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RP25-059
SIT# a , 4oikL SECTION 35� 3 BLA TYPE OF WORN - ®� X/S ✓7 zr �' //07 JOB LOCATION o//lp e/Ja A OWNER- YlUjlli4JN9 tSa6) a (9/Z/) .'VYQ' / R / 4 706 DATE FOOTING - FOUNDATION - - FRAMING RGH FRAMING - INSULATION -- PLUMBING RGH PLUMBING - - GAS CJ SPRINKLER - ELECTRIC C7 LOW -VOLT R - ALARM C7 AS BUILT C3 -- mat RD FINAL -- t_ oZZ OTHER APPROVALS ARB �yE 4R `yCiu" "J l� t 4 uvy . 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.iyebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE September 22,2025 William Sabia 16 Hawthorne Avenue Rye Brook,New York 10573 Re: 16 Hawthorne Avenue, Rye Brook,New York 10573 Parcel ID#: 135.83-1-32 Roof Permit#25-059 issued 7/29/2025 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 0� BUILDING DEPARTMENT PE> u office use nl : ,� U VILLAGE OF RYE BROOK ISSUED: `1 VLS Qj 938 KING STREE"f,RYE BROOK,NEW YORK 10573 DATE: �Q (914)939-0668 FEE: Q � A P -I CATION 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 #itfttftttftftttiiitttttfiff#tlflittitittittffiiiiif tttiiitiiittiitfiftttffiltiiititfftiffii#f ititfttffti#iti#tiittfif lift#f# Address: Occupancy/Use: %J Parcel ID#: Zone: Owner: ab&,M JA6/04 Address:�l1 _�.(� e; P.E./R.A. or Contractor:f41�--Fke�W,B/E 2?V. Address; AEt4,mA ( �Q "I) V/Q9sL� Person in responsible charge:M&/& i4`1 np Address: J A NM� &A 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 nOF,NEW YORK,COUNTY OF WESTCHESTER as: being duly swom,deposes and says that he/she resides at in /*c Ry ,in the County of in in the State of�J,that 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: for the construction or alteration of: Qd so Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for whic k�if 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 Sworn to before me this ^ day of S , 20 0U day of , 20 if S\\ �'fProperty ner Signature Applicant Baru Name of Property Owner Print Name of Applicant L Notary Pub NARI MELILLO Notary Public rotary Public,State of New York No.OIME6160063 Qualified in Westchester County.L onmission Expires January 29,20 �yE DRC�� w � 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.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :_ (,a- k AW T�cr&je� JE - DATE: PERMIT# ISSUED:7-29-ZSSEC'I:1 . ,* BLOCK: _ I,OT:'32- LOCATION: (ZdJ OCCUPANCY: ❑ Violation Noted THE WORK IS... 0--PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 11 ❑ Natural Gas ex'f s �'� f ❑ L.P.Gas Ie4 0LW_0 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL B-OTHER 0 a a x Ln N p D o ® N 0.T to y , N ti mo � cn x o. C O �G x i W W W v � ° FTI x a rn (� by a Fj O V yy L O � W 0 g �� v : 0 ° moo oo Q z 7j w 00 � A E ` a ° w Z W , A w V a o �✓ (� 00 q u E V c � �? v s Z V ^ R� z wZ � v. � VjJ ■ „ H co a ON [o W A v v x z �i Q �•' axJ 09 --i G v V U cK :g § �c x i ECIEM BUILPI _41RTMENT U �� VI E OF RYE OK JUL 2 1 2025 ID 938 KING ET RYE BIR NY 10573 .0 � VILLAGE OF RYE BROOK ov ! BUILDING DEPARTMENT FOR OFFICE. USE ONLY: Approval Date: �t�_Plrit Application# Approval signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# - Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# ; Other: Application Fee: Permit Fees:.A �U - ROOF PERMIT APPLICATION Application dated: / 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. ` -- 1. Job Address:1 t� U AMI ��SBL: /3J 43'1-3 Gone:"S5 Property Owner: ( I/11AM�`� IA�: Address:12 A69& VV/2 CL .&11�. Phone#: Cell#: emaainil: �y� /� r 2. Applicant: 0 � � Address: /t /,Ir/'li� T]-(�! . F Phone#: �/4/_!j q�gn—yL Cell#: email: MAe-g l�l 9*Ad el 3. Roofmg Contractor: ��py �y dress./ e, e.-6-1e /U Phone#: 1S r� �' E '�.�ti�''#" Rr—q�j•X0642,email: / `� 4. Job Descri tion,list all Methods&Materials: r— P 5. Estimated Cost of Job: S �. �//�] (No I I 1-he estimated cost shall include all site; improvements,labor,material,set�Itling, i is,d cquipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: -10 7. Construction Type: �_IQlI T NYS Construction Class: 8. Number of stories: q Height: 9. Is garage being re-roofed:No:( )•Yes:'A Attached No:( )•Yes:A Number of Cars: 0 f 10. Is roof peaked,hip,mansard,flat,etc: ��E 11. Estimated date of completion: 6h1) /Y-A 1z /i 7•A !4'P Q (r B/1/2024 Please 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: ,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 beliefs 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. Swots to before me this L Sworn to before me this \ day of ,203 day OF ��'�• , 20 Signature of Property Owner Signature o Applicant r Print Name of Property Owner R64 Name of Applicant Notary Public Notary Public SHARI MEULLO Notary Public.State of New York No.OIME6160063 Qualified In Westchester County Commission Expires January 29.200--7 -2- 6/1/2024 L I AB I r 11 i t Date: License Numbers: Pq Corporate Office - -- — --- Rockland County: 3VI-104-23-21 4800 50 Second Ave Nanuet,NY 10954 Bergen County: 13 V I IU 1134800 westchesterCounty: WC-11672-Hot Toll Free (877) 492-9014 Putnam County: PC2848-A • Fully Insured Fairfield County: HC-0575623 (845) 356-3886 • Fax (845) 356-2286 NYC: 1187481 • Since 1979 JOB LOCATION: _BILL TO: l Name r 1G c i� Name first/last and/or company name firstilast and/or company name Address ' /��'< r1 �.J��� t�� r f e Address No P.O. BOX Numbers No P.O.BOX Numbers City- I- C� State�� r Zip City State Zip Contact Home # Cell # Person Email ESTIMATE FOR ROOF: ❑ NEW ❑ PARTIAL ❑ OTHER GENERAL: A & J shall provide all labor, tools and materials necessary for the proper completion of roofing work at the above location. Providing and installing a functional, leak free, aesthetically pleasing roof job. QUALITY ASSURANCE: A & J will use adequately skilled workmen who are thoroughly trained and experienced in the necessary crafts, and who are completely familiar with the specified requirements and methods needed for the proper performance of roofing work. PROPOSED: t,,Remove all existing layers of shingles, exposing word deck.51 . t Replace all damaged wood with f 7 'V C 1�x an additional cost of I vex per 0 sheet ❑ foot stall underlayment ff—F�e buster ❑ Other 2install nstall drip edge metal White ❑ Brown ❑ Other heavy duty ice and water shield at roof edges and valleys on roof. ❑ 3 Ft. 6 Ft. l� nstall Hidden Ridge vent or ❑ Power ventillator fan at: eplace vent pipe collars. Install new flashings at <" ��' c V with kylights Amount: Brand: Model: I11 new roofing shingles: ❑ 25 year ❑ Lifetime El Entire house ❑ Excluding (areas) 1BRAND1 G A F I Type T wt 6-t 1, ,t- Color ❑ Install new seamless heavy gauge gutters (.032). Cl 5" ❑ 6" Color: ❑ Install new heavy duty leaders (.019) ❑ 2 x 3 ❑ 3 x 4 Color: ❑ Install new gutter topper: Color: Details and/or Options Price of I11, ,, -- Job I 1 '� Consultant Y_ 1 e Extension# 2 �� The Customer understands that roofing and related installation services involves manual hammering which sets up inherent and unavoidable vibrations in the structure serviced. In these cases, interior wall board and ceiling nails may be caused to pop or work loose. Similarly, objects placed upon interior walls may fall or otherwise be damaged. This condition is beyond the Contractor's control and it assumes no liability for any consequential damage caused thereby. Note all permits are paid by homeowner. TERMS:COD I Net Upon Receipt Price inclybes all labor.material clean up of job site and a 10(ten)year warranty on all new work.Note that sales tax,where applicable is an additional charge.Homc owner On the Date Written Below LETTERS are Granted by the Surrogate's Court, State of New York as follows: File#: 2025-921 Name of Decedent: William Sabia Date of Death:March 23, 2025 AKA William G Sabia Domicile of Decedent: Rye Brook, New York Fiduciary Appointed: Maria Harder Mailing Address 1 Maywood Avenue Rye Brook NY 10573 Letters Issued: LETTERS TESTAMENTARY Limitations: NONE THESE LETTERS, granted pursuant to a decree entered by the court, authorize and empower the above-named fiduciary or fiduciaries to perform all acts requisite to the proper administration and disposition of the estate/trust of the Decedent in accordance with the decree and the laws of New York State, subject to the limitations and restrictions, if any, as set forth above. Dated: April 30, 2025 IN TESTIMONY WHEREOF, the seal of the Westchester County Surrogate's Court has been affixed. WITNESS, Hon Brandon R. Sall, Judge of the Westchester County Surrogate's Court. Eugene G. Yates, Chief Clerk These Letters are Not Valid Without the Raised Seal of the Westchester County Surrogate's Court Attorney: Bertine Hufnagel Headley Zeltner Drummond & Dohn 700 White Plains Road Suite 237 Scarsdale NY 10583 .. . . . . . . . . C'4> 4� 0 0 .'4 '.0 LLI Cl)0 F— a W A4 u ZI C/) > ca 0 LO UJ 0 .2 C) 0 G� co U 11, kedon < :3 w z r —J UJ w > • < LU. � O vs w 0 U) 00 LLI 4� 0 -0 z to 44-4 Cd ca WE r Q co C� cu CZ 0 M-11M, K,1�7-Z�4 �c ( dlN(0)> p'),R-Wi i 2 J�Kt -ka It n- —� A&JRE-2 OP ID: DANI CERTIFICATE OF LIABILITY INSURANCE DATE 03/26/2025Y) 03126/2025 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 endorsements . PRODUCER CONTNAME: EIDMAN AGENCY INC. EIDMAN AGENCY INC. PHONE FAX 145 ROUTE 303 SOUTH A/c No Ell;845-353-4940 A/c No): 845-353-0305 WEST NYACK,NY 10994 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:ADMIRAL INSURANCE CO. INSURED A&J RELIABLE GUTTER INSURER B: SERVICE INC.DBA - A&J RELIABLE INSURER C 50 SECOND AVE STE A INSURER D: NANUET, NY 10954 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 TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MM POLICY EFF POLICY EXP LTR /DDIYYYY MM DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X CA000030230-08 04101/2025 04/01/2026 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 X POLICY PRO-jECTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY AGE DAM $ HIRED AUTOS AUTOS PER ACCIDENT r $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TO 1ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N 1 A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-E4 EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) VILLAGE OF RYE BROOK IS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT CERTIFICATE HOLDER CANCELLATION VILLRYE 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 ST RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE 7 f,__-_fir-� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1 \\ NYSIF New York state Insurance Fund PO Box 66699,Albany.NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE RMLIUM ^^A A^A 133256385 rj A&J RELIABLE GUTTER SERVICE INC T/A A&J RELIABLE 7 50 SECOND AVENUE SUITE A r NANUET NY 10954 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER A&J RELIABLE GUTTER SERVICE INC VILLAGE OF RYE BROOK T/A A&J RELIABLE 938 KING ST 50 SECOND AVENUE SUITE A RYE BROOK NY 10573 NANUET NY 10954 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G1039 006-0 617030 06/29/2025 TO 06/29/2026 7/21/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1039 006-0, 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 ANDREW GALLINA A&J RELIABLE GUTTER SERVICE INC 1 OF 1 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 S7NCE FUND V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 1035059508 U-26.3