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HomeMy WebLinkAboutRB25-0023 c � c O ° � c J 0 O N E O o Z o 7 0 L I,- U v 0 0 Q E > _Jt a, 0 � l� Ln Ln co � = v L Ln o aQv r m m 4" W O H c a W L Lr) E 0 X tv�i 4) 0ao L U ca O N LA L L m al f0 L G. yCo CU O L O O W U N L W > > W H- t -le7 O 0 CV o '> O a -0 > Z C Z 3 >w c 3 a Z 1- o cn o c c >.� o �/ " � 'c a +� a E o L m W Y�c LL N O. = O to w Y pa o Y o c It ° 0m CT! 4J s N W c Ln ~ N O Q W L o c o Z - w � o (z P ff t (D OD a ° 3 r c a (,) o x Z J to M c M o E m 0 Q Or-I a ' -0 LnD 8aticTp 0 N.Lo v Na ° � 0 od . � 0Qa Yw — ^^'' LLI `-^ 0 `� v a aooY c � Z w � viv > 0W � W N N � J L co ca +, N Ul) U Q Qaw E ° OD O "O n/ _ Z N L D C d J Y a� io N eao a 1..v N Y cv v I , ° cn a 2 y � -o m N O `I C ° 7 cC .0 U ° U Z Q LL 7 � L C c WZM L v 0 a N W M � J tQ, \W v c u 'o L ° CO r- U > o y " C IT 0 Y _ +J � ° Ln w0 coU o -0 „ v O M O� . a [0 Ln > O m N o - a� E L W � � L Q Y .o cl�M � d m "', m t1, Y N 45Ln c O 'Col.} QW Q > Ln c O D Q Y o o a aa)i .) Q E 3 w U J w � � o 3 � _ 'e R --4 0 t ° to o to � LL � S 0 � 3 0 co Fu Y a cII � � � 0 � ca w v aU bo Y O c9 � O W >- cvn2Y � c U �„ ° Q u ° a s Ea v E � • 0 M ME O O m o 0 ° m N Q� Z u v 3 m' -� W Ln Lj to ix N a' dA W N = Q� axi s > r x2 'o � c 1 . 0Lo N r+ N E0 'vi ° v LL L 8 0 a L .3 i+ • i+ V N •` Q� E LJJ V cy- C 8 :- N o,� L > Ems ._ `r N N rwL -LA J co ol O a� y a b w w w O Q E '7A w ° a a Z oar a� 39`d1� a Q a a x 0 �- (u y m a; °P ,\ Interior Building 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 Address Line 2 135.36-1-3 R10 65 Rock Ridge Drive Proposed Improvement Renovate upstairs hall bathroom. Replace all fixtures, while retaining their locations (tub, shower,toilet, sink). Replace flooring and vanity.Add a shower niche and a cabinet. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? ❑ Yes 0 No Will the proposed project require the installation of a new, or an extension/modification to an existing automatic fire suppression system? (Fire Sprinkler,ANSL System, FM-200 System,Type I Hood, etc...) ❑ Yes 0 No N.Y. State Construction Classification N.Y. State Use Classification Occupancy Pre-Construction 1 Family Occupancy Post-Construction 0 fam., 2 fam.,comm.,etc...) 1 Family What is the total estimated cost of construction: (NOTE:The estimated cost shall include all labor, material, 35000 USD scaffolding,fixed equipment, professional fees,and material and labor which may be donated gratis.) Interior Building Permit Application,page 1/1 Pik Electrical 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 135.36-1-3 R-10 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Wiring for Bathroom Renovation SWIS Master Electrician/Licensed Installer Information Name tic Address email Phone# Joseph Sadovia 1780 226 union valley rd Mahopac ny 10541 Sadoviaelectric@yahoo.com Cell# Company Name Company Address 9144948618 Sadovia Electric Inc 226 union valley rd Mahopac ny 10541 Address of Work? Homeowner Information 65 Rock Ridge Dr Electrical Permit Application,page 1/1 INSPECTIONSTATE WIDE 0., • SWIS . : 0. • Office Use Elect.Permit# Date Bldg Permit # K J Sq Ft Plumoing Permit n Final Certificate a City!Village p r y Zip S Building Dept. /`Y ✓�r J /C County Address '✓\ Z Cross Street Section Block Lot Owner Name/Address(if di9erex than above) Contact Number ❑Basement ❑ Ist FI. ff2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compaq Amt Amps Range ,si Cooktop is' Oven S) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Swdc^ �? SERVICE Amperage frPanels IP 3P a Metes u Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑Upgrade ❑ Disconnect Utility IDs ❑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 r <� � ✓`-e r)V V s epPks anon s raird id one i t I yem horn the date received by SWIS This applicator.is amended to s uver the above kited items tube inspected d at any tirne or inspection additional Items have been:stalled,you are ._r,zed to make the inspection and adjust the fee for the additonal dams irsspected the applicant declares that there is no open appiKations roe the above address with any other insoKtion company.the applicant, . , ithortzed agent agrees to all the above terms and conditions as set forth for the appl"tion Email Address ` c `J .G4JV C /PC�( tC tt av l r^ Name k, o��.✓i License a -7!9G Date O J S Signature 42 Address ? City i Stag< ✓ c r J Zip Code (�! y I Company `' {/ Phone u \< Plumbing 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: 135.36-1-3 Proposed Work: Plumbing for Interior Bathroom Renovation Indicate Fixtures&Lines to be installed as per the following schedule: 1st 2nd 3rd 4*t Other ggVipment/Provide Details: FIXTURES Basement Floor Floor Floor F bing fdobethroomx °t4m renovation Water Closets 1 Urinals Drinking Fountains Sinks 1 Showers 1 Bath Tubs Laundry Tubs Domestic Service Fire Service Sanitary Sewer Natural/LP Gas Other* TOTAL Plumbing Permit Application,page 1/1 �y BR(�k VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W Q IF- Phone:(914)939-06681 www.ryebrook.gov �O Q ��. b2• Building Department Residential/Interior(Remodel/Renovation) Permit Permit Set 65 ROCK RIDGE DR P#RB25-0023 R#135.36-1-3 PERMIT INFORMATION Address Permit number Date issued 65 ROCK RIDGE DR RB25-0023 11/20/2025 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 2-3 Required Inspections 4 3rd Party Electrical Inspection Form 5 Plumbing License-Photo-Westchester County 6 Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 7-9 Contractor's Liability Insurance 10 Architectural drawing 11 Architectural drawing 12 Copy of Electrical License 13 Architectural drawing 14 Westchester Home Improvement License 15 Electrical Permit Application 16 Interior Building Permit Application 17 Plumbing Permit Application 18 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 �y BRc�� VILLAGE OF RYE BROOK 04 938 King St Rye Brook,NY 10573 W Q E Phone:(914)939-06681 www.ryebrook.gov >���• 02 • i�O Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE ❑ ❑� L 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) Rough Electric Rough Electric Final Electric Final Electric Rough plumbing Installation of all plumbing including drains,waste,vents and water supply lines.A test for this portion is required including a 100 psi test on all water supply lines. Plumbing final Installation of all CSA approved plumbing fixtures and hot water tank(water meter must be installed).A test for this portion of the plumbing system may be required. r/ 't mrl61 �, •dN Ijr�rifr�l. :;.,�, Ihlr�rr�l- � tr,.• <to» 1 f ,.`rtl��L\�.1..1.�(lftfr-.r!BtlS�lll�ir.�,tlt_�+�' .• Y L CD .glrJ�(Mel CD t0. a w C, IOR 0 00 C) UJ \\\�rrrg ' F.rl w•� U-J 0 T t s. L z Q a, kection 4 K-) = r' 0 C) a Quo -�! Cd Qc'�i •.. W O �r _ -`` a m I ' �� ai';: UJ Nang cj Co .< 40 LO lo (arm)), a 1 tit No F ;_ 1 '1,/,1111• 41� Iffl��ll^11 :_t9 � ... O f •• vT'�IUISV,' VJ)�r +� � �Ild�i�l. yl 1111 '��1.'rhr\�� ,�I/'��t� AC�a DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/14/2025 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 NAME: Sherwood M Walls Walls Insurance Agency PHONE FAX PO Box 2740 • 607-723-6359 (AIC No):607-722-6928 Binghamton NY 13902 ADE DRIESS: info@wallsinsurance.com INSURERS AFFORDING COVERAGE NAIC S License*BR-1638987 INSURERA:Allmerica Financial Benefit INSURED SNSCERA-01-INSURERS:Citizens Ins.CO.Of America 31534 SNS Ceramic&Stone, Inc. 33 Lockwood Lane INsuRERc:Hanover 22292 Mahopac NY 10541 INSURER D:ShetterPoint Life Insurance Cc INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1441572630 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. ILTRR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MMI DY EFF M`LICY o EXP LIMrrs B X COMMERCIAL GENERAL LIABILITY ZBSD988336 7/21/2025 7/21/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE i�OCCUR DAMAGE Nc D PREMISES Ea occurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO � JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: 1 $ A AUTOMOBILE LIABILITY AWSD987537 7/21/2025 7/21/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED 1XX SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( )HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLA LIAS X OCCUR UHSD993277 7/21/2025 7/21/2026 EACH OCCURRENCE $1,000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION W2SD987605 7/21/2025 7/21/2026 1PER EOTH- R AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE v E.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If es,describe under DESCRIPTION OF OPERATIONS Wow E.L.DISEASE-POLICY LIMIT $500,000 D D159714 2/2/2025 2/1/2026 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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 POLICY PROVISIONS. Village of Rye Brook 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name and address of Insured(Use street address only) 1b. Business Telephone Number of Insured SNS Ceramic &Stone, Inc. 914-469-4439 33 Lockwood Lane Mahopac NY10541 1c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is 1 d. Federal Employer Identification Number of Insured or specifically limited to certain locations in New York State, i.e. a Social Security Number Wrap-Up Policy 453800056 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) All America Financial Benefit Village of Rye Brook 938 King Street 3b. Policy Number of entity listed in box"1 a": Rye Brook NY 10573 W2S-D987605 3c. Policy effective period: 07/21/2025 to 07/21/2026 3d. The Proprietor,Partners or Executive Offers are: ❑included. (Only check box if all partners/officers included) ®all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "T' 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 NFORMATION 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 "2". The Insurance Carrier will also notify the above certificate holder 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. Please Note: Upon the 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 Worker's 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: Sherwood M Walls (Print name of authorized representative or licensed agent of insurance carrier) Approved by: "�` K4 !e/% r 10/14/2025 (Signature) (Date) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 607-723-6359 Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance C-105.2 (9-07) www.wcb.state.ny.us Form WC 88 31 21 C. Printed in U.S.A. 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