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HomeMy WebLinkAboutBP22-191Lt) 3 OLAMIT # - -� 1„ .�/ l DATE O %/ep:���1 SECTION Z#4 c)�%� " BLOCK % LOT At TYPE OF WORK 7�i 0.�CF�o�3� /��(%� rn �QnT�I Sj�e� /I ��O ���/S JOB LOCATION Q a /; .s f> 4& / 7c CP�'J'�✓ OWNER /� / Ply l 701- 00 CONTRACTOR liZ50 ere 00/ f �iL 94l T. COST D FEf S VACO # FEE, �� DATE a ® off• TCO # FEE DATE INSPECTION RECORD DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER OZI ELECTRIC LOW -VOLT a ALARM a AS BUILT FINAL , _ a/3 UQ �P� / y OTHER APPROVALS ARB BOT PB ZBA OTHER MPS-17o��'e''� usA Comp VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-019 Certificate of ®ccupaucp This is to certify that MW L C,6 of, Y n , having duly filed an application on . 20 o?.3 requesting a Certificate of Occupancy for the premises known as, / ��Q (�` , Rye Brook,NY, located in a 0/—P Zoning District and shown on the most current Tax Map as Section: 1 -7 Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.��r issued �(f 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: &J T Construction:, for the following purposes: J 4erlb Y Q � L/ ISfll'1 `fCY1 CeCoco Ala/kg Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: "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 height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has been obtained from uilding ector. J AN 2 7 2013 Acting Building Inspector, Village of Rye Brook: Date: a VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.riebrook.org TRUSTEES ACTING BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF +COMPLIANCE January 27,2023 Win Ridge Realty LLC 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 12B Rye Ridge Plaza,Rye Brook,New York 10573 Parcel ID#: 141.27-1-7 This document certifies that the work done under Mechanical Permit#22-170 issued on 11/15/2022 for the modifications to the existing HVAC system;"Coco Nails", has been satisfactorily completed. Sincerely, Steven E. Fews Acting Building& Fire Inspector /to ED D LE C E N �R�E��hT For office use only: BUILDIN�� M ENT PERMIT# �I JAN 2 0 2023 VILLAGE OF RYE BROOK ISSUED: 1A-- I I- as 918 KING STREET,RYE BROOK,NEW YORK 10573 DATE: I ZU^JO-.3 VILLAGE OF RYE BROOK (914)939-0668 FEE: * (V(CD PAIDXC BUILDING DEPARTMENT �NwA.ryebrook.org 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 iitii}}titititittt}tiiiititittitttiiitittftittififtttf•tttttft►ttttititft►i►it►tii►tit►iittfft■ttttfl►tt►iiit►itititiiiifttit Address: 12B RYE RIDGE PLAZA, RYE BROOK, NY 10573 Occupancy/Use: B Parcel ID#: 11-11 c�7- ^ -7 Zone: G Owner: WIN RIDGE REALTY, LLC. Address: 24 RYE RIDGE PLAZA, RYE BROOK, NY P.E./R.A.or Contractor: YOUNGSAM YU, R.A. Address: 36-42 169 STREET, #BA, FLUSHING, NY Person in responsible charge: JOANNE LEE Address: 12B RYE RIDGE PLAZA, RYE BROOK, NY Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: YO U NG SAM YU, R.A. being duly sworn,deposes and says that he/she resides at 36-42 169 STR E ET,#BA (Print Name of Applicant) (NO.and Street) in FLUSHING ,in the County of QUEENS in the State of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 55,000.00 for the construction or alteration of RENOVATION OF EXISTING NAIL SALON, INCLUDING REMOVAL OF PARTITION, INSTALLATION OF PLUMBING FIXTURE AND VENTILATION SYSTEM. Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structuretwork has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this i fi Sworn t fnore me this day of : 20 -Z5 day of 20 n Si of Pro rty er LJJ?4 f:&rE 'UC- o Applicant d�AV� kL p��� Prmt Name of Property Owetfr `� vilnl Ql� (,(C Print of Appli9-0\ '' — I ENV o Public Notary tblic E1_1Y SAIII-V 79 Notary Puts!:- ,,. k DIANNE ROJAS gnznozl ''' ]_ Notary Public-State of New York Gornntis,icii Exh ::, ��151 No.01R06127547 Qualified in Westchester County My Commission Expires May 23,2025 00- �m cu � BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - -- - - - - - - - - - ADDRESS : - DATE: 1-2P PERMIT# G`�Cy "2 l ` ISSUED: lc:)(<<�ECT: 1 T/ ? BLOCK: ` LOT7 LOCATION: O 6 ` -( `s OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ,Ld ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER 'low'FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER ) Y A(f QyE[3R(��• 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 :- q-� ATE: PERMIT# r� , ` , ISSUED: ' " 1-2SECT: ` �J BLOCK:LOT: LOCATION: Co Co y 'I 1 �( )C OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑I ACCEPTED ❑ REIECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: A' ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �}, ,, " �.J � 16r� n ❑ NATURAL GAS V�"'C _1 ❑ L.P. GAS ❑ FUEL TANK , 1 , ~ \ l f C �'��1 U C r 1 - ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ , CROSS CONNECTION FINAL ❑ OTHER 2m I ��2 k BUILDING DEPARTMENT yUILDINGINSPECTOR SSISTANTBUILDING INSPECTOR VILLAGE OFRYEBROOK ODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : (;2),l OCZ(IDATE: PERMIT# SUED: �� 1:4ECT: BLOCK: LOT: I LOCATION: �s l)_L ' OCCUPANCY: FFoOTING OLATION NOTED THE WORK IS... El ACCEPTED REJECTED/ REINSPECTION TE INSPECTION REQUIRED ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION (� { /�, ❑ NATURAL GAS 6 G " 1 � { ❑ L.P. GAS r �. ` \C ❑ FUEL TANK❑ FIRE SPRINKLER V n�1 ❑ FINAL PLUMBING ❑ CROSS CONNECTION W In l� ❑ FINAL ❑ OTHER i lt`t 1v� S L CA S rd� o� % 7 a a ►. O � w � °•a 4 Cn w Oo r �+ W a °, ~ O VY `n M yy • M �1 � Ltd 4! 6�1 ��+ ^�', .�.� � oAOoy � � A�. 04 00 • OJ2 a w O O � o Ln P4 L W �., a�0 orb N co 4 It V • O V W W A et^ � o 0 p -o v z a CA m V z � 1-4 H h+rl w �-q IFS p p $ C 04 A U � .& W w0 '� v �° z F" a` v o BUILD MENT IE C E�n� VIL OF RY OOK D 1J 938 KING � ET RYE 11R ,NY 10573 4 -o '� DEC - 9 2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: DEC 1 3 021 Approval Date: Permit#: —f Application Fee: $ (��OD�L Approval Signature: Permit Fees:$ �- Disapproved: Other: Application dated: 10/05/2021 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 12B RYE RIDGE PLAZA, RYE BROOK, NY 10573 SBL:ILI1.17-l-7 Zone: -1-P 2. Proposed Improvement.(Describe in detail): RENOVATION OF EXISTING NAIL SALON, INCLUDING REMOVAL OF PARTITION, INSTALLATION OF PLUMBING FIXTURE AND VENTILATION SYSTEM. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes, indicate: TIER I: TIER IT: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) S. Occupancy;(l fam.,2 fam.,comm.,etc...)Prior to Construction: B After Construction: B 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: WIN RIDGE REALTY, LLC. Address: 24 RYE RIDGE PLAZA, RYE BROOK, NY10573 Phony#917-701-4005 Cell# email: M 10 i„t>T1 rme. C 8. Applicant: YOUNGSAM YU, R.A. Address: 3642 169 STREET,#BA, FLUSHING, NY11358 Phone#917-563-5873 Cell#347-926-8399 email: CSDESIGN07@GMAIL.COM 9. Architect: YOUNGSAM YU, R.A. Address: 36-42 169 STREET, #BA, FLUSHING, NY11358 Phone#917-563-5873 cell N 347-926-8399 email: CSDESIGN07@GMAIL.COM 10. Engineer: ,i��dress: Phone# / 'V Cell# email: / 11. General Contractor:,_00'et? U1 C ' t Address: *—Ulp Phone#_!l 5 YO T 9 q m*# email: A)V //359( 12. Estimated cost of construction $ 55,000.00 (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: 10/15/21 Finish: 11/20121 (1) 8n 2/2021 BUILD MENT v V>s OF R OOK DEC _ 9 2021 938 KING ET RYIE BR ,NY 10573 4 ^0 VILLAGE OF RYE BROOK Ly 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: JJ, bk i l-, ^ uasd residing at, 1-4- M E NP�A (Print name) (Address where you live) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 12 B RYE RIDGE PLAZA , Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (.Sign rcof'Pruperty (sll/i-��r, �� �Z� L�1u� f�At/l b (Print Name of Property Fj+++ rt ))►}r a, R4N1nViLL Sworn to before me this i 3k day of � �r1� , 20 L ( ot. etblicl &/12/2021 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as; being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant 1 and further states that (s)he is the legal wrier of the property to which this application pertains, or that (s)he is the -ev(JKI(q 5 A H YL),, P-.A-• for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attomc,,etc.) That al 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 a]I 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. Swom to before me this Sworn to before me this day of 120 J'L-r day of 2( 20_K7Z Z1 . roperty ,tit ,�ll signatur Q Applic' t Print Name of Property ncr/ WtN Llofit P4,r�,NI Print Nam��,I'App c J.tearyPLOIC,Stag of Now York No.Ot LIM2Y33tio Ouetitiad Int Quo"Courtly Nata P lie Notary E';,. J ..e York KELLY SANDL,ER _ I Notary Public C'4:fi ?f"'I We'd . fro-'0. r oualified in V:. sic.hesl r County Cornrnission Expires [Aurch y, 2-0'32— (4) R/Q/2021 E' E M OC v� f N LL ti w 0-0 � 7 CA 66 Tr M �, p, � o Z ►., � y cal .. i � � . 00 Q En Q P.0 _ C A m L F O r ` o V It _ ( 1 vZ O z v z ^ O r V Fi. x ^ 2 I A w a W F � W � v w U w A w a6 z � = za Q U og x ' � � v w z � z � A o E w z . Y S �yE dRC [ECENE D �o D BUILDING DEPARTMENT NOV — 8 2022 VILLAGE OF RYE BROOK 938 KING STREET RYE BwoK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 B_ UILDING DEPARTME___NT__� www&*uo'k.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: -- Approval Date: �O� — g 1021 Permit Fee: $ / �r Approval Signature: Other: Application dated, 8 aZ is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or r move electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: a 1 ��� �i (-Q- ✓�Z' SBL: / 7I� a Zoned. 2.Property Owner: W I ✓� Q 'Z Q.E.'V►4-y t-t-C- Address: -S Phone#: '?!`1 7C 1 -if CC 5 Cell#: email: 3.Master Electrician: Address: 6,D iS v4-y t�-, Lie.#: 1` y Phone#: iI � 40-3-/70 Cell#: email: 46.4ve C�P+`J •Kff J� Company Name:1�. ✓� I; P �('(If( 6---t Gu Y Address:/j— �K�Q i��+-� c P 5 7� kJL..J�Q 1��•��?, 4.Proposed Electrical Work/FixturepCount: � Gr Y i7 1�' S , � c e , '� 3 oto tv•'1' N CoL--e_ 5.31 Party Electrical Inspection Agency: ********************************************************************************************************* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: fir, U p,Se C4-��,-, ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of indi ' ual signing as the applicant) C vA4114V 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. Sworn to before me this Sworn t e e day of ,20 of , Signature of Property Owner Signature of Applicant kA pro AtA Print Name of Property Owner Print Name £Applic Notary Public Notary Pub c 'FTOZ'6Z tienuep sendx3 uoissiwwoO /I1uno0 j8lseyolsa/N ul pellilenp 8866c; 9%19 LO'ON 6/23/2022 col M8N to e1e18'ollgnd/Ge1oN Aafleadlie T U3HdO1S1dH0 STATE WIDE INSPECTION SERVICES, INC., Service With Integrity 0•0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# Date +�t Bldg Permit# Sq Ft J Plumbing Permit# Final Certificate# City/Village ' ` Zip Building Dept. County -v)e 1�t Address Cross Street Section Block Lot Owner Name/Address()f different than above) r ; t 1/ t L j ( Contact Number !,)�4� (ir 3� �„(f r �"' f ❑Basement ❑1st Fl. ❑ 2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps n Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P I 3P # Meters # Disconnect ❑Underground rNew ❑ Reconnect ❑ Repair Overhead Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect ]unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation t� =- 88 VILLAGE OF RYE BROOK BUILDING_DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Y „ Email Address t ✓Y -� Name.!. i �ily�' � �✓ License# /'i�/ Datefj,' ��,r � ` SignatVfe 4� f Address _� �,<• ',�; City[State L't:-1 . ;1z [C if r Zip We/Lp`7 Company y,C} ( !(=L c!( `' �. f (r"r Phone# �' {� � 7 �J V D State Wide Inspection Services 1080 Main Street DEC 16 2022 Fishkill, NY 12524 VKHaS 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com BUILDING DEPARTMENT Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Day Electrical Contracting Corp Win Ridge Realty LLC 360 White Plains Road 12B Rye Ridge Plaza Eastchester, NY 10709 Rye Brook, NY 10573 Located at: 12B Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-273 141.27 Certificate Number: 2022-8230 Building Permit Number: BP22-191 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 12B Rye Ridge Plaza, Rye Brook, NY 10573 The First Floor was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 15th day of December 2022. Name Quantity Rating Circuit Type Receptacles 08 Fan Connectors 03 Luminaires 03 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. ■ � N N ■ � N N �' a. N N � e v 00 0000 W` 00 •if .0 ' ■ QI N z \11 J v f A " O � � v. .. V •� p; � F o w 6 °° Cl) `n � w 00 a zoo oWuz ■, w � � Z F O as 00 w z N w �, ., z ~ o�o � Z ►-Z-, A o w W WW C LC a x Q 5 = ►�'� a RC o a NN � w ■ ►�-� � w m � o z z � � . r,, w oA � �I CQ �'. ►.a GQ w _ � D ECENE yC BRnuk BUIL MENT NOV 14 2022 VIL E OFL0VE OK 938 KIN T`RYEI ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#:s� —� PP#: C—� Approval Date: Permit Fee: $ A, - Approval Signature: i Other: Disapproved: (fees are non-refundable) ***************** ** **************************************************************************** Application dated, I c is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or relhove 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: 13--12) R Lo- 1?4/zfie 31,. C C SBL:�' i t)7 _7 Zone: 2.Proposed Work: JO��r'� y�ch�i ��iZtAD PVC— i yct S e I .�N �d �+/�1 s Gle, I'1L--c J 7eWf LCk'rC_ C-VICi c rJ' . u+ Irc C �/r C�lr tJ/cC Sl•'7�//C 3.Property Owner: ,<nn{'L,' Address: /.;z 13 �'��K06 e Phone#: ��/ ( � Y Os—cell#: email: a 1\cL iLq.r1 ', r\ �_' c..>k K !IV 4.Master Plumber: cZ y.E VA�0,�2 y Address: ��3 u 3cx-r✓ , 4uC � �� C � Lic.#: Phone#: Cell#: Y1y_3;,3_?T Y email: 1tf-a r+Sej(L.,-a' �S' /U`� Company Name: �;'Address: cFA INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor b 31 Floor 41 Floor 5''Floor Exterior 5.*List Other Equipment/Provide Details: ��cfe i G c x-e-- 5�c T �c�"•S (Notarized Signatures Required Next 2 Pages) -1- 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Gib'1G e- t r for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,ag t,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 t�"ffi 20 Z'Z day of '� ,20 L- VI i e of operty Ovw -• -.+r- S' ature of cant Print Name of Pro rty Ommer Print Name of Applicant &L No Public KEL S A NI No� State of N.Y. I_E R OIL Notary Public, c�`::ie o' Now York (iMediWestch sterCotu�tY N o. Q 1 .'' cornn*A±^Fn!ms Feb.23,20 C?ualified in V'!e-;;:-,:hf,s.t,)r County Commission Expirss March 9, 20 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 .I BUILD MENT NOV 14 2022 U VIL OF:R, OOK VILLAGE OF RYE BROOK 938 KING lsx WEB NY 10573 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 WITS 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: m6u5 ' ,residing at, -2-4 9U P I DOSE (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 1 ('b- , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. 7 ktgn,a46 of Pro I rty Ow-r(s))/}/ra N (Print Name of Property GvAwr(s)) WIT Sworn to before me this H_ day of E'�Z, , 20 Z 2i Public) KELLY SAN'D)LER Notary Public, ,4,.-&- a' New York No. CIS;: , Qualified in '%A!i t...h.s:'r County Commission Expiras fvlar�h 9, 2J-) (Q -3- 8/12/2021 ■ _ O = ■ � N CpV' ,,, . a n a � /^1 • I� V •I r V & ` ■ � J o p ;� � N `� gd ^ u �o f+ °° y Q 3 e r— cc O 04 ►ems a a ` � g ;b v 00te r- Ln o A � � � eU a"-I T Ln o 06. -it gL Z ,to cz • � �/ � O O O E.. g W .So h � �� w A a H � A u = y � n� � BUILD MENT [NOV 15 2022 VIL OF RY OOK 938 KING ET RYE BR ,NY 10573 VILLAGE OF RYE BROOK 4 -0 �03� BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AIR CONDITIONING E UIPMENT FOR OFFICE USE ONLY: PERMIT#A/O=—,)3 70 Approval Date: 20- 22 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. 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#C 105.2 or Form#U26.3/or NY State Workers Comp--nsation 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. ***************** ***ic is irz;F is***:F ickr.:r is ic;F iczic is***icx is is F icxicz c is:Fir:kak******ic is is is k�c*:c zic is xic is**:F *ic xic is is is is:F is:F icx Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a pe mit for the installation and or removiii of the 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,Sut'e&Federal laws, codes,rules and regulations. ,O 1. Address: 12B RYE RIDGE PLAZA, RYE BROOK, NY 10573 SBL: -94 J-7`/--7 �e: C� 2. Property Owner: WIN RIDGE REALTY, LLC. Address: 24 RYE RIDGE PLAZA, r?YE BROOK, Phone#: 917-701-4005 Cell#: email: 3. Contractor: SAERKA USA CORP. Address: 40-06 155 STREET, FLi SHING, NY 11: Phone#: 917-515-8894 Cell#: email: +4. Applicant: KYUNG OK LEE Address: 12B RYE RIDGE PLAZ/ Phone#: 917-842-0531 Cell#: email: 5. Scope of Work:New Installation 0✓•Replacement( )•Removal( )•Other( ): 6. List Equipment: INSTALLATION OF NAIL VENTILATION SYSTEM WITH VENTILATION DUCT F ND EXHAUST FAN 7. Location of Equipment: FIRST FLOOR 8. Method of Installation/Removal(list all equipment needed to perform job): CEILING MOUNTED EQUIPMEN! WITH HANGER STRAPS r 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: KYUNG OK LEE ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the TENANT 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 o';�- Sworn to before me this L day of ,20 Z2 day of 20 42 7 eofP perty-Gymec Si Applicant (DAVIP jV�L(4V KYUNG OK LEE Print Name of P erty A' Print Name of Applicant Jo*tar� blic Notary Pdblic KF_LLY S i"DLFR GREGORY M.RIVERA Notary Public, S'�.tc o' New York wry Public,State of New York No. 01S:.; : 3 :.2 No.01 R16441398 Glualified in h/e"chEStur County Commission Expires March 9, 20 2 W Qualified In Westchester County This application must be properly completed in its entirety and must inc a to nofalmnzeeTs.crnature0of 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 deemc,. null and void and will be returned to the applicant. z sr12/2021 Building Permit Check List & Zoning Analysis OB & C ONLY Address: 1 Z —Z ^�L SBI_ Zone: C- l Use:` Const.Type: Other. \ Submittal Date: t �- 59t `Z( Revisions Submittal Dates: Applicant: V Nature of Work: cL tLJ iC C_ CO G.-:-> Reviews:ZBA: PB: BP: Other. NEW OK ( ( ) FEES:Filing. Z��•���-i3P: E 3 7—S. - C/O: Legalization: ( ) (%"P.: Date Stamped: Properly Signed: ✓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: ( ) ( LANS:Date Stamped: ✓ Sealed `� Copies: Electronic: Other. ( (.l7License. Workers Comp: Liability. ✓ Comp.Waiver. Other. ( ) ( ) Code 7S3#: Dated: N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (� ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: Grease Trap: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK: Plans: Permit: FUEL TYPE: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. _ ( ) ( ) Other. ( )ARB mtg.date: approval: notes: ( )ZBA mtg.date: approval notes: ( )PB mtg.date: approval _notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Aaa r),te. DEC 1 3 2021 Ck& Fmrn: sue: F.A.R.: Qpen Space Stories: notes: Laura Petersen From: Laura Petersen Sent: Tuesday, December 14, 2021 3:54 PM To: csdesign07@gmail.com Cc: Alena Hakanjin Subject: Building Permit Application - 12B Rye Ridge Plaza "Coco Nails" Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office, �I__V )O SL 1. General contractor's contact name & phone number. ber-t Pc"VCZ General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 3�General contractor's valid workers compensation on a NY State Board form W105-2 or U26.3) 4. Building permit fee $1,375.00 (due once permit is issued and ready for pick-up) 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 Ipetersen&ryebrook.ora 1 , 6.�o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/,0/07/2022 Y) • ` 022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT CHOONG LEE NAME: CHOONG LEE INSURANCE,INC. PHONE 212-239-7373 FAX 212-239-8705 A/C No, o Ext: A/C No): 16 WEST 32 STREET,SUITE#901 E-MAIL ADDRESS: CLIAGENCY38@GMAIL.COM NEW YORK,NY 10001 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ILLINOIS UNION INSURANCE COMPANY INSURED INSURER B: SAERKA USA CORP INSURER C: 4006 155 STREET INSURER D: INSURER E: FLUSHING NY 11354 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. INS& TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYY MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000 A Y CONNYF163360634 09/18/2022 09/18/2023 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY EST LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIREDAUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY Y/N TORY LIMITS S R ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET AUTHORQED REPRESENTATIVE RYE BROOK NY 10573 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 833419688 CHOONG LEE INSURANCE AGENCY +' '� 16 W 32 ST STE 901a NEW YORK NY 10001 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SAERKA USA CORP. VILLAGE OF RYE BROOK BUILDING 40-06 155 ST 1 FL BUILDING DEPARTMENT FLUSHING NY 11354 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Q2523 695-1 380911 09/23/2022 TO 09/23/2023 10/7/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2523 695-1, 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 FO 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.AS,".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 ROBERT PARK SAERKA USA CORP. 1 OF 1 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 SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 343419329 U-26.3