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HomeMy WebLinkAboutBP25-211PERMIT # SECTION TYPE OF WORK JOB LOCATION CONTRACTOR PTO COST 7�77-�-- CO #1_ e (D — 5oLL ..._ DATE: 5 lsLbCK / LOT TCO k FEE DATE INSPE TION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION ,f PLUMBING l�. 12 t lw 2'°z r4Ssed AD RGH PLUMBING - GAS O SPRINKLER ELECTRIC �l ZQ 2 BH LOW -VOLT ALARM AS BUILT CJ FINAL�- Or,� Cj0 sefS EQ 25 - z 33� c�P4 Etne t,L L OTHER APPROVALS VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 26-001 Certif irate of ®rcupaucp This is to certify that ZAV7S*1�7 of, ! OCR IV having duly filed an application on 1, 20_.25 requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY, located in a )Q—��Zoning District and shown on the most current Tax Map as Section: / Block: )Lot: , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit Nory issued 5 20 2 5, 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� r� /� Construction: , for the following purposes: Oda elresel5 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 s e made,and no enlargement, whether by extending on any side or by increasing in ig�it shall be d ,nor s uilding be moved from one location to another until a permit to accomplish such change as been b ed fro uilding Inspector. DEC - 5 2026 Building Inspector,Village of Rye Brook: Date: N ►n N � � N N w •� � � Ln LnCS CS v a cn ~ a V a D AI a �: rA Ra O Q o ad �w � � � b ❑ � � L cn PG � s O.2 A C) O r l O w oo cn Q u o o P4 M w w u A/ rTl F-LI M ap O x a Ln Z p vu W � IV = qQ C) ^O v v V rl = Cs W = M W z A z �. z a v v g g Cn = ^W. U W c 0-4 ►"� F Q O F � z z o °a o..d v w W " N IBM* O .. s . M .00 o BUILD ��� RTMENT AUG 2 0 2025 VIL E OF RY OOK ) -------r— NY 10573 ` VILLAGE +_)i k YL BROOK 938 KING FT RYE BR r,l -, � - •-,EP A RTMLNT W a okn ov, �i' INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: q- Approval Date: 2 `� J Pe i # �(t�Application Fee:S )�� Approval Signature: \ �r—Permit Fees:S Disapproved: \ Other: Application dated: is hereby made to the Building Inspector ofthe Villageof Rye Brook,NY,for the issuance ofa Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 19 Pine Ridge Road Rye Brook, NY 10573 Section 135.41 Block:1 Lot:40 1. Job Address: SBL: Zone: 2. Proposed Improvement.(Describe in detail): Primary Bath Renovation, Kitchen Renovation, Interior Uloset VVorK 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 1: 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;(I ham.,2 fam.,comm.,etc...)Prior to Construction: 1 fan) After Construction: 1 fan1 6. N.Y State Construction Classification: N.Y.State Use Classification:—_ 7. Property Owner: Sloan Zinstein Address:19 Pine Ridge Road Rye Brook NY 10573 Phone# Cell# 305-528-5131 email: sloanAsimpson@gmail.com 8. Applicant: Sloan Zinstein Address: 1135 WeslchesterAvenUe#1507 Whrte Plains NY 10604 Phone# Cell# 305-528-5131 email: sloanASimpson@gmail.com 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor:John DiLuna Luna Landscape Corp Address: 28 -lefferson ,�trEPt WPSt HarriSnn NY 10604 Phone# 914-906-2310 Cell# email: Lunal-andCorpagmail.com 12. Estimated cost of construction $ 45.000.0o (OC),tl J (NOTE:The estimated cost shall include all tabor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis) 8/19=25 13. Job Timetable:Start: Finish: 1011912025 (I) 6/112024 BUIL i MENT AUG 2 0 2025 3D1 VIL E OF RY OOK 938 KING ' E'r RYE BR ,NY 10573 VILLAGE OF RYE BROOK -BUILD-1 iNG DEPARTMENT of;� 4 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: Sloan Zinstein �135 Westchester Avenue # 1507 White Plains NY 10604 I, ,residing a , (Print name) (Address where you live) being duty 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; 19 Pine Ridge Road Rye Brook, NY 10573 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. w I signature of Property Owner(s)) Sloan Zinstein (Print Name of Property Owner(s)) l �j Sworn to before me thisl 4 day of J - , 2p_,2 I INotary Pu I", tt Rdzd C.)term +1 1 l Notary PAX,5tge of . • � x 1 No.ciLM003242 mlaMd In YVestrhe=CMO �� Cbm xu m!W,in Fx;imFeb.21 �� .t I/ .� 1 {1� (2) 6/1 R024 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: Span 7insiteirl ,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 John oiLuna,Luna Landscape Corp _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 Sworn to before me this day of A ,2Q day of ,20 Signature of Pr perry owner Signature of Applicant Sloan Zinstein Print Name Property Owner Print Name of Applicant Notary Public i r Nutary Public 1 r . iflt 1 PJdmrd a Law Yotry RMUC,Sms of M.Y. .No.01 Ll SOM2 t t Coi 2d in Feb.23,� y 20 L�D �t (4) 6/12024 (� BUILD R ENT For office use only: !BUIL �, VIL OF RYE K ISSUED: # KING S YE BROOK, YoRK 10573 DATE: DEC 1 1 2025 9 -o o� FEE: -RAM . ov LAGE OF RYE BROOK R ERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUffibIITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Address: ss►rs10i s►viessrs►s��srr�srssss��rs�rrsrrsss�s►�rssr�r�O K►ssssss�rsssssrlsO ass sas►► Occupancy/Use: vT11z Parcel ID#: R Ctk O h 13 S- 1 'tO Zone: Owner: S ID (� r ��a 1 ,21`f1 ("�l✓�-� Address: 1 °I ICI►'� �IGL�►��� Ny 10\5/1 P.E./R.A.or Contractor: �� I�1�1�IS� uf�i�Address: �- ��-• V4 4 00 rnJ0 �7 Person in responsible charge: 30 V 1 o I)I �, VA( Address: S a" 6(S 6 20V& 1001 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: S1 D A Y ` Z�V1 Shn VLI being duly sworn,deposes and says that he/she resides at (Print Name of Applicant) r L ( (No.and Street) in��VO 0�L ,in the Coun of W'Q �1 GW J tt V ty in the State of N ,that (Cilyfrown/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 ()0 D .D a `n for the construction or alteration of: i `�y N L V td�Q�V-(tt"'n (/e noyo/'n 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. ll Sworn to before me this to Sworn to before m this U day of 06-CL w4 w-� _, 20 L-i day of 9 ,20 Signature of Prope �One, Signature of Applicant Print Name of Property Owner Print Name of Applicant �C Notaty Public NOW C.1.IM �ryl�gtdb+tttiR2a Notery 01 ger b324swe 2�Yty No Ot U1ErA3242�Y Uualwd�Westchester� pual%d to Westch r Cotes Feb.23 20-� ��M er'cs Feb.23,to u' cu � 1982 BUILDING DEPARTNIMENT ❑,,,�B((UILDING INSPECTOR OASSISTANT 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.orQ - - - - - - - - - - - - -- - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: 1 Al \ DATE:_'" L / - Z OZ/ PERMIT# ISSUED: BLOCK: LOT: $/b LOCATION: _ �1 C � 11, QUO OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Er ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS YV d �YJ�J CC..-rlL� p L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION $FINAL ❑ OTHER QyE 4RC�C,>,� cu � '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR HASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET• RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 www.ryebrooLorg - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - -- - - - - - - - - - - - ADDRESS:_Lq..__ .�� uC IG- / �;lj Ca DATE: 12- -w/ Z 0 Z'f� PERMIT#3 F,2 s l7� ISSUED: SECT:1,3S-VI BLOCK: LOT: LOCATION: I `/ /" i �'1J� �- I�IAS TO� _�✓T1� • OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... E ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK �`r �� li ' " ❑ FIRE SPRINKLER ir"F'INAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRC�� O ym w � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - -----n-- - INSPECTION REPORT - - -- --- - -- - --- - - - - - -- ADDRESS: l r DATE: t/� �Q- t t r�� � �- � ? S PERMIT# ^\' ISSUED: I "ECT: BIB: LOT: LOCATION: l `1�{ I I c\ ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ' ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION O UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 4e O ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER O FINAL PLUMBING ❑ FINAL ❑ OTHER BRnuk o -m 41 `'f1? BUILDING DEPARTMENT ❑BUILDING INSPIiCIOR 2<SSISTANT BUILDING INSPUCTOR VILLAGE OF RYE BROOK ❑(0111: F.NFIIRCP.MENT OFFICER 938 King Street • Rye Brook, N)' 10573 (914) 939-0668 I"AN (914) 939-5801 www. yehrook.org - INSPECTION REPORT - - - - - ADDRess : v a, UnTL:. -. 1 °t - 2 azs, Issul:n: GJ ',',VC r: /%35r yilkocK:---..._l LOT:_.. ry LOCATION: _ .1N�10'L, k(�C�.. 'T ►Ja .00M OCCUPANCY:_. 0 Violation Notcd PASS1:1) Q FAILED / REINSPECTION ❑ SIT1': INSPECTION REQUIRED ❑ TOOTING ❑ FOOTING DRAINAGF. ❑ FoUNDA'i'ION ❑ UNDERGROUND PLUMBING tiO'I'1?SON INSPfX711ON: ❑ ROUGII PLUMBING ❑ ROUGH 1"RAMING ❑ INtiU1.A'1'i(1N n ❑ Natural Gas C1J ---- ❑ 1'IRI:SPRINKI, AI �I.i �oGyl� _ ✓� - i V V ���,../Jti(' ❑ UINAL PLIIMBING n lied ❑ CROSS CONNECTION e • _ —.. _�_�__-- ❑ UINAL c- _. (iK o �m w � '9�� BUILDING DEPARTMENT ❑II;��UI1.1>ING IN�f�l�.1;71)R als-S STANT BUILDING INSrr:C-TOR VILLAGE OF RYE BROOK ❑CODE,I:NroRCI:MI:N"1"OfFl(:I,R 938 King Street • Rye Brook, NY 10573 (914) 939-0668 FAx (914) 939-5801 INSPECTION REPORT - - - - ADDRUSS : e4C)MA 2-a z-r- ISSUE!): -/5-23 SI"C'I: /-2X-Yr I31.00K: LOT: Yu 1,0CATION: lc( Z) AJwL oar— Ij.,, o OCCUPANCY: ❑ NriOlatlon Noted III, WORk I"... PASSED) FAILED / REINSPECTION ❑ SI'TI'. INSI'li(.;'I'ION REQUIRED ❑ FOOTING ❑ TOOTING DRAINAGI'. ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NO'I'IS ON INSPE(:I'ION: ,BOROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I 0 Natural Gas � �(,�,K b �� ❑ LR Gus f ❑ I'Ulil.TANK . =— /1/�-- /1-�'1LdR Otlti ❑ TIRE.SPRINKLE-14 ❑ I'INAI. 1)1.UMl11NG ❑ CROSS(.ONNIi(:'I'1ONt-- ❑ FINAL l�� r p I I � i IOw 1 i I h. .a f M . ,., '� I I X t,�� ii;ri�!i'i it � � �r �.�- �,� I Y?s: u< < is>,� III i j '� i ;':—?� � � i •� 1 , - _ �_� __- - J� -'..r'� _,� . I' I t i I If `•P 1 I� N � d ' o o e N ) � x 0 W a a 0 � o W W �"'� � r'-110 - �S z M a cn x H 4 Z o , ` 0 W � � MM� z a z 00 x a N x W z r � o' c U w � z a 94cn .I. z C� A M C x Q a V z � ° � M w u d V A W as A Tti ► FBI 4 r ONO 00 to w V a z x N o ' H N - b-A 0 a CA 0 1 h-, L w H a U z we �i l al PLO yE-dR0— _ BuE 1�1 kd E$AA LTWNT VIL E OF RYE�$1 OK D ( 11 938 KING , T RYE BROOK,NY 10573 68 SEP $ 2025 :. --- dAny.gov RYA BROOK U. ELECTRICAL PERMIT APPLICATION VfLLAGE�F} ,•42Tf."'ANT Westchester County Master Electricians License Required B -- FOR OFFICE,T?SF. ONLY BP#: �C� / _ EP#: Approval Date: SEP 1 0 Permit Fee: Approval Signature: Other: o ************************************************************************************************** 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 reinove 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. a 1.Address: ( ( t'l� e �C SBL:Seb" 13S•411 Lo 1 +0 Zone: /P—/ 2.Property Owner: 0&y 1� G yt/ S�ou� i�StP,it Address: 11 p ^e P i; Phone#: Cell#: 30s ' S��— Si 3 I cmail: 3.Master Electrician/Licensed Installer: P�i C U\Ae( Address: 7o ve.;/ S 7, A`f,011, Lic.#:—Phone#: Cell#: y"509 ..836 Y email: C PLI+M1°e(PCf't 10 Q 5 n.,g,' Company Name: C tnArnp hlC�1`"��G`� �C Address: 7o 1,,eS t 51• /410-f all ���n�i ,,,y los qq 4.Proposed Electrical Work/Fixture Count: W it r t t n� or I lkw I/ � 1, room 1% {C ke n re(NDVA Vu^ a,,L r Its el Pk. >" i'�� yf(e SSe S �XhtiK 5f fGn� & F,' C�rC (.,f �-S , FiefS t . 5.31 Party Electrical Inspection Agency: *****ir,t,t,t*,t***,r**,r*.t*#**#*#t****###t**,t,t**,t,t,ta,r,r**:k�,rat,r,t*,t,r*mow*�+++***�a.�*+r�**�*+**�.*+*-x*+*+*,tw•k��*,k,tt,►* STATE OF NEW,YORKI,COUNTY OF WESTCHESTER ) as: y�/� r '1 C�l -a rn` -111 c� being dtfly sworn,deposes and states that he/she-is the applicant above n1uned;and dots further (print name of individual signing as the applicant) state that(s)he is the MhS RP e l tli fl&,N for the legal owner and is duty 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 specircatiom,.as-well as in actxJrdnncewith{hr.New Ybrk State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Srovtmt bef t me this � Sworn to hef mr rl,;e p day of ,20 _ day of 20 Signature of Property Owner Signature of Applicant ha Name of p�� err O Print Name of Applicant SHARI EL�LLO t 5 to 11, CHRI3TOPHER J.BRADBURY NotaryOu aihlE6160063 Qualified In Westchester County 6159985 Commission Expires January 29.20? OualHied In Westchester C0UnV r6/i/2024 Commission Expires January 29.20. 5 Buckout Road BETTER HOMES it West Harrison, NY 10604 Phone:91490906-0443 ELECTRICAL INSPECTION SERVICES INC. " �� Email:betterhomes252@gmail.com NAME: DATE: ELECT.PERMIT NO. avh,P �r r ) ✓1 oq�i n a S CITYNILLAGE \ t(� ZIPCOD 1 v S 7 j 1.BLDG PERMIT NO. _ at ADDRESS: G BUILDI .DEPT q�� 1 PHONE# SECTION BLOCK LOT UTILITY EMAIL ADDRESS: � �- ku^VJ P I PC 4r- C- 10 co ✓i'�G,I �. �o Residential ('� Commercial ❑ OWNER'S NAME AND ADDRESS i .�I V 1 \ r`l S 0� I ,� S "rP i`✓� 0 S �717 WORK LOCATION: pi ❑Outside ❑Basement ❑Garage ❑Attic ❑Porch 11 Floor. ❑1 st floor ❑2nd floor ❑3rd floor ❑4th floor ❑Other floor SEP '8 2025 ❑Reinspection ❑Renovation ❑Generator ❑New home ❑Other VILLAGE OF RYE BROOK �I � J Comments: Ar4 VV" � � �() 'fUr OU 4 (P is r���s� `g�, +S ) , '�C�+ 1,5, Fs, t SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: CON EDISON Overhead ❑ Underground ❑ COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: STREET ADDRESS: CITY: STATE: ZIPCODE: X) IA/10S4 SI r°� (� )I (So„ /vS vL TELEPHONE: CELL PHONE: EMAIL: F C C)'0 SIGNATURE OF APPLICANT. X 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: Champ Electric D IE C r �W F DO David & Salon Zinstein 70 West Street 19 Pine Ridge Road Harrison, NY 10528 DEC - 4 2025 Rye Brook, NY 10573 Certificate Number: 4887 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Certificate Date: 11/20/25 Located at: 19 Pine Ridge Road Occupancy Type: Residential Rye Brook, NY 10573 Permit Number: EP-25-233 Section: 135.41 Building Permit Number: BP-25-211 Block: 1 Lot: 40 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 Kitchen: 2 120v 20a AFCI circuit/appliance 4 120v 20a Duplex outlet Bathroom: 3 120v 15a Recessed light fixture LED 1 120v 15a Exhaust fan 2 120v 15a Vanity light fixture 1 120v 20a GFCI receptacle 3 120v 15a Switch 1 240v 40a Steam shower & disconnect This certificate may not be altered in any way. = � SEAL � ' ) This certificate is valid for work performed ', 2022 before the date of inspection only. �y'2v0��,r, Licensed Inspector Z li9 ..... a N N ON OA cz N � � a w z u Cn F A W Q O w u c O z { z A (� v M N p Z w �,A Q z � H a °°in n �'+ ell)oc ON u ON Nk w r/ Q CJ C 00 MM '""' tj < z N zz w N -.e� t ~ U A OC U a w w PQ c z z Z �;) Ln O o o � o" E QOFRYE EL� � , IBUIENT — VILOK SEP - 8 2025 938 KIN NY 10573 VILLAGE OFBUILDING DPAf�TM�NOTov PLUMBING PERMIT APPLICATION l FOR OFFICE USE ONLY BP#: r�f I'P#: Approval Date: SfP 1 0 202 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 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 w 1.Address: ill be in conformance with all applicable Federal,State,County and Local Codes. I ,�I of 0 54 wo 4 d �j (j e Vow SBL:Se(-W k 1135-L11 g t�n Zone: �'�CD, 2.Proposed Work: 3.Property Owner: Q ul /Q V\Wt 1 V1 Address: VA 1 n t/ gg 66 Phone#: ?j b,1� 1�22 St ;I Cell#: email: N X�-k 4.Master Plumber: —�Cf411 /7/,.:*, "T-y r rt" t? Address: lo"% Al--;, y/ ✓) �`�' �/�Qry-isoh JO.SA< Lic.#:94:�7 D Phone#: y05092ZO Cell#: email:f 4"_-AA1VX1,41ht 4, G'/JIIy�lGo�+'l Company Name: K / yK6 <�i�J* Address: �s �M wO✓wy 4- 'v. 7IV lO lsdu 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 2nd Floor ' 3"Floor 41 Floor 51 Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) I- 6/12024 a STATE OF NEW YORKCOiU'N^TY/OF WESTCHESTER ) as: � I V�� ) 7 �� (,CTI(0 1 V V ,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 S Sworn to before me this 'Ll day of` c ,20 day of 20 CIL ignature of Property Owner I gnature of Applicant Print Name of Property Owner Print Name of Applicant Notahtotary Public,State of New York NOS ldfif MEULLO ht No.OIME6160063 Notary Public,State of New York Qualified In Westchester County No.OIME6160063 Commission Expires January 29.203D Qualified In Westchester CountV'7'I Commission Expires January 29,20 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- 6i1n02a BUILD MENT VILLA E OF RY OOK 938 KuvG�JFREET RYE B ,NY 10573 (91 0 wl�IVv 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: IO�lln 2���) I '' 1 residing at Y �- 4 �� Y l S , (Print name) (Address where you 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; Au P—� , R e Brook,NY. ob Address) Y 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 Ox1'ner(s)) S loci ti� 21v�S -e (Print Name of Property O%Nner(s)) Sworn to before me this da of 'o , 20`�_ (Notary Public) SHARI MEULLO Notary Public,state of New York No.01ME6160063 Qualified In Westchester County Commtssion Expires January 29,202q 6/1/2024 AC ENGINEERING, PLLC 9 DUNHILL DR. , ;•, SOMERS,NY 10589 • . •;.; (914)260-4239 acheung(aacengineeringpl Ic.com September 24, 2025 To: Mr. Steven E. Fews Building Inspector 938 King St. Rye Brook,NY 10573 RE: 19 Pine Ridge Rd. —Proposed Header Beam Dear Mr. Fews, AC Engineering, PLLC inspected the installed header in the kitchen of 19 Pine Ridge Rd. The header installed is a 2-ply 1 3/4"x9 '/2" LVL supported by 2-2"x4" posts on each end. The total span of this header is 11 ft.-10 inches inside dimensions. A single 2"x4" located 1 foot from the end of the header extends to the ridge beam of the roof. Based on evaluations of the header support and loadings as per the IBC including dead loads and floor live loads, the installed 2-ply 1 3/4" x 9 ''/z" LVL is an adequate beam for this application. Attached are the calculations documenting the analysis. Please feel free to contact us if you should have any questions or require additional clarification. Respectfully submitted, AC Engineering, PLLC. "Z4 Andy Cheung,P.E., CPESC Principal Engineer SEP 2 4 2025 Cc: John Diluna—Contractor VILLAGE OF RYE BROOK BUILDING DEPARTMENT 2 FORTE W E13 MEMBER REPORT PASSED Level, Wall:Header 2 piece(s)1 3/4"x 9 1/2"2.0E Microllam@ LVL --- Overall Length 12'6" V 1 MW SEP 2 k 6a ® o OF RYE BROOK RTMENT BUILDING D � manna 4 12' � Q ❑2 Drawing is Conceptual.All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal(typ.). Design Results Actual 0 Location Allowed Result LDF Load:Combination(Pattern) Member Length:12'6" Member Reaction(Ibs) 111 @ 1 1/2" 7613(3.00") Passed(1%) -- 1.0 D+ 1.0 L(All Spans) System:Wall Shear(Ibs) 51 @ 11'5 1/2" 5686 Passed(1%) 0.90 1.0 D(All Spans) Member Type:Header Building Use:Residential Moment(Ft-Ibs) 184 @ 6'2 9/16" 10597 Passed(2%) 0.90 1.0 D(All Spans) Building Code:IBC 2021 Live Load Defl.(in) 0.001 @ 5'4 1/4" 0.408 Passed(L/999+) -- 1.0 D+1.0 L(All Spans) Design Methodology:ASD Total Load Defl.(in) 0.011 @ 6'2 7/16" 1 0.613 1 Passed(L/999+) 1.0 D+1.0 L(All Spans) •Deflection criteria:LL(L/360)and TL(L/240). •Allowed moment does not reflect the adjustment for the beam stability factor. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead floor Live Factored Agri- 1-Trimmer-SPF 3.00" 3.00" 1.50" 72 39 ill None 2-Trimmer-SPF 3.00" 3.00" 1.50" 61 1 62 None Lateral Bracing Bracing Intervals comments Top Edge(Lu) 12'6"o/c Bottom Edge(Lu) 12'6"o/c -Maximum allowable bracing intervals based on applied load. Dead Floor Live Vertical Loads Location Tributary (0.90) (1.00) Comments kkh 0-Self Weight(PLF) 0 to 12'6" N/A 9.7 1-Uniform(PSF) 0 to l' 1' 12.0 40.0 Default Load Shear(Ibs) Moment(Ft-Ibs) Deflection(in) Location Analysis Acdral Allowed LDF Actual Allowed LDF Live Load Total Comments 1-0 103 6318 1 1.00 0 10597 1 0.90 0.000 0.000 Weyerhaeuser Notes Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC-ES under evaluation reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/ document-library. The product application,input design loads,dimensions and support information have been provided by ForteWEB Software Operator ForteWEB software Operator Job Notes 9/24/2025 3:14:28 PM UTC Andy Cheung ACE ForteWEB v3.9,Engine: V8.4.3.94, Data:V8.1.7.3 (che) 39 acheurig@acengineeringplk.com Wcycdiacuxcr File Name: pine ridge rd. Paqe 1 / 1 i Building Perm An it Check List&Zoning alysis Address: i9 C, SBL: Zone: �('�'�� Use: ��� Const Type Other. Submittal Date: Revisions Submittal Dates: Applicant: Nature of Work: VA \ -F c U Ck- l (1 r k_o Reviews:ZBA: AUG 2 7 2025 PB• BOT• Other. NEED OK (-(, FEES:Filing. ` BP: V �C/O: Flood Plane: Legalization ( ) (,�-APP: Dated:--__Notarized. SBL: r 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. ( ) ( ) SUkVtY, :Dated Current:, Archival: Sealed Unacceptable: (� ( ) =LAN§;'Date ed SealedCopies: Electronic Other.. Workers Comp: � Liability:Copies. 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 DENIAL LETTER: C/O DEN AL LETTER: Other. ( ) ( ) Other. ( )ARB mtg. date: approval: notes: ( )ZBA mtg. date: approval:- notes: ( )PB mtg.date: approval: notes: REQUIRED EXL4 Q PROPOSED NOTES Area Circle: Fronqge Front: Front: Date' Sides: Rear. Main Cov: Accs.Cor. Ft H Sb: Sd.H Sb: GFA: Tot : Ft ImD: PArkin . Height/Stories: 1 notes:* ' WIN 4-4 vi .4a X.A ZO cc LLJ Lij LJJ Z < co iz. U) U) cr- r- c F— z U) 00 LLJ MT ;V IT tmaWm.6 DATE(MM/DD/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE lllliai 1 08/19/2025 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: Aimee Nuara Quinton Insurance PHONE (800)454-1970 FAX (585)388-9531 A/C No: 2700 Elmwood Ave EMAIL ADDRESS: service@quintoninsurance.com INSURERS AFFORDING COVERAGE NAIC A Rochester NY 14618 INSURERA: ERIE INSURANCE CO 26263 INSURED INSURER B: ERIE INS CO OF NY 16233 Luna Landscape Corp and JRD Building Services LLC INSURER C: SHELTERPOINT 81434 28 JEFFERSON ST INSURER D: INSURER E: _ WEST HARRISON NY 10604-2045 INSURER IF: 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS TR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEI5__ CLAIMS-MADE FXI OCCUR PREMISES(Ea occurrence) $ 1,000,000 X Primary&Non-Contributory MED EXP(Any one person) $ 5,000 A X Contractual Liability Y Q61-0091595 04/16/2025 04/16/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT F7 LOC PRODUCTS-COMP/OP AGG s 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COEaMBINED accitlentS INGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNED V SCHEDULED Q04-6540064 04/15/2025 04/15/2026 BODILY INJURY(Per accident) $ AUTOS ONLY /� AUTOS Ix HIRED V NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acddent $ X UMBRELLA UA13 I X OCCUR EACH OCCURRENCE s 5,000,000 A EXCESS LIA6 rl CLAIMS-MADE Q28-6670049 04/16/2025 04/16/2026 AGGREGATE $ 5,000,000 DED I X I RETENTIONS 10,000 s WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? N� NIA Q88-6600380 04/16/2025 04/16/2026 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 SHORT TERM DISABILITY C PAID FAMILY LEAVE D152358 09/20/2024 09/20/2025 STATUTORY LIMITS DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook,NY 10573 �ZZZ07P C15Ph� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured Luna Landscape Corp and JRD Building Services LLC 28 JEFFERSON ST lc.NYS Unemployment Insurance Employer WEST HARRISON NY 10604-2045 Registration Number of Insured Work Location of Insured(Only required ifeoverageisspecifically Id.Federal Employer Identification Number ofInsured limited to certain locations in New York State, i.e, a Wrap-Up or Social Security Number Policy) 58-2492219 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Erie Insurance Company The Village of Rye Brook 3b.Policy Number of entity listed in box"la" 938 King Street Q88-6600380 Rye Brook,NY 10573 3c. Policy effective period 04/16/2025 to 04/16/2026 3d. The Proprietor,Partners or Executive Officers are included. (Only check box Ir all partners/oMcers Included) 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'com pensation 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"T'. The Insurance Carrier will also notify the above certificate holder widen 10 dayslF a policy is canceled aitte to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insuredfrom the coverage indcated on this Certificate. (These notices maybe 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 113c",whichever is earlier. Please Note: Upon the 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: MARC CIPRIANI (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Rallt-- �Ltou.�a 08/19/2025 (Signature) (Date) Title: SVP— COMMERCIAL LINES Telephone Number of authorized representative or licensed agent of insurance carrier: (800)458-0811 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(9-07) www.wcb.state.ny.us