HomeMy WebLinkAboutRB25-0148 Certificate of Occupancy, Certificate of Compliance,
and Certification of Final Costs Application Village of Rye Brook
938 King St Rye Brook, NY 10573
Phone: (914)939-0668 1 www.ryebrook.gov
Building Department
Project Information
Address of Project Parcel ID#
345 Betsy Brown Rd 135.51-1-1.1 —Tone-12
Description of Work Performed on Permit
Install a perimeter fence around the backyard to enclose pool and provide privacy and safety for children
Occupancy/Use (1 Family, 2 Family 3 Family, Commercial?
1 Family
Owner Address P.E./R.A. or Contractor Address
Alex Zoldan 345 Betsy Brown Rd Paul Papineau, Campanella Fence 289 Route 6 Mahopac, NY 10541
Person in responsible charge Address Final Total Cost of Project
37,600
Certificate of Occupancy,Certificate of Compliance,and Certification of Final Costs Application,page 1 I 1
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° E Fence/Wall/Gate 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
Occupancy/Use: SBL: Zone:
Residential 4805-135-000-00051-001-0001- R-12
0010000
Proposed Fence/Wall/Gate: If building is located on a corner lot,which street does it front
Install a 6-ft vinyl gray wood-grain perimeter fence to enclose on?
the backyard and pool.All posts will be 5"x5" with New N/A
England caps, with gates on both sides of the house for
access.
What is the estimated cost of construction? (NOTE:The estimated cost of construction shall include all site
37,600 improvements, labor, material, scaffolding,fixed equipment,
professional fees, and material and labor which may be
donated gratis.)
Estimate date of completion
02/28/2026
Fence/WaIVGate Permit Application,page 1/1
BRr7v� VILLAGE OF RYE BROOK
2 938 King St Rye Brook,NY 10573
Q Phone:(914)939-06681 www.ryebrook.gov
��• 02 •`� Building Department
Residential/(Fence/Wall/Gate) Permit
Permit Set 345 BETSY BROWN RD P#RB25-0148 R#135.51-1-1.1
PERMIT INFORMATION
Address Permit number Date issued
345 BETSY BROWN RD RB25-0148 12/19/2025
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
Building Inspector Stamped&Signed Set of Plans 4
Contractor's Liability Insurance 5
Photograph 6-7
Survey(Required Recent Survey) 8
Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 9
General Contractor's Home Improvement License-Westchester 10-11
Application Materials 12
Site plan 13
Certificate of Occupancy,Certificate of Compliance,and Certification of Final Costs Application 14
Fence/Wall/Gate Permit Application 15
Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668
BRnv� VILLAGE OF RYE BROOK
04 938 King St Rye Brook,NY 10573
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Q Phone:(914)939-0668 1 www.ryebrook.gov
>���• b2• i�O Building Department
INSTRUCTIONS
THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURI NG THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT
THE PERMIT IS COMPLETE
a, .a
r
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)
Fence / Gate Permit Application // 345 Betsy Brown Rd., Rye Brook, NY 10573
FENCE DESCRIPTION
Fence Type: Vinyl Cypress Woodgrain
Fence Size: Eft high privacy fence
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Fence / Gate Permit Application // 345 Betsy Brown Rd., Rye Brook, NY 10573
PROPERTY PHOTOS
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Backyard view from back of house (under construction)
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DATE(MM/DD/YYYY)
ACORO® CERTIFICATE OF LIABILITY INSURANCE
1 04/01/2025
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 JEFFREY KAVOVIT _ _
JEFFREY D KAVOVIT INS AGENCY INC. PHONE 845-562-0701 Na No;845-562-0852
FARM FAMILY CASUALTY INSURANCE CO. E-D' SS:JKAVOVIT@aAMERICAN-NA. TUNA
81 A WEST MAIN STREET INSURERS AFFORDING COVERAGE NAIC e
_ INSURERA:FARM FAMILY CASUALTY INSURANCE CO. 408-13803
INSURED INSURER B:
CAMPANELLA CONSTRUCTION COMPANY INC --
DBA CAMPANELLA FENCE INSURER C:
289 ROUTE 6 INSURER D
MAHOPAC,NY 10541 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFT POLICY EXPLTR LIMITS
X COMMERCIAL GENERAL LIABILITY EA
A X 3101X1956 11/01/24 11/01/25 _ CH OCCURRENCE $ 1,000,000
CLAIMS-MADE OCCUR PREMISES Ea ocaarence $
100,000
X SELECT BUSINESS PKG MED EXP(Anyone parson) $ 5,000
X CONTRACTUAL LIABILITY PERSONAL BADVINJURY $ 1,000,000
GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY PRO- ❑
JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000
OTHER $
A AuroMOBILELIABLITV 31400O245 11/01/24 11/01/25 E08Na1BIIIEDtdenISINGLELIMIT $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Peramidanq $
_AUTOS ONLY X AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
X AUTOS ONLY X AUTOS ONLY Per aaident $
A X UMBRELLALWB OCCUR 3101El316 11/01/24 11/01/25 EACH OCCURRENCE $ 4,000,000
EXCESS LIAR CLAIMS-MADE AGGREGATE $ 4,000,000
DED I X I RETENTION$10,000 1 $
WORKERS COMPENSATION PER OTH-
'AND EMPLOYERS'LIABLITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,maybe attached if more space is required)
NEW FENCE AND/OR GATE INSTALLATION AND REPAIRS
VILLAGE OF RYE BROOK IS NAMED AS ADDITIONAL INSURED.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
938 KING STREET
RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE n
C'1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
17-01k,141\
NYSIF
New York State Insurance Fund PO Box 66699,Albany,NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
An n AAA 061196865
CAMPANELLA CONSTRUCTION COMPANY INC
D/B/A CAMPANELLA FENCE a
rr.
289 ROUTE 6
MAHOPAC NY 10541 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
CAMPANELLA CONSTRUCTION COMPANY INC RYE BROOK, VILLAGE OF
D/B/A CAMPANELLA FENCE 938 KING STREET
289 ROUTE 6 RYE BROOK NY 10573
MAHOPAC NY 10541
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
Z1190 627-8 449044 05/01/2025 TO 05/01/2026 5/21/2025
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1190 627-8, 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://WWW.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.
ANTHONY CAMPANELLA AND
PAUL PAPINEAU OF
CAMPANELLA CONSTRUCTION CO.INC.
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 SUR NCE FUND
4 tl
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DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 872054546
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