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Home My WebLink AboutMP25-033 BR(� Q JJ a(af„Vl,�y 190 J J O VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.tyebrooLmy.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 3,2025 Christine Sciandra 47 Roanoke Avenue Rye Brook,New York 10573 Re: 47 Roanoke Avenue, Rye Brook,New York 10573 Parcel I D#: 141.35-1-19 This document certifies that the work done under Mechanical Permit#25-033 issued on 3/13/2025 for the removal of an under-ground propane tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BRC�k cu � 1982 BUILDING DEPARTMENT ❑BmLDING 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 : LA - O 4., N DATE: `7 i PERMIT# 1 rl` 2 S— P 3 3 ISSUED: _ SECT: BLOCK:_LOT: (1 I i1 LOCATION: 1 + ��O�/-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 M N N N C {1a cn _ H a M0.4 = I—I `1 � ` � " '� (sue. p'1• _ � � o � o F, 14 con x O Z Lr)0 y F�l cc)o w xN0v . h'r"I A W vim,Z ° 4 0 ,� O W �j z °a z a U o t0 0-4F-I � 0-4z U ZCam/! _ W Z o �-+ 'n W Q z 00 � w Aq W - � U !� z H b o00 � g 'o ' o0 C7 Q Z aw (A a ° z W W pp� o � a10 . REVIS PLANS � ! - - -----•----- i , + i MAR 13 2025 BUILDING DEPARTMENT _ DATED hl AO6 4 _ V VILLAGE OF Rl E BROOK VILLAUr: OF RYE M �1,38 KING STREET Ri,E BROOK,NY 10573 -%E OF RY SRO BUILDING DEPARTMEIA i (914)939-0668 +t`I( DIF PART.kIE T www.rvebrooknv.t;ov Application for Permit to Remove or Abandon Fuel Stora a Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: � f '� Approval Date: ` 2 Permit Fee: S Approval Signature: t Other: Disapproved: J Ltj (fees are non-refundable) *#*+##+}}**+ttt#######+t*#}*t**t**tt*#4��i!•t!!!#f#**}tile!!!!!#!!!!!!it**!i#lfiii!!!f#fR##*!f#t!!!!#!* DO NOT S"I ART %N(IltK or C'ONSTItLJC'1'ION tJN7'li,A I'Eltllll7' IIAS BEEN ISStiEl) Bl''I'IIE BUILT)I\(; IN51'F('1''OR.TIIF AI)NI I ;ISTRATI%'E FEF:FO12 %%'ORK PROGRESSEI)OR C'OINI'LEI-F:D N%'f171OLIT A I'ERNI17'is 12%OF TIH- TOTAL COST OF coNs,nu 1cTION",I'I'II A NIINIIN11INI FEE OF S7:0.00 RE UIRENIENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C105.2 or Form# U26.3 I or NY Stale Workers Compensation Waiver) 4. Fee per Tank: Removal or Abandonment S I>t� 00 l,cr I,o l 5. Dig Safely New York#(if!A ft 1 1): _ 6- Inspection by Building Department for removal or abandonment. 7. Submit all Manifests& Reports(after work has been completed). 8, Certificate of Compliance will be provided when all requirements are fulfilled. Application dated. - c f��I is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove or abandon a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed or abandoned in conformance with all applicable Village,County,State&Federal laws,codes, rules and regulations. Indicate Permit Type: r Removal a)•Abandonment, )/Above Ground( )•Buried In Ground 1}mjr)✓ L Address: f") C ( + "C SBL:I !�; 3 �[ 1 Zone: 2. Property Owner& Address: k Phone#: i f'-i , L `; -�� f f k Cell#: (y ' `14.�� I r f tc email. L M 5 C 3, Contractor&Address: N�t?w i)"1•t-'�A C I LC `k`i t.�- , ; fAwk*% aye t.-,rt •, •L1^ C laL3-.3C Phone#: ( �'' S` {i ( Cell#: «c'-> q CI(c- IL-1 7 eman: ��SC. ( A�:�'+ 4 Applicant: 11,11 ` t C m`�A i fc1 A C Phone#: Cell#: '- S I email: 5" Indicate Fuel Type: Fuel Oil( )•L.P.Gas(v)•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: 7. Exact Location(s)of each Tank: L k_ 1' I(• m f !�c• 1 6/112024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly swum,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 Tank Removal/Abandonment Contractor for the legal owner and is duly authorized to make and file this application. 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 before me this \, day of S 20 day of 20 � Ulk/2�0 / Signature of Property Owner Signature of Applicant AJC �ciQAJ rOk Ra t-k l Sc'�cC,k'I+qNo Name of Property Owner Name of Applicant Notary Pub*R1 MELILLO Nbill47 Mate of New York lv ry Public,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County, nuailfled 11)Westchester County Commission Expires January 29,2622^•r�rnis.=.;ar, xPl es Jan This applicafton MY?A 04'aly 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. 2 6/l/2024 A�RDA CERTIFICATE OF LIABILITY INSURANCE DATE05/7�4 YY) 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 NAME CT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE: P.O.BOX 328 (A/C,No,Ext):888.333-4949 (A/c,No):507-046 46>4 OWATONNA,MN 55060 gDDRESS:CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC p INSURERA:FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED 263-9334 INSURER B: NEW ENGLAND OIL CO INC INSURER C: 469 W PUTNAM AVE GREENWICH,CT 06830-6895 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:52 REVISION NUMBER:0 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 ADDL SUBR POLICY NUMBER POLICY FF POUCyyIIMMInY %P LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREMISES $100000 MED EXP(Any one person) $10,000 A N N 9414028 07/01/2024 07/01/2025 PERSONAL 6 ADV INJURY $1.ODO.ODO GEN'L AGGREGATE LIMIT APPLIES PER. OENERAL AOOREGATE $2,000,000 X POLICY UPRO- LOC PRODUCTS S COMPIOP AOG $2,000,000 IECT OTHER: AUTOMOBILE LIABILITY OMcadBINED SINGLE LIMITen $1,000,000 a a X ANY AUTO BODILY INJURY(Per Person) A OWNED AUTOS ONLY SCHEDULED y HNE UyLLEED N N 9414028 07/01/2024 07/01/2025 BODILY INJURY(Per Aecidenl) AUTOS HIRED AUTOS ONLY ALIT gNLe OPERTY AMAOE X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $4,000,DDO A EXCESS UAB CLAIMS-MADE N N 9414031 07/01/2024 07/01/2025 AGGREGATE $4,000,000 DIED I RETENTION WORKERS COMPENSATION X I PER STATUTE DTHER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERI EXECUTIVE El EACH ACCIDENT $1,W0,000 A OFFICER/MEMBER EXCLUDED? N/A N 9414032 07/01/2024 07/01/2025 (Mandatory in NH) El DISEASE EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addldcnal Remarks Schedule,may be of ched It more space is required) CERTIFICATE HOLDER CANCELLATION 263-933'4 52 0 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 938 KING ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured NEW ENGLAND OIL CO INC 203.869.5869 469 W PUTNAM AVE GREENWICH,CT 06830 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 06-0870146 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 Federated Reserve Insurance Company 938 King St Rye Brook NY 10573-1226 3b.Policy Number of Entity Listed in Box"la" 9414032 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"l a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Rem 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: Kimberly K Reuvers (Print name of authorized representative or licensed agent of insurance carrier) Approved by: � Qi!�L K/C¢G6t~piLQ, (Si ature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 888-333-4949 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 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Thursday, March 20, 2025 2:54 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 03/20/2025 14:53 To: VIL RYE BROOK PRIMARY Transmitted: 03/20/2025 14:53 00002 Ticket: 03205-001-706-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 47 To: Name: ROANOKE AVE Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: AS FACING FROM THE ROAD- LEFT SIDE FRONT 10' FROM CORNER. NearSt: WESTVIEW AVE Means of Excavation: EXCAVATOR Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: TANK REMOVAL Estimated Work Complete Date: 04/01/2025 Depth of excavation: 6 FEET Site dimensions: Length 10 FEET Width 5 FEET Start Date and Time: 04/01/2025 07:00 Must Start By: 04/15/2025 ------------------------------------------------------------------------------ Contact Name: PAUL SCICCHITANO Company: NEW ENGLAND OIL CO Addr1: 469 W PUTNAM AVE Addr2: City: GREENWICH State: CT Zip: 06830 Phone: 203-496-1617 Fax: Email: pauls@neoil.net Field Contact: PAUL SCICCHITANO Alt Phone: 203-496-1617 Email: pauls@neoil.net Working for: H/O ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED NYS THWY AUTH / NY SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1