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HomeMy WebLinkAboutRP25-078mMR # RP 5-C.�� DATE: /O !v SECTION la LOCK LOT TYPE OF WORK _ _ - /���/' 7 CA \7)10I 12)11I / jr jee?o 10d CONTRACTw YNI:PT. COST CO #--c TCO # FEE DATE visPECTION RECORD 1 DATE 1 NSP i401 IN Uw i FOOTING FOUNDATION FRAMING - RGH FRAMING INSULATION PLUMBING CI - RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT C7 -- ALARM CI AS BUILT FINAL OTHER APPROVALS AFiP BOt PB ZBA OTHER J DRY O b�4 to��� Y Lt­ 1 +4 Vu� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE December 2,2025 Ronald Brown&Jacqueline Brown 978 King Street Rye Brook,New York 10573 Re: 978 King Street, Rye Brook,New York 10573 Parcel ID#: 129.52-1-18 Roof Permit#25-078 issued 10/14/2025 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 For office use only: BUILD ENT PERMIT# 2a� VIL :BROOK,'NEVW YE OOK ISSUED: I Q• I'f• 2� 938 KING STRE YE YORK 10573 DATE:-0668 FEL Sp PAID w 4 , k ov APPLICATION FOR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION tfiiikt tifi#i##i#titifftkki#ii#tif##ii kikfitkiiikiki iiifif if rt###k4###frtf##rtrt##i#i#iirt######k#f#f#####k####f#t#k#tititkitiffii Address: cl 7 fT I w ��(1 eT /t /1 o e l/1 IV t/ Occupancyn/Use: �Cg`�'"f(k Parcel ID#: L Zone: —/5 Owner: 1 o n't? �� n y"r✓ Address: `I 7� "k ""7 S 1 AY� r /�wOo('j J1�(j l��j�3 P.E./R.A. or Contractor: M 14 T 11$ P-e-S[g k/ T-N/e Address: 2-0`1 W-'4 fe'7 w J r yh W AY 1 Pf##w )V Y Person in responsible charge: R nri d o Address: 4? K'wy sr Rr 0 &Y 1 v 5a /-7 0_7 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 (NE]W Yr OR/K,l,, COUNTY OF WESTCHESTER as: Ali►/4 1 c1 64 ' / 4 °'teeing duly sworn,deposes and says that he/she resides at q W rt/ rV9 5T- ,((Print Name of Applicant) (No.and Street) 1 in Yt 6 n 0 0(' ,in the County of W e�j c h 5 ( e in the State of ,that (City/Town/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,pr fessional fees,and includin the nw tary value of any materials and labor which may have been donated gratis was:$ T `� , `� t �/ for the construction or alteration of: Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,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 1 l� Sworn to before me this day of N Oye�`d � , 20 S day of -' 20 a� Gf 0�1— Signature of Property Owner Signature of Applicant ft'W4 (4 If. 6 �ov✓i✓ erne of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MEULLO (votary Public,State of New York No.01ME6160063 6/l/2024 Qualified In Westchester County Commission Expires January 29,20 Z� � E BRC��• O Zm l7 7932 BUILDING DEPARTMENT ❑B LDINGINSPECTOR 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.aebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:37 8 K, a r, S I air7/ - DATE: jj ..2.1'7-0LS'- PERMITS S Q7 Q_ 1SSUED:�—�y��rSECT: /W•62-BLOCK: LOT: LOCATION: 200 P. OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 2--'ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS C3 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL k]'OTHER c � 0 � Ln V^ D O N NCA 0 x a ' i--i z w � � A x a,-0 ° " o 00 u m o. Cl) F-7 1 4 W ,� cn G. z W .. 1� p o o O Z '� h--1 x O u7 >00 o aN to! A 04 O w � o H � ..., u v q p r Cn cn >1 P >1 v V Q a a � o yr V Ln A00ob av •.. z cry w �o �. „ ws V A Q AU M o aV � �' z AO00wcn00 rg o °Q CIN a A w � m M C d v o '� .0 ? Cn d x c zz CA cn 00 A z 0 z z a4 oA u ° BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 www.ryedia)okny. rov FOR OFFICE USE ONLY: 1 S Approval Date: \� ermit# RPL�;�5-t�7r: 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: Ou Permit Fees: h 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: �19 Kt ; "v S I A: c� f3 d c�r i W I( !v j 7413L: 2g 5$ 2� J�� EZone: �"1 Property Owner: 0"W it T7!i ki"it/ Address: �7i 1 i t rr S t c_y c ri�u, 1), 'V t/ I G j 7 j Phone#: Y I Y �3 ? I 'Z G 3 Cell#: �! t' .5 L_S 316-1 email: J4cIfI e Pawl 4- #aU .'CG 2. Applicant: n U" 1 rt D w TT/ Address: ti 7� x!W ! J2 r S y� �3,l�� r iv P�'773 Phone#: R l� �3 y I Z 6 3 Cell#: I`� 5_b 3`l6 7 email: 14 ft h J}UL;Ga 3. Roofing Contractor: 0�► 1 I^1 ►�Tl pe 9i y r✓ . r ►t/c Address: 2 y� u/� I e r=N 14 h w.4 f 4 rfPl< rvr Phone#: `I 2 3 _5 7�Cell#: email: 19 A nI ATr'4,, dG 5 �3 4. Job Description,list all Methods&Materials: �'t a ►{ C 1 C V 'n R I I ` CC J17 5. Estimated Cost of Job:$ l I S w (NOTE:The estimated cost shall include all site improvements.labor.material,scaffolding,fixed equipm irl which.professional fees.and material and labor which maN be donated gratis.) 6. If corner property,indicate street frontage: `` t7 7. Construction Type: OrL y 0 d!Vt rs j NYS Construction Class: 8. Number of stories: Z Height:Yet t�lxi W14t-I J-11 9. Is garage being re-roofed:No:( ) •Yes:KAttached No: es: qNumber of Cars: 2 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: F rL rk S cJ I A 11 Pc(7 -t bV c d lVi) 1./}(�/1 T_� m/ 1 3(12 5 6/1/2024 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 Tj E Yq ,C LINTY OF WESTCHESTER ) as: k`�"` 4 P 0 (A/14*** , being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further statep that (s) is the legal owner of the property to which this application pertains, or that (s)he is the /(G "Y)f I /h° ti,-P`,- 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. Sworn to before me this r---1 �j Sworn to before me this day of 20 day of 20 , Signature of Property Owner Signature of Applicant rigt Name of Property Owner Print Name of Applicant \ r Notary Public U Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County Commission Expires January 29,2011 -2- 6/1/2024 3 Description House-Shingle Roof System ATLAS PINNACLE PRISTINE SHINGI ES(upgrade)-ATLAS PINNACLE PRISTINE SHINGLES Remove and replace all shingles with Atlas Pinnacle Pristine 1cluding Scotchguard 3M protecrion to prevent stredks ATLAS WEATI IERMASTERC,ICE &WATER-ATLAS WEATI IEUTASTER(R)ICE&WATER Self-adhesive underiayment applied along eaves and valley, protecting vulnerable areas on a roof from ice and water damage ATLAS SUMMIT 60 ENGINEERED UNDERLAYMENT Install Directly on the roof deck providing a secondary,la;:r:r of prutection from the elements, including rain,snow. ano wind ATLAS PRO-CUT HIP AND RIDGE W/SCOTCHGUARD a ATLAS PRO-CUT HP 42 STARTER ATLAS TRURIDGE ALL WEATHER RIDGE VENT PIPE BOOTS ALUMINIUM PS WHITE DRIP EDGE To All_ Pursuant to your request,and in accordance with our site visit on 5/3/25,we herewith submit the `ollowing proposal for roofing services to be performed a,the above referenced location: ALL WORK SHALL BE PERFORMED I.N THE FOLLOWING IMANN EP- 1.The owner is responsible to obtain any and all permit; necessary from their municipality and engineering,if required,for the outlined worl,. 2. Set up necessary equipment to complete fork.Cover rill landscaping,windows and doors to pr otect from debris 3. Dumpster for All Roofing Waste 4.Atlas Lifetime Warranty 5. Remove and Replace Atlas Pinnacle Shingles 6. Remove and replace Alummiumn F5 Drip Edge 7. Remove and replace Atlas starter shingles 8. Remove and replace Atlas Surrinnt 60 synthetic paper 9. Remove and replace Weathermaster Ice Shield 10. Remove and replace Ridge cap shingles(hip/ridge) 11. Remove and replace Pipe Boots/Collars 12. Remove and replace metal flashing 13. Remove and replace ridge vent 14.Estimate is base off of one layer of sningles Advantages L?crime Warranty Your roof is shielded horn wirer)gusts up to 130 naph. Features a wide iormat lot better curb appeal, plus our Sweet Spot " r;allitig area and double FASTAC . sealant line ensure your Shingle;will stay pill, r'nuf rnnf will,lay beautiful be<<iuse it features Srotchgarrl Protector h•;3tv1,which resists black streak,,,and causr,1 br algae. C L � = 7 0 � i C3 N V) c � c � W5 LLJ cn z LLJ ) „ ON -_ 17 J I ;r7 _ V g J AC�® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/26/2025 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 Gosia Grmek NAME: Jacob J.Katz 8 Company PHONE (845)638-0505 FAX 845)638-0527 A/C No Ext: A/C,No): 455 Route 304 EMAIL gosia@katzinsurance.com ADDRESS: P.O.Box 9410 INSURER(S)AFFORDING COVERAGE NAIC# Bardonia NY 10954 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B: Dalmatia Designs,Inc. INSURER C: 204 Western Highway INSURER D: INSURER E: Tappan NY 10983 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2591639921 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED CLAIMS-MADE Fx—]OCCUR PREMISES Ea occu ence $ 100,000 MED EXP(Any one person) $ 5,000 A Y 3AA935823 09/25/2025 09/25/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $POLICY aPRO- 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LUIBILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElE.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as additional insured as required by written contract,agreement or permit. 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 AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD /;RkN NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE FRI. A A A A A A 873513327 k JACOB J KATZ&COMPANY ,5 � 455 ROUTE 304 A r BARDONIA NY 10954 • SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DALMATIA DESIGNS, INC. VILLAGE OF RYE BROOK 204 WESTERN HIGHWAY 938 KING STREET TAPPAN NY 10983 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2608143-0 826399 03/14/2025 TO 03/14/2026 9/26/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2608143-0, 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 PAUL HOLDER OF DALMATIA DESIGNS 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STAT SU NCE FUND 4 �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 172409940 U-26.3