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HomeMy WebLinkAboutMP25-080 (-QyE R L� 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 August 1,2025 JoAnn Barrett 28 Hillcrest Avenue Rye Brook,New York 10573 Re: 28 Hillcrest Avenue, Rye Brook,New York 10573 Parcel ID#: 135.76-1-4 This document certifies that the work done under Mechanical Permit #25-080 issued on 6/4/2025 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to of BUILDING DEPARTMENT El I" TILDING VILLAGE O.0 RYE, BROOK ❑CODE ENFORCIMENI!0VjljC;)!,jt 938 KING SlIkEET - 1Z.-Y'Ll .11.Roo.ic,NY. 10573 (91/1) 939-0668'1.:,'Ax (914) 939-5801, WynMyd-nn-4 fir.or-9 - - - - - - - - - - - - - - - - - - - - INS PECTIONREPORT - - - - - - - - - - - - - - - - - - - - Atm,i lass : 74 o BLOCK: LOT: JAWATJON: OCCUPANCY: 0 VIOVATION No,ru.i) "I'lm walkli Is... V/ACCEPTED ❑ 16AUCTUD/ 14tN%PECTION n- SITE INSPIA"VION IJ lOO'J.'IN(. El FOOIJNG DRAINAGE- 0 FOUND.N.'rION I. 'UNDERGROUND I'LUM-UING NOTIN ON INSPECTJON: 0 )ZOUGH PLUMBING 0 Roucax FxAMING 0 INSULATION El NA:ruj.t,.ky,GA.s 'isle- c� A.,o e,,� Q Zy --r-- 0 LX GAS ,Prl"UELTANAC c 0 FIRE SPRINKLER [I FINAL PLUMIUNG 0 CROSS CONNIA.-TION i.)L 0 FINAL ❑ OTI-Ilm ► ��_ 1 i Y I } 5 4^ l + ^ �' �� l: 1� � � i n. , � i ��. � �� ,. .:. .;. e a' .. 1' .._ .Y ,.- �: T� _ j lY� '` �. �, �5 a 00 w N w � � W w CA a� N w Oz � y0.4 1 , ) 111 A !�1 W °are O H "T " � > H � 80 F z oocr v c o00 " w � a Z C\ oo CN IF WrT� ►z g O m a y a 0-4 C W z z a a R. V � � x o ZO O o • ` V V r i � C7 A aw, v� > �.o ■ 00 Z W W O pQ ." � ; ■ �C1� c 4 .. A a, z as x „ ,''�„ Q U U W ` ,'� w v Via. ■ 0 w x � � Aml ■ ■ BUILDING I31i2TENT D r� _ VILLAGE OF RYilBROOK � MAY 2 7 2025 938 KING� ET RvE BR(�c>'K,NY 10573 j 4� 4140 VILLAGE O RYE BROOK . ov ! pijii-nING DEPARTMENT Application for Fermit to Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require re istration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: /� � ' 0( �� Approval Date: JUN 05 24 Permit Fee:S Z 0 ,S—`/ Approval Signature: Other: Disapproved: �v (fees are non-refundable) +++w+www++w+++++++++++++++++++++++++++++w++++++++++++++++++++w++++++++++w+++++++++++++++++++++++++w++++ DO NOT START WORK or CONSTRU( I ION I N 111,A PERMIT HAS BEEN ISSUED BY THE 1311I.DING INSPECTOR.THE ADMINISTRATIVE FEE 1 OR WORK PROGRESSED OR COMPLETED W.ITHOVY A PLI2NII I IS 12%OF THE TOTAL.COST 01-CONSTRUCTION %N I I'H A MINI 1Il`M FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COM)E'LMM 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: Installation: $185.00 per Tank,. 5. Dig Safely New York#(di,i1 81 1): 6. Inspection by Building Department for installation. 7. Submit all Manifests& Reports(if applicable,after work has been completed). 8.Certificate of Compliance will be provided when all requirements are fulfilled. ++ww++wwww+w+++++++++++++ww++++w++++++++++w++++++++++w++++++++++w+t+*+++++#++++++++++w+++++w+++w+++++w Application dated, SM2025 ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to install a Fuel Tank as herein described The applicant and property owner,by signing this document agree that the subject fuel tank(s) will be installed in conformance with all applicable Village,County,State&Federal laws,codes,rules and regulations. Indicate Permit Type: Above Ground(vJ•Buried in Ground( ) 1. Address: 28 HILLCREST AVENUE, RYE BROOK, NY 10573 SBL: /J �~ Zone: 2. Property Owner&Address: JOANN BARRETT-28 HILLCREST AVE. RYE BROOK, NY 10573 Phone#: 914-844-7040 Cell#: email: joannb28@hotmaii.com 3. Contractor&Address: C2G ENVIRONMENTAL-83 S PUTT CORNERS RD,NEW PALTZ, NY 12561 Phone 4- 845-255-4900 Cell#: email: quotes@c2g.us 4. Applicant: Phone#: Cell#: email: 5. Indicate Fuel Type:Fuel Oil V•L.P.Gas( )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: (1)275 gal heating ail tank 7. Exact Location(s)of each Tank: BASEMENT 1 6/l/2024 JI ; ;. STATE OF NEW YORK,COUNTY OF R ) as: Samantha Aprea ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the apphewt) and further states that(s)he is the Tank Installation 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 regulations. Sworn to before me this I cj+ Toni L Ltokanson Sworn to{before me this da Of M C� 20 NOTARY PUBLIC,STATE OF NEW YORK y of 'L 20 — — Registration No,01 H06294662 Commission Ed in Ulster County W"� Commission Expires December 23,2 S' ature of Propser�ty Owner Agn � �o4f )plicant " Print Nam of Owner Joni Lama} Print Name o Applicant COmmission#OILA0025681 Notary Public State of Mew York No Public My Commission Expires June 07,2028 Notary Public This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owners)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. 2 6/l/2024 C2G Environmental Consultants, LLC 7 Skyline Drive Suite 320 Tel. (914)357-8275 Hawthorne, NY 10532 Fax (845) 255-4909 May 20,2025 Joann Barrett 28 Hillcrest Avenue Rye Brook,NY 10573 Scope of work: Cut, clean, and remove (1) 275 gallon aboveground oil tank from the basement. Install(1) 275 Granby aboveground oil tank in basement. To include; fill/vent piping, alarm, and gauge. )C) Install (1)275 gallon aboveground tank in basement Remove(1)275 gallon oil tank from basement INSTALLATION AND MAINTENANCE 4.2. Condensation GUIDELINES FOR STEEL TANKS FOR OIL-BURNER FUELS AND OTHER processes, All water and icethe shouldkbe removed fromduring the shpthe taand stoin nk prior to COMBUSTIBLE LIQUIDS installation. 4.3. General location of the tank Manufactured by: Fuel oil storage tanks can either be installed inside or outside of a building. Indoor installation is preferable for heating oil applications, resulting in Granby Industries improved service, increased efficiency. reduced risks and increased life 1020 Andre-Line Granby, expectancy of the tank. Quebec.Canada,J2J 1J9. Tank location should be chosen in accordance with the following Telephone:450-378-2334 requirements: Fax:450-378-5202 The tank should be placed in an area where it is unlikely to be adversely affected by normal household activities; The tank should be placed in an area where it can be visually !LIM E-mail: inspected from all sides; serviceggranbytanks corn The tank label should be visible: 4 Website: If possible, tanks should not be located directly under house eaves httpi/www aranboanks com where they may be subject to falling snow and ice or dripping water. 1. SCOPE Protection should be provided if there are no other placement alternatives; These guidelines apply only to the installation and maintenance of Tanks should not be placed in intimate contact with walls or domestic, aboveground fuel oil tanks manufactured by Granby Industries structures since leaves and other organic matter can accumulate and to UL80,Steel Tanks for Oil-Burner Fuels and Other Combustible Li uids. cause external corrosion e(the tank;and These tanks have an obround shape, are of a single-walled or double- Tank location shall respect the local code for distance to property lines,to other bottom design,and available in capacities ranging from 120 to 330 gallons. energy sources or to other storage systems. These tanks must be installed in accordance with NFPA 31, Standard for 4.4. Foundations the Installation of Oil-Burning Fquipment and in compliance with any The tank should be property supported by a level, rigid and non- applicable local codes or regulations. combustible base. The base should be designed to settling and to minimize corrosion of an g Prevent uneven restin on the The instructions in this document are intended as recommended foundation. A poured concrete basement floor oprovidf thetes ank the best option guidelines only for tank installation. For more specific installation while other options are also available. instructions,please refer to your local code enforcement agency. All tanks are at risk from base movement; especially new outside 2. TANK INSPECTION Installations placed or recently disturbed ground.A well-drained sub grade ma should be provided for proper drainage. Six inches of crushed, clear, Inspect the tank immediately upon receipt.Minor dents and scratches be acceptable.Do not install the tank if damages are thought to affect the mechanically compacted stone Is recommended. The site should have all organic materials such as sod or bark removed and the soil mechanically integrity and performance of the tank. Contact your distributor. compared. 3. TANK HANDLING 4.5. Tank legs The lank must be lifted without dragging or dropping to prevent damage Our domestic obround tanks are provided with four threaded leg supports. Obround tanks are to be lifted using the handles provided on the tank The tank legs that fit into these supports are Schedule 40 1Y:'threaded heads. black iron pipes with a maximum length of 12'.The leg supports installed Do not move a tank unless it is empty, on the tank should: • provide enough clearance for the tank accessories;and 4. TANK INSTALLATION • provide for proper drainage slope.The tank should be pitched longitudinally,towards the drain,at least 1/4 inch per foot of tank Authorities having jurisdiction should be consulted before the installation of length the tank. The use of tank cradles is not recommended on any of our tanks. The installer shall ensure that all applicable Codes are met prior to installation 4.6. Tank piping vent and In most jurisdictions, installation by a technician recognized by the el designed sopply tthatpl the gtanksisenot spe subjec edallcoblva vacuum orcodeslppressure authority having jurisdiction is mandated.Do-it-yourself installations are not exceeding 1 PSIG measured at the top of the tank. recommended and must be inspected by the authority having jurisdiction prior to placing in service. 4.7. Overfill Protection Only labelled tanks bearing the UL listing mark with a serial number are An overfill-protection device should be provided on every fuel oil supply eligible for warranty and installation. Under no circumstances shall a used tank.When a vent whistle is installed as an overfill-protection device. no tank of any design be installed. person should deliver fuel oil to the supply tank when the vent whistle does not function properly.The use of a 6 in. long whistle is recommended for 4.1. Removal of temporary tank closures obround tank models. All tank openings are shipped from the factory with temporary shipping 4.8. Plugging of remaining tank openings caps.These caps must be removed prior to tank installation. All unused openings on the tanks must be adequately plugged and sealed with I quid-tight closures before the tank is put in service. GUNBY © 2010 GRAN8VINpUSTRIES LIMITED PARTNERSHIP Page 1of 2 SI-0015 rev Ca Revised 20IM"4 4.9. Cross-connected Tanks Two oil tanks may be cross connected in accordance with the installation 6. OIL TANK MAINTENANCE requirements and limits specified in NFPA 31,Standard for the Installation It is important for the homeowner to understand that the oil tank is their of Oil-Burning Equipment. property and their responsibility. The tank owner should ensure that it is 4.10. Flood Plains and High Wind Areas properly maintained. Proper tank maintenance should include, but is not limited to,the following. Additional stability should be considered in flood plain areas or areas of Subscribing to a maintenance program performed by a heating oil high wind.This would require some form of shelter and/or anchoring that system licensed service technician; does not adversely affect the operation of the tank. Visually inspecting the tank(s) at least once a year. Careful visual inspection will uncover traces of oil on the tank surface; 4.11. Tank anchoring Asking a service technician to check, at least once a year, for the A tank must be anchored to its foundation(as shown below)if it meets one • presence of water inside the tank and to remove it; A the following conditions: Immediately correcting an unstable foundation or when the tank is • likely to topple.The services of a licensed installer should be used; It is intended for outside installation;or Maintaining the tank's exterior surface.at least once per year,by: • It is intended for inside installation and will not be connected to 1. Gently brushing the rusted areas on the tank's exterior with secured fill and vent pipes passing through a concrete wall or sandpaper; foundation. 2. Cleaning the sanded surface;and Anchoring method: 3 Applying a coat of rust proof metallic paint(readily available at any hardware store). If needed. Granby Industries has color matched touch-up paint canisters. Contact the order desk for more details. Maintaining the tank's exterior surface is a good practice and the ' ` application of touch-up paint will not void the warranty of the tank • Maintaining the tank liquid level as high as possible during the summer months to limit water condensation within the tank;and • Verifying the status of a double-bottom tank model,at least once per year,by performing the following: __ 1. When the tank is full,look into the monitoring opening on top B �4 of the tank; � � 2. If the red-FAIL"indicator can be seen,it indicates a problem: - - DETAIL B contact Granby Industries. (16x)1/."dia.x 1'/."long Concrete Tapcon®Screws / mow (4x)1Y."NPT floor flanges (4x)111/."Schedule 40 pipes of appropriate length 5. TESTING All tanks that leave the factory have been tested twice for leakage.The oil tank could have sustained unforeseen damage during handling, transportation, installation and connection. The installer, oil company representative or a designated person shall be in attendance at the initial filling of the tank This person shall visually inspect all tank seams and fittings for leakage once the tank is full WITHOUT APPLYING PRESSURE INTO THE TANK. Tanks that are not filled immediately after installation shall have all lines blocked and the fill pipe shall be marked to prevent inadvertent filling to ensure that the first fill inspection is performed. GRANBY © 2070 GRANBY INDUSTRIES LIMBED PARTNERSHIP Page 2of 2 SI-0015 rev Ca Revms 20 1 0-0 5-0 4 C2GENVI-01 LGRYCZYNSKA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12N 112024 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 CONTACT Craig CeCere World Insurance Associates,LLC PHONE FAX 225 Madison Ave AIC,No,Et):(732)228-82361805 A/C,No Morristown, NJ 07960 .CraigCecere@worldinsurance.com INSURERS)AFFORDING COVERAGE "CS INSURER A:Admiral Insurance Company 24856 INSURED INSURERS:Selective Insurance Company of the SE 39926 C213 Environmental Consultants,LLC INSURERC: 83 South Putt Corners Rd INSURERD: New Paltz,NY 12561 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 DIYYYYI LTRTYPE OF INSURANCE ADDL SIN D �U/BR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCiAL GENERAL LIABILITY EACH OCCURRENCE 51000,000 CLAIMS-MADE F7X OCCUR FEI-ECC-36284-00 12/12/2024 1211212025 DAMAGE TO RENTED 50,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OP AGG 5,000,000 X OTHER:Pollution Liability POLLUTION LIABI 51000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident)X ANY AUTO S 2307223 412912024 V29/2025 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS WN p BODILY INJURY Per accident) X AUTOS ONLY X AUTOOOS O�V MOPE�RQ AMAGE UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FICER/MEM%W,EXCLUDED? NIA andatory In NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT A Professional Liabili FEI-ECC-36284-00 1211212024 12/1212025 Profession aLiabiIity 5,000,000 A Transport.Poll.Liabi FEI-ECC-36284-00 12/1212024 12/1212025 Transport.Poll.Liabi 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,maybe attached if more space is required) 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 g y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 --- - AUTHORIZED REPRESENTATIVE S� Y ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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 A A 200882662 y LOVELL SAFETY MGMT CO.,LLC 22 CORTLANDT STREET 33RD FLR NEW YORK NY 10007 ■ SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER C2G ENVIRONMENTAL CONSULTANTS LLC VILLAGE OF RYE BROOK 83 S.PUTT CORNERS ROAD 938 KING STREET NEW PALTZ NY 12561 RYE BROOK NY 10573 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 1412-1 894279 04/01/2025 TO 04/01/2026 02/28/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1412 798-9, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS:/IWWW.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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS' COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 J4 DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 572364289 ■■■IYI�q■■■■NNE■■NIIIN 00000000000137708753 ' Form WC-CERT-NOPRINT Version 3(0829i2019)[WC Policy-141179891 U-26.3 213