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HomeMy WebLinkAboutSP20-003PERMIT #yrc SECTION TYPE OF WORK JOB LOCATION _ OWNER _ Yy � I CONTf EST. C �CO #_ TCO # Al o�0d b EXP:( BLOCK o? LOT; -L K-A„ Y" J:c a 701- 4005 FEEA o/O QL DATEC>a.='r, FEE DATE INSPECTION RECORp DATE FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS ED SPRINKLER oe ELECTRIC LOW -VOLT - ALARM C� AS BUILT ED FINAL INSP a eER APPROVALS �. . ER • QyE DR h O 1 t� l.�t+4 Vu`Li �. 1911 �•�-� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury «�,,,.n,-ebrookm,_.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E.Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE February 20,2025 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 158 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-36 Sign Permit#20-003 issued on 2/24/2020 for New Tenant Sign This certifies that the new tenant sign;"Massage Envy",installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to p CCIENE DD MAY 2 0 2024 BUILDING-DEPARTMENT For office use onhv: VIL AGF,..OF RYE B .OOK PERMIT#���Q 003 VILLAGE OF RYE BROOK A ISSUED0—,D'9— ap BUILDING DEPARTMENT 938 KING STREer;;RYE BRooK;NEw PORK 10573 DATEo� (9,-4)939-066>`3 FEE: &0— PAIDX APPLICATION FOR CERTIFICATE 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 Address: 158 SOUTH RIDGE STREET-RYE RIDGE SHOPPING CENTER SOUTH Occupancy/Use: Parcel ID#:141.35-2-36 Zone: Cl-P Owner: WIN RIDGE REALTY LLC(914)7014005 Address: 24 Rye Ridge Plaza P.E./R.A.or Contractor: CAD SIGNS(201)267-0457 Address: 169 Lodi St,Hackensack-NJ 07601 Person in responsible charge: JUAN PACHECO(201)267-0457 Address: 169 Lodi St,Hackensack-NJ 07601 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: JUAN PACHECO being duly swom,deposes and says that he/she resides at 169 Lodi St (Print Name of Applicant) (No.and Street) in Hackensack in the County of in the State of NJ that (Ciryrrown/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 1,800.00 for the construction or alteration of: NC 6CJ 7,e7 r a 7 7 �1 q I l 4 ,S SQej.p '_�*7Vq !/ 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 54-1 Sworn to before me this /O-q day of , 20A day of �" ,20 1p�A / I i e of Prop ewrter/17&M; tt�fo plicant P i Nar of property r PiintNarnr,,ofhppligent ! It Notary Public WX INIALENAHAKANJIN .e"•. -I0fr» +1kK0FNW M31 TARY PUBLIC,STATE Of NEW YORH .w„c Ise N sQ111I94 sQQistntion No.O1HA00131ia5 � ualified In Westchester county y Commission Expires 911912027 �yE BRC�v� o`` tim 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.5 � so� t 1yl ��� DATE: V. i ? U Z PERMIT#�S� Z Q c�3 ISSUED: Z-Zy-JECT: / �•�!'BLOCK: LOT: J4 LOCATION: ���7", ✓ 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 r ' k-v ❑ NATURAL GAS ❑ L.P. GAS n / ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING / �,t a/z �O /_ v J� ❑ CROSS CONNECTION ( V l - /� FINAL l SS (,�.Q / 7F4 L L ❑��THER J f)p C P I !iU / �i� t' c ■ ti s t L ■ ■ M d. N ■� � N N F �t, a w �,.� W oo m W Ln o : t, ►� W (, $ t cc H Irr 00 a W W bLR.+ M R� cn z - Nac w O Ln 0-4 00 CL4 C� z z N r. Z w (A w � z W r-1 1 U z 0-0l "A O or- OC ■ z c o ° ■ N o Ln H o V W Q9, s " 00 0 c., A A r ■ Ln z R-1 z c cJ = t i t BUILDING DEPAR•1 NI ENT Vn.l,,%;F()F RNT 61400K R FEB - 7 2025 jD 938 Kim,STAj. i i Ri'i Bwxw, NY 10573 1.9141 -f*68 VILLAGE OF RYE BROOK V.�\.tyt hLq )i;n • pL I BUILDING DEPARTMENT ELLCTRICAI, PERMIT APP1.1CAT1ON Westchester County Master Llectricials License Required Approval Date: FEB 1 1 Permit Fee: S /'�5 � Approval.signature: _ Other: •It11111,Ftt1111MA111*11*IIIt►M411�IIIIIIitllt/ttt4ltlrit�i4lt�tM/tilli►�Ii►ttlt*tt111t11111►tf1�+�� 1)1) NOI Sl %)t 1 %tORK u ( % .. . (), ,`I11. .1 1F:1jWI1 { AS 11FE E. ) H1 fHF HUMMING IN TOR. r11F: �U�11�Iti I_It.�TI�'F' F'FF: FOR WORK PRO(;FtExsyp()It 1-FI)N IT11t11 TA PFRMIT h 12"it OF TII1 iU1 %I ((XSTOFCONSlitt( iIONWITII \ \1INI\1I Ml'FFUF$7750011 Application dated,Q-7--c� S- is herchc madc to the fludding inspector of the villa gx ot•Rye Rrrxik NY, for the issuance of it Perntit to install and or remove electrical equipment. N inns. fixtures, or to perlimn other high or low voltage clectneal work as per the detailed statement Jcscribcd below i1v signing this Jocunicnt, tic applicant !it pruperty uHner agree that all electrical work performed a ill be in contirnnanee with.ill applicable 1'cdcral.State.County and Luca)('runs. 1.Address 1__ SRL: 141.35-2-36 58 S�.Ring,@ S reel_�- __--—•-- -.__._.__.___ —zone: C1-9 2.Prulicrty ownerWin Ridge Realty LLC-Alena Hakanjin Add,,,,. 24 Rye Ridge Plaza Rye Brook NY 10573 Phone++_ 914-701-4005 ep p; n/a email: 1 @Wi ahakan in nride.com 3.Master Electrician,-Licensed Installer,GregM Btu __� A d dr ems:_1.0 r o o.k a 4 dAAV0-luffern-NY Lic. a:jf$3_PhonC Company Nanic:AngLer �IQ.e(ric _--_Addresa.15 Brookside Ave., Suffern NY 10901 4.Prorosed Electrical %VorkiFixturc Count: _ Electrical Connection for Sign "'Party Ek.-ctrical ltl"ction Agency: _SWIS ♦f Af RARRARAfARfAlff!!!R!!lR1flRR!►R!RlR tRARARlA1AARlRiflllflARlRf Aff Af llRf 11f 11fl1flff llRRAf RRf RRlf♦/lRRR STATE OF Ni?W YORK.COUNTY OF WhSTCHFSTrR ) as •being duly iwum.d:rrr,a,and stntej that he she is the appbc:ent aix"a ru7me.i,atxl dixjj tunhcr ftir�: ..rbyi nidn idu.il AlMn .the a I t i 'ur! zinc(s they a. for the leual owner And is dui}authunnd to make and ilia this apphca.ion. i N n i f Icctn:Ian l,ac.ti+.rd hrsralh•r i ,r+t cd farther states that all state"k%s contained herein arc Inic to the beat of his her knowlmgc and Wict.an<i that am work ruwt %F ust coxlducled at the chase capik►ned property wall he in cimfunnance u tt)i the details as.et tiuth arui crwitantcd to this cactt;yrind in any avcompanying Approved plans and q%xitications as well A.in accordance N ith the New York Mate I'mform Dire t'r Ash s Building Cate,the Code ofthe Village of Rye tinwrk and all other apphc:ahic Lms.,wdinance..and regulatams c, 'ss ru a,before me this 61h _-.-- tiworn t re me this as (rt- Februa zn - - -24 —. day of jjr_"- / Zp- "�► o v� ature of Pr sty f>Wttrr - - z S Sign;ttu �)f AppliCattt le_na Hakanjin CHAYA ULLMAN ACai i Name o!t'pnTcrTy Owner f': "+ N°'�''>` print Na a licant N Na iry Public t ry Puhl s wl 2024 STATE WIDE INSPECTION SERVICES, INC. ;0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# — S Date �,)l Bldg Permit# .J o s 00 3 Sq Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. / County Address hcz< Cross Street Section Block Lot c Owner Name/Address(If different than above) —� V�L Contact Number ❑Basement ❑1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑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 SERVICE Amperage #Panels 1P 3P # Meters # 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 FEB �j ID - 7 zap mot/� VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address Name License# /G c6 Date !%Jj o(C%�S Signature Address City/State Zip Code Company Phone# :51 6 77 . D v IDState Wide Inspection Services 1080 Main Street FEB 14 2025 Fishkill, NY 12524 TO�US 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES 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: Angler Electric LLC Win Ridge Realty LLC 15 Brookside Avenue 158 South Ridge Street Suffern, NY 10901 Rye Brook, NY 10573 Located at: 158 South Ridge Street, Rye Brook, NY 10573 Section:- Block: Lot: Electrical Permit Number: EP25-035 141.3S 2 36 Certificate Number: 2025-0992 Building Permit Number:SP20-003 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 158 South Ridge Street, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 14th day of February 2025. Name Quantity Rating Circuit Type Exterior Tenant Sign 01 7 Officer: Frank J. 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. � a N N N oo x arc 454 4' co (.z, AceZZ N z a o M u �= O 00 Ono r•� � � � � Z AG F m x � '� � � F ' oft � ' z f i w F• ~ Q v �' g V� 0 + O V w z 609 f = + _ BUILT 1k6_ 6ARTMENT D VILLAGE OF RYE BPLpOK 7 9381rl4 �)q ET RYE B NY 105�7 FEB 2 7 2020(99 39-580 N4 .or /�I LAGE OF RY= BROOK y r)ING DEF'ARTP,IENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required XFOR OFFICE USE ONLY - �D^D(J EP#: pX-04-CD Approval Date: F E B 2 8 2020 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 7 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 electrical equipment, wiring, fixtures ,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance wt all cable ed era l, Stat ,County and Local Coldes.,�{� /�/,, �1 1.Address: S (/ l /1/t J� SBL:�"'T �.J`J ^�7 W Zone:l� 2.Property Owner: ) LGC Address: Phone#: Cell#: email: 3.Master Electrician: r _C,r // 0 4 Address: � Lic.#: /D g3 Phone#: Cell#: �7sS�67 7 g email•C7 G�C Company Name: Address: 4.Proposed Elecli Wo Fix Count: ********************************************************************************************************* STATE rW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named,and does further (print me of individual signing as the applicant) C state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the 1�� ✓�'�/�1 for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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. Sworn to before me this Sworn to before me this a7�' day of 20 day of ,20 ,,A Signature of Property Owner tgnatui a of Applicant �Qt Print Name of Property Owner Print NarncAfApplicant Notary Public l otary Pub is ALEXANDRA H.FRANK l'M"I'AN(, ) Notary Public,State of New York No.01FR6363711 Qualified In Westchester County 3�z1/19 Commission Expires August 28,20 Westchester Rockland Electrical Inspection Services, Inc. Phone: 91, 1-3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue 1 "r Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP H DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY I STREET AND NO.OR ROAD ! POLE NUMBER --� —sc�"+�� ) .fir BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? i SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS / J HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES d MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P. EAOIi INSPECTION OUTSIDE BASEMENT I'FL. FEB2 7 20 0 2"FL. . BROOK UN T .I pp -{-v'l A 3' FL. U �L�'�, C�f'1� REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: G I \_ THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED. IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPUCATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC. IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW G ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD C UNDERGROUND'_ —Li I I I_t AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATIO SIGNATURE OF APPLICANT i a� X S� TELEPHONE NO. 6_72 7 OFFICE MP CODE LICENSE NO.WHEN APPLICABLE /- �1 (/ Building Permit Check List&Zoning Analysis OB & C ONLY Address: S 1- �Ts' E -ST. SBL: `+ 3S ? -3 Zone: C Use: 3 Const.Type: —�� Other. Submittal Date: Revisions Submittal Dates: Applicant: w _12 g�5 E= Nature of Work t N rrr S ( r, ti , ►�v� �� rr�N y Reviews:ZBA: J N 6 020PB: BP: Other. TE OK ( ) FEES:Filing. SSO--�BP: Z�ro �`'�`= C/O: Legalization: ( ) (s�APP.: Date Stamped: ✓ Properly Signed:-' SBL Verified H.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 `J Copies: 2- Electronic: `J Other: ( ) (� License: Workers Comp: ✓ Liability: ___17_0_Mp.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. _ G( ) ( ) Other. ARB mtg.date: S approval• 2-1 n i2_2 notes: ( )ZBA mtg.date: approval notes: ( )PB mtg.date: approval notes: REQUIRED =TING PROPOSED NOTFS APPROVED Area: n�as. F E B 2 1 2020 Circle: Frontage _ Front: Front: Sides: Rear. F.A.R.: en Space: Height: Stories: notes: BUILD MENT VIL EOFR'Y OK 938 KING ET RYE BR NY 10573 DEC 3 0 2019 (914)9 , 9 39-5801 rg VILLAGE OF RYE BROOK BUILDING DEPARTMENT 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 a copy ofthis check list will be removed from the ARB agenda. Job Address: '�5 g�pV�h �;O fie S} Date of Submission: Parcel ID#:_i-44, ajF,-5j 2—�Zone P Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: Q c MUST BE COMPLETED BY THE APPLICANT � ) The following items must be submitted to the Building p Department by the applicant-no exceptions. 1. (� Completed Application 2. (�Two(2)sets of sealed plans. (one full size{maximum Property Owner: t allowable plan size=36"x 42")and one 11"x 17") Q 3. (V)Two(2)copies of the property survey. Address: 3 4. (J)Two(2)copies of the proposed site plan. Phone# 5. (7)One electronic/disc copy of the complete Applicant appearing before the Board: application materials.6. (4)Filing Fee. i7 7. ( )Any supporting documentation. Address: 8. ( )HOA approval letter. (if applicable) 9. ( )Photographs. Phone# 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Architect/Engineer: _ Phone# 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. rd Sworn to before me this I&m Sworn to before me this O day of 0 Q.1C &7t , 20� day of VG 4 3 , 20 /J i ignatur ofPrope Aw+terT-W�RjQl�IetAL1Y Signatu of plicant Wl) ENbLl S P C o Print Nae of Property Owrrer ,'k) � nt me of Applican ' 10 k Notai Public SUSIE BI U .«r a NOTARY PUBLIC.STATE OF NEW YORK •°'��. MNAF1Y tNLK0FNNN! IIY Registration No.01 BR6146106 ti "•"`y com KSION M S011iM3 i Qualified in Westchester County " MY COMMI'SIGN EXPIRES 11,1? 202n Commission Expires A1ay 15. 2022 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, February 19, 2020 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 5 Parkridge Ct Close Up Rear Kitchen Consent 4881 (Wishnow) Window and Relocate Agenda 34 Whittemore Place Replace Retaining Wall, Consent 4882 (Chipkin) Walkway, Landing Agenda 221 Country Ridge 3 New Skylights Consent 4883 Dr. (Sierra) Agenda 51 Talcott Road Repair Rear Damage Consent 4884 (Fields) Windows;New Windows& Agenda Patio Doors 158 S. Ridge St 2nd Appearance,Massage 4878 (Win-Ridge) Envy, Sign � ( 19 Maywood Ave 2nd Story Master Bath \ 4885 (Guerro) Addition; Interior Alterations 76 Country Ridge Dr 1 Story Addition&New 4886 (Levine) Side Yard Deck 8 Magnolia Dr Rear 1 Story Addition& 4887 (Scharf) New Rear Deck- 173 Country Ridge Amendments To Prior 4888 Dr. (Teig) Approve Application 173 Country Ridge Amendment To Prior 4889 Dr. (Teig) Approval, Site Work, Retaining Wall 124 S. Ridge St New Retail Sign/Awning 4890 (Win-Ridge) "Ruby and Jenna" 400 N. Ridge St. Enclose Existing Front Porch 4891 (Bastone) & Reconfigure Front Wall ML NM MR SE JM SF AC MI JB t 170 S. Ridge St New Tenant Sign "Just 4U 4892 (Win-Ridge) Nails" 7 Ridge Blvd (3)2nd Story Addition, 4893 (Holleran) Rebuild Breezeway,New Front Porch,Aterations 7 Bell Place New Roof Line,New Front 4894 (Ledesma) Portico Exterior; Interior Alterations ML NM MR SE JM SF AC MI JB VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, January 15, 2020 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 2 Magnolia Dr Egress Window/For Consent 4875 (Rosner) Finished Basement. Agenda 8 Osborne Ave (Dix) Roof Top Solar Array& Consent 4876 System/ Agenda 67 Bowman Ave( Install 6'Privacy Fence In Consent 4877 Trayner) Rear Yard, 4' in Side Yard Agenda 570 Westchester Ave Re-Appearance-New Two 4860 (568 Westchester Family Modular Residential Realty) 158 S. Ridge St New Sign"Massage Envy" 4878 90 S. Ridge Street New Address Sign " 90 " 4879 (RSPG Group LLC) 2 Charles Lane 2nd Story Addition, Rear 4880 (Kaplan) Addition,New Front Porch, &Wood Deck ML NM MR SE JM SF AC MI JB r/ RE: MASSAGE ENVY - 158 South Ridge Street Rye Brook , NY 0 Steven Fews <SteveFews@ryebrook.org> Tc Juan Pacheco O Follow up. Start by Friday,January 31, 2020. Due by Friday, January 31,2020. Action Items Hi, Juan please also submit 2 original hard copies, either by mail, currier or in person at the counter Thank You. Steven E.Fews Assistant Building 8 Fire Inspector Code Enforcement Village Of Rye Brook ste vefews 0 geb ro o k o rg 914-939-0668 Ph 914-939-5801 fax From:Juan Pacheco [mailto:Juan@cadsiRns.net] Sent:Tuesday,January 28, 2020 2:45 PM To: Steven Fews <Steve Fews @ryebrook.orR> Subject: MASSAGE ENVY- 158 South Ridge Street Rye Brook, NY Good afternoon Steven , In the attached file you can see revised drawings requested per ARB Please let me know when is the next ARB meeting , Thanks . Sincerely, Juan Pacheco Permit Expeditor �1 Policy Number Date Entered 9/25/2019 ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(hMVDD/YYYY) 9:2il2019 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 Michael Ili; NAME: Michael II r PMO NE 8 Bartles Corner Rd AIC No E.e:(9()8)751-5922 (AIC,Nole(866)619-i712 Suite AooatSS:shannon�u�ff-nj com INSURER(S)AFFORDING COVERAGE NAIL N Flemington.NJ O8822 INSURER A FARM I A\111 ti CASI'AI.IY INS URA N('1{ 13803 INSURED Signs CAD Corp dba CAD Signs INSURER e: Unused Farm Fainds Casualty limo wwc •ytj(1 INSURER C 169 Lodi tit INSURER D Hackensack.NJ 07601 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. LTR TYPE OF INSURANCE INS. WVD POLICY NUMB ER (Mhy DDlYYYY) MM'DD/YY•/Y) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1.000,000 CLAIMS-MADE ®OCCUR 2901X6162 10V24/2019 1012412021 PREMISES rEa occurrence) S 100.000 MED EXP(Any one person) S i.1100 PERSONAL S ADV INJURY 5 1.000,001) GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 POLICY F E T LOC PRODUCTS-COMPQPAGG 5 2.000,000 OTHER 5 AUTOMO BILE LIABILITY aacedent S 1.000.000 B ANY AUTO 7901C3301 1v24,2Ur9 1(1/24A2020 BODILY INJURY(Per person) 5 OWNED - SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED 5 AUTOS ONLY AUTOS ONLY (Per accident S A UMBRELLA LIAR OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAR ri CLAIMS-MADE 2901 E2418 10.12112019 10u2412020 AGGREGATE s 5.000.000 DIED X RETENTION$1 U UUU s WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ,r!N STATUTE I I ER ANYPROPRIETOR,'PAR7NERIEXECUTNE NIA I(I;2k:019 IUl211202U E.L EACH ACCIDENT 5 1,000,000 A OFFICERWEMSEREXCLUDED? '� 2902W6718 (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 K yyPS descnoe.I10Er DE5CRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S I,1100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may Ee aU..h.d d more space,s r.qu—d) CERTIFICATE HOLDER CANCELLATION Village of Rye Brook 938 king Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©19BO-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PruduCed using Forms Boss Plus software.waw FOnnsiBoss.com.impressive Publish,ng,LLC 800-208-1977 roRK Workers' CERTIFICATE OF TATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured SIGNS CAD CORP 201-267-0457 169 LODI ST 1c.NYS Unemployment Insurance Employer Registration Number of HACKENSACK,NJ 07601 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 27-0186720 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) FARM FAMILY CASUALTY INSURANCE Village of Rye Brook 3b.Policy Number of Entity Listed in Box 1a" 938 King Street 2902W6718 Rye Brook, NY 10573 3c.Policy effective period 10/24/2019 to 10/24/2020 3d.The Proprietor,Partners or Executive Officers are �X 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"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 carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights 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: MICHAEL ILG (Print name of authorized representative or licensed agent of insurance carrier) -�'—___ Approved by: 9/25/2019 _ (Signature) (Date) Title: CAPTIVE AGENT FOR FARM FAMILY Telephone Number of authorized representative or licensed agent of insurance carrier: 908-751-5922 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