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