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HomeMy WebLinkAboutBP21-297PERMIT # d/- Q9 / DATE./ I I4 a� EXP; /% m SECTION / 7Z / TYPE OF WORK _ JOB LOCATION, OWNE CONTRACTOR EST. COST NCO #� TCO # ' BLOCK / LOT i c/ P /4 — trrp ha��Cl:ny c� �er S /7 P�� - /c //a (ao� a-�� 73 i E_,, ++ EE 4 97 FEE �wOil D--- -DATE- a� FEE DATE M�,,,_ INSPECTION RECORD FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS DATE 1b Ll SPRINKLER ELECTRIC LOW -VOLT Q ......... ALARM - AS BUILT 0 FINAL INSP /tie6rra �?THER APPROVALS ARB BOT Ps ZBA OTHER FF VILLAGE 4F RYE BROOK WESTCHESTER COU1V!I* ', NEW YORK NO. 22-001 Cextif t'cacte of Occupaucp This is to certify that_ Win R ) d it. k C I `1 L -L-..C of, kIC having duly filed an application on Deernb er oZ ) �20 requesting a Certificate of Occupancy for the premises known as, 8 Rye !` I UJ!J (f PJa,7,(1,Rye Brook,NY, located in a 7on i n g District and shown on the most current Tax Map as Section: 114 I J7 Block: I Lot: C U and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. �, issued / ) 20 ) , 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 New York State Use Classification of 13 W,S/' r , for the following purposes: V V 4f t-)(9-1-)-74 4 O's), [)or y Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: (Ode /v. a de. 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 buildin or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height s all made c 1 the building be moved from one location to another until a permit to accomplish such change has been b nspector. Building Inspector,Village of Rye Brook: Date: JAN' - 3 2012 D E C E� V E BUILQR IENT For office use onl : PERMIT# 97 DEC 21 2021 VILOK ISSUED: //-3S KING STREYORK 10573 DATE: -a I --Loa/ VILLAGE OF RYE BROOKFEE: PAIDBUILDING DEPARTMENT 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 Rttit#tttti■tittitttiiiiiii##F####F####4##44W4#444#W#4#4##i##ttit4tt##it#+C#############44####t##Mi####t#i##4t#####i4#4#+k#i### Address: 15B Rye Ridge Plaza Occupancy/Use: Parcel ID#: 1 41 .2 7-1 -6 Zone: C 1 -P RT k I L Owner: WinRidge Realty LLC Address: 10 Rye Ridge Plaza, 0200 P.E./R.A.or Contractor: E&K Management Address: W. Milford, NJ 07480 Person in responsible charge: Sal Faleiglia Address: 201 -522-5672 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: Gary GianfrancdmIDg)dulysworn,deposes and says that he/she resides at 22 Rockhagen Rd (Print Name of Applicant) (No.and Street) in Thornwood ,in the County of Westchester in the State of NY ,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 24, 500 for the construction oralterationof: tenant fit—out of "Prosper IV" 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 / day of , 202A--- day of Opan j , 20 2( 9�--—�—C-f—� Si a of Propert `Arno i re of a6.sr DI4J1D tM61L64— f;ary r-i Anfranrr,sr() Print Name of Prop j Print Name of Applicant Ad,Nota P blic otary Public 1 Y-Fk Ng"p11W.Stye of N" York 8/12/2021 *,*N"d in yVS@ftft9ter County 001VIA?27805 �E DRO, 04 tim cu � �9b2• BUILDING DEPARTMENT BBUILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ry brook.org - - - - - - - - - - - - - -- - - -- - INSPECTION REPORT - - - - - - - - - - -- - - - - - - - - ADDRESS :- � 1� L DATE; l C ( 3( z I PERMIT# � ISSUED: I I ( SECT: � ��� z LOCK: I LOT: LOCATION: , �' ^��� 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 ❑ NATURAL GAS ❑ L.P. GAS © FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ 4{CROSS CONNECTION FINAL ❑ OTHER 1982 BUILDING DEPARTMENT [�BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ifE3 CODE ENFORCEMENT OFFICER 938 KING STREET• RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - -- - - - - - - - - - -- - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: � � �� DATE: PERMIT# ISSUED SECT: BLOCK: LOT: LOCATION: 1J l�� ' �� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ® REJECTED/REINSP'ECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS \ ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�� c,u r BUILDING DEPARTMENT ZDING INSPECTOR STANT BUILDING INSPECTOR VILLAGE OFRYEBROOK E ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - , 0y-7C--DAlE: ADDRESS :— PERMIT#� f� 1 �I 1 ISSUED: SECT: 1l` 1.2�OCK: LOT: 6 LOCATION: c>0 -lx* ""VCCUPAiNCY: ❑ VIOLATION NOTED THE WORK IS... vAcCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER , : C1 14 yCoocw tea, F - W �" W �, � -8 -� •� a' w � b o. �e o or- 0-0 0 :• N W eq00.0 O I�■� ICI � � xj '� w � ca �n ,n 3 � � v as •= a � 3 U r, oc, rab „ aa � O � c' Yor � °' co 0gz ON � � U U r E Z , ell a m .� I� 00 H N a Q U ; ; 0 m w wlit m �, a, CZ o �� W � o °c A z ■� � a V U G � � � � E 8 rl � u- � 1� o 0 L. BUILDING.DE_M TMENT VILLA' OF Ry"`BROOK NOV _4 2021 93$KING STQ2EET RYE BRO67 ,NY 10573 ;t914J 939,o ok�:or-0668J VILLAGE OF RYE BROOK wwvi�-y e b r- J '2� BUILDING DEPARTMENT � INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: NOV - 8 20 ,,cS �l—�67 50- !� Approval Date: ermit#: Application Fee:$ � `n Approval Signature: Permit Fees: $ Disapproved: Other: Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Pen-nit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 1 5B Rye Ridge plaza SBL: 141 .27-1 -6 __Zone: C1Tp R AIL 2. Proposed Improvement. (Describe in detail): Revise existing harb r shap spare for vitamin hydration wellnps spa RPpl ara f 1 am. arnlicf i t f i 1 cc 1 i Qht-i ng and ral nr-ai-c- sink No Change to egress, Ti;'AC,f i -e alarm or sprinkler. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: XX Yes: If yes,indicate: TIER I: TIER II: TIER III: 4, 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...) : No: X _Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5, Occupancy;(1 fam„2 fam.,comm.,etc...)Prior to Construction: barber shop After Construction: personal secs 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: WinRidcle Shopping C'tr_ Address: 10 RVp Ricigp plaza # q()Q Phone# Cell# email: 8. Applicant: Gary Gianfrancesco Address: 545A Westchester Ave, Rye Brook Phone# 937-5596 Cell# email: gary(darcnni rs net 9. Architect: Arr-nni r-c Arrhi tantizrp_ P ('Address: 5451. 4ve, k Phone# 91 4-937-5596 Cell# email:garyldarnnni rs net 10. EngineerW A Address: Phone# Cell# email:; _ 11. General Contractor: E&K Address: Phone# 201 -522-5672 Cell# email:so.ekmanagement@optonline,net 12. Estimated cost of construction $ 2 4 5 0 0 (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated Gratis.) 13. Job Timetable: Start: Finish: (1) 8/12/2021 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: being duly sworn,deposes and states that he/she is the applicant above named, (print name o 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 architect for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,allomey,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 Z.. Sworn tor^ 4 before m � (� e this ! day of Q �( , 20 _ day of C 1-1 , 20 9/ ignature f Prope n,�.,o. Si a of p ica t ,�r��r bAylp F:��UZIA- Gary Gianfrancesco Print Name of Property 04...wt Print Name of Applicant lk t d Notary ublic Notary Public Brendan G. Maloney CA r Ir , r Notary Public,State of New York Registration#02MA6269488 , Y"' k Qualified in Westchester CountY Commission Expires February 17,2 °�S _J 2�— (4) S/1212021 s ao � O Rf N' M M � • .r.{ a ou Z O o N Q rti 09 tn LQ � U F r r�/�I Q 14 Ua O CC U t W y1 '� W �^ N 4as� 04% fa ram, r� O Z OEM r � » m (ON V .a a • V w z C, p d � r tn Q G C. r] OG ' �F C� Q•� i..� r�r C'� L� Z" rJ t s _ 113R BUIL + MENT D VIL E of RYE OK 2 3 2021 938 KIN RYE ,NY 10573 N0� (914) 939-5801 VILLAGE OF RYE BROOK or I BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 21-297 EP#: 0I-,3© Approval Date: NOV 2 1 11 Permit Fee: $ Approval Signature: 14 Other: Disapproved: tf (fees are non-refundable) Application dated, 1 111 6/2 021 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 confgrmapce with all applicable Federal, State,County and Local Codes. 1.Address: 15B Rye ak-><e. plaza Rye Bridge Shopping Cente9BL: 141.27-1-6 Zone:L, Z,Property mote,: Win Ridge Realty LLC Address: Phone#: 914-701-4005 Cell#: email: 3.Master Electrician: Steve Burke Address: 73 Route 9, Suite 9, Fishkill, NY 12524 Lic.#: 1228 Phone#: 845-265-5033 Cell#: 914-804-7733 email: lnfo@burkeny.com Company Name: Burke Electric Contractors Inc Address: 73 Route 9 Ste 9, Fishkill, NY 12524 4.Proposed Electrical Work/Fixture Count: R.—I.1-W.N ou t.hgh1reN�R.b-....—0. R.Rlaea 2 eW.-9—y alpha -Remove data."N Remme exretirp�ghta IrnCaM rew TV oNIN. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Steve Burke ,being duly sworn,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 legal owner of the property to which this application pertains,or that(s)he is the contractor 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 '�3 day of 120 day of er+, 20 .ti Signature of Property Owner Signa of Applicant Steve Burke Print Name of Property Owner ^nt Name of Applicant Notary Public otar�ftW64ELILLO Notary Public, State of New York Q ral:i=d i,r Wr:,;tcr,-,r erCounty Commission Expires Janurjry 29.2021 -31 3/21/19 e INSPECTIONSTATEWIDE Service With Illitegrity 0:r SWIS JOBAPPLICATION • • .com . • Office Use Elect.Permit# Date 30� Bldg Permit# C\ Utility ID# J Final Certificate# City/Village zip Township County Address f Cross Street /C Section/y Block _ ' Lot Owner Name/Address(if different than above) Contact Number Yl�,/ — 77 ? 3 ❑Basement g 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 FL ❑Garage ❑Attic ❑Outside ❑Residential [:]Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information �ey Z- ex r ✓� / c- 5e_ A D CC F. ��IIE NOV 2 3 2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SW15.This application is intended to cover the above listed items to be Inspected,if at any time of inspection additional Rams 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 appikam,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name i ���� Date `f 7— -j Signaturee"— Address ) c C�r1 city/state i t 5 ( �r Zip Code / 1.�"Z rUicense# Phone# S —Z fir;— �G 3 3 State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone TO 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office(d)swisny.com 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: Burke Electrical Contractor Inc WIN Ridge Realty LLC 73 Route 9,Suite 9 15B Rye Ridge Plaza Fishkill, NY 12524 Rye Brook, NY 10573 Located at: 15B Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP21-308 141.27 a Certificate Number: 2021-6295 Building Permit Number: BP21-297 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: 15B Rye Ridge Plaza, Rye Brook, NY 10573 The First Floor 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 9th day of December 2021. Name Quantity Rating Circuit Type Receptacles 09 GFCI Receptacle 01 Recessed Fixtures 06 Switches 02 f 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. N m C N Tq xr M ~ a W Oz agor o -0 O O a c Cho e4kn o < a w col 00 Q' r. O w H W w v a+t �0 a �o � V1 ,.. lb S r ►�*� (ON96 w a V _ ac w •• o t� o V � � a w � .• ° i �1�I�p�i�p�l�►�I��I����I�ip�i����l������C��lp�l�i��l�l����lpi�p yE t1R � BUIL E MENT DEC 13 2�21 VIL E OF RYE- OK 21 ] DD 938 KIN 1;I.'r RYE B ,NY 10573 VILLAGE OF RYE BROOK (914)9 6 11;` 939-5801 BUILDING DEPARTMENT �'v;1i c.or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#: t)/—/ / Approval Date: DEC 1021 Permit Fee: S S—/ Approval Signature:. Other: Disapproved: (fees are non-refundable) Application dated, 4)/3—c�/ 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,w.oprkw�ill be in conformance with all applicable Federal,State,County and Local Codes. ,Q 1.Address: 15 g e-►�"' — 1�1Qt ,�(o�f�_TV SBL: 4 c —/`6 Zone:�f 2.Proposed Work: NI&, c OAAt-e-r sk`� of WML(- 3.Property Owner;_ C C LAZ Address: jq kt I _0(Q,, IO,?,.g , Le6fm uyQs�► Phone#: �(n+t-1 7 O — 0C Cell#: email: 4.Master Plumber: Qa01 ? k66QLQQa r Address: Lic.#: QI0 Phone#: n3—Wi Cell#: email: °6AO-J 1^i LQ 1p10mb: y� Company Name:' 6=� ,j. �(ilmbim %4, COx IM,74ni_ Address: _1,13 1g U ag. S ' HD RCW-- Qj I AS/ 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) STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: [malt D fifmL'151-t ,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 SOT 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. Sworn to before me this Sworn to before me this day of Rp�J day of 20 � re of Prop rty r Signature of Applicant T- DAVtD c44CAL4.Vi -- Pain mfcbroisy_u Print Name of Property a Print Name of Applicant Not ublic cl"LIY cA^'r)1.FR NAoifaWPtCt iA6 AGUATO Nota ub'ic, c r,i „ew York NOTARY PUBLIC-STATE OF NEW YORK No. C,. No.01AB6378708 01 ialif4;r! in ' �chi 7.t_;r County. Co:rrni.�sion Expires March S, 20'aL Oualified In©range County MY Commission Expires 07-30-20 2 This application must be properly completed in its entirety and must include the notarized slgna2ture(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- 8112rz021 Building Permit Check List&Zoning Analysis • Address: : SBL:_ ( ( • 2 7 — Zone `-iL Use: Const.Type; Other. Submittal Date: << l j-1 Revisions Submittal Dates: Applicant: Nature of Work:_\u•r 4.� Reviews:ZBA: N O V - 8 2021 PB: BOT: Other: ( ) FEES:Filing BP: Z •'T� C/O: 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 Plan: Other. ( ) ( ) ySURVEY:Dated Current Archival: Sealed Unacceptable LANS;Date Stamped ✓ Sealed ✓ Copies: "Z— Electronic Ocher ( ) ( License: Workers Comp: ✓ Liability: �mp.Waiver. Other. O O 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. (J ( ) PLUNMING: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. ( ) ( ) 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 tr,tg.date: approval:- notes: REQUIRED EXISTING PROPOSED NQTFS Au: nAtso N O V - 8 221 Circle: Fr n Front: Front: Sides: RSA Main Cov Acts.Coo Ft.HL% Sd.H/Sb: CIE& TaL : )'aiDg: �.� /Stories notes: TRANSMITTAL TRANSMITTAL TRANSMITTAL TRANSMITTAL TRANSMITTAL ARCONICS ARCHITECTURE Architecture P.C. INTERIORS TO Building Department PROJECT: Prosper IV Village of Rye Brook 938 King Street Rye Brook, NY 10573 NOV - 4 2021 PROJECT NO: 22110 VILLAGE OF RYE BROOK ING DEPARTMENT DATE: November 4, 2Q UI_LD�__._.. _. WE ARE SENDING YOU: ATTACHED UNDER SEPARATE COVER VIA HAND DELIVERY THE FOLLOWING ITEMS: SHOP DRAWINGS PRINTS TRANSPARENCIES SAMPLES SPECIFICATIONS COPY OF LETTER CHANGE OF ORDER COPIES DWG.NO. DATE REV. DESCRIPTION 1 Permit Application 1 Check #260- $875 250 application fee + 625 Value of Work 1 Contractor's Certificates of Insurance 1 A-100 8/26/21 Demo Plan, Construction Plan, RCP and Finish Plan 1 A-101 8/26/21 Interior Elevations and Section 1 11 x 17 set of drawings F- 1 THESE ARE TRANSMITTED AS CHECKED BELOW: FOR APPROVAL APPROVED AS SUBMITTED SUBMIT COPIES FOR APPROVAL FOR YOUR USE APPROVED AS NOTED SUBMIT COPIES FOR OUR USE AS REQUESTED RETURNED FOR CORRECTIONS RETURN CORRECTED PRINTS FOR RECORD FOR REVIEW AND COMMENT FOR BIDS DUE 20 1 recommend payment in full for the contracted amount plus additional charges totaling $2,000. Both myself and Russ can attest to the additional services provided by Zicca that day. The additional cost is fair and reasonable. COPY TO: SIGNED: Gary Zuckerman Gary Gianfrancesco, AIA, AICP, LEED AP, BD+C 5451/2 WESTCHESTER AVENUE 914-937-5596 RYE BROOK,NY 10573 F 914-939-1255 OD ACOR" CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDIYYYY) 07/14/2021 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 Grace Sabella NAME: NAESIP,LLC PHONE (201)932-1756 201)661-7823 AYC No Ext ABC,No 1 International Blvd. ADDRESS: gsabella@naesip.com 9th Floor Suite 909 INSURER(S)AFFORDING COVERAGE NAIC 0 Mahwah NJ 07495 INSURERA: Evanston Insurance Company 35378 INSURED INSURER B E&K Management,Inc./Bald Eagle Management INSURER C: 179 Cahill Cross Road INSURER O: Suite 311 INSURER E West Milford NJ 07480 INSURERF: COVERAGES CERTIFICATE NUMBER: CL20112401852 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 HY 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 INSD WVD POLICY NUMBER MMI DIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 3,000,000 CLAIMS-MADE OCCUR PREMISES Ea or.rurmncr. 5 100,000 MED EXP(Any one person) S 5,000 A 3AA438873 12/01/2020 1210112021 PERSONAL&ADV INJURY $ 3,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 5 3.000.000 RO POLICY PECT LOC PRODUCTS-COMP'OPAGG $ 3,000,000 OTHER. S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 Ea accident ANYAUTO BODILY INJURY(Per Person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per eoddent) $ HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY Pnr accident S UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 55,000,000 A EXCESS LAB CLAIMS-MADE EZXS3041846 01120/2021 12/01/2021 AGGREGATE 5 S5,000,000 DIED I RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y r N STATUTE ER ANY PROPRIETORIPARTNER EXECUTIVE NIA E.L.EACH ACCIDENT S OFF10ERrMEMBER EXCLUDED? (Mandatory In NH) ❑ E.L.DISEASE-EA EMPLOYEE S It yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder is included as Additional Insured(Forms MEGL 0009-01 09 18)On the General Liability,only if required by a written contract with the named insured.with respect to ongoing and completed operations of the insured,subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ' W Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name&Address of Insured(use street address only) 1 b, Business Telephone Number of Insured (973)657-1 118 E&K MANAGEMENT,INC 179 CAHILL CROSS RD SUITE 311 1 c, NYS Unemployment Insurance Employer Registration Number of WEST MILFORD,NJ 07480 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain focations in New York State,i.e.,a Wrap-Up Policy) Number 464855311 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"1 a" VILLAGE OF RYE BROOK Ue-9K311184-21 938 KING STREET RYE BROOK,NY 10573 3c. Policy effective period 0 5102/20 2 1 to 05/02/2022 3d.The Proprietor.Partners or Executive Officers are Elincluded.(Only check box if all partnersloffcers 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 "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 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 James Mulligan (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 4.4" d 41w_� 07/13/2021 (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 A101*1CIURE fACIIIII PLANNING INIII1011 a D DENO KEYNOTES: CONSTUCTION KEYNOTES: RCP KEYNOTES: 8 • OREMOVE EXISTING MIRRORS.OUTLETS t IS'� NEW DEDICATED OUTLET ABOVE ❑j 4"DIMMABLE LED DOWNLIGHT LIGHTS AND ALL ASSOCIATED WIRING 11 CEILING SEE ELEVATION 4A-101 Ex A/CPATCH WALL AS REQUIRED I ac 2 NEW OUTLET AT 18°AFF a 6 DIMMABLE LED DOWNLIGHT Ex REMOVE EXISTING WALL MOUNTED MIRRORS -0" •9 0' 3 NEW TILE IN EXISTING GRID EXI5T NEW 6'-2 HIGH WALL _. LIGHTS AND GRID TO REMAIN. ARCHITECTURE P C , 3 03 EXISTING SHELVING TO REMAIN.PAINT STORAGE W/SEMI-GLOSS 103 5 4 CENTER LINE OF INTERIOR WALL 3 w Q 4 REMOVE ALL EXISTING FLUORESCENT II SIGN SEE ELEVATION 4/A-I01 LIGHTS ASSOCIATED WIRING AND EX EP �;, REMOVE EXISTING PEDESTAL SINK EX EP SWITCHING SPACE h02 v REVERSE PLUMBING IN WALL TO 8 A-101 1& 10 �5 RELOCATED FIRE EXTINGUISHER O TL STORACsE FD_j ACCOMMODATE NEW SINK IN 0103.PATCH AS r- 36Xw (2)DIMMER SWITCHES(1)FOR 4 REQ'D NEW FAUCET DELTA 583LF-UF 10 5 LIGHTING AND(U FOR 6"LIGHTING 103 - � 9 � CHROME x p � 545.5 WESTCHESTER AVENUE 5 REMOVE EXISTING OUTLET PATCH WALL AS 1 13 w J SD � p 6 REMOVE EXISTING WALL MTD EXIT 11 I: U REQ'D 2 LL ; NEW KOHLER MISENO 19-1/8 X w SIGN INSTALL NEW W/DUAL HEADS RYE BROOK,NY 10573 50 4 6 12 A-101 10 r El RECTANGULAR UNDERMOUNT SINK TO E w F TLT � REMOVE EXISTING FIRE EXTINGUISHER AND F WHITE \ 10 O 914-937-5596 104 O; \J SET ASIDE FOR REINSTALLATION. S TLT 11 O 3 n n REMOVE ALL EXISTING VINYL BASE uwjX 104 a EXISTING SPLIT UNIT HvAC TO SD LL J THROUGHOUT 00 F30"BASE CABINET AND COUNTER 9 T��`°_�� ,g,l 8 REMOVE ALL TEL a DATA WIRING T 4 BY OWNER G.C.TO NSTALL T 2 O THROUGHOUT ry ' R NEW 30'ADA-MIRROR FE 4 1 EXIST THERMOSTAT TO REMAIN 11 6 � RECLINERS AND TABLES BY THE PY +_i, ; 10 REMOVE EXISTING DOOR SHADE 1 II OWNER r- PROSPER IV �TJ I Z �� 11 REMOVE N.L CEILING TILE,EXISTING GRID 4 A-101 2 Q 12 224 X COMPUTER DESK BY j `-J 4 15B RYE RIDGE PLAZA,S.RIDGE SS`T in I RYE BROOK NEW YORK,10573 3 13 NEW VINYL REDUCER STRIP 1 I I 14 NEW TV MONITOR OUTLET AT 12"H r 'I � I I I THERAPY rl,I 8 Q 102 I I ! IF T�4 X _ O X I I w 4 1IL_p I 1' i THERAPY i m 8 _ ,� 1 I 1 . F i 102 2 1 CM 1 1- r T-j JI SD 11 I I 3 Q O El r_, , _ LEGEND DATE ISSUE TO PR TO I 1 , I I I I f/ I I I 5-OCT-21 TENANT I i I �' p EXISTING EXHAUST F F F F 4 I I I I FAN 6-OCT-21 LANDLORD REVIEW + O RECESSED DIMABLE 11 I D DOUNLIGN �. 5 z 10 12 _ 10'-10" 13 4 r-� � � d(�1� WALL MOUNTED EXIT LKGWT/EMEWzENCY LIGHT ------------- ---- L_J L_ 2 WAITING O AI WALL MOUNTED EXIT WAITING 101 - L,GHT 2 101 I��% EX FLUSHDER O AFF. DT DIMMER SWITCH Ilk SWITCH I CM NEW CO2 DETECTOR 6 D - SD EXISTING SMOKE DETECTOR O EXISTING SPRINKLER HEADS(NO CHANGE) 0 EX15TING CONDITIONS -DEMO PLAN PROPOSED LAYOUT EXISTING (REFLECTED CE'LING PLAN SCALE:1/4'a I'-0" SCALE:1/4'"I'-0" �� SCALE:I/4"=I'-0" NOV -4 2021 ILLAGE OF RYE BROOK PERMITS BUILDING DEPARTMENT SBL# 1 agoCONSTUCTION GENERAL NOTES: FINISH SCHEDULE v RM NO. PAINT FLOORING BASE DOOR/TRIM CEILING DATIE APPR ED � — I. USE GROUP B -BUSINESS 101 PI FL BI P2 CI 2. NO EXTERIOR WALL SIGNAGE PROPOSED. 102 PI FL BI P2 CI 103 PI FL BI P2 CI 3. ALL EXISTING WALLS i CEILING GR'D TO REMAIN. 104 PI -- BI P2 CI NO DATE REVISIONS BY 4. ALL EXISTING LEVER SET DOOR HARDWARE TO REMAIN LOCK-5 ARE TO BE BUILDING INSPE TO age of Rye Brook.NY RE-KEYEr BY TENANT. 5. ALL EXISTING SPRINKLER HEADS t SMOKE DETECTORS TO REMAIN P1 NEW W ALL PAINT B2 R EGG SWELL DARK PEWTER DEMO PLAN, CONSTRUCTION UNCHANGED PLAN RCP & FINISH 6. EXISTING(2)SPLIT UNIT NvAC TO REMAIN UNCHANGED. ® �1TRIM 04 PAINT PARI PRIME B2 COATS'GLOSS DARK PEWTER � SCHEDULE 1. ALL EXISTING TO'LET FIXTURES TO REMAIN. GI CEILING TILE:CERTAINTEED,SAND MICRO 2X4 TILES WITH 2X2 SCORING HIGH�-K.,'DITY.51­�-154 INSTALL IN EXISTING GRID,ALL CUTS TO BE 8. ALL OUTLETS ARE EXISTING TO REMAIN UNLESS OTHERWISE NOTED. TEGULAR RED A;?C PROJECT NO.:22016 S. TENANT SAALL PROVIDE BUILDERS RISK'NSURANCE IN ACCORDANCE WITH FL NEW VINYL PLANK FLOORING-HOME DECORATORS SCALE: NOTED A5 G\pNFRgN o LEASE. COLLECTION-ASH CLAY WATERPROOF FLOORING.CLICK/LOCK Q-� � Fs,O INSTALLATION OVER EXISTING VCT '� BI NEW 4"VINYL BASE COLOR TO BE DETERMINED •I •I DRAWN BY: SZ NOTES: s `- CHECKED BY: CsCs 1. A FULL BOX VINYL PLANK SHOULD BE LEFT IN STORAGE AREA. '9T�Q2`2`s� ypP 2. RESILIENT FLOORING IN 101/103 TO BE INSTALLED PARALLEL TO -'OF;VE`N DATE: 8/26,21 FRONT DOOR WALL 3. EXISTING DOORS TO BE HAND SANDED,(2)COATS OF POLYURETHANE A I C H I I I C I U I I fACItII1 PLANNING INTERIORS DRAIN TO REMAIN. OUTLET ABOVE CEILING • PROVIDE REMOVEABLE PLYWOOD BOX NEW INTERIOR LED SIGN „ ® ' A R C H IT E C T U R E P C , TV w ® it 4 NEW NIB WALL ° 545.5 WESTCHESTER AVENUE i� '' ® ® Li RYE BROOK,NY 10573 tot 914-937-5596 1 INTERIOR ELEVATION#102r,NvINTERIOR ELEVATION#102 3 INTERIOR ELEVATION#102 4 INTERIOR ELEVATION#102 SCALE:V4 =I-0 SCALE:I/4 I 0 SCALE:1/4 =I 0 SCALE:1/4 -I 0 PROSPER IV 1 5B RYE RIDGE PLAZA,S.RIDGE ST RYE BROOK NEW YORK,11?57 3 EXIST SHELVING TO REMAIN PAINT EXIST ELEC PANEL ° DATE I ISSUE TO I PR I TO cv 5-OCT-21 TENANT ® ' 6-OCT-21 LANDLORD REVIEW h INTERIOR ELEVATION 1103 INTERIOR ELEVATION 0103 INTERIOR ELEVATION 1103 g INTERIOR OELEVATION#103 9 INTERIOR ELEVATION#104 5 6 SCALE:1/4"=1'-0" DRAIN TO REMAIN. PROVIDE REMOVEABLE PLYWOOD BOX NEW 30"ADA NEW VERTICAL MIRROR GRAB BAR ::5A n 4 STORAGE THERAPY ® WAITING 4 T 103 ° n 8 101 70 0 4Qo ® ° mry ry mm mLi m h in Z-4 NEW NIB WALL UOINTERIOR ELEVATION#104 11 INTERIOR OELEVATION #104 Q2 INTERIOR OELEVATION#104 SECTION 10" COLOR:TROPICAL BLUE LED NO DATE REVISIONS BY LIGHT AND JACKET INTERIOR ELEVATIONS & SECTION >r�'ARC, PROJECT NO.:22016 #. : a SCALE: NOTED ;A DRAWN BY: SZ CHECKED BY: GG F NE`N DATE: 8126121 3INTERIOR WALL SIGN 1 SCALE:3/4"=I'-O"