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RP25-054
PERMR SECTION � - . 6 TYPE OF WORK OOf JOB LOCATION 12/ % V/ *WNER Ci / e Ca AT CONTRACTSR / P EST, COST 40 eSO �*'/CO M G l TCO It FNTING F-OUNDATION FRAMING RGN FRAMING INSULATION PLUMBING RGH PLUMBING GAS ED SPRINKLER ELECTRIC LOW -VOLT Q ALARM Q AS BUILT Q FINAL 1�75ArdrAom FEE %¢ 2V D DATE FEE DATE r Cao>37/�3cYV6 OTHER APPROVALS AR8 BOT _ P9 ZBA _ OTHER QyE DR t� . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury www.ryebrooknKQov TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E.Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE August 21,2025 Yadira Abreu 17 Division Street Rye Brook,New York 10573 Re: 17 Division Street, Rye Brook,New York 10573 Parcel ID#: 135.83-1-47 Roof Permit#25-054 issued 7/11/2025 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to B111LD . F r ufC m e o[E �w]r ID : Yu. tom'P—'V"-it>0k 938 KrK w ut:n: AUG 14 2025 c s`rR>E: ��vo, ' - O � l us� nn : `,.�•. Ftiti:€,�/5D f _Nam w VILLAGE OF RYE BROOK BUILDING DAM�[3nl OR CERTIFICATE OF 0CCI1P-VNCy,C FRTIFIC::1TE OF C ONTPLIAN('t, AND CERTMCATION OF FINAI.COSTS TO 'iE SUBMTTED ON-Ly UPON CCKPLETION OF ALL WORK, AND PRIOR TO TES FnjAL INspzCTj0H ••�N�Maa�aa uu�•aaa.aasurt.�NNa..uu►Ntan a•ua���rrna.a♦�NN��aana.uat.(.N/��naef avgfr�NlNnsut•�NN�M�a Address: 17 Diviskin St Port Chester NY.1p572 OCCUPamy I Use, .trq.. snr;=�.»rrA PSCiJCl ID It: f35.83 1-17 - — — ZUnc: _ 0%%ncr; Yadira Ab•eu :lctdrt�;s: 17 Division St Port Chester NY,1ag73— _ M.-R.A.or Cunlractnr; OnSiDe Energy Inc. Address: 13 N Liberty Dr.Stony Point NY loom Ferrtiri in respmcihle charge: (�` t1'YL+'� Address: I �t r�� lar J�tyty ;tlk �`w �CJdi�l� Apiilication is hereby made and submitted to the Ruil%1' Inspector of the Village of Rv z Brook for the issuance of a Certificate Of Occupancy CcrtitiCalaoftotripli with lave; ancefortheItructunc;'conAructWWaberutiL5nhcrcinmentioncdli1;cmTdancc SI ATr OF NEW Yt)RK COT j N-I'Y OF W ESTCHI-:S iIR as: Flynn Hayman be ft duly,smim,dcptw--%and satin that he,'she resides at 13 N Liberty Dr in Stony Point Smi Srzccr i in thr.Colul,rrl•Rctiol3rd •_'iirf?own:•,•�I:aces in the Stair.of NY ,lhat hr.'shc has>upervised die work at dic location indicated aiao,ve,and thr i,4r actual uftl oust of theµ or k.including al l silt improvements. labor.materials,scaffolding,fixed equipment,profrasiortal fms.and including the monetan%•aluv Uf anv:naterials and Jahn r which min• een have b dunwrd gratis wag:S d for die consirticf ions or aitu aliun of Re-Ftoof Iaelx'QcW ftirtltm states that Im she has examined the approved plants of die siructurc••Rori hm-in referred to for which a Certificate cif Occuriancy;Compliance is cpught.and that to the hoot and belief the suvuure.'wor3:ha%been irmctc&uumpletcd in accoTdance with dic approved plans and any surendments thereto exocpt in xo far as var•iaali(mu thercforc have been Ies,,aliy authorvcd.atnd M erecledieompletod oomph µjib the Ijws grovcm ing building cuosiruction.Urponent further under:ctarids dtA- it shall be.unlaa•fu I f%uan owner to use or Ni'mit the use of any building orpremism,or part therrul-hereafrer mated crecled.cbmriged,ceinvatcd or erdncd.w•holh ur patchy,in ils use or structure Until a(erffftmte of i)ccupamy fir Cenificate of Compliance shrill have been duly issued by the Building Inspector as per§250-10.A.cif the Codc of the Village of ltyc Brouk. �th Sworn to before me this Sworn to hermue me thi% � r� dsy of Au sT- ,20 W5 day of u 120 Si '�fiance — — � S' are oJ' I nt I�rr..l l�iame of F+r�.;.,-rti•Uw•nn M0 Name at Apr,Iimo �Vnh7f�. bb EMILY OUIROA EMILY f� 2 At1e Negry Public-State oE A- 94t/" Notary Public-state of Now Yor% No.diQU61508 MIoAla Bj* 8?ufl a, Qualified in li�ppx Qualified M BNnx-Couc My CommRsion Expites 11121f2020 2:6 My Commission Expires 11121yf202T7-k' , �E BR(�k• cu � '9a2 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.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS ' DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING i ❑ 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 Lin N o 0 _ E a 0. C'.LY+ a atom- cn m o � 0 F�-I z w a O ocA p4 cn P-1 '-' C, n P. v W z Ln to In C too V PI W pp I---I 63 tn N U Z at; oC/D {n O � F "1 M C' C� � w 04 oc cq o cn rg � vvo OZ O O � o o [-� U o o `° s ►y u O 11 i" o `0 .N 'u ICI z o P. � ° o 114 : a = e = ` `i BUIL . iRTMENT vux E OF RIE YE , OK v 93$ KING:jT) ET RYE BR NY 10573 _ _o > - MAY 9 2025 DD 0v VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY- Approval Datt._ �" Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Ar 30 - N)e . • f Application Fee: Permit Fees: / ROOF PERMIT APPLICATION Application dated: 5/5/25 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below. I. Job Address: 17 Division St. SBL: 135.83-1-47 Zone:jCQ__F Property Owner: Yadira Abreu Address: 17 Division St. Phone#: 914-412-2920 Cell#: email: hollar.abreu@gmail.com 2. Applicant: Ryon Hayman Address: 13 N. Liberty Dr. Stony Point NY 10980 Phone#: 201- 371-3246 Cell#: email: permits®onsiteenergyusa.com 3. Roofing Contractor: OnSite Energy Inc. Address: 13 N. Liberty Dr. Stony Point NY 1098 Phone#: 201- 371-3246 Cell#: email: permits@onsiteenergyusa.com 4. Job Description, list all Methods& Materials: Replacing old roofing with a Asphalt Shingle roof finish, with 2x6 s rn uce_ ip ne_fir rafters spaced at 16in. with a sipw of 45 degrees. 5. Estimated Cost of Job: $ 6,650 (NOTE:The estimated cost shall include all site unhrm cnu•nr>. Lillor. nnrlcc ial. scal3'olding.fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If comer property,indicate street frontage: 7. Construction Type: Re-Roof NYS Construction Class: 8. Number of stories: 3 Height: 9. Is garage being re-roofed:No: •Yes:( )Attached No: O•Yes: ( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc:_ STe�i7- QIC.�Cj GS(II,►J}Q 11. Estimated date of completion: 6/3=5 -t- 61112024 iPlease note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: Ryon Hayman , being duly sworn,deposes and states that he/she is the applicant above named, (print name o£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 Contractor 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. Sworn to before me this Sworn to before me this day of , 20 TS day of , 20 ZS bpatuVof Pro rty Owner igna of Applicant Ap"bot- Nou'12 on �Oowh Print Name of Property Owner Print Ndme of Applica t 6kve�� Notary Public Notary-Public Notary Public QUIROA Y -State of New York Qualified inQBrronx Count Notary yy N EMILY QUIROA MY Commission Expires 11121/?§2p Y p ublic-State of New York ZC_c No.0lQU6350827 i, Qualified in Bronx County MY Commission Expires 11/2ff2q ZU�c V -2- 6/112024 �R IF UM E OnSite JUL 10 2025 ENERGY, INC. VILLAGE OF RYE BROOK BUILDING DEPARTMENT OnSite Energy, Inc. Project Address: 13 N. Liberty Dr., 17 Division St. Stony Point, NY 10980 Rye Brook NY 10573 (845) 244-1944 permits anonsiteenergyusa.com Scope of Work: A. GAF HDZ shingles with 25 warranty B. Shingle color choice: decided by the property owner Shingle Color Choice : C. Protection of landscaping around the house (we put tarps around the house), clean up after job including use of magnets to pick up nails D. Remove (1) existing layer of shingles down to the deck work, if additional layers are present, there will be additional charges: $30 per square for double layer, $50 per square for triple layer (determined at Site Survey). Charged separately. E. Replace rotted wood $135.00 per 4x8 1/2" CDX plywood (first 3 sheets included)(after 3 sheets, a bill will be sent with the additional cost of plywood installation) F. Install Ice and Water Shield Surfaced Leak Barrier 36 inch eaves and 36 inch valleys G. Install GAF Starter Shingle Products H. Install GAF Synthetic Underlayment I. Install GAF Timberline HDZ Shingles with 4 nails per shingle J. Install GAF Cobra Roof Ridge Vent K. Install Aluminum Custom Flashing as needed L. Install pipe flashing M. Install new step flashing around all chimneys as needed Additional Scopes of Work: COMPLETION/FINAL PAYMENT Upon completion of our work in accordance with the terms of this contract and subject to our first obtaining any and all necessary final inspections as required by law, we will issue you our final invoice for payment. Payment is due within 7 business days of your receipt of this invoice. k ` 72 �gcc 4. o v, � a n V a� L ., LLJ 4 �-• U > as v M w ' Lu C v a_1 U a� Z o O z om �--� >0.4 o aQ L wow Ot do an ACQ03/28/2025 Y) ® CERTIFICATE OF LIABILITY INSURANCE DATE(M /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 CONTACT Samantha Zitzelsberger NAME: Marshall&Sterling,Inc. PHONE (845)454-0800 FA (845)454-0880 A/C No Ext: A/C,No 110 Main Street E-MAIL sZitzelsberger@marshallsterling.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Poughkeepsie NY 12601 INSURERA: Merchants National Insurance Company 12775 INSURED INSURER B: Selective Ins CO Of South Carolina 19259 Onsite Energy,Inc. INSURER C: Merchants Mutual Ins.Co. 23329 13 N Liberty Drive INSURER D: Crum&Forster Specialty Ins Co 44520 INSURER E: Stony Point NY 10980-1561 INSURER F: COVERAGES CERTIFICATE NUMBER: CL248969720 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EX LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 DAMAGE TO RENTED CLAIMS-MADE © OCCUR r 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 A CEP1000162 07/13/2024 07/13/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY ©PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ F1 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) 5 B OWNED SCHEDULED S2516398 08/08/2024 08/08/2025 BODILY INJURY(Per accidenq $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE CUP0003093 07/13/2024 07/13/2025 AGGREGATE $ 2,000,000 DED I X RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Contractors Pollution Liability Each Pollution Condition $1,000,000 D Errors&Omissions Liability PKC115095 03/07/2024 03/07/2025 Each Wrongful Act $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 Port Chester NY 10573 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Funa PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0. "-r .r!] rL•r ^A A^^^ 814074765 ONSITE ENERGY, INC. i�,� 13 N LIBERTY DR. STONY POINT NY 10980 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ONSITE ENERGY, INC. VILLAGE OF RYE BROOK 13 N LIBERTY DR. 938 KING STREET STONY POINT NY 10980 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2457 838-7 608670 06/29/2025 TO 06/29/2026 7/16/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2457 838-7. 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. PRESIDENT RYON HAYMAN 1-1 OF ONSITE ENERGY INC 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 STAT SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 276124730 U-26.3