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HomeMy WebLinkAboutBP24-106PERMIT # #4 � / SECTION looYlop a TYPE OF WORK JOB LOCATION /S C CONTRACTORwj[ EST. COST ! r� TCO # _ DATE: _ BLOCK_ % v/ P Q / rS / V 4 -Zwe i 2 o��iny I142i _ FEE DATE L FEE DATE DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING /oASSel Fb GAS 0 SPRINKLER _fs ELECTRIC LOW -VOLT C> ALARM OIN AS BUILT O FINAL i°/�(Z;p y- o �a�✓FOP ��40� 1�a _�P� �- /�'o/j/a /ems �i�e �.►��/� �/Qc7�-Ic. OTHER APPROVALS ARB BOT PB ZBA OTHER VILLAGE OF RXE BROOK WESTCHESTER COU , NEW YORK NO: 24-132 Certificate of ®ccupaucp Ehis is to certify that Win R�Q�qe Pan /�y U 0 of, 20-? &66�0 I V having duly filed an application on It) / 20 U�requesting a Certificate of Occupancy for the premises known as, pla�e P/a Za Rye Brook, NY, located in a Zoning District and shown on the most current Tax Map as Section: I- ( Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. I VCLJ , issued 20o�`f, such authority and permission is hereby granted 04-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: qyoyo Construction: for the following purposes: / Y /�� / /' J 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 mnt but e moved from one location to another until a permit to accomplish such change h uilding Inspector, Village of Rye Brook: 06T 2 3 2024 lFDD _ For office use only: JUL3 1 BUILDIN4 `TMENT 2�24 D ti, PERMIT# Q y—/o!o VIL ' E OF RYE OK ISSUED: 38 KING STREt TYE BROOK,, V PORK 10573 DATE:VILLAGE OF RYE BROOK BUILDING DEPARTMENT \l�>. 9 -06 OY� FEE: (�' `L_PAID� 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 ttttt#•titYYtl444Y►lttittt41ttt4!♦ttYttit444tt4ittt4ti4i4itttttYtttt4t4t4t4ttt4t44l4►!•i4tt4tYt44lY►ttt►/Ytftltttt4iMtfltitYY Address: 15D Rye Ridge Plaza Occupancy/Use: CoMfWlcitzl Parcel ID#: =) / /L(2 Zone: CI-116 Win Ridge Realty Address` 24 Rye Ridge Ppla,,za G1�P.E./R.A. or Contractor: KW R4-( 66-VFF= ltNT —Address: I� RL II K9I (ASWiW Person in responsible charge: F—t%tV A(AAO Address: I Application is hereby made and submitted to the Building InspectoF of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/cogstructiotl/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: Ken McCabe-VFR Contracting being duly swom,deposes and says that he/she resides at 176 S highland Ave (Print Namc of Applicant) (No.and Street) in Ossining in the County of Westchester in the State of NY that (Cit).11,o%%n/villace) he/she has supervised the work at the location indicated above,and that the actu4l total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees.and includin the monetary value of any materials and labor which may have been donated gratis was:$ 8,800 for the construction or alteration of: �l1�2//O �2,OQ i r,S Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful foran 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-I O.A.of the Code of the Village of Rye Brook. Sworn to before me this �T 7� Sworn to before me this 31 day of ' '�L , 20 d Jul , 20 24 n e of Propc OswnucL* j _ Sicnauirc of Applicant r c,)4wq Ken McCabe Pri am, Proper 0 ME l,a Print NatneofApplicant Nolary ublic is Now% Public ALENA NAKANJIN -'a" Laura Smith NOTARY t UMX,STATE of NEW YORK Notary Public, State of New 03L4 Reyistration No.OIHAO013645 Reg.No.01SM6387739 Qualified In Westchester Count Qualified in Westchester County My Commission Expires 911912O2T � Commission Expires 02/25/27 E BRC�k. • �9�2 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: (' ) 1 rI�l C' DATE: 1 1 Z 1 1 PERMIT# ` ISSUED: SECT: 1• BLOCK: ` LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑j/ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER �E BRC��, 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR O 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 : J /f DATE: PERMIT# / /� Z �/ / Z- ISSUED: SECT: /Yj' 2/ BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ."J ❑ L.P. GAS - ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER r� i - �E 6Rcbl cu � 1982 BUILDING DEPARTMENT LI:�tUILDING 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 :_ 1 t ✓ ` ATE: ✓ 2 ' ` I Z C�Z CT PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: L) ���-� ` ,1� 1 OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION f`� REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas 1 Vjzs bx- 12P ❑ L.P.Gas c ❑ FUEL TANK y k c ❑ FIRE SPRINKLER LJ��-� 6 L f--4(_l u i r- "\�32-jL� ❑ FINAL PLUMBING ❑ CROSS CONNECTION \ ❑ FINAL y C ❑ OTHER a s � _ ■ O N N �,�. � ■ ■ CV CT N �, p : x hyl r: CA C4 p _ w cn x • Wry$" W Qy +-+ x rz � � �+ Fy ■ e W cn w U w a o = V O .1v5o -o 8° - a -oA � y W .k �+ w U Cn A = o z � 11 � OQ � OmWa°i � e O 2 cn w a 4 a44 Q x O z v N �. a a4) Gn - W F+j O N Ca ' o 'S OLn -4 e■ a co _ ^ F w V G W o �'O v o ° `° _ O A ■ © C7 w � � w W yob -. fb � z ■ W 110 o 9 5 r. w z uz o a o o ■ _ c� W � W CW7 �, v Q V ■ u uz W _ _ CN A d v W z� x � � aa o cn = Gti V z �"� 0. VI v a O O e rT1 r�" c wA � � ►. � a � o -S C� W o x z 1(] O � vo � ° W W z A z p H ' N V Fes) G4 O f A V u o afj, p4 �C Ems+ 1.., u' O A z � x � A W z �I as a a w > mp9IS BUILDtN� P rRTMEVT MAY 2 3 2024 VILI ov.RYA-)ROOK VILLAGE OF RYE BROOK 938 KLgG RkizBR ,IVY I0573 BUILpING DEPARTMENT `. C�C062f INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: MAY z 9 292 02_5 Apinovat Date: P¢rr>rti14: iApplication Fte:$ Approval Signature: Permit Fees:S �7J r �u -- Disapproved: -y Other: {**'1**k4#k{*'a{h�k::�'###P#�'�ss':{*•i[:'4R:i4{:',.•itiv':t i'SN{**#0{k*k{{f}t#*4{i tYF4*1:•i4w•vkti:4 ft k•k4{4*A1r*l4*Sti{*i{*ff kikf lY A Application dated. 06.22.24 Li lwrcby mudu lw6c Buihkg hispmtur ofalu:Villa}u off Pye Brook,NY,rur the issuance ora Pcrnii for the interior allcnflion Oran cristmu,bvikling,or ror a change iotptse,as per dctailcll tital tru_nl d-cribell below. 1. Job Ackiress: 15D RYE RIDGE PLAZA SBLk Zone: 2. propose(I Improvement. (Describe in detail): REMOVE FLOORING AND REPLACE WITH NEW VYNIL COMMERCIAL FLOOR (ATTACHED) PAINT REPA.4IRS 3. Does the proposed improvement itavulve a I Lorne-OCCUINItian as Irer§M-38 of the Code of the Wine of Rye Brook? No: X lies: It yes,indicate: Tt ER I: "PIER lt: TfER III: 4. Will the prolaosecl project require the instalhrtion of a new"or an extensiortJmodif9cation to an existing automatic fire suppression system(Fire Sprirrkler,ANSI'-.System,PN1-240 System,Typc I Flood,etc...):No: x Yes: (If yes,}Tease submit a separate Automatic Eire Suppt•ession System Permit ap(tli,_:ation!4t 2 sets of detailed engineered plans) 5. Occupancy;(I fain.,2 fmtn-,corntn.,ete...)Prior 10 ConstruCtion:E7(15TING HAIR SALON After Construction: EXISTING HAIR SALON 6. N.Y State Construction Classificaliew HAI I ON N.Y.Stag Use CLassification: NAIR SALOtd ��/7. PropelryO+wnreT: tom,,x�I r ;yh " Ac}dress: ANA Pltotrz#^ G II "NL�L' CeI1# emtril: a�" fl 8. Applicant KENNETH MCCABE Ad&ess: 176 S HIGHLAND AVE., O'SSINING, NY 10526 Phone ft Cell k 914 980 8352 email:KEN.k CCAt?EPVFRCOINTRACTING-CGk1 9. Architect Address: Phone 9. CCIi#s email 0. Engines: Address: —--- Phone 9 Cell 4 enrtil: I. General Contractor: VFR CONTRACTING Address: 176 S HIGHLAND AV-.. OSSIN'ING, NY 10526 Phone tt _Cell#914 980 8352 email: KFrt nnr_.r_. �yggrTRAGntuc eOnn 12. Estimated cost of construction $ 8,800.00 (NO"rG:"Ibc ;tilltilred cojj shall itxlvde III Libor,nuitcriai,sLartQl llll�,rlXtll t:gt71p�jctj%pr(7fegjional tecs,and nantarial and htbor which may be tlnnatcd gratis,) 13. Job Timetable: Start: Finish: (I) D JD BUIL MEN]' MAY 2 3 2024 VIL>L :Ov:Ry-Le, OOK VILLAGE OF RYE BROOK 938 KING.'tjj *"T Rvir.HA N)' 10573 BUILDING DEPARTMENT 0 R AFFIDAVIT OF COMPLIANCE VILLAGE: CODr $216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT DqJST BEAR THE NOTARIZED SIGNATURE OF THt LEGAL PROPERTY OWWR AHD BE SUIN41TTRI) ALOE; WITH ANY BUILDING OR PLU1413ING PERMIT APPLICATION. ANY BVILLING OR PLUMING ;PERRIT APPLICATION SUSkfITTFKE) WITHOUT THIS COMPLETED AND NOTARIZED FOP14 WILL BE PSTUR77ED TO TiTE APPLTCAINT STATE OF NEW YORK, COUNTY OF WESTCHESTER )h� t u as: 0 � l I)A- V040 residing at, (Print namz) ynu li'je) being duly sworn, deposes and states that(s)he is the applicant above named, and farti-ici-states that(3)hc is tl'3 legal owner of thiej propc-irty to which this Affidavit of Conipliance pertains at; I_1r_. 0 _V tNrA Ryc Brook, NY_ (Jr.b Ad&ev,) Fuilhe-I,that all statenicTits contained herein are true,and that to the.best or his/her knowledge rind belief,that there are no known illegal crass-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains,surnp pumps,or other prohibited storrnwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject pv>perty in 2CCOTC11111CC with ail State, County and Village Codcs. Sdawiya r n to b eforc e ,his o 120 -- t (Nij_41-y ALENA HAKANJIN NOTARY PUBLIC,STATE OF NEW YORK (2) Registration No.01HAO013645 Qualified in Westchester county I My commission Expires 90912027 8/1 ono?1 This application must be properly completed its its entirety and must include the notarized signature(s) of the legal owner(s) of the subj,ec: property, ar d the applicant of record in the spaces provided. Any application not property 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 fe¢s are ;ton-refundable. STATE OF NEW YORK COUNTY Or WESTC1IES'rER ) as: _ 1C1rNNETff hACCdBE _,being duly svvorn, depog s arvi slates Ilia,hcislie is the applicant above manied, rpr nt n un+c of iruti�i lva{si5ning ag the mjV L&nq and ftuthtT states [heat (,,)Ile is the legal owner of the property to which thi, application pertains, or that Whe is the CONTRACTOR _ _for the legal owner and es duly authorizcd to make and file this application. tffid7Cr71k.11L 1lNl:Y,cUlla C.tC[tir,aecn[,01[UR1c}',ctc.t v That all itatcrnents coritaincd herein are true to the best of his!her k rvro wliedge.. and belief, and that any work performed,,or use cand tcled at the A- ve captioned prolxrty will be in conformance rwith the detail,as set fm•th and CUtalained 'n this yplication and in any acca,mimaying, -n-noved plans and specifi,cartic-rr;, as well as in accurdance with the Nov., Yark State Unifroacm Fire Prevention & Building Code, the Code of the ViPlarge of Rye Brook and all other applicabke law;, UrdlinanCes and regulations. By signing this application, the property owner furthcr declares that helshc has inspected t4e,ubjcct property, and that LO the best of hIsJMr knowle-dge there are no roraf drains,sump purnps or othzr prohibiter)storrnwiter or groundwater co',incctions or sources of inftitration into the sanitary sower system oil or from 61C Subject p'r0PCrty. S\vocn1 tobef&-e me this sitorlt to before me this_22 - day crf _ ,20 cloy of May , )fl 24 21-1 ' asrm Rempunn5r 3i�n:Yrturerl'•1pplicanY Kerr McCabe e — - r'n N' of ProlperMy — P inr Maroc o \ppGcrat ;nr- r lie \nldr)PY.btic Laura Smith ALESA HAKANAN Notary Public, State of Now York f107A"PttBIC,STATE OF NM YOR Reg. No, 01 SM6337739 Aegisrrstion No.0IHA0013645 Quslif d!in Westchoslef County oual fled in Wastcbester County MyCommhsionE,pins9119120271 Commission Expires 02)25I27 Sl:i 2 1rl_j 0 NM ++ ri N N W O ` 4J N \ \ 00 a . c a N N MCI ON I ' a , V z o - t bi W a 044 'y x LL. � . C7 f- W 0 QG z oLn O Z z N w N o o � z00 LO W w � C5 � (A ^ Z C7 � o v C ` U ` 00A w It a ��•. a o Z W 5 wz z O Z 0 cx e O 00 1� o M/ V Q-+ A A W A a W H z aA z a W It* v Us a z r O 0 0 � r N o x U o w z a � A o � W W o G a z w � ' a BUIL E I 'I,MENT U I (C E. � V LE VIL' E OF RYE OK 938 KIN , ET RYE B ,NY 105 73 I J U N 18 2024 VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATIO BUILDING DEPARTMENT Westchester County Master Electricians License Required/ / FOR OFFICE USE ONLY BP#: �}�—''/ EP#: � 7 ' <0 Approval Date: Ca- 21 - 'Zo 2.y Permit Fee: S Approval Signature: ''�� Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 6-1 S� is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. 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: �� ��G Rat 2. e��.7_:.� e,ru' S1� .,,�C B�, 19 1 t�� —1 .G Zone W u" 2.Property Owner: I n �� �tV c�4A LLC- Address: &y� S� Phone#: 91`'1- 1 Cell#: email: 3.Master Electrician/Licensed Installer: N(w4tw �pACN'_?' Address: IVA�- �-�AM.r Aj, r_ a C, Lic.#: j4% Phone#: 91'A- 1?15-I3'4-Cell#: 5 erNail:Valk c��� l L4 -\ Company Name:_yjc'l t,t1�- t �,M I SA EA Ito(, Address: c�-`t �C��kr L L ;N e1 P.01, -At' 4.Proposed Electrical Work/Fixture Count: CAT 5.3'd Party Electrical Inspection Agency: ********************************************************************************************************* STATE OF.NEW YORK,COUNTY OF WESTCHESTER ) as: (� ! J�" �d- ,\uA-y_ , ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as a applicant) state that(s)he is the IT .�c;,lt.+� for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) 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 Swoui to before me this day of ,20 da f 20 Signature of Property Owner S ature of Applicant (JcQ,w �jC1k Print Name of Property Owner John S. Palma Print Name of Appl' t Notary Public, State of NY Notary Public No. 01 PA6111194 Not Pu tc Qualified in Westchester 6/1/2024 Term Expires: 06/07/20 Z.$ STATE WIDE INSPECTION SERVICES, INC. Service With Integrity 080 OFFICE@SWISNY.CONI SWIS el NI JOB APPLICATION n 0, / • Office Use Elect. Permit# /J� G/ Date Bldg Permit# � C Scl Ft Plumbing Permit# n Final Certificate # City/Village \� c�ak Zips 3 Building Dept. County Address A\w Cross Street Section Block Lot Owner Name/Address(If different than above) 'i a (��c t L C Contact Number (-4_ '— (yo-� ❑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/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch r� SERVICE Amperage #Panels iP 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation RE"' 2024 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. Email Address �v�( ��M QM,1 e « r Name fufez It Atiil,{, License# 6 Date Signature( 4"-- Address '1({ �1 h C City/State ,/�� Zip Code ,� l Company /'r �CII��nL �'T.M') t'CC t ( �v Phone# (State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 �c! JUL 15 2024 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE_ OF RYE BROOK Email: office(d)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: Valentine Family Electric Win Ridge Reality, LLC Andrew Valentine 15 D Rye Ridge Plaza 2242 Palmer Avenue, Apt 3C Rye Brook, NY 10573 New Rochelle, NY 10801 Located at: 15 D Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-126 141.27 K Certificate Number: 2024-4322 Building Permit Number: BP 24-106 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 15 D Rye Ridge Plaza, Rye Brook, NY 10573 The First Floor Hair salon was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below, was found to be in compliance on the 9th day of July 2024. Name Quantity Rating Circuit Type Relocate Receptacles 02 Cat 6 Line 01 Replace Sconces 10 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. r e N N W 00 00 f N NPLO Le) �-'-i z a o 0.4 4t �; u (� a, h w O V a v ti p`' w a V w `� W z a W ao Z W L 0 > , E� ►� z00 • Z • ° W �' � `� C7 � w � � H g v� o Cl) 00 w z CDw � 00z c°� z a 4-4 all Z� * N � � z r • ON .. 0 a > .. V w _ 1-400 � � � A oa w � x W � z � M i--i W .a a U .a 11 ►-� a w x z z it a W W w w F F oo �+ z z cn a w V o8 v a, w . A z w z A o � H a 9 a q w _ �I a a PO (A _ D EC ENE BUILD DES 1 '1;MENT MAY 21 2024 VILLA E OF RYE R OK 938 KING, l EET RYE B K,NY 10573 VILLAGE OF RYE BROOK (914)99`l 939-5801 BUILDING DEPARTMENT or PLUMBING`PEERMIT APPLICATION \ FOR OFFICE USE ONLY BP 4: 7�� O�j PP#: ty' c�--- Approval Date: S— Z $ — ZOl Permit Fee: S Approval Signature: `!`'`-,.- (:ij Other: Disapproved: (fees arc non-refundable) ************************************************************************************************** Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner, by signing this document agree thand u b'ng work will be in confor ce wlth all applicable Federal,State,County and Local Codes. I.Address: G �RyTe+'brrook, NY 10573NH077' �SBL: &VII 47/n� Zone: 2.Proposed Work: Replace water lines to 6 existing sinks Replace waste line to 4 of the existing chair stations 3.Property Owner: W .Y rc 1L Address: p,� Phone#: "I1�� �! OS Cell #: email: C L �' (XP1[•L 4.Master Plumber: Ken McCabe Address: P.O. Box 650 Briarcliff NY 10510 Lic.#: 983 Phone#: Cell#: 914-804-5412 email: Company Name: VFR CONTRACTING Address: P.O. BOX 650 BRIARCLIFF NY 10510 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 - I st Floor 2nd Floor C7 3'd Floor 4 Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Ken McCabe ,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 Contractor 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 ZJ Sworn to before me this 17 day of I 20 day of May ,20 24 Sign re of operty Owm-r r = Signature of Applicant QJAV oy Ken McCabe Print me of P erty Owner 4&& Print Name of Applicant `No a Public Notary flublic ALENA HAKANJIN Laura Smith NOTARY PUBLIC,STATE OF NEW YORK Notary Public,State of New Yori( Registration No.OIHAO013645 Reg. No. 01SM6387739 Qualified in Westchester County t h tceser Qualified in Wes County My Commission Expires 911912027 Commission Expires 02/25/27 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 sig led shall be deemed null and void and will be returned to the applicant. .2. 3/21/19 1 • CO V Bu[Ln.�l ; - > u�cMENT MAY 21 F'n.' VIL E OF RY OK 938 KING ET RYE BR ,NY 1057 VILLAGE OF RYE OK (914)9� b�S. 8 639-5801 BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE $216 ESTORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMING PERMIT APPLICATION. ANY•FBUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW�YfORK,, COUNTY OF WESTCHESTER ) as: �p 31. bnG li►V�SL��I I , residing at, I- � ,� V (Print name) (Address%%here 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; PC,, Rye Brook,NY. 0ob 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. -l° ('ien re of Prope ty O�wutls)) WIE_ tmt-4 s1") (Print Name of Property OwmerM) L Z T Sworn to before the this � v��t day , 20 (NoiaA,Public) ALENA HAKANJIN NOTARY PUBLIC,STATE OF NEW YORK Reyistrstion No.01HAO013645 Ousliried in Westchester County My Commission Expires 911912027 3 3/21/19 Building Permit Check List & Zoning Analysis OB & C ONLY Address: 0 C�1 SBL• L-4 - 2_ n Zone: C ' (� Use: Const.Type: V Other. Submittal Date: Z 2- Revisions Submittal Dates: Applicant: (-,( Nature of Work ZATA e_ I� C ll < Liea f C a(e A-o As a- Reviews.ZBA: MAY 2 9 2 24 P& BP: other S}N� OK (eFEES:Filing. 'LSC) BP: 2 n�` C/O: Legalization: ( ) (4'�APP.: Date Stamped Properly Signed SBL Verified: Cross Connection: F.O.G.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO.:Long. Shore Fees: N/A.- ) =PLAN:Topo: Site Protection: S/W Mgmt: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current: Archival• Sealed Unacceptable: PLANS:Date Stamped Sealed Copies_ � Electronic Other. ( ) ( ) License: Workers Comp: Liability. Comp.Waiver. Other. ( ) ( ) Code 753#. Dated N/A: ( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) fRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. (oy (.)' 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 Area: Circle: Froze _ Front Front Sides Rear. F.A.R.: en Space HH gha Stories: notes: f f � . 1 r i 7 - APA It air 70 4 �i . , t t � .�,��� y1._: � _: � ` � �_ �;> -�„y tea. `��"'� � �"�. � .��_ _. � � - ti•� fir... �\ �_... _� � -`►- �� _ _ _ __ a=?^_ �—� _ __--- __-_- -•yam. ��-= _ems- _y.�';r� �a_�s� __ -- _ _ - _�_ -�`� _- � _ �r—.. -- _ ___u._ �++-��. _ -_ _ _ —�_ _ a���g1•-_.__.. _ _� Y�, _�'t �. 4, .4 — _ _ •+ �_ �� � - � , F f:. W� �. >..�-.,' �', i�i: 4� �,�Y. ..J� � ,.� ;�ri �. ;�,.. ti �� ;a. �r J �� � .a .jt yl �. �� dk,/_ � �FJ 'a� <:` ;�_- �. ::€�.. s&..�.. ,�... � r .h r� , VFRCONT-01 BPHINITSOVANNA ACORN CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 5/291229I2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Loretta Candela World Insurance Associates,LLC PHONE FAX 616 Clock Tower Commons (A/c,No,Ext):(845)230-3328 322 (A/C,No): Brewster,NY 10509 E-MAIL .lorettacandela worldinsurance.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Preferred Mutual Insurance Company 15024 INSURED INSURER B: Kenneth J McCabe dba VFR Contracting INSURERC: PO Box 650 INSURER D: Briarcliff Manor,NY 10510 INSURER E 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE 141 OCCUR X BOP0100742198 4/11/2024 4/11/2026 DAMAGE TO RENTED ce $ 500,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY 1XI jRa LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO jPCA0100725738 4/14/2024 4/14/2025 BODILY INJURY Perperson) $ OWNED X SCHEDULED - - AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ _ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS UAS CLAIMS-MADE UC0110615183 4/11/2024 4/11/2025 AGGREGATE $ 5,000,000 DIED I X RETENTION$ 10,000 $ WORKERS COMPENSATION PERTLITE OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ pFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PLUMBING Village of Rye Brook is additional insured. 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 --- AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INEWR Workers' CERTIFICATE OF ATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured (914)762-8895 KENNETH J MCCABE DBA VFR CONTRACTING 1c. NYS Unemployment Insurance Employer Registration Number of 176 S HIGHLAND AVE Insured OSSINING,NY 10562 Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 30-0318426 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) THE TRAVELERS INDEMNITY COMPANY OF AMERICA 3b.Policy Number of entity listed in box"1 a" THE VILLAGE OF RYE BROOK 938 KING ST UB-7W840604-24 RYE BROOK,NY 10573 3c.Policy effective period 05/22/2024 to 05/22/2025 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) lall excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "1a" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend,extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Renan M.Beltran (Print name of authorized representative or licensed agent of insurance carrier) Approved by: RcA4-M. (3a, raw 05/29/2024 (Signature) (Date) Title: 2VP BI Small Commercial Operations Telephone Number of authorized representative or licensed agent of insurance carrier: (877)677-0428 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. 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