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HomeMy WebLinkAboutMP25-153 DR1 4' O c ctw"� J i 19 ( o 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 Joey Daniel Pinto Jr.&Jessica Lynn Lane Pinto 64 Talcott Road Rye Brook,New York 10573 Re: 64 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-22 This document certifies that the work done under Mechanical Permit#25-153 issued on 10/16/2025 for the installation of a new above-ground tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDING DLI AR I MENT ❑1411LIMNG Iti31-1'(.-lON nS�Iti'1'ANT RLIILIMNG INS111,('l4)N VILLAGE OF RYE BROOK p CODU ENPORCIAUINT 01TIC1.1t 938 KING STRIA-1-1- • ltvl: 131tooK, NY 10573 (91.1) 939-Ohba FAX (914) 939-5801 %� �w.rychr�►i►ka►r; - - - - - - - - - - INSPECTION REPORT - - -- -- - - - - - - - - - - - - - - Anl)Itr.ss : (p`7 4 A-LCO-U,—_I? Off_ DATE: 1 1 - l Z 2 OZ� 3 )O- tiec;'r:_/3S•SZ) Bt.och: / Loti: -7- LOCATION: - OCCUPANCY: ❑ VIOLATION NU'rm) 7'Ilti wolm IS... pd' ACcGP'1'L••1) ❑ Itliltic:TED/ RmNSPEc-r1oN p SITE INSPECTION IZLQulut:D ❑ FOo'I'l NG ❑ FOo-rING DRAINAGE ❑ FOUNDATION ❑ UNDIAWROUND PLUMBING NOTFS ON 1NSPI- TION: ❑ ItoUGII PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ''•• '' ❑ NATURAI.GAS pl- 'U L L'I A N K ---- ❑ FIRE SPRINKLER L o2 en O k ❑ FINAL PLUMBING ❑ CROSS GoNN1i -VION ❑ FINAL [] U'I'IIIiR 1 `J ��� I. ,�� � �;� .� �_ j �l f � � � � � �� 1♦ ,, � y ..� i �,i M ,.,.a!� r" �.. J � C C W s � N N .. 0 N M n cn U A o � o � GO w o � � c W 00 W M h V' q � o ,� o -o W i 0 O W W c~i� d v o o 04 '3 QM ^ . -o pp z W W O a ', O 0" 0 `o O � � W O U F oU � u U0 Z ck Uz a5 o0 .4 � V A o �o oou U wl W wq °' Z w O z v z � z � O" F--� w � � V Q k � Nw p a o . 4 F � f E-� W O C� z z o -°pa V ° "►�•i v U O Fqw i w p o 0 o V � c o - v p v C)( N A z z V A w z 'gam b " O V s BUILDING DEPARTMENT D �_= Y[E D VILLAGE OF RYE-BROOK938 KING STREET RYE BROOK,NY 10573 OCT F 2025 (914 Ob68 VILLAGE OF RYE BROOK wNvw.ry`rook.org BUILDING E D PARTMENT Application for Permit to Install Fuel Storage Tank (*Storage Tanks in excess of I,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT =: M19d5. 153 Approval Date: OCT 1 25 A Permit Fee: $ � Approval Signature: Other: Disapproved: \ (fees are non-refundable) DO NOT START NN ORh or CONSTRUCTION UNTIL A PERMIT HAS BEE\ ISSUED BY THE BL ILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR NNORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 1211/0 OF THE TOTAL COST OF CONSTRUCTION Nk'ITH A NIINI.NIU;M FEE OF S750.00 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#C 105.2 or Form#U26.3 /or NY State Workers Compensation Waiver) 4.Fee per Tank: Installation: S 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 fulfilled. Application dated, 10/7/2025 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 Permit Tyne: Above Ground (x)• Buried in Ground ( ) 1. Address: 64 Talcott Rd, Rye Brook, NY 10573 SBL: 135.50-1-22 Zone: 2. Property Owner&Address: Joey Pinto, 64 Talcott Rd, Rye Brook, NY 10573 Phone#: 914-720-8474 Cell#: email: hollywoodpinto@gmail.eom 3. Contractor&Address: BURKE ENERGY, 475 Commerce Street, Hawthorne, NY 10532 Phone#: 914-919-3507 Cell#: email: burkepermits@meenanip.eom 4. Applicant: Burke Energy Phone#: 914-919-3507 Cell#: email: burkepermits@meenanlp.com 5. Indicate Fuel Type:Fuel Oil(X)•L.P.Gas( )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: (1) 275 gallon Granby AG oil tank 7. Exact Location(s)of each Tank: rear left corner of garage (with collision pole) t 10/30/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Kelly Redlon / Burke Energy_,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 contractor representative 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 Sworn to before me this day of �(,�o,�pf ,20 1—s day of_ au6cir- _,20 06- Sijrfature oflifr perty Owner Sign to a of p scant ( Kelly R urke Energy/contractor Print Name dProperty Owner ELIZABETH SARLES Print Name of A NOTARY PUBLIC,STATE OF NEW YORK Registration No. 01 SA6392045 Notary Public Putnam County Notary Public Commission Expires May 20,2027 This application mast be properly completed in its entirety and mast include the notarized signatures) of the legal owner(s) of the subject propem. 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. KATHLEEN MARTUCCI Notary Public, State of New York No. O1 MA0015643 Qualified in Westchester County Commission expires: November 4, 20 L: x 10/30/2023 • 04 ■ Oft collision pole garage I Residential oil tank UL 80 Product# Capacity Model Gauge Dimensions Weight (US gal.) thickness H W L (pounds) 209101 120 vert. 12 47" 23" 30" 170 208101 138 vert. 12 44' 27" 30" 160 208601 138 horiz. 12 27' 44" 30' 160 oil 207101 220 stubbier/vert. 12 44' 27" 48' 220 207601 220 stubbies/horiz. 12 27" 44' 48' 220 203201G 230 t"i-Ivert.grey 12 44' 22' 60' 235 203701G 230 thin/horiz.grey 12 22' 44" 60" 235 202201 240 na^ow/vert. 12 47' 23" 60' 265 202701 240 narrow/horiz 12 23" 47' 60' 265 *04201 275 vert. 12 44" 27" 60" 255 - r 204701 275 horiz. 12 27" 44' 60" 255 211201 275 vert. 10 44' 27" 60" 330 4. 211701 275 horiz. 10 27' 44" 60" 330 205201 330 vert. 12 44' 27' 72' 290 205701 330 horiz. 12 27" 44' 72' 290 External finish:BLACK or GREY electrostatic powder paint Warranty*: 10 years Touch up paint: PE0030C"BLACK" PE0032C"GREY" Cylindrical models vertical Product# Capacity Model Gauge cover Dimensions Weight (US gal.) thickness Shell Dia. Height (pounds) 3006622 150 DCV 560 11 12 30" 65" 200 3007622 185 DCV 690 11 12 30" 77' 225 3008622 220 DCV 825 11 12 30" 88" 255 External finish: WHITE polyurethane paint Warranty*: 3 years • x , " 1 Cylindrical models horizontal Product# Capacity Model Gauge cover Dimensions Weight (US gal.) thickness Shell Dia. Height (pounds) 3005224 138 horiz. 12 12 26' 60" 165 External finish:BLACK electrostatic paint Warranty*' 3 years 7 ft. x 4 in. Round Top On-Diameter 16-Guage Concrete Filled Painted Grey Bollard (5 Per Pallet) Portland Stone Ware 7 ft. x 4 in. Yellcyv Pcwder Coated O. D. 16-Gauge 80�lards are visible barriers used to protect - — 1 '�---- valuable areas. Common placement of bollards are in commercial industrial settings to block areas such as parking lots, sidewalks, storefronts and utility equipment.They are also often used to restrict access to specific areas. Portland Stone Ware bollards are made from minimum 3,000 psi concrete batches and specified pipe or tubing to withstand A L U significant impact. J Y ,O Specifications Dimensions Product Dlamater On.) 4 in Product Height On.) 84 in Details Base Plate Depth On.) 0.00 Base Plate Width On.) 0.00 Color Family Yelicw Material Concrete Product Weight Ob.) 113 ib Reconditioned No Returnable 90-Day Safety&Traffic Control Type Bollard https:l/www.homedeput.com/p/7-ft-x-4-in-Round-Top-On-Diameter-I6-Guage Concrete-Filled-Painted-Grey-Bollard-5-Per-Pallet-E3L407i320126930#ov... 317 \\ ��n - � //11�j� -��� '�!lllii4� fi�ll1i11i�� -� Y���lwl/�-± ,.�i°�'t I"�+��1/1! F. 1 r ��1l/�/j � r (1je+��R t D`�P X •'�.i; <dac�s .,N �i �<«-� . �,+111�1�f *=.: '�.p�Nd f���-f�`!�./,��t�.�,�..��•,m+��,1��+ :�.•,t►�� ��'+ �f� a ,«o>� 0 �1f 1, � V C, O �� J• .\ lu dt + � O � o •� zS� - w Cl) U rim � G o €� ction Q` <to)s Z au a a� G7p y y Lij c w n W w w t�.. w Y ,r, Y co J(w a> At(o 1' p ��. .s"fig •� O � �- � .�_. N .. (M7 • '=tom) / Uqu ��7�I17T y 3 = ,y if • • ., ,!e/ �wa Y•!e`e/ �A /se/ � 1� It�ST +e�i i a /e/i/ • �� w '�• Aco P CERTIFICATE OF LIABILITY INSURANCE DATENIM/DOIYYYY) Ill 09/30/2025 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 Ben MARSH USA,L-C. NAME: am n Sancusky 1166 Avenue of the Americas PHONE 929-496-33C6 _ FAX Noe New York,NY 10036 MAIL Ben' k lSh CCfn — - —— Attn:NewYork.ceM@Marsh.com ADOREs� IarninSBI1dUS--yea -- ------ - _ INSURERS AFFORDING COVERAGE __ NAIC N CN1C1414839-PE7RO-ACORC-25- INSURER A: N tl n I Union Fire Ins Cc ittsburahPA 15445 INSURED INSURER B: NIA N,A MEENAN OIL CC,LP DIBIA BURKE HEAT AND BURKE FUE_OIL CO INSURER C: N,A 475 COMMERCE STREET INSURER D: HAWTHORNE,NY 10532 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011745459-29 REVISION NUMBER: -HIS 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 — TR POLICY NUMBER MMiDO LIMITS A ( COMMERCIAL GENERAL LIABILITY 7032451 'Cr0112025 1C,C'2026 EACH OCCURRENCE S 1.000.000 DAMAGE TO RERrM5__ CLAIMS-MADE �OCCUR PREMISES c rr n S 500,OW X XCU i MED EXP one arson S 10.000 X vontramal I PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j GENERAL AGGREGATE $ 5,000,000 POLICY! X JPECT _LOC PRODUCTS-CCMP/OP AGG S 2,000,000 OTHER: I SIR S 1,000,000 AUTOMOBILE LIABILITY -COMBINIS LI 5 ANY AUTO 90CILY INJURY(Per person) 5 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY IN,.LRY(Per accident) 3 HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY 5 U MBRELLA LIAR OCCUR EACH OCCURRENCE 5 _ EXCESS LIAR CLAIMS-MADE AGGREGATE S _ DEL) RETENTION; S WORKERS COMPENSATION PER O . AND EMPLOYERS'LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 5 OFFICER;MEMBER EXCLUCED7 N'A ----------- --- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE.S It yes,descnbe under - ---�- DESCRIPTION OF OPERATIONS belaw E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached it more space is required) THE VILLAGE OF RYE BROOK is mduded as additional insured where required by writen contract_ CERTIFICATE HOLDER CANCELLATION THE VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE '!Jf!vicm,( ZC.S_1sF ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID D1FA2A7C-8ECD-49C6-BC95-8779C20FF7FF Workers'' CERTIFICATE OF sTATZ Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use stree"address only) 1 o.Business Telephone Number of Insured Meaner Oil Co.,LP 845-782-8^61 DBA Burke Heat and Burke Fuel Oil Co. 475 Commerce Street 1c.NYS Unemployment Insurance Employer Registration Number of Hawthorne,NY 10532 Insured 8311425-2 ork Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security ertain locations in New York State,i.e.,a Wrap-Up Policy) Number 11-3083408 2.Name and Aderess of Entity Request ng Proof of Coverage 3a.Name of Insurance Cartier (Entity Being Listed as the Certificate Holder) AIU Insurance Company Village of Ryebrook 938 King Street 3b.Policy Number of Entity Listed in Box"1a" Ryebrook,NY 10573 16440129 3c.Policy effective period 10/1/2025 to 10/1/2026 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partne�siofficers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"l a"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 Carder or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box 2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums 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. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed.. nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon 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: Peter Seibold (Print name of authorized reoresentative or licensed agent of insurance carrier) ITDocuftned byApproved by: L�_r St,Iwj 10/9/2025 &�'=r:,c (Date), Title: attorney in fact Telephone Number of authorized representative or licensed agent of insurance carrier: 212-770-7000 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(9-17) www.wcb.ny.gov