCUR PREMISES Ea occurrence E MED EXP(Any one person) E PERSONAL&ADV INJURY E GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E POLICY JE O- LOC PRODUCTS-COMP/OP AGG E OTHER: E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E Ea accident ANY AUTO BODILY INJURY(Per person) E OWNED SCHEDULED BODILY INJURY(Per accident) E AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE E AUTOS ONLY AUTOS ONLY Per accident E UMBRELLA LIAB OCCUR EACH OCCURRENCE E EXCESS LIAB El CLAIMS-MADE AGGREGATE E DED RETENTION E E WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT E OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE E If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E A Professional Liability PRB 06 19 118593 3/31/1024 3/31/2025 Per Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Street Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE p � 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YoPX Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured Design Build Consultants Inc. 203-984-9463 PO Box 7818 Greenwich, CT 06836 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 13-3555388 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"l a" Rye Brook, NY 10573 12WECJH5667 3c.Policy effective period 02/01/2025 to 02/01/2026 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"T'insures the business referenced above in box 1 a"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 box"3c",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: Ellen Goldman (Print name of authorized representative or licensed agent of insurance carrier) Approved by: BZG.yL 02/24/2025 (signature) (Date) Vice President Title: Telephone Number of authorized representative or licensed agent of insurance carrier: 516-466-4200 C-105.2 (9-17) www.wcb.ny.gov