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HomeMy WebLinkAboutBP25-067FRMIT �/ Ol0 7 6ATE' �7 �S ►; SECTION Jai 59 mmommo BLOCK LpT� TYPE OF WORK JOB LOCATI N OWNER L-f � .... r7 /< aol? J C /U✓I '4�9u('l�) FRACTORL7 �$ S k /J UVQ 77 (Zoos7S .t j64e) EST. COST V/CO #_ TCO # FEE DATE — INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING (�- Z (o ss ZO2� b RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT C1 e ALARM m AS BUILT Cl FINAL %y y =)38/ 179-&/s4 OTHER APPROVALS Ems VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No : 25-081 Certificate of Occupancy This is to certify that . JOCICIJ J of. !\�/(.� &-nok, having duly filed an application on Awe �8, 20 c � requesting a Certificate of Occupancy for the premises known as, 410 ��'d/l�(� �.��� YL�L- Rye Brook,NY, located in a �_ Zoning District and shown on the most current Tax Map as Section: ) Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.p /, issued '"T liq 20e--?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: - Construction: I for the following purposes: 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 shall be made,and no enlargement, whether by extending on any side or by increasing in he shall be made,per shall the building be moved from one location to another until a permit to accomplish such change h qVF the Building Inspector. Building Inspector, Village of Rye Brook: Date: JUN 3 0 2025 QyE BRC��• W � t7 BUILDING DEPARTMENT ❑I3U I.DING INSPECTOR Fdry SSISTANT BUILDING INSPNC.I'OR VILLAGE OF RYE BROOK ❑Com,ENFORCEMENT OFFICER 938 King Street . Rye Brook, NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.olg - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - _ - - ADDRESS :^--1T_ VA i erf C-G.�----_. _ DATE:-" PERMIT# ?�—d 7 O ISSUED:_..._ SECT:_ BLOCK: / LOT: LOCATION: m —S^t� I�A ��/�7 OCCUPANCY: ❑ Violation Noted THE WORK IS... t;� PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE. ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION � n ❑ Natural Gas �iV i,i i..� ❑ L.P. Gas ❑ FUEL TANK �4 lzqv A ❑ FIRE SPRINKLER jr-FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER q—MgC 41 o`` tim 1989 BUILDING DEPARTMENT 0ILDING INSPRCCOR ISTAN"r 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: p M�o►LLe -rQ,_[r(� c _A_ DATE: �^Zo ,Q '� PERMIT# ( oZ —D�7 ISSUED:__y�S�dECT:_/ � BLOCK:_ LOT: 73 LOCATION: 1" ,Q�Y ip0^ OCCUPANCY: ❑ Violation Noted THE WORK IS... n PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE. ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas i J-j ❑ L.P. Gas - ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER a v Lneq ° W v : ^N ■ M F1 \ \ v -C$ h+l a O a ~ W M Oz a14 G. m a� ■ w ,q f7 : A W V w a o v v w ■ Ln a� M 1-� � � � � ►•a � r, Asa � O O V C/) � � ■ Q ♦. O � 0 W V " OL ' Ln O C o'O A x F-i W CN ^ A qtT w Q O. 00 ON ;r N U j W W � b, p b v� W x all O x � o oc H � � ■ �-+ F u 0 U bO N I� 00 ON 1.4 z zz � o .� a z Q C b v w W ■ U q* ■ W a H O U 0 � � �U Omni a. 00 z W w O p 'y a A z Aw' .. W W 614 R w °' a 0 � •� a . BUILDING ]!ARTMENT 12 E GC 1_� ld �'J I VIL6A OF R OOK A — 7 D' 938 K NG�ET RYE BR66k,NY 10573 MAR 2 5 2025 WW:, 4, W L ov VILLAGE OF RYE BROOK BUILDING PEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: APR 0 ertnil# / �-�' _0& � Application Fee:$ /00 /""1b -- Approval Signature: Permit Fees:S l U Disapproved: Other: Application dated: 3121/2025 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. Q 7/ 1. Job Address: 48 Valley Terrace SBL: ���� �/--/"`, ,3 Zone: 2. Proposed Improvement.(Describe in detail): Interior bathroom renovation.- M Q-O<,:v{ t r] -CICAL- MoT:>ivicA-Tio,\Js. t\I.a a� TI t.tl C�1�S T+t rz ram-►�-1�y T . 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: x 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: x Yes: (I please submit a separate Automatic Fire Suppression System Permit application& 2 .o,A'detailed engineered plans) 5. Occupancy;(I fain 2 fain.,comm.,etc...)Prior to Construction: 1 Family After Construction: 1 Family 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner. won K.Ryan Address: 48 Valley Terraos,Rye Brook,NY 10573 Phone# Cell# 914.924.2381 email: BKEANERYANOGMAIL.COM 8. Applicant: Burton K.Ryan _ _ Address: 48 Valley Terrace,Rye Brook,NY 10573 Phone# Cell# 914.924.2381 email: BKEANERYANOGMAILCOM 9. Architect: N/A Address: Phone# Cell# email: 10. Engineer: N/A Address: Phone# Cell# email: 11. General Contractor.A&S Renovation&Painting,LLC Address: 3 Drake Ave.,New Rochelle,NY 10801 Phone#914.979.6159 Cell# email: 12. Estimated cost of construction $ 10,000 (NOTF The estimated cost shall include A lalxir,material,scaffolding,faced equipment,professional fees,and matenal and labor wbich maybe donated gratis.) 13. Job Timetable: Start: 3r3l/2025 Finish: 4+312025 (1} 6tn0aa BUILDJ _�> R 'MENT n �� l VIL R4 E OF 11 I �+OOK V 938 KMG NiET RYE BROcJk,NY 10573 MAR 25 2025 4�4� 046$ �oe ov VILLAGE OF RYE BROOK BUILDING PEPARTN,1ENT 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: I, Burton K. Ryan ,residing at, 48 Valley Terrace, Rye Brook,NY 10573 (Print namc) (Address where you li%c) 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; 48 Valley Terrace, Rye Brook, NY 10573 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, sunup 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. ofii_� (Si alur ol'Prnperh O�%ner(s)) Burton K. Ryan (Print Narne of Property Owner(s)) Sworn to before me this 21 st dav of March 20 25 ( Can-Public) BURT014 THOMAS R"AN, JR Noiary Public, State of New York ork No. Cr2,RY0297994 (2) Westch.ester County Term Expires 03/03,120 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. S� Sworn to before me this 21st Swoin to before me this day of March 520205 day of Ata ,20�_ Alza4t'_ Si of Prop"Owner S' o licant Burton K.13 an . Name of Property wncr ame of Applicant No Public N Pub r, i TON THOFAA Ya',�v, S"�Ft i ON T}I®�,1/;S R Notary Public, Slate tJr.w Yor NotaryP 1H No. 02PIY62�. Public, Slog Of New York o. 02, 1 f9' 94 Vb'estc! vsCer Count Weslc,'Ia.�, C' Tprn :y C (4) fi�tl24?�{ D E C E��/J E `��"P For office use onl `/ BUILDING DE�'ARTMENT PERMIT# �.S=GYo7 VILLAGE OF RYE BROOK ISSUED: — JUN 18 2025 038 KING STREET,RYE BROOK,NEw YORK 10573 DATE: (914)939-0668 FEE:,;!� Ste—PAID VILLAGE OF RYE BROOK BUILDING ►EPARTMENT I �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: 48 Valley Terrace- Rye Brook NY 1073 Occupancy/Use: Parcel ID#: f,� i 9--�— J? Zone: Owner: gurton Ryan,.larlyngyan Address: 48 Valley Terrace ,,/ P.E./R.A. or Contractor: A&S Renovation and Painting, Inc. Address: /I �ewi f'�, Nl✓ Xe !e/% ly' Person in responsible charge: Alex Ramirez Address: v 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: Keane Ryan being duly sAvom,deposes and says that he/she resides at 48 Valley Terrace (Print Name of Applicant) (No.and Street) in Rye Brook in the County of Westchester in the State of Ny that (City Toisn 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,filed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ t 0,000 for the construction or alteration of: 2nd Floor Master Bathroom 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 er-ected/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 in is Sworn to before is day of 20�5 day of , 20 Sj6iatwre of Property er ture of Applic t G04 Ah U n t _Name of Prop er int Natne of.4pp is t -�1 N tartly ublic to EQew orpn p 6�• I , PYork QQCounty g T4"14� e m E.xPir" ds OS/03/20 Westchester my Term Expires 03103120_,__ i •� c W Ln �k si , A. v,..,Ni , I—` �_ � °O — Q � W Cap ►"� G� - � >lo ^� M aN 9 � � U ^ c 0 � o a - a N W W ►� i z PLOr�. N W �..i ►� Z in 00un z z A a Cn ' z q U w W oo p CIS Q 4t U O W O a cn _ w i 00 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 MAY -1 2025 ti (914)939-0668 l VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTNI.ENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: _ EP#: ` Approval Date: MAY— 5 202 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$750.00 Application dated, /—c)-,S— is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. I 1.Address: /49 Vall-cui ++ " 4Q VV SBL: � �� : �` 1 - � 3 Zone: 2.Property Owner: 11✓'T on U cm A ClL I'�adt'ess f.I l l GU T�✓�� Phone#: H) a Ll- T�.-2 t {{,, Cell#: ` email: K 3.Master Electrician/Licensed Installer: u 1 O To,-9 � t k Addressr "'7 64A 46A 444" AIIL Lic.#: ID Phone#(611 L4 Cell#:b/Lji q�N" I(P9$ email: l-I e e G frl G I Company Name:—A, C- T- Lk C f vi C IL Address: vn N 10A 4.Proposed Electrical Work/Fixture Count: ����k-r 't V I-00 ry+% V't-y�J C't 3�A C vi +lil 1 l- S Lc�r 1 C X') (n I-S �� re C� .3 S-{�;Q (.���,(~><-S %3 S>�- }t 1��� , 5.3`d Party Electrical Inspection Agency: LL;l� ********************************************************************************************************* STATE OF NEB ORK,COUNTY OF WESTCHESTER ) as: f�8 being duly sworn,deposes and states that he/she is the applicant above named,and does further state that(s)he is the 6 Zfhy-J for the legal owner and is duly authorized to make and file this application. 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 1,vfore We this 0??� day of 120 day of 20 Signature of Property Owner Signa o ant r^ �hcantPrint Name of Property Owner Print a of A pEDWARD J D A►ICE (1 Notary Public-State of New York NO.01 D 5001772 Notary Public Notary Public Qualified in Putnam County My Commission Expires Sep 14.2026 6/1/2024 STATE WIDE INSPECTION SERVICES, INC. Service 11ith 0•0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# �'�� DattLi a Lir l _ Bldg Permit# 7��i`- D Sq Ft / Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County l ���- Address Cross Street Section Block Lot jf� Owner Name/Address(If different than above) Contactlumber ❑Basement ❑ 1st FI. 2nd FI. ❑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 ❑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 1 ❑ Safety Inspection/ ❑Consultation J "max 41 Gt.c.�S -f e-x1 � MAY 1 2025 i VILLAGE 01F- AYE 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,if at 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 Name License# Date l��y �> Signature + Address City�State Zip Cody;-)'T [Company Phone# State Wide Inspection Services D1080 Main Street EJUN4 2025 i g a F202-1, 12524 845 202-7224 24 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax SATE WIoE INSPECTION sErtvIcEs Email: office@swisny.com BUILDING DEPARTMENT 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: ACT Electric Burton&Jaclyn Ryan P.O. Box 26 48 Valley Terrace Mohegan Lake, NY 10547 Rye Brook, NY 10573 Located at:48 Valley Terrace, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-114 135.59 1 43 Certificate Number: 2025-37�67 Building Permit Number: BP25-067 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:48 Valley Terrace, Rye Brook, NY 10573 The Second Floor Master Bathroom 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 4th day of June 2025. Name Quantity Rating Circuit Type Sconces 02 Recessed Luminaires 02 Switches 03 GFCI 01 Exhaust Fan 01 Officer: Frank J. 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. • CV Py _ a F 0 u LIP Ck Ln V y � E CG � z Z z w � O 1 E W 00 Ci d NCN A w 7 •r w V r z 1 V 00 W O z ° E., a c' R �T1 n O Z C/� rn p� •n �, W cw7 v, V A z G, M_I `r x :m M w 00 CN W z ;4114 a V c GD z a N z Cl a z 0 Q p V8 x a v ae z a � EMI ra a a � w x � d ppppppppppppp ago pp44440 46464pp goo pppppp4p44444 E D r Fc,- �V E DD BUIL MENT VIL E OF RYE OK APR 2 8 2025 938 KIN T RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ov PLUMBING PERMIT APPLICATION --7 FOR OFFICE USE ONLY BP#: — PP#: Approval Date: APR 2 Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOP, THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED jErMOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE 9j S750.00 Application dated, 1S ?d2.5 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/46r rern6ve Plumbing as per detailed statement described below. The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: `0 Y// ,i ff'ley e— SBL: / 5 59_/-y3 Zone: 2.Proposed Work: 191' 3.Property Owner: E Rywy Address: 7o rR���y T6tr�C'e Phone#: n Cell#: 2/Y- 92Y- 2 371 email: 6 lQ Q q /haw', e1 4.Master Plumber: I o�i /►r ;;t, f!�'� Address: 2zl2o v�l O s 1 Lic.#:&lu 5 Phone#: Of 4 J91Z Cell#: email Company Name-:—A>— C4ee,111jAddress: INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: )C/y Location Water Urinals Drinking Sinks Showers Bath Laundry A:r. Closets Fountains Tubs Tubs Basement 1 st Floor 2nd Floor 3rd Floor f✓ ����� (� 4'h Floor �p 5"'Floor CC 5.*List Other Equipment/Provide Details: _ Q � (Notarized Signatures Re�ju.i ,, LVCXI rdyes) 6/l/2024 BUILD MENT �~� C� � � v E VIL E OF RY + OOK DD 938 KING ET RYE BR ,NY 10573 APR 2 8 2025 w ov VILLAGE OF RYE BROOK 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 YO�jRK, COUNTY OF WESTCHESTER ) as: 3, reQ,n� /�S/Q-+� , residing at, ;411eq Tr aee Al (Print nan -) (Addr 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; / 0 IlMeif /terra ee_ Rle C7/ ev, , Rye Brook, NY. (Job Aid ress 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. /g.1a o Property O, r(s)) (Ptint Name of Pr erty Owner(s)) Sworn to before me * �� LL 0 Q (Notav Public) BURTON THOMAS RYAN, Notary Public, State of New York No. 02RY6297994 Westchester County Term Expires C3/03,123 STATE OF NEW YO i OUNTY OF WESTCHESTER ) as: V being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as Ifie applicant) and further states that(s)he is the Master Plumber 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 L� day of A Ot-- 20 day of �r�� ,20 /gnature of PolIrly er Signature of Applicant M4/ ZPri S�s�/1 t Name of roperty w e of Applicant otary Public Notary ubhc BURTON THOMAS RYAQ� 'U BURTON THOMAS RYAN, Nut.ary Public, State of Nk Notary Public, State of New York ThisaRrfRY6297994 N 02RY62fd;l " l, l roperly completed in its entirety and must include ture(s) of th ga i>fel�9 �ct property, and the applicant of record inTffR §Eft6W@V44g tions 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- 6/1/2024 .Building Permit Check List&Zoning Analysis u Address: l 9 0�1a C rc:C-10 SBL: Zone Use �k 0 Const.Type:� Other. Submittal Date: Revisions Submittal Dates: Applicant c-1 Nature of Work. 5��� `, 1/�f � �(� C§-I Reviews:ZBA: Lk P& BOT: Other. ( ) FEES:Filing. Uk—)BP: 1( C/O: Flood Plane: Legalization: ( ) (L,Y P: Dated ✓ Notarized: "— SBL�--_ Truss I.D. 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 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 N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. (� ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) PLUMBING:Plans: Permit: Nat. Gas: LP Gas: N/A/: Other. ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 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: REQUIItED EXISTING PROPOSED NOTES APPROVED Area _n2mgAeR 0 A 2n25 Circle: Frontaee: Front: Front: Sides: Rear. Main Cov: Accs.Cov: Ft H Sb: Sd.H Sb: GFA: Tot Imp: FL Imp: PP Height/Stories: notes: Laura Petersen From: K R <bkeaneryan@gmail.com> Sent: Friday, April 11, 2025 2:13 PM To: Laura Petersen Subject: Re:48 Valley Terrace - Interior Building Permit Application Attachments: IMG_6888 jpeg; IMG_6889 jpeg; IMG_6891 jpeg; IMG_6887jpeg; IMG_6890 jpeg Hi Laura, Thanks for the information. I am attaching the requested documents and contact information below. Please let me know if there is anything additional required after review. If all is complete then I can pick up permit and make payment at your convenience Monday/Tuesday morning. GC Contact Information : A&S Renovations Alex Ramirez +1 (914) 979-6159 Best, Keane Ryan On Wed,Apr 9, 2025 at 10:25 AM Laura Petersen <LPetersen@ryebrookny.gov>wrote: Good morning, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name (first and last) & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $180.00 (due once permit is issued and ready for pick-up) 1 \� • 1'i'�1iflilrll�iSl ,� s fit' ... . . . i � aee�w�►V � ; CL { I. aSf�ar o 0 V <♦sue N —r c cM O ...Y C .NNi to 0 0 •�a C� Z O o N �^ O acs)> e . 4-- Z U { o Qtiection <" zr FM! ^, a Z U (1� fit` yG s A •y tr•.•J( Q ",y •�� ' i i�l -J aNJ to ` •� v ' wo 0 W Z j to 0 C) U) o o z . u r. :; e e co �vf % /w . • t .c �. �.�, �rrrr� � w��� 1�rl1 1� �; ►D101 1�r�l�l�,j �• /// �" ~ �.//l� ���"'w /gGih o,v gip•"'- e'Luv. •E�'"'_ � �� ��sa- � �t��--�,� n' ` �,. '{ �= A C)Wa CERTIFICATE OF LIABILITY INSURANCE DATE(MMtoo"Y"') 04/10/2026 THI8 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 poliey(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 endorseman s . PRODUCER CONTACTE; ALEX MAHER ONE _ ---- Albert Palencia Agency, Inc. PHram' . 814 696-1373 ! Nol (914)698-0126 116 Mamaroneck Avenue _ ALEX PALANCIAINSURANCE.COM Mamaroneck, NY 10643 INSURER(S)AFFORDINGCOVERAGE _ NAICa INSURERA: Utica Firgrist rr nce Corona 6326 INSURED INSURER 8: GUARD A&S RENOVATIONS& PAINTING, INC INSURERC: 17 Dewitt PI INSURERD: New Rochelle, NY 10801-3342 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: 10009906-0 REVISION NUMBER: 74 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. tLT R I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP O - A X COMMERCIAL GENERAL LIABILITY ART3000019760 03/01/2026 03/01/2026 EACH OCCURRENCE S 11000,000 CLAIMS MADE X OCCUR DAMAGE TO RENThu PREMISES Ea occurTenoe, I S 60,000 MED EXP(Any one person S 6,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 I 1 POLICY JECT LOC PRODUCTS-COMP/OP AGG S 220001000 OTHER $ B I AIfT'01108pF LIABILITYCOMBINED SINGLE LIMIT AAAU643746 06/02/2024 06/02/2026 Eaaaodent $ 1,000,000 ANY AUTO BODILY INJURY(Per person) I$ OWNED SCHEDULED X AUTOS ONLY X AUTOS BODILY INJURY(Per acod-ill) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ S Ulll LLA LIAB OCCUR EACH OCCURRENCE I$ EXCESS LIAB HCLAIMS-MADE AGGREGATE Is DIED � I RETENTION$ WORKERS COMPENSATION PER MR. is AND EMPLOYERS'LIABILITY Y/N STATUTE R ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $OFFICERMEMBER EXCLUDED? N/A (Mandatory m NH) If yes describe UrKW E.L.DISEASE-EA EhtPLOYEEI$ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY OMIT I$ i DESCRIPTION OF OPERATIONS I LOCA71ONS/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 IHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street RYE BROOK, NY 10673 AUTHORIZED REPRESENTATIVE AMM) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by AMM on 04/10/2025 at 03 43PNI 17--;;klll\- NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAA AAA 861416298 • ALBERT PALANCIA AGENCY INC 116 MAMARONECK AVE MAMARONECK NY 10543 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER A&S RENOVATIONS&PAINTING INC. VILLAGE OF RYE BROOK 17 DEWITT PLACE 938 KING STREET NEW ROCHELLE NY 10805 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2543 025-7 301970 03/23/2025 TO 03/23/2026 4/10/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2543 025-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/MIWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT ALEX RAMIREZ V.PRESIDENT SANTIAGO HERNANDEZ MEJIA 2-OF-2-A&S RENOVATIONS&PAINTING &PAINTING INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:75610338 U-26.3