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HomeMy WebLinkAboutDoc5576 D E C I-E BUILDING DEPARTMENT For office use onl G PERMIT# / APR — 7 2025 3D ' VILLAGE OF RYE BROOK ISSUED: 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0668 FEE4 /30 — PAID BUILDING DEPARTMENT I www.ryebrookny.fJov 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 k►ii}iiiitt►tttt###i■iiiiititii}itttt♦likkitiitkit##iii}##iitilliitt♦}Ii}ittti##i##lit#►iiii#lilt/tt}►tit•iltikttkktttk##i##► Address: tj 0 3 Occupancy/Use: j2EScYLec"tg_Parcel ID#: /3$ . .2 — 29 Zone: -'DO Owner: ` Address: P.E./R. . or ontractor: Address: Person in responsible ch 2ge: Address: Application is hereby made a 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: -J CMal7 '\1'.�t/�f(k being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) , - / (No.and Street) Pr 1� in [e Lai ,in the County of W t S k�)k.i in the State of _,that City/Town/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,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S Z 7, S 0 p 1 ' for the construction or alteration of: ,6� 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 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 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 me this /8' Sworn to before me this day of fUeve—Kaea , 20A_ day of Pou Q.K f e'A, , 20 �Z 'Z4 Si nature operty Si re o pplicant Print Name of Property Owner Print Name of Applicant jNo Pub Nda6 Pub JUDY A.SCHWARTZ JUdY A.SCHWARTZ Notary Public State of N Y Notdi.1 Public State of N Y ; No.01 SC6083248 N&011806083248 Qualified in Putnam County oua k0 iii P!ltnam County Commission Expires 11/12/202b Comr`hi§W klgkft 11/12/200 �Qy_E,4RC��• o tim Foy 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 101 epy 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 : QUJ \ �"'� R(�♦(.�� DATE: PERMIT# I z ISSUED: ( �Z SECT: • 2/ BLOCK: _LOT: _ LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 9 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 Q FINAL ❑ OTHER john nolan From: patricio Sari <patricksiding27@gmail.com> Sent: Wednesday, October 30, 2024 9:16 PM To: Jnolancorp@verizon.net Subject: QOUTE 00906 FOR 12 Meadowlark asphalt roof and trim PS & sons construction LLc Workers Comp and Liability full insurance 4 Birch Rd New Milford Ct 06776 Phone: 203-942-8716 Email: Patricksiding27@gmail.com MISTER JOHN NOLA ESTIMATE date 10/30 /24 location of work 12 Meadowlark Rye Brook NY REMOVE SHINGLES FROM MAIN HOUSE WE DO RECOMMEND REPLACE THE ROOF ROOF WORK 35 SQ APPLY ICE & WATER 6'FT BOTTOM AND WHERE NEEDED APPLY SYNTHETIC ROOF THE REST OF THE ROOF APPLY WHITE DRIP EDGE ALL THE WAY AROUND APPLY 30 YRS GAF SHINGLES COLOR IS CHARCOAL APPLY RIDGE VENT APPLY NEW RIDGE CAP Aluminum vent pipe boots installed over all vent pipes • • GAF Weather Blocker starters installed on all perimeter edge LABOR AND MATERIAL WORK $13,650.00 REMOVE OLD FLASHING FROM TWO CHIMNEY AND APPLY NEW COPPER FLASHING BUILD A CRICKET AND APPLY COPPER LABOR AND MATERIAL $2.500.00 DUMPSTER$1,400.00 i -16 Alp 11w- Wn George Latimer \`(-stc`m�sten yr James Maisano Westchester County Executive Director,Consumer Protection Department of Consumer Protection r/ Home Improvement License 11 J. NOLAN CONTRACTING CORP. 21 ROSE DRIVE MAHOPAC,NY-10541 ,.., This license is issued in accordance with Article XVI of the Westchester County Consumer Protection Code and is valid only upon presence of the official department seal.Proof of citizenship or immigration status is not required for issuance of this license. �� NOT FOR FEDERAL PURPOSES ..ii c`oEConspmP�q 3' License Number m Date of Expiration 02/05/2026 WC-20079-H08 ( S�chesterCo��� i owes vex _ - _ - ca w�ieus� JNOLANC-01 CKALL ACORO CERTIFICATE OF LIABILITY INSURANCE DATE F / 11/2222I2024 Y) 024 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 C NTACT Christina Kali World Insurance Associates,LLC PHONEo, FAX 135 East Main Street lac,NE:t:(845)363-6821 1946 (A/C,No): Jefferson Valley,NY 10535 EMAIL .ChristinaKaiI@worldinsurance.com INSURERS AFFORDING COVERAGE NAIC 8 INSURER A:Utica First Insurance Company 15326 INSURED INSURER B J Nolan Contracting Corp. INSURER C 21 Rose Drive INSURER D: Mahopac,NY 10541 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE i FlvOCCUR X ART3000567130 10/23/2024 10/23/2025 DAMAGE TO R(EaENTED occurrenoe) $ 50,000 EMISESMED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,00000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 jno X POLICY LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY CO fE.MBINED aoert�SINGLE LIMIT ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ EE opT PROPERTY DAMAGE AUTOS ONLY AUOTOS ONLD Per.;. , $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N TA LITE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ (M OFa FICER/MEMBER EXCLUDED? N/A ndatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder is an additional insured with respects to Roof Replacement for Relnick Residence 12 Meadowlark Rd.Rye Brook,NY 10573 CERTIFICATE HOLDER CANCELLATION 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 10573 AUTHORIZED REPRESENTATIVE ACORD ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 � A A A A A A 261704328 BRUEN DELDIN DIDIO ASSOCIATES A DIV OF WORLD INSURANCE ASSOC 616 CLOCK TOWER COMMONS BREWSTER NY 10509 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER J NOLAN CONTRACTING CORP VILLAGE OF RYE BROOK 21 ROSE DRIVE 938 KING STREET MAHOPAC NY 10541 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2384 393-1 477987 03/15/2024 TO 03/15/2025 11/22/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2384 393-1, 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://1NWW.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 JOHN NOLAN 1 OF 1 J NOLAN CONTRACTING CORP 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 T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 653873641 U-26.3 �ti}pe 1r1•i', ?;`. vr.��{' A�jls'� :I�F •, .F'i:,';a'�� I+r�. �'t :r� -�.�.#fR���� �'•..' 1 ._. .._ __ _. �_ _._ _. . ._ � ac^.._. .,____ .._ .Y._„ ��. ...+- �.�__ '!fit ',•..• ._-i.__. .... � ._ . 1 of. J`iCSII J!'-' 'y. -' ..�•7 i.fi ty .1.. ». l N�Y-9 J",(.�., . r�, - •t• • (': .G2r'sIOU'i_ .. -_ e,..,,.1 "�e,i M.:U Y[.-t' •-.d '__ :;••4 •• .E:', s':, <.:s;.✓�•?a, Q!"S•Y i_' •��. ..+t 4 t? .tr1?' ''Jlj•l' I�::.Yl'S.- •t.t"t, .^A1t i "R:.C44 Hl. . ..Y• �J.:�J!'. ... '�l' •.l:�r7� + �k is�Si.J �,�. 4 ��.: .a 'yZ.t ,..f S*� -[ f�,�r .i•1`_'�, JA [li . ill ..•..'}ii .. �yY'1 -.y•. ;Y.. + �,a . .l Tr1�d��. '2' .y,.{ S+t = .�,... ➢r •'' i:• cfl.: 1-rYY :-t•. -?:.. .'l•-`[ °1 _ i!' 1-4 t 1y