Loading...
HomeMy WebLinkAboutMP25-089 �yE DR 1 ZV 1�t� �+4 VuJ j 7, t9 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury .vww.ryebrookny.,g_ov TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE September 17,2025 Cesar Barillas&Edith Barillas 17 Westview Avenue Rye Brook,New York 10573 Re: 17 Westview Avenue, Rye Brook,New York 10573 Parcel ID#: 141.35-1-16.1 This document certifies that the work done under Mechanical Permit #25-089 issued on 6/11/2025 for the installation of an above-ground oil tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to r,I1kC��,� O 7�� 04 w � 198? BUILDING DEPARTMENT ❑BUILDING INSPIA:IOR ,,R<SS15TAN'1'BUILDING INSPUCTOR VILLAGE OI. RY1: BROOK ❑CODE,1{NI'/►RCIQMPN1'OFFICER 938 King Street • Ityc Brook, NY 10573 (914)939-0068 FAX (914)939-5801 wwwrycb.rook.org - INSPECTION REPORTT - - - - - - - - - 77 web� Vl C-u-) A ✓e-,, DATE: - to- ZU Zr I'1?RMI'I'# m� aS' o� l ISSUIiI>: b �f- til � ,: �y�• 3,r'1;LUCK: _ l or: /G - I LOCATION: ❑ Violation Noted 'I'Hr. WORK IS... PAStiEt) ❑ FAILF.1) / REINSPECTION ❑ SITY.. INSPFCTION REQUIRED ❑ POUTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING N( TFS ON INSI)FICl'ION: ❑ ROUGH PLUMBING ❑ ItOUGII FRAMING ❑ INSULATION ❑ Natural Gus (*_,g Aj -4J S A, s . 7-- 0 .A S i d • f--CUEL TANK ❑ FIRE SPRINKI.IiR --------- — ❑ FINAL PLUMBING ❑ CROSS CONM:(:TION - --------- ❑ FINAL ❑ ( -1'1114R ----- -- - -- �«-=: ,� . <<� �— �� � ���.n e+�(�• C w„1, .�,�u �� �. �►.. a � w � N N N + w p L]. Co c. = W x j a C. A `d -C by O x a ? ` a A o ° O Q a o � CD 0-4 � � o � � aa V� _ Wun It fl tt o o �I w O c � v d Q, '! gE "00 zUO 0.4 41 cn OC O'< O G b p d A WGy3 w = a " : 17/S O H = Ey Az 2 zc C m C v U U z � � '� t.w aS ;; W O w c�1 U O V O web z � o ava W O 0d .�- G � CA qq �., Z fu ] cu P. L) o w off a a w xzn� -� a BUILDING DEP 1VIENT D �CENC VILLAG E OF RY OOK JUN - 9 2025 938 KING STREET RYE B!M.NY 10573 (914)939-0668 'VILLAGE OF RYE BROOK i ,�ookuy.Qov BUILDING DEPARTMENT Application for Permit to Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT #: Approval Date: � � Permit Fee: $ -� r Approval Signature: Other: Disapproved: (fees are non-refundable) rkk*#**,���a,t�*��*��*���***���*�*�**,t,►,tr�*,�*t***r�****�,t�***��*���x��,ar, **�****,t,t,t,t,t,t**�,t**.tt�**�,r**�**� 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 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1.Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C105.2 or Form# U26.3 /or NY State Workers Compensation Waiver) 4.Fee per Tank: Installation: $225.00 per Tank. 5. Dig Safely New York#(dial 811): bS ? q �- d© � - L/1 �r 6. Inspection by Building Department for installation. 7. Submit all Manifests& Reports(if applicable,after work has been completed). 8.Certificate of Compliance will be provided when all requirements are fulfilled. Application dated, S 36 262 ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to install a Fuel Tank as herein Ascribed.The applicant and property owner,by signing this document agree that the subject fuel tank(s) will be installed in conformance with all applicable Village,County, State& Federal laws,codes,rules and regulations. Indicate Permit Type: Above Ground (ef• Buried in Ground ( ) I. Address: 11 4 IIsA4V teO I-i'yt- SBL:&3-5-144, Zone: �a 2. Property Owner&Address: Cesc�� gur' 1l Mia v_& (! Los ('A C4. G 6 k�� Phone#: Cell#:r( 1`l' ��-�(" Crg7q email:,Cd141.,9 ett 116,5t°-sl4&146.CzrA 3. Contractor&Address: NA n. t? $a,[. 14102. �en- ✓i lV�j t Phone#:� t �-1l(.- �tv qO Cell#�:`��`�"�6(� 1'11-L � email: 5' TC�1�pt3ULo4fCp-t* -Ne—.ri�4 4. Applicant: -T6;e-"P W ^^yy Phone#: Cell#11 y-96(o-?Y 2� email:J (U N'I A-,. t'J 0 n It cue, o\Gl 5. Indicate Fuel Type: Fuel Oil( • L.P.Gas( )•Gasoline( )•Other 6. Number and Capacity of each Tank: Q 9 7'5- c�a 7. Exact Location(s)of each Tank:, %AC - G1 Q L cvti. drJ 6/1/2025 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: CTo e 1 U c' l ft ,being duly sworn,deposes and states that he/she is the applicant above named. (print name or in(li idual 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 eo I-, C+ for the legal owner and is duly authorized to make and file this application.(indica(e architect,contractor,ngent.nttontey,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 upplication 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 befbre me this D Sworn to before me this e?:;? day of 20 zS day ofaAJ 20 Sigl afarWr Sig ul ]leant X LeSA RL a y-i ll las s `Far-y cc-S Ulb r Print Narne of Pr erty Owner Print Name of pp scant Notary Public SANTIAGO J SALBfN Notary Public Notary u is Gnorgianhe M.Berta Connecticut Notary Publlc,31ale of New York My Commission Expires May 31,2029 No.02BE-4075234 Qualflfed in Wosichast+rCounty: This application must be properly completed in its entirety and must include theohmo Ozec�p`rasocte'202fa 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 he deemed null and void and will be returned to the applicant. a 2 8/12/2021 • v e 9A J 00 W , , 10 ,, 20PLUS .. Residential oil tanks with polyurethane coating 2J PLUS Product# Capacity Model Gauge Dimensions Weight (US gal.) thickness H W L (lb.) 204201P 275 vert. 12 44" 27" 60" I 257 204701P 275 horiz. 12 27" 44" 60" 257 205201P 330 vert. 12 44" 27" 72" 290 205701P 330 horiz. 12 1 27" 44" 72" 290 UL 142 also available(275 and 330 gal.) External finish: BEIGE polyurethane coating Warranty*: 20 years Touch up paint:PE0056C "BEIGE" KR0001 (repair kit) ECOGARD ECOGARU Residential oil tanks with double-bottom protection system e Product# Capacity Model Gauge Dimensions Weight (US gal.) thickness H W L (lb.) Nk 244201 275 vert. 12 44" 27" 60" 290 245201 330 vert. 12 44" 27" 72" 334 External finish:BEIGE powder paint coating Warranty*: 25 years Touch up paint:PE0055C"BEIGE" - ECOPLUS ECOPLUS Residential oil tanks with ECOGARD + 20PLUS with polyurethane coating Qa+oe Product# Capacity Model Gauge Dimensions Weight (US gal.) thickness H W L A.) 244201P 275 vert. 12 44" 27" 60" 295 245201P 330 vert. 12 44" 27'' 72" 340 External finish:BEIGE polyurethane coating Touch up paint:PE0056C "BEIGE Warranty*: 30 years KR0001 (repair kit) 02" 02" 02" 02" —12_V2-+-12t12- Technical specifications • Steel ASTM A1011 H • Female threaded openings • Pressure tested at 5 to 7 PSIG • UL 80 and UL 142 listed 10 • Operation at atmospheric pressure r L W—.{ 'Consult warranty documents for details. '• eu- O� s � L,• 1 �� • 11/)1� • � ,11♦1♦Iit w 111111111! � \1111�111111�7 1��111�I t, ��Ijlllllll�a ��111��11�, s .r1�,u� co pp n Tito> •. Z � �/ !co)>; r De O,,I i ti 7 �71P •I y` 'y r (n CIS p m �ito»• N ,sue 7 3� s. _ � j • r ' r It�r * 1�•I�t 1�1/11� 1�11�1/�� 11 1�'` ,1/► �` _' • • • • Ie •1.1 1•ti 1•M 1 : p p p ., , :. :. 0 , ,: ., C •,�'• ..�,'dam` `vim- '`'�' -^ `i� *� ;3'` ,r�.�v. �� ,q ACORO; CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD/YYYY) `� r 5 1'202F 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). PRODULER CONTACT Miller&MillerNAME IUrin G Sldwayler Insurance Agency Inc PHONE — FAX -- 720 Commerce Street (A/C No.E.I;; 914-741.11401 _ _y�C,No1.914-74i- W7 F ThomwOod NY 10544 ADDRESS ESS JohnS�ntiElr-ms.com tNEUREI!(E)AFPOR01lIG COVlRAOE _ -- NAIC M INSURER A Great Divide Ins CO 25224 INSURED INSURER E: YOrk St1EtE InlUranOE Fund 36102 Madison Energy Corp TA Madison Environmental Tank Service -- - PO BOX 662 INSURER C:^ ___ Somers NY 10589 INSURER D INSURER E INSURER F. COVERAGES CERTIFICATE NUMBER:2025055957 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. ,'I"j TYPE OF INSURANCE ADDL SU9R - POLICY NUMBER Lam A X COMMERCIAL GENERAL LIABILITY ECP2006001-22 4/142025 4/14/2026 EACH OCCURRENCE $1,000,000 ... CLAIMS-MADE X - _.-'J� -WNUW To RENTED 3100,000 MED EMP less $61000 i-- - - PERSONAL A ADV DUJRY S 1.W0,000 _GEN'L AGGREGATE LIMIT APPLIES PER C;ENERM.AGGREGATE'—'-T!-f 2,000,000 RO, POLICY X JPECT I LOU PRODUCTS-COMPIOP A_C_rG =2,000,000 OTHER Pnk'tM i S 1.000000 AUTOMOBILE LIABILITY MOM INED S LIMI s ANY AUTO lEa acadarll�__ --_ OWNED SCHEDULED EODILY INJURY(Pw pMion) : -- - - AUTOS ONLY AUTOS BODILY INJURY(Per Amkbm) II HIRED NON-OVINIF —6pom GE f AUTOS ONLY AUTOS ONLY PR (Pgnt� • UMBRELLA LIAR OCCUR EACHOCCURRENCE S FXCESS LU1S CLAIMS-MADE' REBATE _. .. .«s 'F r• RETENTION S - _._•.s _- WORKERS COMPENSATION 13202155 ili- ANDEMPIOYERS'LIASILIFY YIN 5i2.'2024 5r2t2O25 X PER ..,,,Iu H'PAHn1�nI ,nTATUTE VE r1 NIA E.L.EACH ACCIDENT f_1.000.000 C'rlt FF a1FR+9EREhl:L JP' r L J -_ _ 1. _ (Mandatory m NH) E.L.DISEASE•EA EMPLOYEE 31.000,000 - II��rreeS JtlsrnuC Urldef r--_-_ OESCRIPr10N OE OPERATIONS below E.L.DISEASE•POLICr LsrIT S 1.000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached If mote apace Is requa'ed) Additional Irsurerfls)as REO IREU BY WRI FTEN CONTRACT:Village of Rye Brook CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS 938 King Street Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD N Y S I F PO Box 66699 Albany,NY 12206 New von. State insurance!and nyslf.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 133906739 a PATRIOT GROWTH INSURANCE SERVICES LLC DBA MILLERBMILLER 720 COMMERCE STREET THORNWOOD NY 10594 SCAN-C,VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MADISON ENERGY CORP VILLAGE OF RYE BROOK P O BOX 662 938 KING STREET SOMERS NY 10589 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 1320 215-5 294671 05/02/2025 TO 05/02/2026 04/09/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1320 215-5. 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/ CERTVALASP. 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`HE OFFICERS OF THE INSURED CORPORATION. JOSEPH TOMASULO.PRESIDENT PAUL TOMASULO,VICE PRESIDENT MADISON ENERGY CORP THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 STATE INSURANCE FUND DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER 447951709 �10000000000013 930I225111 Form WC-CERT-NOPRINT V-1I0829'20191[WC'Po1ley-1 3202 1 3 5 1 U•26.3 18