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'9a2 BUILDING DEPARTMENT
,❑BUILDING INSPECTOR
ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK E
❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : I (.0 L I &j G .5 7 DATE: 2 - 1 6 - Z U 2.y
PERMIT# / / ]C �JS �C C7/u✓ ISSUED: SECT: Z Y BLOCK: LOT:
LOCATION: OCCUPANCY:
❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED /REINSPECTION
❑ SITE INSPECTION 1}�.� REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION 1 /
❑ Natural Gas _ S C C P G N c G 7
❑ L.P. Gas Lt tctvi e r v c, 1 1 S G
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION /
❑ FINAL
OTHER
BUILD ARTMENT
VILL OF R OOK Initial Inspection Date: ❑ Pass
�rE v E N A&W-�C 938 KING ST RYE BROO EW YORK 10573 /' Z 3-Z OL/ Fail
BUMDING&FIRE INSPECTOR (914)9 I'ook.or Re-Inspection Date: ❑ Pass
mizzo@rvebrook.ore 7. ,"9,3,2
❑ Fail
FIRE INSPECTION REPORT,NOTICE OF VIOLATION & ORDER TO REMEDY SAME
Site Address: �9 S i r e e"J . Zone: OB-3 SBL: /Z 4"•
Occupancy: C e f e.6 F:�L Jpc.1 5.4 O State Use Classification:
Business Owner: Phone:
Building Owner: Phone:
Emergency Contact: G +'C�% I h G\ -N Phone: 7 n
1 V- 93 7" 3 900
Building Representative in Attendance: � ^ ,jG CA h +9 M y0(o O
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Take notice that the following violations of the New York State Uniform Fire Prevention&Building Code and/or the Code of the
Village of Rye Brook were found to exist at, // 6(o /<i N I . T• ,in the Village of
Rye Brook,NY on, - Z 3 - Z o L y 20 The person or entity served with this Order to Remedy shall
immediately commence to correct all listed violations and shall completely cure each violation described herein by no later than
2 2. 3 - Z 0 2 y ,which is thirty(30)days after the date of this Order to Remedy.Furthermore,
upon curing any listed violation(s),you shall immediately 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®ulations.
BE ADVISED THAT YOUR FAILURE TO CORRECT ALL VIOLATIONS IS A CRIME PUNISHABLE 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;>401bs.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.907.4.2.1.Are manual pull stations located within 5 feet of exits&within 200 feet of each other. b._ ✓ _
c.907.4.2.2.Is the height of the pull station handle located between 42&48 inches above the floor. C.
_ ✓ _
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.
c.901.6.1.Are sufficient clearances maintained from fire sprinkler heads to fixtures or materials. C. 7 _
d.901.6.1.Is a supply of six spare heads&a wrench maintained on the premises. d. __ 7-
e.901.6.1.Are sprinkler heads&cover plates unfinished or of factory applied finish only. e.— _F
f.901.6.3.Are records of all system inspections,tests&maintenance reports maintained on the premises. f._ 7
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 WNST&tested annually. h. _
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._ J
k.901.8.Are all fire protection systems in place and maintained untampered. k.
INSPECTOR:E44 yr 4 DATE:
Revised 2/I(V22
4.STANDPIPE,CABINETS&FIRE DEPARTMENT CONNECTIONS No YES N/A
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.
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. e. _ ,I
f. 1004.9.Are all spaces having an assembly occupancy posted with an approved occupant load sign. f. ✓ _
g. 1013.1.Are exits marked by a properly located,approved&readily visible exit sign. g. _
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. j - 7
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
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. 7 _
c.304.2.Is combustible rubbish stored so as not to create a nuisance or hazard to the public. C. _
d.315.3.Are combustible materials properly stored&separated from ignition sources. d.
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.315.3.2.Are exits&exit enclosures maintained free from stored combustible materials.
g.315.3.3.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.Is the building free from modified/damaged wiring,devices,appliances,equipment a._
and maintained free from electrical hazards.
b.604.2.Are electrical service equipment areas properly illuminated. b._
c. 604.3.Are proper working space clearances provided&maintained for electrical service equipment. C._
d.604.3.Are electrical service equipment working spaces free from any stored materials. d._e.604.3.1.Are all electrical control panel room doors,panel boards&disconnects properly labeled. C. T __
f.604.4.Is the building free from unfused multi-plug electrical adapters. f 7-
g.604.5.Are electrical extension cords being used in a safe manner as per code. 9.
h.604.6.Are all junction,switch&outlet boxes fitted with approved covers or plates. h.
i. 604.6.Is the building free from open-wiring spliced electrical connections. i.
j.604.8.Are electrical motors maintained free from accumulated oil,dirt&debris. j._ _
k.915.1.Are Carbon Monoxide Detectors installed&maintained as required by this section and by 1103.9. k._
INSPECTOR: A e Vto 'f Y _Lt DATE: - Z O Z
-2-
Revised 6/11/2026
No YES N/A
8.ELEVATORS,DUMBWAITERS&ESCALATORS
a.[Plot]603.1.Are elevators properly maintained,and is the current certificate of inspection on the premises. a.
b.606.3.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.606.7.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 KrrCHENS
a.906.1. Are portable Class K fire extinguishers installed within 30 feet of cooking equipment. a. _
b.904.12.5.Is the fire protection equipment inspected,tested&maintained as per Section 901.6. b. _
c.904.12.5.2.Are automatic fire extinguishing systems serviced at least every 6 months. C.d.904.12.5.3.Are fusible links&automatic sprinkler heads replaced annually. d. __
e.[RBI 122-5.13.Are grease traps provided and installed as required by Village Code. e.f.[[PC]1003.10. [RBI 122-6.Are grease traps properly maintained as per State and Village Code. f. __ _
g.[RB]122-6.C., 122-9.Are all service,maintenance,&repair records for grease traps and related
plumbing maintained on the premises as required by Village Code. g.
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. ,.4
c. [PM]603.3.Are heating appliances maintained with proper clearances from combustible material. C.
d. [PM]603.4.Are safety controls for fuel-burning 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 weeds and other combustible materials kept at least 10' from fuel-handling equipment. f. _
g.2306.4.Are above-ground tanks provided with vehicle impact protection. 9.
h.2306.5.Are above-ground tanks provided with secondary spill containment. h.
12.HAZARDOUS MATERIALS(HAZ-MATS)
a.407.2.Are S.D.S. Sheets for all haz-mats readily available on the premises. a.
b.407.3.Are spaces and individual containers containing haz-mats properly labeled&identified. b. _
c.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. f.
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. _ _,Z _
i.5303.6.1.Are compressed gas cylinder caps or collars in place at all times except when tanks are in use. i.
14.GENERAL HOUSEKEEPING
a.Good
b.Fair
c.Inadequate
d.Poor INSPECTOR: S TVA-DATE: !- 2 3 -Z O
-3-
Revised 9/17/21
ITEM NUMBER REMARKS
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INSPECTOR: e LJe I DATE: /- 2,3 - ZO z Y
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Revised 6111t202O
BUILD/ 11 . MENT NOV 2 0 2023
VI L E OF.R, . OK
938 KING
r ;.I'_BIiO NY 10573
(914)9 39-5801
i
• o
FIRE INSPECTION / OPERATING PERMIT APPLICATION
FOR OFFICE USE ONLY: --
Fee Paid: $ o Inspection Date&Time: ({'(2 y �J�t� ),3 a o4y
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: DO--Q� 3 ,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: 1186 King Street SBL: L)l V, Ye-/— 3 Zone:
2. Business/Occupancy Name: Cerebral Palsy of Westchester , NYS Use Class:
3. Property Owner: Cerebral Palsy of Westchester Address: 1186 King Street
Phone#914-937-3800 Cell#914-384-4060 email:
5. Business Owner: Address:
Phone# Cell# email:
6. Emergency Contact: Address:
Phone# Cell# email:
7. Inspection Escort: Danny Graham Title:
Phone#: 914-937-3800 x407 Cell#: 914-384-4060 email: Danny.Graham@cpwestchester.org
8. Provide a brief description outlining the current and/or intended use of the property: School
9. List all Hazardous Materials:
10. Occupant Load:Existing: Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: cJ � Pass El Fail
1
6/1/2020
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 WESTCHESTER ) as:
Linda Kuck ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual 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
Executive Director ,for the legal owner and is duly authorized to make and file this application. That all
(indicate architect,business owner,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 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/yo re ''�, day o /ZM iy 20 02
6��6
Notar Pubic No Public
01
Signature of Property Owner Signature of Applicant
Linda Kuck Linda Kuck
Print Name of Property Owner Print Name of Applicant
STEPHANIE RUSSO-PASTILHA STEPHANIE RUSSO-PASTiLHA
Notary Public,State of New York Notary Public,State of New York
No.01 RU6136519 No.01 RU613651 G
Qualified in Westchester County Qualifies!in Westchester County-�
Commission Expires Nov.7,20 Commission Expires Nov.7,20
2
6/1/2020
Automatic Sprinkler Systems Calculated Fire Protection Co., Inc.
2510 Route 44, Suite 2
General Information Salt Point, NY 12578
(Office) 845.677.5201 (Fax) 845.677.5208
Date: 11-9-23 Inspector: Jeremy Skinner System: Wet
Location: CPW Center, 1186 King Street, Ryebrook, NY 10573
General
System designation Wet
Building CPW Center
a Location of sprinkler valve 1 st floor classroom
Type of sprinkler system ❑AF ❑Wet ❑ Dry ❑Deluge ❑ Preaction
Make and model of sprinkler valve Riser Check Valve
r Is building fully sprinklered? Q Yes ❑No
Is entire sprinkler system in service? ❑Q Yes ❑No
Has sprinkler system been modified since last inspection? ❑ Yes ❑✓ No OWNER MUST VERIFY
Valves
How are valves supervised? ❑ Seated ❑ Locked ❑✓ Tamper switch
Are valves indentified with signs? ✓❑ Yes ❑No
i Water Supply
�I When was last water supply test made? 8-23-23
Are reservoirs, tanks, or pressure tanks in good condition? ❑✓ Yes ❑ No ❑NA
r
Pumps N/A
Is fire pump ❑ Diesel ❑ Electric ❑Gasoline ❑None?
When was pump last inspected?
Is pump in good condition? ❑ Yes ❑ No
Fire Department Connections
Location Bldg. Front
,h Are identification signs provided? ✓❑ Yes ❑ No
P;
Wet Systems
Is building adequately heated? ❑� Yes ❑ No
Is system hydraulically calculated? ❑� Yes ❑ No
If yes, is hydraulic information sign provided at valve? ❑✓ Yes ❑ No
Dry Systems N/A
Is dry pipe valve in heated room? ❑ Yes ❑ No
Does heated room have low-temperature alarm? ❑ Yes ❑No
Deluge System N/A
Preaction System N/A
Notes This inspection is not intended to reveal installation flaws or code compliance violations. It
is intended to ensure that it is in operation and all components are functioning properly. It is assumed
that this system met code at the time of installation.
c
Last known date of periodically required inspection:
5 Year Standpipe Flow Test: 10 Year Dry Head Test:
3 Year Full Trip Test: 10 Year Quick Response Follow Up Test:
5 Year Internal Obstruction Investigation: 20 Year Quick Response Head Test:
Full Visual:
Calculated Fire Protection Co., Inc.
2510 Route 44, Suite 2
Salt Point, NY 12578
(Office) 845.677.5201 (Fax) 845.677.5208
Automatic Sprinkler Systems
Quarterly Inspection and Tests
Year: 2023 System: Wet
Location: CPW Center, 1186 King Street, Ryebrook, NY 10573
Y= Satisfactory N = Unsatisfactory(explain below)
Date 11-9-23 11-9- 3
InspectorJeremy Skinner
Main Drain Test YES NO N/A
Record the static water supply pressure in psi (bar)as indicated on the lower pressure gauge. 90 ❑ ❑
Open the main drain and allow water flow to stabilize.
Record the residual water supply pressure while water is flowing from the 2-in. (51-mm)
main drain as indicated on the lower pressure gauge in psi (bar). 55 ❑ ❑
Close the main drain (slowly).
Fire Department Connections
Verify connection is visible and accessible, not damaged, caps or plugs are in place, identifica- Q ❑ ❑
tion sign is in place, and automatic drain is working properly.
Wet Pipe System Flow Alarm
Test water-flow alarms by opening the inspectors test valve. (Notify alarm company to avoid ✓❑ ❑ ❑
false alarms.) 32 seconds
Dry Pipe Priming Level
Check dry priming water level by opening the test valve and checking for a small amount of ❑ ❑ ID
water to discharge. If no water flows out of the test line, add priming water.
Dry Pipe System Low-Air-Pressure Alarm
Close the water supply valve and carefully open inspector's test valve to reduce air pressure
slowly. (Do not reduce air pressure sufficiently to trip the dry pipe valve.) Confirm operation of ❑ ❑ 0
low-pressure alarm, record air pressure at which low-pressure alarm activated, close inspector
test, allow air pressure to rise to normal, then open water supply valve. PSI:
Dry Pipe System Flow Alarm El ❑ ❑
Open the alarm bypass valve. (Notify alarm company to avoid false alarms.)
Quick-Opening Device El El El
Test in accordance with manufacturers instructions.
Preaction System Flow Alarm El ❑ ❑
Open the alarm bypass valve. (Notify alarm company to avoid false alarms.)
Deluge System Flow Alarm El El El
the alarm bypass valve. (Notify alarm company to avoid false alarms.)
Control Valves
Close valves and reopen until spring or tension is felt—back valve 1/4 turn. ❑� ❑ ❑
Hydraulic Nameplate
If system was hydraulically calculated, assure nameplate is legible and securely attached ✓❑ ❑ ❑
to riser.
Notes
Record any notes about the system that the inspector believes to be significant. Place a num-
ber in this block and number the corresponding note on the reverse of this form.
NOTES: - Residual water flow much lower than previous tests, bldg. engineer states work was recently
done on underground valve.
Service Slip/invoice
R.Dana Pest Control INVOICE: 272038
272 N.Liberty Drive
PEST CONTROL Tomkins Cove, NY 10986 DATE: 1/10/2024
845-786-5224 ORDER: 272038
SERVICES
l i i l l 1�,: (4091 L 409 914-937-3800 ucali,nt: � �
Cerebral Palsy Of Westchester Day Treatment Center
Attn:Pam 1186 King St.
1186 King St. Cerebral Palsy Of Westchester
Rye Brook,NY 10573 Rye Brook,NY 10573
r: '
1/10/2024 07:04 AM GEN,RO,ROD,SOIL S POWELL Sean Powell 07:04 AM
Purchase Order MI&ON67M
NET 30 1/10/2024 08:11 AM
General Insects/Ants/Roaches/Rodents
Any day before lam we have keys
Service Description Price Bi-Weekly $130.00 i
Inspect boiler room,kitchen,8r spot check all classrooms.Maxforce stations&monitors in all refridgs. SUBTOTAL $130.00TAx $o.00
Summer inspect ext.for ants/bees.Dan-maint dept-leave slip in mail slot.
'Dan isnt there until 7am.-Need to see dan'svc after 7 AMT.PAID $0.00 1
Inspected kitchen and common areas no activity found and no complaints,changed monitors in TOTAL $130.00
classroom 4 and 5 next to fridge
I
PRIOR BAL $130.00
i
AMOUNT DUE $260.00
I
Please call today and ask about our unique Mosquito Barrier services!
TECHNICIAN SIGNATURE
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I
a
CUSTOMER SIGNATURE
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7
S
Balances outstanding over 30 days from the date of service map be subject to a late fee I herchy ackw,w ledge the.au,l:,eu,n u,nol,lown„t;dl wi%wc,rvi0vwd.
of the lesser of 1.5�f per month(18%per year)or the maximum allowed by law. and mur,ec to pap the cn,t of.,:I lccl a.11,ecdied aN,s c
Customer agrees to pay accrued expenses in the event of collecuon.
14.11-:ASE I':U' hltUNi 'FIIIS INAMCE
CEREBRAL PALSY OF Inspection Date:
WESTCHESTER, INC 12/01/2022
Fire Safety Inspection
Building Information
Name: CEREBRAL PALSY OF WESTCHESTER, INC
District: CEREBRAL PALSY OF WESTCHESTER, INC
Address: 1186 KING ST
city: RYE BROOK
State: NEW YORK
Zip: 10573
Inspection Information
1.Primary use: Student Instruction
2.Fire Sprinkler System? Yes
2a.Sprinkler alarm? Yes
3.Fire Hydrant System? Yes
3a.Hydrant Ownership: School owned
4. Building Ownership: Owned
5.Square footage: 51000
6a.Fire drill manuals distributed? Yes
6d.Average evacuation time: 6 minutes 0 seconds
6e.Arson/Fire Prevention? Yes
6f.Prevention/Evacuation Training? Yes
7a.Number of fires: N/A
7b.Number of injuries: N/A
7c.Cost of Damage: N/A
8.Notified in accordance with Section N/A
F401.3.2?
Inspector Notified of previous fire report? Yes
FIRE & EMERGENCY DRILLS
Date Type
1 10/25/2021 Evacuation
2 11/08/2021 Evacuation
3 11/16/2021 Evacuation
4 11/22/2021 Lockdown
5 11/30/2021 Evacuation
6 06/15/2022 Evacuation
7 12/07/2021 Lockdown
8 12/17/2021 Evacuation
9 03/02/2022 Evacuation
10 04/21/2022 Lockdown
11 05/27/2022 Lockdown
12 11210112021 Evacuation
Non-conformances
Item Date Corrected Date Reinspected
15A-2 01/27/2023
23C-1 01/27/2023
09A-2 01/27/2023
09C-1 01/27/2023
Page 1
Fire Inspection Method
Inspection by fire department?: NO
Inspection by fire corporation?: No
Inspection by county fire coordinator?: NO
Inspection by employment or contract?: Yes
District, Corporation, or County Inspector
Name: Steven Fews
Title: Building& Fire Inspector
Organization: Village of Rye Brook
Phone#: (914)939-0668
Certification#: 0504-0063
Email: stevefews@ryebrook.org
Other Inspector
Name: Steve Fews
Title: Building Inspector
Organization: Village of Rye Brook
Phone#: (914)939-0668
Building Administrator
Name: Barry Wasser
Title: principal
Phone#: (914)937-3800
Page 2
The University of the State of New York revised 17.72.2020
THE STATE EDUCATION DEPARTMENT —1
State Office of Religious and Independent Schools-Room 1078 Education Building Annex
Albany,New York 12234
NONPUBLIC FIRE AND BUILDING SAFETY REPORT
Per NYS Education Law 807-A(1)All school buildings containing classroom,dormitory,laboratory,physical education,dining or
recreational facilities for student use,which are owned,operated,or leased by nonpublic schools must be inspected at least annually
for hazards which may endanger the lives of students,teachers and employees therein and for compliance with applicable sections of
8NYCRRI55 Regulations of the Commissioner of Education and for compliance with the 2020 Building Code of New York State,
2020 Fire Code of New York State and the 2020 Property Maintenance Code of New York State.
NONPUBLIC SCHOOL BEDS CODE#
6 6 1 9 0 5 9 9 7 8 0 4
School Natne
B R I D G I E S C O 1 O L I I 1- 77 -1 1 1 .1 1 T]
Facili /Buildin Name
C RE RA PA SY F ES CH ST R
Street Address NO PO Box Numbers
1 1 8 6 K I I N G S T R E E T
Ci /Town/Villa e Zip Code
R Y E B R O O K 1 0 5 7 3
Name of Munici ali Responsible for Local Code Enforcement
1.
EM I I �
INSTRUCTIONS
• Read the"Manual for Nonpublic School Facility-Fire&Building Safety Inspections"prior to inspecting the facility
and complete a separate report for each facility/building and location
• Part I: General Information. School officials must complete this section annually.
• Part II:
■ Items 08A-2 through 08E-2 on the Non-Conformance Report Sheet—Must be completed for facilities with
electrically operated partitions per Regulations of the Commissioner 155.25
■ Items 09A-2 through 26 on the Non-Conformance Report Sheet—Must be completed for all facilities per
2020 Fire Code of New York State and the 2020 Property Maintenance Code of New York State.
• Part III(A,B, C&D) Certifications-To be completed by individuals as indicated.
A copy of this form must be kept on file at the school for three years and must be available for public review.
1
Part I: General Information and Fire/Life Safety History (complete annually)
Inspection Dale
i t
Note: Please insert the date the actual inspection tools place.
Inspections shall be performed between July I"and December I"of the current school year.
1. Please indicate the primary use of this facility:
I STUDENT INSTRUCTION
U OTHER STUDENT USE
Please specify:
1 `(
2. Is there afire sprinkler system in this facility? ® YES O NO
If'yes',is the sprinkler alarm connected with the building alarm? ® YES 0 NO
3. Is there afire hydrant system for facility protection? YES Q NO
If YES, indicate ownership of system (select one):
public owned
school owned
other(please specify)
I '
4. Indicate the ownership of this facility
O LEASED
0 OWNED
5. What is the current gross Square footage of this facility?
(to the nearest whole ten feet)
6. Fire and Emergency Drills
a. Per Section 807,paragraph 2 of the New York State Education Law entitled Fire and
Emergency Drills, confirm that a copy of Section 807 has been printed and distributed as
guidance to teaching staff as required X YES NO
b. Provide dates of twelve fire and emergency drills required by Section 807 of Education Law
held between September I"and June 30t"of the previous school yea--
FIRE&EMERGENCY DRILLS
NOTE Eight(8)are required between September 1,and December 31
Eight(8)drills are required to be evacuation drills.
Four(4)drills are required to be locicdown drills
2
Date Evacuation Lockdown
1 ,
2
3
4
5
6
7
_ wl
g
9
10
11 •
12
c. If the required number of fire and emergency drills were not held during this reporting
cycle,please describe the reason:
d. Average time to evacuate this facility was: minutes seconds
e. Confirm that arson and fire prevention instruction was provided in accordance with Section 808 of
the Education Law(revised 9/l/05)which requires every school in New York State to provide a
minimum of 45 minutes of instruction in arson and fire prevention; injury prevention and life
safety for each month that school is in session.
YES NO
f. Confirm that employee fire prevention, evacuation and fire safety training was provided and
records maintained are being maintained in accordance with Section F406 of the NYS Fire
Code YES NO
7. Have there been any fires in this facility since the last annual fire safety inspection report?
YES NO
a. If YES, indicate: total number of fires
b• total number of injuries
3
C. total cost of property damage
8. If the fire alarm system was activated since the last fire safety inspection,was the fire department
immediately notified in accordance with Section F401.3.2 of the NYS Fire Code?
X YES NO
4
Part II: Nonpublic School Fire&Building Safety Non Conformance Renort Sheet
School Name $ei��fin, Se�eo(. Building Name
U U
El 0
Z o AU z 0 A o Z o A o
U U U U U
08A-2 14A-2 20A-1
0813-2 1413-2
20B-1
08C-2
14C-2 20C-1
08D-2 14D-1
08E-2 14E-1 21A-3
09A-2 I SA-2
22A-3
09B-2
15B-1 2213-3
09C-1 i-23 z' 15C-2 22C-3
09D-1 15D-2
15E-1 23A-1
09F-2 23B-1
09G-2 16A-2 23C-1
16B-2 23D-2
l OA-2 16C-2
l OB-2 R171-21
24A-3
l OC-1
l OD-1 25A-1
25B-1
11 A-2 25C-1
11B-1 -/F-11C-2 26A-3
11D-2 HE-1 I-Z31 2.- - r 12A-1
1213-3 17J-1
12C-2 17K-1 If any additional
12D-2 17L-1 non-conformances
12E-1 are observed,check item
12F-1 18A-2 26A-3 and list the Code section
12G-1 18B-2 below.
12H-1 18C-2
12I-1 J-Z3-Ltt 2-/L-z 18D-2
12J-1
12K-1 19A-3
12L-1 19B-2 Inspector
12M-1 19C-1 The inspector has been
12N-1 19D-1 provided with a copy of the
120-2 19E-1 previous year's school fire
19F-] safety report:
13A-2 19G-1
13B-2 19I-I-2 Yes—/ No
5
Part III: NonPublic School Certifications
All sections are required to be completed:Section III-A:III B III C&Tn D
Section III-A Fire Inspection Method
Which method(s)did the school authorities use to complete the annual-fire safety inspection for this building?
Check appropriate box or boxes
1� Inspection by the_fire department of the city, town,village or fire district in which the building is located
❑ Inspection by a fire corporation whose territory includes the school building
❑ Inspection by the county fire coordinator, or the officer performing the powers and duties of a county fire
A/ coordinator pursuant to a local law,of the county in which the building is located
Inspection by a fire inspector(Building Safety Inspector or Code Enforcement Official)who holds a valid
certification
For additional information regarding these methods,please see:htt s;/Avww.n senate. ov/le rislationllawslEDN1807-A
Section III-B-Fire Inspection by Local Fire Department,Fire District,Fire Corporation,County Fire
Coordinator and/or Fire Inspector(Building Safety Inspector or Code Enforcement official)who holds a valid
certification.
The individual noted below inspected this building on /-23-Zoltl(date)and the information in this Report
represents,to the best of their knowledge and belief,an accurate description of the building and conditions they
observed. The individual that performed this inspection has maintained their certification requirements pursuant to 19
NYCRR 1208-3.1.
Inspector's Name: (a��ru �, V;�- Title: SS s 14J
ti
Signature: l Y V �0 Date: - Zp - 2 o Z Y
Inspector's Organization: V i 141—ge p COX00� Z
v
Inspector's Telephone#:Q1 Inspector's Email: �I�V1 �•�-� (ZN�bRao�C
/� U
Inspector's Code Enforcement Certification# t�6� 1 d d Q 310
as assi ed b the NYS De artment of State
Section III-C Contact info for the Authority-Having-Jurisdiction [AIIJ] Local Municipality,Town or Village
Name of Local/Municipal Code Enforcement Office : LL 2 (L D
Address: 93 9 Kj u sr. Rye SQb1c ev 0 73
Name of contact person : ; F Title:4i�_Z�Pjjff
f3 i y,;Telephone#:911�-$39- o(i(effi Email address: t yQ o
Section III-D School or Building Administrator,Director, or Headmaster
The individual noted below certifies that this building was inspected as indicated in Section III-A above and
hereby submits this fire inspection report on behalf of the Board of Trustees and certifies that:
l. Public notice of report availability has been published, and that
2. Any nonconformances noted as corrected on the Nonpublic School Fire Safety Non-Conformance Report
Sheet portion of this report were corrected on the date indicated, and that
3. Violations which were not corrected immediately shall be corrected within an accepted period of time as
approved by the Commissioner.
Name: Title:
Signature: Telephone#:
Email:
6
Manual for
Non-public School Facility
Fire and Building Safety Inspections
,nERSIT O
?tw sic
,9?,E OF
The University of the State of New York
The State Education Department
Office of Facilities Planning
Room 1060 - Education Building Annex
Albany, New York 12234
www.p12.nysed.gov/facplan
REVISED
October 2020
'V r r._. __ _ _. . a:1..r ..._ irA�•.�Fii ,Y-• .:. : `.L.is ,.t:r,::.
-r'• .A r r �. � '. Y4 r�
Page 1 of 15
Table of Contents
Introduction ..................................................................................................................3
SUBMISSIONPROCESS..............................................................................................3
I. Legal Foundations..................................................................................................4
NewYork State Law............................................................................................4
Regulations of the New York State Commissioner of Education .........................4
2020 Fire and Building Codes of New York State................................................4
II. Inspector Qualifications.........................................................................................4
FIRE SAFETY INSPECTION PROCESS.......................................................................5
I. Documentation of Annual Inspection Request..........................................................5
and Explanation of Denial (as needed).....................................................................5
II. The Inspection Process.............................................................................................5
III. The Post-Inspection Process....................................................................................6
Notice of non-conformances to fire department (as needed) ...................................6
IV. Providing Public Notice of Inspections......................................................................6
THE FIRE AND BUILDING SAFETY INSPECTION REPORT......................................7
I. General Information, History and drill reporting info..................................................7
II. Fire-Safety Inspection Non-Conformance Code Reference Checklist .................8-14
III. Certifications........................................................................................................... 15
Page 2 of 15
Introduction
This manual provides guidance for New York State non-public school authorities and code
enforcement officials pertaining to the requirements for annual fire and building safety
inspections of non-public school facilities.
The intent of the annual inspection is to verify that buildings comply with State Education Law,
the regulations of the Commissioner of Education, and applicable sections of the New York State
Uniform Fire Prevention and Building Code.
Step-by-step instructions for the planning, inspection, post inspection, and documentation
requirements are included in this manual. This document has been updated to reflect
significant changes in the submission process for annual fire reports to the New York
State Education Department (NYSED), The requirements in this manual are in conformance
with the 2020 Fire Code of New York State, 2020 Building Code of New York State and the
2020 Property Maintenance Code of New York State (effective May 12, 2020).
NOTE: Only non-public school student-occupied facilities must be inspected (classroom
buildings, dining halls, dormitories, etc.)
SUBMISSION PROCESS
• All non-public schools are required to annually submit the results of the fire and building safety
inspections to the NYSED Office of Facilities Planning. This year the submission process is being
allowed electronically via the NYSED Application Business Portal. The Portal is protected from
unauthorized use with secure user IDs and passwords. See: http://portal.nvsed.gov
- The new reporting process includes an annual requirement that all non-public schools verify the
ownership and use of all buildings they occupy as documented within the portal. If there are
additional buildings owned & occupied by the non-public school how will this be handled?
- Updated Certificates of Occupancy must be obtained from the local code enforcement office and
posted as required. Non-public schools fall under the building code jurisdiction of the local municipal
code enforcement office.
•The revised 2020 Nonpublic Fire and Building Safety Inspection Report is available on our website:
http://www.pl2.nvsed.-gov/facplan/FireSafety/fire safety report homepage html
Reminder: using the NYED Application Business Portal is the preferred method of submission;
original paper copies will still be accepted by mailing them to The State Office or Religious and
Independent Schools (SORIS)
The submission of the fire safety report, described herein and required by Education Law 807-a,
does not apply to private schools with less than 25 students or schools located in the cities of New
York, Buffalo, Rochester, Syracuse and Yonkers. In those cities and locations private schools shall
conduct fire inspections and file reports with the city or local code authority in accordance with Title
19 NYCRR Chapter XXII and local regulations.
Page 3 of lS
I. Legal Foundations
New York State Law
New York State Education Law Section 807-a states that it is the duty of nonpublic school
authorities to cause buildings for student use to be inspected at least annually for fire hazards
which may endanger the lives of students, teachers and employees therein. The report shall be
filed with the Commissioner of Education. Section 807-a was amended, effective February 15,
2020 and this revised manual reflects all revisions enacted and included in S-4663--B.
Regulations of the New York State Commissioner of Education
While most requirements included within the New York State Commissioner of Education
Regulation 8 NYCRR Part 155 apply only to public schools and boards of cooperative
educational services (BOCES), Section 155.25 applies to all schools including nonpublic and
charter schools.
• 155.25 Safety Requirements for Electrically Operated Partitions
Regulation related to electrically operated partitions, room dividers, and curtains.
2020 Fire and Building Codes of New York State (effective May 12 2020) The applicable
provisions of this code are 19 NYCRR Part 1221, 2020 Building Code of New York State, 19
NYCRR Part 1225, 2020 Fire Code of New York State, and Part 1226, 2020 Property
Maintenance Code of New York State. The online version of the code is available on the New
York State Department of State - Division of Building Standards and Codes website:
https://www.dos.ny.gov/dcea/
II. Inspector Qualifications
This annual inspection must be conducted to verify that each student occupied building complies
with New York State Education Law Section 807-a, select Commissioner's regulations, and
applicable sections of the New York State Uniform Fire Prevention and Building Code.
School authorities shall cause any fire inspection per Education Law Section 807-a to be made
by one of the following methods or any combination of such methods:
• Requesting inspection by the fire department of any city, town, village, or fire district in which the
building is located.
• Requesting inspection by a fire corporation that is subject to the provisions of Section 1402 of
the not-for-profit corporation law, if such building is located within the area described in the
certificate of incorporation of any such corporation.
• Requesting inspection by the county fire coordinator, or the officer performing the powers and
duties of a county fire coordinator pursuant to the local law, of the county in which the building
is located, or by any deputy county fire coordinatoror deputy if such other officer so performing
the powers and duties of a county fire coordinator, if the building is located outside a city, town,
village, or fire district, which has its own fire department and outside the area described in the
certificate of incorporation of any fire corporation that is subject to the provisions of Section 1402
of the not-for-profit law.
• Requesting inspection by a fire inspector, who holds a valid certification.
UPDATED Page 4 ol'!S
October 2020
FIRE SAFETY INSPECTION PROCESS
New York State Education Law Section 807-(a)(1) requires inspections for nonpublic school
buildings containing classroom(s), dormitory, laboratory, physical education, dining, or
recreational facilities for student use. New York State Education Law Section 807a requires that
regardless of the method used to accomplish the inspection, the authority making the inspection
shall file the report with school authorities no later than the first day of December each year.
I. Documentation of Annual Inspection request & explanation of denial (as needed)
In accordance with State Education Law Section 807-a (revised) paragraph 3 (b) After
having been requested to do so, if any fire department, certified fire inspector or fire
corporation shall fail or refuse to make a fire safety inspection promptly, the request shall
be denied in writing to the school authorities; with an explanation of why such request was
denied. In no event, may an authority(otherwise required by law to conduct fire inspections
within a municipality) or a county fire coordinator, refuse a request by a school authority for
such inspection.
II. The Inspection Process
a) School officials must complete Part I of the Fire and Building Safety Report
annually.
b) Inspectors must be provided with a copy of previous year's inspection report.
c) Inspectors must provide the results of the current year's inspection to school officials
for Part II of the Fire Safety Report.
• The inspector should use "Appendix C — Fire Safety Inspection Code Reference Checklist"
for each building as the inspection is conducted.
• It is strongly recommended that a school administrator or their designee accompany the
inspector.
• Nonconformances discovered during the inspection represent violations of the minimum
standards of fire and building safety required by the 2020 Fire Code of New York State, the
2020 Property Maintenance Code of New York State, and Section 155.25 of the Regulations of
the Commissioner of Education. The inspector is to record all nonconformances on the School Fire
Safety Nonconformance Reporting Sheet.
• The inspector is to record all nonconformances for each violation observed. Wherever
possible, all such violations shall be corrected immediately. The inspector shall give the
school official a list of locations of nonconformances.
UPDATED
Page 5 of I S
October 2020
III. The Post-Inspection Process
ALL nonconformances (deficiencies) shall be promptly remedied. The remedy for some
nonconformances may involve structural modifications or services of outside vendors.
Clearly such matters may require time to correct, however these nonconformances still
violate the minimum standards for the fire and building safety and must be corrected without
undue delay.
Pursuant to State Education Law, Section 807-a 5 (e), if the report shows any alleged
deficiencies or non-conformances, the school authorities shall provide the details of such
deficiencies to the local government that administers and enforces the Uniform Fire
Prevention and Building Code for the municipality in which the building is located.
IV. Providing Public Notice of Inspections
In accordance with Education Law, Section 807-a 5 (b) and (c), within 20 days of filing the
report with the State Education Department, school authorities shall cause public notice of
the filing of the report to be given in substantially the following form:
"Notice is hereby given that the annual inspection for... (year)of the ... school building (or of
the ... and ... school buildings) of(name of nonpublic school) for fire hazards which might
endanger the lives of students, teachers, employees therein, has been completed and the
report thereof is available at the office of (nonpublic school) at ... for inspection by all
interested persons."
If the inspection was not made by the local fire department responsible for fire protection of
the building, a copy of such notice shall be mailed to the chief of that fire
department/company.
The school authorities shall cause such notice to be published on the school's website
or at least once in a newspaper having general circulation in the postal area in which the
school is located. If there is no newspaper having general circulation in the postal area, the
school authorities shall post notice in ten conspicuous places in the postal area. Proof of
posting or publication of such notice and the mailing of a copy of such notice to the fire chief
shall be filed in the school's office.
UPDATED
October 2020 Page 6 of I5
THE FIRE AND BUILDING SAFETY INSPECTION REPORT
The Manual for Non-public School Facility Fire and Building Safety Inspections is available
on the State Education Department's Office of Facilities Planning web site at:
www.pl2.nysed.gov/facplan. It is also available at: www.pl2.nysed.gov/nonpub.
Appendix C of this manual, the Fire Safety Inspection Code Reference Checklist, shall be
used as a reference during the inspections.
Part I — General Information and Fire/Life Safety History
This section must be completed annually.
Part II-B: Non-public Fire Safety Non-Conformance Report Sheet
This section must be completed annually by all non-public schools.
Part III: Non-public Certifications
This section applies to all inspected buildings. The administrator, director, or headmaster must
be aware that in signing the report, they are certifying that:
Public notice of report availability has been published, and that:
o Any non-conformances noted as corrected on this report were corrected, and that;
o For uncorrected nonconformances that appear on this report, the school authorities, shall
provide the details of such deficiencies to the local government that administers and enforces
the uniform fire prevention and building code for the municipality in which the building is located.
UPDATED Page 7 of 1 S
October 2020
Appendix C - Fire and Building Safety Inspection Code Reference Checklist
Part II — Fire and Life Safety Standards
Section II — B
Commissioner of Education Regulations (8 NYCRR 155.25)
8. Electrica ly Operated Partition if N/A or electrically disconnected and locked out —go to Section 9)
Code/Points Description
Partitions are operated by two key operated, tamperproof, constant
A-2 pressure, switches wired in series, remotely located at opposite ends and
opposite sides of, and in view of, the partition.
B-2 The partition is capable of being reversed at any point in the extend or stack
travel cycle.
Device(s)are provided for all partitions that will stop the forward or backward
motion of the partition and stop the stacking motion of the partition when a
C-2 body or object passes between the leading panel of such partition and a wall
or other termination point, or when a body or object is in the stacking area
of such partition.
Appropriate and conspicuous notice regarding the safe and proper
D-2 operation of the electrically operated partition, required training, and
su ervision of students is posted in all partition operator locations.
Records of inspection, testing, and maintenance of electrically operated
E-2 partitions are available for review. Records verify that maintenance was
performed in accordance with the manufacturer's instructions and
recommended service interval.
2020 Fire Code of New York State
9. General Fire and Safety Provisions
Code/Points Description Code Section
A-2 Combustible waste and vegetation shall not create a hazard F304
Open flames are prohibited except in supervised science and technology
B 2 F308.2
labs
C-1 Storage in buildings in orderly. F315
Storage ceiling clearance of 24 inches is maintained in non-sprinklered
D-1 areas of buildings or 18 inches below sprinkler head deflectors in F315
sprinklered areas of the building
F 2 Combustibles are not stored in boiler rooms, mechanical rooms, or F315
electrical equipment rooms.
Fueled equipment shall not be stored, operated or repaired within a
G-2 F313
building.
UPDATED
October 2020 Page 8 oj15
10. Emergency P anning and Preparedness
Code/Points Description Code
Section
A-2 Fire safety and evacuation plans are prepared, maintained, and available F403
for review. F404
B-2 Safety Data Sheets (SDS) are complete and available on premises. F407
C-1 Hazardous material containers and rooms are properly identified. F407
D-1 Records of hazardous material inventory statements are provided. F407
11. Fire Service Features
Points Description Code
Section
A-2 Fire apparatus access roads are maintained and unobstructed. F503
NOTE: Gates arepermitted)
B-1 Flat roofs, less than 30 degrees, are free from obstruction. F316
C-2 Private fire service hydrants, mains, and tanks are properly maintained and F507
tested.
D-2 Fire hydrants are maintained free from obstruction. F507
E-1 Fire protection equipment and locations are identified and maintained. F509
12. uilding Services and Systems
Points Description Code
Section
A-1 Equipment access is maintained. F603
B-3 Portable unvented heaters are prohibited F603
C-2 Above-ground gas meters are protected from damage. F603
D-2 Records of inspection, testing, and maintenance of emergency and standby F1203
power systems are maintained on premises and are available for inspection.
E-1 No electrical system hazards observed or reported. F604
F-1 Service equipment areas are adequately illuminated. F604
G-1 Electrical service and branch equipment working space is unobstructed. F604
H-1 Electrical room doors and all disconnects are identified. F604
1-1 Unapproved multi-plug adapters are not used. F604
J-1 Extension cords are properly used; not a substitute for permanent wiring. F604
K-1 Outlet, switch, junction boxes, and wire splices are covered. F604
L-1 Refrigeration systems are accessible, properly labeled, and records of F605
periodic testing are available on premises.
UPDATED Page 9 of 15
October 2020
12. Building Services and Systems (con't.)
Non-
Conformance Description Code
Points Section
M-1 Approved elevator emergency signs are provided. F606
N-1 Emergency elevator keys are properly located in an approved location F606
for immediate use by the fire department.
Heating equipment, chimneys, and vents are maintained and are in
0-2 proper F603
working order.
13. Commercial Kitchen Hoods
code/points Description Code
Section
A-2 Kitchen hood is provided and maintained at commercially used equipment F607
capable of producing grease vapors or smoke.
B-2 Hood fire extinguishing system, where provided, is maintained and serviced F607
in accordance with Section F904 of the 2015 IFC.
14. Fire Resistance Rated Construction
code/points Description Code
Section
A-2 Fire resistance rating of rated construction is maintained. F703
B 2 Opening protectives are properly maintained and are not blocked or F704
made inoperable.
C-2 Doors requiring closers are not rendered inoperable by removal of the F705
closer of the installation of any non-automatic hold open device.
D-1 Records of annual inspections of sliding and rolling fire doors are F705
available.
E-1 Swinging fire & smoke doors close AND latch automatically from any F705
position
15. Decorative Material and Furnishing
Code/points Description Code
Section
A-2 Furnishings do not obstruct or obscure exits. F807
B-1 Storage of clothing and personal belongings in corridors and lobbies is F807
compliant
C-2 Artwork and teaching materials are limited to not more than 20% of the F807
corridor wall area.
Curtains, drapes, hangings, and other decorative materials suspended
D-2 from walls or ceiling shall comply with Section 807.4 and shall not F807
exceed 10% of the specific wall or ceiling to which they are attached
E-1 Artwork and teaching materials in classrooms limited to not more than F807
50% of the specific wall area to which they are attached
UPDATED Page 10 of 15
October 2020
16. Fire Protection Systems
code/points Description Code Section
Fire detection, alarm, and extinguishing systems are operative; and
A-2 inspection, testing, and maintenance records are maintained and available F901
for review on premises.
Portable fire extinguishers are located in a conspicuous location, are
B-2 readily accessible, are not obstructed or obscured, and are maintained in F906
accordance with this section and NFPA.
C-2 Fire pumps are inspected, tested, and maintained in accordance with this F913
section and NFPA 25 and records are available on premises for review.
Carbon Monoxide detection and alarm systems are operative and
D-2 maintained in accordance with Code; and records are available for review F915
on premises.
17. Means of E ress
Code/points Description Code Section
A-3 The required capacity of means of egress is free of obstructions. F1031
B-2 Exterior exits are free from obstruction, including ice and snow. F1031
C-2 Curtains, drapes, and decorations shall not be placed to obstruct exits or F1031
visibility thereof.
D-2 Exit signs are provided in rooms or areas which require two or more exits. F1013
E-1 Exit sign placement shall be such that no point in an exit access corridor F1013
is more than 100 feet from the nearest visible exit sign.
Doors shall be readily operable from the egress side without use of a key
F-3 or special knowledge or effort. Electromagnetic locking devices are not PM702.3
allowed.
G-1 Occupant load is conspicuously posted in all assembly spaces where F1004
occupant load exceeds 49 persons.
H-2 Means of egress are provided with emergency lighting. F1104.5
-2 Tactile signs stating"EXIT" and complying with ICC/ANSI, A117.1 are F1013
provided adjacent to each door to an egress stairway.
Aisles are provided in all occupied spaces containing seats, tables,
J-1 furnishings, displays, and similar fixtures of equipment and are F1104.23
unobstructed at all times.
K-1 Stairways that travel below the level of exit discharge are clearly defined. F1104.21
L-1 Required exit signs are provided with emergency illumination. F1104.3
18. Flammable Finishes
Code/points Description code section
A-2 Electrical wiring and equipment in spray areas shall be explosion proof. F2403
B-2 "No Welding" signs shall be posted in the vicinity of the paint spraying F2403
areas and paint storage areas.
C-2 Portable fire extinguishers rated for high hazard shall be provided in paint F2404
spraying areas.
D-2 Spraying areas, exhaust fan blades, and exhaust ducts shall be kept free F2403
from the accumulation of deposits of combustible residues.
UPDATED Page I of 15
October 2020
19. Motor Fuel- Dispensing Facilities & Repair Garages
Code/points Description Code section
An approved, clearly identified and readily accessible emergency
A-3 disconnect switch shall be provided for fuel dispensers and distinctly F2303
labeled "Emergency Fuel Shutoff."
Approved fire extinguishers, with a minimum rating of 2-A: 20-B:C, shall
B-2 be located within 75 feet of pumps, dispensers, and storage tanks. F2305
C-1 Approved warning signs shall be posted in the fuel dispensing area. F2305
D-1 Daily inventory records are maintained for underground fuel storage tanks. F2306
E-1 Above-ground tanks are protected from impact by motor vehicles. F2306
F-1 Sources of ignition shall not be located within 18 inches of the floor in F2311
repair qarages.
G-1 Appropriately rated fire extinguishers are provided in repair garages. F2311
A non-coin operated telephone or other means to notify the fire
H-2 department is provided on-site. F2304
20. elding and Other Hot Work
Code/points Description Code Section
A-1 Hot work is conducted in areas designed or authorized for that work. F3501
B-1 Combustible materials are protected to prevent ignition. F3504
Fire extinguishers with a minimum 2-A:20-B:C ratings are located within
C-1 30 feet of hot work area. F3504
21. Hazardous Materials _
Code/points Description Code Section
A-3 The storage, use & handling of all hazardous materials are in accordance F5003
with Fire Code Section 5003.
22. Com ressed Gases
Code/points Description Code Section
A-3 Compressed gas containers are marked in accordance with CGA C-7. F5303
B-3 Compressed gas containers are secured and protected. F5303
C-3 Protective caps, plugs, or devices are in place. F5303
UPDATED Page 12 of 15
October 2020
23. 2020 Pro pert Maintenance Code of New York State
Code/points Description Code Section
A-1 Required equipment systems, devices, and safeguards are maintained in PM106
good working order.
B-1 Non-required equipment, devices, and systems are maintained in good PM106
workinq order or removed.
C-1 All exterior property and premises shall be maintained in a clean, safe, PM302
and sanitary condition.
D-2 Certificate of elevator inspection is available for review. PM606
24. Unsafe Structures and Equipment
An unsafe structure is one that is found to be dangerous to life, health, property, or safety of the
public or the occupants of the structure by not providing minimum safeguards to protect or warn
occupants in the event of fire, or because such structure contains unsafe equipment or is so
damaged, decayed, dilapidated, structurally unsafe, or of such faulty construction or unstable
foundation, that partial or complete collapse is possible.
Unsafe equipment includes any boiler, heating equipment, elevator, moving stairway, electrical
wiring or device, flammable liquid containers or other equipment on the premises or within the
structure which is in such disrepair or condition that such equipment is a hazard to life, health,
property, or safety of the public or occupants of the premises or structure.
non-conformance code/points Description Code Section
If, in the opinion of the inspector, the building or
equipment is deemed unsafe, as described above,
or unfit, unlawful or dangerous for occupancy per
the conditions described in 2020 Property
Maintenance Code of New York State Section 107;
A-3 such structure shall be condemned, and the PM107
inspector shall check this item on the
nonconformance sheet, provide a written
explanation of the hazard, and IMMEDIATELY
contact the New York State Education Department
Office of Facilities Planning at 518-474-3906.
UPDATED Page 13 of]5
October 2020
25.Vacant Premises
Code/points Description Code Section
Temporarily unoccupied buildings, structures, premises or portions F311.1.1
A-1 thereof, including tenant spaces, shall be safeguarded and maintained. through
311.6
B-1 Vacant structures and premises thereof or vacant land shall be maintained PM301.3
in a clean, safe, secure and sanitary condition.
C-1 Exterior Property Areas and premises shall be maintained in a clean, safe, PM302
secure and sanitary condition.
26. Other Requirements
non-conformance Description Code Section
codes/points
Document violations of any provisions of the 2020 Fire inspector to cite the
Code of New York State that are not specifically called out specific code section
A-3 on this form. List the section number of each code to identify the
requirement detailing the specifics of the violation. deficiency or
non-conformance
UPDATED Page 14 of 15
October 2020
Certifications — Part III — Nonpublic Schools
Description
Section III-A: Fire Inspection Method
_Section III-B: Fire Inspection by Local Fire Department Fire Corp or County Fire
Coordinator or Fire Inspector who holds a Valid Certification
• Inspector's Name and Title
• Inspector's Organization
• Telephone Number
• Inspector's Email
• Inspector's Registry# (assigned by the NYS Department of State)
Section III-C: School or Building Administrator, Director, or Headmaster
• Name
• Title
• Telephone Number
• Email