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HomeMy WebLinkAboutBP19-012PERMIT # 13P N7012 _ DATE: EXP:llaahgo SECTION BLOCK LOT TYPE OF WORKI 7+��7rcl.4� AAlnjr%A e nn 0 JOB LOCATION INSPECTION RECORQ DATE FOOTING --- FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING CI RGH PLUMBING GAS SPRINKLER ELECTRIC 0 LOW -VOLT O ALARM AS BUILT C.] FINAL INSP R APPROVALS tTlmi �� • Open Permit Letter Sent �yE[3R J3��ti V oY . 19 A" afZfZilt?JG mV VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J. Bradbury wwa.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M.Heiser Salvatore W. Morlino CLARIFICATION OF RECORD June 28,2U22 Win Ridge Realty I.LC c/o Alena Hakanjin 108 South Ridge Street Rye Brook,New York 10573 Re: 108 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 Building Permit#19-012 issued on 1/22/2019 for a New Storefront&Awning This certifies that the above captioned permit has been closed out by Building Permit#22-001 issued on 1/4/2022 for a interior tenant fat-out"City MD"walk-in urgent care with Certificate of Occupancy#22-083 issued on 5/26/2022. Sincerely, Michael J. Izzo Building&Fire Inspector /to R For office a onl E CE OV EBUIL4VE S NT PERMIT# a D VILF RYE B K ISSUED: 8 KING STREEROOK,1�E"W YORK 10573 DATE: / FEB 2 $ 20�9 (914)9 �'939-5801 FEE: PAID[lr oEg w- --APPLICATION Foil CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCES AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION rsrrr►•••wsswsw►►sss►•ssssq•rwwwrrws►►ss►■■ssqsrssrsssr►rws•reswss►s►w♦s►q►►►►rrrrrwsrswwssss•►rrrr»r»r»sss►s:rrrr►»rrwswr Address: \O S fjt 2F E Tr Occupancy/Use: G J - P Parcel ID#: �41 27 Zone: Owner: WIM VAN* UIitL1Li LIU& Address: 10 . vy� P.E./R.A.or Contractor: k. MaW I On Address: V79 CAJAILLCaC956 RD W. M►l! nj Person in responsible charge: PAW P-tfkd 644 Address: iO Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance ofa 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: ume Bt!musa being duly sworn,deposes and says that he/she resides at ?A r. F4 LYE RA2ft (Print 14arne of (No.and Street) in MCC*— ,in the County of W in the State of �4 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:$ for the construction or alteration of 11-�Vq 9ei1�0 1Ze7F-0p1<)T 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 Sworn to before me this L 1 day of 20 day of 2 0 L vor Sig at eofPrope 'P.— VP pplica Print ame of P operty Own Print N me of p icant 1 Not ry tb,tic KELLY SA^IULER Nod Public Notary Puhl. �t"e�f New York No. 0'`n ''�X)6- KELL`(SAKIDLER s s oil, ;Aci in `r'•=•5tehe.ter County Notary Public, 5+;3.�, of `lewYork Cornmission Expl'es March 9, 2-0�� hto, 01Sr;' ;i0'ci::2 0iialifird in County gonimission Expires March 9, E0Z QyE BRC��, 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR O-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 :— \ 0 J * DATE: PERMIT" �i - `o'� ISSUED: ( SECT: 1y1� zD BLOCK: LOT: LOCATION: y G` C- �1 1 l I e. �� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/ REINSPECTION ❑ SITE INSPECTION �` Sq� REQUIRED ❑ FOOTING 1 ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION n ❑ NATURAL GAS `' k" (-A `�Q� M C-QA\ ❑ L.P. GAS Q El TANK ry Li. ❑ Na FIRE SPRINKLER n ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER � E : \ \ 0 CL . 2 � k � ^! ! 5 ) • . . ■! ! !t f - � & �% E . « )/\El1111 w . _\ \�\ y a46 � 1I 1 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Fax(914) 939-5801 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING&FIRE Susan R. Epstein INSPECTOR David M. Heiser Michael J. Izzo Jason A. Klein Jeffrey B. Rednick December 13, 2019 Via I"Class Certified Mail Alena Hakanjin Win Ridge Realty LLC 24 Rye Ridge Plaza Rye Brook, New York 10573 Re: 108 South Ridge Street, Rye Brook, New York 10573 Notice of$500.00 Fee for Expired Permits Open Building Permit#19-012 Issued: 1/22/2019 - Expiration Date: 1/22/2020 Dear Property Owner. Please allow this letter to serve as a reminder that your open permit(s) noted above, as is the case with all Building Permits issued by the Building Department must be closed out with a Certificate of Occupancy or Certificate of Compliance in accordance with §250-10.A. of the Code of the Village of Rye Brook. Building Permits have a life of twelve (12) months and the expiration date is noted on the front of the permit. Please be advised that should you fail to properly close out your permit(s) in accordance with the law, effective November 1, 2009 the Village will be imposing a $500.00 Administrative Fee in connection with all open expired Building Permits issued after January 1, 2003. Please note that this Administrative Fee applies to each individual permit and must be remitted in addition to any other required fees associated with closing the permit(s), as well as any court imposed fines should a summons(es)be issued. Thank you for your attention in this matter, and please feel free to contact this office should you require any further information. Michael J. Izzo Building& Fire Inspector mizzo( ryebrook.org /ec cc: Steven E. Fews, Assistant Building Inspector C) Will qt O aJ o C"I r-4 C),7 KWA C^. L- Ln In. r-q 0 co o cc rLi :z C3 a, C3 C3 = a) >, C3 a, m >, CO cq rz, CO 0 CC z LAJ CD U. C) LAj to Building Permit Check List&Zoning Analysis Address: l C � S R_ _ SBL: — Zone: CA Use: Const.Type: Other. Submittal Date: t I q:> 1 Revisions Submittal Dates: Applicant: _A I 1Tz— Nature of Work: bw N t,Q Reviews:ZBA: J A N I 0 1019 PB: BOT: Other. OK (V ES:Filing. Z BP: C/O: Legalization: APP. Date Stamped Properly Signed: SBL Verified: I.O.A.Approval:- ( ) ( ) 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 Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed: Unacceptable: ( ) (�PLANS:Date Stamped Sealed Cop iesj- Electronic '� Other. License: Workers Comp: ✓ Liability: Y 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. ( ) ( ) 20I6 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. (4AR.B mtg.date: Z 7-0 approval• dA61115 notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES PRgYFP? 1019 Area- SATE: Circle: Fronts a Front: Front: Sides: Rear. Main Cov Accs.Cow Ft.H Sb: Sd.H Sb: GFA: Tot imp: FtFt.Imv: Parlun Height/Stories: notes: BUILC. Owrg ENT D C �� U V r VILOK 938 KINGNY 10573 JAN - 8 2019 (914)99-5801 _��^ v VILLAGE OF RYE BROOK ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit p•copy of tthii�s check list will be removed from the ARB agenda. Job Address: /�8 �'LA th P—II CIn J" 6f. Phone# liq-A 1- 001 Parcel fD#: S 1Q C u Zone: Date of Submission: U 1l (q Proposed Improvement(Describe in detail): k. rn APPLICANT CHECK LIST: The following items must be submitted to the Building 194ihm, lWit oew lAbf' M Department with the application-no exceptions. 1. (V/ Completed Application ,�I �j }�_I, f I ' ,' 2. (✓S Three(3)sets of sealed plans. (one full size(maximum Property Owner: Vvl Y) f I (� (� J�N 1 J ,I I�V� allowable plan size=36'x 42") and two 1 1"x 17) Address: �04 1�l�d/2 .��a1 a S+C. ZD 0 _ 3. (IJf Three(3)copies of the property survey. 1 4. ( )Three(3)copies of the proposed site plan. Phone# 11111-wgkb= m D 5. M One electronic/disc copy of the complete Applicant appearing before the Board: application materials. T /�'. �� �_,j, 6. ( Filing Fee. �_ _� 1 pt *S Ce'. 1'N'�P 7. ( )Any supporting documentation. Address: 1 A ._ gyo WJ'101 j'W Jy 8. ( )HOA approval letter.(foppllcable) 9. (�Photographs. Phone# q ]�gjq doi� 10.(16 Samples of finishes/color chart.(a sample board or Architect/Engineer: ArA/%uk model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions& Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this / Sworn to before me this day of 500�CL-x , 20� day of , 20-Lt T)'D _ Lgrdiure of Proper Oww+or. r Signature 6f Applicant 04W Ib JJ36LIStt— Print Name of Properry4weer•A6pN.1. Print p r VP =10 Notary Public otary b' CA. H !E J.O,R KELLY SAN")I.ER Nota ublic,Sta New or Notary Public, State of New York N . ._ 9186 No. 01 Sti6J038F 2 Qualified in W9. stp ,�� Cut?lifir:d in Westchester County Commission Expires Commission Expires March 9, 20'-,-22_ 6/I/18 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, January 16, 2019 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 17 Birch Lane Replace Two Single Garage Consent 4664 (Mallah) Door With One Wider Agenda Garage Door 17 Loch Lane White Picket Fence & Black 4665 (Ashbey/Taurel) Chain Link Fence 27 Hillcrest Ave New Ft Portico w/Steps To 4666 (Rivera) Grade,New Front& Side Walks 7 Bonwit Rd- Window Reconfiguration to 4667 (Kellman) Facilitate Interior Alterations 9 Terrace Court 2nd Floor Front Dormer 4668 (Scutaro) Addition 108 South Ridge Replace Existing Store 4669 Street(Win Ridge) Front,New Glazing & hc- A Fabric Awning 7 - 15 Rye Ridge Installing 6 Awnings With 4670 Plaza Sunbrella Fabric Charcoal Grey ML NM MR SE 0-11 JM SF AC MI JB • BUILD MENT VI E OF RY OK 938 KING ET RN F.BR ,NY 10573 (914)9 9 39-5801 i AFFIDAVIT OF COMPLIANCE VILLAGE CODE §21 E • 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 its THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: X, DAvty irHc4LAsS k- , residing at, 2+6 V4eyoL A3p VL . 0=093 N PL&O.Y., m-r (Print name) (Address 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; iRl(>c RO&Z V%A Rye Brook,NY. �� 21 (,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. (Signv gyre of Property ) Aber (Print Name of Property RwierM) ^64,r. 1'r Vr- 0 21 i Sworn to before me this day of 5NA- Pot_%A_k 120 _ (Notary blic) KEL LY SANT)!FR Notary Puhlic, S, of i%!Pw York No. 01`;/,: Cu201fied in Wes!che�ter County Commission Expires March 9, 20-z)L_ 11/27/18 Check List For Release of Building Permits Address: <qu l" l (oC e bre-e-f Owner/Applicant: 1 R/ Phone #'s: Dates Attempted To Contact Owner/ Applicant: [//-7/ / l Comments: emoi ko bo V e (mil I C( UCk? Comments: Comments: 6V4 �S NEED: ( Building Permit Fee $ L ( ) UFPO # ( )E� �me Improvement License ( omp. / Comp Waiver ontractor's Contact Information ( ) Fire Sprinkler Plans (2) ( ) Fire Sprinkler Application ( ) Fire Sprinkler Permit Fee ( ) Estimated Cost $ ( ) SWO Fee $ ( ) Legalization Fee $ ( ) Other Tara 0 Tara Gerardi From: Tara Gerardi Sent: Thursday, January 17, 2019 9:36 AM To: David English;Alena Hakanjin Cc: jt@taylorarchitects.com' Subject: Building Permit Application - 108 South Ridge Street The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Liability insurance (the Village Of Rye Brook must be the certificate holder) 3. Workers compensation on a NY State Board form (C105-2 or U26.3) 4. Building permit fee $330.00 (due at the time of pick up) TARA A. GERARDI SECRETARY — PLANNING BOARD, ZONING BOARD OF APPEALS & ARCHITECTURAL REVIEW BOARD VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NEW YORK 10573 OFFICE (914) 939-0668 FAX (914) 939-5801 A� CERTIFICATE OF LIABILITY INSURANCE 12/3/2018 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: Janie Palumbo NAESIP PHONE (201)661-2316 (.7- 12c1)s61-7a23 AIC No Ext: AIC No 1 International Blvd. -MIL ADDRESS: Suite 350 INSURERS AFFORDING COVERAGE NAIC I/ Mahwah NJ 07495 INSURERA:Essex Insurance Co 25848 INSURED INSURER B: E 6 K Management, Inc. INSURER C: 179 Cahill Cross Road INSURER D: Suite 311 INSURER E: West Milford NJ 07480 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1812301245 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 A CLAIMS-MADE a OCCUR 3EU0713 2/01/2015 2/1/2019 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 3,000,000 GENERAL AGGREGATE $ 3,000,000 G 'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $ 3,000,000 EN }( POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ S WORKERS COMPENSATION WC LIMITS OTHR EEL- - AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H 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 David Quinn/GSARDO I ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD y YO K Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured { (201)522-5672 E&K MANAGEMENT,INC 1251 3RD AVE 1 C.NYS Unemployment Insurance Employer Registration Number of NEW YORK,NY 10021 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 46-4855311 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT 3b.Policy Number of entity listed in box"'Ia" VILLAGE OF RYE BROOK UB-9K311184-18 938 KING STREET RYE BROOK,NY 10573 3c.Policy effective period 05/02/2018 to 05/02/2019 3d.The Proprietor,Partners or Executive Officers are lincluded.(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 "3" insures the business referenced above in box"1 a" 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"2". The insurance carver 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 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,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: Misty Kuckelman (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 11/08/2018 (Signature) (Date) Title: 2VP BI Small Commercial Operations Telephone Number of authorized representative or licensed agent of insurance carrier: (877)677-0428 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) www.wcb.ny.gov 1 RYE RIDGE PLAZA PERMIT# cl (ST01 EFI ONT �ENT) SBL# Ilk`t 2-1 -r t TAYLOR BOWMAN AVE DATE APPRO D JlAA N 1171 2 0 19 ASSOCIATES 4�rARCHITECTS RYE BROOK 1**-4EW YORK ® BUILDING INS CTOR, �geof Rye 13rook,NY 572 NORTH BROADWAY WHITE PLAINS,NEW YORK 10603 GENERAL NOTES ABBREVIATIONS / SYMBOLS PROJECT TEAM DRAWING LIST FA 914 289 00 FAX 914 289 0022 A. FIELD CONDITIONS B.J. = BUTT JOINT MA.L. = MATERIAL OWNER I E. LIEN WAIVERS AND SWORN AFFIDAVITS t�IR = MIRROR OR MIRRORED I CONTRACTOR SHALL VERIFY ALL CONDITIONS 4S WELL AS ALL DIMENSIONS AND C.H. = CEILING HEIGHT = I CONDITIONS INDICATED IN THE DRAWINGS.PRIOR TO ACTUAL CONSTRUCTION. CONTRACTOR SHALL FURNISH WITHIN 30 DAYS AFTER COMPLETION,FINAL CI G. = CEILING _N.T i NOT TO SCALE WIN PROPERTIES i ` I i ED .1 CONST. = CONSTRUCTION O.C. - ON CENTER r��C ANY VARIATION FROM CONDITIONS INDICATED IN THE DRAWINGS SHAH BE 'WAIVERS OF LIEN FOR ALL WORK PERFORMED AS"ELL AS AI.L PRO:IDE = FURNISH&INSTALL 10 RYE RIDGE PLAZA SUITE 200 D � I I I � BROUGHT TO THE ATTENTION OF THE ARCHITECT AND OWNERS SUBCONTRACTORS AN MAJOR SUPPLIERS. CONTR. = CONTRACTOR _ I �/ REF - REFRIGERATOR RYE BROOK,NY 10573 I I I �� T,4 �� REPRESENTATIVE PRIOR TO COMMENCING WORK C.T. = CERAMIC TILE = O ISSUED �Gj R.U.0 ROLL UP GRILLE ! I F. CERTIFICATE OF OCCUPANCY D.C.L. _ DESIGN CONTROL LINE S.A.T = SUSPENDED ACOUSTIC TILE PHONE:....(914)468-7300 REVISED&ISSUED I I I ! I �� c, B COORDINATION OF WORK EA. EACH _ I I I �� CONTRACTOR WILL PROVIDE TENANT AND LANDLORD WITH A COPY OF THE FIN. = FINISH OR FINISHED SC 1AD - SOLID CORE WOOD DOOR CONTACT:DAVE ENGLISH I I 1 �f ` THE CHARACTER AND SCOPE OF THE WORK ARE ILLUSTRATED BY THE b:'ORKING CERTIFICATE OF OCCUPANCY. F.R. = FIRE RATED OR RETARDANT S.S. = SEE SPECIFICATIONS STD. = STANDARD DRAWINGS.CONTRACTOR SHALL CAREFULLY EXAMINE ALL THE DRAWINGS AND FRP = FIBERGLASS REINFORCED PANELS TEN TENANT BE RESPONSIBLE FOR THE PROPER INSTALLATION OF HIS WORK AND PROPER G. QUALITY STANDARDS G.C. = GENERAL CONTRACTOR CONSIDERATION FOR THE WORK OF OTHERS AND EXISTING SHOPPING CENTER = T.G.0 = TENANT GENERAL CONTRACTOR GYP.BD. GYPSUM WALLBOARD CONSTRUCTION.DO NOT PLACE DUCTS,PIPING.CONDUIT OR ANY ALL SUCH WORK SHALL BE PERFORMED IN A FIRST CLASS WORKMANLIKE GNP/B. = GYPSUM WALLBOARD �0 = TOP OF ARCHITECT OBSTRUCTION SO AS TO IMPAIR REQUIRED CEILING HEIGHTS AND CLEARANCE MANNER AND SHALL BE IN GOOD AND USEABLE CONDITION AT THE DATE OF _ U,N.0 = UNLESS NOTED OTHERWISE HM - HOLLOW METAL FOR LIGHTING FIXTURES,ETC..CONTRACTOR SHALL BE RESPONSIBLE FOR THE COMPLETION THEREOF.CONTRACTOR SHALL GUARANTEE ALL WORK _ V.C.1 = VINYL COMPORITION TILE JEFFREY TAYLOR ARCHITECT L.L. - LANDLORD OR LEASE LINE r+t•„.,.- PROTECTION OF EXISTING ADJACENT TENANT(S)AND SHOPPING CENTER PERFORMED TO BE FREE FROM ANY AND ALL DEFECTS IN WORKMANSHIP AND V.1.F. = VERIFY IN FIELD DWG.# LIST OF DRAWINGS FACILITIES. MATERIALS FOR ONE(1)YEAR FROM THE DATE ALL CONSTRUCTION PUNCH LIST 'V = WITH 572 NORTH BROADWAY - ITEMS HAVE BEEN COMPLETED AND ACCEPTANCE HAS BEEN CONFIRMED IN WHITE PLAINS,NY 10603 T-100.01 COVER SHEET r CODE DATA O I I I I ; C. BUILDING CODES AND REGULATIONS WRITING BY THE TENANT REPRESENTATIVE.CONTRACTOR SHALL BE ........-•••. - ... .......... ............-••'-•............•............••.... RESPONSIBLE FOR THE REPLACEMENT OR REPAIR WITHOUT ANY ADDITIONAL (914)289-0011 11 ,...................................... I 1 ........... . � � ........................ ...................� PHONE:.... ........ ALL WORK SHALL CONFORM TO ALL CODES AND REGU.ATIONS.CONTRACTOR; CHARGE FOR ANY AND ALL WORK DONE OR FURNISHED WHICH SHALL BECOME A•100.01 CONSTRUCTION FLOOR PLAN O I I i I I i I i I I I s SHALL FILE,PAY FOR.AND OBTAIN ALL REQUIRED PERMITS TO PERFORM THE DEFECTIVE WITHIN THIS ONE(1)YEAR PERIOD.THE CORRECTION OF SUCH SYMBOLS ....""'.... """'"""'"'."'"""""""'""""".............."'"......."." . '""""""""""'""""'"""'"'""�""""'l"''"'"i""�......."'•"'•""""•""- WORK.CONTRACTOR SHALL OBTAIN AL'.REQUIRED APPROVALS FROM WORK SHALL INCLUDE.WITHOUT ADDITIONAL CHARGE ALL EXPENSES AND CONTACT:ROB DALLESANDRO(P.M) I I I I I GOVERNMENTAL AGENCIES INVOLVED PRIOR TO FINAL PAYMENT.APPROVALS DAMAGES IN CONNECTION WITH SUCH REMOVAL REPLACEMENT.OR REPAIR OF TO OCCUPY THE SPACE BY LOCAL BUILD NG OFF!CtA'-S SHALL BE OBTAINED. ANY PART OF THE WORK WHICH MAY BE DAMAGED OR DISTURBED THEREBY. DOOR NUMBER COLUMN -........ -' ALL WARRANTIES OR GUARANTEES AS TO MATERIALS OR WORKMANSHIP ON OR O t PARTITION 1 TYPE �� rQ. INSURANCE WITH RESPECT TO TENANT'S WORK SHALL BE CONTAINED IN THE CONTRACT OR YPE SUBCONTRACT WHICH SHALL BE SO WRITTEN THAT SUCH GUARANTEES OR 00 FINISH CODE DATA 1.CONTRACTOR SHAL_SECURE PAY FOR AND MAINTAIN DURING WARRANTEES SHALL INSURE TO THE BENEFIT OF BOTH LANDLORD AND TENANT TYPE CONSTRUCTION FIXTURING WORK WITHIN LEASED PREMISES.All OF THE AS THEIR RESPECTIVE INTEREST APPEAR AND CAN BE DIRECTLY ENFORCED BY I INSURANCE POLICIES REQUIRED AND IN THE Ah10L.NTS AS SET FORTH HEREIN. EITHER. I CONTRACTOR SHALL NOT COMMENCE ANY WORK UNTIL ALL REQUIRED APPLICABLE CODES: JAN /,LtOINSURANCE HAS BEEN OBTAINED AND CERTIFICAFICA TES OF SUCH INSURANCE H. RUBBER WHEEL CARTS HAVE BEEN DELIVERED TO THE LANDLORD AND TENANT.LANDLORD MUST BE — , ALL WORK DONE UNDER THIS CONTRACT SHALL COMPLY WITH THE PROVISIONS OF THE 19 NAMED AS-ADDITIONAL INSURED'.CERTIFICATES OF INSURANCE SHALL COVER CONTRACTOR'S CARTS EQUIPMENT BOXES.ETC MUST BE EQUIPPED WI I SPECIFICATIONS.DRAWINGS&CONSTRUCTION CRITERIA OF THE LANDLORD AND ALL WORK PERFORME 0 BY HIM AND EACH OF HIS SUBCONTRACTORS AND ALL RUBBER WHEELS. (� SHALL SATISFY THE PROPOSED WORK HAS BEEN DESIGNED AND MUST BE PERFORMED MAJOR SUPPLIERS. \� \ J. FIRE_EXTINGLnSHERs IN COMPLIANCE WITH THE 2010 NY5 UNIFORM CODE,AND THE CITY OF NEW ROCHELLE 2.GENERAi CONTRACTOR S AND SUBCONTRACTORS'REQUIRED MINIMUM MUNICIPAL CODE AND ALL APPLICABLE RULES AND REGULATIONS..ANY MODIFICATIONS COVERAGE AND LIMITS OF LIABILITY: CONTRACTOR TO PROVIDE(1)iC4 ABC AT ELECTRICAL PANEL AND(1)IC:ABC TO THE CONTRACT WORK REQUIRED BY SUCH AUTHORITIES SHALL BE PERFORMED BY NEAR MAIN ENTRY DOORS&VERIFY REQUIRED NUMBER AND LOCATION OF ANY ELEVATION SECTION SECTION D. PL IN DE AIL THE GENERAL CONTRACTOR.ALL PERMITS AND LICENSES NECESSARY FOR THE a)WORKMEN'S COMPENSATION INSURANCE-IN ACCORDANCF NITH THE ADDITIONAL EXTINGUISHERS REQUIRED BY'"IRE DEPAR-rMENT AND FURNISH EXECUTION OF THE WORK SHALL BE SECURED AND PAID FOR BY THE GENERAL w GOVERNING LAWS WITH A LIMIT OF NOT LESS THAN 5500.000.AND ANY AND INSTALL SAME.INSTAL L AFTER FIXTURING. CONTRACTOR. n INSURANCE REQUIRED BY ANY EMPLOYEE BENEFITS ACTS ETC AS WILL li C PROTECT THE CONTRACTOR AND SUBCONTRACTORS FROM ANY AND ALL K. RESPONSIBILITY FOR MATERIALS ON SITE tL LIABILITY. BUILDING:.................NEW YORK STATE BUILDING CODE(ADOPTED IBC+AMENDMENTS) 0 CONTRACTOR SHALL BE RESPONSIBLE FOR ALL MATERIALS SHIPPED TO THE PLUMBING:.•..•...........NEW YORK STATE PLUMBING CODE(ADOPTED 16C*AMENDMENTS).. w b)CONTRACTOR SHALL PAY FOR AND FURNISH TO TENANT AND LANDLORD JOB SITE INCLUDING MATERIALS FURNISHED BY OTHERS.COST OF ALL MISSING CERTIFICATES OF INSURANCE.'HIGH WILL PROTECT SAID CON-RACTOR MATERIALS WILL BE DEDUCTED FROM THE CONTRACT PRICE AND FINAL MECHANICAL:.............NEW YORK STATE N.IECH.CODE(ADOPTED IBC+AMENDMENTS).. z FROM CLAIMS(i)UNDER WOR..KMAN'S COMPENSATION ACTS AND OTHER PAYMENT.CONTRACTOR TO CHECK ALL INVOICES AT TIME SHIPMENT IS ENERGY CODE:............ENERGY CONSERVATION CODE 2015 NEN YORK STATE(ADOPTED O EMPLOYEE BENEFIT ACTS,WITH LRA17S OF NOT LESS THAN 52,C00.000..(ii) RECEIVED AND NOTIFY TENAN-REPRESENTATIVE.OF ANY DISCREPANCIES IECC 2015) U) c w FOR DAMAGES BECAUSE OF BODILY INJURY,(INCLUDING DEATH)TO HIS _ — r EMPLOYEES AND ALL OTHERS,WITH THE LIMITS OF 52,000.000 PER PERSON ELECTRICAL: NATIONAL ELECTRICAL CODE 00 4 L. RUBBISH REMOVAL � W N AND S2,C 0=0.PER OCCURRENCE:AND(111)FOR DAN(AGES TO PROPERTY FIRE:............................NEW YORK STATE FIRE CODE 2015(ADOPTED IFC-AMENDMENT) LU c.1 WITH L I..MITS OF$1 000,000.WHICH ARISE OUT OF OR RESULT FROM THE CONTRACTOR SHALL BE RESPONSIBLE FOR DAILY REMOVAL FROM THE CONTRACTOR'S WORK UNDER THIS CONTRACT WHETHER SUCH WORK PROJECT,ALL TRASH RUBBISH AND SURPLUS MATERIALS RESULTING FROM ACCESSIBILITY:............ICC/ANSI A117.1-2003 AND 20.0.ADA (INCLUDING OPERATION OF MOTOR VEHICLES)BE BY HIMSELF OR OTHER-- CONSTRUCTION,FIXTURING AND MERCHANDISING OF THE DEMISED PREMISES. DIRECTLY OR INDIRECTLY EMPLOYED BY EITHER;AND BUILDERS RISK COORDINATE REMOVAL OF DEBRIS WITH SHOPPING CENTER MGMT.r LANDLORD CONSTRUCTION TYPE:LIB PROJECT NO. 10462 INSURANCE IN THE FULL AMOUNT OF THE CONTRACT SUM. N,I TEMPORARY UTILITIES USE GROUP:M(MERCANTILE/RETAIL) 3.INDENINIFICATION-TO THE FULLEST EXTENT PERI:LITTED BY LAIN THE DATE: 12.14.18 CONTRACTOR SHALL INDEMNIFY AND HOLD HARMLESS THE LANDLORD. CONTRACTOR SHALL ARRANGE FOR TEMPORARY UTILITIES AS REQUIRED AND THIS APPLICATION IS FOR THE CONSTRUCTION OF THE SHELL OF THE BUILDING DRAWN BY: FTA TENANT,AND THE ARCHITECT AND THEIR AGENTS AND EMPLOYEES FROM AND SHALL PAY FOR THE UTILITY CHARGE AGAINST ALL CLAIMS,OANAGES,LOSSES AND EXPENSES,INCLUDING BUT NOT ONLY.ALL TENANT FIT-OUT WORK SHALL BE FILED UNDER SEPARATE APPLICATION. LIMITED TO ATTORNEYS FEES ARISING OUT OF OR RESULTING FROM THE PERFORMANCE OF THE WORK,PROVIDED THAT ANY SUCH CLAIM,DAMAGE. ALL SIGNS TO BE FILED UNDER A SEPARATE PERMIT APPLICATION SCALE: AS NOTED LOSS.OR EXPENSE(1)IS ATTRIBUTABLE TO BODILY INJURY.SICKXIESS DISEASE OR DEATH.OR TO INJURY OR 70 DESTRUCTION OF TANGIBLE PROPERTY(OTHER THAN THE WORK ITSELF)INCLUDING THE LOSS OF USE RESULTING THEREFROM. AND(2)IS CAUSED IN WHOLE OR IN PART BY A NEGLIGENT ACT OR OMISSION OF C— THE CONTRACTOR,ANY SUBCONTRACTORS,ANYONE DIRECTLY OR INDIRECTLY LOCATION M A P EMPLOYED ANY OF N BE LIABLE,REGARDLESS OF WHETHER OR — `/i I la c e of Rye Brook NOT IT IS CAUSED IN PARTRT B BY A A PARTY INDEMNIFIED HEREUNDER. >Archl-tectur I R iew ark App;-rvv;l rl.).ne:J• -.r.,;.- - r.- s. 'r-...••aw�rn +s-a-.+ .._.. .,C. SHEET TITLE: ~ ��������•���� COVER SHEET/ LftIJ1:C:fa'�'7J:i.•4o/ � •. � ai•'R-;..-.JR.���i0�; VIA-,n © , ..�.._. -w.1--. r.� ..,y�,.�.._ .<_.�...;..� � �. CODE DATA O t.errninp E v:«ss Q 4114 f`�.I'� w LIJ \ J/ W o �-- LIJ Z W U N --1 - - �Qz �• - W --i Y Gn gle - W 0 w 0 0 Map data-2118 Google 200 R E _ W f� O V =—m y Q Wow J >-y- STOREFRONT REPLACEMENT JAN _ CL O �. ORYE RIDGE PLAZA 8 019 �'- RYE BROOK,NEW YORK Z to W cr- .C;'.zL.1!!G:TRI^JL•^J" YTtr-Y.a+V.�--. •-?�, :t.F;.itr-••wx �.ri:�.•i SHEET NO: T-1 00.00 EXISTING METAL COPING(NO _ ___ EXISTING METAL COPING(NO CHANGES) CHANGES) f7b lip TAYLOR ASSOCIATES ---- -- i ARCHITECTS EXISTING GFRC FASCIA(NO EXISTING GFRC FASCIA(NO CHANGES) CHANGES) 572 NORTH BROADWAY WHITE PLAINS,NEW YO 0603 NEW FABRIC AWNING ON — - - ----- NEW FABRIC AWNING ON G �•,� ALUMINUM FRAME TO MATCH ALUMINUM FRAME TO MATCH SHOPPING CENTER STANDARD — L U SHOPPING CENTER STANDARD •� "SUNBRELLA-CHARCOAL GRAY" i "SUNBRELLA-CHARCOAL GRAY" :;�j4F_ F- i Z O Q to r r LLJ 0 Z I F-O N ` `n 62 Z N W � I Q af '0 F-J ; I p co ' 411013 0 r- p i (A// f I ; Q X Z �O ! Z �Lu t LL v, i {{ Z i W! a: I ! 6"HIGH BRICK SILL TO MATCH -- -- 6"HIGH BRICK SILL TO MATCHwi I ILL I E EXISTING 21-0 EXISTING Z��� REMOVE EXISTING ALUMINUM AND GLASS STOREFRONT O AND INSTALL NEW ALUMINUM AND GLASS STOREFRONT ,. ( I i 3 >!co I SYSTEM WITH X7 STOREFRONT DOOR � r• • T s:• ,. s t N 3 ? I ANODIZED BLACK FINISH IN EXISTING OPENING PROJECT NO. 10462 12.14.18 STOREFRONT ELEVATIONS DRAWN BY: FTA A100 SCALE: 1/2"=V-0" _ ...................................-................--....................... SCALE: AS NOTED ALUM.STRONTFRONT ELEVATION (VIEW FROM EXTERIOR) •A E•K:- ................................................................................... �L�^ % ;•`-� '�. SHEET TITLE: r-000R STOP%V/PILE Interior --WSTAL�sH1! sEAav [ Svti?-GN GASS STOREFRONT AS REO'D BY -1 -7 MOULD%G ELEVATIONS ri•i"VIK C JAR HEAD RJSSER GASKET -E PEREC GLASS _ AND DETAILS COR STOP W/P E ✓/,•jj WEATHER S'RIP SNAP 0%CLASS NCL LING TRANSOM j! W/R.:tl9ER GASKET ' �� n a DOOR S-CP W/P S'RIP WEATHER N i! �L td�ti -4GTOV C04'.NiNG- 'HK.G�IZINGa2J'GN COVT. NG[ TOP Rt. 2" I i ?�8° PANE 3Y 0'+ERS h 7�8 2 SNAP-0\GLASS NO.._DING W �• Exterior i�• Yv/R 98ER GASKE- u Z 3 JAMB �ANfl E SET C-PULL �)11` JAMB Z W IExtenor �� I Interior ' -- -— � 0 Ems�—//' Z W c N>- ExIST NG WALL Interior <` Exterior Interior Li.. 0 o Q Z TH,c.GLAZ%G '' CAULK NG PER ME-ER AT 4 z^ 'A BO-H S DES EY INSTALLER PANEL By O-HERS 1 I ! W Y r a. LLW Wo (� O(D i i"THK.GLAZING O W IC)0� PANEL P,Y OTAERS BASE W Q Q)0 W r7 1" K.G-AZING PI EY OTHERS PO'TOaA RA J W}- SNAP-CN CLASS MOULOIVG a �` RUB=ER GASKET M 4'M .SADDLE O a Q Q iS-ICCVE SZALAN BY IS ALL-R = BOTTOM FLOOR FIN SN BY OT ERS \- Z /A W RAIL v� W Exterior y. 1 JAMB 2 MULLION } F-r . D-i D-I l TYPICAL VERT. DETAILS TYPICAL VERT. DETAILS -A E:3' II-'-a SHEET NO: 2 STOREFRONT DETAILS A100 SCALE: 1/2"=V-0" OOmOO