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Home My WebLink AboutRP25-082SECTION TYPE OF WORK JOB LOCATION OWNER�� T. COST CO #� J FEE„ 1 S� TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING CJ RGH PLUMBING GAS SPRINKLER ELECTRIC ❑ LAW -VOLT ❑ ALARM ❑ AS BUILT ❑ FINAL DATE � INSP OTHER APPROVALS AFt�, PB ZBA OTHER �QyE BR1 . 19 C tG4.jJ��v L 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 Merle Minks&Krishna Minks 42 Hillandale Road Rye Brook,New York 10573 Re: 42 Hillandale Road, Rye Brook,New York 10573 Parcel ID#: 130.77-1-4 Roof Permit#25-082 issued 10/15/2025 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 TMENT For office use only: BUILDII46 PERMIT# VILt(A OF RYE 91( ISSUED: Q'—/,rj vZ 938 KING STRE YE BROOK, W YORK 10573 DATE:: Z 9 -06 C�- FEE:IA O PAID WR ov 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 ####irti#RRiii##4#######t#t#t#44#+#4i#f*f#iff#+#*f#####ifiiirtiRi#rt##RRi4i4#t#t#*#f##iii#rtR#i*#####Riiii#iR#i#4#444f##f#rti#Ri#4 Address: Occupancy'/Use: ket Parcel ID#:_13 -7 ?' 7 Zone: Owner:/Ye/'1c d J&I6 h r31:;. /Y/rr K-5 Address-Y-1 461111411114 fc., (C_12.d P.E./R.A. or Contractor: Address: C\C.r% 't-!;) c Person in responsible charge: 8jrg�; kd^,ad) Address: T Sc,v" 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: aA 0 �tzh, being duly swom,deposes and says that he/she resides at 116 Cx•e!�A, .ri, NA (Print Name of Applicant) (No.and Street) in V i J%"e j K0A eCjr_ ,in the County of ujjk,,5k,4,c->ac r in the State of /�1 ,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,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 500 __ for the construction or alteration of: Z,Oo� �C.D lG�c_2 &ILA 7"K . 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 t40 v �_t-(,1�� Sworn to before me thiT-4 day of , 20 ZS day of , 20 Signature of Property Twner Signature of Applicant Print Name of Property Owner d Print Name of Applic t otary Public GEORGE MGRDITCHIAN Notary P lic Notary Public, State of New York GEOR J. MOTTARELLA No. 604872590 Notary Public,State of Nsw Yak Qualified in Westchester County No.4616455 6/1/2024 Commission Expires Dec. 15, 20 ZAsl Qu~in Weddodw County commission Expires Dec.31,Ma E DRC�� cu � '9a2 BUILDING DEPARTMENT ❑B ILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOD ❑CODE ENFORCEMENT OFFICER 938 DING STREET• RYE BROOK,NY 10573 (914)939-0668 FAx (914)939-5801 www.ryebrook.org - - - -- - - -- - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :A2—_ �-I_J_��.�',�.!_.�r^ A o -8 DATE: 2- ' ZOGJ PERMIT#_ 1�l_ Ci ' _Z ISSUL'D:-/0'-l6r-4-rSECT:/J0- 77 BLOCK: / LOT: LOCATION: PO 4 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 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 ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL •n OTHER ooO s a 00 ui ,o eq O N N C.F v N Lo ti W a a 0 8. , o 4-4 C4 a W cn 14 0-4W Cn a ai � � :a m 10, i aTo �' ao o W v G G C.L. A = O ^ O 8 D �° ■ � ro3 � ..g O = s Q F+■1 W r- F O a a , q a14 a FBI CMS ' ^ �7a. 00 Mw W ° v y Cn WF � � h4 U N C a�i U zON � M z �i W cn Z O ro+ +�. v w V _ PLO E :b " ate Z = I..I z � q~ M I OC zW o ad � o5 �sc. O "' z z " w O g� O o b Q � 'Fo O z0 O V H $ � � N U U .. A I~ z ] x o n BUILDN66 RTMENT VILtE OF RYE1IOK D �CE938 KINGT RYE BROU NY 10573 _o � OCT 14 2025 ov VILLAGE O! F?Y= BF?COK FOR OFFICE USE O LY. Approval Date: 10 ermit# '1 2�� 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: 11W.17yPermit Fees: 26 C� ROOF PERMIT APPLICATION Application dated:6C,-. tot"20 21. 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: 6GA '014 8,11A- 4 6'e't'tt_- SBL: Zone: Property Owner:l-k7wr VC, b. f1G` Mttl K.Adress: Phone#309' Tcj 5 -1(7 3L4 Cell#: email. 2. Applican Address'� �� (c�e,l1'�C� Awl- Phone#: / YY Cell#. /��f� �6f, _email:�[�s I/K�/hs�• 3. Roofing Contracto)Lcoj 5"�- t f"C-Address: .13 Ylaqj Phone# /e f- ` / - .Z�Cell#�J'/�-�(�y5<6 47 email.-- ( chn G; �-�/,ye.LP�ISn�(, twy 4. Job Description,list all Methods&Materials-Ac"4P '/i�s_ G"& �� r��e.- reO►-Q, C lA/,�// A10 ��l,��T nbcl/li�� yr. S ;nfa t� 5. Estimated Cost of Job: $ i O I] (NOTE:The estimated cost shall include all site improvements, labor.material. sca folding, fixed equipment.professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: d NYS Construction Class: 8. Number of stories: Z t Z• Height: ,: .0 "f 9. Is garage being re-roofed: No: ( )•Yes: ( )Attached No: ( )•Yes: (Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: X'#Ic4F, 11. Estimated date of completion: ? -�6, -l- 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 OTWW YOR ,COUNTY OF WESTCHESTER ) as: k 7 , being duly sworn, deposes and states that he/she is the applicant above named, (print name of in ividual signing as the applicant) jpd. further slates that.(s) a is toe legal owner of the property to which this application pertains, or that (s)he is the ""�, for the legal owner and is duly authorized to make and file this application. contrac ,agent,att rney,a c.) 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 1�j Sworn to before me this day of OC1 EC��r , 20 Z5 day of , 20 .wz X,Z_6t Signature of Property Owner Signature of Applicant 7 ,�1� A Print Name of Property Owner Print Name of Applicant otary Public Notary Public GEORGE MGRDI FCHIAN Notary Public. State of New York No. 604872590 Clualified in Westchester County Commission Expires Dec. 15, 20 Z -2- 6/1/2024 � � �➢ram ,�sDi 3 N Qgca3Ai v .90 N r _ O ® :•, �� ", ! � is p w '�`�-'. •�. '`\ p ff \. •,\ Z U cn QtO�gC�ion O > z p '• o t� y iaC 3 ® W Z N . Q �?: c�'"t chi U 'C '•'!. a ice( ccl79 1 4•. � cN e aio V C9 cd ' ' y „• K tQd�Db L `„ 0op��0 �Be. . ., ml 00v4�Q 9 8a 3gg �4oC A�QY "' •a�G WIW �k... - r - �'' �` - - k h'• rya L'. w \ . py W A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 10/13/2025 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 James Wynimko NAME: Bauer-Crowley,Inc. PHONE., Ext (845)359-4114 /X No): (845)359 4684 643 Main Street ADDRESS: limw@bauercrowley.com PO Box 358 INSURER(S)AFFORDING COVERAGE NAIC# Sparkill NY 10976-0358 INSURERA: Merchants Mutual Insurance Co. 23329 INSURED INSURER B K Con Site Developers Inc INSURER C: 225 Orienta Ave INSURER D INSURER E: Mamaroneck NY 10543-3935 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2513016035 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 AIJUL SUIISK POLIC Y EFF POLICY EXP LTR TYPE OF INSURANCE Iry WVD POLICY NUMBER MM/DD/YYYY MWDD/YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAUL TO RENT ED— CLAIMS-MADE ® OCCUR PREMISES Ea occurrence $ 500.000 MED EXP(Any one person) $ 15,000 A Y BOP9099195 12/16/2024 12/16/2025 PERSONAL&ADV INJURY $ Included GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE g 4,000.000 X POLICY ❑PRO ❑ 4,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: Employment Practices $ 100,000 AUTOMOBILE LIABILITY C,F)MBNJED9NGLE-UMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y CAP1057128 12/23/2024 12/23/2025 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident PIP-Additional $ 150,000 UMBRELLALWB FOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (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/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Village of Rye Brook is included as Additional Insured if required by written contract. 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 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i/ / \\ NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE q6 ^^^^^^ 133522882 #i' t K-CON SITE DEVELOPERS INC M �'� Y' 225 ORIENTA AVENUE � i MAMARONECK NY 10543 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER K-CON SITE DEVELOPERS INC VILLAGE OF RYE BROOK 225 ORIENTA AVENUE 938 KING STREET MAMARONECK NY 10543 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1140 702-0 951503 03/04/2025 TO 03/04/2026 10/12/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1140 702-0, 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 GEORGE MGRDITCHIAN SOLE OFFICER/SHAREHOLDER 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 STATE SUR NCE FUND F �V DIRECTORJNSURANCE FUND UNDERWRITING VALIDATION NUMBER: 1008546948 U-26.3