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HomeMy WebLinkAboutRP25-0008 wmm � (\ONo • , » (U E O c e $ r-I e m : e ; _ $ _ 7 § I / C, e C�i Zm E w .. ` ! /: s q \ uj E _ ± x © / \ / 2 �_ � � k \ w w \ k \ k � � LLI $ 2 • CN 0 ® z % - � §\ ¥ 7.1 C822 ago L c � ° ®82 & LLJ 00 YY / w [ § t - E o � $ m o § o 222 — M 2M LU $ 2 § Wkk � w � Ln Ew 0 V) D M « a ` o \ / Z f � § ( < � 0 Lq � © ) u \ ) E \ k o � $ \ 0 R / } 7 \ % b o t % m z � ) J / � E ® © 0 � ® wf \\ i LL ƒ � U > ,tA u 000 V, b 2 Ln o cu E e © f27 % a O q � k k � 0 w u « EE _ E 10 � � )§ » E \ \ < % / L \ ? ol w � ° = � § � 0 � (D � « G % 2 � E ƒ � � � t § G moo \ q_ O [o2E � § p / � j / E o E § \§ ) \ / 00 M g o 3 g w « LU / � # > O m & § .. � 0 § a 5E0 0 CL\ \ 0a CL 5 'A _ u 2 ƒ ] e 0 # % 2 .2 \ ƒ � \ 2 / 0 � kE E =x » » 0 § a 0 �» w c « < ) a § � »u 0 )�% « Roofing Permit Application Village of Rye Brook 1 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL: Zone: Construction Type: NYS Construction Class: 13505200030020000000 If corner property, indicate street frontage Job Description, list all Methods & Materials: Reroof of existing residence. 1470 sq ft. (15 squares). Venture will remove the existing shingles and install new aluminum vent pipe flanges as required, ice&water shield in valleys, ridge cap, aluminum step flashing at connecting side walls, and Class-A fiberglass self sealing shingles (GAF Timberline HDZ). Number of stories Height Roof Type If Other, please specify: 2 Other Gable Is garage being re-roofed: attached? ❑ Yes 0 No © Yes ❑ No Number of Cars: 1 Estimated Cost of Job: (NOTE: The estimated cost shall include all site improvements, 11999 abor, material, scaffolding, fixed equipment, professional fees, nd material and labor which may be donated gratis.) Estimated date of completion: 10/31/2025 Roofing Permit Application,page 1/1 BPR VILLAGE OF RYE BROOK . . ° 938 King St Rye Brook,NY 10573 � W Q Phone:(914)939-0668 1 www.ryebrook.gov ' ��• 82 • � Building Department Residential/(Roofing) Permit Permit Set 68 TAMARACK RD P#RP 25-0008 R#135.52-3-2 PERMIT INFORMATION Address Permit number Date issued 68 TAMARACK RD RP 25-0008 10/15/2025 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 Roofing Permit Application 4 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 104' � BRC�k VILLAGE OF RYE BROOK , 938 King St Rye Brook,NY 10573 � Phone:(914)939-0668 1 www.ryebrook.gov • 1 p2• i� 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 5R � I� REQUIRED INSPECTIONS Name Description Certificate of Occupancy Completion of ALL Work,All fees Paid and Final Survey in if required) vent re sot r Venture Solar Customer Agreement Addendum for Roof Work This addendum is in relation to the solar photovoltaic installation agreement('Agreement') between Venture Home Solar, LLC ('Venture') and Fernando Rosales ('Owner')to take place at 68 Tamarack Road, Port Chester, New York 10573 ('Site'). Venture and Owner may individually be referenced herein as a 'Party'or collectively as the'Parties'. TRANSACTION DATE: August 24, 2025 1. Venture will remove the existing shingles and install new aluminum vent pipe flanges as required, ice &water shield in valleys, ridge cap, aluminum step flashing at connecting side walls, and Class-A fiberglass self sealing shingles. 2. Shingle color: 3. Venture offers a 10-year workmanship warranty. 4. The total cost of the roof work is $11,999.00 5. Venture will remove all debris and shingles from the site. 6. Venture will make best efforts to complete the work within 24 hours of scheduled date to completion of installation, but is not liable for any delays due to permitting, policy change, weather, or force majeure. 7. Owner to supply all electricity at the Site. 8. Venture shall furnish all tools, equipment, supplies, superintendence, transportation, and other construction accessories, services and facilities necessary for Contractor to perform the Work. Venture shall furnish all material, supplies and equipment specified to be incorporated into and form a permanent part of the complete work. Venture will provide and perform all necessary labor in connection with the contract in a substantial and skillful manner and execute, construct, and complete all work specified. 9. Customer Payment of$0 due on the day Work begins. Additional 3%fee to pay by credit card. 10. Roof Financing Method: Included in Solar Financing Method I agree to pay $100 per piece of plywood that needs to be replaced beyond the first two sheets. FR (Initial Here) Venture Home Solar, LLC ff�rdner •m-� -�• I Fervov�do Fzo ale � support@venturesolar.com 347.305.7999 � + W • .�+-. .?Fw... �j�' t4ny.{ A yf" ' Y• ..A .' J+ ''A �� 'vPSY A 7 "Wl, A7 W'ti+' �' A �•,tiL�l`''" fp .'ntiw5'i/!�� / efi7Y Phi7�jFl; yy�/�j/f 9 �51.,� lg • b y�h i.,.S�k�^ ` O/ "t(�l�h�lJtj/' O +t�ljfl4(fY'}nn• � ;'tYh/�/rf�• O y/J�'';�f���/�?s.- O r�4��' ti.`r a11ls' p`,r,��,;+ Ftc9►�l}tr r�,•,.,�,�;,7 I ll �tlf h+,�,;;;' #f� �6)�r ljr,�+�,p�, �1�h , mo a to i ��3)r ,;+•,•,+;;/ �'�d� .y. ir P. Ta' 1 ❑ t:, � C) C C 3 t v" ' iM d .I Q •r�M p C I '•%_.; .. � 1 LU �^ s Q t •° ce tiection l :r MI WLU LU LU m U) o o . x, W z _� o- ... Z?C-::: .�' �. � X tar I.���•� ..c5>• ZZ < CIO i may U OU 'd I LO yij �//� y•I �+ a+ ti v U U �.Rz� M' • n (<to)1 .�..- as . 7 .► l )t` 31� /' t4rs♦"'" i1f�rritC+♦ a r r 1 tit r 1 ti ^�® DATE(MMIDD/YYYY) A (` O CERTIFICATE OF LIABILITY INSURANCE 08/15/2025 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 Katerina Cole NAME: Provident Protection Plus Incorporated PAHCNNo Ext: (973)579-6776 Fvc No): (973)579-0111 96 US Highway 206 ADDRIL katerina.cole@ProvidentProtectionPlus.com PO BOX 4 INSURER(S)AFFORDING COVERAGE NAIC# Augusta NJ 07822 INSURERA: Southwest Marine&General Ins Cc 12294 INSURED INSURER B: Oxford Insurance Company NC LLC 16817 Venture Home Solar LLC INSURER C: Selective Insurance Company 12572 1 Dock Street INSURER D: NJ Manufacturing 12122 Suite 310 INSURER E Stamford CT 06902 INSURER F COVERAGES CERTIFICATE NUMBER: 24/25&25/26 Master#1 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 AUUIL 5UbK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTE15 CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y GL202400012768 11/15/2024 11/15/2025 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 4,000,000 X P LOC PRODUCTS $ 4,000,000 POLICY ❑XECT OTHER Per Proj capped agg limit $ 5,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ C OWNED SCHEDULED Y Y S2467549 08/22/2025 08/22/2026 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 B X1 EXCESSLIAB CLAIMS-MADE Y Y 1022-24 11/15/2024 11/15/2025 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Commercial Auto Combined Single Limit $1,000,000 D Any Auto(Symbol 1) 1104694823 08/22/2025 08/22/2026 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Description of Operations:Solar Panel Installation Certificate holder is included as an Additional Insured to the above captioned General Liability Policy for on-going&completed operations on a primary& non-contributory basis and Additional Insured to the Automobile Policy for work the insured is performing provided a written contract exists requiring such a status. Per the terms of the policy,coverage for an additional insured is contingent upon an underlying written contract with the named insured requiring such coverage. There is a Waiver of Subrogation included in the General Liability,Business Auto,&Umbrella if required by written contract. Umbrella follows form.30 day notice of cancellation except 10 for non payment of premium. 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 AUTHORIZED REPRESENTATIVE n /' Rye Brook NY 10573 I �t. (? `!' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Progressive Employer Management Company III, LLC Labor Contractor,for (718) 398-2259 leased workers to: Venture Home Solar,LLC dba:Venture Solar Electric 1c.NYS Unemployment Insurance Employer Registration Number of insured 100 Charlotte Ave Hicksville,NY 11801 1d.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to certain Number locations in New York State,i.e.,a Wrap-Up Policy) 47-4266827 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being 3a.Name of Insurance Carrier Listed as the Certificate Holder) American Zurich Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street WC 10-18-880-06 Rye Brook, NY 10573 3c.Policy effective period 4/1/2025 to 4/1/2026 3d.The Proprietor,Partners,or Executive Officers are X included.(Only check box if all partners/officers inclued) 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"la"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 7. The insurance carrier must notify the above cerfificate 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,licese 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 refemced above and that the named insured has the coverage as depicted on this form. Approved by: Douglas Jones (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 2/20/2025 (Signature) (Date) Title: Vice President Telephone number of authorized representative or licensed agent of insurance carrier. (480)9514177 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) ww.vvcb.ny.gov