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HomeMy WebLinkAboutRP25-0009 1.0 c O ❑' N c O f0 aa, L Y N O L 7 0' ❑� 04 w v E a v c v c c m m bb v in v ai ii OJ E ° to a a v N 61 v E Lij M ay m - v a 3 x i O� ~ o °'a o LJ -1--j LJ.I N } N Lo a aci b�O Z 0 co v IS m }v '� "C3 Y � W u ^ N LLJJ L � o > W_ t Y o N y coZm N Y ~ a -00` � F- Z 0 � > c 3 aZ e � N a` LiaN � QO `o Tu O �� m D a O u 0 Y Y N +, N H w E. o Y ° ,c 0 0 2 00 v 0 N Y Z � � �o 4 � � m ov > 3E °t m y L } d .. u v c a } i O N Z J V) pm o o E ° c J � N = p Q a cM 0 C T.- - I O L 00 T C 1i/. � to �. 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Estimated date of completion: 10/24/2025 Roofing Permit Application,page 1 I 1 VILLAGE OF RYE BROOK . . 2 938 King St Rye Brook,NY 10573 Q Phone:(914)939-0668 1 www.ryebrookgov �O 0 02 i Building Department Residential/(Roofing)Permit Permit Set 129 N RIDGE ST P#RP 25-0009 R#135.59-1-31 PERMIT INFORMATION Address Permit number Date issued 129 N RIDGE ST RP 25-0009 10/22/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Steven Fews stevefews@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 Contract Proposal for work 4 Westchester Home Improvement License 5 Contractor's Liability Insurance 6 Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 7 Roofing Permit Application 8 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 BRnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W Q Phone:(914)939-06681 www.ryebrook.gov 02 • Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTYOWNER IS RESPONSIBLE FOR ENSURING THATALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE 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. 211 CHESTNUT STREET Contract PORT CHESTER, NY 10573 Date Estimate# 10/1/2025 1515 Name/Address Job Location Fenia Weiller Fenia Weiller 129 North Ridge Street 129 North Ridge Street RyeBrook,NY 10573 RyeBrook,NY 10573 P.O.No. WINDOW/GTTRS Item Description Total ROOFING ROOF 5,875.00 Remove existing asphalt shingle roof to deck from the side with asphalt shingles only Inspect deck for any deterioration and repair as needed at an additional charge Supply and install the following: -one roll of ice and water shield over the eaves and valleys -synthetic roof paper on the remainder of the roof -aluminum drip edge on all edges -new architectural shingle roof on the pare with asphalt shingles -new copper flashing on the chimney PROGRESS PAYMEN... All payments are due within 5 days. O.00T Checks are to be made payable to TWF Contracting Inc. 50%due at signing 50%due at substantial contract completion CONTRACT ACCEPT... BY SIGNING THIS DOCUMENT I AGREE TO ALL TERMS IN THIS O.00T CONTRACT AND HEREBY AUTHORIZE TWF CONTRACTING INC. TO BEGIN THE ABOVE RENOVATION AT MY RESIDENCE.ALL PAYMENTS WILL BE MADE AS OUTLINED ABOVE. Customer Signature Date Contractor Signature Date Sales Tax 0.00 TWF Contracting Inc.is licensea in wesicnester county Rome improvement License #WC-11641-HO1 and State of Connecticut Home Improvement License#HIC.0614313 Contract Price $5,875.00 Phone# Fax# E-mail Web Site 9146901251 (914)690-1252 ALYCIA@TWFCONTRACTING.COM www.twfcontracting.com �c.�,qy..'.' �...�.,�'>ti€li,._.1t►Sfi:. 721R�r.,_.ctl., 5 n � u E JA n II V . 7 it r..� Z W a O f Z r—cn WDG r"to)Jet W V O Z !j W ° •s , � � � p U �• to q t y a r; ' ,esit �rn)�' �,�sttn*"'�r rs�� •rrjnA } ,cth•-•ng8 y 'cs,.q•- 1 �' r n.� 1 +!!ii t� '! •rS I1 $ail► ''+t� ' , Nf ► . '�•. t,� Piii '.;�t1�', � r y TWFCONT-01 FHOLZHAY ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/10/2025 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 Carol Mueller NAME: Acrisure Insurance Partners Services of NY, LLC PH N 90 S.Ridge Street AJC o,Ext: 914)908�4612 NC,No: Rye Brook,NY 10573 ADD�' yCMMueller acrisure.com INSURERS AFFORDING COVERAGE NAIL 0 INSURER A:Selective Insurance Company of the Southeast 139926 INSURED INSURER B TWF Contracting Inc. INSURERC' 211 Chestnut Street INSURERD. Port Chester,NY 10573 -- INSURER E: 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMBS T A � D WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 CLAIMS-MADE AI OCCUR X S 2333460 3/19/2025 3/19/2026 PR AGE TO RfE,ENTED 5occurrence) $ 00,000 SESMED EXP(Any one 15,000 _ PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 POLICY rX d LOC PRODUCTS-COMP/OP AGG 4,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO S 2333460 3/19/2025 3/19/2026 OWNED BODILY INJURY Per arson SCHEDULED AUTOS ONLY AUUTµOSSWNEp BODILY INJURY PeraccideM AU7 os ONLY AUTOS ONLY Dora dde t AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CWMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN TATUTE EIR ANY PROPRIETORIPARTNER/EXECUTIVE F-- E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N AA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Equipment Floater S 2333460 3119/2025 3/19/2026 Contractors Equip 97,653 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is included as Additional Insured as per policy terms and conditions. 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 Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1F-0;*; A \\ NYSIF New York State Insurance Fund PO Box 66699,Albany..NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) Wm - SCAN RI ^^^^^^ 134157673 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER T W F CONTRACTING INC VILLAGE OF RYE BROOK 211 CHESTNUT STREET 938 KING STREET PORT CHESTER NY 10573 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G1243153-2 496031 06/29/2025 TO 06/29/2026 10/10/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1243153-2, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/M/WW.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. THOMAS FORBES-PRESIDENT TWF CONTRACTING INC ONE PERSON CORPORATION 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. NEW YORK STAT SU NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 846023861 U-26.3