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BP22-007
PERMIT SECTION TYPE OF WORT JOB LOCATION OW N ER&b3 ST. COSTS vco #C9 % DATE: b 94� Expo BLOC►( Q LOT 7C0 INSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING Z� Z RGH PLUMBING - GAS SPRINKLER ELECTRIC oe LOW -VOLT C7 ALARM AS BUILT FINAL cT,CI c �f.5?1lranf,Cxli/�iO�9 7ro�/(iPl(�-S�zlllrQ�7� /,)yam �%5 CITHER APPROVALS z� ARB BOT PB ZBA i OTHER l:euSr2 Il 94 slor�� k�� S� ��'ss 94C' a- O1�j/ is c k11a x> eLl::71e lwG I e� Gc��a3)�6aa VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 22-095 (ferttftrate of Occupaucp This is to certify that 1azaAj�5epna-1 er of, y—e, B roc k , /V V having duly filed an application on ,j, 20-,��requesting a Certificate of Occupancy for the premises known as, 7.5 SO UT/ ) Rld0r, 2kef- , Rye Brook,NY, located in a -� zoning District and shown on the most current Tax Map as Section: / 5 Block: -Q Lot: �I and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit Nozz�—o , issued / 0 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 following New York State Classifications; Use Classification: &,,<eJ' j-9jLt Oro4 o — A Construction Classification: _1Lr LJ ,Maximum Occupancy: for the following purposes: Lecta I I Ze f f'Te—r (U 1 ' reki0�/� `/()� 4 de+ach urar4 b , r Y Y)ew Yes4ou ► arl4 - " A mner� a h Me Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: nn 11aa 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 building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in heig sh be made,nor shall the building be moved from one location to another until a permit to accomplish such change has be ob ' uilding Inspector. Building Inspector,Village of Rye Brook: Date: �UN 2 3 2�22 �i' O� V GA V J✓ LIrLCa.a av l4y �.txs+c.KL, 19 A" annivemaW VILLAGE OF RYE BROOK - MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.iyeb ro o k.ors TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE June 23,2022 Washington Park Plaza Associates c/o Martha Levy 275 South Ridge Street Rye Brook,New York 10573 Re: American Prime,275 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-51 This document certifies that the work done under Mechanical Permit #22-010 issued on 1/24/2022 for the installation of a new Navien combo water heater/boiler has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to E + 4t" ann&jo oaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J. Bradbury w ww.;yebrook.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE June 23,2022 Washington Park Plaza Associates c/o Martha Levy 275 South Ridge Street Rye Brook,New York 10573 Re: American Prime,275 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-51 Mechanical Permit#22-009 issued on 1/19/2022 for Fire Sprinkler System Modifications This certifies that the fire sprinkler heads,installed under the above captioned permit,have been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to D BUILDING DEPARTMENT For office use onl : PERNIIT# -C,0 7 JUN - 3 2022 VILLAGE OF RYE BROOK ISSUED: 9 8 KING STREtT,RYE BROOK,NEw YORK 10573 DATE: -,-.a VILLAGE OF RYE BROOK (914)939-0668 FEE: PAID BUILDING DEPARTMENT www,ryft4DoMrg 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: _�7✓'f' &IO d77� b'STQJ" aP1.��� I�Or 111 q Occupancy/Use: 00M Parcel lD#: _5 Zone: ��S Owner: P, Address: P.E./R.A. or Contractor:(,�',1�`1tCC,� E )( IQ J' Address` ,`-) l� � jLh Z-k )Q Person in responsible charge: Address: ��g 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-,(CtO,UNTY OF WESTCHESTER as: �/ - k0lJ being duly swom,deposes and says that he/she resides atALA6QgaZ:&—T(Print Name of Applicant) (No.and Street) in &AX Vd.,LE in the County of /� r in the State of that City/Town/Village) as su he/she has the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed a ui��w..�ent,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ ,Ft, J, Or—) for the construction or alteration of: n C Deponent further states that he/she has ex 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 thisZZ Sworn to before me this �ZZ day of , 201;?'y day of , 20 Z-?� Z?bA leaw �, v';�O Sign1ftureT Property Owner Signature of Applicant r Print Name of Property Owner t Name of M��_ Notary lic Notary b c CAROLYN MARIE CANNISTRARO CAROLYN ARIE CANNISTRARO Notary Public-State of New York No.01CA6177080 Notary Public-State of New York 8/12/2021 01CA6177080 Qualified in Westchester County Qualified No. Westchester County My Commission Expires Nov.5,2023 My Commission Expires Nov.5,2023 QyE Bkj� Zm cu � 1982 BUILDING DEPARTMENT UILDING 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: -V-o�6 v-- sr- DATE: Ll.12- PERMIT# a !ZZ- ©Oj ISSUED: Z Z SECT: BLOCK: Z. LOT: LOCATION: �vvuc Ak j -�A`d]-Ai1 OCCUPANCY: A- C, ❑ 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 Z ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER �E BRO o`` tim '9a2 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.rytbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: Z7 / DATE: (0/ 1 `F)�,72_ PERMIT# 7,2 — &3 ? ISSUED:SECT:BLOCK: �-—LOT: .J LOCATION: OCCUPANCY: --2— ❑ 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 0 ❑ FIRE SPRINKLER ti► Q V ❑ FINAL PLUMBING ❑ f ROSS CONNECTION —T) t 0 z" FINAL OTHER Z V S=— ef ^O O---t zU'1 QyE BRa? O�` tim 04 cu � 1982 BUILDING DEPARTMENT ,',�BUILDING INSPECTOR �❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ( [I CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.ore - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:—Z7> ' ��'� ��-- DATE: 1 l z Z PERMIT# R1� ZZ - cqo`7 ISSUED:4a ZZSECT: ,3S BLOCK: Z LOT: LOCATION: /L.- F.,4Z1-J J V �A�n E-O C- 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 Z ❑ FIRE SPRINKLER 1: rt CAU-t5 L-E-S FP��`� ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER LJ AL✓ t�--T G L a tV LT7 o a S t,a`t70►-A QyE BRC��. '9a2 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.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS ' Z 7--S =����G- ��` DATE: `o L,�5 Lz Z PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OfQo17 Sys OCCUPANCY: -Z ❑ 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 Cr� S ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING Z ❑ CROSS CONNECTION ❑ FINAL p OTHER T~ Ceti--��•� �" �J �. L� I.- l � � 3 t o►� A v A� Do t„S Ot�E 6Raj�• 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.rytbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:- (i7� t T'� �T DATE: 2 Z PERMIT#` 1 ` -2 --On :7 ISSUED: SECT: BLOCK: LOT: LOCATION: 1��Y�' '-J��^` OCCUPANCY: A 4❑ 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 ✓✓✓ I Q ❑ L.P. GAS — ❑ FUEL TANK ❑ FIRE SPRINKLER ,W ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL (1rJ ❑ OTUE VSF�r Ccw-j'rA-c L lf20 Fes" Vt 2t- 2ttcLl ►.��—� o`` tim • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 4ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK / 0 CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - -- - - - - - - -- - - - - ADDRESS :— �T� (� '? � DATE: PERMIT## 1 ISSUED: kf�ECT: BLOCK: LOT: LOCATION: " lu cq- lz -' OCCUPANCY: I ❑ VIOLATION NOTED THE WORK IS... '�CCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION i REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS 7 ❑ L.P. GAS — ❑ FUEL TANK .It �} FIRE SPRINKLER �U ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER ov i QyE Bk O� • �9 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 - - - - - - -- - - - - --- - - - -(a 11 - t) Q �, , A \2 ADDRESS :- 0 DATE: PERMIT# 21~ v`'� ISSUED: SECT: ( 4 �. BLOCK: LOT: LOCATION: �. L ? V �' � 4 \ C � U �1� \ t 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 _ 1/ ❑ c NATURAL GAS ❑ L.P. GAS trG WCk ��C' Qe t Nam. ��� S� l \c7 ❑ FUEL TANK ❑ FIRE SPRINKLER 5 e CA l ❑ FINAL PLUMBING ❑ CROSS CONNECTION❑ FINAL ` 1 M�v be `L \ t C ❑ OTHER t QyE BRO 1982 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.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: ZZ �- F` �� DATE: S Z Z PERMIT# , Z 2 - &D7 ISSUED: Z Z SECT:)� ( BLOCK: ` LOT: LOCATION: �/\�= ��r OCCUPANCY: VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/ REINSPECTION ""u 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 --t>AaA - ❑ FINAL PLUMBING ❑ CROSS CONNECTION \ J ❑ FINAL V k ❑ OTHERf LF O L'j fr�s�'S �-7y?D, �— CJ�I�i WA Lc- -4- 1 N 22 S J Lck- �►•�-I� QyE BRCv�. 1932 BUILDING DEPARTMENT BUILDING INSPECTOR t 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':— 27� L ` �L a�� �T DATE: S 1, I ZZ PERMIT#-7 : 2 2 -O o 7 ISSUED: Z SECT: I BLOCK: LOT: LOCATION: ��, I` �j C�`� 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 )-j>r, a4 ` ' ❑ FIRE SPRINKLER IFn o ZFt-3 4 FG � ❑ FINAL PLUMBING LL- {l 1- � ❑ CROSS CONNECTION f ❑ FINAL ❑ OTHERV/ ro 7 t kv V 1 L L t 'A�F— v �o�-C 4LL 2f S Jp E BRC�v� 0l` �m 19 BUILDING DEPARTMENT UILDINGINSPECTOR 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:_ L_��S' �� DATE: PERMIT#�a?2 - QD1 ISSUED: 2 ZSECT: �l BLOCK:-Z LOT: s j_ LOCATION: OCCUPANCY: 4 -2- VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ,. ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: 3 1 ❑ ROUGH PLUMBING .❑ ROUGH FRAMING ❑ 'INSULATION ❑ NATURAL GAS O'v I.P. GAS V-, J s'�L� - C(,oS� `- [--i c k4 ❑ FUEL TANK \ `! ❑ FIRE SPRINKLER (L- A Ll S `po O ❑ FINAL PLUMBING ✓ ^L-O _ ❑ CROSS CONNECTION C ❑ FINAL Lam'. J 10 t>,J ❑ OTHER_ I� ZCa "�� .S&iC.�ct� -+� � 2� ►.J�Lam- .S� � J2 lr ruF, 'tic Qc1� A�-L a Lv F� QyE BRC��. cu � 1982 BUILDING DEPARTMENT UILDING 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 : S 11 � DATE: `Z 2 Z Z PERMIT#7 -Z L — OD5_ISSUED: SECT: I �BLOCK: Z— LOT: LOCATION: LS 1 T�V— �� �J•^�t�j ( /`�C, OCCUPANCY: A-2-- 0 VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS p L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER / FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER wyC 4Rcb, �7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR /D 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' DATE: OZZ C� �, PERMIT# � ISSUED: I � 1 SECT: t 1,. BLOCK: L LOT:, ` Z LOCATION: ' � 'w(�i c' OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION 0 SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS J( ( J ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Q�E O� Zm 1982 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 ry brook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - ----- - - - - - - - - - ADDRESS: � 7-5 DATE: PERMIT# ISSUED: SECT: BLOCK: 7- LOT: S LOCATION: X.j-14�J 1-2- A~'� 11 - / �7 t-a Z�) V'A-'O 1J OCCUPANCY: `- vIOLATIUN NOTED THE WORK IS... ❑ ACCEPTED IREJECTED/ REINSPECTION Ad 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 �' I✓�l bR Q�FR�-�/ �{2�a Cam``�-�CLE---SS a� 4f�� ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL �/ Sw.[a� TrrzZ-� T�2 Go�rsL i� 1v ryu ❑ OTHER } Sao 2G o►-� A v n-- C��3�►�c Tt'ZZ- L4L w �� C OlL �C' 1 vex zIT tMA_1� A L-L G o(L 2F C-71 0 t-+ "v .�v►�t N L, �1N�/ CON 'c—\'o—oc-n J►-� Wr?PJZ_ = O N o CN za 44 r O � a a � v o o x C O z � ,■� Q Q o p O �' A � � � W F � � � � R• v W 04 02 H z 1'--1 H e-i M fop 0 p� p 0 XLn ■ ,,,,,/ N e Ln .-. Q " �b a W x Q w I . J0 "' avC}1,4 co A z o 4 6 ,o ` W 00 Fy'' ai O ' W 0 ems, O G U I1 = W W cn U NQI' O O v 9 .. Aq ON oQ O I� m z �r u z b y o v� i- I � c� h+� �' Z � 0 � can � w � � o � � v" � _._..� � • wvw � ANd � �� �► o = 00 � W � � rJ � z � � d Q '� 0 5 °� o. ♦ �j '� O d o z o wA E8 � oz v v u z W � � o acn y a"qo I` z W W O 11, C7 O N A a W �I G� � � W ►7 xrn � � � b ED BUILDING DEPARTMENT E C E U VILLAGE OF RYE BROOK R SEP 15 2021 A 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK wwwxyebrook.org BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: _ _ ,Approval Date: J AN 18 O C>ronii ?:. 00 7 Application Fee: $ � Approval Signature: Permit Fees: S y OOD . T}i;annrkw d Other: S •W . 0 04D_ Application dated: L is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the interior alteration of an 6xisting building,or for a change in use,as per detailed statement described below. 1. Job Address: - B �S. 91QGr__3 ` SBL: "35-2- 5 t Zone:CDs. 5 2. Proposed Improvement.(Describe in detail): R14c::R n � 3. Does th"roposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:_\t_ 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...l :No: V/ Yes: ( yeti_ a,cparate Automatic Fire Sui- - 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction:— CoM After Construction: GQ" 6. N) State Construction Classification: S$ N.Y. State Use Classification: Ala RLY_ 7. Property Owner: 1P' L-k1--A L LC_ Address: 2_:�S _s Core 5;r Phone# +� �'q 1 Cell# email: CZ A RJIN/V?Q 91 8. Applicant: p( V, C(-Oh NL4AIV_TA17 Address: 7 t' LLI;L- INN LL,0 0OS 1W 0 Phone# �S I.f ,�L3 Cell# /1rf J"L3 Y(a l-"L email: `I►-i A 3Q--�D lk C fL r7h, 'C©-t 9. Architect: Address: I %f40LM LA.,=_3C;e�Vj- � Phone -Cell # email: "t4gy- KJER&_6MwL 10. Engineer: Address: Phone# Cell# email: O` 11. General Contractor:CA -S P� 3i f�V. lY '1 5 / 3 I A/�A l fit[ �j;,),�( dress: Phone# Cell# (LI L,2t'1.Z� S e 'Yi y�/ G`J"C- %NJ. GG�N ZyI P 11%4� 0 ,0 12. Estimated cost of construction $ �( Q©0 0 13. Job Timetable: Start: Finish: `o/ � (1) 8/12/2021 BUILDING DEPARTMENT n E C E ���7 VILLAGE OF RYE BROOD U L� V 938 KING STREET RYE BROOK,NY 10573 SEP 15 2021 (914)939-0668 •7C iN w%N.rvebrook.org, VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST HEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION . ANY BUILDING OR PLU-NMING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,COUNTY OF WESTCHESTFR ) as: 31, "Igg j ' A) , residing at, a( I/', Le_C AJ u t (Print name) 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; o�7� �0 , 2 e-- h 1 , Rye Brook, NY. 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. A d 62 4��W�a Ot PrOpCtIN ON�na(; I M4 An!F , ,Il tgfl Ate„J i0 Afa!FAJ I (Pi ini Name of Property (hk i, Sworn to before me this 67 dav of , 2 _ SHARI MELILLO Notary Public, State of New York No. 01 ME6160063 Ouali`ied in Westchester County (2) Commission Exnires ianupn,2q :)n 8/12/2021 This application trust 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 Y RK,COUNTY OF WESTCHESTER ) as: hm L.F ,being duly sworn,deposes and states that h es 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 Agin t E'AT7— 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. 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 Ib Sworn to before me this day of 1 20kl 2_1 day of , 20 Signature of Property Owner Signature of Applicant 14 19eits � mz;rty Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 ME616OC63 Ouali-`ied in Westchester County'q Commission Expires Januan,29 20d" (4) 8/12/202I N � � tV o 0 .. W o o c1 0n F A M •r. O N ! Iu1 ^ V a G x ►jy O , r ilg u 91. O [z] o F Ln a z � � W O Cfj r � d 00 w z W � o a z z ON z � � - W cn z a c zz ~' V W z Ln C7 r A V d t z F w z A o �- N a z w � E ��� r BUIL ' E�ARTMENT OCT _5 2021 VIL f E OP RYE �'$pOK 938 KIN ET RYE B ,NY 105 3 VILLAGE OF RYE BROOK �> BUILDING DEPARTMENT lag or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ON.I..1 BP#: UD• L EP#: Approval Date: N 8 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, t_)f 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 with all applicable Federal,State,County and Local Codes. pp 1.Address: Z�S 4,10!✓-2(c �� SBL: � r .�S�'�� Zone: DU'S 2.Propeny Owner: W PP !X 0 C.la+e8 LW— Address: Phone#: Cell#: q1\4 09 [4t7 email: 3.Master Electrician: Ammy GoA zA(.LZ Address: 40 a-A_"mrk �(+, K Lo Lic.#: !?03 Phone#: 014 QZ-OI 10 Cell #: email: Swt:OC& hq E Ecmir0Y_CAt-t Company Name: SN C, Address: 4.Proposed Electrical Work/Fixture Count: Rt-Goy j reeepf.*eles �o��tw ,(7a/ area. --i — -- fewer �y'r /Jew wA-le✓ 1eo'-fer-. ********************************************************************************************************* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: A nar eS G oh to,t Z 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 le cic+C i all ADA 4o,C,bf 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 2)-' Sworn to before me this i ST 20 24 _ day of_0 e r 2 2 'ignature of Pt6perty Owner Signature f pplicant Yh �w'AQ `�(� An rt5 Gonza(CZ Print Name of Property Owner Print Name of Applicant - k. of ry Pu c Public Kenneth D.Goldman MARGARET A•HANSEN NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,STATE Goldman NEW YORK Registration No.01HA5018310 Qualified in Westchester County Registration No,01 G06415940 Commission Expires September 27,20Z1 Qualified in Westchester County Commission Expires 03/29/20Z5• 8/12/2021 i Wbstchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 y . ♦ DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY C JS 7 STREET AND NO.OR ROAD 2 7 S POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? J/ SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY ? fn 12 C tl, OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER ON LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. EACH INSPECTION f OUTSIDE i BASEMENT { ,_T FL 2021 2"FL. VILLA E 3' FL I OUILDI G �E ARTM REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: �^ YC C,n i P G t' TOY /r /r'a , r✓ r Pr C,.,o ". PG 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 APPLICATIONS 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❑ ADDITIONAL f 1 EXPOSED CI CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD(' UNDERGROUND❑ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT ,46 L EC7 v X -- ----— STREET ADDRESS TELEPHONE NO. CITY OR POST OFFICE. �7 MP CODE LICENSE NO.WHEN APPLICABLE !70 WESTCHESTER ROCKLAND ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: AG Electric Inc Washington Park Plaza Associates 40 Rutland Street NY, Mount Kisco 10549 Located at:275 S Ridge St Rye Brook, NY 10573 Certificate Number: 1034280 Section: 141.35 Block:2 Lot:51 BDC: Permit Number: EP:22-010-BP:22-007 A visual inspection of the electrical system at this premise described as a Commercial occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 275 S Ridge St Rye Brook,NY 10573 r Basement 1st Floor 2nd Floor 3rd Floor Garage Attic nOutside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 04/20/22 Name Type Quantity Receptacle GFCI ------- 3 Receptacle Convenience ------- 4 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. This certificate is valid for work performed before date of inspection I p spec on only. s, s ^ O �T� s 00 I w W Ln Ln z CN F�1 ch F-� � �" � a 1 x � • 0 O � con66 W z >n ^ PLO . ' Q� - I1 .� f 9) z �E �1 �• v �1 QN d GW a .. V d v L� d cl LO ►-- �+ .. d �1 E� 00 �/� c!� a V W w 0 V_cz ` un_ Ca w it o , � � V W A �z z r , x it u � W • O c7 o 5 cn n H S 0-4 v o W z a x A ° z A ocn 0 A tA � F� yE BRC�v,� BUIL E MENT [APR 2 8 2022 VIL E OFAYE OK _ 938 KIN ET RYE B ,NY 10573 VILLAGE 10F rEYLEE BROOK BUILNNG� I..7P8,-'R1'MENT to or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required (� FOR OFFICE USE ONLY BP#: DQ_o c)7 EP#: QQ—0 Q I Approval Date: MAY 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 with all applicable Federal,State,County and Local Codes. ,,p 1.Address: Y., R l'QC SBL:f q 1.3 r 2 — F Zone: 1� 2.Property Owner: cqSLIi.�52t, / (!k p&Mj dress: A 7 S S• S'-1- Phone#: Cell#:I f y•si i 4" 314 6 email: 3.Master Electrician: 4 Address: S? 11T.rooe9%.� o►y, ✓✓�I Oa, ie�2 Lic.#: 61 L Phone Cell#: T 16 4*7 email: F►r a h k i'it Nil O e 4�_> C" Company Name: . 64 S Irl-d L J Q Address: Qwo 4& "Any ✓r�i�!eh , lV Y orce 4.Proposed Electrical Work/Fixture Count: C t �► O wt Q H t !. CO(0 V_ 'CLj wI v t &I 'e t CIQ STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly swom,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 for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned finther 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 rite this ; day of ,20 day of ,20 Signature of Property Owner Signature of Applicant (for >4N ti Print Name of Property Owner t Name of Applicant _ Notary Public Notary Public �I )�Jn�11 SHARI MELILLO Notary Public, State of New York Nc. 01 t.5E61600'83 Q'ialified in Westch� .er count.,, Commission Expires January Pg. 26�� 8/12/2021 Westchester Rockland Electrical Inspection Services, Inc. I''L1 Phone: 914-347 3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue ��� Fax: 914-347-3596 ' Elmsford NY 10523 � BUILDING PERMIT NO. TEMP# DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS 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& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION o � OUTSIDE BASEMENT •p q/�/e� �� 1'FL. ^PR 28 2(22 2-FL_ %vl AGE 9'�FL. UILD1�1 DrPA,. TMF... REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 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 APPLICATIONS 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 CONDMONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW O ADDITIONAL: EXPOSED'-I CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD!' UNDERGROUND ,' L—Lj— I I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SX1014ATURE OF APPUCANT X STREET ADDRESS TELEPHONE NO. CRY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE IF Aft WESTCHESTER ROCKLAND ELECTRICAL INSPECTION INE15SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: F Castellano Electric Inc Washington Park Plaza Associates 58 Broadway NY, Harrison 10528 Located at:275 S Ridge St Rye Brook, NY 10573 Certificate Number: 1034619 Section: 141.35 Block:2 Lot:51 BDC: Permit#: EP:22-081-BP:22-007 A visual inspection of the electrical system at this premise described as a Commercial occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 275 S Ridge St Rye Brook,NY 10573 Basement J 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the Installation,as set forth below,was found to be in compliance therewith on 05/12/22 Name Type Quantity Wiring Remove/Replace Above Ceiling 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. G 'L I This certificate is valid for work performed before date of inspection only. r O w ON o 0 N 00 \� W r- v x Ln a H M ee G� ' It " O 11 cn U O� CA rn .� in r cc z U U a n Q H � o A z w z a W Ln z wo a z w w 6 Ln 1-4 N t � � O O w w W o ° R� z v� U 9 > u ° O z WIta u a00 � � W ,..a rn a o H a F s0 H u W a H x 8 zz t W z z rA w z ° a u Q o w ° . Q N A a z z a oa F 00 w cE. ��' as w x � t . si fDor D ECE V E BUIENT MAY 13 2022 DD VILOK 938 KIN NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required -^ Q FOR OFFICE USE ONLY BP#: O�3-OO / EP#: / 0 Approval Date: MAY Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, S 2 z- is hereby made to the Build4ospector of the Village of Rye Brook NY,for the issuance of a Permit to install an 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 with/fall applicable Federal,State,County and Local Codes. 1.Address: 2 -7 9' 5 i CSC L f+' SBL: I q 13 S- 2 —Jr 1 Zone: 0 E-S 2.Property Owner: w 4 S 1�✓1 r q✓kf ddress: ? -7 � C f S• 4 Phone#: Cell#:q l f- t u 1Q-3( L 6 email: 3.Master Electrician: vtsttl k Ctxs'4r-1(g' ac) Address: ✓e4C •4.! vyr�off �(OSc� Lic.#: Phone#: '7 2 7 7 Q Q Cell#: 41 [O 6 7 8 Z email: / vQ r+ ►`C r►9 Q f_ O L C Company Name: T• s I�Q h a �!'^e Address: .�8 Q�4 v-�4 4 ty t A . (v T y 4.Proposed Electrical Work/Fixture Count: C&%4 C 1- - e I l In pl h tP h.9, r &o v►^ , 9-.e t v% O --c �- o K o 4- e,5 i l-4 •w j� w ✓- :..� 4. GAS 'h t {OO{tD r e1 do u v a h 4- �Hc 'f4l/ 4ll bi'aHkt u�ll-�� H < <.QQ� STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly swom,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 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. Swom to before me this Sworn to before me this \3 day of ,20 day of 2 --';L Signature of Property Owner Signature of Applicant rAlwk 60Lf-f �t ah v Print Name of Property Owner ANName of�\c�mt Notary Public Notary Public Notary Public, State of New York NO. 01 WIE6160063 Ghialified in Westc:he::ter County Commission Expires January 29,20OL2, 8/12/2021 Westchester Rockland Electrical Inspection Services, Inc. i`' Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 9147347-3596 \\, Elmsford, NY 10523 ]��k f BUILDING PERMIT NO. TEMP# DATE } CITY OR VILLAGE ZIP COD TOWNSHIP COUNTY fY i STREET AND NO.OR ROAD I; POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? y BLOCK I,pT OCCUPANTS NAME + nl* BUILDING OCCUPANCY is S � tit w9 ?V- OWNER'S NAME AND ADDRESS / HOME TELEPHONE NUMBER CURRENT SUPPLIED BY -- /� FROM THEIR OFFICE WORK TELEPHONE NUMBER 4' LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EA TTS EACH INSPECTION OUTSIDE 11111 BASEMENT r/} 1"FL 4 T-FL I 3"FL UILDIN EPA TMENT REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: P 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 APPLICATIONS 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 Al THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED O MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD L' UNDERGROUND-] AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. / NAME OF COMPANY � �� i DATE OF APPLICATION SIGNATURE OF APPLICANT X -- - 7�/ STREET ADORE88 CITY OR POST OFFICE 23P CODE 710ENSE NO.WHEN APPLICABLE Aft WESTCHESTER ROCKUND ELECTRICAL INSPECTION IME15SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: F Castellano Electric Inc Washington Park Plaza Associates 58 Broadway NY, Harrison 10528 Located at:275 S Ridge St Rye Brook, NY 10573 Certificate Number: 1034922 Section: 141.35 Block:2 Lot:51 BDC: Permit#:EP:22-090-BP:22-007 A visual inspection of the electrical system at this premise described as a Commercial occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 275 S Ridge St Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 05/26/22 Name Type Quantity Replace Fixture(s)Incandescent ------- 6 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. L This certificate is valid for work performed before date of inspection only. f s H N N Gail i ■ (�] O N � s a eq 00 ao W � Ln vi to p k A a M w U en w W � a y � � � w ■ ONIn M"y CIS 96 0 Wz Z x $ < 00i �e M N z Q a W as v x v Q U o V 0° W O W Ao a. o � CN ai m O A z � W a U r� OC A � a IMMF CS, U I�i h� � Z � Q O W W o w= � ■' V W A4 C7 04 0 U N i z z w � L H = o $ _ FO W. c o f a i z d N og O v� ` U O 04 z aLn x 3 N G z A a ca H � PSG V �I a� a 041 0 w z � _ BRCv� D C E NF ID BUIL E 1yTMENT VIL E OF RYE OK JUN - 8 2022 ] D 938 KIN , T RYE B ,NY 10573 VILLAGE OF RYE BROOK - BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 3 �t3>_oo7 EP#: _/ f Approval Date: — a 2022 Permit Fee: $ ' /— Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, �a a 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 with all applicable Federal, State,County and Local Codes.?r p 1.Address: is L J�' 3stn`— SBL:�T chi �o7�J�� Zone:Op—,5 2.Property Owner: lo0ad / Q7� S dress: Phone#: Cell#:fAM1 email: 3.Master Electrician N Address: q5L( N ul ft n A",- yc nmi 4 IC90Y � LIC.IT: Phone#:Ql�l-r�i J1-by b4 Cell#:QI4-%-IL41-)I 1 I email:UJCk AcC.Co" Company Name: WL5 t Ctt'4ST A1- L_ocV—r N� Address: (HGU A'(' tA( 07 4.Proposed Electrical Work/Fixture Count: ********************************************************************************************************* --��-^STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: -t �(7` J ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individuar 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 A _ rt7/-,��®„f� for the legal owner and is duly authorized to make and file this application. (indicate architect,eontiractor,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 he 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 bef[qWjne this— day of 120 day of %!/V ,20 Signature of Property Owner Signature of Applicant _T_3�� Print Name of Property Owner Print N of A p ' ant Notary Public Notary Public Clifford George Nyman Notary Public State of New York IQ No 01NY6364491 Qualified in Westchester County Commission Expires September 18,20 8/12/2021 Westchester Rockland Electrical Inspection Services, Inc. �� t Phone: 914-347-3595 • DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue C, y Fax 14-347-3596 Elmsford NY 10523 »—1/ f ERMIT NO. TEMP N DATE BUILDING P 7, CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY 0i IL C- vk STREET ANd NO.OR ROA6,J POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER v} CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO,OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P EACH NO. WATTS EACH INSPECTION OUTSIDE FF) IF BASEMENT I 1''FL. 2'FL. 3'FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: ..H-. _.y-. .. I"A__ kno + \ h k c I I Lv� 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 APPLICATIONS 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❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT .(k Lcc_-d v � 3 r Ix STREET ADDRESS TELEPHONE NO. `1.5-f l Yti-L'�,an CITY OR POET OFFy'iE1 ZIP CODE LICENSE NO.WHEN APPLICABLE 17- WESTCHESTER ROCKLANO ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Westchester Lock&Alarm Westchester Park Plaza Ass. 954 McLean Avenue NY,Yonkers 10704 Located at:275 S Ridge St Rye Brook, NY 10573 Certificate Number: 1035276 Section: 141.35 Block:2 Lot:51 BDC: Permit#: EP:22-111-BP:22-007 A visual inspection of the electrical system at this premise described as a Commercial occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 275 S Ridge St Rye Brook,NY 10573 Basement ni.1st Floor 2nd Floor 3rd Floor Garage Attic ❑Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 06/22/22 Name Type Quantity Smoke Detector ------- 20 Pull Stations Fire Alarm ------- 4 Heat Detector ------- 5 Fire Alarm Device(s) reinspection 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. /7��L This certificate may not be altered in any way. Y" `` � j�� This certificate is valid for work performed before date of inspection only. r fV N [ tn ell N N �p CD \ \ W a 00 a W `u w Cx u cz . w o z o a. O 00 OA U W O t Cn cw 0 N I'm z OOQ Q F�1 U r, Q V V c -- 3z . a 2CN 00 fn r Q �h og O < Cn U O a a g °` z A z A ° < Q m F-+ c �I as a a ca w z 9 s z s : z to s : s s s , BUIL ,- E MENT SEP 2 7 2021 VILfs4 E OF RYE OK 938 KING}\ Ei,RYE B NY 10573 VILLAGE OF RYE BROOK� BUILDING DEPARTMENT Wb�� or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP PP#: C=)D- 0 0,5- Approval Date: JAN 1 $ A22 Permit Fee: Approval Signature: Other: Disapproved: (fees are non-refundable) ****************** ******************************************************************************* Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/o remoNA Plumbing as per detailed statement described below.The applicant&property owner, by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: oC� S 9A 0 C-)F cr. _ SBL: 14q/• 35-CD-Z�/ Zone:0&Is '.Proposed Work: 7 S S, CACL � - 4:7 3.Property Owner: LJ-G Address: Phone#: 3/ o4 Cell#:RN (o,+Q I-4 I r) email: 4.Master Plumber: A I110OS Address: O(Z 1/V� RE-�VlyL Lic. *�4� P ne#: 4.s- /�t�?'4,3 Cell email: I.�IK�0^.v ` Company Name: (p &j,&1 Address: CCg 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 1 st Floor 10 2nd Floor 311 Floor 4'Floor 5'Floor Exterior 5.* List Other Equipment/Provide Details: I f11 mt i A yo D e a4mNi ^ Uo 4-LL)A4e IQ, k h (Notarized Signatures Required Next 2 Pages) -1- 8/12/2021 t BIJILP11 MENT VILC,i) E OF RY\ OOK SEP 2 7 2021 938 KING ETRYE,BR ,NY 10573 VILLAGE OF RYE BROOK y BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 • 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 TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: / C_-- residing at, D. 5 S �--�— iPrir� 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; o� I S S• 'eIQC�E cS! , Rye Brook,NY. 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. Iti�Ltlatl . i�f 1'1ij? rl) �)'•,rl;l'(,>)1 Prim Aanc +I I'[orcrt" Sworn to before me this 22 day of 20 21 MARGARET A•NANS�N NOTARY PUBLIC.STATE OF NEoo wuunn PORK tee Registration No.01F+A501g310 Qualified in VJestchetortber 2 ty20 Commission EXPires ScP 8/12/2021 STATE OF NEW YOI K,COUNTY OF WESTCHESTER ) as: JR&W j�rJR I ANy eo jAJ&S,being duly sworn,deposes and states that he/she is the applicant above named, (print n�a r e of individual sigm�e 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 :�7 A W /V�p—S 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 ZY Sworn to before me this day of 120 day of 20 Sig ature 1,f Property Owner Signature of Applicant �Crlus �p� S Print Name of Property Owner Print Narile of Applicant Notary Public MARGARETA.HANSEN N ary Public NOTARY PUBLIC,STATE OF NEW YORK J.DAVID NANNA Registration No.01 f{A5018310 No.01 NA5067128 Notary Public,State of New York Qualified in Westchester County Qualified in Westchester n Commission Expires September 27,20J My Commission Expires Z Z 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. 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- 8/12/2021 s r O 40 7 b � • O ^N r Cc. 0-4z y a O kt °J " C. O CLC u O r� O Zo a �,� � M t- C c W 7 6r °gyp cis < o ^3 •0. F Cn Cc) M�1 Ln a M 00 41 00 UO O A C7Cc, z �" a CA W 00 rn � � c� � � � �+ v R• W 5 } „ � � g H z O� �i w f~ 1••� � "rri � � � � p � � C C� vim• > 2 'y7 Q w O W Zo c av � w U $ Ud '8 � � W o o ff a� -° Py pLn CL i � z � W z A O /�� " f0 � �. � ■i �y a 0 x _ [ECIEWED BUIL MENT �A N - 4 2022 VIL E OF OOK 938 KING Bx RXiE_BR' ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 9. APPLICATION TO INSTALL FIRE SUPPRESSION /FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: 7 Approval DateJ AN 18 2022 BP*: Iv1P#: =;)c —(V)Application )Application Fee:$ —7 Approval Signature: Permit Fees:$ a /� p u Disapproved: M Other: Application dated: q20 Z Z is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to i stall br modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. 1. Job Address: of 7S 'Foul� �10� L �' ,� f� Q b A /T A /0 S�3 2. Parcel I.D.: jqt. Zone: / — 3. Proposed Work(Describe system in detail including suppression agent): �1 S� l�� �/�'E -�f/�►rl k�� 1/� ��QS� r�Qr►� �ln�� 4. Number&Types of Fire Sprinkler Heads: � � C�/"Me-"G a.' 5. NX State Construction Classification: N.Y.State Use Classification: 6. Estimated Value of Job:$ r l 95- ° (Value shall include all labor,materials.fiA equipment,professional fees,and materials and labor which may be donated gratis.) 7. Property Owner: % /k lQzaO C Address: Phone#q/J(-y/9 /loly Cell# email: Applicant:A41 ^'k 490,1 �_S/ye—,5;vC •Address: 1- _/ Phone# 4 3�'f ,�1.3 Cell# 9/y 90 369 7 email: Wa,.Jkt ,..e P •C Architect/Engineer: Address: Phone# r Cell# email: Sprinkler Contractor:0 � 1',"t S1�(��►k��1 sqS te&r YWC•Address: 3�S �`v Phone# JM Cell 4g 10!6 f 3 6,-,f 7 email: Q ` 1� it( Cel-41 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: /IJ Le_:A , being duly sworn,deposes and states that he/she is the applicant above named, e(print nam 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 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 20,&V� day of NCJtVt Oil �Q�t� Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant 1 7 i of Notary Public CAROLYN MARIE CANNISTRARO Notary Public-State of New York No.01CA6177080 Qualifed in Westchester County CAROLYN MARIE CANNISTRARO My Commission Expires Nov. 5,2023 Notary Public-State of New York No.01 CA6177080 Qualified in Westchester County My Commission Ex ires Nov.5,2023 2 8112/2021 O W y 0 H a ovo q Y � � 0 � 0 ob Z ° O -14 O H M 3 a O •' C „� �"'� x F-+ , � �'' a �, o o �r o •' a Y V � � O -28w a W ON G1 w v W a p o �z M V V c� oz;S o z w H O o H �„ W pr. U 0 U pw., g g � a z N "Q" w "' z cA �I co a a M w = � 9 .8 • BUILDING MENT R BU ING DEPART VILLAGE OF RYE BROOK 938 KING STWET RYE BRoox,NY 10573 SEP 2 7 2021 (914)939-0668 VILLAGE OF RYE BROOK ww:ff.aybr,,00k•org BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONINGGIEQUIPMENT FOR OFFICE USE ONLY: PERMIT#: All O;�)—O/o Approval Date: JAN 18k 1022 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed&Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance.(Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit• COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or re oval loftlie HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. ?,�- 1. Address: a 7 S P6 0 � - �--�- SBL:/W/I W —CD-5 1 Zone:0 r 2. Property Owner: k)f P A 55o�t"9�� ..-�g- �--(�t; Address:D 7S -5 �1�P� 244 Phone#: Cell#: email: 3. Contractor: Address: Phone#: II Cell#: email: 4. Applicant: 1X.)C, Address:3 fh A H,4 e.C 14 2 L.�stlJly�w��raC�11Lt Phone#: $y 5 - q b;L I Cell#:S'f'S-4N 9(03'7 emailR/Ar:00aiudeZ P4 c, eV Jq 0 .cc �. ( ) a 5. Scope of Work:New Installation( )•Replacement •Removal( )•Other ,, �/ l ' 6. List Equipment: A)tQ�J b V4 yQ �4 y S O Q d 0 t"r Aa N d lA +w A- ik&/-1e 7. Location of Equipment: 8. Method of Installation/Removal(list all equipment needed to perform job): t 8/12/2021 FATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 1 Akd(-Le2sysriyt/Pf,Z ,being duly swom,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 ZII;L A tCIMa/t K2 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 -n day of 120 20 (a Signature of Property Owner t;ig4nature Applicant Print Name of Property Owner e of Applicant a Notary Public Notary Notaryy ub ic, State of New York No.01 ME6160063 Qualified in Westchester County Commission Exo?res Jr nuary 29.20.0 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. 2 8/12/2021 NEWYORK State Liquor STATE OF OPPORTUNITY_ Authority KATHY HOCHUL LILY M. FAN Governor Commissioner VINCENT G. BRADLEY GREELEY FORD Chairman CONDITIONAL LETTER OF APPROVAL Commissioner DATE 05/19/2022 231 WESTOP 1339371252 SERIAL NUMBER 1339371 J,EDIN 49 WILT n �Q 49 WILTON WOODS RD U WILTON,CT Premise Address MAY 2 3 z0z, STEAK WRB CORP V AMERICAN PRIME BQ�DING p pYC B�'OL 275 S RIDGE ST �(�TM&4T RYE BROOK,NY 10573 Your application for a license has been reviewed and can be approved and the license certificate issued once you have complied with all the conditions on the attached page. Please be advised that the Authority reserves the right to further review and disapprove the application if,subsequent to this letter,any information is received that relates to the character and fitness of the applicant or the eligibility of the applicant or the premises to be licensed. No license will be issued until and unless all of the conditions have been met. YOU MUST BE READY TO OPEN AND BEGIN OPERATIONS UPON THE ISSUANCE OF THE LICENSE CERTIFICATE The application will be deemed disapproved if you fail to submit all required documentation within six(6)months from the date of this letter. If you cannot comply within the six month period,you must seek an extension of time, from the Authority,by submitting a request to licensing.information(c lsla.ny.Mv. Requests for an extension over the initial six months,as allowed in this letter,will not be granted if the applicant is operating on a Temporary Retail Permit. If you wish to withdraw your application,you must request your withdrawal in writing.The State Liquor Authority will then disapprove your application without prejudice to your refiling at a future date and will process your refund(less the filing fee). All communications should be sent to Condapproval@sla.ny.gov or the address as indicated at the bottom of the page. r Sincerely Yours, The Licensing Bureau NOTE:FAILURE TO COMPLY WITH THE ATTACHED CONDITIONS WITHIN 6 MONTHS FROM 05/19/2022 WILL NECESSITATE THE DISAPPROVAL OF THIS APPLICATION. cc:BRUNO GIOFFRE 707 WESTCHESTER AVE STE 305 WHITE PLAINS,NY 10604 Alfred E.Smith Off Ice Building,80 S.Swan St.,Suite 900,Albany,NY 12210 CONDITIONS OF APPROVAL The conditional approval is granted upon adherence to any conditions listed below as well as any conditions stipulated to with the municipality or community board or full board. 1. Copy of Certificate of Authority to collect taxes. 2. Submit a copy of the Certificate of Occupancy or other such document issued to the applicant by the local Code Enforcement Agency for the premises. 3. Submission of Newspaper Affidavit. Mike Izzo From: Mike Izzo Sent: Thursday, April 28, 2022 9:33 AM To: Brothers Hima Cc: martha7087@aol.com; Bruno Gioffre; 'Tara Orlando'; Laura Petersen; Steven Fews Subject: RE: 275 S. Ridge St. Dear Mr. Ahmetaj, Thank you for the email. NY State Code requires all mechanical and electrical systems to be serviced, tested, and inspected annually. The restaurant has been closed for about three years and during that time none of the systems were serviced, tested,or inspected. Therefore, to comply with the code, every mechanical and electrical system in the building must be serviced, tested, and inspected by a qualified professional. NY State Code further requires permits for any work on any system relating to fire or life safety be it service related or otherwise. Therefore,permits are required any time anyone installs, services,repairs, replaces, or otherwise touches any fire or life safety system such as the fire alarm system, fire sprinkler system, electrical system, hood system, hood extinguishing system, natural gas plumbing system, natural gas HVAC system,to name a few. In addition,Village Code requires permits for any electrical,plumbing,or HVAC work Therefore,the non- code compliant electrical wiring in the lower level above-ceiling can only be addressed by a licensed electrician operating under a permit for such work duly issued by the Building Department. Our records indicate that there is no permit on file to perform any electrical work in the lower level above-ceiling area. Therefore,by way of this email I am directing you to immediately cease and desist all non-permitted electrical work in the lower level above-ceiling area and anywhere else on the premises. You are further directed to arrange for your licensed electrician to file for a permit to make whatever corrections are necessary to bring the above-ceiling electrical wiring into compliance with the code,and to then call for an electrical inspection by our 3'd party electrical inspection agency to verify such compliance as required by code. I hope this helps to clarifies this issue and provides guidance for you and your team moving forward. Thank you. A/ic�i a e,1(7, Izzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Brothers Hima <himabrothers@gmail.com> Sent: Wednesday, April 27, 2022 4:16 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: 275 S. Ridge St. Mike I hope all is well I will have Westchester Alarm company contacting you about low voltage fire alarm. 1 Please let me know what other low voltage permit you are looking for because it was no low voltage done in the building everything is existing wires And also the wiring that you ask to be organized downstairs is down the mechanical room is going to be done this week if you can stop by take a look 1 will appreciate it so I can close the drop ceiling for the health department inspection Thankyou Edin Ahmetaj 2 . D E CEO VE APR 19 2022 VILLgGE OF BUILDING DEPYE ROOK ARTMENT ��</:-''o''�r''"�i'-'`,v -`V'V�/"'`✓"-�,!-�y�-fir-,-.-�.--��--.�.--��-�,,.�.�'-.�- �-�,,r-�,r~,,�-. � .�_, HW T ( OOENH a q O O v)r- r 0 2y 04 E-, M M x a !. ( OOcn rnrn O U v).10 w M M a x H > / kD x M M ( tri-U 'te r o U) vi f x � u ( _ �4 3 E O H GA N pi 04 O [n a C9 cn a b WW wa - fs� Eto O 9 >'G� w UU �aE z - Z H EE H H '�y O a C4 O ` 1 HWOWWH waUww .a wwa D EA w 0w W Ol m p — �i : H .] W J � . '► wxW &I 3 y vOiEQ04 0 a w N N NN HOEfn O CDz NN zWW wHWUCD 00 Ln M%D H wRCHa Ln .; CN ac w H 3 3 � � 3 y Qacnx , Z A wawr;W qa F Uu 2 � Co 3 0 m 9 Ln (44 x a U H H O p LL W3 Ww � oa u� U')I1.J o mot- EE a d CIA CW w co € I,Ca a 2_ .. QLLQ !t J d \ INEWYORKE OFState Liquor ORTUNITY. Authority KATHY HOCHUL LILY M. FAN Governor Commissioner VINCENT G. BRADLEY GREELEY FORD Chairman Commissioner STEAK WRB CORP D E (�E U R n AMERICAN PRIME V� v 275 S RIDGE ST RYE BROOK,NY 10573 APR 9 2�22 Serial#: 1339372 VILLAGE EL,ILCING DEPARTMENT Date: 10/05/2021 Re: Temporary Permit Conditional Approval Letter A 90 day Temporary Retail Permit has been approved for the above applicant. The following items are required before the permit can be issued: *A signed statement from the applicant stating that the premises is ready to open and operate. Submit the items listed above via mail to the address listed below or via email to Condapproval@sla.ny.gov. Upon receipt of the items listed above the permit will be issued and mailed. If the applicant wishes to come into the office to pick up the permit,he/she must call 518-474-3114,at least 24 hours in advance to set up an appointment. Appointments are not required in the New York City (Zone 1)office. Sincerely, 00P0001 Adam Roberts, Deputy Commissioner CC: BRUNO GIOFFRE 707 WESTCHESTER AVE, WHITE PLAINS,NY 10604 Alfred E.Smith Office Building,80 S.Swan St.,Suite 900,Albany,NY 12210 Mike Izzo From: Bruno Gioffre <bgioffrelaw@gmail.com> Sent: Monday, April 18, 2022 5:38 PM To: Mike Izzo Subject: American Prime - 275 S Ridge Street Attachments: Temp Permit exp 6-5-22.pdf; Temp Cond Approval Letter.pdf; Diagrams.pdf Mr. Mizzo, Please be advised that I am liquor counsel for Edin and the above liquor license application. He requested that I forward you some documents from the file. Attached are the following: 1. Temporary Retail Permit conditional approval letter. 2. The actual temporary retail permit that the SLA issued which approved and authorizes my client to sell liquor, wine, beer and cider on the above premise. 3. The diagrams that were submitted to he liquor authority with its application. Please advise if you need anything further and have any questions. Thank you, Bruno V. Gioffre,Jr. Law Office of Bruno V. Gioffre,Jr. PLLC 707 Westchester Avenue, Suite 305 White Plains, New York 10604 Office 914-481-8900 Cell 914-522-6267 bgioffrelaw@gmail.com i L SAFE 37S Executive Blvd., Elmsford, NY 10523 TEL: 1-888-325-5723 x104/102. FAX: 914-747-3983. EMAIL:assistant(a�allsafefireprotection.com Licensed in NY, CT, LI &NJ (NY City Lic# 421 C) Fire Protection Services Customer: American Prime D 275 S Ridge Street Rye NY 10573 APR 13 ?012 VIA OF Date: April 12, 2022 8�/D NG pEP,E BROOK AR71yEN7 To whom it may concern: All Safe Fire Protection & Mechanical Inc. provided the following fire protection services for the purpose of opening the restaurant above: -All Safe cleaned/degreased hood, duct, fan, and filters -All fire suppression systems have been hydrotested and recharged (in compliance for 12 years) -All fusible links and cartridges charged according to the manufacturer's specifications -Systems were moderately re-piped to comply with the new equipment in place of the hood -All emergency lights have been serviced and new batteries installed where necessary -(3) new grease capture boxes installed on exhaust fan (Back Order) -All proper signage for fire equipment have been installed to compliance -All systems are operational Please be aware the existing equipment was not up to code from previous owner therefore the new owner hired All Safe to bring equipment up to code. Please feel free to contact us with any questions. All Safe Fire Protection& Mechanical, Inc. ..X T`J. uA&� George J. Ulley, Director of Sales Date: 04/12/22 Sales * Service * Recharging * Installation * Portable Extinguishers * Automatic Systems Firehose * Code 96 Ventilation Systems * Sprinkler Service * Hood Cleaning Exit Lighting * Emergency Lighting * Battery Backup Systems www.allsafefireprotection.com LL SAFE IF, -AW 375 Executive Blvd., Elmsford, NY 10523 TEL: 1-888-325-5723 x104/102. FAX: 914-747-3983. EMAIL:assistantkall safefireprotection.com Licensed in NY, CT, LI &NJ (NY City Lic# 421 C) Fire Protection Services To: Mike J. Izzo 22 2 Building&Fire Inspector � E l� O Village of Rye Brook NY APR 19 2022 Customer: American Prime 275 S Ridge Street VILLAGE OF RYE BROOK Rye NY 10573 BUILDING DEPARTMENT Date: April 19, 2022 Mr. Izzo, The fire system at the site above is up to code and serviced according to manufacturer's specifications and NFPA codes and standards. These items prove to be in operable condition.A balloon test is required and requested therefore the site can open for business. The customer is aware panels are required and agreed to order which shall arrive in approximately 3-4 weeks. Once the panels are installed, All Safe will schedule a microswitch test. Please be aware the existing equipment was not up to code from previous owner therefore the new owner hired All Safe to bring equipment up to code. Please feel free to contact us with any questions. All Safe Fire Protection &Mechanical, Inc. .."j. UlAuf George J. Ulley, Director of Sales Date: 04/19/22 Sales * Service * Recharging * Installation * Portable Extinguishers * Automatic Systems Firehose * Code 96 Ventilation Systems * Sprinkler Service * Hood Cleaning Exit Lighting * Emergency Lighting * Battery Backup Systems www.allsafefireprotection.com Mike Izzo From: Mike Izzo Sent: Monday, April 18, 2022 8:27 AM To: Assistant Cc: Brothers Hima; martha7087@aol.com; Steven Fews; 'Tara Orlando'; Laura Petersen Subject: RE:American Prime Attachments: American Prime Letter 4-12-22.docx Dear Ms. Hansley, Thank you for the email and for the letter. While we appreciate the efforts All Safe has made, those efforts do not negate the need for inspections and testing of all systems by the Building Department as required by code. To date we have had no requests for any inspections by All Safe, or indeed by any other trade involved in the restoration of this restaurant. Please arrange for inspections to be scheduled with the Building Department for all work by calling the office and speaking directly with our Office Assistant Laura at, (914) 939-0668, Monday through Friday between 8:30am and 4:00pm. Thank you. Xt��ae/(7, /zza Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Assistant<Assistant@allsafefireprotection.com> Sent: Friday, April 15, 2022 3:26 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: FW:American Prime Please see attached. Jasmine 7. Hanley All Safe Fire Protection& Mechanical Inc. 375 Executive Blvd.,2"d Floor Elmsford,NY 10523 Work: 1.888.325.5723 Ext. 104 1 Fax: 914.747.3983 Email: assistant(a)allsafefireprotection.com Protecting Life and Property since 1983 1 i Mike Izzo From: Mike Izzo Sent: Wednesday, April 13, 2022 4:23 PM To: 'Brothers Hima' Cc: martha7087@aol.com'; Steven Fews; 'Tara Orlando'; Laura Petersen Subject: RE: 275 s ridge st Attachments: CO - CC Application 8.2021.pdf Dear Mr. Ahmetaj, Thank you for the email. After reviewing your permit file for the subject address, I find a number of outstanding items which must be addressed before we can schedule any final inspections. You have three open construction/demo permits and one open sign permit. The oldest one is Demo Permit #DP21-007 issued 10/7/21 to demolish interior finishes. You must file for a C/O to close this permit and remit the appropriate C/O fee. The fee is based on the final cost of the demo work which must be provided by you on the C/O Application. A copy of the C/O Application is attached hereto for your convenience. Next is BP22-007 issued 1/19/22 for the interior renovation of the restaurant. The file indicates that not one of your trades called for any inspections for anything during the renovation work including plumbing, HVAC, fire sprinkler, fire alarm, line voltage or low voltage electrical. Neither do we have a copy of the approval from the NY State Liquor Authority for the new bar. Once these items are resolved you must file a C/O application and fee as previously described, then you can request a final inspection. Next is BP22-012 issued 1/24/22 for the storefront renovation. Again, the file indicates no inspections requested or performed, and no C/O application or C/O fee. Finally, SP22-002 issued 3/25/22 for the new roof sign: no inspections, no C/O application, and no C/O fee. Please arrange to resolve these open issues to the satisfaction of the code. To schedule an inspection, please contact one of our Office Assistants by telephone, Monday through Friday between the hours of 8:30am and 4:00pm at (914) 939-0668. Thank you. A ae/(T /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Brothers Hima<himabrothers@gmail.com> Sent: Monday,April 11, 2022 2:37 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: 275 s ridge st Mike good afternoon I hope this email finds you well 1 I be ready for final inspection in this 2 days is any way you can stop by please I have done Fire alarm report Striker system Report Fire suppression system Report Fire extinguisher report Hood cleaning report Emergency lights test and report Greas trap report Please let me know if I need anything else And when is a good day for you to come in. 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ZSU ' BP: k L 092 • ' C/O Le on: S W .4;:-40 . — ( ) (,�/APP.: Date Stamped: Properly Signed: Z SBL Verified: ✓ Cross Connection: ✓ F.O.G.: ( ) ( ) 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: Copies: 2— Electronic Other. ( ( License: Workers Comp: ✓ Liability: Comp.Waiver. Other. ( ) ode 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. ( V PLUMBING Plans: Permit: ✓ Nat.Gas: LP Gas: N/A/: Other. ( ( ) FIRE SUPPRESSION:Plans: 1" Permit: N/A Other. (•� ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK: Plans: Permit: FUEL TYPE: Other. O O 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 mtg.date: approval• _notes: REQUIRED EXISTING PROPOSED NOTES APPROVED oD f m& wJ� _ 22 Cu Fm=gFront: Front- Sides: Qpen Space: Stories: notes 4 LA.i 4 rw_ c( I Zo L is s �o BUD ZZ Mike Izzo From: Lanny Lerner <lannylerner@gmail.com> Sent: Thursday, October 7, 2021 9:41 AM To: Mike Izzo Cc: Edin Ahmetaj; Steven Fews;Tara Gerardi; Laura Petersen; martha7087@aol.com Subject: Re: 275 S. Ridge Street Blackstone Restaurant Mike, Thank you for this summary; it's very helpful. We will review it and update the drawings accordingly. Lanny On Thu, Oct 7, 2021 at 9:29 AM Mike Izzo<Mlzzo@ryebrook.org>wrote: Dear Mr. Lerner, Thank you for the email. When last we spoke on 9/20/21 I informed you of the deficiencies in the plans, but I will recap the issues here for your convenience. 1. You must show code compliant paths of travel with distances to the exits from all spaces on the plans. 2. You must design and include the proposed fire safety and evacuation plan in accordance with FCNYS §404. 3. The plans must include all existing and proposed equipment including but not limited to; walk-in freezers, kitchen food prep and sanitary sinks, cooking equipment, cooking and steam evacuation hoods and extinguishing systems, compressed gas systems, and anything else required to comply with the 2020 NY State Codes. 4. A structural two-hour fire resistance rated masonry wall in the basement has been breached and an opening roughed-in between un-finished utility space and the finished assembly area out without a permit. You must provide a designed plan showing the load path, a designed header, and plans to either complete the job and finish the new opening with a code compliant door, or provide plans to close the opening and properly replace the wall. 5. The plans show that the bar area is proposed to be reconfigured. It is my understanding that this work requires approval from the NY State Liquor Authority. I cannot approve plans that include any work in the bar area without proof of approval from the NY State Liquor Authority. Please provide the revisions and information to the Building Department for further review. Thank you. Ahell(7, /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Lanny Lerner<lannvlerner@Rrnail.com> Sent:Wednesday,October 6, 2021 11:00 AM To: Mike Izzo<Mlzzo@ryebrook.ore> Cc: Edin Ahmetaj<HimaBrothers@smail.com> Subject:275 S. Ridge Street Blackstone Restaurant Mr. Izzo, I understand that you have some comments about our submission. Please email them to me. I will take care of them quickly. Thank you. Lanny Lanny Lerner RA AIA LR Lerner Architecture PC One Wolfs Lane,Pelham,NY 1o803 914 355 5648 mobile:917 626 2854 email:LannyLernerCfemailxom 2 Lanny Lerner RA AIA LR Lerner Architecture PC One Wolfs Lane,Pelham,NY 1o803 914 355 5648 mobile:917 626 2854 email:LannyLerner(@23nail.com 3 Mike Izzo From: Mike Izzo Sent: Friday, October 8, 2021 3:38 PM To: Brothers Hima Cc: Laura Petersen; 'Tara Gerardi'; Steven Fews; martha7087@aol.com; Lanny Lerner Subject: RE:275 s ridge Blackstones Mr. Ahmetaj, Since you now hold a valid Demolition Permit you may proceed with painting, sanding, and other similar ancillary work which does not rise to the level of requiring a Building Permit, Electrical Permit, Plumbing Permit, HVAC Permit, or any other kind of permit. Thank you. Alk4aell(T /zzo Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Brothers Hima <himabrothers@gmail.com> Sent: Friday,October 8, 2021 1:31 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject:275 s ridge Blackstones Michael good afternoon I received an email I will get everything done But meanwhile can sand and repair the floors and do painting work Please and thank you Thank you Edin Ahmetaj 1 Mike Izzo From: Mike Izzo Sent: Tuesday,January 11, 2022 8:43 AM To: martha7087@aol.com Cc: Steven Fews; Brothers Hima; 'Tara Gerardi'; Laura Petersen Subject: 275 S. Ridge Street Attachments: DOC.PDF Dear Martha, I hope you had a wonderful holiday and all the best for the new year! I wanted to bring to your attention this notice we received from Westchester County regarding new food service establishments.A copy of same is attached hereto. It is unclear whether this directive applies to renovations as well as new construction, but I thought it would be wise for you or your new tenant to contact the Westchester County Department of Health for clarification. Thank you. Ak' kel(l 1zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 1 D 1` ster EcEgVE vcom JAN 10 2022 VILLAGE OF OVE BR BUILDI 00 George Latimer NG DEpgRT11^ENT County Executive 5herlita Amler,AID. Commissioner of Health January 10, 2022 1 would like to remind you that prior to any new construction of food service facilities, a plan review is required by Westchester County Health Department. Ideally, this plan review should run concurrently with the plan review by your Department. We have been on the receiving end of many disgruntled persons after they have contacted us for an inspection for their Certificate of Occupancy, only to find out that we are requiring our own plan review. We are requesting that whenever possible, you steer potential food service operations to our office so that we can help these operators open their businesses in a timely manner. We are currently under a 6-8 week review timeframe, and do not anticipate this getting any better in the immediate future. While we understand there are circumstances that may not allow you to advise the operator/owner, I think we can all agree that, especially in these times, we would like to see them get their businesses in operation as soon as they are finished with their construction. Please feel free to reach out to me at (914) 864-7297 if you have any questions or concerns. Thank you for your cooperation and if we can be of any assistance at any time, please call our main number at (914) 864-7330. Sincerely, Kathy Torrisi, Chief Sanitarian x �� c EDepartment of Health 00---jUNUI Bureau of Public Health Protection 25 Moore Avenue Telephone: (914)864-7:330 Mount Kisco,NY 105,19 Fax: (914)813-4281 Mike Izzo From: Mike Izzo Sent: Thursday, January 13, 2022 8:13 AM To: Mark J Kamensky Cc: Amanda T. Magana; Steven Fews; Tara Gerardi; Laura Petersen Subject: Re: Edin Ahmetaj, 275 South Ridge Street Dear Mr. Kaminsky, Thank you for the email. Mr. Ahmetaj has two pending permit applications and two Stop Work Orders (SWO) for work he performed without permits on two separate occasions. The first application is to legalize interior alterations he performed without permits, the reason for the first SWO issued in September. This application is pending my review of revised plans submitted by his architect. The second application and reason for the 2nd SWO in December is for a new exterior storefront and entryway he installed in violation of the posted 1st SWO and without a permit or approval from the Village Architectural Review Board (ARB) which is required for all exterior alterations. The ARB meets once per month with the next meeting scheduled for January 19th at 7:30pm. Mr. Ahmetaj's exterior permit application is slated for this meeting. Once approved by the ARB we generally require ten (10) days for plan review and permitting. I am out of the office until Monday but please feel free to contact me if you need anything further. Thank you. Michael J. Izzo Building & Fire Inspector Sent from my iPhone On Jan 12, 2022, at 3:10 PM, Mark J Kamensky<markjkamensky@gmail.com>wrote: Mr. Izzo: I was contacted by Mr. Ahmetaj concerning the appearance ticket he received to be in Rye Town Court on January 21st. I was told that in the meantime, Mr. Ahmetaj was contacted with the requirements and fees he would need for issuance of the required permits. Assuming he provides your office with the required documents and fees, is there any reason he cannot obtain his permit prior to the court date? He seemed to be under the impression that your office had said that he could not proceed until he appeared in court. We will appear on the return date but he should be able if he complies with your requirements to obtain his permit and properly proceed with his proposed work. Please let me know if the above is correct or if there's something I'm missing. Thank you. Mark J. Kamensky, Esq. 327 Irving Avenue Port Chester, NY 10573 1 (914) 939-3300 Fax (914) 939-0356 markikamensky@gmail.com z Laura Petersen From: Richard Hernandez <rhernandezplumbing@aol.com> Sent: Thursday,January 20, 2022 8:02 PM To: Laura Petersen Subject: RE: 275 South Ridge Street - HVAC application Hi. Yes as soon as the new license comes in we will send of with the insurance Sent from my Verizon,Samsung Galaxy smartphone --------Original message-------- From: Laura Petersen<LPetersen@ryebrook.org> Date: 1/20/22 4:18 PM (GMT-05:00) To: RHERNANDEZPLUMBING@AOL.COM Subject: 275 South Ridge Street- HVAC application Good afternoon, Please let me know if you received my email yesterday regarding the liability insurance and workers comp needed in order to process the permit for Blackstone's Steakhouse. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 loetersenaryebrook.orq 1 Page 1 of 2 ACC>Off' CERTIFICATE OF LIABILITY INSURANCE DATE INMDOrYIYTI 1211 021 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(iesi 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 andorssment(s). PRODUCER AC NAME PHONE FAX IAIC.No.Ew.845 942 0038 OAK,Na) 845 942 5292 VICMARR AGENCY 1 HVAA FJIAII ADDRESS P.O.BOX 582 INSURER(S)AFFORDING COVERAGE NAIL s STONY POINT NY 10980 INSURER A MERCHANTS INSURANCE GROUP INSURED RICHARD HERNANDEZ PLUMBING AND INSURER a MERCHANTS INSURANCE GROUP HEATING INC INSURER C STATE INSURANCE FUND 3 MAURICE DRIVE INSURER D GUARDIAN LIFE INSURANCE WAPPINGERS FALLS NY 12590 INSURER E c. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED-0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRAC- OR OTHER DOCJMENT WITI- RESPECT TO WHICH THIS CERTIFICA—E 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. INS" TYPE INSURANCE POLICY SUER /AIM�ER POJCY EEF POLICY EJVLTR LAM GENERAL UAMMUTY EACHOCCURHENCE S 20QM _ X COMMERCIAL GE NERA,LIAIA ITY r r PREWISE5 Ea OC EW � s...... _ .._ _ CWMS-MADE X OCCJK MED EXP I"one DwsOn) S 5=1 A BOP9100012 1218=1 12/18/2022 PERSOMALaADVIJURY S 20000p0 GENERAL Agt7 ATE s 4001� GENT AGGREGATE'_IMrT APPLIES PER PRODUCTS-COOWIOP AGG-S 4000" _ POLILY PRO• LOC $ AUTOMOBILE UAe1LIT' COMM SINGLE LMVIT S 100000C IEa aR' ED AW AUTO BODILY INJURY 1Pw;.snoop S ALL OWNED X SCHEDULED OODILY INJURY tPW a drrd) S B Aurns NONOWNEC ALTM CAP1042534 12,18.2021 12/18l2022 PROPERTY DAMAGE S rMRED AU-OS AUTOS )Per sccdsni) S UMaRELLA LIAO OCCUR EACH OCCURRENCE S EXCESS LIAR AM1S.yADE AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION WC S-ATU- OTw AND EMPLOYERS IIAaKJTY TORY UAaTS ER C OFF PUmEM ER ExCLTNERIExewTrvE Y� f 1472797E 01,1812022 01/18J2023 E.L EACI+ACnDEN t)FFlGElME MBER ExCUJDED'' TN�A S (Mand~V in NN) E.L.DISEASE-EA EMPLOYEE S If x,enee uMn E.L.USEASE-POLICY LIMIT S NY S DISABILITY �� AS PER NEW YORK STATUTE 0 967237 U111812022 01/17/2U23 DESCRIPTION OF OPERATIONS I LOCATIONS'VEHICLES ;AWch ACORO 101.Addle Rernots ScheAAs.d~@ space,s vaquree UQ S PER POLICY TERMS AND CONDITIONS. (�� �—�� VILLAGE OF RYE BROOK NY,AS ADDITIONAL INSURED D-11 JAN 2 4 2Q22 T � _J VILLAGE OF RYE BROOK CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN VILLAGE OF RYE BROOK ACCORDANCE WITH THE POLICY PROVISIONS 938 KING STREET AUTHORIZED REPRESENTATTVE RYE BROOK NY 10573 Leal 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010I05) The ACORD name and logo are registered marks of ACORD Char AA le://vryebrookfp02/users/lpetersen/Documents/My%2OPictures/hemandez.jpg 1/24/2022 /T N YS I FI AN 2 4 Z. G22 � New York State Insurance Fund VILLAGE OF RYE-BROOK PO Box 66699,Albany,NY 12206 BUILDING DEPARTMENT I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) A A A A A A 205769251 RICHARD HERNANDEZ PLUMBING AND HEATING INC 3 MAURICE DR WAPPINGER FALLS NY 12590 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RICHARD HERNANDEZ PLUMBING AND VILLAGE OF RYE BROOK HEATING INC 938 KING STREET 3 MAURICE DR RYE BROOK NY 10573 WAPPINGER FALLS NY 12590 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE A1472 797-8 258315 01/18/2022 TO 01/18/2023 1/21/2029 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1472 797-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. RICHARD HERNANDEZ PRESIDENT AND SOLE EXECUTIVE OFFICER OF RICHARD HERNANDEZ PLUMBING&HEATING INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND ��Y �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 754846178 U-26.3 3' �!°' ���� 'eV'�` • '»'. \'C\c� t r%i7.• ice\ .-iI'--- � y G ./ C (0) r yam" 1�/(i P� 1 (if P• I�i1/1{ r�,i�( 1 �j -- ���( _ (fit' / � ' ,�� � � - yt�.' ''ks'•H :?% ��:%'"��/f"� '�� / 'off' gW POT / zw`;. .. t `�, - ` •rya � ,�. c rs i.zz y a.. q �J�•`.ir // -��r'' «ice / aq? ��: '.� .. " �,•* � 45 • Am .i: 1 w y`.#��s i+4 \ ` _ / .•:may .;+e=,ice �•- � t•%�.. _ i Y � �. �\.\_ �-��.r� �'- i }:� �'� tt _ ,, J'� � ice:- a....•.- �`t-'- �� _ � •''`_�^^�� � �'F ..-:� "-mow O .'. :. / -/ Ly,!• Mti w- _ `�+C.. — _ '� \`�_ .. ( )✓ k ,, :/r+ %s•-Sri y �,r l r + \ a �k — /ems:� -' ;�':' .�' y � x�• r d -�� \ f \� � "� �_ nr ,C .:�Y •� �-. _ _ 'l:J sJ rs%r •'y-r % y;:,,Ar.� �'l.e`:f \O \�\���'T_�'\� Zi�i •� II :� `_:�..fit;\ i - �"v�K�► °'G �C ^ u a`-- K � '-. N ti �_ {�1�: •� 1' � C•4�\ +�q ry � -•w\. � v ;J�J�",:'/� �.��2.i / �..,� \... v`�l "/ �="� -:�1iG �%• �?a. 'x"� -w.66. ,�a .✓SSG ��a? � ,�Ul' -� Client#:2498 ALLSAF2 ACORD-.. CERTIFICATE OF LIABILITY INSURANCE DATE07120 YYYYI 12107/2021 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:n the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER Mr CT Commercial:Support Edgewood Partners Ins. Center PHONE 631-390-9700 C,No 631-390-9790 AfC No Eat: A/ 40 Marcus Drive E4ML ADDRESS: cortificates@cookmaran.com DDR 3rd Floor INSURER(S)AFFORDING COVERAGE NAICN Melville,NY 11747 INSURER A:Admiral Insurance Company 24856 INSURED INSURER B:NorGUARD Insurance Company 31470 All Safe Fire Protection&Mechanical Inc INSURER CPrinceton Excess&Surplus Unes Ins Co 10786 All Safe Fire Sprinkler Systems Inc INSURER D Merchants Mutual Insurance Company 23329 375 Executive Blvd R E Elmsford, NY 10523 INSURE --_- 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 CONTRACTOR 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. LNTR R TYPE OF INSURANCE INSRR'y VD POLICY NUMBER Y EFF PWp Y EXP LIMITS A X COMMERCIAL GENERALLIABIIITY CA00002817305 9/1112021 09/1112022 EACHOCCURRENCE S100000 PRMSaEom0 CLAIMS-MADE aOCCUR =5O OOO X BIIPD Ded:5,000 MED EXP(Arty one person) $5 000 J Contractual Liab. PERSONAL 8 ADV INJURY S 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY FX�JJEECOT. LOC PRODUCTS-COMPlOP AGG s2,000,000 OTHER: S D AUTOMOBILE LIABILITY CAP9269941 D9116120211 09/16/20 C eMBe MSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) S OWNED X SCHEDULED BODILY INJURY(Per accident) S At1TOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS L1AS CLAIMS-MADE AGGREGATE $ _ DIED RETENTIONS $ B AND EMPLOYERS'LIABILITY WORKERS COMPENSATION ALWC213191 WIW2021 091IW20 X PERITE ER ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT S1 00O OOO RI OFFICEMEMBEREXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Excess General 82A3FF000282901 D911111120211 OW111112022 $1,000,000 Each Occ. Liability Buffer $2,000,000 Gen Agg $2 000,000 Prod/Comp O DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 9 Y THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3329978/M3290914 SDE02 YORK Workers' CERTIFICATE OF sTATE Board Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured II Safe Fire Protection&Mechanical Inc 914 773-7602 75 Executive Blvd Elmsford,NY 10523 tc.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1 d. Federal Employer Identification Number of Insured or Social Security Number 473961070 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NorGUARD Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box*1 a" 938 King Street LWC213191 3c.Policy effective period Rye Brook, NY 10573 09/16/2021 to 09/16/2022 3d.The Proprietor,Partners or Executive Officers are ® included.(Only check box it 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: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 12/7/21 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 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 ® DATE fMM/DDIYYYY) A �� � CERTIFICATE OF LIABILITY INSURANCE 10/25/2021 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 Virginia Lara NAME: BNC Insurance Agency PHONE (914)937-1230 FAX 914 ac No AIc No: ( )937-1124 90 S Ridge St Ste UL-2 E-MAIL vlara@bncagency.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC If Rye Brook NY 10573-2836 INSURER A: Colony Insurance Company 39993 INSURED INSURER B: AmGUARD Insurance Company 42390 Cardinal Builders,Inc. INSURER C: 315 West 39th Street INSURER D Suite 301 INSURER E: New York NY 10018 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21101903278 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 P/,ID CLAIMS. IN SR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A �( Contractual Liability Y 600GLOO26253-03 10/30/2021 10/30/2022 PERSONAL s ADV INJURY $ 1,000,000 tGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRE PRODUCTS-COMP/OP AGG $ POL!C1' JECT LOC 4,000,000 OTHER. $ OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED v SCHEDULED CAAU246207 10/30/2021 10/30/2022 BODILY INJURY(Per accident) S AUTOS ONLY X AUTOS �,/ HIRED v NON-OWNED PROPERTY DAMAGE X AUTOS ONLY /� AUTOS ONLY Per accident $ _ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB AR4237795 10/30/2021 10/30/2022 i_ CLAIMS-MADE AGGREGATE $ 3,000,000 _ _ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in If yes,descnDe under er n E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS bekW E.L.DISEASE-POLICY LIMIT $ Excess Liability Each Occurrence $2,000,000 A AR4237796 J10 /30/2021 10/30/2022 Aggregate $2.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Village of Rye Brook is included as an additional insured when required under written Contract or Agreement. 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 _ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 2S(201 EI^3) The ACORD name and logo are registered marks of ACORL) NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK, N.Y. 10007-1100 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) A-i' ^^^^A A 455565677 BNC INSURANCE AGENCY90 S RIDGE ST RYE BROOK NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CARDINAL BUILDERS, INC. VILLAGE OF RYE BROOK 315 W 39TH ST#301 938 KING STREET NEW YORK NY 10018 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE M2370 847-2 745419 09/04/2021 TO 09/04/2022 8/3/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2370 847-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT NAZMI AHMETOVIC 1OF1 FOR CARDINAL BUILDERS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 736475578 U-26.3 i i r, � BLACKSTONE ti ft 7 N � d 4TAU • F ,c r R w . _ REt4i RANT GROUP �K- Proposed Interior Alterati ons 275 South Ridge Street t Section 141.35 Block 2 Lot 51 z n 4, 7 I � DRAWINGS LIST I i << Al Site Plan Notes a A2 Existing/bernolition Plan Main Level ro 3 osedMain Level Floor Plan r p x . 3.� CONS A4 ProposedLower Level Floor Plan A5 Proposed Main Level Electrical Pla n �},� �"'`r"'na�, �P � h� 'MA �r � '�✓i sFa.%��✓.lk� .,: A, �t �( S 9 yr f � 3 yfi u,.- ° �. sty WWI w OW OR FORWERLY Y $® LAY K1?TYZA BIT q2 1 T 6i f To LugWWI 4 err O. � I DI NoTi FILE COP. w ScqThone 1, iace z o o,y PERMIT# -oo/ F- -,•' SBL# l S- Z S L DATE APP EJAN 2022 w J BUILDING IN5P TDR, "of Rye Brook,NY SITE PLAN wc-N3 1"=30°-U' Site information taken from survey VIE I�02 ' 02 prepared by The Office of REVI D z JW Delano,Surveying Consultants, oA 30 20210 White Plains,NY "`"m`"`°v�RR"K U Dated August 6,1999 T W T < tEBF.D ARC pig R.L y�r 4i irk DF NCO�p� i i n a �I j Men No wor Z,'0 J� W Lof Remove existing bar, l Vestibule sinks&related gar J No work squipment Q Wz 11 u1 �3� �zm I Women Remove aD F J No work existing walls, nolumns 1 L Remove &built-ins �anels& ortion of wall a Remove platfprm, Remova steps ana railings cabinets s k&&related piumbing Remoye b r,sink& plum p €! i mg -, I' --------- '=- ---------------- ------------------ -" --------------------------- O pltfom, ` c stepsr& low wall I cv ti Remove stepsRemove and rarling platfo _ nYafe Qining Room raised&(o floor & ors Private °2Wdoor--- Dining _Z Remove doors& frame -------- -------- orm r 4 Welk Planting I u r �Removeglatf , ( steps an railings i Kitchen a No work F O Rem ve cabinets, L L l p`umbin fated , 9 Dn LLL F} W I Dn v I U1>' Walk StoneLU cv LU Rn 4° Freezer I I I I Room I I I I I I �Z cC I I I I I O CJ] 7'.6„ 8,$„ f B,7„ 6'-8" 9'�" 7'-T J .(SOD qRc R.Lg i.--� ," 0 6® ( N -xz c of NEW d { xistin,g 17"bar i jousts(�24"oc i i xisting 1sttloort slab on corrugaed a metal deck;ng u�N w I t I t I Q Existing CMU wall 2 4.x 3 x 1/4 angle ceement plas er f/ (� q g k ex;stin Imtels w/1/2'through bolts Z f @24"oc"bearing (�Z each side i y W i New 45 Min.FPSC Cemgnt plaster existin i door and bucker opening lambs&headg EE� x gg j u 9adingslabon Slabeto$el;qq�ntwRhoor rL fface of t A�U wall Q w� M i Wz New masonry steps �[ a I Exist.slab on grad I w 0 R �zm Detail-Opening ° 1/4"Aa - ❑D i i \ r I I \ Storage I \ I I \ )l Existing 12"CMU wall �I I z \ 2 O \ m c - o Q "a Reduce exist.48 \� �a opening to 36" Newbe kid'"FPSC JU 3R. A4 \ 28 I fxter�d per 2)new masonry - --------J N \ oor eve reads.Remove existing 10'10 Handrail 34"AFF p Lower o er Level (2)4x3x 1/4 angle Dinin exist n lintels 9 - 6 WWI281 wid .- w/4'ochrough bolts b, 40 seats j — / NI o I Mechanical ` z i o ' 181't t travelpdisal tance to Ma Level W �n } 7-- x J I �p 7- i i i t ---------------------------------a — — - T '6GCLFSS / sGi2rcS5 -/- Ecuors Sra�cz5 �� EG'[ZE,S S / �4CL.FSS �. Sga�t ProPcs,,c-,�tC,,'I Lower L ewel Floor Plan 1P Y4 Safi �9 �of NEW r �' IF ------------ ------- tit Seating Schedule ------------- Main Dining Room 124 seats A Private Floor Dining Room 18 Utility Bar drain Bar Seating IS 4 pq Hand sink r &V-j Cq�S-C-r E- 32 Lower Level Dining 4® 0 ------------------- ------- New bar Total indoor seating 248 seats Men ----------- &back b,i— No work ------------- Cutdool,,deck seating= 44 seats 00 L t om(gloiw.'A-%r�a) W d'o Vestibule ED UD Bar Z No work Sil -3 bay sin 7' Bar Seating t i3p,,4(pitTre seats < Floor i C�I drain W Z 7- knee wal 02 EDI: ED EE� 0 1 Women OD Nc work LCI ff9 Soda ink &ice I height -t A 'i p nels—> glass FT Service ■ L Bar 28 Li Wine counter O 'A J I. -------------------------------- ----------------------------------------- ------------------------------------ --------- ----------- -- ----------- 7 ink J 16 coo 25--—————————— 16— Main Dining Room 1A 124 seats 7 Waiters'e Sta t, q on �1�glass?p).o,Aarnelp 2 xed,2 be Banquette 34 JAI: Waiters' iress—accesstTavel station —j 13'Toial Table 1011.2 250,allowable(folly sprinklered) New 36" New St-�-,..)I V u doors &frame DOTL 0 Li U--- ----- ----- -------------------- I >---------------- ---- ------- DtPrivae ig 18 seats Egress---->191'tr el 3, dista total fro ower L I Walk Planting U 26 Kitchen No work Coffee Station F Dn ET 181 traye!list. Egress/ r h nL n -1 0 ��I I from ;r level r r 19 I'tr 6sta o r,L.1 Dn Planter tA us Ln> Walk Stone Dn Freezer YA 0 Z Deck Dining 0 Room 44 seats - 0 V� 0 7 < Egress <7- Lh ED 40? R.L�4'oy FCC ro r Q,90 k4o#'n Lew&I Floor Plan 1/4"=I-V FOFNeNr ELECTRICAL FIXTURES ----- - NOTE:All fire devices are existing r I _____________ Duplex receptacle 16"AFF 0 J unless otherwise noted 4 Ap roved lighted exit s'Ign,battery backu Flpc�pole E=existing F- happd wired.Arrow indlc tes direction of e&ress +/ g Utility Bar Exit sign with 2 hegd emercaencY ® I r��N lights.Hard wired,battery 6cckOp J b Ground fault interrupter duplex Fire flasher(horn/strobe] Men �sP =____�_________________�_________ 45P s,r U 220 volt receptacle Z N N x nx Fire alarm pull station z 69 Switch-all switches mounted 44"AFF unless FPS noted otherwise a c Sprinkler head -013 3 way switch SP x r • p Vestibule Bar LU Combo Carbon Monoxide&smoke detect r 0FE Fire extinguisher U hard wired,battery backup �sP GL D Bar Seating sP Q Fire suppression pull station --0w_ _) �G Z I SPURESSION RE _ w Z 4p .Sp may, I Z,J LJ hard wired Battery backgup cy light _l \ I W SP SP �z� - ep i m ;' �0rn ASP 4 �D SP E I L Women I � IE -� qO' E E E :1 HE ® E I � J J �� glass panePlexi?. v Service C Bar .,P Small Dining Room Win �--���--4-'-0 -� 51-01, OSP Q _ J � J� - aSP asp •S S d $$p[J (�1 N �L7TJ! ©ii7 I 25--- _�- - H Main Dining Room 'SP O a/ Station S P SP o *SP asp SID eSP SP , PB / S J 0 25'_ _-_- 8uPiFSEnSION E H/%9 .Self-Corer n y H/S w jr] T7 ------------------- ----T ------------ ------ - - Dining Private > n PAPS I Egress � �b Y /OF .SP ,F�\ eSP i \FBI v E J Kitchen z •SP � E oSP Coftee ASP ASP as / Station LI, m a LIJ Egf855/ E E E E E Q �w� O N3 L'i f---------------' ASP ASP Q Z � O Freezer N Deck Dining O Room O Z, �<zr FIRE Egress r l SUPPRESSION PULLSTA. CJ LC1 z (V JJ 00 �w fo Alt Ln • • PLANS MAY 31 Z022 * *� Proposed Main Level Electrical & Sprinkler Plan- DATED + f 14,=1'-0, BUILDING DEPARTM fir r�oo`