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HomeMy WebLinkAboutBP25-037 VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 25-035 (Certif irate of ®rcupaucp This is to certify that ly, PU of, Rye having duly filed an application on / / 1`7 /rCh �" 20� requesting a Certificate of Occupancy for the premises known as, o /J Yff� /d re s cen 1 , Rye Brook,NY, located in a PU D Zoning District and shown on the most current Tax Map as Section: 0• /4.0 Block: / Lot: J , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. 5-0 issued 1 U 20 �?5, 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,-,3Construction: , for the following purposes:--) Z V_ )' -}"der) � 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 s be made, and no enlargement, whether by extending on any side or by increasing in hei shall be madeVailding be moved from one location to another until a permit to accomplish such change has ee ta' ed spector. Building Inspector,Village of Rye Brook: Date: MAR 12 2025 p EC ENE 0 BUILDING DEPARTMENT For office use onI FMAR 6 2025 VILLAGE OF RYE BROOK PERMIT ISSUED: --aS- VILLAGE OF RYE BROOK 9 KING STREET,RYE BROOK,NEW YORK 10573 DATE: BUILDING DEPARTMENT (914)939-0668 FEE: PAID www.rvebrooknv.gov 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 ssssss►►ssssr»sss►srstssss►s►►►sss►se►►s►s►ssass»»t►rs►►s►s►assss►ss►ss►»»r»r»sssts►►►s►ss►ss»»»rrrts►►►s►►s»sssesr►srs►ssrs► Address: / Q Occupancy/Use: arcel ID#: / d /., 7�e Zone: u Owner: Address: P.E./R.A.or Contractor: Address: 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: T.D y `R G ing duly sworn,deposes and says that he/she resides at__� (Print Name of Applicant) (No.and Street) in C ,in the County of !A in the State of ,that (C /TOwf illage) 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:$ 0 CDC) — 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-I O.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of M 6Z , 20�_ day of , 20 QQ=11L�A ('�� Si rOiffe of Pro O g PertYwner Signature of Applicant L C&O CUZ4r_ 1me of Property Owner UPrint Name of Applicant Notary Public SHARI MEULLO Notary Public Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires Jentiary 29,20 Z �yE BRC�� BUILDING DEPARTMENT 0 UILDINGINSPECTOR ❑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 : � �\ -\V�� C o S Cep J DATE: `�' _Z UZ 5 PERMIT# C>� ! ISSUED: '''l� SEC: BLOCK: LOT: LOCATION: '.� �� �' (`tea \� '" 1 OCCUPANCY: ?- k O ❑ 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 TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�v� o`` tim 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 :— n \` A DATE: PERMIT# t ��? ISSUED: '' SECT: BLOCK: LOT: LOCATION: k- P C ' ? 1` 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 TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER s � N N pal' , ■ N o as : q14 v : O G ad S ° va4 = � ti o Gu O i eq O � °god v © �", O W >- b , Pao H c w y bA x C y g o W ■■ _ �j z 14 F■■1 i■+■1 op T-, try Lin = " R4 v 7 �« , Y . �+ w v1-4 z UZ � � a 10-4 a r 00 CIS cn F■z.+ V W �I � N Ri ►x z o C? z z -o v,c � � O EL a v 14 8 "o -g aA % U U z � W 1 g o � ,+ a cn > c-'„ o N z w o A oA 'y � ■ q a x � � ' o .a a W ] as vo a BUILDING DEPARTMENT E C E U " E VILILA6E OF RYEIROOK MAR - 6 ZaZS 938 KING SET RYE BRda1C,NY 10573 (914)939-0668 www,rVe�ool�ny.eov VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: MAR 0 7 2A 5 e__4 Permit# Application Fee:$ Approval Signature: Permit Fees:$ ! l/—,Z�\ "D Disapproved: Other: *,�«r,r*r*.*wry*r*..r.r**.r,�,r.r.r.e,r,r**,rwsw..,e*x* x+er,e,rrkk.rk�xr,e,►wx,etk,exx,e�x,►,t****w,t,r****,r***�*,r���*,r,�#w*a,t** Application dated: 3-6- is hereby made to the Building Inspector ofthe Village of Rye Brook,NY,for the issuance of Permit for the interior alteration of an existing building,or for a change in use,as per detailedstatement described below. 1. Job Address: � 2 7 -T `g �it1' -cw A SBL: /c /r /-7&—/— one: 2. Proposed Improvement.(Describe in detail): 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 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.ANSL System,FM-200 System,Type I Hood,etc...) :No: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner:_ .� ( Address: Phone# Cell# email i du 8. Applicant: Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ C2 1 _ (NOTE:The estimated cost shal I include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable:Start: Finish: (1) 6/i2024 BUILD MENT DECENED VIL S� E OF RY OOK FMAR - 6 21 938 KING ET RVE BR ,NY 10573 -0 VILLAGE OF RYE BROOK (�n ov 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: CAe1 - ( residing at, i' �'f �} _ '� (Print na m, (address where%uu li,e) 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; 'Team (��� ,• _ . 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. 44 (Signature of Property Owner(s)) (Print Name of Properi.\ Owner(s)) Sworn to before me this day of V ' `Ct CC. , 20 � {da1E are I'tihliel SHARI MEULLO (Votary Public,State of New York No.01ME6160063 Qua lifled In Westchester County Commission Expires January 29.20 Z__7 (2) 6/i/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 YO C,COUNT rrOF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, a(print name of individual signings th plicant) and further states that (s is the egal-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,atoey,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 I 1 A(—C k , 20 day of , 20 F?-,I-V-0 Q Signature of Property Owner Signature ofApplicant ame of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MEULLO Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commisrion Expires IftnUary 29,20 Z7 (4) 6/I/2024 .Building`Permit Check List&Zoning_Analysis Address: r7W C((!S SBL: Zone: � -U•` / Use: 21 y Const.Type: V� r.Othe Submittal Date: 31`t 2-S \^ Revisions Submittal Dates: Applicant: Nature of Work: `_e Reviews•ZBA: MAR 0 7 2025 pB. BOT• Other. NEED..,OK b `S 'FEES:Filing: l BP: C/O Flood Plane: Legalization: ( ) ( VAPP: Dated: Notarized: SBL• Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) BNVIRO:Long Shore 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. (�( ) License Workers Comp: Liability. Comp.Waiver: Other: ( ) ( ) CODE 753#: Dated N/A: ( ) ( HIGH-VOLTAGE ELECTRICAL:Plans: • Permit:li N/A Other. Jell_ ZCU t y ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS-Plans: Permit H.W.I.C.:_Battery:_Other. ( ) (1Y.UMBING Plans: Permit:=Nat.Gas: LP Gas: N/A/. Other. iP % ZO I CN ( ) ( ) FIRE SUPPRESSION.Plans: Permit N/A: Other. ( ) ( ) H.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 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 NOTES APPROVED Area Circle: n..a�� MAR Fie: Front: Front: Sides: Rear: Main Cov. Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot.Im : Ft.jm : padsjw. Height/Stories: notes: I Q, ewo"& 5 Crosby St.,New York,NY 10013 HOMEOWNERS POLICY DECLARATIONS POLICY NUMBER POLICY START DATE POLICY EXPIRES ON LP572D1 C347 May 01, 2024 12:01 am May 01, 2025 12:01 am NAME OF INSURED INSURED PROPERTY ADDRESS INSURED EMAIL Dihan Cheng 227 Treetop Ln, Rye Brook, NY, 10573 chengdihan@hotmail.com INTERESTED PARTY MORTGAGEE Arbors HOA Discover Bank 173.5 Ivy Hill Crescent ISAOA P.O. Box 961292 Fort Worth, TX 76161-0292 Loan Number#1462641356 COVERAGE SUMMARY COVERAGE MAXIMUM AMOUNT COST Dwelling $400,000 Included Other Structures $40,000 Included Personal Property $200,000 Included Loss Of Use $120,000 Included Personal Liability $100,000 Included Medical Payments To Others $1,000 Included Changes to Your Policy (See next page) Included $1,000 Deductible -$151 Total Premium $1,207 ($100.58/mo) ®Copyright 2017 try LEMONADE INSURANCE COMPANY la stock company)15 Crosby St.,New York,NY 10013 1 help@lemo de.com I LEM-DEC-01 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence "This form cannot be used to waive the workers'compensation rights or obligations of any party." Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ❑ I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate, file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers' compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. J / � D 5 (Signature of omeowner) Date Signed) / Home Telephone Number `2!'?' (Homeowner's Name Printed • Sworn to ejore me this � day of Property Address that requires the building permit: (Coanty Cler o Norar Prbid fl N HA21 MEULLO Notary Public,State of New York No.01ME6160063 L � Qualified in Westchester county Commission Expires Jandary 29,20 z7 Once notarized,this BP-1 form series as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB