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HomeMy WebLinkAboutMP25-149 (�yE 4R �. tt�wuJJV i CLC.. l`�1•v4 VV�J 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.Qov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE November 17,2025 Jason St.John&Maggie St.John 2 Winding Wood Road Rye Brook,New York 10573 Re: 2 Winding Wood Road, Rye Brook,New York 10573 Parcel ID#: 129.83-1-1 This document certifies that the work done under Mechanical Permit#25-149 issued on 10/14/2025 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BK��� 198'2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ■ VAsSINTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFI-ICER 938 King Street • Rye Brook, NY 10573 (914) 939-0668 FAx (914)939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADURrss :_2 w t v i� 14 '(�3 �Oo a� oms I),,.: 14 Z g, - ZOZS- PERMIT# M? Z.•�" t4 -1. 1SSUED:_10-I4- I:<;r: /L9. BLOCK: LOCATION: . �e� Q �npu.Se.. OCCUPANCY: ❑ Violation Noted T11 r•, wo lm is... PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION - ❑ Natural Gas uF>; 1 j� . s T /•d ❑ L.P.Gas �UEL TANK - ❑ FIRE SPRINKLER ❑ FINAI. PLUMBING ❑ CROSS CONNECTION ❑ FINAI. LL ---- ❑ OTHER � �lie S'T•��� ' �Fa.�y � IV Y ! �r �r ti •r. to N 'O y(ayQr � � ■ !O1 N N 1pi m � ■ u W e •- W L1G U a� r ti x +r IT U A °> o w ■ 0 r- COO t+j W rx a v h v 7 (J,j bq IW�y O L M w � � � g � b � o � � ■ . c o o 04 cn � Q a O U ti � a Q .n �. ti a II' � ■ wN00 0 _ 7 Z p w o ob 0-4( ( a H CA W UZn �, o z 1■■•1 � � M w c7 N � 'n „ ea r C�A cn ■ O W on Q c7 z CN ;; `:, V �4 A W c�a O o V AC1 ■ o ' u (A - � 0 a 0 z a U W Q O z zo a; sec Z W o 0 0HQN -Z � 0-4 � v H y3 o z 00 o � > °" � 0, : a w 0 � � �� b BUILD ICI `:� � MENT D F1. VIL E Or RY. OOK 938 KING T ET 12r>;Btt: ,NY 105 OCT 14 2025 VILLAGE OF RYE BROOK lt1r-o 11 ov BUILDING DEP/ ARTNENT Application for Permit to Insta Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require re stration with the County of Westchester) yy� FOR OFFICE USE ONLY; PERMIT#: ► � )1���'I�� i Approval Date: OCT 14 ?421� Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) *****,r*+r,r,►*,r******,�x**r*,.***�**�**s*err**,�****�********,r�***********,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 REOUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE: I. Application Completed by Honded, 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# C 105.2 or Form# U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Installation: $185.00 per Tank. 5. Dig Safely New York# (dial 81 1): 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 fiilfilled. Application dated, 09n9/2025 ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to install a Fuel Tank as herein described. 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 PerinitjyM Above Ground Buried in Ground 1. Address: 2 WINDINGWOOD ROAD NORTH SBL: 129.83-1-1 ZO11e: R-15 2. Property Owner&Address: JASON ST. JOHN Phone#: 914-400-5092 Cell#: email: JASON.D.STJOHN@GMAIL.COM 3. Contractor&Address: Northeast Environmental Inc 225 Valley Pl Mamaroneck NY 10543 Phone#: 914-777-1930 Cell#: email: dtnonaco@neenviro.com 4. Applicant: Dwayne Monaco for Northeast Environmental Inc. Phone#: 914-777-1930 . Cell#: email: dmonaco@neenviro.com 5. Indicate Fuel Type: Fuel Oio L.P.Gas( )•Gasoline Other( ): 6. Number and Capacity of each Tank: ONE 275-GALLON HEATING OIL AST 7. Exact Location(s)of each Tank: ENCLOSURE BENEATH REAR PORCH 6/l/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: DWAYNEMONACO ,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 Tank Removal/Abando►m►ent Contractor 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 5ey6,4�ear ,20� day of L� ,20 Z Sigt cure of Proper ,Owner S' t ture of Applicant 1 Sf �10 w . �. bAJ to C O \Prrint Name of Property Owner Print Name A scant y 6 2� Lee' Notary Public W1 t p WALTER LEE LE3 Nota�1C►t�W ublic,State of New York Notary Public,State of New York Registration No.01 BA6171381 No.01LE6143008 Qualified in Westchester County Oualified in Bronx County Commission Expires July 23,204 Certificate Filed in New York County This application must t Wl"f9f►WfRMn 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 Nvill be returned to the applicant. z 6/I/2024 Removal of a 275--gallon heating oil AST and install a 275- gallon AST in same location. Mobilize equipment on site and set up perimeter of work area with proper cautionary devices to ensure public safety while work is being conducted. 275-GALLON AST IN ENCLOSURE BENEATH PORCH All piping (i.e. vent,fill, suction and return, etc.) will be flushed leading back to the tank then removed from the AST. The AST will be properly vented,then be cut opened,cleaned of its contents, and deemed gas free. The tank contents will be transported to a permitted disposal facility. The AST will then be cut into manageable pieces and disposed of offsite at a metal recycling facility. The sub-level will be surveyed for the proper placement of the AST keeping in mind the required distance from any open flame. Utilization of 2"schedule 40 steel pipe with NPT fittings for the vent and fill pipe. Vent and fill to be piped to the exterior of the structure with weather tight terminations. Exterior vent and fill pipe terminations will be at least two(2)feet away from any openings. An audible vent overfill alarm will be installed at the tank. '/2' coated copper tubing will be used to feed fuel oil to the burner with the required in line safety valves. Any foundation penetrations will ■ be repaired in a manor to prevent ground/surface water from entering building. Proper documentation of the tank replacement will be provided to the client and local governing agencies. Generalized Site Plan; Not To Scale; For reference Only OIL FIRED FURNACE SITE: St.John Residence 2 Windingwood Road North Rye Brook, NY 10573 CONTRACTOR: Northeast Environmental 225 Valley Place Mamaroneck NY 10543 (914) 777-1930 WINDINGWOOD ROAD NORTH Westchester County License No. WC-14361-H03 NYSDEC Transporter No. 3A-500 2 It 1 Table Describing digits 1 to 5 of Product# Product Cap.(US Steel thk.(ga) A(in) B(in) C(in) D(in) E(in) F(in) G(in) Side View 20370 230 12 30 12 12 12 12 60 3 1 20370 T 230 12 141/2 71/2 22 11 11 60 57 1 20470 275 12 30 12 12 12 12 60 3 2 20470 T 275 12 19'/4 91/4 20 10 10 60 57 2 20570_ 330 12 61/2 22 12 12 12 72 3 2 20570 T 330 12 23'/a 111/4 24 12 12 72 69 2 20860 T 138 121 11'A 1 41/2 14 6 30 27 2 21170 275 10 30 12 12 12 12 60 3 3 Table Describing Digits 6 of Product# Product# I H 3 1 t/2"NPT 6 3/4"NPT E D C B� 2"NPT[4] B B 3"NPT 44 1/8 AS0006 SIDE VIEW 1 22 1,8 A AS0001 q38PI/2 UL Label 43 7/8 A50035 SIDE VIEW 2 26 7'8 0 a o AS0001 37 H 5[typ.] 44 114 ® AS0004 211 -} G AS0001 —37 1/4 A SIDE VIEW 3 A F e dessin est la propriete exclusive de Industries Granby,SEC.Aucune partie de ce dessin ne peut titre utilisee ou reproduite sans sa permission ecrite. This drawing is the exclusive propertyof Granby Industries LP.No part of this drawing may be used or reproduced in any manner without its written permission. TOLERANCES LINI=AIRES,LINEAR STD TOLERANCES Description de la revision/Revision description Reservoirs d'Acier Granby, 0 OR FRAC.(X/X) ->t0.5" 0.00 ->.0.125" Granby Steel Tanks 0.0 ->.0.25" 0.000->t0.0625" ©2009 Industries Granby,SEC.Granby Industries LP ormav S¢e No de la piece I Par[no. TOLERANCES ANGULAIRES, ANGULAR STD Dessine par/Drawn by A C 1 0077 B 1 0 ->t 2DEG. 0.00 ->:0.1 DEG. 2009-12-11 0.0 ->t 0.5DEG. E BOuraSSa Description/Title Les soudures doivent respecter la specification SI-0039. Approuve par/Approved by: Tank welds must respect SI-0039 specifications. E BOUraSSa 2010-04-19 GENERIC DRAWING FOR RESIDENTIAL Materiau/Material: Unites/Units Echelle/Scale Fellille 1 I 1 HORIZONTAL UL-142 TANKS INCHES 0.05 : 1 Sheet 2411, 1 D-TANK TMPLT-C 7EIMM/DDrNYY) A�" CERTIFICATE OF LIABILITY INSURANCE /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 Cole Lahey NAME: PF Northeast Brokerage Inc PHONE (845)223-8107 FAX (845)227-8816 A/C No Ext: A/C,No: 1035 Route 82 E-MAIL clahey@pfnortheast.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Hopewell Junction NY 12533 INSURERA: Great Divide Insurance Company INSURED INSURER B: Key Risk Insurance Company Northeast Environmental II LLC INSURER C: 225 Valley Place INSURER D: INSURER E: Mamaroneck NY 10543 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2582616985 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 A13OLISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ A 100.000 CLAIMS-MADE /� OCCUR PREMISES Ea occurrence $ X Contractual Liability MED EXP(Any one person) $ 25,000 A ECP01530828-25 06/11/2025 06/11/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑JECT PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER I Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ g OWNED X SCHEDULED BAP1530830 06/11/2025 06/11/2026 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESSLIIAB CLAIMS-MADE FFX1530829-25 06/11/2025 06/11/2026 AGGREGATE $ 5,000,000 u DED RETENTION$ 10.000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is listed as additonal insured with regard to general liability coverage as per written contract.Coverage is primary and non-contributory. Waiver of subrogation applies,as per written contract.No labor law exclusion applies. 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 � a�1lJ� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) 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 (914)777-1930 Northeast Environmental II LLC 225 Valley Place lc.NYS Unemployment Insurance Employer Mamaroneck,NY 10543 Registration Number of Insured Work Location of Insured (Only required if coverage is Id.Federal Employer Identification Number of Insured specifically limited to certain locations in New York State, Le., a or Social Security Number Wrap-Up Policy) 334857018 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) American Fire&Casualty Co. Village of Rye Brook 3b.Policy Number of entity listed in box"la" 938 King Street XWA57980680 Rye Brook,NY 10573 3c. Policy effective period _6/29/25 to 6/29/26 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/officers included) X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' 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' compensation 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 note the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be 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 "3c 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: Joseph W.Pires (Print name of authorized representative or licensed agent of insurance carrier) *V.•a Approved by: 1 9/19/2025 (Signature) (Date) Title: President—PF Northeast Brokerage Inc. Telephone Number of authorized representative or licensed agent of insurance carrier: (845)223-8107 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