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HomeMy WebLinkAboutBP25-154PERMIT # DATE: SECTION all 0 LOT��..` TYPE OF WORK S%Q/ a/ Q►l(Z `e/7 JOB LOCH ✓ O / Ca OWNER Gl ✓i raI�)UV CJV,3 CONTRACTOR 67e Q aC- CC?/ Q,� t �Q ���}g��1�g,_`7/4} ES . COST OQ D FEE ® -f �l S� -P Cy.1100e6 j' c/ FEE DATE O,D6 TCO !t FEE DATED_ SATE INSP FOOTING. -- FOUNDATION - - FRAMING - - RGH FRAMING Q,�j� / j INSULATfON f o .. Zp- ma6t PLUMBI" / 0g/ /'/� //4 /ly0 /i7� JIG L`,fJ x ?g55e RGH PLUMBING Z I ' let' GAS L'7 / SPRINKLER �GP �-/ /Q Ll4v0�) Ejec' o7 %G ELECTRIC LGW-VOLT ALARM AS EUILT D FINAL �D�- Z7 7,02.0 OTHER APPROVALS ARB VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 2 j-137 Certif trate of ®crup urp This is to certify that &gAJ�2190 M`l f7 v of, Yt BY00 k' NY _, having duly filed an application on 20s,,25 requesting a Certificate of Occupancy for the premises known as, 6Y'e1Pn.J DY1 VL Y VeS4, Rye Brook,NY, located in a L41) Zoning District and shown on the most current Tax Map as Section: "/. Block: / Lot: 3 , and having fully)complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.O7L1 I51 , issued 77 [0- 20 , 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: IranCQ��iI4 Construction: , for the following purposes: Y�' 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 height shall be made, _ shall thouilding be moved from one location to another until a permit to accomplish such change WVeR obtai o the B ' mg Inspector. Building Inspector,Village of Rye Brook: Date: OCT 2 9 2025 L�C � V BUILDZ. Fap-00V ENTFor office use only: PERMIT'# 6aOVIL K ISSUED:�,�OCT 21 -2025 8 KING STRE YORK 10573 DATE: /FEE: PAID O VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BL SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ss**rsswsssststts*sus*s*rstss***++**+*+*++++s*+**rsrrr**++ss***+****s+r*s*ss+tssstrrsswrarrrs*srswrrsrsstsrsss*ssssrsssrsss+* Address: 27 Doral Greens Dr West, Rye Brook, NY 10573 Occupancy/Use: /- %� Parcel ID#: } o?C1 2&-1-340 Zone: 'Pu C� Owner: Yuri Bogdanov Address: 27 Doral Greens Dr West, Rye Brook, NY 10573 P.E./R.A.or Contractor: Address: Person in responsible charge: Address: Application 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 for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: Yuri Bogdanov_ 940 4 5o4A V-*being duly sworn,deposes and says that he/she resides at 27 Doral Greens Dr West (Print Name of Applicant) (No and Street) in Rye Brook ,in the County of Westchester in the State of NY ,that (Citylrown/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 l k S m d O , for the construction or alteration of. home remodeling 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 S+ Sworn to before me this day of 20_Z<' day of , 20 � h Signature of Property Owner J Signature of Applicant /�,�, �,opa(,ya✓ol/ ,CKgTerlhq ��c�ho� Print N e of Prope Owner d Print Name of Applicant otary Notary Public Joni Lamaj t,n 12m4 Commission#O 1 LA0025681 Notary Public,State of New York My Commission Expires:June 07,2028 �QyE DRnUk O 2� c 1982 BUILDING DEPARTMENT ❑BUI DING INSPECTOR ZSSISTANT 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 : 7 aV�Q w I)A'I'E: O 2 7 LOZI� PERMITij ISSUED: Z'LJ $ECT: BLOCK:__,__ LOT:c� LOCATION: �.�, �Q�+Ii0 ✓ sue J OCCUPANCY: ❑ Violation Noted THE WORK IS... PoOPASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION - / El Natural Gas AtL YV d(z l( ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER �- ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER �Qy6 BRC��• O Zm t7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR P<S-SISTANT 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: O Z PERMIT# t�>? 2 /sY 1SSUI'J):;�/--Zf-SEc,r: 24 BLOCK: LOT: LOCATION: A-{�}1, �.+p�J4�i.�OJ OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED a----FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION , ❑ Natural Gas t a. a O L.P. Gas �+1�� ❑ FUEL TANK \� ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ir-IrINAL ❑ OTHER � 2m w � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR .L/J ASSISTANT BUILDING INSP1iCTOR VILLAGE OF RYE BROOK ❑CODE IiNI+ORCfM1iN'1'OI F[CF.R 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.rycbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : Z_7 'zorA A jr. vie, W.A A DATE -tO_-2o_- 202.5- IIERM1T# li��' �� ISSUED:_ _--SECT:.. 9_ �Q BLOCK: LOT: 3 .I. 1,0CATION: �T'..J t' ,L. Ae-^j QU OCCUPANCY: ❑ Violation Noted Tlii;; Nvol < is... C. PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas S ,� ❑ L.P. Gas [I I-UEL TANK Ct a 04.. �►') ❑ FIRE SPRINKLER f�� W-'FINAL PLUMBING ❑ GROSS CONNECTION — C6o L LL 8A L 0 4 Atec( ❑ FINAL BUILDING DEPARTMENT, "111-�fANI It1.111A)IN(. INSPI.(-1(11t `PILLAGE. Oi- Ryt;. BROOK ❑( 0101.LNI OW I NII NI OFF-ICI it 938 DING STRLIA • Itl'l; Ritoojl , NY 10573 (914) 939-0668 I-n x (914) 939-5801 - - - - - - - - INSPECTION REPORT - -- - -- - - - - - - - - - - - - - - AI/1►ItI ti, : 2 / "�S/1 �s•�u,..� ttY� W DA•I'U: - 2QAL PuItA1►l :: W 245 - 1 : /L4).2(w liL(1CK:- !_ LUT:%' - I.(►(.ATION: fir ? c7C'-GbL.1C JP64-- . ❑ VIOLATION No-n.-l) I III 1volm IS... <Ca:liP'I'I D ❑ REJECTED/ RI-'INsm-'c' 10N ❑ Slll INSPVC ION REQUIRED ❑ I.O()1'I-,(. ❑ 1•001I\(. DRAINA61 p UNDI R(dMILIND ('LUAIIIIN(. ON INSPFCTION: ❑ Rtnl(.11 PI ►[MBING ❑ IZ(►t1(-II I-RAMING ❑ INSULATION p NArtlrtAl.GntiSLow e, ❑ I..I! -- ❑ FUTA-TANK S - ❑ TIRE SPRINKLER ❑ FINAL PLUMBING -- ❑ CROSS CONNECTION - --- --- -- ❑ FINAL to ►n e�°v `o o ■ 44 CA x a p ND .. w 0-4 CA ■ � � � o o a � .. W v r s 0 � : x ■ O un W o o o w ° cn Cq W O 3 LOx � C " ob A Ln o o a OM 6 ,0 U O Z gip.� o �, z V w U z �5 a I .1 W M fl+ QCISbD a O _ ` ~ Z A W `: ` docl IU W E PO 00 v cy aoeb d V z c x w t � Z W c o � vQ _ w o Z z za c� a , v IS © ° H 2 of x v m ;d z o o q � . v W A 1d U Q V -fa � al Z 3 z � � ` at � d x ,=� p Q © ° gam . u H A a z o � ao A zap V _ BUIMETRYE MENT V1cox938 KING ,NY 10573 JUN 2 4 2025 90_0v VILLAGE OF RYE BROOK -_ BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Q � r Approval Date: J U L 0EQN�X _ ; �: / e��� � Application Fee:S Approval Signature: Permit Fees: $ 0 -P Disapproved: Other: Application dated: 6p 0$'-4. is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. f 1. Job Address: 27 Doral Greens Drive West / a Rye Brook, 10573 SBL: 9/ 444`3 40 Zone:f" 2. Proposed Imp Vement.(Describe in detail): Painting, Flooring, Plastering, Tile, q*V\I(4P 4Q .. - 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: x 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 existing automatic fire suppression system(Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...) :No:x Yes: (If yes,please submit a separate Automatic Tire Suppression System Permit application R 2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: 1 fam After Construction: 1 fam 6. NX State Construction Classification: N.Y. State Use Classification: 7. Property Owner: Yuri Bogdanov Address: 27 Doral Greens Drive West,Rye Brook, 10573 Phone#5715655043 Cell# 5715655043 email: yurl•bogdanovl @gmail.eom 8. Applicant: r. Oltion Uega Address: 117 East 77th Str, New York, NY, 10075 Phone# 929-219-7215 Cell# email: Ir1c�,`OzGblPy,�1iL�iv�� 9. Architect: Address: Phone# Cell# email: 10, Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $— t � (NOTE:The estimated cost shall include all labor,materati;scattmaing,fixed equipment,professional fees,and material and labor which may he donated gratis.) 13. Job Timetable: Start: June 23rd,2025 Finish: September 23rd,2025 (1) 6/l/2024 BUILD TMENT VIL E OF RY OOK 11 938 KING ET RV-E BR, ,NY 10573 w� �ov vu 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 Yuri i3ogdanov, , residing at, 27 Doral Greens Drive West, Rye Brook, NY 10573 (Prim name) (Addres" nh.rr you I i� ) 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; 27 Doral Greens Drive West, Rye Brook, NY 10573 , Rye Brook, NY. (.lib Addre zO 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 o('PropertyOwner{ )) Yuri Bogdanov (Print Name ol'Property Owner(:)) Sworn to before me this 17 Notarized online using audio-video communication Lee Presser day of June , 20 25 Online Notary Public State of New York Westchester County Public) Commission#:01 PR0000217 Commission Expires:02/02/2027 (2) 6/U2024 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: (print name of individual signing as the applicant) being duly sworn, deposes and states that he/she is the applicant above named, 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 17 Sworn to before me this 0 day of June 920 25 day of il LA 20_F) ♦J Signature of Property Owner gna f pplic nl Yuri Bo danov Print Name of Property Ow r Print Name of Applicant rl� Notary Public Notary Public Notarized online using audio-video communication =NF PAPM NOTARY PUBLIC STATE OF Ntw YOHt< Lee Presser No,C1RAWM7 Online NotaryPublic Ouaii8edinthaCountyofN"York State of New York Commission Fxptr18 May 02.20M Westchester County Commission#:01 PR0000217 Commission Expires: 02/02/2027 (4) 6/I/2024 BUILD.� Ifi TMENT D 0 #1E VIL> E OF RY1 4 OOKID 938 KING ET RYE BR k.NY 10573 JUN Z 4 2025 w Ye 'ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: J U L O 2 Application Fee:$ Approval Signature: Permit Fees: $moo`. y Disapproved: Other: Application dated: ZQ'c)ik—aJ is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. / //__ 1. Job Address: 27 Doral Greens Drive West, Rye Brook, 10573 SBL: / a ! 4 6—/—�(0 Zone: Painting, Flooring, Plastering; "( 2. Proposed Imp ovement.(Describe in detail): T\I(Q'�.� - 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X 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 existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System.Type I Hood,etc...) :No:x Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: 1 fam After Construction: 1 fam 6. MY State Construction Classification: N.Y. State Use Classification: 7. Property Owner: Yuri Bogdanov Address: 27 Doral Greens Drive West, Rye Brook, 10573 Phone#5715655043 Cell# 5715655043 email: yuri.bogdanoO @gmail.eom 8. Applicant: r. Ultion Liega Address: 117 East 77th Str, New York, NY, 10075 Phone# 929-219-7215 Cell# email: Inc �eep(h�n��e�Lha,rl\C cv 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ (NOTE:The estimated cost shall include all labor,miter t;scattoidmg,tired equipment,professional ties,and material and labor which may he donated gratis.) 13. Job Timetable: Start: June 23rd,2025 Finish: September 23rd,2025 (I) 6/1/2024 BUILD MENT VIL E OF RY OOK 938 KING ET RYE BRA ,NY 10573 Wvy'be l #i ' ov ******************************************************************************************************* 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: Yuri Bogdanov residing at, 27 Doral Greens Drive West, Rye Brook NY 10573 (Print name] (:Address k0ore you like) 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; 27 Doral Greens Drive West, Rye Brook, NY 10573 , Rye Brook, NY. {!oh Addre�a) 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 Owners)) Yuri Bogdanov (Print N n—ne of Property Owner(s)l Sworn to before me this 17 Notarized online using audio-video communication June Lee Presser day of , 20 25 Online Notary Public State of New York Westchester County (No��r. 1'+lic) Commission#:01PR0000217 Commission Expires:02/02/2027 (2) 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: 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 17 Sworn to before me this 10 day of dune 20 25 day of , 20_ � Gam,, Signature of Property Owner gna gnpli, Yuri Bogdanov ()/Sri Orl 9F6 Print Name of Property Ow r Print Name of Applicant Notary Public Notary Public Notarized online using audio-video communication CF_UNF PAPMAEI NOTARY PUBLIC SLATE OF NEW YOFiK Lee Presser No.01RA643M7 Online Notary Public Qualified In the County of New York State of New York Commission Expires May 02•2026 Westchester County Commission#:01 PR0000217 Commission Expires: 02/02/2027 (4) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK JUL 2 2 2025 jD 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK vi". okn . ov BUILDING DEPARTMENT FOR OFFICE USE ONLY: ��f Approval Date: �`\ \\ pp P rmtt d � Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Oq Other: ` V Amendment Fee: Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: 7 Dc)— is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approvalauthority as per detailed statement described below. 1. Job Address: Z h fjV e toes Existing Permit#: 2. Parcel ID#: /c:\:�j, 3 Zone: 'em b_Original Approval Date: 3. Proposed Amendment(Describe in detail): • ES Me 4. Property Owner: 1 ( , n&h O(/ Address: 2 g Nf A P GreP,iA 'C, tt iZ f Phone# 'S 7[I Sb�TCell# e-mail Applicant: 0G1510ff 6 1IQ 4Q04ffi (�^�[/)!261C�ficOU (�P Address: ,( & .S+ al Qs r_&EA (00'}S Phone# ?9- 2-0— 7215 Cell# e-mail Architect/Engineer: Address: Phone# Cell# e-mail 5. Occupancy;(1-Fam.,2-Fam.,Comm.,etc...)Prior to construction: After construction: 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:_(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes: No:_Area: i 6/l/2024 ' 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No:_I fyes,indicate: TIER I: TIER IL TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ S, c? -- (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y. State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer&signed by those professionals where indicated. It must also 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: ,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 c� ;06� -.4m Signature of Property Owner S' ature of Applic t Print Name of Property Owner Name of Applicant ?'6'Lk- ��" Notary Public Notary Public 2 SKARI MEULLO Notary Public,State of New York No.OIME6160063 Qualified in Westchester County Commission Expires January 29,207-71 6/I/2024 N •--i = a N N N F1 k7 t w a W \ \ sn °° F ul IT s ICI ON f; s z w W ON i—r ''� +• w �1 0-4 ... v. W ;IALn x w O co z LA � U Q z as � z C W �. M ✓ C�" F" U = = V • 0-4 CA 00 4 ^ W ►-, z a , w wLo E" 20 z � or a s ¢ EE BUILDING DEPARTMENT D FECETyr VILLAGE OF RYE BROOK AUG 12 2025 DD 938 KING&TkET RYE BROOK,NY 10573 4648 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required J FOR OFFICE USE ONLY BP#: � —j "—L EP#: Is-- CD/ Alai 12 2025 Approval Date: Permit Fee: $ C�J 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, r c�'�S 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. 1.Address: SBL:� a/ —3 4�1 Zone: �& 2.Property Owner: 3�4Oil ? 7�e//�A Address: 2?L Phone#: ,Sr Cell#: S�'/ -S 65--SO ti3 email: 3.Master Electrician/Licensed Installer:-�f�n -7- Address: /02 Lic.#:-L6&5 Phone#: Cell#: 9/`l.5'6'Y- -1/6 3S email: ar�o►�77 Company Name: �v a�i�v� Vg-c'7'—" G i�cc Address: �3.2 -,�zs,;If ,r 4.Proposed Electrical Work/Fixture Count: �C o/, yu Ti i' eznP1 5.31 Party Electrical Inspection Agency: STATE OF NEW /YORK,COUNTY OF WESTCHESTER ) as: T"Or'd- ; being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual sing as the applicant) state that(s)he is the --fa a/W-y .Sa A A. 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 4Mr�� Signature of Property Owner re fA#Xant Print Name of Property Owner r Name of Applican Notary Public Nei fpb6oc,State of New York No.OIME6160063 6/l/2024 Qualified In Westchester County Commission Expires January 29,20 1 5 Buckout Road BETTER HOMESAn.ato\m West Harrison, 90 10604 Phone:914906-0443 ELECTRICAL INSPECTION SERVICES INC. Email:betterhomes252@gmail.com NAME: DATE:/ � ELECT.PP IT NC— CITYNILLAGE ZIPCODE BLDG PERMIT NO. ;x ADDRESS: BUILDING DEPT / G,c en" _. - PHONE# SECTION BLOCK LOT UTILITY EMAIL ADDRESS: Residential 0 Commercial ❑ OWNER'S NAME AND ADDRESS/V RLr4uG12 2025 VILLA WORK LOCATION: BUILDING I_it_r-Ak i'MENT ❑Outside ❑Basement [:]Garage [:]Attic [:]Porch Floor: ❑1 st floor ❑2nd floor ❑3rd floor ❑4th floor ❑Other floor ❑Reinspection ❑Renovation ❑Generator ❑New home ❑Other Comments: / SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: CON EDISON Overhead ❑ Underground ❑ COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: /1' ' E STREET ADDRESS: CITY: STATE: ZIPCODE: //c:IX TELEPHONE: CELL PHONE: EMAIL: 1E SIGNATURE OF _ APPLICANT: X v �' 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. BY THIS CERTIFICATE OF COMPLIANCE Better Homes Electrical Inspection Services Inc. 5 Buckout Road, West Harrison, NY 10604 914-906-0443 CERTIFIES THAT Upon the application of: Upon premises owned by: Evolution Electric D Yuri Bogdanov 132 Fair Fax Ave 27 Doral Greens Drive West Hawthorne, NY 10532 0 C T 15 2025 Rye Brook, NY 10573 VILLAGE OF RYE BROOK Certificate Number: 4727 BUILDING DEPARTMENT i Certificate Date: 10/14/25 Located at: 27 Doral Greens Drive West Occupancy Type: Residential Rye Brook, NY 10573 Permit Number: EP-25-212 Section: 129.26 Building Permit Number: BP-25-154 Block: 1 Lot: 36 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 Circuit Type 2nd floor bathroom: 2 120v 15a Recessed light fixture LED 1 120v 15a Exhaust fan 1 120v 15a Vanity light fixture 1 120v 20a GFCI duplex outlet 3 120v 15a Switch 1st floor bathroom: 4 120v 15a Recessed light fixture LED 1 120v 15a Exhaust fan 1 120v 15a Vanity light fixture 3 120v 20a GFCI duplex outlet 5 120v 15a Switch Powder room: 1 120v 15a Vanity light fixture 1 120v 15a Exhaustfan 2 120v 15a Switch 1 120v 20a GFCI duplex outlet Kitchen: 4 120v 15a Recessed light fixture LED 7 120v 20a GFCI duplex outlet 3 120v 15a Pendant light fixture 2 120v 15a Under cabinet light fixture 5 120v 15a Switch 1 120v 20a Refrigerator 1 120v 20a Dishwasher 1 120v 20a Stove 1 240v 30a Oven \��1111uu uuui,,��� This certificate may not be altered in any way. :.`�,v0A?^*... �b ZZ- C�) ' SEAL .e, ' _ This certificate is valid for work performed 2022 before the date of inspection only. �y'2�`ly vo�`�',r,? Licensed Inspector �d •.... % To: Village of Rye Brook, 938 KING STREET, RYE BROOK, NY 10573 From: Yuri Bogdanov, owner of 27 Doral Greens Drive W, Rye Brook NY, 10573 Subject: Request to discontinue working with Gallardo Electric To Whom It May Concern: This letter is to notify you that I would like to stop working with Gallardo Electric as part of my remodeling work related to performance. If you have any questions, please do not hesitate to contact me. Sincerely, Yuri Bogdanov yuri.bogdanov1na gmail.com 571 -565-5043 i = s N E 17 N N W Ln N N N e4 rz W w 00 ) A/ F+i i ✓ z Le) V N G.. g Q s Fh+=lil Z O rA = /Q o 00 z Wo i z � co a z r z _ 00 � 000 a z n s 00 `� s M CN W O W N o : P-, = a c ,� < j a W Ca ? z $ �r o � U U U. o " o t- •-+ rTj S' BUILDING DEPARTMENT pECENE VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JUL 2 3 2025 (914)939-0668 "WW.ryebrookn\r.aov VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Required (� FOR OFFICE USE ONLY BP#: EP#: �� Approval Date: JUL 30 2025 Permit Fee: $ c_52) / Approval Signature: Other: DO NOT START WORK or CONSTRUCTI N IL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PRb6KESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONS RUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 7-o 3--c)� is hereby mad 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 2 7 Codes. 1.Address: 0&r�^I (nreeh s. / 0►' W SBL: �c) /, 341 —�r JCS .. 11Zone-Y 2.Property Owner: / c7 atarlo✓ Address: Z7 ODrcti �lYPcr j Qr W Phone#: Cell#: email: 3.Master Electrician/Licensed Inst aller: LU S �S� I l�V-d0 Address: K Sooif?, I''�tc�v +,✓�2fi i,y e Lic.#: Phone#: t�� r 7112-Cell#: email: 1-9,rt(I c ✓do e Ozcl v c 2 3(_y t^^G-( . Zo T ,'y Company Name��S1G���Gct/��t� t;GeG-}vt� Address: v V}�Vl�-ev G✓e �✓'�.S►'�i- '/ 4.Proposed Electrical Work/Fixture Count: LJ L)V 1- ( S W( ►e S 'F,'� veI �L4 Wi � �7 lsU� , Sr'►^OU CI& �ed-ass , 1.11 5.3`d Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 1� (9 t (�G few ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the app icant) state that(s)he is the ta I�C y O F1 ec+i f e 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 C day of ,20 day of �-k ,20 Signature of Property Owner Signature of Applicant L_v 13 ln,(.11,�_►• Print Name of Property Owner ame of Applican Notary Public *hW i(State of New York No.01ME6160063 6/1/2024 Qualified In Westchester County Z�7 Commission Expires January 29.20 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity 0•• • • swis • : APPLICATION •2.7224 1 fax 914.219.1062 1 SWISNY.coml SWISTRAINING.COM Office Use Elect. Permit# Date //2z/ zS Bldg Permit# /(P r /s Sq Ft Plumbing Permit/# A.4 Final Certificate# City/Village Zip Building Dept, County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number I� i 2 ❑Basement ❑ 1st FI. ❑2nd FI. ❑3rd Fl. ❑More Than 3 FI. ❑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 tel D ECCMC JUL 2 3 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 vim.) Y Name License# 'Z Date 7 23 2 Signature Address `3 r1n City/State Zip Code Company C^'11��w Phone# a a � N � � N ..1 a .�- i w � W W � 3 v O, • w oc rz si z N qrq O 6J 'L1 si O N •� w F" s Q Q z A ,�/ O r Ln Ln 414 Cf w d h 1� Fy (r a a Boa W O � N f U w O 'n O O C!) ►n (09- " zFL 0 p EC�EN BUILDING DEPARTMENT JUN 2 5 2025 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT (914) r, 9-0668 www.1'y�btookny.gov PLUMBING PERMIT APPLICATION FOR OFFICE USEOti LY BP#: P� PP#: /09 Approval Date: JUL 2 025 Permit Fee: $ OU Approval Signature: �1 6 Disapproved: IS (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, 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. 1.Address: 27 Doral Greens Drive West Rey Brook, NY 10573 SBL:/ ()/1 -4& --/36 Zone: 2.Proposed Work: Direct replacement water closets, sinks, bathtubs. shower bodies water piping only 3.Property Owner: / Address:?G7 -42/Cl 6�wyw f 4-1,/ e j s Phone#:�;_71 - yell#: email: 'V 4.Master Plumber: Blerim Malota Address: 3384 Fenimore Ave Mo egan Lake, NY 10547 Lic.#: 1733 Phone#:718-337-8749 Cell#:914-282-7301 email:tapplumbingcorp@gmail.co, Company Name:Tap Plumbinq Corp Address:3004 Middletown Rd Bronx, NY 10461 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 st Floor 1 0 0 2 0 0 0 0 0 0 0 0 3 2nd Floor 3 0 0 4 1 2 0 0 0 0 0 0 10 3"Floor 4'h Floor 5`h Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: .3t C 12/'-7 /-�;4 c C.,2 7,9- ,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 17 Sworn to before me this �S day of June 20 25 day of Gh L ,20 Zf— Signature of Property Owner Signature of Applicant Yuri Bogdanov ZC ,t/'L t•--I / 11 Print Name ofpTopetV Owner Print Name of Applicant Notarized online using audio-video communication Lee Presser Online Notary Public TRUONG Notary Public State of New York Notary Pu is Notary Pu u a Westchester County N0.01TR6165467 Qualified in Westchester Cou Zt0y27 Commission#:01 PR0000217 My Commission Expires May 7, Commission Expires:02/02/2027 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- 6/1/2024 BUILDING DEPARTMENT CE9 [ED VILLAGE OF RYE BROOK JUN Z 5 2025 938 KING STREET RYE BROOK, NY 10573 (9141 066,8 VILLAGE OF RYE BROOK NN��w,r t ov 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: 31,Yuri Bogdanov , residing at, 27 Doral Greens Drive West, Rye Brook, NY (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; 27 Doral Greens Drive West , 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. (Signature of Property Owner(s)) Yuri Bogdanov (Print Name of Property Owner(S)) Sworn to before me this 17 Notarized online using audio-video communication Lee Presser day of June , 20 25 Online Notary Public State of New York Westchester County (Notary Public) Commission#:01 PR0000217 Commission Expires:02/02/2027 -3- G/I/2024 o 'y BR m 1962' 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 ryebrookorg - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:_._2- / (w 2 al- W' DATE: PERMIT# Z.S ISSUED:7-Z-u SECT: Z •ZG BLOCK: LOT: 3(p LOCATION: OCCUPANCY: VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION 'SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS Pf 62 1 /i{/ C' - LJ ❑ L.P. GAS ❑ FUEL TANK M £ ❑ FIRE SPRINKLER d Y� t ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL S ❑ OTHER go ill , �J G rA /Jv ti QyE BR(��. '9a2 BUILDING DEPARTMENT VBILDING INSPECTOR ISTANT 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 : 2 -7 71 +0C `J,( Z/e 1► t K3 DATE: 9- Z ZO PERMIT# ISSUED: SECT: /Z /•24 BLOCK:LOT: 3(40 LOCATION: ICp_ti► 0l1 JJ OCCUPANCY: ❑ Violation Noted THE WORK IS... .PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ,2--ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION nn ❑ Natural Gas pour .+, , t (,00It ❑ L.P.Gas o%,A o 114 LL v•ryl ❑ FUEL TANK ❑ FIRE SPRINKLER �b� �� M ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER saw 000 Wan %woe id6 4ee 004 ca moo 41,r 4Z 4. co Apo 40 "71 s tj r pew q m W �.j ! - a PAR 1 - MJW 1 7 low -C Icm N 1cm POO gar jjwr JJ am Wild a� • T ;od cc �a + W -41 ell0 r r� ` r �. t r^. ;` {, y . _. G `-� 1 :� 1� � �`� a i � `�_,' �' i i i i �� a� ...,__.. .. ., 4f.,' r�> :',t'=�. ry,,,� d ,.i'.f� ' '` '' �� � - ",i. Te�:. -,'M . . � � ,� ,Y :. - - - � ,<< r t .�f' � : ;,�- ')1 ���� � _ a 4�- �. - �. r ..,._.._.. .. .� R ' _ _ �, ..._., r i a� r �L t r r ' r AV r 3 R F M f i +,I r i �xti 3�n�H Y'Y r-_ �� �. �� ,�� d, ?' :� � � t��y f ,.ti i ��.t 4 �`: ' �'' is� � � r —+-i 1 �'� �'i 9 � �. _. ro � �� � X f { `� �� � per;. - �+�; e �:: �!+��., � 4� �� + (.w �3r gd;'� -n, � �,)yak -_ -. H _.. 'vs.__�, k�;.,�. jai '- .. �r �'k: �, S r. .a - , p�.:� d `� `�� _ _ v { _ � � a,� i � { �,,�,�'_ .J". - -. ..> .... .... �i.. .� 3� �� P r r� ' r a f � J r ,...- ¢_ t 4 t _ �, r P s }:. �� � f Yn ';i.st � 4'r, - r- 4 i ti. . �s r--_� F � - `r s� �j Building Permit Check List&Zonigg AlWysis Address: G— SBL Zone: Use: tD Const.Type: • Other. Submittal Date: A Revisions S mittal Dates: Applicant: Nature of Work: \ i <3�— Reviews:ZBA: J U L 0 z 2025 PB: BOT: Other. NEED OK -_ \( ( � �( ) FEES:Filing: � BP: � C/O: Flood Plane: Legalization: ( ) ( yYAPP: Dated: Notarized:' SBI_ 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. O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DEIIIIAL 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: Circle: APPROVEn Fronta - ►lIL Front Date: Front: Sides: Rear. Main Cor. Accs.Cor. Ft.H Sb: Sd.H Sb: GFA: Tot : Ftt : Pg&ing. Height/Stories: notes: -k�c��C � �'z��J S t�� 4k-Qc C LC^ U-1D( \L (,A ..fff", . ......... lop 0 o 0 0 > 4- a (N LU C\1 g- 0 (D ca 0 C) rA .(n U qqqmlwp 126. 0 r4 UP) 0 0 u ry) LiJ cD 41 0 U) u OD CL action LLJ'Z E E ut 0 0 C/) LLJ 0 < —0 C.) LLJ LLJ 0 ILI LLB W Z ; o Z X 4. CIO 0 f E cis C�4 Lr) / 0 'A CD LO 0 CY) 0 mw - ILE. PP gw, nu I All M wro Ilk% AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) Fo6/20/2025 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 NAME BIBERKPHONE ._................................. FAX - (AIC.No.Ell) 844-472-0967 (AIr No). 203-654-3613 P.O. Box 113247 E_MAIL I .- Stamford, CT 06911 ADDRESS customerservice@biBERK.com INSURER(S)AFFORDING COVERAGE NAIC INSURER A: Berkshire Hathaway Direct Insurance Company 10391 INSURED INSURER B: Gega Construction Corp _.-........_..... — ----........._.......-.........._.........- ----'— --- - INSURER C: 117 E 77th St INSURERD: New York, NY 10075-1821 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 ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM DDIYYYY POLIC DDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 1 DAMAGE TO RENTED — CLAIMS-MADE X OCCUR PREMISES(Ea occurrence] $ 50,000 A _.I N913P676329 05/10/2025 05/10/2026 MED EXP(Any one person) S 5,000 X I PERSONAL BADVINJURY $ Included GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D J LOC PRODUCTS-COMPJOP AGG $ 2,000,000 X OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ accident -'. ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ ( HIRED I NON-OWNED PROPERTY DAMAGE AUTOS ONLY : AUTOS ONLY p accident) $ $ X UMBRELLALUIB X OCCUR EACH OCCURRENCE $ 3,000,000 A ' EXCESS LIAB CLAIMS-MADE N9CX676415 05/10/20255/10/2026 AGGREGATE $ 3,000,000 DFD RETENTIONS $ - WORKERS COMPENSATION I PER !OTH- AND EMPLOYERS'LIABILITY YIN STATUTE____ ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $OFFICERIMEMBEREXCLUDED? INIA(Mandatory in NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE_ $ ---- ---- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability (Errors& Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS I 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 Village of Rye brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King St ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE 7} ! ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured GEGA CONSTRUCTION CORP 929-219-7215 117 E 77TH ST NEW YORK,NY 10075 1c.NYS Unemployment Insurance Employer Registration Number of Insured APPLIED Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 331989354 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NorGUARD Insurance Company BUILDING DEPARTMENT VILLAGE OF RYE BROOK 3b. Policy Number of Entity Listed in Box"la" 938 KING STREET RYE BROOK,NY 10573 GEWC580853 3c.Policy effective period 12/05/2024 to 12/05/2025 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"T'insures the business referenced above in box"la"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: Mary P.Storti (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �C 07/02/2025 (Signature) (Date) Title: Sr.Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 877-266-6850 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