Loading...
HomeMy WebLinkAboutBP25-101PERMIT # SECTION c) 91 TYPE OF WORK JOB LOCATION • �/ B r LO#04P/4 s TCO # FEE DAIS � • - •fir r FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING -zozor labjecr g RGH PLUMBING GAS a SPRINKLER 3e ELECTRIC LOW -VOLT IO rLARM O AS BUILT C� FINAL l' r�:t lr�� u1�614 653 9- 031JI as 04104 na �B S°O S/% I3 6f�y�) 7) ORE o,411 7 15�lec4vp�i OTHER APPROVALS ARB CBOT PB ZBA OTHER No VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-084 Certificate of Occupaucp This is to certify that of, 6,e / V , having duly filed an application on (, 20_4;2,J_requesting a Certificate of Occupancy for the premises known as, Q , Rye Brook,NY, located in a Pal Zoning District and shown on the most current Tax Map as Section: r Block: / Lot: 1,- 2r and having fully complied witlr the requirements of the Building Code and the Zoning Ordinance under Building Permit No. OO� -16 , issued / 20 v ,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: 004f k6&771?�41 Construction: for the following purposes: I I 4- I"I0 Yy� 41-/V� 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 h i J shall be made,nor shall ui ng be moved from one location to another until a permit to accomplish such change h s be ined Build spector. Building Inspector,Village of Rye Brook: Date: JUL 1 t 2025 ID I JUL ' 99 2025 i �l)Il,l)IN(, U1pA1ZTMF,NT ►or(ang Us nnl _____� 938 1 RI.I,Af;I;OF 1tYF:13Rf)c1K PI:kM1T q ICI\G NTRI;1'X,111T 11ROOK,Nt:11'Y(I{tK 1O573 ISsIJ.1); VILLAGE OF RYE BROOK DA"11• -� BUILDING DEPARTMENT (914)939-0(,68 - -� -------- tt�rN 1 ctnvt htn.ein Flil�:�.lT?LPA{o� APPLICATION.' 1'(llt C1:1(1'lhl('A'hF.O1()(•(•111 AN('Y,CEIf1'IFICA"TF,O ANl)('I.-RTIFICATION OF FINAL COS•I-S F COMPLIANCE, TO BE SUBMITTED ONLT U TON COMPLET10tI OF ALL WORE, ACID PRIOP, TO THE FINAL I)1SMCTI011 Addrecc. 13Z ........ ......................................... ...:.............. YU--=-k 1 la w r roo K occupanc\ l'sc; /� parccllD i; Owner: �d c NG( 1�Q✓1 h Address:P.F.R.a,or Contractor:_�T < c�i7 � �y� Address: - - - Person in responsible chargesAP7e' "'—_Address: -- APPI,cation 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 forthe structure/construction/alteration herein mentioned in accordance w ith lacy: STATE OF NEW YORE.COUNTY OF WESTCHESTER as: G rvG M a ""� being duly swom,deposes and says that he/she resides at 1 3z 0 r,,t S h No I 1 o.,-./ GG l"In:\am'.of A lic-anu \,, I ,:.a =mot.;:-:•. to� r0o )� in the County of Y 1I CS+G [CmTo%%n viiiarc intheStateof r-jy that he she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site in,pro%ements. labor.materials.scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor v-hich mati have been donated gratis was:S. Itp — fortheconstructionoralterationof �liQ� Edo✓Q�jV� Q/u� Deponent further states that he/she has examined the approved plans of the structurehvork herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structurehvork has been erected completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as ereeted/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permitthe use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,%%holly 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. n Sworn to before me this Sworn to before me this day of I/UC (, 20 2 5 day of 9 .20a-5— Signaau rPr pertyOwncr Sigiuwrc of Applicant '451 cj'j Gj I"/4 0 n Y7 AG1 c r.(a M 6 r Print Name of Pro ny Owner Prmt Nam of Applicant Notary public Nmnry Niblic E ' Z eunai x3uolssiwt o O ( I�Q?3 noO je(seyo3SeM ulpeggenO 090l10'oN uonPrlslfed0 30 31d1S'O endAlb10N 319J doNl �� 7m BUILDING DEPARTMENT ❑BUILDING IN!SPRUVOIC J3'Assls,rA.N•r BUMPING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OBrICER 938 KING STREET •RY]:BROOK,NY 10573 (914) 939-0668 FAx (914)939-5801 Wwwxycl)rook_ ___om - -- -- - - - - - - - - - - -- - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - AI)nR]3SS: �CJIhfl oc,.�_. �I.Q1� DATE• " /a Z O 2.� _..1. �. PE].tM1Tw_4>! 7-S- Io z�0]3LocK: LLoT• - — -------�C� "\ -- � - -- OCCUPANCY: ❑ VIOLATION No-rim THE WORK IS... EF-1ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAIN.A.GE ❑ FOUNI)ArION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ Romn PLUMBING ❑ Romay FRAMING ❑ INSULNFIO'N n I J� J❑ NA!rUR A.I.GAs _ ) ti0.X. (� NC�hJ E L "- � � / AO'Z.._ o j ❑ FujM TANKcl�) OCVL ❑ FIR]?SPRINKLER ❑ FINAL PLUMBING I / -- 11 CRONS CONNECTIONa- ,a-FINAL ❑ OTIIIM -- „en62 0-,,d n o r sJ ..cam O 7- m O� BUILDING DEPARTMENT �❑BUILDING I.NSPl{(:ToR 2t18sI37.AN'A'BUILDING INSPECTOR VI LI:.AGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET•RYE BROOK,NY 10573 (91.4) 939-0668 FAx (914)939-5801 www llysl ro(�0K; - - - - - - - - - - - - -- - - - - - - - INSPECTION REPORT - - - - - - - - -- - - - - - - - - - - ADDRESS: Z 9 PERMIT ` Z,S'- J � ISSZ7ED' 1 0 9. 7lo BLOCK: LOCATION: OC('UPANCY: ❑ VIOLATION NOTED THE WORIi-IS... [-ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ l OO-VING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION r r \ ❑ NA'.rURA.i,GAS w. 1 i w. C� T l7 lP ❑ L.It GAS � rj . ❑ FUEL'I'ANI:: ❑ FIRI:SPRINKLER P-TINAL PLUMBING ❑ CROSS CONNECTION (] FINAL Q OI'I-Il?IL -- �yE BRC�� w � 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: BLOCK: LOT: LOCATION: OCCUPANCY: - f ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED I;v`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 rl O �n 4 o Ln N N d W v a nIT M N a „ C Mi F� hh Z wo = O lu I_ �wL•) ram. u — W 4, o � + 10 72 o W a I m O = 1 0 9 � O p ~ O u a F�1 ~ A a a609 v ® � C'd •� � 4 Ln Ono 1 �"'� y 1� 00 _ © `n can lei" (� Z O C4 1 W w W cn b a a �W G1 pp �r ' W �- ,en Z [� U L o w o a W = M 04 �� q y z o 4 � � � , v �� .00 W o z �! ° w F w z F-1 O E-� z o G a c� v b a � a H 0 o f CA .0 � U x z ¢ pG z V w ° g v p un u z0. �i' o M z w w o � ;" W W o20 �I � � a W �✓�' x � � �.eb BUILD MENT [E C E ME F VIL E OF R OOK 3D 938 KINGS RYE BR ,NY 10573 JAN — 9 2025 -0 w ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: �n Approval Date: Permit 4- / ' / Application Fee:$ oV Approval Signature: 1_1Permit Fees:$ Disapproved: Pao— Other: Application dated: 114115 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit forthe interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 13.Z 1� r I,t s' Q w �rCs. SBL: /C)�/ 7k2 I I4gZone: yy c ��K, 1� 2. Proposed Improvement. escrtbe to detai ): i�1 rm a r, ►.-► Gt ..'5'h c C+ro G}< c �►/ K 1 - -G kti le el I ry c I u d yn9 K 1 10 ►in }r�l vti� r e-- r era cL 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exist[ g automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: I -F4 nit I After Construction: I --FA Nl G. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner:_ :� n1l Q N1 a N 1't Address: 3 t'u S h 1-�d y 1 d G rcSGG✓?t Phone# 671r7 U63 d�Cell# �t7-L�83 3D email:_LZdern92MQY)f'' a) Matt' 8. Applicant: Act e in a M a n n Address:SG!r/t C Cx S' d SIO`i'Z- Phone# La83.g3D 5-Cell# C( 171083 y2'�email: AclC»Q M47nV1dDQMeL11 J CIO till 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General ,C/ontractor'•1 0 -/ iG -Con3� ss�d re Phone# 9J y—'!5'3 9— 03/# Cell# email: 12. Estimated cost of construction $ (NOTE:The estimated cost shall include all labor,material,scaffold ng,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13, Job Timetable: Start: AS Sy 0 fv Q$ W C Finish: 7 ef-61 PGrA 6-I'. 11�z� cl� 6/1/2024 BUILIJ ' " - MENT D Viz E OF R ` OOK 3D 938 KiN ET RYE BA' , ,NY 10573 JAN -9 2025 _0 �, 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 YORK, COUNTY OF WESTCHESTER ) as: I, AA n a Ma in yi residing at, 6ru Sk 46 1 le5v,a C reSCeY�� (Print name) (Address 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; 1-3 2- fE3 r t.4s h F-+v l I o v\J G res G e-4Q t: , Rye Brook,NY. (lob 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. (Signature of Property wner(s)) Ade,ia- M . (Print Name of Property Owner(s)) Sworn to before me this day of r , 20 (Notary P c} GREGORY M.RIVERA Netary Public,State of New York No.OI R16441398 (2 Qualified In Westchester County Commission Expires September 26,20 6/I/2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: _ 'A J6-_rq_G MGI n r ,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. Sworn to before me this Swom to before me this day of , 20 day of , 20 Signature of op Owner Signature of Applicant A,r,icNa Ma e7v� Print Name of Property Owner Print Name of Applicant r eLemh ZW Notary lic Notary Public GREGORY M.RIVERA Nctary Public,State of New York No.01 R16441398 Qualified In Westchester County Commission t xpires September 26,20 14) 6/1/2024 a � s = N a N N _ N N s C s N \ \ tf, Ln (i; 14 a v a W N of [� O ■ / O -- ' Z in j Q U CA A O � � Fil M+i ji i z U U g p4 o z (n w w - � - a a C N � W ^ x w (n r W Z w � 1, a �+ 1 x v00 Iz _ w : _ U r M �• cy W a OC N Q P-4 i UZO U '" z r0-4 U v o w z �. M z ° °H~ z Q o < z u Q a. � a s a a s ! a s a : : : : : : : s : •. BUILDING DEPAJ,LTMENT R JD VILLAGE OF RYE OK MAY 14 2025 938 KINGS, ET RYE B ,NY 10573 VILLAGE OF RYE BROOK wbv' n . BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required / FOR OFFICE USE ONLY BP#: / f EP#: �/ r--)7 Approval Date: MAY 1 6._2025 Permit Fee: $ c�-_�, �� 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, -5- /-/_a-'�_ 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. / j� LAddress: 1152 P��US N ftctow C2t`5( �"T1 -7[y SBL: /a9, / 1-1,� p Zone:/Oay 2.Property Owner: M P N 0 Address: N2>2 (S f W H HO(W ) C e e,:1 t eW Phone#: q 4 2?3 93 0 S Cell#: email: ra(_IE'VIct O'rCkrl A o ",' 1 .cO M - 3.Master Electrician/Licensed Installer: Ce5a v M Vi c(1 nU Address: a5- W h'4f 12TfU4nq.n Jt I�y Off Lic.#: Est Phone#: q I� �I } I U 3 Cell#: email: I w I it-- a 4 _- �"CW y 0•co wr Company Name: JMJi 1pe ,2 4.1 611E CT-IL i tjc- Address: 025- (Nkik— ?-J Ping y" Vcd(�y N`I 10 T H 4.Proposed Electrical Work/Fixture Count:A-0 (n r—0- k-c-I ckevl erAe_+--" Pic-0 ki�c.k� `�nD�iuvlc�� 1�1 lzfeces�=� r 5.31 Party Electrical Inspection Agency: 6 e 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 Electrician/Licensed Installer) 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 before me this day of ,20 day of ,20 M Signature of Property Owner Signature of Applicant C�afi�. U'cy r10-. Print Name of Property Owner P me of Applicant 0 Notary Public Ify�+111b1it,State of New York No.01ME6160063 i2024 Qualified In Westchester County "'? Commission Expires/endary 29.20_ / 5 Buckout Road BETTER HOMES to West Harrison, 104 Phone:914-90906-044443 ELECTRICAL INSPECTION SERVICES INC. " Email:betterhomes252@gmail.com NAME: DATE: ELECT.PERMIT NO. CITYNILLAGE ZIPCODE BLDG PERMIT NO. - � � ems-�o I ADDRESS: BUILDING DEPT 6l�o� PHONE# SECTION BLOCK LOT UTILITY EMAIL ADDRESS: ,a()C'Y1CA mu V1 vti ,-Y\C,t I C.O W1 Residential ❑ Commercial ❑ OWNER'S NAME AND ADDRESS D [E C E M l ✓� �� �I �-10 l (0 W 2 E 5 �� MAY 14 2025 a (e- �� , VILLAGE OF RYE BROOK WORK LOCATION: — DING DEPARTMEN=1 Outside ❑Basement ❑Garage ❑Attic ❑Porch Floor: 01 st Floor ❑2nd Floor ❑3rd floor ❑4th floor ❑Other floor Reinspection ❑Renovation ❑Generator ❑New home ❑Other Comments: �E,�,�t,, c e IGtr T C Y\e-✓I aU4 ``e� � ' S cat/ c �, w e . .l ed �Cl�r,,A Cie e�� CI ,F I ergs s SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: Overhead ❑ Underground ❑ CON EDISON COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: lCcTP � 1ivy I�- 1j - Wts 7 ) y STREET ADDRESS: 1 CITY: STATE: ZIPfC�ODE: +1J G TELEPHONE: CELL PHONE: EMAIL: i � -j i i� a � y SIGNATURE OF APPLICANT: X The application is intended to cover the above listed items to be inspected.If at any time of inspection additional items have been installed,we are authorized to make the inspection and adjust the fee for the additional items inspected as provided by the applicant.The applicant declares that there are no open applications for the above with any other inspection company.Application only good one year after filing date. D FCCC � i JUL - 1 E2029 BY THIS CERTIFICATE OF COMPLIANCE L---------- i VILLA E F RYE BROOK Better Homes Electrical Inspection ServimeS a DEPARTMENT 5 Buckout Road, West Harrison, NY 10604 914-906-0443 CERTIFIES THAT Upon the application of: Upon premises owned by: Iwire Electric Inc Adena Mann 31 Kentwood Drive 132 Brush Hollow Crescent Carmel, NY 10512 Ryebrook, NY 10573 Certificate Number: 4357 Certificate Date: 7/3/25 Located at: 132 Brush Hollow Crescent Occupancy Type: Residential Ryebrook, NY 10573 Permit Number: EP-25-127 Section: 129.76 Building Permit Number: BP-25-101 Block: 1 Lot: 128 A visual inspection of the electrical system at this premise described above, wherein the premises electrical system consisting of electrical devices and wiring, described herein. All inspections are in accordance with the National Electrical Code and the details of the installation, as set forth below, was found to be in compliance therewith on the date of the inspection. Name Quantity Rating Circut Type Replace plugs, & light fixtures in 6 120v 15a Recessed light fixture LED Family room: 3 120v 15a Duplex outlet 3 120v 15a Recessed light fixture LED Replace switches, plugs, light 16 ft 12v 12v LED tape light fixture fixtures, and appliances in Kitchen: 2 120v 20a GFCI duplex outlet 3 120v 20a Duplex outlet 3 120v 15a Pendant light fixture 4 120v 15a Switch 1 120v 20a Microwave 1 120v 20a Dishwasher 1 120v 20a Disposal 1 120v 20a Refrigerator 1 240v 50a Stove 1 120v 20a Hood vent 1 120v 15a AFCI breaker 2 120v 20a AFCI breaker 4 120v 20a AFCl/GFCI breaker This certificate may not be altered in any way. :•.**VOk�� H v SEAL n' This certificate is valid for work performed = 2022 a before the date of inspection only. � Yol;��',r Licensed Inspector '��►►►!I111111111\���� i ■ 0 Ln N N c a r1 N W : N M \ = Qr fi V: oG O v) C7�. cA W ' � MTI ■ 010 Z c a - pn '� " Q Oo H z A = Z ► z w z n cn = W ✓; o Z W M o W � � Z ■ _ ~ 00 z \o w Z w a zz N O J L ■ x a Fw o S a U n; U -r W a x � Vg on w x � _ p BUIL E MENT VEL E OF RYE OK JUL - 3 2025 938 KIN ET RYE B NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT DD ny.gov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BY#: /O I _ PP#: Approval Date: ✓ Permit Fee: $ Approval Signature: 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 Application dated, i,FZ f ZOZ-�r 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 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. I.Address: 13Z 6 trl l 1 T e 6)I!U VV 6rd5� � SBL: /�9, 76 —/—/d0 Zone: /OUL 2.Proposed Work: —ell �z 3.Property Owner: Address: TT o)lbw G��S'�►' Phone#: ti\1 f� Cell#: 1 1p A3 ��f� _email:APE7 l fl M A N 1\1�Q Ma I 4.Master Plumber: �W Z LV Address: 3 4q rrvm i(/ Wy%. 91givIR t31- ►osoc� �'Oy L ic. #: 16 O q Phone#: Cell#: Cq 1 t4) 4 L ]=(6 email: V(1 G�Sp n5• j�N t31. �j�(�TC o r►... Company Nance: ��OS��zr Cn n� �\j��p,d5 Address: 3l,(t� M;/� c un L3'fq w r--Iv M! 10 5 0CI 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 Ist Floor / 2nd Floor 3'd Floor 4°'Floor 5"'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -I- 6/1/2024 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 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 11) Sworn to before me this day of 20 a-S day of S�� ,20 S Signature Property Owner Signature of Applicant AAe-na MaY, 1 fjLAUN Lv� Print Name of Property Owner Print Name of Applicant A.t xL L'\'LL Notary P'*IhAR1 MEULLO 48f9i-Aii istate M New York Notary Public,State of New York No.01ME6160063 No.OIME6160063 Qualified In Westchester County -7 Qualified in Westchester County, Commission Expires January 29,20 2� Commission Expires January 29,20_� "]'his 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- 6/1/2024 BUILD MENT D CC � � V E VIL OF RY OOK 938 KING ET RYE BR c k,NY 10573 J U L — 3 2025 4 � 0. 8 WHtr ookm.UoN VILLAGE OF RYE BROOK r s BUILDING DEPARTMENT ..x,xxxxxxx..x..xx xxxie icx ie is is is it is ie kie ie ie is ie is it it is icxxr.xie ie it is is is is it is is is is irx it ie is is is it i;ie is iixxxxxxxir is is is is is Y k it is xie i<ic icx is ie ix dr it ie is�c icu is icxic 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: 31, AAGNe1 N lel n a1 , residing at, being duly sworn, deposes and states that(s)he is the applicant al�ovve rl 9-N, 4fu.Lh r states hart that ( is the legal owner of the property to which this Affidavit of Compliance pertains at; a2 fE�-1­wSh JAU� \G.-/ GrcSC_C_- , Rye Brook, NY. 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. GjG ►-) V1 v1 Sworn to before me this d of ���� , 20 SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified in Westchester County�7 -3- Commission Expires January 29,207 6/1/2024 Laura Petersen From: Laura Petersen Sent: Thursday,January 30, 2025 4:18 PM To: Adena Mann Subject: 132 Brush Hollow Crescent - Building Permit Application Good afternoon, 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 J5. U26.3) Estimated cost of construction to determine the building permit fee ($18.00 per $1,000.00) (due once permit is issued and ready for pick-up) Thank you p( Laura Laura Tetersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 41 0 017d ,�Dold A 7 P�� .Buildin Permit Check List&Zoning Analysis / 1 Address: LS O\\ �)ko C6esc_�- SBL: `-2-�, b l 2 Zone: . v Use: L�u Const.Type: Other. Submittal Date: V1Z Revisions Submittal Dates: Applicant: I-t 0� Nature of Work: ` Ct x 1� O�( �-\ - �, -�-C\f\ Reviews:ZBA: PB: BOT: Other. NEED OK ( ) FEES:Filing. 1CP BP: C/O: Flood Plane: Legalization: ( ) ( ) APP: 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. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg. date: approval: notes: ( )ZBA mtg. date: approval: notes: ( )PB mtg. date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES Area: Date: Circle: Frontage: Front: Front: Sides: Rear. Main Cov. Accs.Cor. Ft.H Sb: Sd.H Sb: GFA: To :Imp: Ft Im : P Height/Stories: notes: \A � 1� .C>Yr"' Div :�•► •'!a• . !�► •v:` '�`"isr � .�-•4�'`�v" ,^yt,:. .� .v w env �w :��� •iC��i ��� f �l �'. t .:V�/f 4 5 �A� `• ti "A� ` \ N �A�•i '•t ,.• �'�� :O. ?'�, 'tj � O. .,N•, � an' .O t,tiltiy'S�.4t v t, r �-tn''1'D�t�l"hi-, r it,1�� s :�i.� �f y � -�,4����.t .ss O '4 �! ,����,. v ,1��I v .,.f4�'� pit �' f.�' Y/,t • v .4 �f� . �r 14�'�/rt � i'�.fN`�}+• �� v ��?!' 1/1�/11�illr � 111/1/1(ill � �+�. illl(I/I�i11�3�i� ��-j11111/1(i11T+ tD �1��•i11111t11/j�:` � s�ll(j1//11��A -_� .__-�111(111(Illr �.'•`_r' P"�'"' ��--a�za.�ll•�11�?.t.+rrt.�-x�i:•::�11,�11�:: • _r:a a :�Il�lllc�c:+c_.. ,, ?11/�111,.r;=� a'si.; 11�11. z. .11�111 � 1 1 ✓i i. _ 21 ! L pp�1,. rY•' i •s��' L = v Jxl 00 � \ n �.W-- 'ram: � c� _� ��• C- LO • 'j •-' ~ _ _ - section _ ' = ° Z x Q � =: LU Z c' LL = ,.�g r • J '.� 0TZ 4• CN ro �<(0)>� L.a__.•.-+ram— -'�-.t.^-----�r�— -^'-.-r.-- .`err--r;;^^�-�-r--:--�m-:�zs%^- --�� .:zz-----^.�^�^_;:-:-"-��'-•-;�v <(0)>� _ I�III�I lip, I�IN"1; - `s I# oil :�,�1�141 _,. .::£I#04 11 �,�1�1�,1; -." i �I�k/�/l�� Ai y/t.>AN /1/•/lit. jjf A tt 1L��111/�/1� ,{A a•{i !1/•/1/1r fg 3A6 [£: 1�4 1 SI �Ai i1'2•I/�/�/II!- t fA -�� i..W ti��:v�.LP: v�j+Yyr S W'�+ n/r,�/�•N, x fi/d4� 1 rlf�v.•w itr,�Yr YNty,,'• .y� `�!�" .Nam` /F' '2k- -•/vrj5• .rcr+�.:.� �' .'�:- ..+5{�;�� � ':;,,A•i.:ti��.'�•. .�•�..�5.r��11'e3� ...•� A3 �. .� .y�� JOZEF-2 OP ID: LC ACORO CERTIFICATE OF LIABILITY INSURANCE F—.,105/12'/2025 TE M 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 endorsements . PRODUCER 845-225-4100 CONT CT Ivan E.Cohen CRM,CIC,AAI,CPIA The Cohen-Putnam Agency,Ltd NPHONE 845-225•4100 FAX 845-225-1978 Ivan E.Cohen A/C,No,Ext: A/C,No): 72 Gleneida Ave M.S.lcohen@cohon-putnam.com Carmel, NY 10512 Ivan E.Cohen CRM,CIC,AAI,CPIA INSURE S AFFORDING COVERAGE NAICB p INSURER A:Northfield Insurance Co. JOzegt iThur Construction Inc INSURERB: P O Box 402 INSURER C: Valhalla,NY 10595 INSURER D INSURER E: 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 TYPE OF INSURANCE iADDL UBR POLICY NUMBER IMMOLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ 1'008'800 CLAIMS-MADE _ OCCUR WS602996 03/21/2025 03/21/2026 DAMAGE TO RENTED 100,000 MED EXP(Any one erson 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY j LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident AUTOS ONLY AUTOS ONLDY PRBOPERttt AMAGE UMBRELLA LAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION T PER OTH- AND EMPLOYERS'LIABILITY Y/N I STATUTE ER ANY PROPR IET gO ER/PARTNER/EXECUTIVE � E.L.EACH ACCIDENT (MFandatory In NHR EXCLUDED? N/A E.L.DISEASE-EA EMPLOYE _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Residential Contractor CERTIFICATE HOLDER CANCELLATION RYEBR-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10580 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /?-"-;bk*1\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A^A A^ 300475318 JOZEF THUR CONSTRUCTION INC. 107 ROLLING HILLS ROAD THORNWOOD NY 10594 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JOZEF THUR CONSTRUCTION INC. VILLAGE OF RYE BROOK 107 ROLLING HILLS ROAD 938 KING STREET THORNWOOD NY 10594 BROOK NY 10580 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 1303 093-7 389531 08/31/2024 TO 08/31/2025 5/12/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1303 093-7, 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://WWW.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. JOZEF THUR PRESIDENT "JOZEF THUR CONSTRUCTION INC." 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 SUR NCE FUND 7 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 900175495 U-26.3