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HomeMy WebLinkAboutPP25-072 y C a�G4,°aa oJy� t C� f VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.ryebrookny.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E.Fews David M. Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 9,2025 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 19 Rye Ridge Plaza,Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 This document certifies that the work done under Plumbing Permit #25-072 issued on 4/30/2025 for the installation of a new electric hot water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BR(��. uJ � 1932 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 : DATE: - PERMIT# ISSUED: SECT: 171. 2-7 BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... D 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 = C \ ! a w o 00 z w u to N 5 N 0 � v a M H a b H Q � o W � w = O W E © �{ V -el w ° W Zo � 010 F-t � rs oo � z � z can = V V a Q 0 � � R' �o W � OMNI a> A V zo LLB W O O _ w a z o (� a � a a LJ � �� BUIL IIN�DEPARTMENT ` APR 2 9 2025 Vu, GE OF RYE S OK 938 KIN ET RYE$RO ,NY 10573 VILLAGE OF RYE BROOK _ j'' BUILDING DEPARTMENT vvww oV PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY # PP#: C�)15_ APR 3 0J`� Approval Date: Permit Fee: $ Approval Signature: Disapproved: (tees 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 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/&rem ve Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will a in conformance withal applicable Federal, State, County andLocal Codes. ^,� 1.Address: g I '. SBL: 1A11, f� cy Zone:—/ /- 2.Proposed Work: 3.Property Owner: Ipjai w,/ tgo 1 U-ic", Address: Z' e Phone#: q1+-Tyl '4G%5- Cell#: email: AfW&T?�� k,'011i t 06Fr{.ffV\ 4.Master Plumber: D7�6q `C's ILL Address: Lic.#: Phone#: Cell#: 9&21,51 S330 email: X tec.1.11196) cr+nc k t, C"o i'►•L Company Name: 1< PIP4 yvzl�lrr__y Address: m Cnyy)'yr\C1P . _Jtk:K vy INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 31 Floor 41 Floor 5'h Floor Exterior 5.*List Other Equipment/Provide Details: aaAlo r1 (Notarized Signatures Required Next 2 Pages) -I- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 01 MILA a Wof L-1 not name of individua ,being duly sworn,deposes and states that he/she is the applicant above named, signing as the 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 v Sworn to before me this day of AP9 I L ,20 257 day of ,20 bt�4 re of operty©unsex AJ&ej Signs a of Applicant ri Name of ope c]w�er,��T PMApplicant Notar P to Public ALENA NAKANJI YORK ALENA NAKA JIN NOTARY PlJBl1C,STATE OF NOTARY PUBl1C,STATE OF NEW YORK Registration No.o1HA00 04S Reyfetrotion No.01HA0013615 Qualified in Westchester Gounty Qw;;tied in Westchester County Ily Commission Expires 911912021 My Commission Expires 911912027 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. Applications 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- 6n/2o24 UrBUIr LDING DEPARTMENTVILLAGE OF RYE BROOK APR 2 9 2025 938 KING STREET RYE BROOK,NY 10573 (9141W.-0668 f : AGE OF RYE BROOK ,vs-vs-w. eM1boknv.uov c LD.`�G DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE V16 - STORM SEWERS AND SANITARY SEWERS `PHIS 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: yJ ,residing at, 14 (Print,7J111Cl (Address wticre you 11%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; M - f t P I "] A (*UAI WMVS ft\/4 LIn , 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. QAVo� W E AAQ+ ,, x game of Property 0wm-r(,;) AftNri­ Sworn to before me this Z� (Jay.pf k l , 20 2S -M, k (Notury Public) AtENA HAKANJIN NOTARY PUBLIC,STATE OF NEW YORK Registration No.01HA0013645 Qualified in Westchester County 3- My Commission Expires W1912027 6/1/2024 00 M C FCA U a � `� p , x _ c40 x ' g _ 4 = F - A Z O LZ N o Ln 00 W W x � z O ^ 3 W Q M u z ~ 00 a a a ON CIS M � � � at CA n r� �..� z < CA U x a d w N F. 0 H g . U W p C7 ow, vA 0 �IWcz z � f � w of APR 2 8 2025 1 3D l�-I�ItC�j� I IL / .DLI'��MEW VILLAGE OF RYE BROOK t Jii\�olc BUILDING DEPARTMENT VI L ,r E OFc'RYI 4 — 938 KIN It j,c'r Ityi B c�>d,NY 10573 �1�4Z 31 �v Si iqr h-1-60 ny..gov ELEC'I'RICAL PERMIT'APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY d� —Q 74 EP#: Approval Date: 3 0 2025 Permit Fee: S /c�) 5 Approval Signature: - Other: *�t,�**�*e*****�e**e*�e****�e**�a*�� •*� +*��*kt+�*��x,�**++���e�e��*�x�***+�x*te***��x*�et�*z::�e*��**x:�:* DO NOT START WORK or CONSTRUCTION li PERMIT IIAS BEEN ISSUED BY THE BUILDING INSPECTOR THE AMIINISTRATIVE FEF.FOR WORK PROGRESSL•'D OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTA1.COST OF CONSTimcrION WITH A MINIMUM FEE OF S750.00 Application dated, 2- . Z is hereby made to the Building Inspector of the Villagc of Rye Brook NY,for the issuance of a Permit 40 install and r ref cove 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 willl be ir�onn conformance with all applicable Federal,State,County and Lo I Codes. l I.Adclress:_L_!1��_ li` `LltW c ft 1 n BS / 7/i t� _ Zone: 2.Property Owner:_N�yN k%cjcj1e=Q�r�1��1 t LC Address: Ly 9,1e Q",Acr 13IA 2 Phone tl: q I 4. 101- y p r,.S Cell 11: _ email:(:�6c1-"6:1 N „ter I A 3.Master Mcctrician/Licensed Installer: AnhhJ C ano Address:y$ Grand SA Ne„�,cI�II�L�Jooul Lie.#: 33-1 Phoned: 91ti- 12 3-• l�eull: email: 3pcicejecYy.c.&-&Li Company Name:1LuK• j`,,r�g,E 1 SFav;e: /Ly L,LL Address: 4t, CyaM 5.4 to ,, r,,r�u 11p �iU tL, I _ 4.Proposed Electrical Work/Fixture n Count: tSCion-eCI eXI5bt1G ltuj y\Ic,,.+ev ec_- e y, nnA rer�• r\•c W +� nC'-0 ni%e�'� 5.3rd Party Electrical Inspection Agency:SW Is ***,r**��*:r�,t•,t*�,tt�,t*****,t*r***,t,t***star*,t****�*,t**,r*+x+t,�**:r***,.*,rx*x�,r,r:t***�*i:,t,�*,�t*w,ta�r*�***a,.tra+t,t,r*,t**,t STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application, (Master r1ccirician/Licensed Installer) The undersigned further states that all slalements contained herein are true to the best of his/her knowledge and belief,and flint any wodc performed,or use conducted at the above captioned property will be in confornratrce with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordatrce 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. � n Sworn to a •e me this Sworn to bsfore t ie this da of ,20 day of / ,20 a �,,',,� 1 COS h� w Sign Ir f l -operty Q"Q kk V 1 Sign rc is tt E S Pri tygof r- 'f fAp LTAR�Y M MCC ONA LIC.STATE OF 1 OCN NA AKANJIN Pu lie 1 a N� U1MC 63�6$!tNOTARY PUSUC,STATE OF NEW YORK Registration No.OIHAO013645 ud in Bronx County 6/1/2024 Qualified in Westchester County EXplf�s Q $,Z02 My Commission Expires 911912027 STATE WIDE INSPECTION SERVICES, INC. 0•0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# f Date Bldg Permit# Scl Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. 6p-oo K County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑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 ❑ Safety Inspection ❑Consultation DIAPR 2 8 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is Intended to cover the above listed items to be inspected,if at anytime 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 Signature Address City/State IJQL-,) V_CjL,—(1 Zip Code I C (jo Company Phone# -7 2 3 D E C E � V E State Wide Inspection Services v 1080 Main Street DD Fishkihkill, NY 12524 MAY - 6 2025- 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK 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: Nicks Electrical Service of NY, LLC Win Ridge Realty LLC Anthony Coschigano 19 Rye Ridge Plaza 48 Grand Street Rye Brook, NY 10573 New Rochelle, NY 10801 Located at: 19 Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-108 141.27 1 6 Certificate Number: 2025-2992 Building Permit Number: 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: 19 Rye Ridge Plaza, Rye Brook, NY 10573 The First Floor Utility and Storage Room were 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 6th day of May 2025. Name Quantity Rating Circuit Type Hot Water Heater 01 30AMP 208V Disconnect 02 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. l ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 4/29/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Laura Hradv G&N McGovern Insurance Agency,Inc. PHONE 914 803-1300 g y+ H No Ext: ( (A/C,No): 837 Mclean Avenue ADDRESS: laura@mcgoveminsurance.net INSURER(S)AFFORDING COVERAGE NAIC# Yonkers NY Iu-ui INSURER A: ALLIFD WORLD SURPLUS LINES INS CO INSURED INSURER B K Tech Mechanical Piping Corp INSURER C 359 Commerce St INSURER D INSURER E Hawthorne N}- I0>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. LTR TYPE OF INSURANCE INSD VWD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 7 OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 5,000 A x Includes Contractual Liability Y Y 5061-0649-01 12'20/2024 12/20/2025 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JET LOC PRODUCTS-COMP/OP AGG a 2,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) E HIRED NON-OWNED 17R=I Y OAMALit $ AUTOS ONLY AUTOS ONLY (Per accident) E UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ ORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STER I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) additional Insured:Village of Rye Brook,938 King Street,Rye Brook,NY 10573 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. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 L_ rJL� ©1988-201t ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD INN W Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured K Tech Mechanical Piping Corp 914-258-5330 359 Commerce St 1 c.NYS Unemployment Insurance Employer Registration Number of Hawthorne,NY 10532 Insured N/A Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 83-2125107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) TRAVELERS CAS INS CO OF AMER Village of Rye Brook 3b.Policy Number of Entity Listed in Box"l a" � 938 King Street UBOT604865 Rye Brook NY 10573 3c.Policy effective period 12/20/2024 to 12/20/2025 3d.The Proprietor,Partners or Executive Officers are included.(only check box if all partners/officers included) X❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"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 Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Geraldine McGovern (Print name of authorized representative or licensed agent of insurance carrier) Approved by: P.rG(dl-e M o,jjZ✓n. 04/29/2025 (Date) Title: Principal Broker Telephone Number of authorized representative or licensed agent of insurance carrier: 914-803-1300 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