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HomeMy WebLinkAboutBP25-174PERMIT *Q/_ Fi SECTION I TYPE OF WORK 10B LOCATION CONTRACtQR T. COST % cO l� G c a<� ' _ •'oil tCn #► FEE � DATE_ - - FOOTING FOUNwATION FRAMING RGH FRAMING INSULATION PLUMBING ri RGH PLUMB GAS SPRINKLER ELECTRIC LOW -VOLT L7 ALARM Q 7-31- toaS r4SS AS BUILT Im FINAL �--•� �? 07HER APPROVALS :a • 190 t 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 November 3,2025 Matthew Proto&Jenny Proto 24 Red Roof Drive Rye Brook,New York 10573 Re: 24 Red Roof Drive, Rye Brook,New York 10573 Parcel ID#: 135.43-1-5.5 Building Permit#25-174 issued on 7/29/2025 to Install New 36"Door in Basement This certifies that the new 36"door in basement utility room,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to r ofte use only: BUILDING-%PA ITMENT PERMIT# 70 OC T 3 12025 VILLAti?�OF RYE$.ROOK Issut D: _ 938 KING STREET,%tYE BROOK,*N'YORK 10573 DATE: — , / VILLAGE OF RYE BROOK (0419 -066k FEE: /r,O PAII)IIr BUILDING DEPARTMENT N ;^ oV APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ....... .......... .... .. ........ .................................. Address: �41W r l V J 'I 2 Occupancy/Use: Parcel ID tt: '—S• Zone: Owner: 1%A•t 1" ' Address: ZjIw • __. P.E./R.A.or Contractor: Address: Person in responsible charge: Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy Certificate of Compliance for the structure construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK.COUNTY OF WESTCHESTER as: being duly Swom,deposes and says that he she resides at t"r-�- kc �• _ a MA Street) )�/� in in the County of �V&"Ur1y� in the State of V \•.that m loan \'dlauci he%she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed professional professional fees,and including the monetary value of any materials and labor which may A' ui have been donated gratis was:$ v V v•10110 for the constnuction or alteration of: 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,convened 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. i Sworn to before me this Sworn to before me this day of_ `If 201� day of . 20 DWI _ - Sig a ucof I e y O%rncr Signature oil Applicant n ' Print nc of Propc OH cr < Print Name ut,%pplicanl E&,/1(�/ Notary Noun Public GREGORY M.RIVERA tit2oze Netary Public,State of New York No.0 1 R 16441398 Qualified In Westchester County Commission Expires September 26,2 E f kp) w m BUILDING DEPARTMENT ❑It 1IMING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑COOE IiNr•OR(:ehniN'I'OI'I'rc1:R 938 King Street • Rye Brook, NY 10573 (914)939-0668 FAx (914) 939-5801 www.ryebrook.or - - - - - - - - - - - - .INSPECTION REPORT - - - -- - - - - - - - - - - - - - - - -- ADDRESS: 2 �Z9 p PI:RMrr# �\ Issul:D:7BLOCk: -- - LOCATION: e- ,. OCCUPANCY: ❑ Violation Noted 'CHI: WORK IS... PASSFID ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE: ❑ FOUNDATION ❑ UNDERGROUND PLUMIHN(.' NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 0.1 -r❑ Natural Gas 6 /�P CIO i p L.P. Gas ❑ FUEL TANK --- ❑ FIRE?SPRINKLER ❑ FINAL PLUMBING �� ROSS CONNECTION , INAL ❑ OTHER _. DR(�� O w • '932• BUILDING DEPARTMENT ❑PUDING Nspit •roR WAssis'rAmi.,Sryii i)mt4 INSPECTOR VILLAGE OTC RYE BROOK ❑Comm ENPoxtcu acrra'owicER 938 Kiug Street•Rye Rrook,NY 10573 (914)939-0668 FAx.(914)939-5801 w-wwxr(*r !u&,k rt„ - -- - - -- - - - - - - - - - - - - - INSPEC'l'TON REPORT - - - - - - - - - -- - ... _ - - - - _ - w ADDRESS:_Z O R�2� DATE:_ PERMIT#_ .�"_� _155UI;D:7 Zq��SEC'l.:J 4-43 BLOCK: LOT: r-j"* LOCATION: •_-- - _p/4 SE OCCUPANCY: ❑ Violation NoW THE WORK IS... VKPASSED ❑ FAILED /REINSPBcTION ❑ SITE INSPECTION REQumED ❑ FOOTING'. ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDIiRliltG)UNI)PLUMBING NOTES ON INSPECTION: ZOUGII PLUMBING HOUGH FRAMING ❑ INSULATION❑ Natimd Gas �2A nos� -foe O2 ec..3 cloolL - 4.01-n ❑ FUEL TANK --- � ❑ FIRE SPRINKLER ❑ FINAI,PLUMBING ❑ CROSS CONNECl'ION ❑ FINAI, ❑ OTHER a s ° n7 N G�i v m � v � a o, 01 CA Iz logo Ldi P. ® en O Lr7 \ ° to C 0 z F-I WLnto �/ W ° rri O A OVA N o .5 n � � � I.n � � Y � td O+ 4�i •� O ■ cq A Q W � w V V w OC © Cc: W QO w O V W.0'a U 1-4 Q W © o � vQ � . U ° acn a z w w � � W � a `R " BUILDING DEPARTMENT D E C IE P E VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JUL 2 2�25 (9t4)939-0668 iviviv.i-yebrookny.gov VILLAGE OF RYE BROOK tC'i�tS � BUILDING DEPARTMENT UILDING PERMIT APPLICATION FOR OFFICE USE ONLY. ` / / Approval Date: JUL erni I ��v J/ /�J Application Fee:$ / Approval Signature: tl" Permit Fees:$ �U� L) C?i :tppruved: Other: Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 94 Bari Pont Driva SBL:1a9 da_,_s s Zone: A15 2. Proposed Improvement.(Describe in detail): nd.install-36 doorto utility room basement 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: y Yes: If yes, indicate: TIER 1: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extensiontmodification to an existing automatic fire suppression system (Fire Sprinkler, ANSI.. -;tcn1. FM-200 System,Type I Hood,etc...) :No: x Yes: n Pennit application &2 sets of detailed engineered plans) 5. Occupancy;(I fam-2 fam.,comm.,etc...)Prior to Construction:i After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: jenny pwtn Address: Pd Red Rnnf rlriva,E3VP Rrppk NV in57A Phone# Cell.# email: JrJhpr-h1A1MQmai1 com 8. Applicant: KA.IV r nL10 rtinn I I r:(Lets t111etinn) Address: 4-rS Tar),I=n goad#1135 Whita Alai„q Nv 1nRm Phone# (914)G1A-O55P Cell#_(914)m8-0552 email: Wvrnnctnirtinnilragmail rnm 9. Architect: Address: Phone# Cell # email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: wy crtnstrurtion l I C __Address: Phone# 1p14)6]a 0559 Cell# g1at_ n1A-n _.._email: _>�j,i��„�trucGonuc@grr,aii r„m 12. Estimated cost of construction $gi,Rnn A-0i l I tic otiisuned'0A<hail iurhidc all I':JbO 11kit:'I.il.a.;ui+�l�iur= Il.�rtl uluihnacnt tu.tc�+r,,r .,tn�i tirncn:�i and labs❑ �tilu,i�ni.ir h�duuatc�l 13. Job Timetable: Start: ,luiv yn.po2s Finish: A„nust 75 POPS _ 41) 6/112024 BUILD!�4G DEPAI �MENT Vu, >✓o>H RY>; ROOK JUL 2 1 2025 .� 938 KING ET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.r el�innookn ov BUILDING DEPARTMENT *****9r***�:••k**************&**�r*�**************i:***kk*******************tY****1F*****************4�t*****fie** AFFIDAVIT OF COMPLIANCE VILLAGE CODF, §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: residing at, (Print name) (Address where y u h 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; Ot`1 Kll� vp k V r. , 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. (S gt•cure of I o e Owner(s)) (Print Nam(�, Property Owner(s)) Sworn to before me this F '.4 i� ZO Z S - •• JAKP A.LIPMAN day of 1��� , ,I�trARY PUMIC.sTATF OF NEW YORK —� I Itegistretlon No.01L16173955 Qualified In New York County My Coninisslon 9V101Z0 (Notary Public) (2) 6/1/2©24 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 NEVJYORK,COUNTY OF WESTCHESTER ) as: �fdw.dual being duly sworn, deposes and states that he/she is the applicant above named, signing as the applicant) !AL ktates hat (s�he a legal o ner of the property to which this application pertains, or that (s)he is the the legal owner and is duly authorized to make and file this application. (indicate architect,contrac ,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 Sworn to before me this day of J ` 2 , 20 L S day of C�yl'n , 20 �S WAI AA Sig tolure of Pro rty �/v(n�er Si a re of Ap an PQJ�! %AAf v Print Name iloperly Owner Prin Name of Ypplicant Ncb blic U N a blic TIMOTHY DEAN TAMEZ TIMOTHY DEAN of New Notary Public-state of New York Notary Putrlic state of New York N0.01TA0007382 N0.01TA00073$2 Qualified in Bronx County Qualified in Bronx county 2027 My Commission Expires May 12, 2027 My Commission Expires May (4) 6/l/2024 lVal po • 'r,, ,.'r •, ;�'� o� ;r ltttl��i'r rt�» ti+ tt�ll�tt- s �+'+ti3 4►Ild .},, to)t . lu H tV „:r f v r Ij O r r y` i 5 O Q F C 4 •� LU P� J Ln CD n v 9 rco r !L, X V cz to Lj cy •` � �1'i C j � L l"- Ste. rllot,(jltr- r IA:Ai�i ,ala'n iY•'„• 'a.;"£rt.�,�..�"�a yy;•`,'�+'�r :'k.dw.y�•�.� � r \^y}..�cb'j'.t. _ � £;,`.� v;�:'� DATE(MM/DD/YYYY) ACORL® CERTIFICATE OF LIABILITY INSURANCE 07/14/2025 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 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 HECTOR MENDEZ NAME: NORTHEAST AGENCIES INC PHONE 914423-3100 FAX (A/C.No.Extl. I'VC, No): C/O A&E LEDESMA AGENCY FMAILss: HECTORMENDEZI@ALLSTATE.COM ADDRE 641 YONKERS AVE INSURERS AFFORDING COVERAGE NAIC# YONKERS NY 10704 INSURERA: UTICA FIRST INSURANCE CO INSURED — -- _- INSURER B: MJV CONSTRUCTION LLC INSURER C: 455 TARRYTOWN RD INSURER D: _ WHITE PLAINS NY 10607 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCL 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. IICY EXP LTR TYPE OF INSURANCE ADD SUBR POLICY NUMBER MMI DIYYYY MML R DD/Y YV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS-MADE X OCCUR PREMISES iEa occurrence $ 50000 MED EXP(Any one person) $ 5000 A Y ART3000094480 03/31/2025 03/31/2026 PERSONAL&ADV INJURY $ 1000000 GENT AGGREGATE LIMIT APPLIES M R GENERAL AGGREGATE $ 2000000 X POLICY❑PRO C J 2000000 JECT L_ LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS NON-OWNED PROPer accidentPERTY DAMAGE $ UMBRELLALIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYI'ROPRI ETOR/PAR THE R/EXECUTIV I= OFFCER/MEMBER EXCLUDED9 El 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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) VILLAGE OF RYE BROOK IS LISTED AS ADDITIONAL INSURED Job Location;24 RED ROOF DRIVE.RYE BROOK,NY 10573 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 RYE BROOK,NY 10573 AUI HORIZED REPRESENTATIVE ©1988-2014 ACORD ORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 15m� NY"SIF New York state Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 11 A A A A A '• 862927313 ri�, • ••�� JUAN GONZALES AGENCY 148 LARCHMONT AVE r LARCHMONT NY 10538 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MJV CONSTRUCTION LLC VILLAGE OF RYE BROOK 455 TARRYTOWN ROAD 938 KING STREET MAILBOX 1135 RYE BROOK NY 10573 WHITE PLAINS NY 10607 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2611079-1 599064 04/06/2025 TO 04/06/2026 7/11/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2611079-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STAT SUR NCE FUND �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 723991889