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MP25-054
(Qy� BRn�r A il/ C C-t o tJ,,n i� �}.W v O`C J �-a 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 David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE June 2,2025 William Straubinger&Linda Straubinger 201 Ivy Hill Crescent Rye Brook,New York 10573 Re: 201 Ivy Hill Crescent,Rye Brook,New York 10573 Parcel ID#: 129.76-1-12 As per the Certification letter from Envirostar Innovation Corporation dated May 30,2025,the removal of an underground oil tank under Mechanical Permit #25-054 issued on 4/21/2025 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to o � LAC Bk BUILDING DEPARTMENT ❑BBUILDING INSPEC'fOIt JQASSISTANT BUILDING INSPECTOR VILLAGE OT RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 DING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801. www jyebro_ ok.or- - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - A�DDRESS : 7- LL p / DATE'. (�-z_ Z-O L,, PERMIT#_� p �Sr ISSUED: ^ / Z/-z1SECT' 12%, b� BLOCK' j LOT' / LOCATION: OCCUPANCY' ❑ VIOLATION Narm) THE WORK IS... la ACCEPTED ❑ Ri;JECTEW REINSPI?CTION ❑ SITE INSPECTION RLiQU1RED ❑ TOOTING ❑ TOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOI S ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FR..AMING ❑ INSULATION ❑ NATURAL GAS �' c poJ c I ❑ L.P. GAS ❑ FUEL TANK ❑ TIRE SPRINKLER NJ b," L_ a,-7-1 1c ' ❑ FINAL PLUMBING `, ; I nr'% Tf V ❑ CROSS CONNECTION FINAL OTHER S QyE BRCS" Fb '9n2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 1 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 :— �_ I V N L L .l aJ, . DATE: PERMIT# t - ISSUED: 1 -Z SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... �❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION rQ/Z REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS h �} FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER - 1 a n •ryhT •*ANN. ._ 1� r �".`�`''� •'j — ,��•. -, � 1 ..Aye' `�1 / t et "n N Ln w v c o z N N ` v r \ 5 P� i"'' � � dui• cn a z A, cn �I un g b V +' �•y m CyLn r A O F to O s. y GA1 C" � w i O L1 v ar p p.y Q O O W w N d o p a LO a�oJ m °" �. = w m as Q A oa ° 2 , Zm `tl = Il �J�' M � Fri �i O �I .. � `n p � �•-" V a o 0 pq � w = s x � O zz2 1 b ;,o a V o v a� ro o 00 ,,.° m C7 A Q A 0 �+ V N z w 1-4 m A Z . -� c. v w BUILD IN6 )kR MENT L i VIL E OF RYE OOK APR 17 27.5 938 KING ET RYE BRo ,NY 10573 { 4 -0 ov VILLA -'EF-c, RYl BROOK I I?l?4i_C�I`vi= e YO Application for Permit to Remove or Abandon Fuel Storay-e Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) f FOR OFFICE USE ONLY: PERMIT#: /n as —C) / Approval Date: " Permit Fee: f r Approval Signature: Other: Disapproved: (fees are non-refundable) 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$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded,Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form #C 105.2 or Form # U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal or Abandonme t$`85.00 er Tank. 5. Dig Safely New York# (dial 811):Q1LY3- —���- 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, - `4T- ,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 confonnance with all applicable Village,County,State& Federal laws,codes, rules and regulations. Indicate Permit Tvpe: Removal (+ - Abandonment( )/Above Ground( )*Buried in Ground 1. Address: .�OI -Zy y H,\`, Grts-cx { t SBL: 1c} 7(p d Zone: JPU� 2. Property Owner& Address: r a0\ Iv ,I� Phone#: 1 li#: email: )1 t vwI v 3. Contractor& Address: Envirostar Innovation Corp., 50 Fields Lane, Brewster, NY 10509 Phone#: 845-279-9555 Cell#: email: info@tankremovalservices.com 4. Applicant: Envirostar Innovation Corp. Phone#: 845-279-9555 Cell #: email: info@tankremovalservices.com 5. Indicate Fuel Type:Fuel Oil )•L.P.Gas( )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: 7. Exact Location(s)of each Tank: t 6/l/2024 STATE OF NEW YORK2 COUNTY OF WESTCHESTER ) as: Cnyirostar innovation Corp ,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 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 reeulations. Sworn to before me this Sworn to before me this "l r day of ,20 day of ,20 Signature o roperty r Signature of Applicant Print Name of Property Owner nt Narnel *Appl&nt k&&1W122 Nota y K RIVERA otary Public ,N�NIem Netaty Pi c,State of New York U�pl Di G"" Na.04o�lbaal3�� ,.• �' ^ � tied in V'd's$:�11d5I4'f County �OJ .STATE 0 Co�r�i'iris&ivq**iceatAq tart N*1* erlY completed in its entirety and must include the nogzrtz+ NEW YORK= S signature(s) of the legal owner(s)of the subject property,and the applicant of reco8i i ri A,gVUC' provided. Any application not properly completed in its entirety and/or not properly�"l D01 .. deemed null and void and will be returned to the applicant. 01 z 2 6/l/2024 F- C O O � O O Q O C6 L LO O N `- d M L � � U O N O N Y O O LLJ LiN } ry W _ CL O O N � Z i---- CL O ULL ' -- ' = O > z �— o O Lna LL O O O N ou F- Z � N O O O co L F- _� Q O O ] O L CO (� O a) r L Z Q Lo z o E E O � 0 ENV1f:K05TflfZ IN NOVAT ION CORPORATION The name you trust for environmental needs 50 Fields lane Phone: 945-279-9S55 Entail: info@tankremovaIservices.com Brewster,NY 10509 Fax: 945-279-0196 vivAv.tankremovalservices.com May 30. 2025 Village of Rye Brook Bldg. Dept. 938 King St. D �, %/7 f2 Rye Brook. NY 10573 JUN 0 2 2025 RE: Permit #: MP 25-054& MP 25-055 201 Ivy Hill Crescent VILLAGE OF RYE BROOK Rye Brook..NY 10573 BUILDING DEPARTMENT To Whom It May Concern: On May 14. 2025 Envirostar Innovation Corp. removed (1) 300-gallon UST oil tank from the rear center of the property and installed (1)275-gallon Roth oil tank with weather cap and tie down kit on the rear right side of the property. on a concrete pad. at the above referenced location. Envirostar cut man way into the top of the tank. disposed of the remaining liquids and tank bottoms. and hand cleaned inside tank walls. The tank was removed from the ground and inspected for holes. No holes were found in the tank. A soil sample was drawn from the base of the excavation. The tank was disposed of. Enclosed. please find copies ofthe following documents: 1) Soil Sample Results 2) Tank Disposal Receipt 3) Liquid Disposal Manifest 4) Copy of Permits Al this time. we ask the permit be closed. Ifyou have any questions, please do not hesitate to contact us at 845-279-9555. Thank you, `11 r• 1.66') Michelle Reza Envirostar Innovation Corp. ('c: .Struahinget- AW PH0EVX,z"-'�'---7,,,,.�.' hirironniental laboratories. Inc. Thursday, May 22, 2025 Attn: Greg DiNapoli EnviroStar Innovation 50 Fields Lane Brewster NY 10509 Project ID: STRAUBINGER 201 IVY HILL CRESCENT RYE SDG ID: GCT29191 Sample ID#s: CT29191 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. All soils, solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, —�UL ��l/ Phyllis hiller Laboratory Director NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration #63 ME Lab Registration #CT-007 VT Lab Registration #VT11301 NH Lab Registration #213693-A,B 587 East Middle Turnpike,P.O.Box 370.Manchester,CT 06040 Page t of 8 PHOE VIT J 4 Environmental Laboratories, Inc. NY# 11301 T 587 East Middle Turnpike.P.O.Box 370.Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference May 22, 2025 SDG I.D.: GCT29191 Project ID: STRALIBINGER 201 IVY HILL CRESCENT RYE Client Id Lab Id Matrix Col Date BASE CT29191 SOIL 05/14/25 0:00 Page 2 of 8 PHOEVIX _. _. Environmental Laboratories, Inc. f: 587 East Middle Turnpike,P.O.Box 370.Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Analysis Report FOR: Attn: Greg DiNapoli EnviroStar Innovation May 22, 2025 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: Paul 05/14/25 Location Code: ENVIROS Received by: SR1 05/15/25 16:55 Rush Request: Standard Analyzed by: see"By"below P.O.#: Laboratory Data SDG ID: GCT29191 Phoenix ID: CT29191 Project ID: STRAUBINGER 201 IVY HILL CRESCENT RYE Client ID: BASE RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 86 % 05/15/25 CV SW846-%Solid Extraction of NY ETPH completed 05/19/25 S/0 SW3546 TPH DRO (C10-C28) Diesel Range Organics(C10-C28) ND 57 mg/Kg 1 05/20/25 JRB SW8015D DRO QA/QC Surrogates %COD(surr) 98 % 1 05/20/25 JRB 50-150% %Terphenyl(surr) 94 % 1 05/20/25 JRB 50-150% RUPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ,Limit of Quantitation) ND=Not Detected at RUPQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: The TPH(C10-C28)is quantitated using an alkane standard. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their wn"en consent. C�� Phyllis hiller, Laboratory Director May 22,2025 Reviewed and Released by:Anil Makol, Protract Manager Ver 1 Page 3 ol8 yAqK PH0EVT '-_,,.,-.... ell .: Environmental Laboratories, Inc. a Z 587 East Middle Turnpike,P.O.Box 370.Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 QA/QC Report May 22, 2025 QA/QC Data SDG I.D.: GCT29191 9'0 oYo Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 785084(mg/Kg),QC Sample No:CT28464(CT29191) TPH by GC (Extractable Products) - Soil Ext.Petroleum HC ND 50 101 95 6.1 72 77 6.7 30.130 30 %COD(Surf) 98 % 116 107 8.1 78 120 42.4 50.150 30 r %Terphenyl(surr) 92 % 92 88 4.4 74 83 11.5 50.150 30 Comment: Additional surrogate cnlena:LCS acceptance range is 60-120%MS acceptance range 50-150%.The ETPH/DRO LCS has been normalized based on the alkane calibration. =This parameter is outside laboratory RPD specified recovery limits. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD Relative Percent Difference LCS Laboratory Control Sample LCSD - Laboratory Control Sample Duplicate MS - Matrix Spike 1, MS Dup - Matrix Spike Duplicate NC No Criteria Phyllis hiller, Laboratory Director Intf Interference May 2 ,2025 (ISO) Isotope Dilution Page 4 of 8 0 a _ a m N �L � T m y 7 a E N N C N yN_ x Q N td V 61 N U O _ � Q � V N C N m N O _T 0 -= V y N � pd� O � �9 �C a a � � c co W N N U m - O o T > _ v O 19 N > aE Z o U uJ = S X r m W 8; c, fQ N y U v w d+ v O L x� Q U � N a a c N O (d U C Q � � C N y q V a Op L L q q E o F o S V t. T N cL 1 C Fo Q a G 0 E cy� E L N t a gQ N T lA yp U N � C T V N C g Z Z o ` m ai >� �p J 07 m W zID O x Q 4 U N a Z c O N Gc� a E 3 PHOENIX Environmental Laboratories, Inc. NY tt 11301 T 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments May 22, 2025 SDG I.D.: GCT29191 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 6 of 8 N ACCOq PHOENJXdR' w Environmental Laboratories, Inc. NY# 11301 T S87 East'Middle Turnpike,P.O.Box 370.Manchester.CT 06045 Tel.(860)649-1102 Fax(860)645-0823 NY Temperature Narration May 22,2025 SDG I.D.: GCT29191 The samples in this delivery group were received at 1.9°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 7 of E e a a 2 � l g2� ti >� F x � t$� � � t ww l°bsay 1Y € q w U c c v N N Jy� � �,2� -'Y u0. C L LI z d 2 Z � ' j/�'b tb,'��� S❑❑❑❑0❑❑❑ 100 ❑❑❑ o 17 �� p O x _ sal o` ayi 4'0 n v (n rZ�i z � u s� — � O U O = H o U N r N m + U 2'i c U U v o (D t 4`° a W � � N (xU + Z EU A y � o i�L❑❑ 0 v o p ¢h : o w U c m m N � oo� nsg VS 1] — p m��m ya Co❑❑❑ :� I Vl O d m S 'tB 1C' YC 2tw x •• 1 Z E Z h In O' I s � x O c fn x rn � c .. _ 3. C Q� - � � d �. O F�F � pp W N a. Y 77 � O Do E,o; �� '' „ WPuy F1 C�Td Mount voman, WV .i Owo Phone(914)367-1442 0 Fe,� (014)3ST 2W P U50 �Un@N customer: EN!lIR08 IAR r 50,Fields Lwa amater, NY 10509 I�(II�P��i'Fl®iv Tr-WNISPOR.TER COMPANY NAME AND ADDRESS: ulliCallNY'�d�MO�! N,y,. 0� I,THE UNDERSIONED,CERTIFY YKKi i`HE MPX2RIAL DESCRIBED ABOVE~NHS,?C44LY SE DEUVERED TO A FACILITY FOR UES PION. SiGNATURF-4 �tEKJ.6wsV,$on,Inc. I, THE UNDERSIGNED, CERTIFY THAT YMIEA rdfATEIVAL WJL,L BE PROCESSED I-Or, REMELTING ONLY. THIS MATERIAL WILL PLOY BE SOLID AB USABLE IN ANY SHAPE, FORM OR NIAPINER. BI{�idP.i URE J-Ga&86 u$0i4.MeL DATE: t Generalor ID Number rgenuy Response Phone 4.Waste Tracking Number NON-HAZARDOUS 2.Page 1 oT .Eme WASTE MANIFEST -- -- — - — 5 Generators Name and Mailing Address Generator's Site Address(if erent than mailing address) Gene aloes Phone �` [✓ ��000 6.Transporter 1 Company Name U.S.EPA ID Number 7.Transporter 2 Company Name I U.S.EPA to Number 8 Designated Facility Name and Site Address Clean Water of NY,INC U.S.EPA ID Number 3249 Richmond Terrace Staten Island,NY 10303 Facir 's Phone 3 '1 g �f 00 NY0000968545 9 Waste Shipping Name and Descnpbon 10.Containers 11,Total 12.Unit No Type Quantity ViI 0 W ( L "I" T7 ?Z 2 2. W 3 — 4. 13.Special Handling Instructions and Additional Information 14.GENERATOR'S/OFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeledrplacarded,and are in all respects in proper condition for transport according to applicable imemational and national governmental regulations. Ge ors Offeror's Pnnted/Typed e Signature --off / a /�L �J J 15 International Shlpments ---- -- Z ❑Import to U.S. ElExport from U.S. Port of entry/exit: Trans der Si ature for exports only): Date leavr U.S.: cc 16 Transporter Acknowledgment of Receipt of Materials T der 1 Pnnted/Typed Nam U) Signatur Day Yetr a Transporter 2 Printed/Typed Name tune Month Day Year 17 Discrepancy 17a.Discrepancy Indication Space - ❑Quantity ❑Type ❑Restduo ❑Partial Rejection ❑Full Rejection -- Manifest Reference Number. 17b.Alternate Facility(or Generator) U.S.EPA ID Number rJ Ill Facility's Phone. 17c.S gnaNre of Attemate Factl ry(or Generator) Month Day Year It Z W� C 18 Designated Facility Owner or Operator Certification of receipt of materials covered by the manifest except as noted in Item 17a PmtecLTyped Name Signature Month Day Year 169-BLS-C 6 10497(Rev.SM) -— - VILLAGE OF RYE BROOK PERMIT# MP 25-054 r BUILDING DEPARTMENT ISSUED: 4/21/2025 r- *f--. 938 KING S-IREET,RYE BROOK,NY 10573 EXPIRES: 4/21/2026 *= (914)939-0668 www.rycbrooknv.gov r. *= MECHANICAL INSTALLATION PERMIT *' REMOVE IN-GROUND OIL TANK r. r, AT: 201 Ivy HILT.CRESCENT " tr- � r. BUILDING CL-!SSiFIC.ATION&PARCEL ID#:R-3/ONE FAMILY RESIDENTIAL 1129.76-1-12r- tf PROPERTY OWNER:WILLIAM STRAUBINGER&UNDA STRAUBINGER(914)584-6545 tn' 0= Ir _. LICENSED CONTRACTOR:ENVIROSTAR INNOVATION CORP(845)279-9555 If., I tr. LOCATION OF WORK:REAR YARD t' FEE PAID:$185.00 r- 4' CONTRACTOR Ml'ST BE PRESENT ON TILE JOBSITE FOR ALL INSPECTIONS r HOURS OF OPERATION OF CONSTilitie ION BQuirmEwr/VILLAGE CoDRSM-4:WEEKDAYS-S,00AYTo 6:OOrw oR DUSII.WacHEVER IS EARUER; �C.. r SATURDAYS-9�OAH To/-0OrM; - StINDAYS&HOLIDAYS-No CONwiat iTwr N Ac-"Vrn A"rnm-D r Iltn twitrut L valid for a period not to exceed miler(l,')months 6rom the date of rcarrapce,And coven oah•that work hated above.Sepante pemuts ate reyuued for *. Anv electrical.14tnnanttg,Cue wpprrswm.fire/amrkei catltto monwride dettitwt/a6nrm or my other work not em•ered umkr this perm.lltc appriwed plans must *., lie kept on the job ate&lie mask available fcrr review b1 the Budding IX1w eat pion demand Am amendments or changrs to the approved plans must he designed by your atchrteoy erypncer and subautted to the I%Wdtng Department lot tevreu and approval poor in performing the work A Certificate of OLumpeacr or Cerufi"le of COMPlipace a reyusrred in order to ei mr ow this perrnn. fk r. R Steven E.Fews 0 tt= Building&Fire inspector T 111s P R\IFI ill S 1 Ifl. ( ONSPI( UOUSLN' POSTED AT THE JOB SITE. 4= *�t�t�t�tr-::..;.tr-r:a-�cr-r-r.r.::r-ter• r.�: . r- :�:r->fr=sr.�r:::�:r=r-rrr-rr>r:>3:e:>Y:r.s=>1:�=1tr=r-Y:t=t=t=t=r.r.r.4:r-r.r->>rt=t:t:r-t=t=t:r-r-r.r.r.r.rr.r-r-r•r->�=r.��= r VILLAGE OF RYE BROOK PERMIT#:MP 25-055 left Ift 1-1 >>s Ift BUILDING DEPARTMENT ISSUED: 4/21/2025 938 KING SIREI T, RYE BROOK,NY 10573 EXPIRES: 4/21/2026 >h 1r- � 4= (914) 939-0668 www.rychroukny.gx)v >t; to �= MECHANICAL INSTALLATION PERMIT r *' INSTALL ABONrfi-GROUND OIL T:kNK �= AT: 201 IVY HILL CRESCENT BUILDING CLASSIFICATION& PARCEL ID#:R-3/ONE FAMII_l'RESIDENTIAL/129.76-1-12 r r PROPERTY OVG'Nl R:WILLIAM STRAl113INGER& UNDA STRAUBINGER(914)584-6545 1Q= LICENSED CONTRACTOR:ENVIROSTAR INNOVATION CORP(845)279-9555ift �= r. LOCATION OF WORK REAR YARD r. �= F1-.L PAID:$185.00 I ft Ir. Ir 1= CON niw-roK Mvs i BE PRESI:Nl'ON THEjOBSfTE FOR ALL INSPECTIONS Q= 1r' HOURS OF OPERATION OF CONSTRUc-nON EQUIPMIEWY/VILLAGE CODE S1584:WEEKDAYS-8100AM TO 6:00PM OR Dt'Sk WHICHEVER IS FARUER; Ir. . SATURDAYS-9:00AM TO I:OOPM Sr NDAY�t HOW DA 1 S-tiu Cuw9 rRt+ rtuh Arnvm Au Ors I D Ilus Penn"is Iand for a perKrd rwt to exceed tweh•e(12)months from the date of a"uantt,artd covers uoh that work hued drove.Scpantc permits arc rcyuired for am electrical,plumbing,fire>upprr.>ton.fire/smoke,t arlxut monvxulr deteetun/alarms,or my other work not covered under thu permit the appmved Plan+must be kept on the Orb.uc&IK made atVltal)Ie fur mwI,,My the Building Department upon demand An%amendments or changes to the approved plans must la Ift 11" desrgrxd by vour an kinect engineer and<ubmtrtcd to the Building I vjI+Ilntettt for revic—and APProvas pnor to perfumung the work. lh A Cenifscate of Occupaact It('rrtificate of Compliance to required in order to ekrse nut this permit. IIt Ift Steven t:.FewS � r. �= Building dC Fire Inspa;tttr THIs PERMIT MUST BE CONSPICUOUSLI' POSTH) AT THE JOB SITE r. A t - / A t"-`'_ � A � ` 35•i A tT t A Ft.% - ?'F A tS A QX� - Alt1sG pj' fi �? i V { war, t. v t•t alsi' v .� f �It,,v v rti; � i v tl• r411t �r. 11 '' y \�4F ,3�-a1�1 v •• v IS ND/ r '� ♦D• v �• ADD♦ f • ; ♦<D v ♦♦ v 1! v �:; _�• ,' 1�1�/�1�1`I s, i 11l1�//1�Ij1 ---ems.; 1111�1�1�1111:-4�:\=>_`*kall,/��ljl�., '� � Ill,/l�lljl::'-'����-1111,1��11 � €�� 111��1�11 ��`"�a5..'•' i f<(OD�w/eut��'= ...11�11�:�a. �-�,11�11:�•T�a..- salt 11�11 ,�, ;�._.11�11_ z s�.11�11_ as e===c/1�111:�as ¢dF:.11l�l/l..� �/iuu ��/j ,+ •� E � � O � t,EJt ja V a - •; , �• •�� � Q �11111/ CLcn O —ice AM— U o - LO < :� w o J .o section L 0 f3 Q�Q �lili "`IIIII/ )►tail N O. 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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 CONTANAME: Dominica Twitty The Allan Twitty Insurance Agency, LLC PHONN mot; (845)278-6160 j No); (845)278 6537 P.O.BOX 419 E-MAIL dominica atwi Insurance.com ADDRESS: C� ttY _ INSURER(S)AFFORDING COVERAGE NAIC# Patterson NY 12563 INSURER A: Benchmark Insurance Company 41394 INSURED INSURER B: Ohio Casualty Insurance Company 24074 Envirostar Innovation Corp INSURERC: 50 Fields Lane INSURERD: INSURER E: _ Brewster NY 10509 1 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 ADDL SUBR'. POLICY EFF ' POLICY EXP -- _ LTR TYPE OF INSURANCE INSID wVn POLICY NUMBER MWDD/YYYYi (MWDDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ ❑X OCCUR DAMAGE T RENT CLAIMS-MADE PREMISES Ea occurrence $ 50,000 X Professional Liability MED EXP(Any one person) $ 10,000 A X Contractors Pollution Liability MNGR-P-2001798 12/29/2024 12/29/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER Professional/Pollution 1 $ $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LIAB CLAIMS-MADE MNGR-X2000790 12/29/2024 12/29/2025 AGGREGATE $ 3,000,000 DED 1 1 RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA - (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If rib yes,desce under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Inland Marine Scheduled Equip $250,748 B BMO 58 51 15 00 01/04/2025 01/04/2026 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept, AUTHORIZED REPRESENTATIVE 938 King Street Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A"A 823325897 0 '� ALLAN TWITTY INSURANCE AGENCY ' PO BOX 419 ' PATTERSON NY 12563 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ENVIROSTAR INNOVATION CORP. VILLAGE OF RYE BROOK 50 FIELDS LANE BUILDING DEPT. BREWSTER NY 10509 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 2549 055-8 940310 06/29/2024 TO 06/29/2025 07/01/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2549 055-8, 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:/NVWW.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 GREGORY DINAPOLI ENVIROSTAR INNOVATION CORP(1 OF 1) 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 STATE INSURANCE FUND //"" 4 DIRECTOR, I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 891335243 �®iiro 0 00 00 0120 4000601711111 Form WC-CERT-NOPRINT Version 3(08/29i2019)[WC Policy-25490558] U-26.3 23 [00000000000129140617)[0001-000025490558]I+xW][I(y421-14][Cerl_NoP{92T_1][01-00001] Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday,April 30, 2025 1:07 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/30/2025 13:07 To: VIL RYE BROOK PRIMARY Transmitted: 04/30/2025 13:07 00004 Ticket: 04305-001-885-00 Type: Regular Previous Ticket: 04145-002-062-01 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 201 To: Name: IVY HILL CRES Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF PROPERTY NearSt: IVY HILL LN & IVY HILL LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 05/12/2025 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 05/12/2025 07:00 Must Start By: 05/27/2025 ------------------------------------------------------------------------------ Contact Name: ROBIN DINAPOLI Company: ENVIROSTAR CORP Addr1: 50 FIELDS LN Addr2: City: BREWSTER State: NY Zip: 10509 Phone: 845-279-9555 Fax: Email: info@tankremovalservices.com Field Contact: ROBIN DINAPOLI Alt Phone: 845-279-9555 Email: info@tankremovalservices.com Working for: STRAUBINGER ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, April 14, 2025 2:46 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 04/14/2025 14:45 To: VIL RYE BROOK PRIMARY Transmitted: 04/14/2025 14:45 00002 Ticket: 04145-002-062-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 201 To: Name: IVY HILL CRES Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF PROPERTY NearSt: IVY HILL LN & IVY HILL LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 04/28/2025 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 04/28/2025 07:00 Must Start By: 05/12/2025 ------------------------------------------------------------------------------ Contact Name: ROBIN DINAPOLI Company: ENVIROSTAR CORP Addrl: 50 FIELDS LN Addr2: City: BREWSTER State: NY Zip: 10509 Phone: 845-279-9555 Fax: Email: info@tankremovalservices.com Field Contact: ROBIN DINAPOLI Alt Phone: 845-279-9555 Email: info@tankremovalservices.com Working for: STRAUBINGER ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1