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HomeMy WebLinkAboutRB25-0100 B P, VILLAGE OF RYE BROOK Q ;E Building Department-Inspections 938 King St Rye Brook,NY 10573 1 Phone:(914)939-0668 1 Fax:(914)939-5801 CERTIFICATE OF • Compliance granted date: 12/17/2025 Permit Number: RB25-0100, Issued on 11/03/2025 Visit result: Granted and fully completed Date of inspection: 12/17/2025 Parcel number: 135.44-1-53 Municipal Address: 8 CONCORD PL Legal Description: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building, or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement,whether by extending on any side or by increasing in height shall be made, nor shall the building be moved from one location to another until a permit to accomplish such change has been obtained from the Building Inspector. Additional Compliance description: ALL WORK COMPLETED OK TO ISSUE CERTIFICATE.WE RECEIVED CLOSURE REPORT 12-17-2025. Outstanding matters: • Howard&/or Lori Levine 8 Concord PI,Rye Brook +19149391324 loribl@aol.com Inspected : Alfredo(Freddy) DiVitto Building Inspector,Village of Rye Brook +19149390668 C CN O O � v CN ° Y C 7 i (j E -0a C C v C C a V v) v v LL �..� E o on •� °'a � � v N ,' E L W tn c m v o ~ m Ln v a 3 W m ai y v LL x 1— > > w W N L teo a ° c m > 'o y Cl > 0 L m H v W u ^ a C N Z 3 W � L Y 7 0 O N 27 3 0 -0 ` O v ~ Z X Q >- oo E N ° c Q0 t0 � a3, a Z L C`7 > c� I— `o a 0 O G ti 3 0 to J LLr) W a o Y O L.L rl o L O N Y g o c E 0 L �-� � y o '� 0 W :o > 3 0 Z y L } d m y N Ou 'o N m V O O � Z > ~ E O c - v O Ne J to o +� } L to - Q� Q ai c `° o v V Y w — W v 30 m Z u > 0 w � (L o oU j, U � acomEo m in V (� O N d Y ° N Z Q W 7 L C C LLJ = O W 3r v ° am _ A , ` \ C y ) LL Y O W 0 U E N '> O M O� C 0 m ti o o G1 E LLJ 0" v CL E � N Q M un Z r XO a 00 2/ D W 0 o o o aci J \ J U to O L = 'we (V C .s t d 0 y, F- m -j -4 0 -0 m ' o M CL Li ° NUS � W > _ > imp 0 vm +; t � � O �svvvoo L Y r0 .0 C W } aci o v O ZO E c3 V) cn0 a10 v E '� T"1 N E Z 2 U Q X v ° m W U1 oO � Q > 0 000 H Q o c om p N E O '- 0 L m ? C o C v r t, O a 7•� .a WO 0 CL 0 7 V omo � � � w .N �os � � v✓ y � , E E vim .> _3 � s ccq W W W 0. O Oa a ' a v aci +� Yd �r W Q Q = � � •CL °L y0 �9d�� d Q a a 2vaiH v m BRnuk VILLAGE OF RYE BROOK Zm 938 King St Rye Brook,NY 10573 Q Phone:(914)939-06681 www.ryebrook.gov . 19(}2 ' Building Department Fuel Tank/Above Ground(Removal) Permit Permit Set 8 CONCORD PL P#RB25-0100 R#135.44-1-53 PERMIT INFORMATION Address Permit number Date issued 8 CONCORD PL RB25-0100 11/03/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Alfredo(Freddy)DiVitto adivitto@ryebrook.org INSTRUCTION AND ATTENTION 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 Westchester Home Improvement License 4 Property Owner/Homeowner Government ID,and/or Proof of Ownership 5 Application Materials 6-7 Application Materials 8 Site plan 9 Contractor's Liability Insurance,Contractor's Workers Compensation Insurance(Showing Rye Brook 10-13 Cert Holder Fuel Storage Tank Permit Application 14 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 `Py a Fuel Storage Tank Permit Application Village of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 ( www.ryebrook.gov Building Department Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester771 Project Information Permit Type Fuel Type Removal Fuel Oil #of Fuel Tanks Capacity of each Tank: Exact Location(s) of each Tank: 1 275 Gallon Garage Fuel Storage Tank Permit Application,page 1/1 \11)W44t4ne gLa.tr.w. FUEL CO.,INC. 12/12/25 Village of Rye Brook Department of Buildings 938 King St Rye Brook, NY 10573 RE: Levine 8 Concord Pl. Rye Brook, NY 10573 Permit # BLD-25-0100 To Whom it May Concern: On 12/8/25, Westmore Fuel Company, Inc. removed the existing 275-gallon steel oil storage tank from the above-referenced property. The tank was pumped out, cut up, cleaned properly and transported for disposal. The tank was brought to M. Miller's Scrap & Metal Recycling for proper disposal, and the hazardous waste will be picked up by Moran Environmental Corp during quarterly bulk waste pick-up. Sincerely yours, Rachelle-Marie Koenig Service/Installation Coordinator Westmore Fuel Company, Inc 86 North Water Street Greenwich, CT 06830 (914) 939-3400 • (203) 531-6800 = (203) 531-5783 • www.westmorefuel.com CT State Contractor's License#308868 • HOD#44 ORDIR FORM RUBINO BROTHERS, INC. Sw Canal Shea Stamford,Connecticut Telephone 323-3195 Customer's Name.......................... .............L....r.5......S%:..............l...v....................... Order No................................. Address..................................................................................................... .................. Date..... 5.............. DESCRIPTION Delivered__ Empty Drums Delivered Empty bins hayed bYr RUBINO BROTHM, INC., STAMFORD, CONN. DdvenReceiv by...................................................................................... Remorksi OK'd by..............................: .................................... ................ L F � F - I c �y BRnv VILLAGE OF RYE BROOK �4E 938 King St Rye Brook,NY 10573 W 4E QPhone:(914)939-0668 1 www.ryebrook.gov • 19p2 '� Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDU LED AND THAT THE PERMIT IS COMPLETE ti REQUIRED INSPECTIONS Name Description Final Inspection Completion of all required items under the permit including the site grading and the surveyor's final grading certificate. Certificate of Occupancy Completion of ALL Work,All fees Paid and Final Survey in if required) Q. I i Q� mac. I "all O � 11111111 11111/11111 y ,�1 t 1j1ih'Ij�'���� 1iM ,111 ,1 1 ^'�111���' • � ♦ '::IN 111::.. ! i 1f`.l.IN�111:r� of a :,:1111�/ll�ttf.f .IA�1 11/111/111 .III,I/h111.: ! �(0)}) +\ ' p V 00 i O cG N O O a. o W 00000 _f c0 cd w ti C) fw (o)) y V O U Q - '� O "C :;ice ' ��• L_ 'O • CLLIp G CL ^i O .' '1=i : I� •^I 0 w q U V) Z � y O O z CD Q 4,� 11 U a toiection H � ; • co. .• r `.... w Qa wG7o p C1 p 1,l . : � . � 0 r7 � � � a anw J � • �:? Scs)> r V O U = z LLI w 0 w w z ~ of 00 Z _ w ccz `( v cl �, C) =♦ R m y N a W c cl .fl = h 1•� . t )Y r I o z C) \ W p C fh V Z f At U cn a+ � 111 , � f ! .11,���11t. i 1j t .:.1• 111'•s i t ',/'-+1,11'. 1 1h11 j ..��,1 �O) 1 AC40® DATE(MM/ Y) v CERTIFICATE OF LIABILITY INSURANCE oa/22/20252025 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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY FAX HOME OFFICE: P.O.BOX 328 (A/C,No,Ezt):888-3334949 (A/C,No):507-446-4664 OWATONNA, MN 55060 ADDRIESS:CLIENTCONTACTCENTER@FEDINS.COM INSURERS AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 WESTMORE FUEL COMPANY INCORPORATED 86 N WATER ST INSURER C: GREENWICH,CT 06830-5886 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:35 REVISION NUMBER:0 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVD MMIDDIYYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE Fx OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP(Any one person) $5,000 A N N 9062818 06/01/2025 06/01/2026 PERSONAL ADV INJURY $1,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 OW X POLICY ��T ❑LOC PRODUCTS&COMPIOP ACC $2,000,000 rl OTHER: LL���FFN�� AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per Person) B OWNED AUTOS ONLY SCHEDULED N N 9062815 06/01/2025 06/01/2026 BODILY INJURY(Per Accident) AUTOS HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per Acciden X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 B EXCESS LIAB CLAIMS-MADE N N 9062816 06/01/2025 06/01/2026 AGGREGATE $5,000,000 DE D RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN X PER STATUTE •THER ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $500 000 B OFFICER/MEMBER EXCLUDED? N/A N 9917566 06/01/2025 06/01/2026 (Mandatory in NH) E.L DISEASE EA EMPLOYEE $500,000 It yes,describe under ,DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $500,000 7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached it more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK 35 0 938 KING ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RYE BROOK, NY 10573-1226 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (D 1988-2015 ACORD CORPORATION.All rights reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la. Legal Name&Address of Insured (use street address only) 1b. Business Telephone Number of Insured 203-531-6800 Westmore Fuel Company Incorporated 86 N Water St Greenwich, CT 06830-5886 1 c. NYS Unemployment Insurance Employer Registration Number of Gr Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 06-0739367 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Reserve Insurance Company Village Of Rye Brook #35 938 King St 3b. Policy Number of Entity Listed in Box"1a" 9917566 Rye Brook NY 10573-1226 3c. Policy effective period 06/01/2025 to 06/01/2026 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"3" insures the business referenced above in box 1a"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"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: Elizabeth Petersen (Print name of authorized representative or licensed agent of insurance carrier) Approved by: ¢"�`— 04/22/2025 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 888-333-4949 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