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HomeMy WebLinkAboutThe Kingfield Community Clubhouse Operating Certificate 2022-2023 I� J ° � 0 o W a U a L . o av a Qv w w as i c Q zv r " a � � o 4.6 N A „ � •• w ' M—, W o . Z a1 z O 00.4 aol O 0 o " W � � V� l W W a 4.w z �, ,w >= ° NO w a Z o > U t , WJ M e N re Lin V " cno c as ea M a, d 1 0 W o gibcn 0000 «+ to Z •� .� c4� 6 .o a ti V ICI �.., �/ U. �' � oa � w � -,-5a ~ ° W Lu b I o ; u , L � z A M� HA � � � a A w z a BUILDDTIENT VILL OOOK Initial Inspection D�: Pass MICHAEL J.IZZO 938 KING S a Rw YORK10573 (�-❑ Fail BUILDING&FIRE INSPECTOR (914)93 - 9-5801 Re-Inspection Date: ❑ Pass mizzoCurvebrook.org ❑ Fail FIRE INSPECTIONN REPORT, NOTICE OF VIOLATION & ORDER TO REMEDY SAME Site Address: t W� 1-- o Zone: �3L: Occupancy. c) � State Use Classification: Business Owner: rwcoo Phone: Building Owner: Phone: —?-- Emergency Emergency Contact:� C p<U -� Phone: 1 l t ( -) ) ( 2G -31 Building Representative m Attendance: i'�L I t N_-C-A`A 4 (1-Y,I ( b)I rG Q ------------------------------------------------------------------------------------------------------------------------------------------------------------ Take notice that the following violations of the New York State Uniform Fire Prevention&Building Code and/or the Code of the Village of Rve Brook were found to exist at, U h f�� 1_r C ,in the Village of Rye Brook,NY on, l 20 L The person or entity served with this Order to Remedy must completely cure each violation described in this Order to Remedy by - ,which is thirty(30)days after the date of this Order to Remedy.You are further directed to contact the Building Department during normal business hours to schedule a re-inspection of the premises to confirm full compliance with all applicable codes,laws,rules&regulations. BE ADVISED THAT YOt R FAILURE TO CORRECT ALL VIOLATIONS IS A CRIME PUNISH.AB►.F-BY FINE.IMPRISONMENT OR BOTH. ------------------------------------------------------------------------------------------------------------------------------------------------------------ No YES N/A 1.PORTABLE FIRE EXTINGUISHERS (PFE's) a.906.1 Are PFE's installed throughout the space&on the premises as required by code. a. b.906.3.1 Is the maximum travel distance to a PFE 75 feet or less. b. c.906.5 Are PFE's conspicuously located&readily accessible. C._ d.906.6 Are PFE's unobstructed/unobscured from view. d. e.906.7 Are PFE's properly mounted as per the manufacturers instructions. e._ _✓ f.906.9 Are PFE's properly installed:<40 lbs.max.5'above floor;>40 lbs.max.3.5'above floor. f._ 2.FIRE ALARM SYSTEM&SMOKE DETECTORS a.901.6.1 Is the fire alarm system inspected,tested&maintained in accordance with NFPA 72. a._ b.907.4.1 Are manual pull stations located within 5 feet of exits&within 200 feet of each other. b._ c.907.4.2 Is the height of the pull station handle located between 42&48 inches above the floor. C._ 1/ _ d.907.3 Is a fire alarm system provided in existing buildings as per section 907.3.1 &907.3.2. d._ _ 3.FIRE SUPPRESSION SPRINKLER SYSTEM&FIRE HYDRANTS a.901.6.1 Is the sprinkler system inspected,tested&maintained in accordance with NFPA 25-13. a._ _ b.901.6.1 Are the main valves secured against tampering in the open position. b._ _v c.901.6.1 Are sufficient clearances maintained from fire sprinkler heads to fixtures or materials. C._ _ d.901.6.1 Is a supply of six spare heads&a wrench maintained on the premises. d. _v e.901.6.1 Are sprinkler heads&cover plates unfinished or of factory applied finish only. C. _L f.901.6.2 Are records of all system inspections,tests&maintenance reports maintained on the premises. f. _ v _ g.913.5 Is the fire pump inspected,tested&maintained in accordance with this section&NFPA 25. g. h.507.5.2 Is the fire hydrant system properly maintained,operational,compatible w/NST&tested annually. h._ v i.507.5.4 Are fire hydrants&fire protection equipment unobstructed. i. _ _✓ _ j.507.5.5 Is a clear space of not less that 3 feet maintained around all hydrants. j. k.901.8 Are all fire protection systems in place and maintained untampered. k. INSPECTOR: DATE: f� ,21�� - -1- Reviud MAW r .. No YES ; NIA 4.STANDPIPE.CABINETS&FIRE DEPARTMENT CONNECTIONS a.901.6.1.Is the standpipe system inspected,tested&maintained in accordance with NFPA 25-14. a. _ b.901.6.1.Has the required flow test been performed within the past 5 years as per NFPA 25-14. b. _ c.912.2.3 Are standpipe FDC threads compatible with fire department standards. C. d.905.7.Are cabinets containing fire fighting equipment unobstructed/unobscured. d. e. 905.7.1.Are cabinets containing fire fighting equipment properly identified&labeled. e. _ f. 912.2.1. Are exterior FDC's fully visible&recognizable from the point of fire department access. f. g.912.4.Are all FDC's unobstructed and available for immediate access by the fire department. g. 5.EXITS,MEANS OF EGRESS&OCCUPANCY a. 1031.2. Are exits&exit enclosures continuously maintained free from obstructions or impediments. a. _ b. 1031.3.Is the means of egress free from obstructions including accumulated ice&snow. b. c. 1031.6. Are exits maintained unobstructed by furnishings,decorations,draperies,mirrors,etc... c. _ —u d. 1031.7.Are existing emergency escape&rescue openings maintained as per this section. d. _ �— e. 1010.1. Are egress doors provided and maintained as required by this section. f. 1004.3.Are all spaces having an assembly occupancy posted with an approved occupant load sign. f. _ Ci _ g. 1013.1.Are exits marked by a properly located,approved&readily visible exit sign. g. _ —AZ h. 1013.1.Is the maximum travel distance to any exit sign in an exit access corridor 100 feet or less. h. _ i. 1013.4. Are tactile exit signs complying with ICC/ANSI 117.1.provided as required by code. i. j. 1013.3. Are all exit signs illuminated at all times. k.1008.1. Are the means of egress&exit discharge illuminated at all times the building is occupied. k. _ ✓ 1. 1018.3. Are public aisles in group B&M occupancies maintained at least 36"wide where fixtures I. are placed on one side of the aisle&at 44"wide where fixtures are placed on both sides. m. 1018.3.Are non-public/non-accessible aisles serving less than 50 people maintained at least M. 28"wide,or at least 36"wide where serving 50 or more people. 6.COMBUSTIBLE STORAGE&WASTE MATERIALS a.304.1. Is the building(s)and premises maintained free from accumulated combustible waste material. a. b. 304.1.2. Is property free from weeds,grass,vines or other growth capable of being ignited. b. c. 304.2. Is combustible rubbish stored so as not to create a nuisance or hazard to the public. C. t _ d.315.3.Are combustible materials properly stored&separated from ignition sources. d. !i e. 315.3.1.Is storage maintained 24"or more below the ceiling in nonsprinklered buildings, e. and 18"or more below sprinkler head deflectors in sprinklered buildings. f. 315.2.2. Are exits&exit enclosures maintained free from stored combustible materials. f. g. 315.2.3.Are boiler,mechanical&electrical rooms maintained free from stored combustible material. g. h. 313.1. Is building maintained free from stored fueled equipment.(motorcycles,mopeds,mowers,etc...) h. 7.ELECTRICAL a.604.1.Are emergency&standby power systems properly maintained. a. _ b. 605.1.Is the building free from modified/damaged wiring,devices,appliances,equipment and b. _ maintained free from electrical hazards. c.605.2. Are electrical service equipment areas properly illuminated. C. d.605.3.Are proper working space clearances provided&maintained for electrical service equipment. d. _ v e.605.3. Are electrical service equipment working spaces free from any stored materials. e. _ t� f. 605.3.1.Are all electrical control panel room doors,panel boards&disconnects properly labeled. f. _ l� g.605.4.Is the building free from unfused multi-plug electrical adapters. g. _ v h.605.5.Are electrical extension cords being used in a safe manner as per code. h. _ 1/ _ i. 605.6.Are all junction, switch&outlet boxes fitted with approved covers or plates. i. _ (� j. 605.6.Is the building free from open-wiring spliced electrical connections. j. _ _ k.605.8.Are electrical motors maintained free from accumulated oil,dirt&debris. k. 1. 915.1.Are Carbon Monoxide Detectors installed&maintained as required by this section and by 1103.9. 1. INSPECTOR: DATE: S1' .1�Z Revised 10/4/17 -2- No YES N/A H.ELEVATORS,DUMBWAITERS&ESCALATORS a. [PM]606.1.Are elevators properly maintained,and is the current certificate of inspection on the premises.a. _ _ 4 b. 607.3. Are approved standardized,pictorial signs posted adjacent to each elevator call station on all b. _ floors reading; IN FIRE EMERGENCY,DO NOT USE ELEVATOR,USE EXIT STAIRS c.607.7.Are keys for elevator car doors&fire department service kept in an approved location. C. d.315.3.3.Are elevator machine rooms maintained free from stored combustible material. d. e. [B]3005.1.Are elevator machine room doors maintained unobstructed at all times. e. 9.COMMERCIAL KITCHENS a.904.12.5.Are portable Class K fire extinguishers within 30 feet of cooking equipment. a. _ b. 904.12.6.Is the fire protection equipment inspected,tested&maintained as per Section 901.6. b. _ c. 904.12.6.2.Are automatic fire extinguishing systems serviced at least every 6 months&after system C. activation,and is the certificate of inspection forwarded to the code enforcement official. d.904.12.6.3. Are fusible links&automatic sprinkler heads replaced annually. d. _ 10.HEATING SYSTEMS a.[PM]603.1.Are all heating appliances properly installed&maintained in a safe working condition. a. _ b. [PM]603.2.Are all fuel-burning appliances&equipment connected to an approved chimney or vent. b. c. [PM]603.3. Are heating appliances maintained with proper clearances from combustible material. C. _ _ d. [PM]603.4.Are safety controls for fuel-buming equipment maintained in effective operation. d. _ _ e. [PM]603.5. Is the fuel-burning equipment provided with adequate combustion&ventilation air. e. _ 11.MOTOR FUEL-DISPENSING FACILITIES&REPAIR GARAGES a.2303.2. Is an approved, labeled&readily accessible emergency disconnect switch provided a• in an approved location within 100'of,but not less than 20' from fuel dispensers. b. 2304.3.4.Are dispenser operating instructions conspicuously posted on every fuel dispenser. b. c. 2304.2.4.Are fuel-dispensers unobstructed&in clear view of the attendant at all times. C. d. 2305.5.Are approved portable fire extinguishers complying with Section 906 with a minimum rating of d. 2-A:20-B:C provided&located not more than 75'from pumps,dispensers&fill-pipe openings. e.2305.6.Are warning signs provided&posted within sight of each dispenser as per this section. e. _ f. 2305.7.Are combustible materials kept at least 10' from fuel-handling equipment. f. _ _ g.2306.4.Are above-ground tanks provided with vehicle impact protection. g. h.2306.5.Are above-ground tanks provided with secondary spill containment. h. 12.HAZARDOUS MATERIALS(HAZ—MATS) c. 407.2.Are M.S.D.S. for all haz-mats readily available on the premises. a. _ _ d. 407.3.Are spaces and individual containers containing haz-mats properly labeled&identified. b. e. 5004.2.Are stored haz-mats provided with approved secondary spill containment. C. _ d. 5003.7.1. Are proper No SMOKING signs provided as per this section. d. _ (_ 13.MISCELLANEOUS a.403.1. Is an approved fire safety&evacuation plan prepared&maintained for the building/occupancy. a. _ b.405.1.Are emergency evacuation drills conducted at the intervals as specified in Table 405.2. b. _ _ c.405.5. Are records of emergency evacuation drills kept&maintained on the premises. C. _ d. 505.1.Are approved address&building numbers properly placed&plainly visible from the street. d. e. 506.1. Are approved key boxes(knox boxes)provided,properly located&equipped with the proper keys. e. f.703.1.Is all required fire-resistance rated construction properly maintained as per code. g.703.1.Are openings through fire-resistance rated assemblies properly protected&maintained. g. h.5303.5.Are compressed gas cylinders&systems secured&safeguarded against damage&access. h. i. 5303.6.1.Are compressed gas cylinder caps or collars in place at all times except when tanks are in use. 1. 14.GENERAL HOUSEISEEPING a.Good b.Fair c. Inadequate d.Poor INSPECTOR: DATE: l �� Revised 10/4/17 -3- SYSTEM RECORD OF INSPECTION AND TESTING This form is to be completed by the system inspection and testing contractor at the time of a system test. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets,data,or calculations as necessary to provide a complete record. Inspection/Test Start Date/Time: 2/18/2022 Inspection/Test Completion Date/Time: Supplemental Form(s)Attached: (yes/no) 1. PROPERTY INFORMATION Name of property: The Clubhouse at Kingfield Address: 1 Rose Lane Rye Brok NY 10573 Description of property: Clubhouse Name of property representative: Plaza Realty&Management Address: 1010 Hope St Stamford CT 06902 Phone: 203-653-6536 Fax: 203-356-9741 E-mail: ds@plazarealtymgmt.com 2. TESTING AND MONITORING INFORMATION Testing organization: Safe&Sound Address: 291 Main St Suite 3 Cornwall NY 12518 Phone: 845-458-5381 Fax: E-mail: dan@safeandsoundny.com Monitoring organization: Rapid Response Monitoring Address: 400 W.Division St Syracuse NY 13204 Phone: 800-932-3822 Fax: E-mail: Account number: D210327 Phone line 1: NA Phone line 2: NA Means of transmission: Starlink LTE-FIRE Entity to which alarms are retransmitted: Rye Brook NY Phone: 914-939-5144 3. DOCUMENTATION On-site location of the required record documents and site-specific software: Basemet Panel 4. DESCRIPTION OF SYSTEM OR SERVICE 4.1 Control Unit Manufacturer: Model number: 4.2 Software and Firmware Firmware revision number: 4.3 System Power 4.3.1 Primary(Main)Power Nominal voltage: 115VAC Amps: 15 Location: Basement Overcurrent protection type: Circuit Amps: 15 Disconnecting means location: Breaker Copyright®2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p. 1 of 4) SYSTEM RECORD OF INSPECTION AND TESTING (continued) 4. DESCRIPTION OF SYSTEM OR SERVICE (continued) 4.3.2 Secondary Power Type: Battery Location: Panel Battery type(if applicable): Seled Lead Acid Calculated capacity of batteries to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 60 5. NOTIFICATIONS MADE PRIOR TO TESTING Monitoring organization Contact: Rapid Response Time: Building management Contact: Plaza Realty Time: Building occupants Contact: Time: Authority having jurisdiction Contact: Time: Other,if Contact: Time: required 6. TESTING RESULTS 6.1 Control Unit and Related Equipment Visual Functional Description Inspection Test Comments Control unit Lams LEDs LCDs ® ❑ Fuses ® ❑ Trouble signals ❑ ❑ Disconnect switches ❑ ❑ Ground-fault monitoring ❑ ❑ Supervision ® ❑ Local annunciator Remote annunciators Remote power panels ❑ ❑ 6.2 Secondary Power Visual Functional Description Inspection Test Comments Battery condition Load voltage ❑ ❑ Discharge test ❑ ❑ Charger test ❑ Remote panel batteries ❑ 19 Copyright®2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p.2 of 4) SYSTEM RECORD OF INSPECTION AND TESTING (continued) 6. TESTING RESULTS (continued) 6.3 Alarm and Supervisory Alarm Initiating Device Attach supplementary device test sheets for all initiating devices. 6.4 Notification Appliances Attach supplementary appliance test sheets for all notification appliances. 6.5 Interface Equipment Attach supplementary interface component test sheets for all interface components. Circuit Interface/Signaling Line Circuit Interface/Fire Alarm Control Interface 6.6 Supervising Station Monitoring Description Yes No Time Comments Alarm signal ® ❑ Alarm restoration ® ❑ Trouble signal ® ❑ Trouble restoration ® ❑ Supervisory signal ® ❑ Supervisory restoration ® ❑ 6.7 Public Emergency Alarm Reporting System Description Yes No Time Comments Alarm signal ❑ ❑ NA Alarm restoration ❑ ❑ Trouble signal ❑ ❑ Trouble restoration ❑ ❑ Supervisory signal ❑ ❑ Supervisory restoration ❑ ❑ Copyright O 2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p. 3 of 4) SYSTEM RECORD OF INSPECTION AND TESTING (continued) 7. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization Contact: N/A Time: Building management Contact: Time: Building occupants Contact: N/A Time: Authority having jurisdiction Contact: Time: Other,if Contact: Time: required 8. SYSTEM RESTORED TO NORMAL OPERATION Date: 2/18/2022 Time: 13:37 9. CERTIFICATION This system as specified herein has been inspected and tested according to NFPA 72,2013 edition,Chapter 14. Signed: Dan Mahoney Printed name: Dan Mahoney Date: 2/18/2022 Organization: Safe&Sound Title: Pres Phone: 845-569-7233 Qualifications(refer to 10.5.3): 10. DEFECTS OR MALFUNCTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION, TESTING, OR MAINTENANCE 10.1 Acceptance by Owner or Owner's Representative: The undersigned accepted the test report for the system as specified herein: Signed: NO ONE PRESENT Printed name: Date: Organization: Title: Phone: Copyright©2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p.4 of 4) BUIC MENT D `� E VI OK 938 KINGR NY 10573 FEB 18 2022- VILLAGE OF RYE BROOK BUILDING DEPARTMENT FIRE INSPECTION / OPERATING PERMIT APPLICATIONCj FOR OFFICE USE ONLY: Fee Paid: $ !2 75-/'16 Inspection Date&Time'-'—' /�u FEE SCHEDULE: Re-inspection Date&Time: Triennial &Private School Annual inspection: =$450.00 Public Assembly Annual Inspection: <100 People=$525.00/>100 People=$775.00 Application,dated: lc�_I a—c�� ,is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting that a Fire Inspection be conducted at the building and premises listed below for the purpose of issuing a Permit to Operate the business, private school and/or place of public assembly in conformance with the Code of the Village of Rye Brook,the New York State Uniform Fire Prevention & Building Code, Title 19 NYCRR Part 1201, and all other applicable local, County, State & Federal laws, rules & regulations,as per detailed statement described below. 1. Address: ) �k OSQ- ICAO'e_ SBL: /C) A) Zone: 2. Business/Occupancy Name: UCLA f)Copt t C�(�hha��-e_ NYS Use Class: R 7j 3. Property Owner: UVI( lyv(���LQ( '(��j l . Address: rGS� k(�(l.t_ Phone# 2G3- �c5 3•-�(c'S_` lCell# email: C' 5. Business Owner: `,(a,+( x Address: S0('RQ, 1�'1 Cf� Phone# `)(,i�(VL�L Cell# email: 6. Emergency Contact: C_(w(��r6 C`k sL Address: `; 2�'`�'km Phone# 7D3- 165 -65 LA?, Cell# 0DD3'ysO-lPaS? email: c`(1YZA �qUZ 7. Inspection Escort: Title: Phone#: 7 b3 - tncA 'oSglCell#: email: 8. Provide a brief description outlining the current and/or intended use of the property: VxA rq U - 9. List all Hazardous Materials: > (� 10. Occupant Load: Existing: lj l Proposed: b Other: NPI 11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail i 8/12/2021 BUILDING did-"RTMENT VILLAGE OF RY4*'OOK 'IET BR 938 KING RYE 6© ,NY 10573 4). 0648 \.r � ""r ******************************************************************************************************* FIRE INSPECTION / OPERATING PERMIT APPLICATION INSTRUCTIONS ***NOTE: KEEP THIS INSTRUCTION FORM FOR FUTURE REFERENCE REGARDING YOUR OPERATING PERMIT A Fire Inspection, conducted by the Building Department must be performed prior to the issuance or renewal of any Operating Permit. It shall be the responsibility of the owner, applicant, operator or proprietor of the Business, Private School or Place of Public Assembly to schedule the requisite Fire Inspection with the Building Department. For permit renewals, the Fire Inspection must be scheduled at least thirty, (30) days prior to the expiration date listed on your Operating Permit. Submittal Requirements: 1. A properly completed& notarized permit application. 2. One full size and one scaled 11"x 17" copies of a comprehensive dimensioned floor plan, prepared & sealed by a NY State Licensed Professional Engineer or NY State Registered Architect, showing the complete layout of the space including all doors, windows, exits, exit corridors, exit discharge, emergency lighting, fire alarms, fire sprinklers, fire extinguishers, proposed seating arrangement(s), and any other furnishings which affect the occupancy load and/or egress from the space, and anything else as requested by the Building Inspector. 3. Payment of the permit fee: (Fees subject to change without notice) Triennial & Private School Annual Inspection: = $450.00 Public Assembly Annual Inspection: <100 People = $525.00 • >100 People = $775.00 (Occupancy limits are detennined by the Building Inspector) 4. Written documentation showing the following systems have been inspected, tested & serviced within the past year shall be kept on the site and be made available to the Fire Inspector upon demand; a. Fire Sprinkler, Standpipe, ANSL, Halon, FM200 or other Dry-Chemical Extinguishing Systems b. Fire Hydrants c. Fire & Carbon Monoxide Detection & Alarm System d. Exit Signs, Emergency Lighting e. Portable Fire Extinguishers f. Elevators, Escalators or other Moving Conveyances g. HVAC Systems h. A copy of your Fire Evacuation Plan and Record of all Fire Drills Please note that separate permits may be required for any corrective work performed in conjunction with the Fire Inspection. 8/12/2021 This application must include the notarized signature(s) of the legal owner(s) of the above mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. ********************************************************************************************************** STATE OF NEW YORK ) COUNTY OF WESTTCHESTER ) as: Lu Ef1!�,A( >&LU)kC) being duly sworn, deposes and states that he/she is the applicant above named, (print name of iudiOdual signing application) and further states that he/she is the legal owner of the property to which this application pertains, or that he/she is the PA At-,o t t2t� Ptfu VA�- , for the legal owner and is duly authorized to make and file this application. That all (indicate architect,business ner,attorney,agent,etc.) 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 Uniforni 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 15 Sworn to before me this day of �e-Vj, tic.r , 20 LZ day of , 20 C� EVE MARIE ALTIERI NOTARY Puauc state of Connecticut Notary Public My Commission Expires Notary Public June 30,2026 Signa re off P_r erty Owner Signature of Applicant �Ur AY 44 ►L)G,�(L N1 Print Name of Puqx1rty Owner Print Name of Applicant 2 8 12 2021