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HomeMy WebLinkAboutBP25-196PERMIT 0 OJn`E:A a o a �►11 SECTION BLOC LOT TYPE OF WORK idr P/ 4 roc JOB LOCATION , Z Im')04eCka, Z7 ozwt7 T OWNER ed ; 1Pr� o rQ i �Pr CONTRACTOR 01/'//VI' U) FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING =- qS 2 RGH PLUMBING GAS M SPRINKLER ELECTRIC LOW -VOLT T ALARM AS BUILT Q -�-- FINAL a"a(o Alyl�Pz CiyDc 9 / 9&i �P� J;43!5/4J C /J/u nv.+5, r, a s-aao OTHER APPROVALS ARB BOT VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 25-12 i Certif irate of (Occupancy This is to certify that f)el* l Mdlfr Mora / , /�e� of, RUP, Byoo?, /V having duly filed an application on 20��requesting a Certificate of Occupancy for the premises known as, 9KPU� ICK2fc), Rye Brook,NY, located in a RE�5 Zoning District and shown on the most current Tax Map as Section: JC? Block: —L Lot: ) , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.O�5—/130, issued E� 20 �O, 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: F— /! Construction: for the following purposes: l -pia r 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,Wr shall the building be moved from one location to another until a permit to accomplish such change has been obta' fro tI e B ' ng Inspector. Building Inspector,Village of Rye Brook: Date: OCT 0 7 2025 EI � \v� BUILDING DEPARTMENT For office use only: D EC PERMIT# 4,16 I r--- VILLAGE OF RYE BROOK n ISSUED: ', G'' !r T — J 036 KING STREET,RYE BROOK,NEW YORK 10573 DATE: h g - r (914)939-0668 FEE: PAID CV VILL.AGt OF R'r'-- ter. vwvk."'ebr0 oknv.gov' o'III.DIf�!G 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 tt444ttfitNti44tgt44 tii4if ifft4#tf#t4tttf ittttt tfitt4ittf ti4tff4tt##4[t 4444t4titfitttt#tf4f4t Yf#/4#f4#it##i44t#t#4f4itttitf Address: 5 Beechwood Blvd Rye Brook NY 10573 Occupancy/Use: single family Parcel ID#: �_ [�. c,L`� �'�7 Zone: �5 Owner: Niel&Mara Miller Address: 5 Beechwood Blvd P.E./R.A. or Contractor: Freddy Ramires Address: 31 Red Fox Lane Brewster NY10509 Person in responsible charge: Freddy Ramirez Address: 31 Red Fox Lane Brewster NY 10509 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: r�r' 1c- WC'?—..-being duly sworn,deposes and says that he/she resides at Cj FO.Z 16 (Pnn eofApplicant) (No.and Streetl in C hi-, Z� C! ,in the County of 'Q)L n a n'5 in the State of�l � ,that wity rown/ dlage) 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:$39,000.00 > for the construction or alteration of. Primary Bathroom 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 Sworn to before me this day of �;� , 20 day of , 20,2'5_ Signature of Property Owner Applicant I Q I(. M,c(L&- � J in acne of Property Owner 7arn pp scant 1 Notary Public SHARI MEULLO W b Notary Public,State of New York NNotryary Public,State of New York No.01ME6160063 No.01ME6160063 Qualified in Westchester County Qualified In Westchester County w i _1014 "ornmission Expires January 29,202D Commission Expires January 29,200 QyE BRC��, cu � 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 : 6 -w �vc ------- ...---...--- DATE: 10 V - low PERMIT# \ ZS �_ �_ ISSUED:_ _ SECT:_ .Z`�BLOCK: LOT: LOCATION: A S�t„ (.1•`�I�,/`Q V•�� _ _ _ _ OCCUPANCY: ❑ Violation Noted THE WORK IS... sir PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION _ `t ❑ Natural Gas +°► 14 .f pp cY�, ❑ L.P. Gas ❑ FUEL TANK �L• ❑ FIRE SPRINKLER VINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE DR(h lam � • 1982 BUILDING DEPARTMENT �❑BBuILDING INSPECTOR 9ASSISTANT 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: 10 Z 0 PERMIT#�C.._..37, ___ ISSUED:_8_-20"ZfSEC7:___ 31#'2 1 BLOCK: LOT: - LOCATION: _M A S P->a_4, CdV M _ OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION Z1. Natural Gas MASAcen. Z A Ur w-% ❑ L.P. Gas ❑ FUEL TANK NOV J ` ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER fJ) SI t'1 - .j J BUILDING DETAwrMEN'r „I�In♦I II( tl DING IWIECIttlt `ILLAGF OF RYI; BROOK ❑( aril I nluut 1 tt �I (>I I It.I It 938 I%'IN(. ti'l itl.l'i • 16-1: BR(►OI;, NY 1057.1 (91.1) 9.19-1111608 FAX 0)H) 9.19-•KI11 +\'ww.I.ychro(44.Org INShI (;"T10N REPORT - - - - -- - - - - - - - - - - - - - - :�1)IlItlti. : &e.-CA\-woo� uM d- DATE: 8 ^ Lozr I'I It111 l 1 1 � 3� Ititii It: Sit I : LM A VION: �'CI"r� �' �f�J�'1 _ OC.cuPANC.I -- - ---- 0 VIOLATION Narl:n I III 1%mm I,... rl \cCFI,T1,I► ❑ RU.-JECTED/ RIANSPF.CTION ❑ til ll INSPECTION 1U.-(2ullml) ❑ I'OI11I\(. ❑ I'(111I I V(" DRAINA(d. 0 I'(wm t\'I-m%.. 0 UNI►I lt(:R(►uNI) VI I \OTUS ON INtiI►HAJON: .�rT(►i'(,II 1►I.l(M ItI N(. ❑ I(Ol'(.11 FRAMING ❑ INSI'l \I'll()N ❑ NA'I'u \I.(iAti .Q41 _1_.L-1 _L7�.J �"I��YJ ► 1 ❑ I-11a. 11'Itm-lil.1:.12 ❑ VINAI PLUMBING ❑ (:Ito %%CONNI:(:'1'ION -- - - - ------- ❑ FINAL ❑ 1'111'.It Lin N \ ■ N \ Q W v _ \ 00 ~ II CA � A p ace y u W 9 114 cA 44 CS U PC y w C = N W 4 z1 q M = `O r a en w I 400 W 0 V L �Myy oj./.�, O7 � H" a u a h+y zz IE-1 415 WCIS _ 3 E a' �4 O [ ' iz G� L p �4 N � ¢ -Vo O ^ a z (� w co Oo Z © W W QLd O Nw p o c a4 0 _ 00 u Id olLim U $ o � � sav w ° o O rib ■, o, o ° � a BUIEDING DEPARTMENT ® �CC E� � IV IE I VILLAGE OF RYE BROOK 1 938 KING STREET RYE BROOK,NY 10573 AUG 2 0 2025 • (914)939-0668 w,vw, ebroolcn)--ov VILLAGE OF RYE BROOK ` �`•,1t, DEPARTMENT INTERIOR BUIL G PERMIT APPLICATION FOR OFFICE USE ONLY: �J � Approval Date: UG I Fill [!� Application Fee:$ J�1 Approval Signature: Permit Fees:$ d� Disapproved: Other: - 06 Application dated: `�� _ is hereby made to the Building Inspector ofthe 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. lob Address:5 beechwoad Blvd SBL:_ 5 L a9 `f�Zone: 9-0-k-- 2. Proposed Improvement. (Describe in detail): Master bathroom renovation 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: 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: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application& 2 sets of detailed engineered plans) 5. Occupancy;(I €am.,2 fan.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: Mara&Niel mILLER Address: 5 BeeChwood Blvd Rye Brook NY 10573 Phone#917-880-2826 Cell# email: mara.miller@me.com 8. Applicant: 914.299-1961 Address: 31 Red Fox Lane Phone# Cell# email: 9. Architect: Address: Phone# Cell # email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Freddy Ramires Address: 31 Red Fox lane Brewster NY Phone# 914-299-1961 Cell# email: Info@northviewconst.com 12. Estimated cost of construction $ 39,)00.00 (NOTE:The estimated cost shall include all lab)r,material.scaffolding.fixed equipment,professional fees.and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: (i) 6/t/2024 BUILDING DEPARTMENT Q "� VILLAGE OF RYE BROOK 20 ��� 938 KnvG STREET RYE BROOK,NY 10573 AUG (914)939-0668 L--------_ +�sw.r�chr(�t►I:n�. ov VILLAGE OF RYE BROOK DEPARTME.N r is ie ve ee irR a'r 4 F yr it is it ie x,t,t ie ie ss aF*ic*,:ek F it*ie,k*�r:Eir*�*ir ie it s:k*ix xic�cxir ie t ksrx*rx�x*ir*4e*9e kie s'rxir*,tr:t*eF**•k it sir rt'c:tr iexde 9e ie:k krk,'s*,t*ir**&ki,:aF 1 AFFIDAVIT OF COMPLIANCE VILLAGE CODE 6216 - 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, VISA 4(V. El f (Print n.mlc) l:A,Itir.'„��h�r�you litcl 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; Rye Brook,NY. I lib 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 filrther 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. (Srgnawre ot`PruPcrty O%Aner(s)► Wrint Name of Prolicrl.k Ov%ncrls)) Sworn to before me this of 20S (Notary Public) SHARI MEULLO l�otar y Public,State of New York No.01ME61600Q Qualified in Westchester County (2) `OMMission Expires January 29,20 6/1/2024 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 andlor 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 (indicate architect,contractor,agent_attorney,etc.) 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. 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 71D Sworn to before me this day of , 20 day of kj�- \--4NT- 202,5 Signature of Property Owner ature of Applicant Ma i,,A W t Name of Property Owner Pr ame of.A*icant Aa�_' V\- Le—Ilff I-,,— � \-t Q—& Notary Public S►iARI MEULLO Notary Publie Notary Public,State of New York No.01ME6160063 Qualified in Westchester counter SHARI MEULLO commission Expires January 29.20_., Notary Public,State of New York No.OIM E6160063 Qualified in Westchester County Commission Expires January 29,20?� (4) 6/1/2024 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Titie 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: Subject Property; SBL: Zone: Please take notice that the subject;),vbne or Two Family; ❑ Commercial, o New Structure ❑ Addition to an Existing.Structure ,Rehabilitation to an Existing Structure to be constructed or performed at the subject property Ni ill utilize; ❑ Truss Type Construction(TT) ' ❑ Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders&Beams(F) ❑ Roof Framing(R) ❑ Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before me this Z Swom to le re me this day of ,20_1 day of ,20 ZZr Signature of Pro erty Owner Signature o esign Professional t Name of 7�im Pri m estgn Profe ' 1 hh1,� a Nosy Pu5NAR1 MELILLO Notary gblic HARI MELILLO Notary Public,State of New York Notary Public,State of New York No.OIME6160063 No.OIME6160063 Qualified In Westchester County Qualified In Westchester Count --7 Commission Expires January 29,201� Commission Expires January 29,2� 1 (3) = o N N N N W Ln N N a N oe N N 00 O rr y w oocc 00 Z 4 w v W A a H � 3g u W. Ln k .r' $ ru � A, _ N z Q PGeq w \ c 00 00 oo r�TT A 00 it Z z ON C9 Q00 Of CN _ r .4 H rl Z Z 0.0 E' � N � w z 00 U z Q as z og o of x W v w z a C6 C? W A on � F QI as a a m w xLn BUILDING DEPARTMENT p VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 AUG 2 22025 ID (914)939-0668 vvwwxr ebrooknN ov VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Required j�� FOR OFFICE USE ONLY BP#: Ell C #: 2d'_OOry Approval Date: AUG Permit Fee: $ 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, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and or renlove 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 Coders.__ n/� 1'' / 1.Address: 5 ���LVWQ ate, 2*.Xa00A,- AA/ SBL: 13&. at9-1" Y Zone:�� 2.Property Owner: NARA j N<EZ IVIC eW Address: S 8eACA,'WW D ! 573 Phone#: Cell#: email: 4 3.Master Electrician/Licensed Installer: CfiR 377AA,; A6lLrL Address: toa box 10,3 �V4lQe�ltJ fl �� Lic.#: 2Nq Phone#: 6/ji-2257! 874rCell#: email:F{C 9,02WIASElWICES M/ PC--M Z . Company Name: 4�GTec?7FGN!/4 Address: PV. $09 103 Pt,. �713't-T" 4.Proposed Electrical Work/Fixture Count: L CjM L/2,4- yN OF HA MA 4;,4?WX,00PM Ash lf�tfi i�o�/ 2 6FC1 / Re-00 r-A cr c �/ SCE r rr-twe-i 6 R-Ir�Tl' Z4 6 kV-5 Z UA-10AI1 1161VrT 94DIAa17' l�f -t- TNE1Zrnos%A-�. l E X HUJT F*-P J 5.31 Party Electrical Inspection Agency: W S STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: <:74Y215'r/A-V A1%91 L- ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the t1A EZ4EC7X 40t^1 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 b fore me thi day of 20 day of v ,20 nL Signature of Property Owner Signature of Applic nt C,Ili Print Name of Property Owner Print Na oaf Applicant Notary Public Cj1jPWd*4A J.BRADBURY Notary Public,State of New Yo 6/1/2024 No.01 BR6159985 Gluallfied in Westchester County Commission Expires January 29,20 STATE WIDE INSPECTION SERVICES, INC. i:i • • swis JOB APPLICATION tel i2.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit # ��--cy�G Date S212s Bldg Permit# C ^ Scl Ft Plumbing Permit # Final Certificate # City/Village F—gE Re-we—, Zip Building Dept. County Address S 1�)EAO WW D Cross Street Section Bloc7--Tot- Owner Name/Address(If different thaq above) HA-0-A 1EL Contact Number ❑Basement dlst FI. ❑2nd P. ❑3rd Fl. ❑More Than 3 R. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GKI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact / Amt Amps 2 I 1 Range (s) Cooktop(s) Oven (s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch V SERVICE Amperage #Panels 1P 3P v 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 Scope of Work I'S AW13 GiV?-�T 12-f- AUG 2 1 2025 b �ZESS �lf�.yTS VILLAGE OF RYE BROOK 2 _ -y LIG►-{TS BUILDING DEPARTMENT U S'f V-A-IJ This appicatfon Is valid for one(1)year from the date received by SMS.This application is intended to cover the above listed hems to be inspected 11 at any time 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 lf1S�2U (Gt`3� Ny W1L�tl. Ga/Yl Name � QISt11T�v �t4��tL- License # 2 Date 6 21 og- Signature Address Jr Ct,�. �u3 City/State $AI-D-itAi Ptc;� N q I Zip Code D (ram C (��E W! State Wide Inspection Services E-- � Lam' 1080 Main Street C Fishkill, NY 12524 AUG 2 7 2025 �' 845 202 7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com VILLAGE OF RYE BROOK Website: www.swisny.com service With Integrity BUILDING DEPART" q!=NT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Electrotecnia Corporation Mara & Neil Miller Christian O. Abril 5 Beechwood Boulevard PO Box 103 Rye Brook, NY 10573 Baldwin Place, NY 10505 Located at: 5 Beechwood Boulevard, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-220 136.29 1 14 Certificate Number: 2025-5776 Building Permit Number: BP25-196 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at:5 Beechwood Boulevard, Rye Brook, NY 10573 The First Floor Master Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 27t`' Day of August 2025. Name Quantity Rating Circuit Type Luminaires 08 Switches 04 GFCI 02 AFCI 01 Receptacles 01 Exhaust Fan 01 Radiant Heat 01 A Visual Inspection of existing conditions was performed on August 27", 2025,of the First Floor Master Bathroom and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. f t� ■ M N N ai O� N y a Ln N .r ,) N tV 00 � ao N cn ZD h- T � Y1 r1 W ►/.. Qy N C 0-„4 a W .2 v _ a M rM-1 'x o cl, C: w H PLO t w � H N ti w z 00 oc Aw oo x H o o O O Cn r � . a W w Z cn W _: z Z o z � FN z Q V d z a Z Q w 7. z Z O a ¢ zo R� F o E" c H PLO U w C) W a 6 a w r U 1-4 g = W V a 4 z A z A oa .. a ° a A w off : IPA A4 f3.i Zvi a D IE � Ef W[E y� aR�� AUG 2 5 2025 BUIL E MENT VEL E OF RYE OK VILLAGE OF RYE BROOK 938 KIN ET RYE BROOK,NY 10573 BUILDING DEPARTMENT 9-0668 wnviy��tieknv.>;ov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY n PP#: cyo 17 Approval Date: `� Permit Fee: $ Approval Signature: Disapproved: (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 1 %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/ r 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,Staten,County and Local Codes. �` 1.Address: F llkj R t5R9 SBL:� ,p["J^l Zone: �'oC� 2.Proposed Work: Ddi 0,0DWx4 Gt 3.Property Owner: U&rA_M-� n p�,,,Address: I Phone#: Cell#: _`11"d8� _2 t2c email:` • L6 ems. 4.Master Plumber: 14) ►+(q/y(� C)U I ycz— Address: L' Q .V Lic.#:�Phone#+ y Cell#: email: I d X*x, LO Company Name:LXQ� Flu +Address: O I qe ) 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 1st Floor n �1 2nd Floor I' 31 Floor 41'Floor 5'h Floor Exterior 5.*List Other Equipment/Provide Details: , e lK C(_ �ty u re m l) M Ul5 f,zu' 4rlttil,( (Notarized Signatures Required Next 2 Pages) -I- 6/l/2024 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 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 Sworn to before me this day of ,20 day of �S ,20 Signature of Property Owner Si atu t Name of Property Owner P ' Name of Applicant V\XL�- J Notary Puh Notary New or ARI MEULLO No.0 ME6160063 Notary Public,State of New York Qualified in Westchester County No.01ME6160063 Commission Expires January 29,20Z Qualified in Westchester County Commission Expires January 29,202� 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/l/2024 BUII;ET MENT VILOF AY' OOK 938 K1 RYE BRO ,NY 10573 -066-fl 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 ii OF NEW YORK,COUNTY OF WESTCHESTER ) as: Iv�Q.V�C(.i (tom , residing at, 13 (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 v legal owner of the property to which this Affidavit of Compliance pertains at; �dec�'l ull'9�c� U�f �' O�j� �j , Rye Brook,NY. (Job ddress 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)) r1'lar�m-l:(l�r' (Print Name of Property Owner(s)) Sworn to before me this a 20(9LS (Notary Public) SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County -3- Commission Expires 1anUary 29,20�-� 6/l/2024 Building Permit Check List&Zoning Analysis Address: L-1" SBL: Zone: Use: ` Const.Type �8Other. Submittal Date: Revisions Submittal Dates: Applicant:Applicant: \ , o �.�� ` \ Nature of Work r�1 Reviews:ZBA: PB: BOT: Other. NEED K ( - FEES:Filing:--LC�BP: � C/O: Flood Plane: Legalization 1 O ( �J—APP: Dated --,Notarized. SBL: — Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Shore 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. ( ) (0_,L icense: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 7S3#: 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 DENIAL 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 NQ= APPROVED Area: Circle: n 2me Froze Front Front Sides: Rear. Main Cov: Accs.Cov: Ft H Sb: Sd.H Sb: GFA: Tot : Fes: Parlune: Height/Stories: notes: o � V1 .. F— ca O rZi F 0 � 3m o � ri - � H Qw •- 0 a) � CC U 2 0 .. o ; ? C .4 Cl Cl) F- a) a o 1 w d c U �J w p3 Q v Wcr \` � Z L o "o C'7 a � EL CL '� ` 3 a� '. ►-� M ""� �, o m V m Q 1 M � O cv d Z a z ' C cr W Q W = C:) p a CD 1 CA C4 w oa� W 3 ` w C m a) E CrO _ W z d� �. A m0 � Q w 0Q 0 �_ 1 � `J m4 N w a) CL m W U N UCA Q � 1 A 0 w � @z _ 00 A W W ► t � o > W w x ^ 1 oc 4, ° m i�i -� o O w a) O coo EN `F Z > .- - E "0 W O N ° w w • wlN1 c'► C Q 7 W- 0 �/ �� r r ♦ A{# r r' �" ♦ v��..., :':.ry ��.fl.. 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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 MICHAELJ DONNELLY NAME: Donnelly Insurance Center Agency Inc AIDNNo Ext: (914)347-6500 n/c.No (914)347-6303 6 North Lawn Ave. E-MAIL INFO@DONNELLYAGENCY.COM ADDRESS: P.O.Box 880 INSURER(S)AFFORDING COVERAGE NAIC o Elmsford NY 10523-0880 INSURER A: Atlantic Casualty Insurance. 42846 INSURED INSURER B NORTHVIEW CONTRACTORS INC INSURER C: 31 RED FOX LANE INSURER D: INSURER E: BREWSTER NY 10509 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2521335617 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYV MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES To E. REMSESOE.occTu ence $ 100,000 MED EXP(Any one person) $ 5,000 A Y L068029318-0 02/24/2025 02/24/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE s 2.000,000 X POLICY PRO LOC PRODUCTS-COMP/OPAGG S 2,000,000 PRO- OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LAB HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROP RI ETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ROOFING&REMODELING-INCLUDING ONLY THOSE CLASSES SHOWN ON REQUIRED FORM AGL-REM 06 19. CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS PER CG2012. 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. Building Development AUTHORIZED REPRESENTATIVE 938 King Street Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \` NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE � 0 ^^^^^^ 851555551 DONNELLY INSURANCE CENTER AGENCY INC PO BOX 880 ELMSFORD NY 10523 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NORTHVIEW CONTRACTORS INC VILLAGE OF RYE BROOK (A CT CORP) BUILDING DEPT 31 RED FOX LANE 938 KING ST BREWSTER NY 10509 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2556 201-8 1 459042 09/24/2024 TO 09/24/2025 11/20/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2556 201-8, 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. PRSIDENT JENNIFER VILLANUEVA NORTHVIEW CONTRACTORS INC 1/1 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 SU NCE FUND 77 �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 68747781 U-26.3