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HomeMy WebLinkAboutDP25-003PERMIT # //"i SECTION TYPE OF WORK JOB LOCATION _ OWNERq k� CONTRACTOR EST. 00 - oo BLOCK % LOT_ 07 % uc l e tO�cJli*fire u /e Q03) �Y`13 ogza —A)r*/ I'a 1 Col C91Y 90(r,-3a- /�ll TCO # FEE DATE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBIN RG G GAS C7 SPRINKLER ELECTRIC LOW -VOLT C� ALARM 0 AS BUILT 0 FINAL � V INSP OTHER APPROVALS ARB BOT [Zl ZBA 111111111111111119 OTHER DR1 4" ci.`y�o��Y;. 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 David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CLARIFICATION OF RECORD September 17,2025 Maxwell Buckley&Whitney Buckley 31 Boxwood Place Rye Brook,New York 10573 Re: 31 Boxwood Place, Rye Brook,New York 10573 Parcel ID#: 129.59-1-27 Demolition Permit#25-003 issued on 2/14/2025 for Interior Demolition This certifies that the above captioned permit has been closed out by Building Permit#25-034 issued on 3/5/2025 for a new front portico,new deck,new windows and interior alterations with Certificate of Occupancy#25-118 issued on 9/17/2025. Sincerely, / 9 Steven E. Fews Building&Fire Inspector /to BUILD NT For office use only: O Q �n.�5 ` �„� '�NG PERMIT# SEP U tl� VIL OF RYE OK ISSUED: ._ _ STRE YE BROOK,. YORK 10573 DATE:_ _ VILLAGE OF RYE BRM.— i 9 -06�0� FEE: I PAID BUil.ni, G DErARTf��E __ ' 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 sst*s***sttt****sxrx*t*sxsx**xxx*xsssts*xst*+*rs*tssttssttst*s+srtxtss*trtrsrtts+tttsstssrts+++r*sttrsttt+*srtssst*sttts*sits Address: Occupancy/Use: Parcel ID#: Zone: Owner: ddress: P.E./R.A.or Contractor: "WQ 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: being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) ` " (No.and Street) in ��� ,in the County of W � �,t_���— in the State of 'that (City/ToHn/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:$ 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§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this V�� Sworn to before me this day of �;� �S , 20 ?S day of , 20 Signature of Property Owner Signature of Applicant v\C'_dJ �, Name of Property Owner Print Name of Applicant Notary Public SHARI MEULLO Notary Public Notary Public,State of New York No.01ME6160063 Qualified In Westchester County 6/l/2024 Commission Expires January 29,20L, w � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR LKSSISTANT 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: .3 1 4 t 0�7 Q �L[t�-e DATE: q' S" 2 cLi— PERMIT# ZS-��3 ISSUEDZ--7-/y-trSECT: /2q.3'f BLOCK: t LOT:27 LOCATION: =• ,I{A jy�, W O VL- OCCUPANCY: ❑ Violation Noted THE WORK IS... Pe YASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas Sti%LA ,r,, rn<3 ❑ L.P.Gas ❑ FUEL TANK ,Y ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION .21-FINAL OTHER u y a z o Ln N W W) A .. y v a 0-4 UriQ` a x -0 5 9 'A cd Z H N n1 O ° o Y3 y ON v FQ ^ a Z M so O v W C wcq 6, c O1e cad r� a LTJ F b u x 15 (1�� o v o v W U ©O �. z W W E^ A J -c a U w: p OU AT uo "Ct U11 � a a F 0 4 � U � v � O O d U o ? So y� a p11 aon v x z < �C z U W. O u p u z WI r-I Z p• W F d M A � Z � � o � � •� ob BUILD MENT V E a Ry a a, ox 938 KING ET RYE BR` ,NY 10573 -0 F 25 EB - 4 20 a 4 UV VILLAGE OF '_ BUILDING D -,' F N10 Ll T/o Al PERMIT APPLICATION FOR OFFICE USE ONLY; /� Approval Date: FEB 1 2 2025 Permit M Application Fee:$ � /C./ ax( Approval Signature:� a �s Permit Fees: S. 3 ':�) `7 C) Disapproved: Other: Application dated: 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. 1, Job Address: ) C3>e.1jAwo PLO-4L SBL: 12.I. 5 1 - Z1 Zone:` I s 2. Proposed Improvement.(Describe in detail): or• a Ec�f�n ��c� 1 t! $Ia-I�4 G r'P �,\A &,,r.yM atiAr a,F _5 k c.e-y 040- G c-. 4-T , A2 01_'1414 r, dawlk'Kr-c— u-3 Zju414 /n 4- viw 7>4ox jrtG,r• 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:{,,­ Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: I,— Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction:16.1"ias 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner/"C*AVJvA 4 W 4t" Tj�,w_)'�±,•+�Address: 31 3�dz000 I&WJL Phone# Cell# tLO3) email:w4 i tnty'$-c-V-L-•3 Zn a C�,r+al,ca►ti 8. Applicant: C A-1 k_e. _ Address: Phone# Cell# email: 9. Architect Se.0,11a"4o rM &UAtA& Address: �3 1�d ,r F h I I (ice r Anknant t !j /Q4_-�4 Phone#014) ID-235V Cell# /�_A)714r -015-Z' emai r I `" C 6 vh t I L . 10. Engineer: Address: Phone# CJell_# email: /���!(J2 11. General /Conttract/or:g eco"0 ZS7�uC40/2��dd�s _q/3 #� l7 v Phone# !/` - /©ICJrO / > i��/Rrf'J(�4 email: 12. Estimated cost of construction $ (NOTE:The estimated cost shall include all labor,m erial,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable:Start: Finish: (1) 6/1/2024 BUILD MENT vIL OOK FEB - 4 725 938 KING ;$lt ,NY 10573 VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT *:s:*****w*ww�rxxwww,r**ww*w*t�*,�wxw*,�wwwwww,�w*w*www,�w*w*+�w+w:c*,rw�r*w,rww,�ww**wwwwwwwwww*ww*:�+s��et**x*xw*�:*w� 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 PLQM ING 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: I, residing at, 1 3 ox wow 5' z, - _— Print nanic) I (Address where you live) 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; 31 +Qx W aao PLC err ,Rye Brook,NY. (Job 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. (signature of Property Own )) U LAM EQ Lk (Print Name of Property O% er(s)) Sworn to before me this JA n rJ da of (� 217�_� (Notary Public) SHAftl MEULLO Notary Public,State of NOW YOFk No.OIME6160063 Qualified In Westchester County, l Comm►ision Expires ilmutry 29,ZO Z (2) 6/1/2024 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed forms with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 14 Part 1264& 1265 NYCRR) To: The Building Inspector of the Village of Rye Brook, From: G S co• -1 u,-a C SubieetProperty:_ 1,awwocm RL L SBL; 17,9• `j Zone: Please take notice that the subject;❑One or Two Family; ❑Commercial, ❑New Structure ❑ Addition to an Existing Structure Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) ❑ Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑Floor Framing, including Girders&Beams(F) ❑ Roof Framing(R) ❑ Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before me this J a V1 t— Sworn to before me this clay of v 20_ L day of 31 ,20� Signature of Prope wner ignature of Design Pro ional �;t yri ame of Properl® er nt amc of De vI*gnProfe 'ona Notary Public Not ry Public SHARI MEULLo Notary Public.State of Now Yolk SHARI MEUUA No.o1ME6160063 Notary Public,State of New York Qualified in Westchester county. No.01ME6180063 commission Expires Jahuory 29,202 Qualiflod in Westchester county (3) Commtsslon EAAM Mwa y 2%Xf 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: G, ISC_',rl c'-Sa Lar f- v'�0�,being duly sworn,deposes and states that lie/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 arctiucct,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 ��CmLkao Sworn to before me this J Uhyc- ✓ day of G , 20 day of -30 , 20 z-s- bLj�u4 &, , Q1, Signature of Property ow c nature ofAp6licant W3ccc [ i .PtiDl Name of Property Kvner amc of Applicant r X� Notary Public Notary Public SHp,RI MEtJLLO Notary Public,State of New Yock No.01ME6160063 SHARI MEIJLLO Qualified In Westcheste►COW* [� Not Public,State of New Yooc Commission Expires 1tmuoy 140.01ME6160063 Qualified In VYestcheste►County Commission Expires Jshuaty 7 (4) 6/I/2024 i Ln � z s N N W i N � � a , F C] W n x 0-4 IN W x x Z w cn x �:) A �„� w a u ~ Cn H Oz w w a O P*c.7 z z � z � CA z W Z � o '_' ~ "' H z z IT'- z p a ' rr, � • V U N x zL a a W a H 0 1. ° - x z v w z c E V E � C - Dv�� BUILDING DEPARTMENT ll Lc� ll I VILLAGE OF RYE BROOK FEB 2 4 2025 938 KING STREET RYE BROOK,NY 10573 1 _-__ (914)939-0668 VILLAGE OF RYE BROOK www.ryebrookny.uov BUILDING DEPARTMENT" ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required n FOR OFFICE USE ONLY BP#: ,L S — d O--�> EP#: Approval Date: Permit Fee: $ Approval Signature: Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, �f r4 Q-k rJ S. L&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: �� lc� A Q t- SBL: 129 -S Zone: 2.Property Owner: PrX 1/Jl'i,(. Z W H t 1' t/ j3 ye.f li(ss: Phone#: 2 L,3 g -1 3 GS LA ?—Cell#: email: t- t� t{nk S c- N y 1 05} 3.Master Electrician/Licensed Installer: U VF III G S i I L' Yy Address: I Z I, (-Vr C 4- 02E( ,roe&H--<rT Lic.#: Phone 1 3 i S\ Cell#: email: '�tE(L da C L't-CTyuc%}! �' ✓��c a° —r— Company Name:�(W Address:J �A 6InAfoL S 7 Pa a i L'/fza- 1)V 16 S 1 4.Proposed Electrical Work/Fixture Count: (It- b-(U Yy W tu- -C' (Lc-- 5.31 Party Electrical Inspection Agency: STATE OF(NEW YORK,COUNTY OF WESTCHESTER ) as: VA:.L r> ]` I ,el being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual sigping,as the applicant) ` state that(s)he is the n L; ' ' tifor 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 bef r e this Z day of 20 dad of rzeb M 1> 20, pT Signature of Property Owner Signature of Applicant� ( V-A v'LL c' ',,99'— Print Name of Property Owner Print Nam Applicant Notary Public CHRISTOPH®3arpR Notary Public,State of New York /1/2024 No.01 BR6159985 Ounlified in Westchester Courty Commission Expires January 29,203.3„ STATE WIDE INSPECTION SERVICES, INC. 0•0 • • SWIS . : APPLICATION tel 84S.202.7224 I fax 914.219.1062 • Office Use Elect.Permit# Date Scl Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County 1 (Tetfr$WIL Address ,l Cross Street Sectign- Block Lot t_. Owner Name/Address(If different map a'QveJ L L W I1 I j �✓� Contact Number G T! ❑ Z Basement 1st Fl. 2nd FI.7�❑3rd FI, ❑More Than 3 FI. ❑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 I i ❑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 REC � �M� EFEB 2 it W DD --] i 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,rat 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. Email Address 1 r.., L t) t L t ( ( �_ �' 1 /( ( C /" Name -( ; !i 1L ✓' License# L Date 2 Signature 4 Address t City/State r' p Z tiq r i 1 �1 !. ( �T y 'Zi de Company -�A VU c V ,3 L i Phone# State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone a SFP - 3 ZU�S �--' 914-219-1062 Fax STATE WIDE INSPECTION SERVICES � Email: office@swisny.com VILLAGE. ul= iF(Y!_ In-�001< 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: Mario Silva Electrical, Inc. Maxwell &Whitney Buckley Mario Silva 31 Boxwood Place 121 Grace Church Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at: 31 Boxwood Place, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-050 129.59 1 27 Certificate Number: 2025-2517 Building Permit Number: DP25-003 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:31 Boxwood Place, Rye Brook, NY 10573 The Basement, First Floor&Second Floor 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 17th Day of April 2025. Name Quantity Rating Circuit Type The Removal of All Associated Electrical Wiring in the Demoed Area for the Basement, First Floor& Second Floor. Officer: Frank 1. 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. !� .Buildingnalys Permit Check List&Zoning Ais Address: JJ I l��X g) c,cxA 1 Lc C g— SBL Zone: R_I5 Use: 2 Const.Type: 1' Other. Submittal Date: Z -q ` Z Revisions Submittal Dates: Applicant: 7—>,k(✓k Lac' � Nature of Work ►J A P1 )02 Dcl 4-r-)o Reviews:ZBA: FEB 12 2025 P& BOT: Other. T-q— OK ( ( ) FEES:Filing:—10C--t BP: C/O: Flood Plane Legalization: ( ) (� APP: Dated: Notarized: SBL: ✓ Truss I.D. r —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 PLw: Other. ( ) (� SURVEY:Dated Current: ArcbivaL- Sealed: Unacceptable: ( ) ( PLANS:Date Stamped Sealed y/ Copies: ✓ Electronic Other. (� ( ) License: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated. N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other: (df ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (Jf ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A Other. ( ) ( ) I-V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) 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 DINU1L 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 NOTES Area: Circle: FAG Front: Front: Sides: Rear. Main Cor. Accs.Cor. Ft H Sb: Ste: ME Sd.H Sb: GFA: Tot : Ft.Imp: Pad. Height/Stories: notes: Laura Petersen From: Whitney Buckley <whitneybuckley20@gmail.com> Sent: Friday, February 14, 2025 9:52 AM To: Laura Petersen Cc: John G. Scarlato Jr. Subject: Re: 31 Boxwood Place - Demolition Permit Application Got it!Apologies , our demolition cost is$18,000. On Feb 14, 2025, at 9:45 AM, Laura Petersen <LPetersen@ryebrookny.gov>wrote: Good morning, I will be working on the demolition permit today. Please verify the cost of just the demolition. On your previous email, the cost was indicated as $180,000.00. I just need the estimated cost for the demo work. Your other application that is going to ARB next week will also need a separate estimated cost. Please advise at your earliest convenience. Thank you Laura Laura (Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 From:Whitney Buckley<whitneybuckley20@gmail.com> Sent:Thursday, February 13, 2025 9:57 AM To: Laura Petersen <LPetersen@ryebrookny.gov> Subject: Re: 31 Boxwood Place- Demolition Permit Application Thank you!! On Feb 13, 2025, at 9:46 AM, Laura Petersen <LPetersenCobryebrookny.gov> wrote: Thank you! I will let you know as soon as the permit is ready for pick up. Laura i Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 From: Whitney Buckley<whitneybuckley20@gmail.com> Sent:Wednesday, February 12, 2025 4:53 PM To: Laura Petersen<LPetersen@rvebrooknv.gov>;John G. Scarlato <igscarlato@gmail.com> Subject: Re: 31 Boxwood Place- Demolition Permit Application Hi Laura, please see attached/below and let me know if we are missing anything ! I can come with the check at your convenience. Thank you, Whitney Buckley 203-848-0942 1. General contractor's contact: William Conpadri: 914-906-8932 2. Copy of general contractor's valid Westchester County Home Improvement License. attached 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) attached 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) attached 5. Estimated cost of construction to determine the permit fee ($18.00 per $1,000.00) (due once permit is issued and ready for pick-up) $180,000 On Wed, Feb 12, 2025 at 1:44 PM Whitney Buckley <whitneybuckley20C@gmail.com>wrote: Thank you Laura I will get this to you asap. On Feb 12, 2025, at 1:37 PM, Whitney Buckley <whitneybuckley2000gmail.com>wrote: 2 R Ol Al Z t,viott Latiser Jacn Mama* t►,r Me vArf U..aaM E prritit nty tSr.CTnr.L f►** rrA#.c - Department of Consumer Prottawl Home Impmvenient License S • 4RJ Ft h:'�=`��FftllCTl•^N Sig��C��a JRTMir.Y 7tiL! 01EL W i ! Y: f 1s4 '.t1tiltt a� .�t�iYKCy'`• tin'<IS 'R1 6r1�'K115���'cri•+:n: {FYI Jl'•ttis • Cade a:4Rw'."obI4I + pITRtlklQtt?101�-s. i`•4C(�1r4'S1{!!'+Cit Cl�.*t:fr'S�t+'�[�'�"J�11Y!lrs.�F'a"�MyitL71L'1n'!ti,(�",�1'�V(l� �.ir.+.-�th�,lcf*k'i' �a r ry �-i�t11yC�►u".�l+tr �" a�r UXi•.t � ��+apt - ��� � .'•C-3�t�-i-2t t. .��' � C�201�2U�� ynasaa •. 5�,_����_� a. .,_ r � Y � RRPCONS-01 BEGELI ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) �� 2/12/2025 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 NQN ACT Ellen Goldman(egoldman@butwin.com) Nathan Butwin Company Inc. PHONE FAX Cutter Mill Rd.Ste. lac,No,Ext:(516)466-4200 A/C,No:(516)466-4213 Great Neck,NY 11021 ADDRI .info@butwin.com INSURERS AFFORDING COVERAGE NAIC S INSURER A:Utica First Insurance Co. 16326 INSURED INSURER B: RRP Construction Services Corp INSURERC: 413 4th Avenue INSURER D: Pelham,NY 10803 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 ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE (OCCUR ART3000632800 11/21/2024 11/21/2025 oAMAGETORENTErrence $ 50,000 MED EXP(Any oneperson) E 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jecof LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaacaden ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS SSyyNEp BODILY INJURY Per accident $ AUTOS ONLY AUTO5 ONLY Pe08CEURd�t AMAGE _ E UMBRELLA LIAB HOCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION E WORKERS COMPENSATION ISTERTU OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ WFICER/MEMBER EXCLUDED? N/A andatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/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 Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured RRP CONSTRUCTION SVCS CORP. (914)755-5405 413 FOURTH AVE PELHAM,NY 10803-1209 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 37-1916210 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Hartford Accident and Indemnity Co. Village of Rye Brook 938 king street, Rye Brook,NY 19573 3b. Policy Number of Entity Listed in Box 1a" 16WECAJ8NBJ 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) ❑X 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: Benjamin Palancia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: � � AaZ�—� (Signature) (Date) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 914-698-1373 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) www.wcb.ny.gov R Cn 0 _7,1 F1_1 �:U D < U) r-!-I O —� 00 „z0 I V OD �z O Tl I II I II MI x IIII I IIII � I 1 U. IIII o I ! 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