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HomeMy WebLinkAboutBP25-243OTHER APPROVALS BP 25-243 PERMITA 12-29-25 PARCEL ID: 129.75-1-10 nrPeoFWORK: INTERIOR BATHROOM RENOVATIONS EXP: 12-29-26 JOB LOCATION: 15 ROCKING HORSE TRAIL OWNER% _-- CoNTRACTOR: PERINOTO HOME IMPROVEMENT LLC 914 384 2815 ES i-OST: S 40,000 FEE: S 820.00 _�_ PAID C FEE:S_27�_ LJPAIL' DATE@ v. q�) 4; L& TCOtt: _. FEE:S DATE FOOTING FOUNDATION FRAMING ROUGH FRAMING INSULATION PLUMBING ROUGH PLUMBING GAS SPRINKLER —yl ELECTRIC � �-• i � ��__ `� 5 � � S S LOW VOLTAGE 0 SMOKE DETECTORS [ ] ESL f S ALARM 0— - AS BUILT O FINAL ❑ RAID DATER PERMIT #: VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 26-022 Certificate of Occupancy Zhis is to certify that ryjoYtJacob 40y)-�Otqo— Jacob of, J2,--qe P)ydU V N having duly filed an application on Rbvot ) 3, 20�requesting a Certificate of Occupancy for the premises known as, 5 Pocbno FbrseI cG I ` , Rye Brook,NY, located in a R 15 Zoning District and shown on the most current Tax Map as Section: Ia0 75 Block: 1 Lot: kV and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No,--�5 a - issued 20-Q25, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: )Q- j&I Construction: for the following purposes: ) n+cr o r kv-)r �/ODYo r �nnVatdyl s Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: 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 fight shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change h g Inspector. Z7;;F Building Inspector,Village of Rye Brook: Date: FEB 19 2026 < For office use only: BUILDING DEPARTMENT �D PERMIT# 13P Z(p 2.(43 VILLAGE OF RYE BROOK ISSUED: Iz• Zc7 • ZS FEB 13 2026 KING STREET,RYE BROOK,NEw YORK 10573 DATE: 2• t'� 2(D (914)939-0668 FEE: —PAID VILLAGE OF RYE BROOK www.ryebrookny.gov BUILDING DEPARTMENT APPLICA UNFO-RZERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION #!#!####!#licit#ittt!#fiiii##ii##iiif#i#!!#4iifilftiitfiit#Rltf#!#tt#!#!i!!k#fi!#ii!!#iiiii!#i#ti#f!#itt#littittlfiittiiltit Address: J 5? R p OCXI� (O Hof )f 1�0IL Occupancy/Use: Parcel ID#: Zone: Owner: M�j& 1A0,-yA jj c 06 j Address: p C n J{✓(, L4.z U.Al C P.E./R.A. or Contractor: W/'Jofo _pp /I^ • Address: 2 U 1 tfl- Sir rF(r�/lG►NAa-� C� Person in responsible charge: L (/[(�(J r Address: vl. t �I S��j2:�if Ui Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: Ly(( P(`0 I �Q (rJOW being duly sworn,deposes and says that he/she resides at ( not Name of App icant) (No.and Street) in l" T`i/ C e'1�00/ L— in the County of l o f-lt-Z o in the State of � ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 3 S I OYD , for the construction or alteration of: hot( W A�/ 60 f 4 o / --'1 S f CL Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this l b�— Sworn to before me this day of , 20 21& day of �r 1pi 20 Sign tore of Pro Ttl Signature of Applicant U(� c5D\, Print Name o 'o ert Owner CARLA A MURRELL p y Print Name of Applicant NOTARY PUBLIC-STATE OF NEW PULYORK No.01 MU6315908 Notary Public %Qualified in Westchester County iWtay!�giic My Commission Expires 12-01-2026 GREGORY M.RNE?A ; NOTARY PUBLIC,STATE OF t.,�L`N YORK 40.01R16441398 QUALIFIED IN WESTCHESTE 00UN� COMMISSION E)(PiIZES SEPTEbtI3�<:26,20 E DRCb,�. >� �O ��• �9t32 �' BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www aebrooLorg - - - - - - - - -- - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - -- - ADDRESS : /� (�,� 1�V�J K �J��I C DATE: L c3 202 4j PERMIT# C _ y� ISSUED:/Z-2' '7)SECT: c 2 BLOCK: I LOT: LOCATION: /UU Z A , OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION n� (r ,J ❑ NATURAL GAS U� �� L C Cj�4 Tti,1 u i ❑ L.P. GAS ����✓� J ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING Chij IL C n / / J [I CROSS CONNECTION n !� C' ,FINAL ❑ OTHER 14 T BR(��• o tim >> , 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : I ,\��C- �'"`�` Y'��2 �E / ' C DATE: PERMIT# \ !�. LJ J ( ISSUED: SECT: 7 BLOCK: LOT: U LOCATION: l y n L L IJin t I�u),'1 � t � 7A T4 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... YJ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS (.�,J j3)✓ / v /U U ,e ❑ L.P. GAS L LAb d 1 G 2 ❑ FUEL TANK " ❑ FIRE SPRINKLER ��fJ v / �"J 'J S ���Gi✓7 FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QRCZjk• O ym BUILDING DEPARTMENT ❑]31JILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street . Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 15 . DATE:2 / ?,OZ PERMIT# 2 �� ISSUED: 'S '2L SECT: Z/ 1. 7.5' BLOCK: LOT: LOCATION: \ 1 f�� 1} S e L �' �` OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION UNDERGROUND PLUMBING NOTES ON INSPECTION: ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ((�� nn ❑ Natural Gas 1 o C M `� QJL 0 L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER 10dvL ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER G 1� c JT BUILD -ARTMENT r---- , VIL E OF RY»• OOK ? I DEC 18 . 938 KING ET RYE BR ,NY 10573 JILt,P,i�- :)t Y'c BROOK ov rTMENT INTERIOR BUILDING PERMIT ATION FOR OFFICE USE ONrr��LY: Approval Date: ut`' 1 " .21 Application Fee:$ C)0 o Approval Signature: Permit Fees: $ -7 Z_(_� y Disapproved: Other: Application dated: ).5_is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 15 Ro4ir)L NotSf :f gA/L SBL: 121 •7S- / —I C�) Zone:_ 2. Proposed Improvement. (Describe in detail): SE f 0,J ID cOOA- l# oo^ ,✓pVt}� '-rr fGar i S tf (f I fi 0,*A- 'LL VA t✓1 ty gf f(Aefmr!rc 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:) Yes: If yes,indicate: TIER 1: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exts uy automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: Yes: (If\es.please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: ( fpH After Construction: 6. N.Y State Construction Classification: RE51Qi "t A L N.Y.State Use Classification: 7. Property Owner: #fl h /A 0,V JA-✓A ')AC Of Address: 15 CK let, ka a Phone# Cell# Q1 } 5 S email: 1"A0 PtX. lh�4 4NR. �nf' 8. Applicant: (/0 81JO W%l-00 Address: 3 Z y I r1; �-��/iF!✓ 1(At-AA^_j (T Phone# Cell# q 1 l�� / email: CPT Ly1-1Ar-o � GMAIC. (_,-Y, 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: 9 NOt''t 1,4- Address: ) 1 V I fr I 4- (,A,- . r Phone# Cell# q tq- y / f email: 12. Estimated cost of construction $ ' 0,0_-?�'-> (NOTE:The estimated cost shall include:dl labor.material, caffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) r 13. Job Timetable: Start: Finish: — A (1) 6/l/2024 BUII.D MENT VILLA E OF R OOK 938 KING STREET RYE BR ,NY 10573 (914)939-066,j! NN NN-W'rVWWoknv.gov AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: �/ ` I, ! � Cleft- )CALO) ,residing at, i (Print name) (Addr s where you Iicc) being duly sworn,deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; ''�) �C\ , Rye Brook, NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Si gnat e of Pro pert Owner(s)) CO- (Print Name of Property Owner(s)) Sworn to before me this ig day of�Cf M`'��T , 20 (Notary ublic) SHARI MELILLO v+ary Public,State of New York No.01ME6160063 +.Ifled in Westchester County . alon Expires January 29,20 Z (2) 6/1/2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: N1�ck �a(o1")— ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention&Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application,the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of b tcl-MO ,( , 20 day of , 20 J'� A/AA/ k2D 'Si 1m re of Prop wner Signature of Applicant (Printame of Property Owner P%nteApplicant L ^\ J N Public Notary Vublic SHARI MELILLO 'qotary Public,State of New York SHARI MELILLO No.OIME6160063 Notary Public,State of New York Qualified In Westchester County.��] No.01ME6160063 '.commission Expires January 29,20 1 No. In Westchester County "ornmisslon Expires January 29,20 (4) 6/l/2024 _ �Q N N � N N N a ` � N F+1 = W CA Oc I o o w C oo ON W tc e-4 M � z � 0WJ i 1 00 w W C F Za O x 00 0-4 �1 .• � �"� � w Q � o'C O m V U ■ W Z H 04 � U A o m e 00 en z Z � U x V V LL; p'l O .. W O F. N � O_ p! C/) ..7 C6 (in Ln ° < c µ„ r -le t�R(i'j,. BUILDG DEPARTMENT VILLA�E OF RYE BROOK JAN 2 3 2026 938 KING STREET RYE BRAOK,NY l U573 ,E!� -0669 www.npebrooknY.gov ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BI' ::: c- EP#: Z(o Q I 1 Approval Date: I ma26 Permit Fee: S 2 s n� / Approval Signature: Other: #4•#s#!4#!s!!!!#!##!44!##44#4i!!# ! !�!!###4##4##44##4####!4#4#4##!44l44!*!#!!t!!!!!!!!4#!! DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE. TOTAL COST OF CONSTRUCTION WITH A %W%INIUM FEE OF$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install andior remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. I.Address: /-5 4c"►e.6 &5E 2i rL. SBL: I J fs.�7S- — f Zone:/[) 2.Property Owner: '&41C TLo IVA"Tt,S Address: M �Gco J5) Phone#: 6a )i b?7 -&837 Ccll#: email: 3.Master Electpriccian/Licensedd Installer: "4- Address:79 AQ,A.c Ra>tf Pla T rcied C)006-3 Lic.#: ►+ aJo Phone# Cell ematlq�9 cl6GT.4lC NET Company Name: A Address: .» A'i.L &4c hn S cr o�g0.3 4.Proposed Electrical Work/Fixture Count: 5.31 Party Electrical Inspection Agency: tN 15 wt*ww*w*t*•►***♦w**•*ttwsrsat*ss*s**s,s*atir:,ss**•wt�*►,rtw,►,►,►tw+*risr�:*t***�t+s*s*,►*++++++++++++++++++++++ STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 11 t CA A tFL I RD`r ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the M6T C`Lt2L• for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of hivher knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn to btfore the this— 'Y r r day of 20 day of ) 0 Signature of Property Owner Signature of Applic iCyrkC-L Abv Print Name of Propem,Owner Prin Name of Applicant Notary Public n � NOTARY F,i-!IC,STATE OF NEW YOPX 6/112024 ` . 01R164413W QUAUFIEJ iN WESTCHESTER COUI+C3y XW&O'"t7 S KFTEl6E"26,20 STATE WIDE INSPECTION SERVICES, INC. 0:0 • SWIS JOB APPLICATION0. e • Office Use Elect. Permit r EP 2(� Date JAN 2 3 [U"� Bldg Permit# _a q3 Sq Ft Plumbing Permit ff Final Certificate a City/Village ZLG�L Zip I CS 73 Building Dep[.ilq Zqa#—� County t n,f jy 15 Address „ Cross Street Seat 7 Block / vLoot Owner Name!Address if ere a r.thar above; Contact Number ❑Basement ❑ Ist FI. DB�nd FI. ❑3rd FL ❑More Than 3 FL ❑Garage ❑Attic ❑Outside aResidentiai ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C!0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch 6 SERVICE Amperage #Panels 1P 3P # Meters x Disconnect ❑Underground ❑New ❑ Reconnect ❑Repair ❑Overhead ❑Upgrade ❑ Disconnect Utility ID= ❑Con Ed ❑NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation This applKalson is valid for one I year hom the date received by Sw1S This applKation n intended to cover the above listed items to be inspected,if at am time of inspec lion additional rterns have been installed,you air autho ted to make the mspeciton and adtust the tee for the addnional hems inspected The&W"rst declares that there is •pen appiKations fa:he atsove address.snh.any.the,nspectipn cn ,p ,The appIr am owns or authorized agent agiees to all the abb re terms and conditions as set forth for the application Email Address ATA �—�T2I CIO oru , _ C,t{Aq License ; 3 Date 3 Signatur Address 1)lEt/h rL "lXA9 KQ City/5 e c'_Ama,,-7 C i e 6rL 0 Company ecec'E'IC JT Pnone =Oflq I y/9 -O S i I State Wide Inspection Services RECEIVED i1080 Main Street Fishkill, NY 12524 a 845 202 7224 Phone _ 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@swisny.com BUILDING DEPARTMENT Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: ATA Electric, LLC Mark& Montana Jacob 79 Briar Brae Road 15 Rockinghorse Trail Stamford,CT 06903 Rye Brook, NY 10573 Located at: 15 Rockinghorse Trail, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 26-011 129.75 1 10 Certificate Number: 2026-0617 Building Permit Number: BP 25-243 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 15 Rockinghorse Trail, Rye Brook, NY 10573 The Second Floor Bathroom was inspected in accordance with the NYS and NFPA 70-2023 and the detail of the installation, as set forth below,was found to be in compliance on the 13Th Day of February 2026. Name Quantity Rating Circuit Type Luminaires 06 Switches 04 GFCI 01 Officer: Frank]. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. O N N oo W aLin a 9 M 99 zI� o as �GA H w 2 z W. w �' A� • ti z W AIVLn Q a W Z o s � W � � �r, �. � c w, � F.. � x O • Q, a. z � 7 C�o 0 W z - �- z o 3 ` � N z r MCI ' , MCI ,^'-� M °° z A V y .3 it 0 o O v 0 a40 a a'Ln z w a z cd H 231w ' x � BUILPINO-6iE.ARTMENT J V1Q' , E OF RYE�`OOK JAN -5 2026 938 KINd�E'r RYE B ,NY 1057 VILLAGE OF RYE BROOK w�iv�20"X BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION 2.(0 —00 ' FOR OFFICE USE ONLY BP#: 2 =2c PP#: Approval Date: Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. L Address: 1+5 F QL h j t-b RIX W [f1 RI L SBL: /ZJ fie- — 1 — Q Zone: 2.Proposed Work: IXtT 11 Qao L' 6'4 - 3.Property Owner: P AU / M(.i✓TA/A 1 CO Address: I S yo hlN Lo � 0 jj ffl aiL Phone#: Cell#: 91� email: AMA, )p� 6AAiL 4.Master Plumber: �' /}�v t^( �✓�� I u­ Address:%.L`��C/rJ 0a N �T Stir✓1, D E.1C_ >-��- Lic.#: g.,2 6 Phone#: y Cell#: f)Y ,?�i /.Z 7 S mail: k n b L'­.5 Company Name: ���1 e c.�S Address: 4 ke /),Je yy.: t1 y-e_� /G`tG 3 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 31 Floor / 41 Floor 5'Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -I- 6rla024 STATE OF NEW Y`O-RK,COUNTY OF WESTCHESTER ) as: MA(\(- ) acDV-j ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of dividual signing as the applicant) and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. k"Sworn to before me this I Sworn to before me this S day of btWhlX( 20 '0 day of E \�1flT�,20 CL S(gnat#of Prop Owner Signature of Ap icant Print Name of Property Owner Print Name of Applicant 91tARN IZV�) NotaMpubVeublic,State 01 NewNotar �MELILLO No.01ME6160063 NOTARY PUBLC,STATE OF NEW YORK ')vaiified in Westchester County `i0.01ME6160063 urnmission Expires January 29,20?� QUALIFIED IN WESTCHESTER COU CONINSSION EXPIRES JANUARY 29,20 This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 6/1/2024 BUILD _ MENT � C1`f VIL OF RYE' OOK 938 KING `' gfT RYE BROO,NY 10573 JAN -5 2026 4 9-0668 ov VILLAGE OF RYE BROOK i BUILDING DEPARTMENT kk*kA•r.a•*xr.k'c is�:�k�k�:Fxx kitkk#*ir Fxxx&i:k&*k7:k:tx�:Y#####*#####*#k*�:F k�e F it***i•*4#*#####*#####*##*####*****#*#** AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 3, L ,residing at, 15 evtl? or<z r (Print name) (AddreX where you live) being duly sworn,deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Rye Brook,NY. (.lob Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. -/- /W//m (Signatu of Propert wner(s)) - ly Ck(�_ CkC, � (Print Name of Prope y Owner(s)) Sworn to before me this of Dimly- , 20 , (N ary Public�HARI MELILLO !votary Public,State of New York No.01ME6160063 Qualified In Westchester County. Commission Expires January 29,202� -3- 6/t/2024 Building' ff Permit Check List&Zonin Anal sis Address: C— N SBL Zone: — Use: ` Const.T e: Other. Submittal Date: =Revisions Submittal Dates: Applicant: Nature of Work Th Reviews:ZBA:DEC 2 B.. BOT• Other. NEED OK O q (�/(—)' FEES:Filing. BP: 1 C/O: Flood Plane: Legalization: ( ) ( , APP: Dated: Notarized: SBL: —Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree PLvi Other. ( ) ( ) SURVEY:Dated Current Archival: Sealed: Unacceptable: ( ) ) PLANS:D Stamped: Sealed. Copi�Electronic. Other. ( ( ) License: V Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: (�( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) � ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. PLUMBING Plans: Permit: Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES Area APPROVED Circle ncr 2 aTA25 Fromm e: a e: Front Front: Sides: Rear. Main Cor. Accs.Cor. Ft H Sb: Sd.H Sb: GFA: Tot : Ft.imp: Pgddw. Height/Stories notes: ! lBYlJfv'A 36`•: > wa'rL• •�✓, � :c i �+r�•">"`yrtf uev�A` ;))� xrS b� �L � ti �0 ••:a'• .�~ y � ✓ }�' �p tf'{�i` a .. G ] V ."rlT µ� \�p�•' AiF 'b'1 f hf� � �p'd@1a)'�h�s i �� �� t(� g' '! i!606�f •{•��s �'rr�y i d{•0' r V -#t' 3 r � � )etDD ,o p 0HalSs9)D� J ai erz CN a O, N> 4 O X a�gia `. co L Oqj cl R � � f• v t / t4fD! a ry • V U a. mtlf°1)f{� / � � J �' O aM•. D4 Ae J �� PLO w I U S � l 00 r w ~ o ° t otion � } w o toe �e- t�i :t / V. t .•m' t5 oCD o too G CM p LO w Jx fi r Z O r n O > 4. O I Hui co so d v b CN. 12 qp �a()��u a tg o p y Z co / rx• .�7 U .� .'C-+ M gnu 'CtE�D)D�; LO�y rA r U y. QPo `rr 7•affOdgdfg6� f [9 f6�y66t{tta�+=`a ' fft4 ¢iPl E f6 s y: f�� f QC�)D rat+•.' , 1.,, 1} �"q 3 t v,ipd qdt t 'A tS <! R �A���g' s<t�A p� 4Y t2r�e;t�5f. Q9 i;.4s°'W. p00.! �8��'rf7,,\44g0 edt t rni �'i� :�� .�'�'3.5 � `,`tqx •, �,'a� S"t7Tl s �r-... .A i a"^4.' •� S. "a8. � � r1 atl tr n'- A PAO rlt A� „ w:• i •",�i \ bra 5r, n{+ r §x 1 sss t shy -d M iViJe� wt.G'M j3 v a J •,.,��.. zty :'s Rz3?�h r'�6r Ln.,�v .:- ''X r -. F .+ YFY m °5.� b" r�.:' -"•±�Rv A CERTIFICATE OF LIABILITY INSURANCE DATE(M 12/01//2025 Y) 025 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 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 NAME: CT AJC Insurance Agency PHNrEo. FAC No: 860 529-2182 1850 Silas Deane Hway E-MAIL ADDRESS: PRODUCER CUSTOMER ID Rocky Hill CT 06067 INSURERS AFFORDING COVERAGE NAIC A INSURED INSURER A:UTICA FIRST INSURANCE COMPANY 15326 LUCIANO PERINOTO INSURERB:HARTFORD UNDERWRITERS INS.CO. 30104 PERINOTO HOME IMPROVEMENT LLC 20 MAPLE RIDGE ROAD INSURER TRUMBULL CT 06611 INSURER D: - _ - -- 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. ILTR TV PE OF INSURANCE INSR WVD ADDLSUER POLICY NUMBER MM DDLICY EFF MM/DDY EXP LIMITS A GENERAL LIABILITY 11/07/2025 11-07-2026 EACH OCCURRENCE $ 1.000,000 AGE TO REINITW COMMERCIAL GENERAL LIABILITY r PREMISES Ea occurrence $ X CLAIMS-MADE r OCCUR I.I - MED EXP(Any one person) $ 5 000 ART 5046626 06 PERSONAL d ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICYFI PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO 1 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY HIRED AUTOS (Per accident)DAMAGE $ NON-OWNED AUTOS $ X UMBRELLA LIAB X OCCUR 5046626 08 EACH OCCURRENCE $ 1 000.000 EXCESS LAB CLAIMS-MADE F-I AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION 09/30/2025 09/30/2026 WC STATU- oTH- B AND EMPLOYERS'LIABILITYY/N 6S60UB-4N64529-8-19 TRY IMI ANY PROPRIETORIPARTNERIEXECUTIVE N/A r E.L.EACH ACCIDENT $ 1 0 00 OFFICER/MEMBER EXCLUDED? I (Mandatory ye,d s I NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 r r E.L.DISEASE-POLICY LIMIT $ 500,000 I 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Village Of Rye Brook POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 Paul Siqueira ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Clear All NYSIF New York State Insurance Fund PO Box 66699.Albany NY 1220F, nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) o a .. ^A^^^^ 471282340 PERINOTO HOME IMPROVEMENT LLC 1 (CT LLC) 0 22 VITTI ST NEW CANAAN CT M840 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PERINOTO HOME IMPROVEMENT LLC VILLAGE OF RYE BROOK (CT LLC) 938 KING STREET 22 VITTI ST RYE BROOK NY 10573 NEW CANAAN CT 06840 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2569 700-4 255401 0513/2025 TO 05/13/2026 61812025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO 2569 700-4. 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 AND WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS OR TO VALIDATE THIS CERTIFICATE.VISIT OUR WEBSITE AT HTTPS:/IWWW 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 THE SOLE PROPRIETOR PARTNERS AND/OR MFMBERS OF A LIMITED LIABILITY COMPANY 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 S7NCE FUND Yr DIRECTOR INSURANCE FUND UNDERWRITING VALIDATION NUMBER 740369637 U-26 3 N N N 00 0 M W N O C) Cn Ul A W N p (D OD v Cn Ul A W N i .. - "_ _. - (n -D mZ n z -i �-10 �mcntnDZmcn<�O�cno�D<�DO��DZ(�o<ZocnDScnZcn oo >>r_0-iaoD m p r m O r cn-, 1ca O MTM>MZ=Sr OKm2mD--iSom (� Z Sm Crmc02 C002cr m i „ :. s �0 c � mmmSOG)DDrDS zm Dmmm- zmm _'� _ rcn r A N 77D ��C)�--i-i _u --i O Mz C) o� DS� W w-�cM-i oncnoocnxmm> m- z 0 u p m O N m2 S=S D S Z-i-I-1D<-rrm�i- -i ZD -{ Z7o7o S m o r r O O ZrrrnZ�-�SOp Q-iOmT.TDm-� Szc�rr�Zc'D�mp2m2S22DmNo� o - �`� C� !^ r mmx 0_n- 00 00 w �. � p mm 7omZOMU, n n VJ 7mo7mo7mommmc�CiCO�mDOm-DiD�C� D C -z C)cnom-1� rm�cn �lDm r o- Z m �7 -A0-{SD SG)>>z0 U,MD �n DS-znU� Don mmcorcncxToNZo m ° W C) [ cn m 0 < -1 .� 77 O O O r D O O -I S C) -n m O r S r M cn G) m D D �D-S<D mmM m nWKz- -m10�� Z oxz=� rC)z7o vcnC) 0z*oMavmo-mzmn m O �oczi)DDn v C)OS�cnp C) O =m-0 D -U -n mZz2 <mn�O�C)7D7o� im-DODcnD70D pTDoTq_i>M0-- M-Mz w m n m r-c,��wn cnS �c- <- -0` z zcS SDrO Z� D �-i O o O D M�MS-Si D0G zn�zzn C ->-iZ� 0=<SOm=i07momoSccn0m7Somz�m*zcmiimzOmMS-'r=-07o00m W Om-<0nm22�Mrm> r r_ cn ��D S r- �- cn D__ �� 00 cn_ zo. m o - _ DDm c SDo G) O mm�p�mT rcn oU zr--n m rcno z7°� O zm0 ° �Dz-�O `<oz-o70� �ZcnZD� ic�n�Dm<m0_< _ ^ r Duo C)O 1S ��cn " �Sm �D ip7o� cn<�mm0 oncnOSrOn�� Scn��cn cn 002� z in->0> D Oz C) = m2 �-iD �CnOQ(nm-Z <S0 (n0wn mZr'cmcnom zmozZm�ooZ��Oc)C) z oCwnDo� -i �� �, D002om ��� z�DZw2Z�0OS �OmD�cn=ZcnzZM�mOZZDn3_u�mzDO00���zmO�cnOcz rcnZ M r0 cn- mmm ��DScnoy<zDOo zcnOmG)��cnCn mCnCn om W D2� ZDSZ7o-ID�D` z O ; ` �o2pOm* �nm��Z O ZDD �ym�DD�rr7i-i<m��oDZZ m�DD=C�-0mZZ7o0-iOW �nC�C--ii��C�DmZTO rZDm�S� SOOm700 z cnZZ aOSOm>Drz02 D0-uZ�Zmm mzDTZZmwnt)D*22Zm0Or_,nm2_Mmmmz�l m t .�__----- 0 M mr mK-nz0 m Ci mZW-i-A Mom mmZmorn��Sm z2--1ocn OS-�0�70DZcnZ K�wzm7Dvo vv-i-imr 0�� ODD>0 --I 2���mo0m�rmNm<rDSvi0pDo02-SDSZ7o0-imo--A-§ i (n 1 u m 00 SZ p m [�m D_ -I SO z-'M-ik�zm m� om -i-0- -D=� l2mmm)om 2 Sr2-C) m C D C O 0 Cm G�Tz -i � < rn-<mcn o Zcn o Mz_z��rnSZC)-mo0m0wmx OOmD 00-�v,0oo0 pz7on�n-mo Zmr-I�- -I __-1 7J < �`I �(n�rMrDO-x-OmOC)Z OD 2 S(n Z2rn �-_-4MZD-iD �MzO - �._.. mS-S 0S 2 cn�cnz C W T cn M. 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