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HomeMy WebLinkAboutRP25-0007 G CN O N o „ L y O O ❑� ❑� M v e-i Ln c Ocu a oo v Y U U- dJ O 0 c c } a n cv ° - a� ca J +, v E � W L wZ L mF7c m d o Y O H N Li X J v OL _ > Q > ui W w +' r •� o L J >, 0 a>i m � a d co � -% L LI _u ^ -OW N Z L WF- t Y 7 0 W Lr) O = N U H Z ~OQaC }Y YbA Oo o scN O Z ~ C o L Z` N 0 Yi OLn D v E 00 o � r c NO W $ > 3 E 0 Z O cu >- a m o v $ (U -o a) U O > Z F " 3 -o = aci n J W L O o >� +' 'i J N pA = m o E } aJ 0 N J O a m � 0 O O p = � cod LQ a 6 O N ° O W pp = v on f9 3 u Q a s �- E �° L O �O N a° >�N m a J p 0 ra y a m � C \ X � -D2 Na w u m 7 � co W � o% E O Z � 3 � s LAJ o n `° } Zo. •� p � > v o ' °�' v Y IT '�'� c-4 W O oo U 0 -0 (v a>i Li 00 s-I W m a o - w E L O Cl) o, F- � F- a, zLX � p W A N N a D ' +• o n} CU O'- C7 4. owccyc Z O Q W a s E 0 0 J (n N U = oo to E ac c t V/ Z �p �n N U W > 2 m0 Y %V Y •0 0 a v v on +, U W >- ctnY c � � as E < EE > �O t .� LL NQ �zz °�' 3m' J O wv > M O N H Q y y N M c-i a Z N N C ' yO C d 0 N E c o d � aaIu g o a� cd• v =.0 WO O n 0 10 7 V � � m � > � o M `p v c i i > E - C <`+ W J W On} , n v 0 co W O , 0 E _ �' p CU 7 ° v W IA p Q Q ` ; � a °r Q a a cQr 2 to H a) r ca Roofing Permit Application Village of Rye Brook 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: 130.77-1-16 R-20 VB R-3 If corner property, indicate street frontage Job Description, list all Methods& Materials: ACTIVE LEAK, PLEASE EXPEDITE THE REVIEWS. Roofing Work-Remove and replace existing roofing system in entirety. -Install new GAF Timberline Ultra HDZ architectural shingles in Pewter Grey. -Install accessory roofing components including: -- Timbertex Ridge Cap --Lomanco PRO4SWN Ridge Vent--TopShield Starter Strip+ --King Quality Royal Treatment Classic Underlayment--TopShield Ice&Water Shield (2 squares) --Berger Aluminum Drip Edge F5'/2 (0.019)—White--Lifetime 3" Ult. Pipe Flashing#300 -Flashing: Install new step and counter flashing at roof-to-wall and roof-to-chimney transitions. Color: Black/Brown/White (final selection prior to install) -Chimney Flashing: New flashing as required (color selection: Black/Brown/Copper). -Satellite Dish/Antenna: To be removed and handled per owner direction (discard, return to customer, or reinstall). -Dumpster Placement: Driveway (temporary during construction). Gutter& Downspout Work -Remove and replace gutters and downspouts throughout. Number of stories Height Roof Type 2 18 Hip Is garage being re-roofed: attached? © Yes ❑ No © Yes ❑ No Number of Cars: 1 Estimated Cost of Job: (NOTE: The estimated cost shall include all site improvements, 50078.21 abor, material, scaffolding, fixed equipment, professional fees, nd material and labor which may be donated gratis.) Estimated date of completion: 10/08/2025 Roofing Permit Application,page 1/1 BR(�� VILLAGE OF RYE BROOK 2 938 King St Rye Brook,NY 10573 Q Y Phone:(914)939-0668 1 www.ryebrook.gov Building Department Residential/(Roofing) Permit Permit Set 3 LITTLE KINGS LN P#RP 25-0007 R#130.77-1-16 PERMIT INFORMATION Address Permit number Date issued 3 LITTLE KINGS LN RP 25-0007 11/04/2025 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 Contractor's Liability Insurance 4-5 Contractor's Liability Insurance 6 Westchester Home Improvement License 7-11 Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 12-13 Contract Proposal for work 14-19 Roofing Permit Application 20 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 �� 4Rnuk VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W � Q Phone:(914)939-0668 1 www.ryebrook.gov > �O 1982 Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSI BLE FOR ENSURI NG THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE REQUIRED INSPECTIONS Name Description Install GAF Timberline Ultra HDZ: IN Timbertex Ridge Cap- Install Lomanco PRO4SWN Ridge Vent TopShield Starter Strip+ Install King Quality Royal Treatment Classic Underlayment Install TopShield Ice&Water 2SQ Install Berger Aluminum Drip Edge F5 1/2 0.019: Lifetime 3"Ult.Pipe Flashing#300 Total Project Cost:$50,078.21 Discount:-$26,965.19 Balance Due to Contractor: $50,078.21 PROJECT EXPECTATIONS ROOFING PROJECTS ACKNOWLEDGMENTS 1.Materials to be delivered 1-3 days prior to project start. 2.Debris trailer to be delivered 1-3 days prior to project start and to picked 1-3 days after project completion. 3.Roof removal can cause considerable dust in attic area,please cover or remove attic items as necessary.King Quality Construction,Inc.is not responsible for damage or attic clean up. 4.Roof installation can cause vibration to walls and ceilings.Please remove any valuable items from walls to prevent damage. 5.King Quality Construction, Inc.is not responsible for leaks resulting from skylights that do not get replaced. 6.Skylight replacements require additional inside trim work.This is the responsibility of the homeowner. 7. If any antennas or satellites are reinstalled,homeowners needs to be prepared to contact their satellite provider post installation to reconnect their signal. 8.King Quality Construction,Inc.is not liable for any gutter guard system installed by another company and not taken down prior to installation of new roof. 9.Final ventilation layout may change based on production and install team findings. 10.King Quality Construction,Inc.is not responsible for any cuts,abrasions or punctures to cables,electrical wiring or HVAC lines. 11.King Quality Construction,Inc.is not liable for any prior mold,current mold,or future mold.Any past,current,and future mold remediation/damage is the sole responsibility of the customer. 12.Any HOA approval will be provided by homeowner unless otherwise stated on this contract. GUTTER PROJECTS ACKNOWLEDGMENTS 1.No fascia boards are included in this proposal unless noted on roof replacement or roof repair contract.Additional cost could arise due to damaged fascia not recognized at time of estimate. 2.If gutter project is being completed alongside a roof replacement,gutter project will start 1-3 days after roof replacement completion. 3.Gutter system is not waterproof,small amounts of water escaping the gutter system is normal. SIDING PROJECT ACKNOWLEDGMENTS 1.No wood boards are included in this proposal unless noted on roof replacement or roof repair estimate.Additional cost could arise due to damaged wood not recognized at time of estimate. 2.Expeditor may be sent out to get additional fabrication measurements prior to installation. Customer Acknowledgment of Project Expectations Authorization Signature /-V A 4.,Al Additional Wood Cost: 1.Additional sheathing above contract quantity will be replaced at marketplace value plus labor. 2.Any damaged fascia wood will be replaced if needed at marketplace value plus labor. 3.Any sheathing specified in this contract will be eligible for a refund at the rate of$4.75 per square foot,contingent upon determination during roof installation that such materials are not required. Customer Acknowledgement of Additional Wood costs Authorization Signature / 2V f King Quality Construction, Inc. Ki* ng1,.___ ua1 *ity 6 Skyline Drive Suite 120 Hawthorne, NY 10532 USA (631)312-1800 New York Residential Home Improvement Contract This is an agreement for Triple Crown DBA King Quality Construction,Inc.("Contractor")to perform certain home improvement services for Owner.The agreement consists of:(1)this summary page;(2)the Additional Terms and Conditions;(3)the Notice of Cancellation and Right to Recission;and(4)if applicable,executed Change Orders. Owner Information: Property Information: Estimate:325140466 Scott Lager Scott Lager Project:325139328 3 Little Kings Lane 3 Little Kings Lane Contract Execution Date:9/26/2025 Rye Brook,NY 10573 USA Rye Brook,NY 10573 USA Classic -Total Contract Amount:[50000] -Deposit Paid:[0] -Deposit Form of Payment:[] -Total Balance Due:[Inspector enter here] -Balance Form of Payment:[Inspector enter here] -Finance Provider:[greensky] Areas INCLUDED in the scope of work:[all work] Areas EXCLUDED in the scope of work:none Dumpster Placement:[driveway] Shingle Color:[Pewter grey Flashing Color:Black/Brown/(White) Drip Edge Color:[white] Chimney Flashing:Black/Brown/(Copper)/None Satellite Dish or Antenna:Remove and Discard/Remove and Leave with Customer/Re-Install/N/A Additional Scope Details:[Inspector enter here] GUTTERS AND DOWNSPOUTS Warranty:12 Month on Labor and Materials Areas INCLUDED in gutter installation:[Inspector enter here] Areas EXCLUDED gutter installation:[Inspector enter here] -Gutter Size:[Inspector enter here] -Gutter Color:White/Black -Gutter Guards:Y/N -Gutter Installation Notes:[Inspector enter here] %1{�i� ;:i.:. - •.; � 'K �a� a-F- _ y. ::r RP .t.!�A 'FI�A'R ( '"lr'y+• to P.W. -WMAV. �.i( A=�...a:�_.,�1,` i:, is's:r 1, }( •,e t ti� , 41(0)1�_' C Q, C C6 O QLO N • R 6( 'C U w � � .� ' tas)> C a iv CD > `o c w, 0 PRO E � �. .r . itsaLLJ > +r IF 0601) W z a Q v w o of c�i o p r v , �sts»)s W= O }V m Ll l a�i a�W �^ <to)►� = V 4-, p ZI 0 Q O m LLB. C Q 7�j r — 00 ,, ,�. . LO W x � z 30 .• aS1 Q nrij •\ � co »ud» 3 y o, z � N 1 � q '� iT.•Vi'll ' ® DATE(11111I ACoA��r CERTIFICATE OF LIABILITY INSURANCE o5,29/2025 120�5 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. N 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 endorsements). PRODUCER CONTACT NAME: MARSH USA,LLC. 4400 Comenu Bank To PHONE Tow A/C No): 1717 Main Street EADDD"ORL Dallas,TX 75201-7357 Attn:Dailas.Certs@marsh.com INSURE 8 AFFORDING COVERAGE NAIC8 CN144861126-KiNGO-GA'NU-25-26 INSURER A:LM Insurance Corporation 33600 INSURED fling ottaiiry Construction,Inc. INSURER B:Continental Indemnity Company 28258 125 Wilbur Place,Suite 120 INSURER C: _ Bohemia,NY 11716 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: HOU-004171756-04 REVISION NUMBER: 9 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. I1SR POLICY EFF 11 POLICY EXP LIMITS -_-- ----- T TYPE OF INSURANCE POLICY NUMBER MMID MM/DDIYYYY A X COMMERCIALGENERALLIABILITY EB5-691479834-035 04V/2025 0410112026 EACH OCCURRENCE S I_ 1,000,000 � A CLAIMS-MADE —J OCCUR ! PREMISES Ea ocaxrerlce S 5W,000 i MED EXP(Any one Person) S PERSONAL A ADV INJURY $ 1'0W'600 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000 X PRO- LOC POLICY U PRODUCTS•COMP/OP AGG S 6,000,000 OTHER: SIR: $2,000ZOO $ A AUTOMOBILE LIABILITY AS5-6 1-479834.045 04A112025 04/0112026 COMBIN tSINGLELIMIT S 5,000,000 ANY AUTO BODILY INJURY(Per person) 1$ OWN ED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X1AUTOS ONLY AUTOS ONLY Par aced t 5 x UMBRELLA LIAB X OCCUR JC125XNAG0404102 0410112025 04101,12026 EACHOCCURRENCE 9 5A0,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,OD0.000 OEO RETENTION 5 S A WORKERS COMPENSATION WAS69DA79834-d15(A ) V x TI AND EMPLOYERS'LIABILITY STA E I ER WC5-691-479834-025(Wi) 0410112025 0410112026 1,W0,000 ANYPROPRIETORJPARTNERIEXECUTIVE a NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1�000,000 If yes,descntbe under 1,000,000 DESCRIPTION OF OPERATIONS belay E.L.DISEASE-POLICY LIMIT S I � I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) The Certificate Holder is provided the following where required by written contract and as per the terms of the policies Additional Insured,PnmaryMon-Contributory,and Waiver of Transfer of Rights under General Liability,and Automobile Liability.Waiver of Subrogation under Workers'Compensation.Automobile Liability:Self-Insured for Physical Damage,Workers'Compensation coverage includes All States with operations inctudirtg the State of Florida;exckrd rig Monopolistic States. CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 939 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROCK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NI RK W Workers' STATf Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE FT11 Address of Insured(usestreet address only) Triple Crown, LLC dba Forte Roofing,Roofing and Siding, Bachman's Roofingace Suite 120 1c.NYS Unemployment Insurance Emplo er 11�16 Y Registration Number of insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in IVew York State,i.e.,a Wrap-Up policy) 1d.Federal Employer identification Number of Insured or Social Security 'Number 99-3420782 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) VILLAGE OF RYE BROOK I LM insurance Corporation 939 RYE BIRQOK NYE10573 II 3b.Policy Number of Entity Listed in Box"1a" WA5-69D-479834-015 3c.Policy effective period __ 4/1/--2025-- to _ 4/1/2026 3d.The Proprietor,Partners or Executive Officers are Q included.(only check box if all partners/officers included) ed or This certifies that the insurance carrier indicated above in box"3"insures the buslinessdreferenc di above in goers excluded. 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'compensationsurancePolicy). box"1 a"for workers' this Certificate of Insurance to the entity listed above the certificate holder in t box the insurance Carrier or its licensed agent will send 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 u pon the extend or alter the coverage afforded by the policy listed, nor does it confer aught ore sponsib ftrtificate hodies beyond those co This certifice �a nedtin the d 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: Joshua Cleveland , ------ - - --- �----•—insurance carrier) Approved by: (Signature) 6/4/2025 (Date) Title: SR.CLIENT SERVICE COORDiNA_TOR Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105 2701 saran authorized to issue it. ce brokers are N C-105.2(9-9 7) QT www.wcb.ny.gov 15623580 9-9i9834 4/25-4/26 C105.2 1 Marshall Johnson 16/4/2025 12:43:59 py (CDT) I paae of 2