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HomeMy WebLinkAboutRB25-0039VILLAGE OF RYE BROOK - BUILDING DEPARTMENT 938 KING STREET - RYE BROOK, NY (914)939-0668 1 www.ryebrook.org Residential / (Fence/Wall/Gate) Permit PERMIT#: RB25-0039 ISSUED: 10/01/2025 EXPIRES: ADDRESS: 158 BRUSH HOLLOW CRES PARCEL ID #: 129.76-1-102 PARTIES: Applicant Property owner Gemelos Renovation & Maintenance IlcJena Grossman Sonia Chavez 158 Brush Hollow Cres 75 s broadway white plains, ny 10601 rye brook, ny 10573 NOTICE 1. TH IS PERM MUST BE CONSPICUOUSLY POSTED2.ACOPY OFIT EA PROVEEDPLANSMU TBEEKEPTOTNSITE. THE BSITE. 10/02/2026 Hours of Operation of Construction Equipment/ Village Code §158-4: WEEKDAYS - 8:00am to 6:00pm or dusk, whichever is earlier; SATURDAYS - 9:00am to 4:00pm; - SUNDAYS & HOLIDAYS -No Construction Activity Allowed This permit is valid for a period not to exceed twelve (12) months from the date of issuance, and covers only that work listed above. Separate permits are required for any electrical, plumbing, fire suppression, fire/smoke/carbon monoxide detectors/alarms, or any other work not covered under this permit. The approved plans must be kept on the job site & be made available for review by the Building Department upon demand. Any amendments or changes to the approved plans must be designed by your architect/engineer and submitted to the Building Department for review and approval prior to performing the work. 11AFA1 , k Steven E. Fews - Building & Fire Inspector #R,Fence/Wall/Gate Permit ApplicationVillage of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information Occupancy/Use: SBL: Zone: Residential Proposed Fence / Wall / Gate: If building is located on a corner lot, which street does it front Replacing the fence exactly as existing one. (121) LF Round on? Cedar Post and Rail- 2 rail fencing as follows: (117) LF Round Cedar Post & Rail- 2 rail (1) 4'W matching Round Cedar Post & Rail -trail walk gate with gate hardware What is the estimated cost of construction? (NOTE: The estimated cost of construction shall include all site $5,750 improvements, labor, material, scaffolding, fixed equipment, professional fees, and material and labor which may be donated gratis.) Estimate date of completion 10/05/2026 Fence/Wall/Gate Permit Application, page 1 / 1 �yE 6Rnv� VILLAGE OF RYE BROOK F 2m 938 King St Rye Brook, NY 10573 W Phone: (914)939-0668 1 vmmw.ryebrook.gov >�• �O� Building Department 1962 ' Residential / (Fence/Wall/Gate) Permit Permit Set 158 BRUSH HOLLOW CRIES P# RB25-0039 R# 129.76-1-102 PERMIT INFORMATION Address Permit number 158 BRUSH HOLLOW CRES RB25-0039 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Steven Fews stevefews@ryebrook.org INSTRUCTION ANDATTENTION Date issued 10/01/2025 It is the responsibility of the Applicant to print full size the entire approved permit package and provide at the time of inspection. TABLE OF CONTENTS Cover page 1 Building Permit 2 Required Inspections 3 Drawing combination 4 Details drawing 5 Photograph 6 Fence/Wall/Gate Permit Application 7 Building Department. 938 King St Rye Brook, NY 10573 / Phone: (914)939-0668 VILLAGE OF RYE BROOK 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 w ..ryebrook.gov Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE REQUIRED INSPECTIONS Name Final Inspection Certificate of Occupancy Description Completion of all required items under the permit including the site grading and the surveyor's final grading certificate. Completion of ALL Work, All fees Paid and Final Survey in if required) o a V% h .Z c� z S of �p 0� 11: 36 AM Thu Sep 11 43% 1 Jena Grossman 158 Brush Hollow Crescent Rye Brook NY 10573.pdf a ER 000 -Pak 7+i •a r �♦'! ` T i a '#�`�s - 1 y . 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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 CONTNAME: Alex Polansky Coverage by Design Corp. PHGNE . (631)649-7999 FAX No): (631)649-9324 87J N.Industry Ct ADDR ESS:E-MAIL jalessi@coveragebydesign.coml INSURERS AFFORDING COVERAGE NAIL N Deer Park NY 11729 INSURER A: ATLANTIC CASUALTY INSURANCE COMPANY 42846 INSURED INSURER B Gemelos Renovation&Maintenance LLC INSURERC: 242 W 53rd St INSURER D: 41 E INSURER E: New York NY 10019 1 INSURER F COVERAGES CERTIFICATE NUMBER: 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. ILTR NSR EXP TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDPOLICY EFF MMI POLICY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREM SES Ea oawrrence $ 100,000 X Blanket Addl Insd MED EXP(Any one person) $ 5,000 A X Blanket Waiver of Subrogation L302003348-0 06/12/2025 06/12/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO 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 HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED 1 1 RETENTION$ $ WORKERS COMPENSATION I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ H 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 certificate holder is designated as an additional insured in regards to general liability as per writen contract or agreement. 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 Kings St. AUTHORIZED REPRESENTATIVE Rue Brook NY 10573 �U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany.NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 0 ^^^^^^ 831830524 COVERAGE BY DESIGN CORP 87J NORTH INDUSTRY CT DEER PARK NY 11729 :.s i SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GEMELOS RENOVATION & VILLAGE OF RYE BROOK MAINTENANCE LLC 938 KING ST. 242 W 53RD ST APT 41 E RYE BROOK NY 10573 NY NY 10019 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2460 200-5 796865 12/21/2024 TO 12/21/2025 9/16/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2460 200-5, 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/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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 10 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STAT SU NCE FUND TT �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 946158079 U-26.3